The promise of outreach for engaging and retaining out-of-care persons in HIV medical care.

Science.gov (United States)

Bradford, Judith B

2007-01-01

From the beginning of the HIV/AIDS epidemic, outreach workers have been on the frontlines of HIV prevention, working in community venues to increase knowledge and promote behaviors to reduce HIV transmission. As demographics of the HIV-infected population have changed, the need has grown to locate out-of-care individuals and learn how to engage and retain them in HIV care. Through the Health Resources and Services Administration (HRSA) Special Projects of National Significance (SPNS) Outreach Initiative, 10 sites across the United States implemented and evaluated enhanced outreach models designed to increase engagement and retention in HIV care for underserved, disadvantaged HIV-infected individuals. Although the models differed in response to local needs and organizational characteristics, all made use of a common conceptual framework, and all used the same data collection and reporting protocols. Study teams enrolled and provided behavioral interventions to HIV-infected individuals who have been noticeably absent from research and from practice. Their interventions incorporated coaching, skills-building, and education, and were successful in reducing or removing structural, financial, and personal/cultural barriers that interfered with equitable access to HIV care. Desired outcomes of increased engagement and retention in HIV health care were achieved. Results demonstrate that interventions to promote equitable access to HIV care for disadvantaged population groups can be built from outreach models. Qualitative and quantitative analysis of the multisite data indicates that further development and evaluation of outreach-based interventions will result in effective tools for reaching HIV-infected individuals who would otherwise remain without needed care.

Beyond safety outcomes: An investigation of the impact of safety climate on job satisfaction, employee engagement and turnover using social exchange theory as the theoretical framework.

Science.gov (United States)

Huang, Yueng-Hsiang; Lee, Jin; McFadden, Anna C; Murphy, Lauren A; Robertson, Michelle M; Cheung, Janelle H; Zohar, Dov

2016-07-01

Safety climate, a measure of the degree to which safety is perceived by employees to be a priority in their company, is often implicated as a key factor in the promotion of injury-reducing behavior and safe work environments. Using social exchange theory as a theoretical basis, this study hypothesized that safety climate would be related to employees' job satisfaction, engagement, and turnover rate, highlighting the beneficial effects of safety climate beyond typical safety outcomes. Survey data were collected from 6207 truck drivers from two U.S. trucking companies. The objective turnover rate was collected one year after the survey data collection. Results showed that employees' safety climate perceptions were linked to employees' level of job satisfaction, engagement, and objective turnover rate, thus supporting the application of social exchange theory. Job satisfaction was also a significant mediator between safety climate and the two human resource outcomes (i.e., employee engagement and turnover rate). This study is among the first to assess the impact of safety climate beyond safety outcomes among lone workers (using truck drivers as an exemplar). Copyright © 2016 The Authors. Published by Elsevier Ltd.. All rights reserved.

ABB engagement in efforts to improve the safety of RBMK reactors

International Nuclear Information System (INIS)

Tiren, L.I.; Bioere, S.; Molin, J.

1993-01-01

ABB Atom is engaged in safety analysis for the Ignalinsk (RBMK) nuclear power plant. The analysis is done within the framework of two different initiatives of the Swedish Nuclear Power Inspectorate, namely: probabilistic safety assessment, i.e. the BARSELINA project, and analysis of containment safety issues. The aim is to enable decisions to be made for specific hardware modifications. The following items were considered by the Swedish Nuclear Power Inspectorate to be the most significant with regard to safety and were thus selected for further study or action: nondestructive testing of primary system components, fire and flooding protection, pressure relief from the reactor cavity in certain accident sequences, Accident Localization System improvements, and a separate auxiliary feedwater system. (Z.S.) 1 fig

Measuring school climate in high schools: a focus on safety, engagement, and the environment.

Science.gov (United States)

Bradshaw, Catherine P; Waasdorp, Tracy E; Debnam, Katrina J; Johnson, Sarah Lindstrom

2014-09-01

School climate has been linked to multiple student behavioral, academic, health, and social-emotional outcomes. The US Department of Education (USDOE) developed a 3-factor model of school climate comprised of safety, engagement, and environment. This article examines the factor structure and measurement invariance of the USDOE model. Drawing upon 2 consecutive waves of data from over 25,000 high school students (46% minority), a series of exploratory and confirmatory factor analyses examined the fit of the Maryland Safe and Supportive Schools Climate Survey with the USDOE model. The results indicated adequate model fit with the theorized 3-factor model of school climate, which included 13 subdomains: safety (perceived safety, bullying and aggression, and drug use); engagement (connection to teachers, student connectedness, academic engagement, school connectedness, equity, and parent engagement); environment (rules and consequences, physical comfort, and support, disorder). We also found consistent measurement invariance with regard to student sex, grade level, and ethnicity. School-level interclass correlation coefficients ranged from 0.04 to .10 for the scales. Findings supported the USDOE 3-factor model of school climate and suggest measurement invariance and high internal consistency of the 3 scales and 13 subdomains. These results suggest the 56-item measure may be a potentially efficient, yet comprehensive measure of school climate. © 2014, American School Health Association.

Reliability-based design of a retaining wall

OpenAIRE

Kim, John Sang

1995-01-01

A retaining wall is subject to various limit states such as sliding, overturning and bearing capacity, and it can fail by anyone of them. Since a great deal of uncertainty is involved in the analysis of the limit states~ the use of detenninistic conventional safety factors may produce a misleading result. The main objective of this study is to develop a procedure for the optimum design of a retaining wall by using the reliability theory. Typical gravity retaining walls with fou...

Seismic analysis for translational failure of landfills with retaining walls.

Science.gov (United States)

Feng, Shi-Jin; Gao, Li-Ya

2010-11-01

In the seismic impact zone, seismic force can be a major triggering mechanism for translational failures of landfills. The scope of this paper is to develop a three-part wedge method for seismic analysis of translational failures of landfills with retaining walls. The approximate solution of the factor of safety can be calculated. Unlike previous conventional limit equilibrium methods, the new method is capable of revealing the effects of both the solid waste shear strength and the retaining wall on the translational failures of landfills during earthquake. Parameter studies of the developed method show that the factor of safety decreases with the increase of the seismic coefficient, while it increases quickly with the increase of the minimum friction angle beneath waste mass for various horizontal seismic coefficients. Increasing the minimum friction angle beneath the waste mass appears to be more effective than any other parameters for increasing the factor of safety under the considered condition. Thus, selecting liner materials with higher friction angle will considerably reduce the potential for translational failures of landfills during earthquake. The factor of safety gradually increases with the increase of the height of retaining wall for various horizontal seismic coefficients. A higher retaining wall is beneficial to the seismic stability of the landfill. Simply ignoring the retaining wall will lead to serious underestimation of the factor of safety. Besides, the approximate solution of the yield acceleration coefficient of the landfill is also presented based on the calculated method. Copyright © 2010 Elsevier Ltd. All rights reserved.

Summary report on the design of the retained gas sampler system (retained gas sampler, extruder and extractor)

International Nuclear Information System (INIS)

Wootan, D.W.; Bolden, R.C.; Bridges, A.E.; Cannon, N.S.; Chastain, S.A.; Hey, B.E.; Knight, R.C.; Linschooten, C.G.; Pitner, A.L.; Webb, B.J.

1994-01-01

This document summarizes work performs in Fiscal Year 1994 to develop the three main components of Retained Gas Sampler System (RGSS). These primary components are the Retained Gas Sampler (RGS), the Retained Gas Extruder (RGE), and the Retained Gas Extractor (RGEx). The RGS is based on the Westinghouse Hanford Company (WHC) Universal Sampler design, and includes modifications to reduce gas leakage. The primary data priorities for the RGSS are to measure the void fraction and the flammable gas concentration in the waste sample. Significant progress has been made in developing the RGSS. The RGSS is being developed by WHC to extract a representative waste sample from a Flammable Gas Watch List Tanks and to measure both the amount and composition of free and open-quotes boundclose quotes gases. Sudden releases of flammable gas mixtures are a safety concern for normal waste storage operations and eventual waste retrieval. Flow visualization testing was used to identify important fluid dynamic issues related to the sampling process. The primary data priorities for the RGSS are to measure the void fraction and the flammable gas concentration in the waste sample. The safety analysis for the RGSS is being performed by Los Alamos National Laboratory and is more than sixty percent (60%) complete

Psychosocial safety climate as a precursor to conducive work environments, psychological health problems, and employee engagement

NARCIS (Netherlands)

M.F. Dollard (Maureen); A.B. Bakker (Arnold)

2010-01-01

textabstractWe constructed a model of workplace psychosocial safety climate (PSC) to explain the origins of job demands and resources, worker psychological health, and employee engagement. PSC refers to policies, practices, and procedures for the protection of worker psychological health and safety.

Building a culture of safety through team training and engagement.

Science.gov (United States)

Thomas, Lily; Galla, Catherine

2013-05-01

Medical errors continue to occur despite multiple strategies devised for their prevention. Although many safety initiatives lead to improvement, they are often short lived and unsustainable. Our goal was to build a culture of patient safety within a structure that optimised teamwork and ongoing engagement of the healthcare team. Teamwork impacts the effectiveness of care, patient safety and clinical outcomes, and team training has been identified as a strategy for enhancing teamwork, reducing medical errors and building a culture of safety in healthcare. Therefore, we implemented Team Strategies and Tools to Enhance Performance and Patient Safety (TeamSTEPPS), an evidence-based framework which was used for team training to create transformational and/or incremental changes; facilitating transformation of organisational culture, or solving specific problems. To date, TeamSTEPPS (TS) has been implemented in 14 hospitals, two Long Term Care Facilities, and outpatient areas across the North Shore LIJ Health System. 32 150 members of the healthcare team have been trained. TeamSTEPPS was piloted at a community hospital within the framework of the health system's organisational care delivery model, the Collaborative Care Model to facilitate sustainment. AHRQ's Hospital Survey on Patient Safety Culture, (HSOPSC), was administered before and after implementation of TeamSTEPPS, comparing the perception of patient safety by the heathcare team. Pilot hospital results of HSOPSC show significant improvement from 2007 (pre-TeamSTEPPS) to 2010. System-wide results of HSOPSC show similar trends to those seen in the pilot hospital. Valuable lessons for organisational success from the pilot hospital enabled rapid spread of TeamSTEPPS across the rest of the health system.

Evaluating the Impact of Radio Frequency Identification Retained Surgical Instruments Tracking on Patient Safety: Literature Review.

Science.gov (United States)

Schnock, Kumiko O; Biggs, Bonnie; Fladger, Anne; Bates, David W; Rozenblum, Ronen

2017-02-22

Retained surgical instruments (RSI) are one of the most serious preventable complications in operating room settings, potentially leading to profound adverse effects for patients, as well as costly legal and financial consequences for hospitals. Safety measures to eliminate RSIs have been widely adopted in the United States and abroad, but despite widespread efforts, medical errors with RSI have not been eliminated. Through a systematic review of recent studies, we aimed to identify the impact of radio frequency identification (RFID) technology on reducing RSI errors and improving patient safety. A literature search on the effects of RFID technology on RSI error reduction was conducted in PubMed and CINAHL (2000-2016). Relevant articles were selected and reviewed by 4 researchers. After the literature search, 385 articles were identified and the full texts of the 88 articles were assessed for eligibility. Of these, 5 articles were included to evaluate the benefits and drawbacks of using RFID for preventing RSI-related errors. The use of RFID resulted in rapid detection of RSI through body tissue with high accuracy rates, reducing risk of counting errors and improving workflow. Based on the existing literature, RFID technology seems to have the potential to substantially improve patient safety by reducing RSI errors, although the body of evidence is currently limited. Better designed research studies are needed to get a clear understanding of this domain and to find new opportunities to use this technology and improve patient safety.

Providing feedback following Leadership WalkRounds is associated with better patient safety culture, higher employee engagement and lower burnout.

Science.gov (United States)

Sexton, J Bryan; Adair, Kathryn C; Leonard, Michael W; Frankel, Terri Christensen; Proulx, Joshua; Watson, Sam R; Magnus, Brooke; Bogan, Brittany; Jamal, Maleek; Schwendimann, Rene; Frankel, Allan S

2018-04-01

There is a poorly understood relationship between Leadership WalkRounds (WR) and domains such as safety culture, employee engagement, burnout and work-life balance. This cross-sectional survey study evaluated associations between receiving feedback about actions taken as a result of WR and healthcare worker assessments of patient safety culture, employee engagement, burnout and work-life balance, across 829 work settings. 16 797 of 23 853 administered surveys were returned (70.4%). 5497 (32.7% of total) reported that they had participated in WR, and 4074 (24.3%) reported that they participated in WR with feedback. Work settings reporting more WR with feedback had substantially higher safety culture domain scores (first vs fourth quartile Cohen's d range: 0.34-0.84; % increase range: 15-27) and significantly higher engagement scores for four of its six domains (first vs fourth quartile Cohen's d range: 0.02-0.76; % increase range: 0.48-0.70). This WR study of patient safety and organisational outcomes tested relationships with a comprehensive set of safety culture and engagement metrics in the largest sample of hospitals and respondents to date. Beyond measuring simply whether WRs occur, we examine WR with feedback, as WR being done well . We suggest that when WRs are conducted, acted on, and the results are fed back to those involved, the work setting is a better place to deliver and receive care as assessed across a broad range of metrics, including teamwork, safety, leadership, growth opportunities, participation in decision-making and the emotional exhaustion component of burnout. Whether WR with feedback is a manifestation of better norms, or a cause of these norms, is unknown, but the link is demonstrably potent. © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2018. All rights reserved. No commercial use is permitted unless otherwise expressly granted.

Providing feedback following Leadership WalkRounds is associated with better patient safety culture, higher employee engagement and lower burnout

Science.gov (United States)

Sexton, J Bryan; Adair, Kathryn C; Leonard, Michael W; Frankel, Terri Christensen; Proulx, Joshua; Watson, Sam R; Magnus, Brooke; Bogan, Brittany; Jamal, Maleek; Schwendimann, Rene; Frankel, Allan S

2018-01-01

Background There is a poorly understood relationship between Leadership WalkRounds (WR) and domains such as safety culture, employee engagement, burnout and work-life balance. Methods This cross-sectional survey study evaluated associations between receiving feedback about actions taken as a result of WR and healthcare worker assessments of patient safety culture, employee engagement, burnout and work-life balance, across 829 work settings. Results 16 797 of 23 853 administered surveys were returned (70.4%). 5497 (32.7% of total) reported that they had participated in WR, and 4074 (24.3%) reported that they participated in WR with feedback. Work settings reporting more WR with feedback had substantially higher safety culture domain scores (first vs fourth quartile Cohen’s d range: 0.34–0.84; % increase range: 15–27) and significantly higher engagement scores for four of its six domains (first vs fourth quartile Cohen’s d range: 0.02–0.76; % increase range: 0.48–0.70). Conclusion This WR study of patient safety and organisational outcomes tested relationships with a comprehensive set of safety culture and engagement metrics in the largest sample of hospitals and respondents to date. Beyond measuring simply whether WRs occur, we examine WR with feedback, as WR being done well. We suggest that when WRs are conducted, acted on, and the results are fed back to those involved, the work setting is a better place to deliver and receive care as assessed across a broad range of metrics, including teamwork, safety, leadership, growth opportunities, participation in decision-making and the emotional exhaustion component of burnout. Whether WR with feedback is a manifestation of better norms, or a cause of these norms, is unknown, but the link is demonstrably potent. PMID:28993441

Retaining professional nurses in South Africa: Nurse managers ...

African Journals Online (AJOL)

Retaining professional nurses in South Africa: Nurse managers' perspectives. ... This implies that creating a favourable environment in the workplace situation ... Unsafe working environments and a lack of resources threaten the safety and ...

Measuring School Climate in High Schools: A Focus on Safety, Engagement, and the Environment

Science.gov (United States)

Bradshaw, Catherine P.; Waasdorp, Tracy E.; Debnam, Katrina J.; Johnson, Sarah Lindstrom

2014-01-01

Background: School climate has been linked to multiple student behavioral, academic, health, and social-emotional outcomes. The US Department of Education (USDOE) developed a 3-factor model of school climate comprised of safety, engagement, and environment. This article examines the factor structure and measurement invariance of the USDOE model.…

Psychosocial safety climate as a precursor to conducive work environments, psychological health problems, and employee engagement

OpenAIRE

Dollard, Maureen; Bakker, Arnold

2010-01-01

textabstractWe constructed a model of workplace psychosocial safety climate (PSC) to explain the origins of job demands and resources, worker psychological health, and employee engagement. PSC refers to policies, practices, and procedures for the protection of worker psychological health and safety. Using the job demands-resources framework, we hypothesized that PSC as an upstream organizational resource influenced largely by senior management, would precede the work context (i.e., job demand...

Creating a culture where employee engagement Thrives

International Nuclear Information System (INIS)

Don Groover, C.S.P.

2007-01-01

Safety leaders across industries face a critical challenge: engaging employees. While engagement of a few people may be easy in short-term projects, it is significantly more difficult with long-term processes. In this session we show leaders how they can create a culture where workers are more open and even eager to be involved in safety efforts. Our experience with safety leaders in the nuclear industry has verified that when the factors that drive organizational functioning are understood, leaders are enabled to augment employee engagement and attain significant improvement in safety outcomes. The underlying factors that influence employee engagement, performance, outcomes, and organizational culture are the same the world over. We will also show how safety is capable, by its intrinsic value, of winning profound support and direct engagement of employees. In this session, we will examine how leaders can leverage their decisions and actions to win over employees to safety and support them in their endeavors to promote it. Using the safety leadership best practices Vision, Credibility, Accountability, Communication, Collaboration, Action Orientation, and Recognition and Feedback, leaders increase their impact on their organization in favor of a culture that supports safety and employee engagement. Leaders that create a climate and culture where employee engagement thrives, realize better safety results. Leadership is not exclusively an inborn talent; it can be developed and enhanced. To this end, we will also show the advantages of transformational leadership style by comparing it to more classical transactional leadership

Creating a culture where employee engagement Thrives

Energy Technology Data Exchange (ETDEWEB)

Don Groover, C.S.P. [Behavioral Science Technology, Ojai, CA (United States)

2007-07-01

Safety leaders across industries face a critical challenge: engaging employees. While engagement of a few people may be easy in short-term projects, it is significantly more difficult with long-term processes. In this session we show leaders how they can create a culture where workers are more open and even eager to be involved in safety efforts. Our experience with safety leaders in the nuclear industry has verified that when the factors that drive organizational functioning are understood, leaders are enabled to augment employee engagement and attain significant improvement in safety outcomes. The underlying factors that influence employee engagement, performance, outcomes, and organizational culture are the same the world over. We will also show how safety is capable, by its intrinsic value, of winning profound support and direct engagement of employees. In this session, we will examine how leaders can leverage their decisions and actions to win over employees to safety and support them in their endeavors to promote it. Using the safety leadership best practices Vision, Credibility, Accountability, Communication, Collaboration, Action Orientation, and Recognition and Feedback, leaders increase their impact on their organization in favor of a culture that supports safety and employee engagement. Leaders that create a climate and culture where employee engagement thrives, realize better safety results. Leadership is not exclusively an inborn talent; it can be developed and enhanced. To this end, we will also show the advantages of transformational leadership style by comparing it to more classical transactional leadership.

Republished: Building a culture of safety through team training and engagement.

Science.gov (United States)

Thomas, Lily; Galla, Catherine

2013-07-01

Medical errors continue to occur despite multiple strategies devised for their prevention. Although many safety initiatives lead to improvement, they are often short lived and unsustainable. Our goal was to build a culture of patient safety within a structure that optimised teamwork and ongoing engagement of the healthcare team. Teamwork impacts the effectiveness of care, patient safety and clinical outcomes, and team training has been identified as a strategy for enhancing teamwork, reducing medical errors and building a culture of safety in healthcare. Therefore, we implemented Team Strategies and Tools to Enhance Performance and Patient Safety (TeamSTEPPS), an evidence-based framework which was used for team training to create transformational and/or incremental changes; facilitating transformation of organisational culture, or solving specific problems. To date, TeamSTEPPS (TS) has been implemented in 14 hospitals, two Long Term Care Facilities, and outpatient areas across the North Shore LIJ Health System. 32 150 members of the healthcare team have been trained. TeamSTEPPS was piloted at a community hospital within the framework of the health system's organisational care delivery model, the Collaborative Care Model to facilitate sustainment. AHRQ's Hospital Survey on Patient Safety Culture, (HSOPSC), was administered before and after implementation of TeamSTEPPS, comparing the perception of patient safety by the heathcare team. Pilot hospital results of HSOPSC show significant improvement from 2007 (pre-TeamSTEPPS) to 2010. System-wide results of HSOPSC show similar trends to those seen in the pilot hospital. Valuable lessons for organisational success from the pilot hospital enabled rapid spread of TeamSTEPPS across the rest of the health system.

Developing a Framework for Evaluating the Patient Engagement, Quality, and Safety of Mobile Health Applications.

Science.gov (United States)

Singh, Karandeep; Drouin, Kaitlin; Newmark, Lisa P; Rozenblum, Ronen; Lee, Jaeho; Landman, Adam; Pabo, Erika; Klinger, Elissa V; Bates, David W

2016-02-01

Rising ownership of smartphones and tablets across social and demographic groups has made mobile applications, or apps, a potentially promising tool for engaging patients in their health care, particularly those with high health care needs. Through a systematic search of iOS (Apple) and Android app stores and an analysis of apps targeting individuals with chronic illnesses, we assessed the degree to which apps are likely to be useful in patient engagement efforts. Usefulness was determined based on the following criteria: description of engagement, relevance to the targeted patient population, consumer ratings and reviews, and most recent app update. Among the 1,046 health care-related, patient-facing applications identified by our search, 43 percent of iOS apps and 27 percent of Android apps appeared likely to be useful. We also developed criteria for evaluating the patient engagement, quality, and safety of mobile apps.

The influence of organisational rewards on workplace trust and work engagement

Directory of Open Access Journals (Sweden)

Janine Victor

2017-05-01

Full Text Available Orientation: In volatile and competitive business environments, organisations are faced with challenges to retain talented workers. Employees are increasingly leaving their jobs for a number of reasons, one of them being a perceived lack of adequate reward practices. Consequently, this has impacted on employee work engagement and confidence and trust in organisations. Research purpose: The study sought to determine whether there is a relationship between rewards, trust and engagement, as well as whether rewards are able to predict trust and engagement in the South African workplace. Motivation for the study: Organisations can no longer solely rely on extrinsic rewards to retain talent. Companies must draw on both extrinsic and intrinsic reward strategies to improve retention levels through endorsing higher levels of workplace trust and work engagement levels. Research design, approach and method: A quantitative, exploratory and cross-sectional research design was utilised. Non-probability sampling using questionnaires consisting of scales from the Job Satisfaction Survey, Intrinsic Motivation Inventory, Psychological Meaningfulness Scale, Basic Needs at Work Scale, Workplace Trust Survey and Utrecht Work Engagement Scale were administered to a sample (N = 251 of South African employees in various industries within the Gauteng region. Main findings: Results indicated that there is a moderate-to-strong positive relationship between the three constructs, and that rewards are able to predict trust and engagement. Practical and managerial implications: The findings provide insight for behavioural practitioners to potentially draw upon when improving talent management strategies. Both extrinsic and intrinsic rewards are important factors in keeping employees engaged and ultimately retaining them. Contribution: The study provided insight into the influence that organisational rewards may have on workplace trust, work engagement and retaining employees

Retainer Positioner

Directory of Open Access Journals (Sweden)

Sanjeeb Kumar Sahu

2012-01-01

Full Text Available Several techniques are used to keep the retainer wire in the proper position during direct bonding, of lingual bonded retainers. Proper placement helps prevent occlusal wear of the composite over the retainer wire, thus reducing the risk of breakage. This article describes a new chairside time saving retainer positioner which allows accurate placement and direct bonding of all types of fixed lingual retainers, with solid or multistranded wires.

Retained gas inventory comparison

International Nuclear Information System (INIS)

BARTON, W.B.

1999-01-01

Gas volume data derived from four different analytical methods were collected and analyzed for comparison to volumes originally used in the technical basis for the Basis for Interim Operations (BIO). The original volumes came from Hodgson (1996) listed in the reference section of this document. Hodgson (1996) screened all 177 single and double-shell tanks for the presence of trapped gas in waste via two analytical methods: Surface Level Rise (SLR), and Barometric Pressure Effect (BPE). More recent gas volume projections have been calculated using different analytical techniques along with updates to the parameters used as input to the SLR and BPE models. Gas volumes derived from new analytical instruments include those as measured by the Void Fraction Instrument (VFI) and Retained Gas Sampler (RGS). The results of this comparison demonstrate that the original retained gas volumes of Hodgson (1996) used as a technical basis in developing the BIO were conservative, and were conservative from a safety analysis standpoint. These results represent only comparisons to the original reported volumes using the limited set of newly acquired data that is available

Leveraging Trainees to Improve Quality and Safety at the Point of Care: Three Models for Engagement.

Science.gov (United States)

Johnson Faherty, Laura; Mate, Kedar S; Moses, James M

2016-04-01

Trainees, as frontline providers who are acutely aware of quality improvement (QI) opportunities and patient safety (PS) issues, are key partners in achieving institutional quality and safety goals. However, as academic medical centers accelerate their initiatives to prioritize QI and PS, trainees have not always been engaged in these efforts. This article describes the development of an organizing framework with three suggested models of varying scopes and time horizons to effectively involve trainees in the quality and safety work of their training institutions. The proposed models, which were developed through a literature review, expert interviews with key stakeholders, and iterative testing, are (1) short-term, team-based, rapid-cycle initiatives; (2) medium-term, unit-based initiatives; and (3) long-term, health-system-wide initiatives. For each, the authors describe the objective, scope, duration, role of faculty leaders, steps for implementation in the clinical setting, pros and cons, and examples in the clinical setting. There are many barriers to designing the ideal training environments that fully engage trainees in QI/PS efforts, including lack of protected time for faculty mentors, time restrictions due to rotation-based training, and structural challenges. However, one of the most promising strategies for overcoming these barriers is integrating QI/PS principles into routine clinical care. These models provide opportunities for trainees to successfully learn and apply quality and safety principles to routine clinical care at the team, unit, and system level.

Basic fracture toughness requirements for ferritic materials of nuclear class pressure retaining equipment in NPP

International Nuclear Information System (INIS)

Ning Dong; Yao Weida

2005-01-01

In this paper, theory basis on cold brittleness and anti-brittle fracture design of ferritic materials are introduced summarily and fracture toughness requirements for ferritic materials in ASME code for nuclear safety class pressure retaining equipment in NPP are summarized and evaluated. The results show that notch impact toughness requirements for materials relate to nuclear safety class of materials so as to ensure that brittle fracture of retaining pressure boundary in NPP can not occur. (authors)

Engaging Élitism: The Mediating Effect of Work Engagement on Affective Commitment and Quit Intentions in Two Australian University Groups

Science.gov (United States)

Ferrer, Justine L.; Morris, Leanne

2013-01-01

Some universities rely on their élitism as one mechanism to attract and retain talented faculty. This paper examines two groups of élite and non-élite universities and the mediating effect that work engagement has on affective commitment and intention to quit. Findings indicate partial support for the mediating effect of work engagement in the…

Moving beyond Attendance: Lessons Learned from Assessing Engagement in Afterschool Contexts

Science.gov (United States)

Fredricks, Jennifer A.; Bohnert, Amy M.; Burdette, Kimberly

2014-01-01

Youth engagement is the least researched, but potentially most important, aspect of participation in afterschool programs. The level of youth engagement can vary across programs, across youth within a program, and within individual youth over time. Engagement is important for both recruiting and retaining participants, and has been associated with…

Clear retainer

Directory of Open Access Journals (Sweden)

Priyakorn Chaimongkol

2017-01-01

Full Text Available A clear retainer is a removable retainer that is popular in the present day. Compared with conventional fixed and removable orthodontic retainers, it is a more esthetic, comfortable, and inexpensive appliance. Although several studies have been published about clear retainers, it could be difficult to interpret the results because of the variety of study designs, sample sizes, and research methods. This article is intended to compile the content from previous studies and discuss advantages, disadvantages, fabrication, insertion, and adjustment. Moreover, the effectiveness in maintaining dental position, occlusion, retention protocols, thickness, and survival rate of clear retainers is discussed.

HRET patient safety leadership fellowship: the role of "community" in patient safety.

Science.gov (United States)

Leonhardt, Kathryn Kraft

2010-01-01

Community engagement is widely endorsed but poorly defined as a strategy to improve patient safety. With strong evidence that engaging patients can positively influence health outcomes, it is presumed that community engagement could improve patient safety. Leaning on the models from other disciplines such as public health, the adequate knowledge and application of the principles of community engagement are critical for this approach to be effective. This article provides a description of the theories supporting patient partnership and community engagement, reviews critical elements of successful community-based programs, and identifies the potential for empowering communities to improve patient safety.

Total rewards that retain: A study of demographic preferences

Directory of Open Access Journals (Sweden)

Monica Pregnolato

2017-01-01

Full Text Available Orientation: Changing workplace demographics and a dearth of employees with scarce skills have forced employers to better understand the various factors that retain talented employees. Research purpose: In this empirical study, the reward preferences and ideal combination of total reward elements (based on an estimation of their relative importance that retain employees from various demographic groups, including employees of different race, gender and age groups, were investigated. Motivation for study: Organisations are competing for talented employees and to benefit from the value these individuals add, it is required of them to stay at the respective businesses. Previous studies have indicated that employees who are offered a reward package that is aligned to their personal preferences are prone to stay longer at the organisation and to be more engaged at work. However, new and novel ways need to be found to identify the reward preferences of employees. Research design, approach and method: A quantitative approach and descriptive research design was employed to estimate the individual reward preferences and identify an ideal mix of total reward elements that retain different cohorts of employees. Three questionnaires were distributed, including a Remuneration Managers Questionnaire (n = 7, a Remuneration Preference Questionnaire (n = 368 and a Choice-based Conjoint Task Questionnaire (n = 368. The latter two questionnaires were distributed as an online questionnaire to South African businesses and consisted of eight choice-based conjoint tasks, as well as a field survey. Main findings: The results of the choice-based conjoint analysis revealed that all respondents considered financial rewards (Benefits, Performance and Recognition, Remuneration, Career, in that order as relatively speaking, the most important components in their total rewards package that would lead to their retention. For most demographic groups, the remaining three places

Psychosocial safety climate as a lead indicator of workplace bullying and harassment, job resources, psychological health and employee engagement.

Science.gov (United States)

Law, Rebecca; Dollard, Maureen F; Tuckey, Michelle R; Dormann, Christian

2011-09-01

Psychosocial safety climate (PSC) is defined as shared perceptions of organizational policies, practices and procedures for the protection of worker psychological health and safety, that stem largely from management practices. PSC theory extends the Job Demands-Resources (JD-R) framework and proposes that organizational level PSC determines work conditions and subsequently, psychological health problems and work engagement. Our sample was derived from the Australian Workplace Barometer project and comprised 30 organizations, and 220 employees. As expected, hierarchical linear modeling showed that organizational PSC was negatively associated with workplace bullying and harassment (demands) and in turn psychological health problems (health impairment path). PSC was also positively associated with work rewards (resources) and in turn work engagement (motivational path). Accordingly, we found that PSC triggered both the health impairment and motivational pathways, thus justifying extending the JD-R model in a multilevel way. Further we found that PSC, as an organization-based resource, moderated the positive relationship between bullying/harassment and psychological health problems, and the negative relationship between bullying/harassment and engagement. The findings provide evidence for a multilevel model of PSC as a lead indicator of workplace psychosocial hazards (high demands, low resources), psychological health and employee engagement, and as a potential moderator of psychosocial hazard effects. PSC is therefore an efficient target for primary and secondary intervention. Copyright © 2011 Elsevier Ltd. All rights reserved.

9 CFR 318.15 - Tagging chemicals, preservatives, cereals, spices, etc., “U.S. retained.”

Science.gov (United States)

2010-01-01

..., cereals, spices, etc., âU.S. retained.â 318.15 Section 318.15 Animals and Animal Products FOOD SAFETY AND...; REINSPECTION AND PREPARATION OF PRODUCTS General § 318.15 Tagging chemicals, preservatives, cereals, spices, etc., “U.S. retained.” When any chemical, preservative, cereal, spice, or other substance is intended...

Nevada State plan; final approval determination. Occupational Safety and Health Administration (OSHA), U.S. Department of Labor. Final State plan approval--Nevada.

Science.gov (United States)

2000-04-18

This document amends OSHA's regulations to reflect the Assistant Secretary's decision granting final approval to the Nevada State plan. As a result of this affirmative determination under section 18(e) of the Occupational Safety and Health Act of 1970, Federal OSHA's standards and enforcement authority no longer apply to occupational safety and health issues covered by the Nevada plan, and authority for Federal concurrent jurisdiction is relinquished. Federal enforcement jurisdiction is retained over any private sector maritime employment, private sector employers on Indian land, and any contractors or subcontractors on any Federal establishment where the land is exclusive Federal jurisdiction. Federal jurisdiction remains in effect with respect to Federal government employers and employees. Federal OSHA will also retain authority for coverage of the United States Postal Service (USPS), including USPS employees, contract employees, and contractor-operated facilities engaged in USPS mail operations.

Safety Teams: An Approach to Engage Students in Laboratory Safety

Science.gov (United States)

Alaimo, Peter J.; Langenhan, Joseph M.; Tanner, Martha J.; Ferrenberg, Scott M.

2010-01-01

We developed and implemented a yearlong safety program into our organic chemistry lab courses that aims to enhance student attitudes toward safety and to ensure students learn to recognize, demonstrate, and assess safe laboratory practices. This active, collaborative program involves the use of student "safety teams" and includes…

Adolescents, gangs, and perceptions of safety, parental engagement, and peer pressure.

Science.gov (United States)

Kelly, Sarah E; Anderson, Debra G

2012-10-01

Adolescents are exposed to various forms of gang violence, and such exposure has led them to feel unsafe in their neighborhood and have differing interactions with their parents and peers. This qualitative study explored adolescents', parents', and community center employees' perceptions of adolescents' interaction with their neighborhood, family, and peers. Three themes emerged from the data: Most adolescents reported that the community center provided a safe environment for them; parental engagement influenced adolescents' experiences with gangs; and adolescents were subjected to peer pressure in order to belong. Exposure to gang violence can leave an impression on adolescents and affect their mental health, but neighborhood safety and relationships with parents and peers can influence adolescents' exposure to gang violence. Recommendations regarding the use of health care professionals at community centers are proposed. Copyright 2012, SLACK Incorporated.

Statistical Analysis of the Worker Engagement Survey Administered at the Worker Safety and Security Team Festival

Energy Technology Data Exchange (ETDEWEB)

Davis, Adam Christopher [Los Alamos National Lab. (LANL), Los Alamos, NM (United States)

2015-08-25

The Worker Safety and Security Team (WSST) at Los Alamos National Laboratory holds an annual festival, WSST-fest, to engage workers and inform them about safety- and securityrelated matters. As part of the 2015 WSST-fest, workers were given the opportunity to participate in a survey assessing their engagement in their organizations and work environments. A total of 789 workers participated in the 23-question survey where they were also invited, optionally, to identify themselves, their organization, and to give open-ended feedback. The survey consisted of 23 positive statements (i.e. “My organization is a good place to work.”) with which the respondent could express a level of agreement. The text of these statements are provided in Table 1. The level of agreement corresponds to a 5-level Likert scale ranging from “Strongly Disagree” to “Strongly Agree.” In addition to assessing the overall positivity or negativity of the scores, the results were partitioned into several cohorts based on the response meta-data (self-identification, comments, etc.) to explore trends. Survey respondents were presented with the options to identify themselves, their organizations and to provide comments. These options suggested the following questions about the data set.

Safety behavior: Job demands, job resources, and perceived management commitment to safety.

Science.gov (United States)

Hansez, Isabelle; Chmiel, Nik

2010-07-01

The job demands-resources model posits that job demands and resources influence outcomes through job strain and work engagement processes. We test whether the model can be extended to effort-related "routine" safety violations and "situational" safety violations provoked by the organization. In addition we test more directly the involvement of job strain than previous studies which have used burnout measures. Structural equation modeling provided, for the first time, evidence of predicted relationships between job strain and "routine" violations and work engagement with "routine" and "situational" violations, thereby supporting the extension of the job demands-resources model to safety behaviors. In addition our results showed that a key safety-specific construct 'perceived management commitment to safety' added to the explanatory power of the job demands-resources model. A predicted path from job resources to perceived management commitment to safety was highly significant, supporting the view that job resources can influence safety behavior through both general motivational involvement in work (work engagement) and through safety-specific processes.

9 CFR 355.23 - Tagging products “U.S. retained.”

Science.gov (United States)

2010-01-01

... INSPECTION AND CERTIFICATION CERTIFIED PRODUCTS FOR DOGS, CATS, AND OTHER CARNIVORA; INSPECTION... 9 Animals and Animal Products 2 2010-01-01 2010-01-01 false Tagging products âU.S. retained.â 355.23 Section 355.23 Animals and Animal Products FOOD SAFETY AND INSPECTION SERVICE, DEPARTMENT OF...

Complete endoscopic management of a retained bullet in the bladder.

Science.gov (United States)

Friedman, Ariella A; Trinh, Quoc-Dien; Kaul, Sanjeev; Bhandari, Akshay

2013-01-01

A 25-year-old male gunshot victim presented at our institution with gross hematuria following Foley catheter insertion. Computed tomography and cystogram did not show a bladder perforation, but were notable for a left ischial fracture and the presence of a bullet within the bladder. After failed attempts at retrieving the bullet with a resectoscope and loop, as well as a cystoscope and stone crusher, a 26 French nephroscope was inserted transurethrally, and the bullet was successfully engaged and removed using a Perc NCircle (Cook Medical, Bloomington, IN) grasper. The extra-peritoneal injury was managed conservatively with catheter drainage. To our knowledge, this represents the first case of successful transurethral management of a retained intravesical bullet. Such an approach may benefit patients with retained intravesical bullets or other challenging intravesical foreign bodies and may be helpful in select circumstances to spare patients from more extensive surgeries.

Nuclear fuel element nut retainer cup

International Nuclear Information System (INIS)

Walton, L.A.

1977-01-01

A typical embodiment has an end fitting for a nuclear reactor fuel element that is joined to the control rod guide tubes by means of a nut plate assembly. The nut plate assembly has an array of nuts, each engaging the respective threaded end of the control rod guide tubes. The nuts, moreover, are retained on the plate during handling and before fuel element assembly by means of hollow cylindrical locking cups that are brazed to the plate and loosely circumscribe the individual enclosed nuts. After the nuts are threaded onto the respective guide tube ends, the locking cups are partially deformed to prevent one or more of the nuts from working loose during reactor operation. The locking cups also prevent loose or broken end fitting parts from becoming entrained in the reactor coolant

Assessing Engagement in an Emotionally-Adaptive Applied Game

NARCIS (Netherlands)

Bontchev, Boyan; Vassileva, Dessislava

2018-01-01

In recent years, the interest to the area of computer games for educational purposes increased due to their positive outcomes and effects in technology-enhanced learning. One of their chief merits is retaining the learning motivation and engagement of players during all time of the game. Therefore,

Nurse manager engagement: what it means to nurse managers and staff nurses.

Science.gov (United States)

Gray, Linda R; Shirey, Maria R

2013-01-01

To describe what nurse manager engagement means to nurse managers and staff nurses by incorporating an organizational dashboard to document engagement outcomes. Retaining engaged nurse managers is crucial for individual performance and organizational outcomes. However, nurse manager engagement is currently underreported in the literature. Existing data from the 2010 Employee Opinion Survey at the Baylor University Medical Center in Dallas, Texas, were used to measure staff engagement among 28 nurse managers and 1497 staff nurses. The data showed a 21% gap between manager and staff nurse engagement levels, with managers showing higher engagement levels than staff. No clear depiction of nurse manager engagement emerged. Consequently, an expanded definition of nurse manager engagement was developed alongside a beginning dashboard of engagement outcomes. The findings have implications for overcoming barriers that affect staff nurse engagement, improving outcomes, and creating definitions of nurse manager engagement.

Two sides of the safety coin?: How patient engagement and safety climate jointly affect error occurrence in hospital units.

Science.gov (United States)

Schiffinger, Michael; Latzke, Markus; Steyrer, Johannes

2016-01-01

Safety climate (SC) and more recently patient engagement (PE) have been identified as potential determinants of patient safety, but conceptual and empirical studies combining both are lacking. On the basis of extant theories and concepts in safety research, this study investigates the effect of PE in conjunction with SC on perceived error occurrence (pEO) in hospitals, controlling for various staff-, patient-, and hospital-related variables as well as the amount of stress and (lack of) organizational support experienced by staff. Besides the main effects of PE and SC on error occurrence, their interaction is examined, too. In 66 hospital units, 4,345 patients assessed the degree of PE, and 811 staff assessed SC and pEO. PE was measured with a new instrument, capturing its core elements according to a recent literature review: Information Provision (both active and passive) and Activation and Collaboration. SC and pEO were measured with validated German-language questionnaires. Besides standard regression and correlational analyses, partial least squares analysis was employed to model the main and interaction effects of PE and SC on pEO, also controlling for stress and (lack of) support perceived by staff, various staff and patient attributes, and potential single-source bias. Both PE and SC are associated with lower pEO, to a similar extent. The joint effect of these predictors suggests a substitution rather than mutually reinforcing interaction. Accounting for control variables and/or potential single-source bias slightly attenuates some effects without altering the results. Ignoring PE potentially amounts to forgoing a potential source of additional safety. On the other hand, despite the abovementioned substitution effect and conjectures of SC being inert, PE should not be considered as a replacement for SC.

Reliability Analysis of Retaining Walls Subjected to Blast Loading by Finite Element Approach

Science.gov (United States)

GuhaRay, Anasua; Mondal, Stuti; Mohiuddin, Hisham Hasan

2018-02-01

Conventional design methods adopt factor of safety as per practice and experience, which are deterministic in nature. The limit state method, though not completely deterministic, does not take into account effect of design parameters, which are inherently variable such as cohesion, angle of internal friction, etc. for soil. Reliability analysis provides a measure to consider these variations into analysis and hence results in a more realistic design. Several studies have been carried out on reliability of reinforced concrete walls and masonry walls under explosions. Also, reliability analysis of retaining structures against various kinds of failure has been done. However, very few research works are available on reliability analysis of retaining walls subjected to blast loading. Thus, the present paper considers the effect of variation of geotechnical parameters when a retaining wall is subjected to blast loading. However, it is found that the variation of geotechnical random variables does not have a significant effect on the stability of retaining walls subjected to blast loading.

Consensus achievement of leadership, organisational and individual factors that influence safety climate: Implications for nursing management.

Science.gov (United States)

Fischer, Shelly A; Jones, Jacqueline; Verran, Joyce A

2018-01-01

To validate a framework of factors that influence the relationship of transformational leadership and safety climate, and to enable testing of safety chain factors by generating hypotheses regarding their mediating and moderating effects. Understanding the patient safety chain and mechanisms by which leaders affect a strong climate of safety is essential to transformational leadership practice, education, and research. A systematic review of leadership and safety literature was used to develop an organising framework of factors proposed to influence the climate of safety. A panel of 25 international experts in leadership and safety engaged a three-round modified Delphi study with Likert-scored surveys. Eighty per cent of participating experts from six countries were retained to the final survey round. Consensus (>66% agreement) was achieved on 40 factors believed to influence safety climate in the acute care setting. Consensus regarding specific factors that play important roles in an organisation's climate of safety can be reached. Generally, the demonstration of leadership commitment to safety is key to cultivating a culture of patient safety. Transformational nurse leaders should consider and employ all three categories of factors in daily leadership activities and decision-making to drive a strong climate of patient safety. © 2017 John Wiley & Sons Ltd.

The impact of job and organisational characteristics on engagement at work in a petrochemical company / Christian Johan Goosen

OpenAIRE

Goosen, Christian Johan

2010-01-01

In today's tough economic environment, companies are forced to work more efficiently and effectively with the resources they have at their disposal. At the same time companies are struggling to attract and retain good people with the necessary attributes and skills in order for them to remain competitive. The challenge today is not just retaining talented people, but fully engaging them, capturing their minds and hearts at each stage of their work lives. Employee engagement has emerged as a c...

Kansal′s Retainer: A Removable, Tooth-Borne Orthodontic Retainer

Directory of Open Access Journals (Sweden)

Sudhanshu Kansal

2013-01-01

Full Text Available Adequate retention of a finished orthodontic patient can be the difference between a successful or an unsuccessful treatment. The acrylic portion of the conventional Hawley′s appliance causes a reduced compliance in many orthodontic patients. In an attempt to overcome the drawbacks of the previously used orthodontic retainers a tooth-borne orthodontic retainer was designed, also called the ′Kansal′s retainer′ (Patent pending.

Social capital among healthcare professionals: A prospective study of its importance for job satisfaction, work engagement and engagement in clinical improvements.

Science.gov (United States)

Strömgren, Marcus; Eriksson, Andrea; Bergman, David; Dellve, Lotta

2016-01-01

Social capital can be an important resource to facilitate the needed improvements in quality of care and efficiency in hospitals. To assess the importance of social capital (recognition, vertical trust, horizontal trust and reciprocity) for job satisfaction, work engagement and engagement in clinical improvements. A prospective cohort design was used. Intensive care units and emergency, surgical and medical units at five Swedish hospitals with ongoing development of their processes of care. Healthcare professionals (physicians, registered nurses, assistant nurses) at five Swedish midsize hospitals. The participants answered a questionnaire at two occasions, NN=1602 at baseline and NN=1548 at one-year follow-up. Mean hospital response rate was 53% at baseline and 59% at follow-up. Univariate, multivariate and logistic regression analyses were performed, and the prospective analysis was based on 477 respondents. Social capital was associated with healthcare professionals' general work engagement and job satisfaction. Analysis showed positive associations between all measured aspects of social capital and engagement in clinical improvements of patient safety and quality of care. The prospective analysis showed that increased social capital predicted increased job satisfaction, work engagement and engagement in clinical improvements of patient safety. Social capital is strongly related to job satisfaction and active engagement with clinical improvements. The findings contribute to a deeper knowledge of social capital as a predictive factor that influences patient safety and health among healthcare staff. Copyright © 2015 Elsevier Ltd. All rights reserved.

Ten years after the IOM report: Engaging residents in quality and patient safety by creating a House Staff Quality Council.

Science.gov (United States)

Fleischut, Peter M; Evans, Adam S; Nugent, William C; Faggiani, Susan L; Lazar, Eliot J; Liebowitz, Richard S; Forese, Laura L; Kerr, Gregory E

2011-01-01

Ten years after the 1999 Institute of Medicine report, it is clear that despite significant progress, much remains to be done to improve quality and patient safety (QPS). Recognizing the critical role of postgraduate trainees, an innovative approach was developed at New York-Presbyterian Hospital, Weill Cornell Medical Center to engage residents in QPS by creating a Housestaff Quality Council (HQC). HQC leaders and representatives from each clinical department communicate and partner regularly with hospital administration and other key departments to address interdisciplinary quality improvement (QI). In support of the mission to improve patient care and safety, QI initiatives included attaining greater than 90% compliance with medication reconciliation and reduction in the use of paper laboratory orders by more than 70%. A patient safety awareness campaign is expected to evolve into a transparent environment where house staff can openly discuss patient safety issues to improve the quality of care.

Employee Engagement Factor for Organizational Excellence

Directory of Open Access Journals (Sweden)

Tzvetana Stoyanova

2017-03-01

Full Text Available Purpose: The objective of this publication is to identify ways to increase employee engagement in Bulgarian business organizations and identify how such employee engagement affects employee and company performance. Design/methodology/approach: Our research is based on the evaluation of employee engagement methodologies used by well-known companies such as Gallup HCM Advisory Group, Deloitte and Aon Hewitt. Based on these, we derive the factors influencing employee engagement in Bulgarian companies. Findings: This work focuses on management, in recent years, aimed at retaining and developing the best employees, and their evolution into reliable potential leaders of the organization. This is undertaken to maintain and increase the number of those engaged in the business of company employees as well. The management of a successful leader is considered key to increasing employee engagement. Employee commitment implies something special, additional or atypical in the performance of tasks and job role. This is a behaviour that involves innovation, demonstrating initiative via proactive seeking of opportunities that contribute to the company and exceeding the expected standard of employee performance. The findings can strengthen the already-significant role of management. There is no universal way to increase employee engagement and motivation towards increased productivity, activity, and creativity. Research limitations/implications: The study has been undertaken for employees in Bulgaria.

NERVA turbopump bearing retainer fabrication on nonmetallic retainer

Science.gov (United States)

Accinelli, J. B.

1972-01-01

The need for a low-wear, lightweight, high strength bearing retainer material with a radiation degradation threshold of 10 to the 9th power rads (C) prompted development of nonmetallic reinforced polymers of the following types: (1) polybenzimidazole, (2) polyimide, and (3) polyquinoxaline. Retainers were machined from tubular laminates (billets), including reinforcement by either glass or graphite fabric or filament. Fabrication of billets involves hot preimpregnation of the reinforcement fabric or filament with polymer followed by wrapping this prepreg over a heated mandrel to form a tube with the required thickness and length.

Effect of Community Engagement Interventions on Patient Safety and Risk Reduction Efforts in Primary Health Facilities: Evidence from Ghana.

Directory of Open Access Journals (Sweden)

Robert Kaba Alhassan

Full Text Available Patient safety and quality care remain major challenges to Ghana's healthcare system. Like many health systems in Africa, this is largely because demand for healthcare is outstripping available human and material resource capacity of healthcare facilities and new investment is insufficient. In the light of these demand and supply constraints, systematic community engagement (SCE in healthcare quality assessment can be a feasible and cost effective option to augment existing quality improvement interventions. SCE entails structured use of existing community groups to assess healthcare quality in health facilities. Identified quality gaps are discussed with healthcare providers, improvements identified and rewards provided if the quality gaps are closed.This paper evaluates whether or not SCE, through the assessment of health service quality, improves patient safety and risk reduction efforts by staff in healthcare facilities.A randomized control trail was conducted in 64 primary healthcare facilities in the Greater Accra and Western regions of Ghana. Patient risk assessments were conducted in 32 randomly assigned intervention and control facilities. Multivariate multiple regression test was used to determine effect of the SCE interventions on staff efforts towards reducing patient risk. Spearman correlation test was used to ascertain associations between types of community groups engaged and risk assessment scores of healthcare facilities.Clinic staff efforts towards increasing patient safety and reducing risk improved significantly in intervention facilities especially in the areas of leadership/accountability (Coef. = 10.4, p<0.05 and staff competencies (Coef. = 7.1, p<0.05. Improvement in service utilization and health resources could not be attributed to the interventions because these were outside the control of the study and might have been influenced by institutional or national level developments between the baseline and follow-up period

Safety of Research Reactors. Safety Requirements

International Nuclear Information System (INIS)

2010-01-01

The main objective of this Safety Requirements publication is to provide a basis for safety and a basis for safety assessment for all stages in the lifetime of a research reactor. Another objective is to establish requirements on aspects relating to regulatory control, the management of safety, site evaluation, design, operation and decommissioning. Technical and administrative requirements for the safety of research reactors are established in accordance with these objectives. This Safety Requirements publication is intended for use by organizations engaged in the site evaluation, design, manufacturing, construction, operation and decommissioning of research reactors as well as by regulatory bodies

Engaging foster parents in treatment: a randomized trial of supplementing trauma-focused cognitive behavioral therapy with evidence-based engagement strategies.

Science.gov (United States)

Dorsey, Shannon; Pullmann, Michael D; Berliner, Lucy; Koschmann, Elizabeth; McKay, Mary; Deblinger, Esther

2014-09-01

The goal of this study was to examine the impact of supplementing Trauma-focused Cognitive Behavioral Therapy (TF-CBT; Cohen et al., 2006) with evidence-based engagement strategies on foster parent and foster youth engagement in treatment, given challenges engaging foster parents in treatment. A randomized controlled trial of TF-CBT standard delivery compared to TF-CBT plus evidence-based engagement strategies was conducted with 47 children and adolescents in foster care and one of their foster parents. Attendance, engagement, and clinical outcomes were assessed 1 month into treatment, end of treatment, and 3 months post-treatment. Youth and foster parents who received TF-CBT plus evidence-based engagement strategies were more likely to be retained in treatment through four sessions and were less likely to drop out of treatment prematurely. The engagement strategies did not appear to have an effect on the number of canceled or no-show sessions or on treatment satisfaction. Clinical outcomes did not differ by study condition, but exploratory analyses suggest that youth had significant improvements with treatment. Strategies that specifically target engagement may hold promise for increasing access to evidence-based treatments and for increasing likelihood of treatment completion. Copyright © 2014 Elsevier Ltd. All rights reserved.

The Business, Ethics, and Quality Cases for Consumer Engagement in Nursing

Science.gov (United States)

Hassmiller, Susan; Bilazarian, Ani

2018-01-01

OBJECTIVE The aims of this study were to illustrate the quality, safety, cost-effectiveness, and ethics of consumer engagement initiatives and identify promising practices and leadership strategies used by nursing leaders. METHODS A literature review was performed with supplementary interviews conducted with 25 key nursing informants including nursing executives and chief nursing officers at acute care hospitals, community health centers, policy institutions, and quality and safety organizations. A narrative synthesis approach was used to identify and compare existing measures of consumer engagement and compassionate care in acute care settings. One-hour semistructured interviews were performed, and information was gathered by notes and audio recordings. RESULTS Consumer engagement activities focusing on compassionate patient and provider interactions involving patients and family as partners on the care team are associated with increases in treatment savings and patient safety in terms of length of stay and reduced medication errors. Engagement initiatives support employee health and reduce compassion fatigue. CONCLUSION Findings illustrate the impact of patients and family engagement in decision making and promising organizational practices that reinforce engagement. PMID:29470381

The Business, Ethics, and Quality Cases for Consumer Engagement in Nursing.

Science.gov (United States)

Hassmiller, Susan; Bilazarian, Ani

2018-04-01

The aims of this study were to illustrate the quality, safety, cost-effectiveness, and ethics of consumer engagement initiatives and identify promising practices and leadership strategies used by nursing leaders. A literature review was performed with supplementary interviews conducted with 25 key nursing informants including nursing executives and chief nursing officers at acute care hospitals, community health centers, policy institutions, and quality and safety organizations. A narrative synthesis approach was used to identify and compare existing measures of consumer engagement and compassionate care in acute care settings. One-hour semistructured interviews were performed, and information was gathered by notes and audio recordings. Consumer engagement activities focusing on compassionate patient and provider interactions involving patients and family as partners on the care team are associated with increases in treatment savings and patient safety in terms of length of stay and reduced medication errors. Engagement initiatives support employee health and reduce compassion fatigue. Findings illustrate the impact of patients and family engagement in decision making and promising organizational practices that reinforce engagement.

7 CFR 1767.25 - Retained earnings.

Science.gov (United States)

2010-01-01

... 7 Agriculture 12 2010-01-01 2010-01-01 false Retained earnings. 1767.25 Section 1767.25....25 Retained earnings. The retained earnings accounts identified in this section shall be used by all RUS borrowers. Retained Earnings 433-439 [Reserved] Retained Earnings 433-439 [Reserved] ...

Factors Influencing Part-time Faculty Engagement With Online Nursing Programs.

Science.gov (United States)

Reneau, Margaret; Wallace, Cara; Claywell, Lora; Price, Jill; Burdi, Melissa; Trybulski, Joanne

2018-03-28

This research investigated factors that influenced the engagement of part-time faculty teaching in online nursing programs with their institutions. Of the 257 part-time faculty surveyed, the most significant factor was being supported in decisions regarding student issues, followed by institutional commitment to quality online education. Compensation was moderately influential; a negative factor was requiring too frequent meetings. Understanding factors that influence the engagement of part-time faculty teaching in online nursing programs can help leaders of online programs attract and retain experienced, highly skilled faculty.

A 'paperless' wall-mounted surgical safety checklist with migrated leadership can improve compliance and team engagement.

Science.gov (United States)

Ong, Aaron Pin Chien; Devcich, Daniel A; Hannam, Jacqueline; Lee, Tracey; Merry, Alan F; Mitchell, Simon J

2016-12-01

Outcome benefits of using the WHO Surgical Safety Checklist rely on compliance with checklist administration. To evaluate engagement of operating room (OR) subteams (anaesthesia, surgery and nursing), and compliance with administering checklist domains (Sign In, Time Out and Sign Out) and checklist items, after introducing a wall-mounted paperless checklist with migration of process leadership (Sign In, Time Out and Sign Out led by anaesthesia, surgery and nursing, respectively). This was a pre-post observational study in which 261 checklist domains in 111 operations were observed 2 months after changing the checklist administration paradigm. Compliance with administration of the checklist domains and individual checklist items was recorded, as was the number of OR subteams engaged. Comparison was made with 2013 data from the same OR suite prior to the paradigm change. Data are presented as 2013 versus the present study. The Sign In, Time Out and Sign Out domains were administered in 96% vs 98% (p=0.69), 99% vs 99% (p=1.00) and 22% vs 84% (pImprovements in team engagement and compliance with administering checklist items followed introduction of migrated leadership of checklist administration and a wall-mounted checklist. This paradigm change was relatively simple and inexpensive. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/.

Employee engagement, boredom and frontline construction workers feeling safe in their workplace.

Science.gov (United States)

Whiteoak, John W; Mohamed, Sherif

2016-08-01

Systems thinking is a philosophy currently prevalent within construction safety literature that is applied to understand and improve safety in sociotechnical systems. Among systems, the site-project organizational system is of particular interest to this paper. Using focus group and survey feedback research to learn about how safety incidents effect levels of construction workers engagement this paper reveals how a safety incident provides an opportunity to create a potential quality (productivity) upgrade within an organization. The research approach involved a qualitative study involving 27 frontline supervisors and a follow-up survey completed by 207 frontline workers in the Australian Asphalt and Pavement Industry. The focus group interviews supported the articulation of the concepts of tacit safety, explicit safety, situational awareness, foresight ability, practical intelligence and crew synergy. Our findings indicate that having regular shift changes and other job site workers being fatigued are influential on perceptions of tacit safety. An individual's foresight ability was found to be the most potent predictor of worker perceptions of work engagement. The paper explains that relatively small improvements in worker perceptions of safety can bring about significant improvements in employee engagement and productivity. Copyright © 2015 Elsevier Ltd. All rights reserved.

USING BRANDING TO ATTRACT, RECRUIT, AND RETAIN TALENTED STAFF

Directory of Open Access Journals (Sweden)

Nicoleta Valentina FLOREA

2011-01-01

Full Text Available In this environment in continuous changing it is hard for organizations toattract and maintain the best candidates. The organizations use manymethods to recruit and hire, but now it is time to use the organization’s brandto attract talents the organization would like. This article will define theemployer brand as the organization’s image, as an exceptional place to workin the minds of the current employees as well as potential candidates, clients,customers, and stakeholders. The case study is made in six largeorganizations from Dambovita County, Romania, and describes how to usethe organization’s brand to attract, retain, and engage the people it needs. Imade a survey and the data collected I putted them in a model of analyzeand can be applied to any organization which wants to find out if it is usingcorrectly its strong powers to attract and retain the best candidates. Theemployer brand is the value proposition that organization conveys itsemployees and the external labor market. Great organizations create such astrong brand that it draws the talent to them rather than having to spendsignificant time and money on selling the organization to the talent market.Many benefits in the recruiting world are provided by a strong employmentbrand.

How employee engagement matters for hospital performance.

Science.gov (United States)

Lowe, Graham

2012-01-01

Managers increasingly understand that employee engagement is a prerequisite for high performance. This article examines how job, work environment, management and organizational factors influence levels of engagement among healthcare employees. Original data come from the Ontario Hospital Association-NRC Picker Employee Experience Survey, involving over 10,000 employees in 16 Ontario hospitals. The article provides a clear definition and measure of engagement relevant to healthcare. In addition to identifying the main drivers of engagement, findings shows that a high level of employee engagement is related to retention, patient-centred care, patient safety culture and employees' positive assessments of the quality of care or services provided by their team. Implications of these findings for healthcare leaders are briefly considered.

Work engagement, psychological ownership and happiness in a professional services industry company

NARCIS (Netherlands)

Olckers, Chantal; George, Katherine; van Zyl, Llewellyn; Olckers, C.; van Zyl, L.; van der Vaart, L.

2017-01-01

In order to gain and maintain a competitive advantage, organisations should not only recruit but also retain top talent. Organisations that are able to foster a positive organisational environment conducive to psychological ownership, work engagement and resultant happiness will be more inclined to

Mobile health for early retention in HIV care: a qualitative study in Kenya (WelTel Retain).

Science.gov (United States)

Smillie, Kirsten; Van Borek, Natasha; van der Kop, Mia L; Lukhwaro, Abigael; Li, Neville; Karanja, Sarah; Patel, Anik R; Ojakaa, David; Lester, Richard T

2014-01-01

Many people newly diagnosed with HIV are lost to follow-up before timely initiation of antiretroviral therapy (ART). A randomised controlled trial (RCT), WelTel Kenya1, demonstrated the effectiveness of the WelTel text messaging intervention to improve clinical outcomes among patients initiating ART. In preparation for WelTel Retain, an RCT that will evaluate the effect of the intervention to retain patients in care immediately following HIV diagnosis, we conducted an informative qualitative study with people living with HIV (n = 15) and healthcare providers (HCP) (n = 5) in October 2012. Study objectives included exploring the experiences of people living with HIV who have attempted to engage in HIV care, the use of cell phones in everyday life, and perceptions of communicating via text message with HCP. Participants were recruited through convenience sampling. Semi-structured, qualitative interviews were conducted and recorded, transcribed verbatim and analysed using NVivo software. Analysis was guided by the Theory of Reasoned Action and the Technology Acceptance Model. Results indicate that while individuals have many motivators for engaging in care after diagnosis, structural and individual barriers including poverty, depression and fear of stigma prevent them from doing so. All participants had access to a mobile phone, and most were comfortable communicating through text messages, or were willing to learn. Both people living with HIV and HCP felt that increased communication via the text messaging intervention has the potential to enable early identification of problems, leading to timely problem solving that may improve retention and engagement in care during the first year after diagnosis.

Scale construction for measuring adolescent boys' and girls' attitudes, beliefs, perception of control, and intention to engage in leisure-time physical activity.

Science.gov (United States)

Kerner, Matthew S; Kalinski, Michael I

2002-08-01

Using the Theory of Planned Behavior as a framework, the Attitude to Leisure-time Physical Activity, Expectations of Others, Perceived Control, and Intention of Engage in Leisure-time Physical Activity scales were developed for use among high school students. The study population included 20 boys and 68 girls 13 to 17 years of age (for boys, M = 15.1 yr., SD = 1.0; for girls, M = 15.0 yr., SD = 1.1). Generation of items and the establishment of content validity were performed by professionals in exercise physiology, physical education, and clinical psychology. Each scale item was phrased in a Likert-type format. Both unipolar and bipolar scales with seven response choices were developed. Following the pilot testing and subsequent revisions, 32 items were retained in the Attitude to Leisure-time Physical Activity scale, 10 items were retained in the Expectations of Others scale, 3 items were retained in the Perceived Control Scale, and 24 items were retained in the Intention to Engage in Leisure-time Physical Activity scale. Coefficients indicated adequate stability and internal consistency with alpha ranging from .81 to .96. Studies of validities are underway, after which scales would be made available to those interested in intervention techniques for promoting positive attitudes toward physical fitness, perception of control over engaging in leisure-time physical activities, and good intentions to engage in leisure-time physical activities. The present results are encouraging.

Work Engagement: Evolution of the Concept and a New Inventory

Directory of Open Access Journals (Sweden)

Angus C. H. Kuok

2017-10-01

Full Text Available To provide a more integrated framework for the study of work engagement, the literature on this concept was reviewed in order to develop a clearer definition of this construct that (instead of being based on the separate construct of burnout is based on the original theory of work engagement, which allowed a new, more precise measure of work engagement to be created. The new work engagement items were tested to assess their psychometrics. Their integrity was tested via exploratory and confirmatory factor analyses, which retained 18 items for a three-component model having satisfactory fit indexes with three 6-item subscales named Cognitive, Emotional, and Physical Work Engagement. The reliabilities and validities of the new scales were also empirically tested, with reliabilities ranging from .78 to .91; and correlation tests yielded statistical support for the convergent, divergent, and concurrent validities of the new measure. The scales were also tested for application to organizations, with Self-Efficacy as a positive predictor that explained 10% to 16% of the variance for all three work engagement measures. Also, the three work engagement scales were all negative predictors of, and, together, explained 12% of the variance for Turnover Intention. Moreover, work engagement and burnout were empirically shown to be independent constructs.

Retained surgical sponge

International Nuclear Information System (INIS)

Koyama, Masashi; Kurono, Kenji; Iida, Akihiko; Suzuki, Hirochika; Hara, Masaki; Mizutani, Hirokazu; Ohba, Satoru; Mizutani, Masaru; Nakajima, Yoichiro.

1993-01-01

The CT, US, and MRI findings of confirmed retained surgical sponges were reviewed. The CT examinations in eight lesions demonstrated round or oval masses with heterogeneous internal structures. The US examinations in 5 lesions demonstrated low echogenic masses with high echogenic internal structures, which suggested retained surgical sponges. MR imagings in three lesions showed slightly high intensity comparable to that of muscles on T1-weighted images and high signal intensity on T2-weighted images, suggesting fluid collections of high protein concentration. (author)

Improving resident engagement in quality improvement and patient safety initiatives at the bedside: the Advocate for Clinical Education (ACE).

Science.gov (United States)

Schleyer, Anneliese M; Best, Jennifer A; McIntyre, Lisa K; Ehrmantraut, Ross; Calver, Patty; Goss, J Richard

2013-01-01

Quality improvement (QI) and patient safety (PS) are essential competencies in residency training; however, the most effective means to engage physicians remains unclear. The authors surveyed all medicine and surgery physicians at their institution to describe QI/PS practices and concurrently implemented the Advocate for Clinical Education (ACE) program to determine if a physician-centered program in the context of educational structures and at the point of care improved performance. The ACE rounded with medicine and surgery teams and provided individual and team-level education and feedback targeting 4 domains: professionalism, infection control, interpreter use, and pain assessment. In a pilot, the ACE observed 2862 physician-patient interactions and 178 physicians. Self-reported compliance often was greater than the behaviors observed. Following ACE implementation, observed professionalism behaviors trended toward improvement; infection control also improved. Physicians were highly satisfied with the program. The ACE initiative is one coaching/feedback model for engaging residents in QI/PS that may warrant further study.

Assessing Knowledge Retention of an Immersive Serious Game vs. a Traditional Education Method in Aviation Safety.

Science.gov (United States)

Chittaro, Luca; Buttussi, Fabio

2015-04-01

Thanks to the increasing availability of consumer head-mounted displays, educational applications of immersive VR could now reach to the general public, especially if they include gaming elements (immersive serious games). Safety education of citizens could be a particularly promising domain for immersive serious games, because people tend not to pay attention to and benefit from current safety materials. In this paper, we propose an HMD-based immersive game for educating passengers about aviation safety that allows players to experience a serious aircraft emergency with the goal of surviving it. We compare the proposed approach to a traditional aviation safety education method (the safety card) used by airlines. Unlike most studies of VR for safety knowledge acquisition, we do not focus only on assessing learning immediately after the experience but we extend our attention to knowledge retention over a longer time span. This is a fundamental requirement, because people need to retain safety procedures in order to apply them when faced with danger. A knowledge test administered before, immediately after and one week after the experimental condition showed that the immersive serious game was superior to the safety card. Moreover, subjective as well as physiological measurements employed in the study showed that the immersive serious game was more engaging and fear-arousing than the safety card, a factor that can contribute to explain the obtained superior retention, as we discuss in the paper.

An open ecosystem engagement strategy through the lens of global food safety

Science.gov (United States)

Stacey, Paul; Fons, Garin; Bernardo, Theresa M

2015-01-01

The Global Food Safety Partnership (GFSP) is a public/private partnership established through the World Bank to improve food safety systems through a globally coordinated and locally-driven approach. This concept paper aims to establish a framework to help GFSP fully leverage the potential of open models. In preparing this paper the authors spoke to many different GFSP stakeholders who asked questions about open models such as: what is it?what’s in it for me?why use an open rather than a proprietary model?how will open models generate equivalent or greater sustainable revenue streams compared to the current “traditional” approaches?  This last question came up many times with assertions that traditional service providers need to see opportunity for equivalent or greater revenue dollars before they will buy-in. This paper identifies open value propositions for GFSP stakeholders and proposes a framework for creating and structuring that value. Open Educational Resources (OER) were the primary open practice GFSP partners spoke to us about, as they provide a logical entry point for collaboration. Going forward, funders should consider requiring that educational resources and concomitant data resulting from their sponsorship should be open, as a public good. There are, however, many other forms of open practice that bring value to the GFSP. Nine different open strategies and tactics (Appendix A) are described, including: open content (including OER and open courseware), open data, open access (research), open government, open source software, open standards, open policy, open licensing and open hardware. It is recommended that all stakeholders proactively pursue "openness" as an operating principle. This paper presents an overall GFSP Open Ecosystem Engagement Strategy within which specific local case examples can be situated. Two different case examples, China and Colombia, are presented to show both project-based and crowd-sourced, direct-to-public paths

Safety functions and component classification for BWR, PWR and PTR

International Nuclear Information System (INIS)

1979-01-01

The Safety Guide forms part of the IAEA programme, referred to as the NUSS programme (Nuclear Safety Standards), for establishing Codes of Practice and Safety Guides relating to thermal neutron power plants. The present Safety Guide has the following chapters: safety functions, ranking of safety functions, assignment of safety class requirements. Design requirements for structural integrity of boundaries of fluid-retaining components are also discussed

9 CFR 441.10 - Retained water.

Science.gov (United States)

2010-01-01

... 9 Animals and Animal Products 2 2010-01-01 2010-01-01 false Retained water. 441.10 Section 441.10... STANDARDS: RAW PRODUCTS § 441.10 Retained water. (a) Raw livestock and poultry carcasses and parts will not be permitted to retain water resulting from post-evisceration processing unless the establishment...

The Forest Service Safety Survey: results from an employee-wide safety attitude survey

Science.gov (United States)

Vanessa R. Lane; Ken Cordell; Stanley J. Zarnoch; Gary T. Green; Neelam Poudyal; Susan Fox

2014-01-01

The Forest Service, U.S. Department of Agriculture launched a Safety Journey in 2011 aimed at elevating safety consciousness and practice in the Agency. All employees were required to attend an engagement session during the year to introduce them to the Safety Journey. In September, a survey was launched to help Forest Service leadership better understand employee...

Postpartum Engagement in HIV Care: An Important Predictor of Long-term Retention in Care and Viral Suppression.

Science.gov (United States)

Adams, Joëlla W; Brady, Kathleen A; Michael, Yvonne L; Yehia, Baligh R; Momplaisir, Florence M

2015-12-15

Human immunodeficiency virus (HIV)-infected women are at risk of virologic failure postpartum. We evaluated factors influencing retention in care and viral suppression in postpartum HIV-infected women. We conducted a retrospective cohort analysis (2005-2011) of 695 deliveries involving 561 HIV-infected women in Philadelphia. Multivariable logistic regression evaluated factors, including maternal age, race/ethnicity, substance use, antiretroviral therapy during pregnancy, timing of HIV diagnosis, previous pregnancy with HIV, adequacy of prenatal care, and postpartum HIV care engagement (≥ 1 CD4 count or viral load [VL] test within 90 days of delivery), associated with retention in care (≥ 1 CD4 count or VL test in each 6-month interval of the period with ≥ 60 days between tests) and viral suppression (VL ≤ 200 copies/mL at the last measure in the period) at 1 and 2 years postpartum. Overall, 38% of women engaged in HIV care within 90 days postpartum; with 39% and 31% retained in care and virally suppressed, respectively, at 1 year postpartum, and 25% and 34% retained in care and virally suppressed, respectively, at 2 years postpartum. In multivariable analyses, women who engaged in HIV care within 90 days of delivery were more likely to be retained (adjusted odds ratio [AOR], 11.38; 95% confidence interval [CI], 7.74-16.68) and suppressed (AOR, 2.60 [95% CI, 1.82-3.73]) at 1 year postpartum. This association persisted in the second year postpartum for both retention (AOR, 6.19 [95% CI, 4.04-9.50]) and suppression (AOR, 1.40 [95% CI, 1.01-1.95]). The prevalence of postpartum HIV-infected women retained in care and maintaining viral suppression is low. Interventions seeking to engage women in care shortly after delivery have the potential to improve clinical outcomes. © The Author 2015. Published by Oxford University Press on behalf of the Infectious Diseases Society of America. All rights reserved. For Permissions, please e-mail: journals.permissions@oup.com.

Engaging Mexican Origin Families in a School-Based Preventive Intervention

Science.gov (United States)

Mauricio, Anne M.; Gonzales, Nancy A.; Millsap, Roger E.; Meza, Connie M.; Dumka, Larry E.; Germán, Miguelina; Genalo, M. Toni

2009-01-01

This study describes a culturally sensitive approach to engage Mexican origin families in a school-based, family-focused preventive intervention trial. The approach was evaluated via assessing study enrollment and intervention program participation, as well as examining predictors of engagement at each stage. Incorporating traditional cultural values into all aspects of engagement resulted in participation rates higher than reported rates of minority-focused trials not emphasizing cultural sensitivity. Family preferred language (English or Spanish) or acculturation status predicted engagement at all levels, with less acculturated families participating at higher rates. Spanish-language families with less acculturated adolescents participated at higher rates than Spanish-language families with more acculturated adolescents. Other findings included two-way interactions between family language and the target child’s familism values, family single- vs. dual-parent status, and number of hours the primary parent worked in predicting intervention participation. Editors’ Strategic Implications: The authors present a promising approach—which requires replication—to engaging and retaining Mexican American families in a school-based prevention program. The research also highlights the importance of considering acculturation status when implementing and studying culturally tailored aspects of prevention models. PMID:18004659

Use of Game Theory to model patient engagement after surgery: a qualitative analysis.

Science.gov (United States)

Castellanos, Stephen A; Buentello, Gerardo; Gutierrez-Meza, Diana; Forgues, Angela; Haubert, Lisa; Artinyan, Avo; Macdonald, Cameron L; Suliburk, James W

2018-01-01

Patient engagement is challenging to define and operationalize. Qualitative analysis allows us to explore patient perspectives on this topic and establish themes. A game theoretic signaling model also provides a framework through which to further explore engagement. Over a 6-mo period, thirty-eight interviews were conducted within 6 wk of discharge in patients undergoing thyroid, parathyroid, or colorectal surgery. Interviews were transcribed, anonymized, and analyzed using the NVivo 11 platform. A signaling model was then developed depicting the doctor-patient interaction surrounding the patient's choice to reach out to their physician with postoperative concerns based upon the patient's perspective of the doctor's availability. This was defined as "engagement". We applied the model to the qualitative data to determine possible causations for a patient's engagement or lack thereof. A private hospital's and a safety net hospital's populations were contrasted. The private patient population was more likely to engage than their safety-net counterparts. Using our model in conjunction with patient data, we determined possible etiologies for this engagement to be due to the private patient's perceived probability of dealing with an available doctor and apparent signals from the doctor indicating so. For the safety-net population, decreased access to care caused them to be less willing to engage with a doctor perceived as possibly unavailable. A physician who understands these Game Theory concepts may be able to alter their interactions with their patients, tailoring responses and demeanor to fit the patient's circumstances and possible barriers to engagement. Copyright © 2017 Elsevier Inc. All rights reserved.

Cultivating engaged leadership through a learning collaborative: lessons from primary care renewal in Oregon safety net clinics.

Science.gov (United States)

McMullen, Carmit K; Schneider, Jennifer; Firemark, Alison; Davis, James; Spofford, Mark

2013-01-01

The aim of this study was to explore how learning collaboratives cultivate leadership skills that are essential for implementing patient-centered medical homes (PCMHs). We conducted an ethnographic evaluation of a payor-incentivized PCMH implementation in Oregon safety net clinics, known as Primary Care Renewal. Analyses primarily drew on in-depth interviews with organizational leaders who were involved in the initiative. We solicited perspectives on the history, barriers, facilitators, and other noteworthy factors related to the implementation of PCMH. We reviewed and summarized transcripts and created and applied a coding dictionary to identify emergent leadership themes. We reviewed field notes from clinic site visits and observations of learning collaborative activities for additional information on the role of engaged leadership. Interview data suggested that organizations followed a similar, sequential process of Primary Care Renewal implementation having 2 phases-inspiration and implementation-and that leaders needed and learned different leadership skills in each phase. Leaders reported that collaborative learning opportunities were critical for developing engaged leadership skills during the inspiration phase of transformation. Facilitative and modeling aspects of engaged leadership were most important for codesigning a vision and plan for change. Adaptive leadership skills became more important during the implementation phase, when specific operational and management skills were needed to foster standardization and spread of the Primary Care Renewal initiative throughout participating clinics. The PCMH has received much attention as a way to reorganize and potentially improve primary care. Documenting steps and stages for cultivating leaders with the vision and skills to transform their organizations into PCMHs may offer a useful roadmap to other organizations considering a similar transformation.

47 CFR 32.4550 - Retained earnings.

Science.gov (United States)

2010-10-01

... FOR TELECOMMUNICATIONS COMPANIES Instructions for Balance Sheet Accounts § 32.4550 Retained earnings. (a) This account shall include the undistributed balance of retained earnings derived from the...

Safety, Health, and Environmental Auditing A Practical Guide

CERN Document Server

Pain, Simon Watson

2010-01-01

A practical guide to environmental, safety, and occupational health audits. It allows organizations and business to avoid expensive external auditors and retain the knowledge and learning 'in-house'. It allows any competent manager or safety/environmental officer to undertake in-house audits in a competent and reproducible fashion.

Engaging Utopia through Evidence | Seedat | African Safety ...

African Journals Online (AJOL)

African Safety Promotion: A Journal of Injury and Violence Prevention. Journal Home · ABOUT THIS JOURNAL · Advanced Search · Current Issue · Archives · Journal Home > Vol 2, No 1 (2004) >. Log in or Register to get access to full text downloads.

Beyond engagement in working with children in eight Nairobi slums to address safety, security, and housing: Digital tools for policy and community dialogue.

Science.gov (United States)

Mitchell, Claudia; Chege, Fatuma; Maina, Lucy; Rothman, Margot

2016-01-01

This article studies the ways in which researchers working in the area of health and social research and using participatory visual methods might extend the reach of participant-generated creations such as photos and drawings to engage community leaders and policy-makers. Framed as going 'beyond engagement', the article explores the idea of the production of researcher-led digital dialogue tools, focusing on one example, based on a series of visual arts-based workshops with children from eight slums in Nairobi addressing issues of safety, security, and well-being in relation to housing. The authors conclude that there is a need for researchers to embark upon the use of visual tools to expand the life and use of visual productions, and in particular to ensure meaningful participation of communities in social change.

Abnormal Retained Earnings Around The World

OpenAIRE

Alves, Paulo; Silva, Paulo

2017-01-01

Using a firm-level survey database covering 50 countries we evaluate firms´ abnormal retained earnings. The results of our work indicate that firms located in emerging markets retain more earnings than firms from developed countries. On the other hand, firms located on common law based countries retain earnings above the expected and higher than firms placed on civil law based countries. A possible explanation, according to our results, can be seen in the economic growth that these countries ...

Federal Aviation Administration retained savings program proposal

International Nuclear Information System (INIS)

Hostick, D.J.; Larson, L.L.; Hostick, C.J.

1998-03-01

Federal legislation allows federal agencies to retain up to 50% of the savings associated with implementing energy efficiency and water conservation measures and practices. Given budget pressures to reduce expenditures, the use of retained savings to fund additional projects represents a source of funds outside of the traditional budget cycle. The Southwest Region Federal Aviation Administration (FAA) has tasked Pacific Northwest National Laboratory (PNNL) to develop a model retained savings program for Southwest Region FAA use and as a prototype for consideration by the FAA. PNNL recommends the following steps be taken in developing a Southwest Region FAA retained savings program: Establish a retained savings mechanism. Determine the level at which the retained savings should be consolidated into a fund. The preliminary recommendation is to establish a revolving efficiency loan fund at the regional level. Such a mechanism allows some consolidation of savings to fund larger projects, while maintaining a sense of facility ownership in that the funds will remain within the region

Is magnetic resonance imaging safe for patients with retained metal fragments from combat and terrorist attacks?

International Nuclear Information System (INIS)

Eshed, Iris; Kushnir, Tamar; Shabshin, Noga; Konen, Eli

2010-01-01

Background: Increasing numbers of military confrontations and terrorist attacks have led to increasing reports of retained metal fragments among patients referred for magnetic resonance imaging (MRI). The potential hazard of retained metal fragments for patients undergoing MRI has been studied among patients with retained metal fragments from domestic violence but not from combat and terrorist attacks. Purpose: To retrospectively evaluate the safety of MRI in patients with subcutaneous warfare-metal fragments. Material and Methods: 10,322 consecutive metal screening forms of patients scheduled for 1.5 Tesla (T) MR examination were retrospectively reviewed. All patients reported to have retained metal fragments were contacted by telephone and asked to describe the event in which they were exposed to the fragments and for any adverse sequelae or sensations during and after MRI. Their radiographs were evaluated for the number and size of the fragments. The data were analyzed for correlations between these factors. Results: Seven of the 24 patients who reported retained metal fragments were excluded, since there was no validating evidence of their presence. Fragments in the remaining 17 patients (18 MRI examinations) were inflicted by military or terrorist attacks that occurred 2-39 years prior to the MRI. The fragment size ranged between 1 and 10 mm. One patient reported a superficial migration of a 10-mm fragment after MRI. No other adverse reactions were reported. Conclusion: Conducting 1.5T MRI examinations is safe in patients with retained metal fragments from combat and terrorist attacks not in the vicinity of vital organs. However, caution is advised.

Is magnetic resonance imaging safe for patients with retained metal fragments from combat and terrorist attacks?

Energy Technology Data Exchange (ETDEWEB)

Eshed, Iris; Kushnir, Tamar; Shabshin, Noga; Konen, Eli (Dept. of Diagnostic Imaging, Sheba Medical center, Tel Hashomer, Sackler School of Medicine, Tel Aviv Univ., Tel Aviv (Israel)), e-mail: iris.eshed@sheba.health.gov.il

2010-03-15

Background: Increasing numbers of military confrontations and terrorist attacks have led to increasing reports of retained metal fragments among patients referred for magnetic resonance imaging (MRI). The potential hazard of retained metal fragments for patients undergoing MRI has been studied among patients with retained metal fragments from domestic violence but not from combat and terrorist attacks. Purpose: To retrospectively evaluate the safety of MRI in patients with subcutaneous warfare-metal fragments. Material and Methods: 10,322 consecutive metal screening forms of patients scheduled for 1.5 Tesla (T) MR examination were retrospectively reviewed. All patients reported to have retained metal fragments were contacted by telephone and asked to describe the event in which they were exposed to the fragments and for any adverse sequelae or sensations during and after MRI. Their radiographs were evaluated for the number and size of the fragments. The data were analyzed for correlations between these factors. Results: Seven of the 24 patients who reported retained metal fragments were excluded, since there was no validating evidence of their presence. Fragments in the remaining 17 patients (18 MRI examinations) were inflicted by military or terrorist attacks that occurred 2-39 years prior to the MRI. The fragment size ranged between 1 and 10 mm. One patient reported a superficial migration of a 10-mm fragment after MRI. No other adverse reactions were reported. Conclusion: Conducting 1.5T MRI examinations is safe in patients with retained metal fragments from combat and terrorist attacks not in the vicinity of vital organs. However, caution is advised.

Innovative safety features of the modular HTGR

International Nuclear Information System (INIS)

Silady, F.A.; Simon, W.A.

1992-04-01

In this document the innovative safety features of the MHTGR are reviewed by examining the safety response to events challenging the functions relied on to retain radionuclides within the coated fuel particles. A broad range of challenges to core heat removal are examined, including a loss of helium pressure and a simultaneous loss of forced cool of the core

17 CFR 256.215 - Appropriated retained earnings.

Science.gov (United States)

2010-04-01

... 17 Commodity and Securities Exchanges 3 2010-04-01 2010-04-01 false Appropriated retained earnings... UTILITY HOLDING COMPANY ACT OF 1935 Liabilities and Other Credit Accounts § 256.215 Appropriated retained earnings. This account shall include the amount of retained earnings which has been appropriated or set...

Structural safety - Is the safety margin measurable

International Nuclear Information System (INIS)

Rintamaa, R.

1992-01-01

In ensuring the structural safety of the nuclear components one must be aware of the uncertainties related to the material deorientation, loadings and other operational conditions, geometrical dimensions as well as the service environment. Furthermore, the validation of the analysis tools and procedures is of great importance in overall safety assessment of a pressure retaining component. In order to identify and quantify the concerns and risks arising from the uncertainties in the safety related issue intensive research is being carried out all over the world, in particular, on the ageing, plant life extension and management of old nuclear power plants. The presentation includes a general survey of the factors relevant to the assessment of safe and reliable operation of a nuclear component throughout its planned service life. Certain aspects are outlined based on the research work being carried out at the Technical Research Centre of Finland (VTT)(orig.)

Leader Empowering Behaviours and Work Engagement: The Mediating Role of Structural Empowerment.

Science.gov (United States)

Cziraki, Karen; Laschinger, Heather

2015-09-01

Reports of poor working conditions persist amid ongoing healthcare restructuring. Simultaneously, nursing shortage threats continue as the nursing population ages. Leadership strategies that create empowering working conditions are likely to retain nurses who are eligible to retire, and attract future nurses to the profession. Several studies have focused on leader behaviours and structural empowerment in recent years and how these impact the work environment and staff engagement. Correlations among leader empowering behaviours, structural empowerment and work engagement have been demonstrated (Laschinger et al. 1999; Peachey 2002); however, there is a gap in the empirical literature as to how leader empowering behaviours influence nurses' work engagement by creating structurally empowering work environments. Kanter's (1977, 1993) structural empowerment theory was used to test this proposition using data from a cross-sectional study of 322 Ontario staff nurses. Mediation analysis revealed that structural empowerment partially mediated the influence of leader empowering behaviours on work engagement. The implications for healthcare managers and leaders are discussed with a view to the recruitment and retention of nursing staff, by fostering greater work engagement. Copyright © 2015 Longwoods Publishing.

Postpartum MR diagnosis of retained placenta accreta

International Nuclear Information System (INIS)

Tanaka, Yumiko Oishi; Itai, Yuji; Shigemitsu, Sadahiko; Ichikawa, Yoshihito; Sohda, Satoshi; Yoshikawa, Hiroyuki

2004-01-01

Retained placenta accreta can cause catastrophic postpartum hemorrhage. This study aims to determine whether MR imaging can differentiate retained placenta accreta from postpartum hemorrhage caused by other conditions. Fourteen cases suspicious for retained placenta were examined with MR imaging. Signal intensity, the enhancing pattern of uterine contents, and flow voids within the myometrium were retrospectively studied. As hysterectomy was performed in only two cases, final diagnosis was based on clinical outcome and analysis of uterine contents. Final diagnoses were retained placenta accreta in seven cases, retained normally attached placenta in four, hematoma in two, and placental site trophoblastic tumor (PSTT) in one. All seven cases with placenta accreta had a very hyperintense area on T2-weighted images, showing transient early enhancement. None demonstrated delayed strong enhancement around the hyperintense area. In two cases with retained normally attached placenta and in both with hematomas, there were no hyperintense areas on T2-weighted images. Of these, only one showed transient early enhancement. Flow voids were observed in four cases with placenta accreta, one with normally attached placenta, and the case with PSTT. A markedly hyperintense area on T2-weighted images and transient early enhancement without delayed strong enhancement between the mass and the myometrium can indicate retained placenta accreta. (orig.)

Postpartum MR diagnosis of retained placenta accreta

Energy Technology Data Exchange (ETDEWEB)

Tanaka, Yumiko Oishi; Itai, Yuji [Department of Radiology, Institute of Clinical Medicine, University of Tsukuba, 1-1-1 Tennodai, 305-8575, Tsukuba, Ibaraki (Japan); Shigemitsu, Sadahiko [Department of Obstetrics and Gynecology, Ryugasaki Saiseikai General Hospital, Ryagasaki (Japan); Ichikawa, Yoshihito; Sohda, Satoshi; Yoshikawa, Hiroyuki [Department of Obstetrics and Gynecology, Institute of Clinical Medicine, University of Tsukuba, 1-1-1 Tennodai, 305-8575, Tsukuba, Ibaraki (Japan)

2004-06-01

Retained placenta accreta can cause catastrophic postpartum hemorrhage. This study aims to determine whether MR imaging can differentiate retained placenta accreta from postpartum hemorrhage caused by other conditions. Fourteen cases suspicious for retained placenta were examined with MR imaging. Signal intensity, the enhancing pattern of uterine contents, and flow voids within the myometrium were retrospectively studied. As hysterectomy was performed in only two cases, final diagnosis was based on clinical outcome and analysis of uterine contents. Final diagnoses were retained placenta accreta in seven cases, retained normally attached placenta in four, hematoma in two, and placental site trophoblastic tumor (PSTT) in one. All seven cases with placenta accreta had a very hyperintense area on T2-weighted images, showing transient early enhancement. None demonstrated delayed strong enhancement around the hyperintense area. In two cases with retained normally attached placenta and in both with hematomas, there were no hyperintense areas on T2-weighted images. Of these, only one showed transient early enhancement. Flow voids were observed in four cases with placenta accreta, one with normally attached placenta, and the case with PSTT. A markedly hyperintense area on T2-weighted images and transient early enhancement without delayed strong enhancement between the mass and the myometrium can indicate retained placenta accreta. (orig.)

Brief Strategic Family Therapy: Engaging Drug Using/Problem Behavior Adolescents and their Families into Treatment

Science.gov (United States)

Szapocznik, José; Zarate, Monica; Duff, Johnathan; Muir, Joan

2013-01-01

Despite the efficacy of family-based interventions for improving outcomes for adolescent behavior problems such as substance use, engaging and retaining whole families in treatment is one of the greatest challenges therapists confront. This article illustrates how the Brief Strategic Family Therapy® (BSFT®) model, a family-based, empirically validated intervention designed to treat children and adolescents’ problem behaviors, can be used to increase engagement, improve retention, and bring about positive outcomes for families. Research evidence for efficacy and effectiveness is also presented. PMID:23731415

Gamification Approach to Enhance Students Engagement in Studying Language course

Directory of Open Access Journals (Sweden)

Cahyani Andharini Dwi

2016-01-01

Full Text Available Many researchers have attempted to utilize gamification to increase student engagement, motivation and achievement in the classroom with varying degrees of accomplishment. This research attempts to review of existing literature on the subject as well as the implementation of gamification on Language course. It aims to get better understanding of how gamification can efficiently be used in education. This analysis reveals that the underlying fact that make games engaging are already utilized in pedagogical practices. There are two important recommendations from this research. First, use gamified learning scenario as an activity, to encourage students trying new things and avoiding fear to make a mistakes. Secondly, the gamification in education setting needs students to participate deliberately to ensure the gamification retains the game-like nature.

Analysis of Different Positions of Fiber-Reinforced Composite Retainers versus Multistrand Wire Retainers Using the Finite Element Method

Directory of Open Access Journals (Sweden)

Arezoo Jahanbin

2014-01-01

Full Text Available Background. The aim of this study was to evaluate root displacement of the lower incisors fixed with FRC in different positions versus FSW retainers using the finite element method. Materials and Methods. 3D finite element models were designed for a mandibular anterior segment: Model 1: flexible spiral wire bonded to the lingual teeth surfaces, Model 2: FRC bonded to the upper third of lingual teeth surfaces, and Model 3: FRC bonded to the middle third. FE analysis was performed for three models and then tooth displacements were evaluated. Results. In contrast to lateral incisors and canines, the FSW retainer caused the central teeth to move more than the teeth bonded with FRC in both loadings. Comparison between Models 2 and 3 (in vertical loading showed that FRC retainers that bonded at the upper third of lingual teeth surfaces made central and canine teeth move less than FRC retainers bonded at the middle third; however, for lateral teeth it was the opposite. Conclusion. FRC retainers bonded at the upper third of lingual teeth surfaces make central and canine teeth move less than FRC retainers bonded at the middle third in vertical loading; however, for lateral teeth it was the opposite.

Burnout and Work Engagement Among US Dentists.

Science.gov (United States)

Calvo, Jean Marie; Kwatra, Japneet; Yansane, Alfa; Tokede, Oluwabunmi; Gorter, Ronald C; Kalenderian, Elsbeth

2017-06-30

Burnout is a threat to patient safety. It relates to emotional exhaustion, depersonalization, and lack of personal accomplishment. Work engagement conversely composed of levels of vigor, dedication, and absorption in one's profession. The aim of this study was to examine burnout and work engagement among US dentists. This study used the extensively validated Maslach Burnout Inventory-Human Services Survey and Utrecht Work Engagement Scale to measure burnout in a self-administered survey of 167 US dentists who attended continuing education courses held in Boston, Pittsburg, Iowa City, and Las Vegas. The mean scores on the 3 subscales of Maslach Burnout Inventory-Human Services Survey and Utrecht Work Engagement Scale were computed. The interscale correlations between the components of burnout and work engagement were assessed using Pearson correlations. We used 1-way analysis of variance and independent 2 sample t tests to examine the relationship between burnout and work engagement across sex and various age categories. Prevalence of burnout in our study population was also computed. We observed that 13.2% of our study population experienced burnout and 16.2% of our study population was highly work engaged. There was a statistically significant, unadjusted association between burnout risk and work engagement (χ = 22.51, P work engagement. In this preliminary study, we observed some evidence of burnout among practicing US dentists. It is imperative that the dental profession understands this and works to promote professional practices that increase work engagement and decrease burnout.

Creation of the Naturalistic Engagement in Secondary Tasks (NEST) distracted driving dataset.

Science.gov (United States)

Owens, Justin M; Angell, Linda; Hankey, Jonathan M; Foley, James; Ebe, Kazutoshi

2015-09-01

Distracted driving has become a topic of critical importance to driving safety research over the past several decades. Naturalistic driving data offer a unique opportunity to study how drivers engage with secondary tasks in real-world driving; however, the complexities involved with identifying and coding relevant epochs of naturalistic data have limited its accessibility to the general research community. This project was developed to help address this problem by creating an accessible dataset of driver behavior and situational factors observed during distraction-related safety-critical events and baseline driving epochs, using the Strategic Highway Research Program 2 (SHRP2) naturalistic dataset. The new NEST (Naturalistic Engagement in Secondary Tasks) dataset was created using crashes and near-crashes from the SHRP2 dataset that were identified as including secondary task engagement as a potential contributing factor. Data coding included frame-by-frame video analysis of secondary task and hands-on-wheel activity, as well as summary event information. In addition, information about each secondary task engagement within the trip prior to the crash/near-crash was coded at a higher level. Data were also coded for four baseline epochs and trips per safety-critical event. 1,180 events and baseline epochs were coded, and a dataset was constructed. The project team is currently working to determine the most useful way to allow broad public access to the dataset. We anticipate that the NEST dataset will be extraordinarily useful in allowing qualified researchers access to timely, real-world data concerning how drivers interact with secondary tasks during safety-critical events and baseline driving. The coded dataset developed for this project will allow future researchers to have access to detailed data on driver secondary task engagement in the real world. It will be useful for standalone research, as well as for integration with additional SHRP2 data to enable the

A retained menstrual cup.

Science.gov (United States)

Day, S

2012-05-01

A 20-year-old woman attended a genitourinary clinic with a retained vaginal Mooncup that she had inserted the night before. A Mooncup is one type of menstrual cup. On speculum examination the device was visualized high in the vagina and the cervix appeared firmly lodged within it. The physician experienced difficulty in retrieving the cup despite following product instructions. This case highlights a new adverse event with an increasingly used sanitation product. It is important that clinicians are familiar with the cup, its removal process and are able to counsel patients with retained devices on future correct placement.

The Use of Stuffed Microbes in an Undergraduate Microbiology Course Increases Engagement and Student Learning

Directory of Open Access Journals (Sweden)

Ginny Webb

2015-08-01

Full Text Available Student engagement, attention, and attendance during a microbiology lecture are crucial for student learning.  In addition, it is challenging to cover a large number of infectious diseases during a one-semester introductory microbiology course.  The use of visual aids helps students retain the information presented during a lecture.  Here, I discuss the use of stuffed, plush microbes as visual aids during an introductory microbiology course.  The incorporation of these stuffed microbes during a microbiology lecture results in an increase in engagement, interest, attendance, and retention of material.

Does safety climate moderate the influence of staffing adequacy and work conditions on nurse injuries?

Science.gov (United States)

Mark, Barbara A; Hughes, Linda C; Belyea, Michael; Chang, Yunkyung; Hofmann, David; Jones, Cheryl B; Bacon, Cynthia T

2007-01-01

Hospital nurses have one of the highest work-related injury rates in the United States. Yet, approaches to improving employee safety have generally focused on attempts to modify individual behavior through enforced compliance with safety rules and mandatory participation in safety training. We examined a theoretical model that investigated the impact on nurse injuries (back injuries and needlesticks) of critical structural variables (staffing adequacy, work engagement, and work conditions) and further tested whether safety climate moderated these effects. A longitudinal, non-experimental, organizational study, conducted in 281 medical-surgical units in 143 general acute care hospitals in the United States. Work engagement and work conditions were positively related to safety climate, but not directly to nurse back injuries or needlesticks. Safety climate moderated the relationship between work engagement and needlesticks, while safety climate moderated the effect of work conditions on both needlesticks and back injuries, although in unexpected ways. DISCUSSION AND IMPACT ON INDUSTRY: Our findings suggest that positive work engagement and work conditions contribute to enhanced safety climate and can reduce nurse injuries.

Reality of Retainers

Science.gov (United States)

... the cafeteria take out his retainer before eating lunch. Carefully, he places it in a plastic container to make sure that it's safe while he eats. You can tell that this small plastic and metal mouthpiece is important to him. ...

Promotion of nuclear safety culture in Korea

International Nuclear Information System (INIS)

Eun, Youngsoo

1996-01-01

The term 'nuclear safety culture' was first introduced by the IAEA after the Chernobyl accident in the former USSR and subsequently defined in the IAEA's Safety Series No. 75-IMSAG-4 'Safety Culture' as follows : 'Safety culture is that assembly of characteristics and attitudes in organizations and individuals which establish that establish that, as an overriding priority, nuclear plant safety issues receive the attention warranted by their significance.' INSAG-4 deals with the concept of 'Safety Culture' as it relates to organizations and individuals engaged in nuclear power activities, and is intended for use by governmental authorities and by the nuclear industry and its supporting organizations. The IAEA's Assessment of Safety Culture in Organizations Team (ASCOT) developed ASCOT Guidelines that can be used in the assessment of the safety culture level of the organizations and their individual workers concerned, with a view to the tangible manifestations of safety culture that has intangible characteristics in nature. The IAEA provides the nuclear safety culture assessment service on the request of the Member States. Safety culture can not be achieved by the effort of the nuclear industry and its involved individuals alone. Rather, it requires a well concerted effort among various organizations engaged in nuclear activities including regulatory organizations

Estimating retained gas volumes in the Hanford tanks using waste level measurements

International Nuclear Information System (INIS)

Whitney, P.D.; Chen, G.; Gauglitz, P.A.; Meyer, P.A.; Miller, N.E.

1997-09-01

The Hanford site is home to 177 large, underground nuclear waste storage tanks. Safety and environmental concerns surround these tanks and their contents. One such concern is the propensity for the waste in these tanks to generate and trap flammable gases. This report focuses on understanding and improving the quality of retained gas volume estimates derived from tank waste level measurements. While direct measurements of gas volume are available for a small number of the Hanford tanks, the increasingly wide availability of tank waste level measurements provides an opportunity for less expensive (than direct gas volume measurement) assessment of gas hazard for the Hanford tanks. Retained gas in the tank waste is inferred from level measurements -- either long-term increase in the tank waste level, or fluctuations in tank waste level with atmospheric pressure changes. This report concentrates on the latter phenomena. As atmospheric pressure increases, the pressure on the gas in the tank waste increases, resulting in a level decrease (as long as the tank waste is open-quotes softclose quotes enough). Tanks with waste levels exhibiting fluctuations inversely correlated with atmospheric pressure fluctuations were catalogued in an earlier study. Additionally, models incorporating ideal-gas law behavior and waste material properties have been proposed. These models explicitly relate the retained gas volume in the tank with the magnitude of the waste level fluctuations, dL/dP. This report describes how these models compare with the tank waste level measurements

Treatment of retained placenta with misoprostol: a randomised controlled trial in a low-resource setting (Tanzania

Directory of Open Access Journals (Sweden)

Fauteck Heiner

2009-10-01

Full Text Available Abstract Background Retained placenta is one of the common causes of maternal mortality in developing countries where access to appropriate obstetrical care is limited. Current treatment of retained placenta is manual removal of the placenta under anaesthesia, which can only take place in larger health care facilities. Medical treatment of retained placenta with prostaglandins E1 (misoprostol could be cost-effective and easy-to-use and could be a life-saving option in many low-resource settings. The aim of this study is to assess the efficacy and safety of sublingually administered misoprostol in women with retained placenta in a low resource setting. Methods Design: Multicentered randomised, double-blind, placebo-controlled trial, to be conducted in 5 hospitals in Tanzania, Africa. Inclusion criteria: Women with retained placenta, at a gestational age of 28 weeks or more and blood loss less than 750 ml, 30 minutes after delivery of the newborn despite active management of third stage of labour. Trial Entry & Randomisation & Study Medication: After obtaining informed consent, eligible women will be allocated randomly to the treatment groups using numbered envelopes that will be randomized in variable blocks containing identical capsules with either 800 microgram of misoprostol or placebo. The drugs will be given sublingually. The women, maternal care providers and researchers will be blinded to treatment allocation. Sample Size: 117 women, to show a 40% reduction in manual removals of the placenta (p = 0.05, 80% power. The randomization will be misoprostol: placebo = 2:1 Primary Study Outcome: Expulsion of the placenta without manual removal. Secondary outcome is the number of blood transfusions. Discussion This is a protocol for a randomized trial in a low resource setting to assess if medical treatment of women with retained placenta with misoprostol reduces the incidence of manual removal of the placenta. Clinical Trial Registration Current

76 FR 69126 - Graduated Retained Interests

Science.gov (United States)

2011-11-08

... in trust or otherwise) includible in the grantor's gross estate if the grantor has retained the use..., or for a period that does not in fact end before the grantor's death. The final regulations will... trust corpus of a grantor retained annuity or unitrust trust (GRT) that is includible in the grantor's...

Early Engagement of Safety and Mission Assurance Expertise Using Systems Engineering Tools: A Risk-Based Approach to Early Identification of Safety and Assurance Requirements

Science.gov (United States)

Darpel, Scott; Beckman, Sean

2016-01-01

Decades of systems engineering practice have demonstrated that the earlier the identification of requirements occurs, the lower the chance that costly redesigns will needed later in the project life cycle. A better understanding of all requirements can also improve the likelihood of a design's success. Significant effort has been put into developing tools and practices that facilitate requirements determination, including those that are part of the model-based systems engineering (MBSE) paradigm. These efforts have yielded improvements in requirements definition, but have thus far focused on a design's performance needs. The identification of safety & mission assurance (S&MA) related requirements, in comparison, can occur after preliminary designs are already established, yielding forced redesigns. Engaging S&MA expertise at an earlier stage, facilitated by the use of MBSE tools, and focused on actual project risk, can yield the same type of design life cycle improvements that have been realized in technical and performance requirements.

Becoming partners, retaining autonomy: ethical considerations on the development of precision medicine.

Science.gov (United States)

Blasimme, Alessandro; Vayena, Effy

2016-11-04

Precision medicine promises to develop diagnoses and treatments that take individual variability into account. According to most specialists, turning this promise into reality will require adapting the established framework of clinical research ethics, and paying more attention to participants' attitudes towards sharing genotypic, phenotypic, lifestyle data and health records, and ultimately to their desire to be engaged as active partners in medical research.Notions such as participation, engagement and partnership have been introduced in bioethics debates concerning genetics and large-scale biobanking to broaden the focus of discussion beyond individual choice and individuals' moral interests. The uptake of those concepts in precision medicine is to be welcomed. However, as data and medical information from research participants in precision medicine cohorts will be collected on an individual basis, translating a participatory approach in this emerging area may prove cumbersome. Therefore, drawing on Joseph Raz's perfectionism, we propose a principle of respect for autonomous agents that, we reckon, can address many of the concerns driving recent scholarship on partnership and public participation, while avoiding some of the limitations these concept have in the context of precision medicine. Our approach offers a normative clarification to how becoming partners in precision is compatible with retaining autonomy.Realigning the value of autonomy with ideals of direct engagement, we show, can provide adequate normative orientation to precision medicine; it can do justice to the idea of moral pluralism by stressing the value of moral self-determination: and, finally, it can reconcile the notion of autonomy with other more communitarian values such as participation and solidarity.

Psychological Conditions of Engagement among Community College Maintenance Employees: A Cross-Sectional Study

Science.gov (United States)

Franks, Tammy T.

2017-01-01

This dissertation examined the relationship between employee engagement and the factors that may influence the three psychological conditions of engagement: meaningfulness, safety, and availability for the sector of employees classified as maintenance, grounds, and custodial employees in a community college setting. The factors for each of the…

31 CFR 203.16 - Retainer and investor depositaries.

Science.gov (United States)

2010-07-01

... 31 Money and Finance: Treasury 2 2010-07-01 2010-07-01 false Retainer and investor depositaries... TREASURY TAX AND LOAN PROGRAM PATAX § 203.16 Retainer and investor depositaries. (a) Credit to TIP main account balance. On the business day that the TSC receives an AOC from a retainer or investor depositary...

Evaluating safety management system implementation

International Nuclear Information System (INIS)

Preuss, M.

2009-01-01

Canada is committed to not only maintaining, but also improving upon our record of having one of the safest aviation systems in the world. The development, implementation and maintenance of safety management systems is a significant step towards improving safety performance. Canada is considered a world leader in this area and we are fully engaged in implementation. By integrating risk management systems and business practices, the aviation industry stands to gain better safety performance with less regulatory intervention. These are important steps towards improving safety and enhancing the public's confidence in the safety of Canada's aviation system. (author)

Ignalina RBMK-1500 building capability in retaining radioactive releases

International Nuclear Information System (INIS)

Nilsson, Lars; Johansson, K.

1993-01-01

The Ignalina reactor building structures are capable of retaining substantial fractions of radioactive emissions from the fuel core, in those accident sequences where pressurization failure of structures can be averted by pressure relief arrangements. In stage 1 of the IBBA project it was demonstrated that enhanced retention of radioactive fission products within the plant can be achieved if natural convection is facilitated in the upper building compartments. In this report of stage 2 is discussed for which accident sequences the introduction of natural convection in combination with the existing forced convection ventilation and the accident localization system can improve the total safety of Ignalina 1-2. The purpose of this stage is to provide a basis for further review and more detailed studies of the natural convection concept, its benefits and disadvantages, and of the feasability to introduce the concept in existing plants

Employee engagement and management standards: a concurrent evaluation.

Science.gov (United States)

Ravalier, J M; Dandil, Y; Limehouse, H

2015-08-01

The UK Health & Safety Executive's Management Standards Indicator Tool (MSIT) has been used to assess areas of work design, which may act as psychosocial hazards leading to burnout. These have not been assessed as predictors of employee engagement. To determine the utility of the MSIT in evaluating employee engagement as measured by the Utrecht Work Engagement Scale (UWES). A cross-sectional survey of employees from two sales organizations in London was performed using the MSIT and UWES. MSIT scores were analysed stratifying medium-high versus low engagement. Multivariate linear regression evaluated the association of all MSIT scores with UWES factors. Control, managerial support, peer support and employee role differed by engagement level. Demands, peer support and role exceeded MSIT benchmark guidance that would warrant urgent improvement. Role ambiguity was the only factor significantly associated with all subdomains of engagement. Role appears to play a major part in determining employee engagement. Assessment of the relationship between factors measured by the MSIT and UWES requires further investigation in wider organizational settings, particularly the influence of employee role on positive psychological outcomes. © The Author 2015. Published by Oxford University Press on behalf of the Society of Occupational Medicine. All rights reserved. For Permissions, please email: journals.permissions@oup.com.

Periodontal implication of bonded and removable retainers: A comparative study

Directory of Open Access Journals (Sweden)

Sonali Mondal

2017-09-01

Full Text Available The purpose of this study is to compare the periodontal health of the lower anterior teeth retained with the use of removable and fixed retainers. Fifty four cases receiving comprehensive orthodontic treatment in between 10 to 30 years were randomly selected and divided into 2 groups of 27 each. One group was given removable retainers and other was given fixed retainers. The periodontal status of the patients was accessed with bleeding on probing index, Plaque index and Calculus index. The mean plaque index in case of removable retainers at 1st, 3rd and 6th month were 0.5, 1.0 and 1.7 where as in case of fixed retainers that were 1.8, 3.0 and 4.5. The mean dental calculus index in case of removable retainers at 1st, 3rd and 6th month were 0.0, 0.1 and 0.1 where as in case of fixed retainers that were 0.1, 0.9 and 1.8. In conclusion, removable retainers are superior in oral hygiene maintenance, yet the use of fixed retainers cannot be denied.

Multilevel models in the explanation of the relationship between safety climate and safe behavior.

Science.gov (United States)

Cheyne, Alistair; Tomás, José M; Oliver, Amparo

2013-01-01

This study examines the relationships between components of organizational safety climate, including employee attitudes to organizational safety issues; perceptions of the physical working environment, and evaluations of worker engagement with safety issues; and relates these to self-reported levels of safety behavior. It attempts to explore the relationships between these variables in 1189 workers across 78 work groups in a large transportation organization. Evaluations of safety climate, the working environment and worker engagement, as well as safe behaviors, were collected using a self report questionnaire. The multilevel analysis showed that both levels of evaluation (the work group and the individual), and some cross-level interactions, were significant in explaining safe behaviors. Analyses revealed that a number of variables, at both levels, were associated with worker engagement and safe behaviors. The results suggest that, while individual evaluations of safety issues are important, there is also a role for the fostering of collective safety climates in encouraging safe behaviors and therefore reducing accidents.

Crew change : attracting and retaining the next generation to the oilfield

Energy Technology Data Exchange (ETDEWEB)

Durocher, C. [Schlumberger Canada Ltd., Calgary, AB (Canada)

2006-07-01

Demand for petroleum products is expected to keep growing. However, the majority of oil and gas personnel are over 45 years old, and there are currently insufficient personnel between the ages of 25 and 45. Oil and gas operators are now examining ways of attracting and retaining skilled employees. This presentation suggested that the petroleum industry must act now to change public perceptions about the industry as well as invest in education initiatives. Enhanced relationships with schools, colleges and universities were recommended. Within the industry, career development programs, intensive technical and safety training and knowledge sharing programs were recommended. A diversification of the workforce was advised. By not encouraging women to work in the petroleum industry, the oil and gas sector is effectively ignoring 50 per cent of their potential future workforce. It was noted that employees are more likely to quit their jobs if they do not like their employer. It was also noted that steps to improve energy efficiency may provide solutions to some staff shortages. It was concluded that the petroleum industry must commit to diversity, create the right workplace environment, and develop good relationships with educational facilities in order to attract and retain skilled employees. refs., tabs., figs.

Recruiting and Retaining Cyberwarriors

National Research Council Canada - National Science Library

Westermeyer, Roger H

2008-01-01

.... Recruiting and retaining this highly skilled workforce is a significant challenge for the Air Force due to the high public and private sector demand for people with IT and related engineering skills...

What motivates professionals to engage in the accreditation of healthcare organizations?

Science.gov (United States)

Greenfield, David; Pawsey, Marjorie; Braithwaite, Jeffrey

2011-02-01

Motivated staff are needed to improve quality and safety in healthcare organizations. Stimulating and engaging staff to participate in accreditation processes is a considerable challenge. The purpose of this study was to explore the experiences of health executives, managers and frontline clinicians who participated in organizational accreditation processes: what motivated them to engage, and what benefits accrued? The setting was a large public teaching hospital undergoing a planned review of its accreditation status. A research protocol was employed to conduct semi-structured interviews with a purposive sample of 30 staff with varied organizational roles, from different professions, to discuss their involvement in accreditation. Thematic analysis of the data was undertaken. The analysis identified three categories, each with sub-themes: accreditation response (reactions to accreditation and the value of surveys); survey issues (participation in the survey, learning through interactions and constraints) and documentation issues (self-assessment report, survey report and recommendations). Participants' occupational role focuses their attention to prioritize aspects of the accreditation process. Their motivations to participate and the benefits that accrue to them can be positively self-reinforcing. Participants have a desire to engage collaboratively with colleagues to learn and validate their efforts to improve. Participation in the accreditation process promoted a quality and safety culture that crossed organizational boundaries. The insights into worker motivation can be applied to engage staff to promote learning, overcome organizational boundaries and improve services. The findings can be applied to enhance involvement with accreditation and, more broadly, to other quality and safety activities.

Nuclear energy and Indian society: Public engagement, risk assessment and legal frameworks - Summary of the proceedings

International Nuclear Information System (INIS)

Kini, Els Reynaers; Dipankar Bandyopadhyay, I.; Kanwar, Bhanudey

2014-01-01

The Nuclear Law Association (NLA) has organised its 3. Annual Meeting with the specific aim to deliberate on public engagement, consultation and acceptance of nuclear energy projects. The meeting further aimed to seek a better understanding of the necessary legal framework for a safe nuclear energy program in India. The themes covered by the conference were: Public engagement, consultation and acceptance; Nuclear energy safety and public discourse; Case studies from India on public engagement; Land acquisition and EIA in India; Safety regulations and its enforcement; Nuclear regulatory institutions; Siting, consent and project execution; Nuclear liability and compensation. The meeting was organised in 3 sessions dealing with: 1 - Public engagement, consultation and acceptance of nuclear projects: - Sociological context of public engagement and consultation, - Current state of affairs and new approaches to public consultation, - Case studies from new green field nuclear project sites, - Public opinion and acceptability for nuclear energy projects, - Role of State, NGOs and Public; 2 - Vales, Attitudes and Acceptability - Lessons from other countries: - Fukushima and nuclear energy choices, - Social dimensions of nuclear power, - Public engagement, acceptance and regulatory process, - Management of HLW. 3 - Legal Framework for a Safe and Secure Nuclear Energy Program: - Safety regulations and its enforcement, - Nuclear regulatory institutions, - Siting, consent and project execution, - Environmental impact assessments and plans, - Nuclear liability and compensation. Several of the papers presented will be published in the Journal of Risk Research in early 2015 as part of the Special Issue on Nuclear Energy and Indian Society: Public Engagement, Risk Assessment and Legal Frameworks. This article is the summary of the proceedings

18 CFR 367.4360 - Account 436, Appropriations of retained earnings.

Science.gov (United States)

2010-04-01

..., Appropriations of retained earnings. 367.4360 Section 367.4360 Conservation of Power and Water Resources FEDERAL... NATURAL GAS ACT Retained Earnings Accounts § 367.4360 Account 436, Appropriations of retained earnings. This account must include appropriations of retained earnings as follows: (a) Appropriations required...

Measuring a state of mind indicative of thriving using the Student Pharmacist Inventory of Professional Engagement (S-PIPE).

Science.gov (United States)

Aronson, Benjamin D; Janke, Kristin K

2017-08-12

Professional engagement has importance to the professional of pharmacy, and in particular the growth of student pharmacists. Measurement of this construct would allow investigation of factors that may increase or decrease professional engagement. To describe the development of the Student Pharmacist Inventory of Professional Engagement (S-PIPE), assess the factor structure and convergent validity, and test for differences in professional engagement based upon demographic and background factors. Potential items for the S-PIPE were developed iteratively through inductive and deductive item-writing, 2 pilot administrations, expert review of items, and assessment of the content validity index, and cognitive interviews with students. The S-PIPE was administered to a cohort of 164 first year student pharmacists at University of Minnesota, along with items querying types and level of involvement in professional experiences and activities. An exploratory factor analysis was conducted using principal axis factoring extraction and Promax rotation. The number of factors to retain was based upon eigenvalues, examination of the scree plot, and a parallel analysis. Factors of the S-PIPE were compared to self-rated level of involvement and other demographic factors. Three factors were retained accounting for 70.7% of the variance, and named Belonging (α = 0.942, 9 items), Connectedness (α = 0.864, 3 items), and Meaningful Experience (α = 0.760, 4 items). All 3 factors were significantly correlated to self-rated involvement (r = 0.291 to 0.370). Level of professional engagement differed in this study by gender, and pharmacy work experience. This study lays the foundation for quantitative research in professional engagement among student pharmacists. Future work is needed to further validate and extend these findings. Copyright © 2017 Elsevier Inc. All rights reserved.

17 CFR 256.216 - Unappropriated retained earnings.

Science.gov (United States)

2010-04-01

... retained earnings. This account shall include the balance, either debit or credit, arising from earnings... 17 Commodity and Securities Exchanges 3 2010-04-01 2010-04-01 false Unappropriated retained earnings. 256.216 Section 256.216 Commodity and Securities Exchanges SECURITIES AND EXCHANGE COMMISSION...

Floating retained root lesion mimicking apical periodontitis.

Science.gov (United States)

Chung, Ming-Pang; Chen, Chih-Ping; Shieh, Yi-Shing

2009-10-01

A case of a retained root tip simulating apical periodontitis on radiographic examination is described. The retained root tip, originating from the left lower first molar, floated under the left lower second premolar apical region mimicking apical periodontitis. It appeared as an ill-defined periapical radiolucency containing a smaller radiodense mass on radiograph. The differential diagnosis included focal sclerosing osteomyelitis (condensing osteitis) and ossifying fibroma. Upon exicisional biopsy, a retained root associated with granulation tissue was found. After 1-year follow-up, the patient was asymptomatic and the periradicular lesion was healing. Meanwhile, the associated tooth showed a normal response to stimulation testing.

Exploring the Role of Neuroticism and Insecure Attachment in Health Anxiety, Safety-Seeking Behavior Engagement, and Medical Services Utilization

Directory of Open Access Journals (Sweden)

Fotios Anagnostopoulos

2016-06-01

Full Text Available The purpose of this study was to explore an extended interpersonal model of health anxiety, according to which health-anxious individuals are trapped in a vicious circle of health-related reassurance-seeking, alienation from others, and worry about health, while somatic absorption with body sensations, insecure attachment, neuroticism, safety-seeking behaviors, and medical services utilization were also included in the model. Data were collected from 196 Greek university students using standardized instruments. Results indicated that anxious attachment was directly related to absorption (β = .163, p < .05 and alienation (β = .204, p < .05, while avoidant attachment was directly related to absorption (β = −.344, p < .001, reassurance-seeking (β = −.130, p < .05, and alienation (β = .148, p < .05. Neuroticism was positively and significantly associated with all dimensions of health anxiety. Absorption, alienation, and anxious attachment were related to medical services utilization, which, in turn, was related to safety-seeking behaviors (β = .200, p < .01. Neuroticism and anxious attachment were also indirectly and positively associated with worry. Moreover, absorption was positively related to worry and reassurance-seeking, worry was positively related to reassurance-seeking, and alienation was positively related to worry. Study results highlight the key role that interpersonal (e.g., alienation from others and perceptual factors (e.g., the tendency to focus on bodily sensations can play in health anxiety maintenance, and the importance of anxious and avoidant attachment in safety-seeking behavior engagement. Implications of the results and suggestions for future research and practice are outlined.

Appraisal and Reliability of Variable Engagement Model Prediction ...

African Journals Online (AJOL)

The variable engagement model based on the stress - crack opening displacement relationship and, which describes the behaviour of randomly oriented steel fibres composite subjected to uniaxial tension has been evaluated so as to determine the safety indices associated when the fibres are subjected to pullout and with ...

Radiation safety

International Nuclear Information System (INIS)

Jain, Priyanka

2014-01-01

The use of radiation sources is a privilege; in order to retain the privilege, all persons who use sources of radiation must follow policies and procedures for their safe and legal use. The purpose of this poster is to describe the policies and procedures of the Radiation Protection Program. Specific conditions of radiation safety require the establishment of peer committees to evaluate proposals for the use of radionuclides, the appointment of a radiation safety officer, and the implementation of a radiation safety program. In addition, the University and Medical Centre administrations have determined that the use of radiation producing machines and non-ionizing radiation sources shall be included in the radiation safety program. These Radiation Safety policies are intended to ensure that such use is in accordance with applicable State and Federal regulations and accepted standards as directed towards the protection of health and the minimization of hazard to life or property. It is the policy that all activities involving ionizing radiation or radiation emitting devices be conducted so as to keep hazards from radiation to a minimum. Persons involved in these activities are expected to comply fully with the Canadian Nuclear Safety Act and all it. The risk of prosecution by the Department of Health and Community Services exists if compliance with all applicable legislation is not fulfilled. (author)

Earth retaining structures manual

Science.gov (United States)

2009-10-29

The objectives of this policy are to obtain statewide uniformity, establish standard : procedures and delineate responsibility for the preparation and review of plans, : design and construction control of earth retaining structures. In addition, it i...

Unexpected complications of bonded mandibular lingual retainers.

NARCIS (Netherlands)

Katsaros, C.; Livas, C.; Renkema, A.M.

2007-01-01

INTRODUCTION: The flexible spiral wire (FSW) retainer is the most frequently used type of fixed retainer bonded on all 6 anterior teeth. Our aim in this article was to demonstrate unexpected posttreatment changes in the labiolingual position of the mandibular anterior teeth associated with the use

Reoccurrence of retained placenta at vaginal delivery

DEFF Research Database (Denmark)

Nikolajsen, Sys; Løkkegaard, Ellen Christine Leth; Bergholt, Thomas

2013-01-01

To estimate the prevalence and validate the diagnosis of retained placenta in nulliparous women and the risk of reoccurrence at subsequent vaginal delivery.......To estimate the prevalence and validate the diagnosis of retained placenta in nulliparous women and the risk of reoccurrence at subsequent vaginal delivery....

Soil Retaining Structures : Development of models for structural analysis

NARCIS (Netherlands)

Bakker, K.J.

2000-01-01

The topic of this thesis is the development of models for the structural analysis of soil retaining structures. The soil retaining structures being looked at are; block revetments, flexible retaining walls and bored tunnels in soft soil. Within this context typical structural behavior of these

18 CFR 367.2160 - Account 216, Unappropriated retained earnings.

Science.gov (United States)

2010-04-01

..., Unappropriated retained earnings. 367.2160 Section 367.2160 Conservation of Power and Water Resources FEDERAL... retained earnings. This account must include the balances, either debit or credit, of unappropriated retained earnings arising from earnings of the service company. This account must not include any amounts...

Widowhood, leisure activity engagement, and cognitive function among older adults.

Science.gov (United States)

Lee, Yura; Chi, Iris; A Palinkas, Lawrence

2018-04-10

Maintaining cognitive function is an essential aspect of successful aging. Widowhood is a salient life transition that can affect older adults' cognitive function. Leisure engagement has received increasing attention because it is still modifiable in later life to help prevent cognitive decline. Nonetheless, limited longitudinal studies have examined how widowhood influences cognitive function, and even fewer studies have tested the role of leisure activities in this relationship. This study delineated the mechanism of widowhood, leisure activity engagement, and cognitive function among older adults using a national longitudinal dataset, the Health and Retirement Study, and its supplementary dataset, the Consumption and Activities Mail Survey, which repeatedly measured individuals' leisure activity engagement. Findings showed no significant association between widowhood and cognitive function during a 4-year period. However, engagement in mental activities moderated the impact of widowhood on cognitive function. Specifically, the benefit of mental activity engagement on cognition was more pronounced among individuals who were recently widowed compared to those who were married. This implies a protective role of mental activities in the relationship between widowhood and cognitive function. Interventions with mentally stimulating activities at the community level to retain cognition among individuals in early phase widowhoodare suggested. Future studies are necessary to explore whether other factors such as changes in physical and mental health and intergenerational support from adult children during widowhood may further influence this mechanism among widowhood, leisure activities, and cognitive function.

The aging nursing workforce: How to retain experienced nurses.

Science.gov (United States)

Cohen, Jeremye D

2006-01-01

In the face of an anticipated nursing shortage, healthcare organizations must evaluate their culture, operations, and compensation system to ensure that these elements align with organizational efforts to retain nurses who are approaching retirement age. Management should focus on enhancing elements of job satisfaction and job embeddedness that will motivate nurses to remain both in the workforce and with their employer. Although much of this responsibility falls on the nurse manager, nurse managers are often not provided the necessary support by top management and are neither recognized nor held accountable for nurse turnover. Other retention initiatives can include altering working conditions to reduce both physical and mental stress and addressing issues of employee health and safety. As for compensation, organizations may be well-served by offering senior nursing staff flexible working hours, salary structures that reward experience, and benefit programs that hold value for an aging workforce.

21 CFR 882.4800 - Self-retaining retractor for neurosurgery.

Science.gov (United States)

2010-04-01

... 21 Food and Drugs 8 2010-04-01 2010-04-01 false Self-retaining retractor for neurosurgery. 882...-retaining retractor for neurosurgery. (a) Identification. A self-retaining retractor for neurosurgery is a self-locking device used to hold the edges of a wound open during neurosurgery. (b) Classification...

18 CFR 367.2150 - Account 215, Appropriated retained earnings.

Science.gov (United States)

2010-04-01

... 18 Conservation of Power and Water Resources 1 2010-04-01 2010-04-01 false Account 215, Appropriated retained earnings. 367.2150 Section 367.2150 Conservation of Power and Water Resources FEDERAL... retained earnings. This account must include the amount of retained earnings that has been appropriated or...

Engaging Employees: The Importance of High-Performance Work Systems for Patient Safety.

Science.gov (United States)

Etchegaray, Jason M; Thomas, Eric J

2015-12-01

To develop and test survey items that measure high-performance work systems (HPWSs), report psychometric characteristics of the survey, and examine associations between HPWSs and teamwork culture, safety culture, and overall patient safety grade. We reviewed literature to determine dimensions of HPWSs and then asked executives to tell us which dimensions they viewed as most important for safety and quality. We then created a HPWSs survey to measure the most important HPWSs dimensions. We administered an anonymous, electronic survey to employees with direct patient care working at a large hospital system in the Southern United States and looked for linkages between HPWSs, culture, and outcomes. Similarities existed for the HPWS practices viewed as most important by previous researchers and health-care executives. The HPWSs survey was found to be reliable, distinct from safety culture and teamwork culture based on a confirmatory factor analysis, and was the strongest predictor of the extent to which employees felt comfortable speaking up about patient safety problems as well as patient safety grade. We used information from a literature review and executive input to create a reliable and valid HPWSs survey. Future research needs to examine whether HPWSs is associated with additional safety and quality outcomes.

Radiation Safety (Qualifications) Regulations 1980

International Nuclear Information System (INIS)

1980-01-01

These Regulations, promulgated pursuant to the provisions of the Radiation Safety Act, 1975-1979, require persons engaged in activities involving radiation to pass a radiation safety examination or to possess an approved qualification in radiation. The National Health and Medical Research Council is authorised to exempt persons from compliance with these requirements or, conversely, to impose such requirements on persons other than those designated. (NEA) [fr

Temperature actuated automatic safety rod release

Science.gov (United States)

Hutter, E.; Pardini, J.A.; Walker, D.E.

1984-03-13

A temperature-actuated apparatus is disclosed for releasably supporting a safety rod in a nuclear reactor, comprising a safety rod upper adapter having a retention means, a drive shaft which houses the upper adapter, and a bimetallic means supported within the drive shaft and having at least one ledge which engages a retention means of the safety rod upper adapter. A pre-determined increase in temperature causes the bimetallic means to deform so that the ledge disengages from the retention means, whereby the bimetallic means releases the safety rod into the core of the reactor.

Howto Attract,Retain and Engage Employees

Institute of Scientific and Technical Information of China (English)

韬睿

2007-01-01

Ⅰ.Introduction If there were ever a nation to have earned the de- scription"economic miracle,"it is China.In one of the most dramatic reinventions in history,China has trans- formed herself from a closed,largely agrarian society into what some are calling"the workshop of the world".

Employee engagement within the NHS: a cross-sectional study.

Science.gov (United States)

Jeve, Yadava Bapurao; Oppenheimer, Christina; Konje, Justin

2015-02-01

Employee engagement is the emotional commitment of the employee towards the organisation. We aimed to analyse baseline work engagement using Utrecht Work Engagement Scale (UWES) at a teaching hospital. We have conducted a cross-sectional study within the National Health Service (NHS) Teaching Hospital in the UK. All participants were working age population from both genders directly employed by the hospital. UWES has three constituting dimensions of work engagement as vigor, dedication, and absorption. We conducted the study using UWES-9 tool. Outcome measures were mean score for each dimension of work engagement (vigor, dedication, absorption) and total score compared with control score from test manual. We found that the score for vigor and dedication is significantly lower than comparison group (Pengagement level is below average within the NHS employees. Vigor and dedication are significantly lower, these are characterised by energy, mental resilience, the willingness to invest one's effort, and persistence as well as a sense of significance, enthusiasm, inspiration, pride, and challenge. The NHS employees are immersed in work. Urgent need to explore strategies to improve work engagement as it is vital for improving productivity, safety and patient experience.

Employee engagement within the NHS: a cross-sectional study

Science.gov (United States)

Jeve, Yadava Bapurao; Oppenheimer, Christina; Konje, Justin

2015-01-01

Background: Employee engagement is the emotional commitment of the employee towards the organisation. We aimed to analyse baseline work engagement using Utrecht Work Engagement Scale (UWES) at a teaching hospital. Methods: We have conducted a cross-sectional study within the National Health Service (NHS) Teaching Hospital in the UK. All participants were working age population from both genders directly employed by the hospital. UWES has three constituting dimensions of work engagement as vigor, dedication, and absorption. We conducted the study using UWES-9 tool. Outcome measures were mean score for each dimension of work engagement (vigor, dedication, absorption) and total score compared with control score from test manual. Results: We found that the score for vigor and dedication is significantly lower than comparison group (Pemployees. Vigor and dedication are significantly lower, these are characterised by energy, mental resilience, the willingness to invest one’s effort, and persistence as well as a sense of significance, enthusiasm, inspiration, pride, and challenge. The NHS employees are immersed in work. Urgent need to explore strategies to improve work engagement as it is vital for improving productivity, safety and patient experience PMID:25674571

Electronics and data processing for safety

International Nuclear Information System (INIS)

1995-01-01

Industrial installations, and in particular installations involving risk, are more and more monitored and controlled by computerized systems. The use of such systems raises questions about their contribution to the installation safety and about the qualities required in these systems to avoid additional risk. The February 1995 Electronics Days were organized by the CEA-LETI Department of Electronics and Nuclear Instrumentation to try to answer these questions. Four sessions were organized on the following topics: computerized systems and functioning safety, components and architectures, softwares and norms, and tools and methods. Only the communications dealing with the safety of computerized systems and components involved in nuclear applications have been retained (17 over 36). (J.S.)

78 FR 15920 - Federal Motor Vehicle Safety Standards; Tire Selection and Rims

Science.gov (United States)

2013-03-13

... [Docket No. NHTSA-2013-0030] RIN 2127-AL24 Federal Motor Vehicle Safety Standards; Tire Selection and Rims... Safety Standard (FMVSS) No. 110 to make it clear that special trailer (ST) tires are permitted to be... also proposes to exclude these trailers from a vehicle testing requirement that a tire must be retained...

Safety Auditing and Assessments

Science.gov (United States)

Goodin, James Ronald (Ronnie)

2005-01-01

Safety professionals typically do not engage in audits and independent assessments with the vigor as do our quality brethren. Taking advantage of industry and government experience conducting value added Independent Assessments or Audits benefits a safety program. Most other organizations simply call this process "internal audits." Sources of audit training are presented and compared. A relation of logic between audit techniques and mishap investigation is discussed. An example of an audit process is offered. Shortcomings and pitfalls of auditing are covered.

Strain characteristics of Marburg double crown-retained implant overdentures compared with bar and ball-retained implant overdentures, with and without a rigid major connector.

Science.gov (United States)

Kazokoğlu, F Şehnaz; Akaltan, Funda

2014-12-01

It is hard to identify the most favorable retainer type and the denture design when considering strain levels around implants and in edentulous ridges for implant overdentures (IOVD). The purpose of this study was to evaluate the strain transmitted to the implants and edentulous ridges by Marburg double crown (MDC)-retained IOVD as opposed to bar and ball-retained IOVD and the efficiency of a rigid major connector in the maxilla. An in vitro maxillary model was prepared with 4 implants, with strain gauges placed distally to each implant and also in the anterior and posterior edentulous ridges. Five overdentures were fabricated for each MDC and each ball and bar attachment retainers. Vertical loads of 280 N were applied bilaterally on the first molar region. Then the palatal bars of each IOVD were disconnected, and loading procedures were repeated for the prostheses. No significant difference was observed among the MDC and the bar and ball-retained IOVD, with and without a rigid bar according to the data taken from both the implants and edentulous ridges. However, when the strain values attained from each strain gauge separately were considered, a slight difference was observed around the implants of ball-retained overdentures and in the edentulous ridges of MDC-retained overdentures. Within the limitations of this in vitro study, MDC-retained maxillary overdentures with 4 parallel and symmetrically placed implants can be used safely without a rigid major connector as with bar and ball-retained IOVD with regard to the strains generated in the edentulous ridge and around implants. Copyright © 2014 Editorial Council for the Journal of Prosthetic Dentistry. Published by Elsevier Inc. All rights reserved.

46 CFR 26.03-1 - Safety orientation.

Science.gov (United States)

2010-10-01

... 46 Shipping 1 2010-10-01 2010-10-01 false Safety orientation. 26.03-1 Section 26.03-1 Shipping... Requirements § 26.03-1 Safety orientation. (a) Before getting underway on any uninspected passenger vessel, the... this subpart engaged in tender service at yacht clubs and marinas, and vessels being demonstrated for a...

Curating for engagement: Identifying the nature and impact of organizational marketing strategies on Pinterest

OpenAIRE

Saxton, Gregory D.; Ghosh, Amanda

2016-01-01

In an increasingly overloaded information environment sparked by the explosion of digital media, the ability to curate content has taken on greater importance. This study begins with the supposition that businesses that are able to adopt a content curation role and help consumers sort through the daily influx of information may be more successful in attracting, engaging, and retaining customers while fostering brand awareness and word of mouth. Accordingly, this study investigates organizatio...

Implementing a Principal Tutor to Increase Student Engagement and Retention within the First Year of a Professional Program

Directory of Open Access Journals (Sweden)

Jason Lodge

2012-03-01

Full Text Available With ongoing changes to the requirements for professional registration, greater demand for professional services, and targets for increasing participation, universities must adapt quickly to ensure that the quality of accredited professional programs is continually improving. The problem of retaining students is particularly relevant in accredited professional courses where students often have unrealistic expectations about course content and the profession. In order to address issues surrounding student engagement and retention in an accredited psychology course, a Principal Tutor was appointed to a first year cohort. By using a transition pedagogy framework to support student engagement through incorporating administrative and profession-specific advice within and outside the formal curriculum, the program appears to have been successful in increasing student engagement. Indicators of student engagement were higher than national averages and retention rates improved. Implications for possible application of the initiatives included in this program elsewhere are discussed. 

Perspectives on dam safety in Canada

International Nuclear Information System (INIS)

Halliday, R.

2004-01-01

Canadian dam safety issues were reviewed from the perspective of a water resources engineer who is not a dam safety practitioner. Several external factors affecting dam safety were identified along with perceived problems in dam safety administration. The author claims that the main weakness in safety practices can be attributed to provincial oversights and lack of federal engagement. Some additions to the Canadian Dam Safety Guidelines were proposed to address these weaknesses. Canada has hundreds of large dams and high hazard dams whose failure would result in severe downstream consequences. The safety of dams built on boundary waters shared with the United States have gained particular attention from the International Joint Commission. This paper also examined safety criteria for concerns such as aging dams, sabotage and global climate change that may compromise the safety of a dam. 26 refs

Employee Engagement within the NHS: A Cross-Sectional Study

Directory of Open Access Journals (Sweden)

Yadava Bapurao Jeve

2015-02-01

Full Text Available Background Employee engagement is the emotional commitment of the employee towards the organisation. We aimed to analyse baseline work engagement using Utrecht Work Engagement Scale (UWES at a teaching hospital. Methods We have conducted a cross-sectional study within the National Health Service (NHS Teaching Hospital in the UK. All participants were working age population from both genders directly employed by the hospital. UWES has three constituting dimensions of work engagement as vigor, dedication, and absorption. We conducted the study using UWES-9 tool. Outcome measures were mean score for each dimension of work engagement (vigor, dedication, absorption and total score compared with control score from test manual. Results We found that the score for vigor and dedication is significantly lower than comparison group (P< 0.0001 for both. The score for absorption was significantly higher than comparison group (P< 0.0001. However, total score is not significantly different. Conclusion The study shows that work engagement level is below average within the NHS employees. Vigor and dedication are significantly lower, these are characterised by energy, mental resilience, the willingness to invest one’s effort, and persistence as well as a sense of significance, enthusiasm, inspiration, pride, and challenge. The NHS employees are immersed in work. Urgent need to explore strategies to improve work engagement as it is vital for improving productivity, safety and patient experience.

The Dread Factor: How Hazards and Safety Training Influence Learning and Performance

Science.gov (United States)

Burke, Michael J.; Salvador, Rommel O.; Smith-Crowe, Kristin; Chan-Serafin, Suzanne; Smith, Alexis; Sonesh, Shirley

2011-01-01

On the basis of hypotheses derived from social and experiential learning theories, we meta-analytically investigated how safety training and workplace hazards impact the development of safety knowledge and safety performance. The results were consistent with an expected interaction between the level of engagement of safety training and hazardous…

Evaluation of Causes of Retaining Wall Failure

Directory of Open Access Journals (Sweden)

Mu'azu Mohammed ABDULLAHI

2009-07-01

Full Text Available Retaining structures are vital geotechnical structure, because the topography of the earth surface is a combination of plain, sloppy and undulating terrain. The retaining wall resists thrust of a bank of earth as well as providing soil stability of a change of ground elevation. Earth pressures on retaining wall are designed from theories of Soil Mechanics, but unfortunately the engineers using them do not always realize the significance of the assumption in their development. This is usually accompanied by with failure and partial failures because of designed based on rules and formulae that fit only limited conditions. In addition there are also problems of using bad backfill materials without taking precautionary measures against built–up of hydrostatic pressure by provision of drainage and also poor workmanship.

Managing risk in healthcare: understanding your safety culture using the Manchester Patient Safety Framework (MaPSaF).

Science.gov (United States)

Parker, Dianne

2009-03-01

To provide sufficient information about the Manchester Patient Safety Framework (MaPSaF) to allow healthcare professionals to assess its potential usefulness. The assessment of safety culture is an important aspect of risk management, and one in which there is increasing interest among healthcare organizations. Manchester Patient Safety Framework offers a theory-based framework for assessing safety culture, designed specifically for use in the NHS. The framework covers multiple dimensions of safety culture, and five levels of safety culture development. This allows the generation of a profile of an organization's safety culture in terms of areas of relative strength and challenge, which can be used to identify focus issues for change and improvement. Manchester Patient Safety Framework provides a useful method for engaging healthcare professionals in assessing and improving the safety culture in their organization, as part of a programme of risk management.

Research and exploration on nuclear safety culture construction

International Nuclear Information System (INIS)

Zhang Lifang; Zhao Hongtao; Wang Hongwei

2012-01-01

This thesis mainly researched the definition, characteristics, development stage and setup procedure concerning nuclear safety culture, based on practice and experiences in Technical Physics Institute of Heilongjian. Academy of Science. The author discussed the importance of nuclear safety culture construction for an enterprise of nuclear technology utilization, and emphasized all the enterprise and individual who engaged in nuclear and radiation safety should acquire good nuclear safety culture quality, and ensure the application and development of the nuclear safety cult.ure construction in the enterprises of nu- clear technological utilization. (authors)

18 CFR 367.4390 - Account 439, Adjustments to retained earnings.

Science.gov (United States)

2010-04-01

... 18 Conservation of Power and Water Resources 1 2010-04-01 2010-04-01 false Account 439, Adjustments to retained earnings. 367.4390 Section 367.4390 Conservation of Power and Water Resources FEDERAL... NATURAL GAS ACT Retained Earnings Accounts § 367.4390 Account 439, Adjustments to retained earnings. (a...

i Engaging as an innovative approach to engage patients in their own fall prevention care

Directory of Open Access Journals (Sweden)

Tzeng HM

2014-05-01

Full Text Available Huey-Ming Tzeng,1 Chang-Yi Yin21College of Nursing, Washington State University, Spokane, WA, USA; 2Department of History, Chinese Culture University, Taipei, TaiwanAbstract: Decreasing patient fall injuries during hospitalization continues to be a ­challenge at the bedside. Empowering patients to become active participants in their own fall ­prevention care could be a solution. In a previous study, elderly patients recently discharged from a United States hospital expressed a need for nurses to give and repeat directives about fall prevention; when the nurse left a brochure on the topic, but did not provide any (or limited verbal explanations about the content or the importance of the information, the patient felt that the information was insufficient. To address patients’ needs, we developed “i ­Engaging”, a Web-based software application for use at the bedside. i Engaging is an innovative approach that is used to engage patients in their own fall prevention care during hospital stays. The application was designed based on the assumption that patients are the best and most critical sources of information about their health status. i Engaging has not yet been tested in clinical trials.Keywords: patient, safety, hospital, nursing care, fall, consumer involvement

Barriers and Strategies to Engaging Our Community-Based Preceptors.

Science.gov (United States)

Graziano, Scott C; McKenzie, Margaret L; Abbott, Jodi F; Buery-Joyner, Samantha D; Craig, LaTasha B; Dalrymple, John L; Forstein, David A; Hampton, Brittany S; Page-Ramsey, Sarah M; Pradhan, Archana; Wolf, Abigail; Hopkins, Laura

2018-03-26

This article, from the "To the Point" series that is prepared by the Association of Professors of Gynecology and Obstetrics Undergraduate Medical Education Committee, is a review of commonly cited barriers to recruiting and retaining community-based preceptors in undergraduate medical education and potential strategies to overcome them. Community-based preceptors have traditionally served as volunteer, nonsalaried faculty, with academic institutions relying on intrinsic teaching rewards to sustain this model. However, increasing numbers of learners, the burdens of incorporating the electronic medical record in practice, and increasing demands for clinical productivity are making recruitment and retention of community-based preceptors more challenging. General challenges to engaging preceptors, as well as those unique to women's health, are discussed. Potential solutions are reviewed, including alternative recruitment strategies, faculty development to emphasize efficient teaching practices in the ambulatory setting, offers of online educational resources, and opportunities to incorporate students in value-added roles. Through examples cited in this review, clerkship directors and medical school administrators should have a solid foundation to actively engage their community-based preceptors.

How Feelings of Safety at School Affect Educational Outcomes

OpenAIRE

Johanna Lacoe

2013-01-01

Persistent racial and ethnic gaps in educational achievement have focused policy attention on school climate and safety as important elements of educational performance. In a special issue of Educational Researcher focused on safety and order in schools, Cornell and Mayer (2010) argue that school safety and school order are fundamental to studies of the achievement gap, teacher attrition, and student engagement. This paper represents the first large-scale analysis of how feelings of safety at...

An unrecognized foreign body retained in the calcaneus

Energy Technology Data Exchange (ETDEWEB)

Lee, Ro Woon; Choi, Soo Jung; Hwang, Jae Kwang; Ahn, Jae Hong; Kang, Chae Hoon; Shin, Dong Rock [Gangneung Asan Hospital, College of Medicine, University of Ulsan, Gangneung (Korea, Republic of)

2017-06-15

We describe a case of an unrecognized foreign body retained in the calcaneus. The patient denied any history of trauma. The skin overlying the calcaneus was intact with no local signs of inflammation. The retained foreign body was not observed on the radiograph of the calcaneus. Magnetic Resonance Imaging showed a tubular low signal intensity lesion in the calcaneal body, surrounded by strongly enhanced soft tissue and bone marrow edema caused by a foreign body reaction. A foreign body retained in the calcaneus was suspected on the basis of these findings. Surgical exploration and curettage was performed, and a rod shaped wooden fragment was found.

Effective safety training program design

International Nuclear Information System (INIS)

Chilton, D.A.; Lombardo, G.J.; Pater, R.F.

1991-01-01

Changes in the oil industry require new strategies to reduce costs and retain valuable employees. Training is a potentially powerful tool for changing the culture of an organization, resulting in improved safety awareness, lower-risk behaviors and ultimately, statistical improvements. Too often, safety training falters, especially when applied to pervasive, long-standing problems. Stepping, Handling and Lifting injuries (SHL) more commonly known as back injuries and slips, trips and falls have plagued mankind throughout the ages. They are also a major problem throughout the petroleum industry. Although not as widely publicized as other immediately-fatal accidents, injuries from stepping, materials handling, and lifting are among the leading causes of employee suffering, lost time and diminished productivity throughout the industry. Traditional approaches have not turned the tide of these widespread injuries. a systematic safety training program, developed by Anadrill Schlumberger with the input of new training technology, has the potential to simultaneously reduce costs, preserve employee safety, and increase morale. This paper: reviews the components of an example safety training program, and illustrates how a systematic approach to safety training can make a positive impact on Stepping, Handling and Lifting injuries

Wrong-Site Surgery, Retained Surgical Items, and Surgical Fires : A Systematic Review of Surgical Never Events.

Science.gov (United States)

Hempel, Susanne; Maggard-Gibbons, Melinda; Nguyen, David K; Dawes, Aaron J; Miake-Lye, Isomi; Beroes, Jessica M; Booth, Marika J; Miles, Jeremy N V; Shanman, Roberta; Shekelle, Paul G

2015-08-01

Serious, preventable surgical events, termed never events, continue to occur despite considerable patient safety efforts. To examine the incidence and root causes of and interventions to prevent wrong-site surgery, retained surgical items, and surgical fires in the era after the implementation of the Universal Protocol in 2004. We searched 9 electronic databases for entries from 2004 through June 30, 2014, screened references, and consulted experts. Two independent reviewers identified relevant publications in June 2014. One reviewer used a standardized form to extract data and a second reviewer checked the data. Strength of evidence was established by the review team. Data extraction was completed in January 2015. Incidence of wrong-site surgery, retained surgical items, and surgical fires. We found 138 empirical studies that met our inclusion criteria. Incidence estimates for wrong-site surgery in US settings varied by data source and procedure (median estimate, 0.09 events per 10,000 surgical procedures). The median estimate for retained surgical items was 1.32 events per 10,000 procedures, but estimates varied by item and procedure. The per-procedure surgical fire incidence is unknown. A frequently reported root cause was inadequate communication. Methodologic challenges associated with investigating changes in rare events limit the conclusions of 78 intervention evaluations. Limited evidence supported the Universal Protocol (5 studies), education (4 studies), and team training (4 studies) interventions to prevent wrong-site surgery. Limited evidence exists to prevent retained surgical items by using data-matrix-coded sponge-counting systems (5 pertinent studies). Evidence for preventing surgical fires was insufficient, and intervention effects were not estimable. Current estimates for wrong-site surgery and retained surgical items are 1 event per 100,000 and 1 event per 10,000 procedures, respectively, but the precision is uncertain, and the per

Peripartal leukogram in cows with and without retained placenta

Directory of Open Access Journals (Sweden)

Lužajić Tijana

2014-01-01

Full Text Available The aim of this study was to investigate whether prepartal leukogram in cows with retained placenta could indicate the presence of subclinical systemic inflammatory response before the onset of disease. After calving, sixteen highly pregnant Holstein cows, aged 3 to 9 years, without clinical signs of the disease prior to calving were divided into two groups: the first group (n=9 were animals without retained placenta, or any visible inflammation after birth; the second group (n=7 were cows with retained placenta. Blood was sampled three times before parturition, at intervals of one week, and once 24 hours after birth. The number of total leukocytes, segmented and non segmented neutrophilic granulocytes (NG, lymphocytes and monocytes were determined by standard laboratory techniques. The results have shown that in the group of cows with retained placenta the number of mature neutrophils was slightly elevated in the third, second and last week before calving, and equal number of non segmented neutrophils in regard to the group with no retention. The results have also shown that, in both groups of cows, 24 hours after calving, the number of total leukocytes and the number of segmented neutrophils decreased, but the number of the non segmented neutrophils increased. Based on this, we can conclude that cows with retained placenta had no systemic inflammatory response during three weeks prepartal period, but 24 hours after calving, systemic inflammatory response was documented in all the cows. Moreover, the intensity of inflammatory response in cows with retained placenta was not more pronounced in comparison to cows without retained placenta. [Projekat Ministarstva nauke Republike Srbije, br. 175061

Implant retention systems for implant-retained overdentures.

Science.gov (United States)

Laverty, D P; Green, D; Marrison, D; Addy, L; Thomas, M B M

2017-03-10

Implant retained overdentures are being increasingly utilised in both general and specialist practice to rehabilitate patients with missing teeth, particularly those that are edentate. This article aims to inform the reader of a variety of retention systems that are available to retain an implant overdenture and to understand how these systems work, their advantages and disadvantages and to outline some of the clinical and treatment planning considerations involved in selecting the most appropriate retention system for patients.

Bonded versus vacuum-formed retainers: a randomized controlled trial. Part 1: stability, retainer survival, and patient satisfaction outcomes after 12 months.

Science.gov (United States)

Forde, Katherine; Storey, Madeleine; Littlewood, Simon J; Scott, Paul; Luther, Friedy; Kang, Jing

2017-10-20

There is a shortage of evidence on the best type of retainer. Evaluate upper and lower bonded retainers (BRs) versus upper and lower vacuum-formed retainers (VFRs) over 12 months, in terms of stability, retainer survival, and patient satisfaction. Two-arm parallel group multi-centre randomized controlled clinical trial. Sixty consecutive patients completing fixed appliance therapy and requiring retainers were recruited from 3 hospital departments. They were randomly allocated to either upper and lower labial segment BRs (n = 30) or upper and lower full-arch VFRs (n = 30). Primary outcome was stability. Secondary outcomes were retainer survival and patient satisfaction. A random sequence of treatment allocation was computer-generated and implemented by sealing in sequentially numbered opaque sealed envelopes independently prepared in advance. Patients, operators and outcome could not be blinded due to the nature of the intervention. Thirty patients received BRs (median [Mdn] age 16 years, inter-quartile range [IQR] = 2) and 30 received VFRs (Mdn age 17 years, IQR = 4). Baseline characteristics were similar between groups. At 12 months, there were no statistically significant inter-group differences in post-treatment change of maxillary labial segment alignment (BR = 1.1 mm, IQR = 1.56, VFR = 0.76 mm, IQR = 1.55, P = 0.61); however, there was greater post-treatment change in the mandibular VFR group (BR = 0.77 mm, IQR = 1.46, VFR = 1.69mm, IQR = 2.00, P = 0.008). The difference in maxillary retainer survival rates were statistically non-significant, P = 0.34 (BR = 63.6%, 239.3 days, 95% confidence interval [CI] = 191.1-287.5, VFR = 73.3%, 311.1 days, 95% CI = 278.3-344.29). The mandibular BR had a lower survival rate (P = 0.01) at 12 months (BR = 50%, 239.3 days 95% CI = 191.1-287.5, VFR = 80%, 324.9 days 95% CI = 295.4-354.4). More subjects with VFRs reported discomfort (P = 0.002) and speech difficulties (P = 0.004) but found them easier to clean than those with

Seniors in Society. Strategies to Retain Individual Autonomy

Directory of Open Access Journals (Sweden)

2004-05-01

Full Text Available The research project on "Seniors in Society. Strategies to Retain Individual Autonomy" (2002 - 2004 is supported by the Grant Agency of the Czech Republic. It's importance is empha-sized by the relevance of social and economic aspects of demographic ageing of the popula-tion and that of fundamental changes associated with the transformation of Czech society. The objectives of the research are (1 to find out seniors' material and social resources sup-porting their relative autonomy in everyday life, (2 to record their personal expectations from state, community, or formal and informal support and aid institutions, respectively, and (3 to uncover their engagement in social interaction and individual experiencing of the integration into social groups. The data acquired become the base for (4 identifying the typologies corre-sponding to the levels of seniors' social integration (i.e. groups of relatives, friends, neighbours, special-interest and professional groups. By applying qualitative methods, we explore (5 strategies of everyday life and coping with life cycle events and crisis within par-ticular types. Special attention is paid to the family background of the seniors, including rela-tives in the vertical line. Specifically, we focus on (6 conditions under which family is capa-ble and willing to help or actually is helping it's oldest members, as well as on their interpre-tation within (7 identified types of the relatives supportive systems.

Control component retainer

International Nuclear Information System (INIS)

Walton, L.A.; King, R.A.

1983-01-01

An apparatus is described for retaining an undriven control component assembly disposed in a fuel assembly in a nuclear reactor of the type having a core grid plate. The first part of the mechanism involves a housing for the control component and the second part is a brace with a number of arms that reach under the grid plate. The brace and the housing are coupled together to firmly hold the control components in place even under strong flows of th coolant

Relating Therapist Characteristics to Client Engagement and the Therapeutic Alliance in an Adolescent Custodial Group Substance Misuse Treatment Program.

Science.gov (United States)

Daniels, Rachael Anne; Holdsworth, Emma; Tramontano, Carlo

2017-07-29

Client engagement in substance misuse treatment programs is directly associated with positive treatment outcomes. The nature of these programs means there are often difficulties engaging and retaining clients, but authors have consistently found a strong therapeutic alliance is associated with client engagement. While research has focused on the association between the alliance and engagement, the factors that influence the therapeutic alliance have received less attention. To examine therapists' characteristics, namely therapists' stress and empathy levels, as potential predictors of client engagement and the therapeutic alliance, within an adolescent substance misuse group treatment program. The sample included 84 adolescent clients and 14 therapists from a Secure Training Centre in England. Client engagement in the treatment program was observed, while self-reporting measures assessed the therapeutic alliance (client and therapist-rated), and therapists' stress and empathy levels. Multiple regression analysis revealed that therapists' stress levels negatively influenced the therapeutic alliance and had a curvilinear relationship with client engagement, indicating that stress is not exclusively negatively related to engagement. Although stress was found to negatively impact both cognitive and affective empathy, neither cognitive nor affective empathy were significantly related to client engagement or the therapeutic alliance. This study demonstrates the importance of therapist characteristics on client engagement and the therapeutic alliance. Within practice stress can have a positive impact on clients' engagement. Nevertheless, therapists may need additional support to deal with stress effectively. Therapists' empathy may too be fundamental to client engagement, but only it if is perceived by clients.

Two-year survival analysis of twisted wire fixed retainer versus spiral wire and fiber-reinforced composite retainers: a preliminary explorative single-blind randomized clinical trial.

Science.gov (United States)

Sobouti, Farhad; Rakhshan, Vahid; Saravi, Mahdi Gholamrezaei; Zamanian, Ali; Shariati, Mahsa

2016-03-01

Traditional retainers (both metal and fiber-reinforced composite [FRC]) have limitations, and a retainer made from more flexible ligature wires might be advantageous. We aimed to compare an experimental design with two traditional retainers. In this prospective preliminary clinical trial, 150 post-treatment patients were enrolled and randomly divided into three groups of 50 patients each to receive mandibular canine-to-canine retainers made of FRC, flexible spiral wire (FSW), and twisted wire (TW). The patients were monitored monthly. The time at which the first signs of breakage/debonding were detected was recorded. The success rates of the retainers were compared using chi-squared, Kaplan-Meier, and Cox proportional-hazard regression analyses (α = 0.05). In total, 42 patients in the FRC group, 41 in the FSW group, and 45 in the TW group completed the study. The 2-year failure rates were 35.7% in the FRC group, 26.8% in the FSW group, and 17.8% in the TW group. These rates differed insignificantly (chi-squared p = 0.167). According to the Kaplan-Meier analysis, failure occurred at 19.95 months in the FRC group, 21.37 months in the FSW group, and 22.36 months in the TW group. The differences between the survival rates in the three groups were not significant (Cox regression p = 0.146). Although the failure rate of the experimental retainer was two times lower than that of the FRC retainer, the difference was not statistically significant. The experimental TW retainer was successful, and larger studies are warranted to verify these results.

BOOSTING STUDENT LIFE SATISFACTION AND ENGAGEMENT TO IMPROVE ONLINE STUDENT RETENTION

DEFF Research Database (Denmark)

Slavensky, Henning; Hansen, Hans Jørgen; Knudsen, Mikael Bergholz

2017-01-01

’ decisions to drop out is their full-time job; having a full-time job while studying full time is very time-consuming. Another reason for the student dropout is a feeling of disconnection with their fellow students and the campus environment. Consequently, various strategies to motivate and retain...... to the students what is expected of them. In addition, we have seen a decrease in students with fulltime jobs who, thus, are able to join the teaching synchronously, engaging them much more directly. This, combined with a new strategy of forming mixed teams of online and on-campus students, has boosted...

Engagement Skills Trainer: The Commander’s Perspective

Science.gov (United States)

2017-06-09

CBRN Chemical Biological Radiological and Nuclear CGSOC Command and General Staff Officers Course DMG Digital Master Gunner EST Engagement Skills...commanders always emphasized SHARP ( Sexual Harassment and Response Program) training, the battery commander may vividly recall those events but not the range...soldiers in the EST generally do worse at weapons safety and orientation .26 Indicators from research show that EST results predict live fire results. The

Stabilizing and retaining a quality nursing work force through the use of the Married State Preceptorship Model.

Science.gov (United States)

Figueroa, Solimar; Bulos, Marlene; Forges, Edwina; Judkins-Cohn, Tanya

2013-08-01

The nursing shortage requires new graduate registered nurses (RNs) to work at the bedside, often leading to a shortened orientation period and increased stress. In the Married State Preceptorship Model (MSPM), the preceptor and the preceptee work together as the new graduate RN transitions to the bedside while maintaining safety and quality. This study explored first-year turnover rates of new graduate RNs and new graduate RNs' and preceptors' perceptions of the MSPM in transitioning new graduate RNs to practice. Focus groups and surveys were used with 108 new graduate RNs and 100 preceptors. Four themes emerged for new graduate RNs: partnership, critical thinking, learning, and transition. A statistically significant decrease in turnover rates was seen with MSPM versus traditional precepting. Survey data found that new graduate RNs and preceptors perceived the MSPM as promoting safety and reducing anxiety. The MSPM allows organizations to retain a quality nursing work force focused on safety patient care by transitioning new graduate RNs into the practice setting. Copyright 2013, SLACK Incorporated.

Social Networking for Emergency Management and Public Safety

Energy Technology Data Exchange (ETDEWEB)

Lesperance, Ann M.; Olson, Jarrod; Godinez, Melanie A.

2010-08-31

On March 10, 2010 the workshop titled Social Networking for Emergency Management and Public Safety was held in Seattle, WA. The objective of this workshop was to showcase ways social media networking technologies can be used to support emergency management and public safety operations. The workshop highlighted the current state of social networking and where this dynamic engagement is heading, demonstrated some of the more commonly used technologies, highlighted case studies on how these tools have been used in a variety of jurisdictions and engaged the private sector on how these tools might serve as a conduit for two way communication between with the public sector to address regional recovery issues and decision making.

Being of service: "X-Files" fans and social engagement

Directory of Open Access Journals (Sweden)

Bethan Jones

2012-06-01

Full Text Available I explore the ways in which celebrity charity and fan activism can lead to civic engagement and social change. Fan studies has moved away from the traditional view of fans as psychologically deficient and has begun to examine resistance within the cultural productions of fandom—fan fiction, for example, addressing gender imbalances in popular TV shows. However, scholarship on celebrity-focused fans still retains much of the stigmatizing language that mars early writing about fans. I examine the relationship between celebrity and fan; examine the role celebrity plays in framing fan charity; assess how fan investment affects celebrity charity work; and argue that fans are active participants in encouraging social awareness and charitable giving.

National nuclear power plant safety research 2011-2014. SAFIR2014 framework plan

International Nuclear Information System (INIS)

2010-01-01

A country utilising nuclear energy is presumed to possess a sufficient infrastructure to cover the education and research in this field, besides the operating organisations of the plants and a regulatory body. The starting point of public nuclear safety research programmes is that they provide the necessary conditions for retaining the knowledge needed for ensuring the continuance of safe and economic use of nuclear power, for development of new know-how and for participation in international cooperation. In fact, the Finnish organisations engaged in research in this sector have been an important resource which the various ministries, the Radiation and Nuclear Safety Authority (STUK) and the power companies have had at their disposal. Ministry of employment and the economy appointed a group to write the Framework Plan of the new programme. This report contains a proposal for the general outline of the programme, entitled as SAFIR2014 (SAfety of Nuclear Power Plants - Finnish National Research Programme). The plan has been made for the period 2011-2014, but it is based on safety challenges identified for a longer time span as well. Olkiluoto 3, the new nuclear power plant unit under construction and new decisions-in-principle have also been taken into account in the plan. The safety challenges set by the existing plants and the new projects, as well as the ensuing research needs do, however, converge to a great extent. The research programme is strongly based on the Chapter 7a of the Finnish Nuclear Energy Act. The construction of new power plant units will increase the need for experts in the field in Finland. At the same time, the retirement of the existing experts is continuing. These factors together will call for more education and training, in which active research activities play a key role. This situation also makes long-term safety research face a great challenge. The Framework Plan aims to define the important research needs related to the safety

Positive organisation: The role of leader behaviour in work engagement and retention

Directory of Open Access Journals (Sweden)

Fallen Mendes

2011-05-01

Research purpose: The aim of this study was to investigate if leader empowering behaviour can positively impact on role clarity, psychological empowerment and work engagement, with the final outcome being the retention of talent. Motivation for the study: In the ever changing work environment organisations place great emphasis on their human capital. The positive organisation utilises specific elements to optimise human capital’s potential. It is therefore important to identify the elements contributing to a positive organisation as well as the elements which lead to the retention of talent. Research design, approach and method: A survey research design was used. A convenience sample (n = 179 was taken from a business unit in a chemical organisation. The Leader Empowering Behaviour Questionnaire, Measures of Role Clarity and Ambiguity Questionnaire, Measuring Empowerment Questionnaire, Utrecht Work Engagement Scale and the Intention to Leave Scale were administered. Main findings: Leader empowering behaviour, role clarity and psychological empowerment predicted work engagement. Role clarity interacted with competence to affect employees’ dedication and interacted with the development of employees to affect absorption. Work engagement predicted employees’ intention to leave. Practical/managerial implications: Organisations should foster the elements of a positive organisation if they want to retain their talent. Contribution/value-add: The results of this research contribute to scientific knowledge about the effects of a positive organisation on retention.

Immunization Safety Review: Thimerosal - Containing Vaccines and Neurodevelopmental Disorders

National Research Council Canada - National Science Library

Stratton, Kathleen; Gable, Alicia; McCormick, Marie C

2001-01-01

..., and Marie C.McCormick, Editors Immunization Safety Review Committee Board on Health Promotion and Disease Prevention INSTITUTE OF MEDICINE NATIONAL ACADEMY PRESS Washington, D.C. Copyrightoriginal retained, the be not from cannot book, paper original however, for version formatting, authoritative the typesetting-specific created from the as publ...

Large Scale Testing of Drystone Retaining Structures

OpenAIRE

Mundell, Chris

2009-01-01

Drystone walls have been used extensively around the world as earth retaining structures wherever suitable stone is found. Commonly about 0.6m thick (irrespective of height), there are about 9000km of drystone retaining walls on the UK road network alone, mostly built in the 19th and early 20th centuries, with an estimated replacement value in excess of £1 billion[1]. Drystone wall design is traditionally empirical, based on local knowledge of what has worked in the past. Methods vary from re...

Abdominal retained surgical sponges: CT appearance

International Nuclear Information System (INIS)

Kalovidouris, A.; Kehagias, D.; Moulopoulos, L.; Gouliamos, A.; Pentea, S.; Vlahos, L.

1999-01-01

Retention of surgical sponges is rare. They cause either an aseptic reaction without significant symptoms or an exudative reaction which results in early but nonspecific symptoms. Computed tomography is very useful for recognition of retained sponges. The appearance of retained sponges is widely variable. Air trapping into a surgical sponge results in the spongiform pattern which is characteristic but unfortunately uncommon. A low-density, high-density, or complex mass is found in the majority of cases, but these patterns are not specific. Sometimes, a thin high-density capsule may be seen. Rim or internal calcification is a rare finding. Finally, a radiopaque marker is not a reliable sign. Differentiation from abscess and hematoma is sometimes difficult. (orig.)

Recruiting and retaining child welfare workers: is preparing social work students enough for sustained commitment to the field?

Science.gov (United States)

Barbee, Anita P; Antle, Becky; Sullivan, Dana J; Huebner, Ruth; Fox, Steve; Hall, Jon Christopher

2009-01-01

Graduates of specialized BSW child welfare education programs are more likely to be retained after two years of service in the agency, but many leave at the four year mark. Two studies explored possible reasons for departure at this time. The first study found that graduates of specialized child welfare programs were significantly more likely to engage in best practices in nine areas than workers from other fields. Thus, frustration with practice skill was ruled out as a cause. The second qualitative study found that poor supervision, lack of coworker support, and organizational stress among other variables prompted these high-functioning workers to leave the agency. Suggestions for innovative interventions to enhance retention at this critical juncture are included.

Academic retainer medicine: an innovative business model for cross-subsidizing primary care.

Science.gov (United States)

Lucier, David J; Frisch, Nicholas B; Cohen, Brian J; Wagner, Michael; Salem, Deeb; Fairchild, David G

2010-06-01

Retainer-medicine primary care practices, commonly referred to as "luxury" or "concierge" practices, provide enhanced services to patients beyond those available in traditional practices for a yearly retainer fee. Adoption of retainer practices has been largely absent in academic health centers (AHCs). Reasons for this trend stem primarily from ethical concerns, such as the potential for patient abandonment when physicians downsize from larger, traditional practices to smaller, retainer-medicine practices.In 2004, the Department of Medicine at Tufts Medical Center developed an academic retainer-medicine primary care practice within the Division of General Medicine that not only generates financial support for the division but also incorporates a clinical and business model that is aligned with the mission and ethics of an academic institution.In contrast to private retainer-medicine practices, this unique business model addresses several of the ethical issues associated with traditional retainer practices-it does not restrict net access to care and it neutralizes concerns about patient abandonment. Addressing the growing primary care shortage, the model also presents the opportunity for a retainer practice to cross-subsidize the expansion of general medicine in an academic medical setting. The authors elucidate the benefits, as well as the inherent challenges, of embedding an academic retainer-medicine practice within an AHC.

2005 dossier: granite. Tome: safety analysis of the geologic disposal

International Nuclear Information System (INIS)

2005-01-01

This document makes a status of the researches carried out by the French national agency of radioactive wastes (ANDRA) about the safety aspects of the geologic disposal of high-level and long-lived (HLLL) radioactive wastes in granite formations. Content: 1 - safety approach: context and general goal, references, design approach by safety functions, safety approach during the construction-exploitation-observation-closure phase, safety analysis during the post-closure phase; 2 - general description: HLLL wastes, granitic environment, general structure of the architecture of a disposal facility; 3 - safety functions and disposal design: general context, safety functions of the long-term disposal, design dispositions retained to answer the functions; 4 - operational safety: people's protection, radiological risks during exploitation, risk analysis in accident situation; 5 - qualitative safety analysis: methodology, main results of the analysis of the features, events and processes (FEP) database; 6 - disposal efficiency evaluation during post-closure phase: calculation models, calculation tools used for the modeling of radionuclides transport, calculation results and main lessons. (J.S.)

Employee Engagement as a Predictor of Seafarer Retention: A Study among Indian Officers

Directory of Open Access Journals (Sweden)

Yogendra Bhattacharya

2015-06-01

Full Text Available This paper is part of a study of employee engagement and its relationship with seafarer safety, performance and retention. This section focuses on the impact of seafarer turnover, identifies and understands drivers of retention and their relevance in shipping, and explores the relationship of engagement with retention. It determines the correlation between retention and engagement and analyses drivers of retention from the seafarer's perspective. It also identifies aspects of shipboard life that can contribute towards higher retention. The study confirms that engagement was significantly and positively related with retention levels, while factor analysis isolated six contributory factors. The study also reveals that retention levels of officers employed directly by ship owners and by managers did not differ significantly, nor did they significantly differ between senior and junior officers.

The challenge of retaining customers acquired with free trials

NARCIS (Netherlands)

Datta, H.; Foubert, B.; van Heerde, H.J.

Many service firms acquire customers by offering free-trial promotions. A crucial challenge is to retain customers acquired with these free trials. To address this challenge, firms need to understand how free-trial customers differ from regular customers in terms of their decision making to retain

Building a safety culture in global health: lessons from Guatemala.

Science.gov (United States)

Rice, Henry E; Lou-Meda, Randall; Saxton, Anthony T; Johnston, Bria E; Ramirez, Carla C; Mendez, Sindy; Rice, Eli N; Aidar, Bernardo; Taicher, Brad; Baumgartner, Joy Noel; Milne, Judy; Frankel, Allan S; Sexton, J Bryan

2018-01-01

Programmes to modify the safety culture have led to lasting improvements in patient safety and quality of care in high-income settings around the world, although their use in low-income and middle-income countries (LMICs) has been limited. This analysis explores (1) how to measure the safety culture using a health culture survey in an LMIC and (2) how to use survey data to develop targeted safety initiatives using a paediatric nephrology unit in Guatemala as a field test case. We used the Safety, Communication, Operational Reliability, and Engagement survey to assess staff views towards 13 health climate and engagement domains. Domains with low scores included personal burnout, local leadership, teamwork and work-life balance. We held a series of debriefings to implement interventions targeted towards areas of need as defined by the survey. Programmes included the use of morning briefings, expansion of staff break resources and use of teamwork tools. Implementation challenges included the need for education of leadership, limited resources and hierarchical work relationships. This report can serve as an operational guide for providers in LMICs for use of a health culture survey to promote a strong safety culture and to guide their quality improvement and safety programmes.

How Home Health Caregivers’ Perceive the Influence of Professionalism on Their Experienced Work Engagement

DEFF Research Database (Denmark)

Noesgaard, Mette Strange

2017-01-01

contributes by emphasizing an individual perspective of engagement and by providing empirical evidence of links between professionalism and engagement. Additionally, by focusing on relatively low-educated employees, the article highlights how professionalism challenges the perception of caregiving as a job......This article explores how the perception of increasing professionalism of home health-care influences caregivers’ experienced work engagement. A qualitative study including 24 interviews, 85 hr of observations and the think-aloud technique was applied in three Danish caregiving organizations. Using...... a consensual qualitative research approach, analysis of the data suggests that increasing professionalism is experienced among caregivers and influences caregivers’ engagement in three distinct ways: through their identification with their work, psychological safety, and feelings of insecurity. This article...

Effects of Geofoam Panels on Static Behavior of Cantilever Retaining Wall

Directory of Open Access Journals (Sweden)

Navid Hasanpouri Notash

2018-01-01

Full Text Available Geofoam is one of the geosynthetic products that can be used in geotechnical applications. According to researches, expanded polystyrene (EPS geofoam placed directly against a rigid retaining wall has been proposed as a strategy to reduce static loads on the wall. This study employed a finite difference analysis using a 2-D FLAC computer program by considering yielding and nonyielding states for retaining walls to explore the effectiveness of geofoam panels in improving the static performance of cantilever retaining walls. Retaining walls at heights of 3, 6, and 9 meters and geofoam panels with densities of 15, 20, and 25 (kg/m3 at three relative thicknesses of t/H = 0.05, 0.2, and 0.4 were modelled in this numerical study. In addition, the performance of the double EPS buffer system, which involves two vertical geofoam panels, in retaining walls’ stability with four panel spacing (50, 100, 150, and 200 cm was also evaluated in this research. The results showed that use of EPS15 with density equal to 15 (kg/m3 which has the lowest density among other geofoam panels has a significant role in reduction of lateral stresses, although the performance of geofoam in nonyielding retaining walls is better than yielding retaining walls.

Safety, Dignity and the Quest for a Democratic Campus Culture

Science.gov (United States)

Ben-Porath, Sigal

2016-01-01

In his excellent paper, Callan (2016) differentiates intellectual safety, which fosters smugness, indifference and lack of effort, from dignity safety, which is needed for participation, learning and engagement. He suggests that college classrooms that reject the first and espouse the second would be ones that focus on "cultivating…

Bullying climate and school engagement in ninth-grade students.

Science.gov (United States)

Mehta, Sharmila B; Cornell, Dewey; Fan, Xitao; Gregory, Anne

2013-01-01

Many authorities agree that bullying has a widespread impact on school climate, affecting bystanders as well as victims. This study tested the contention that a climate of bullying can have a schoolwide impact on student engagement in school. Hierarchical linear modeling assessed the relations between student perception of bullying climate and student engagement at the individual and school level in a statewide sample of 7058 ninth graders randomly selected from 289 schools participating in the Virginia High School Safety Study. Student engagement was assessed by self-report scales measuring commitment to school and involvement in school activities. Individual differences in perception of school climate characterized by bullying were associated with lower commitment to school, but not less involvement in school activities. School-level differences in student perceptions of bullying climate were associated with both lower commitment to school and less involvement in school activities, after controlling for the effects of gender, race, school size, proportion of ethnic minority students in the school, and individual-level perception of bullying climate. Efforts to improve student engagement should consider the schoolwide impact of bullying on all students. © 2013, American School Health Association.

Effectiveness of Horizontal Rebar on Concrete Block Retaining Wall Strength

OpenAIRE

Krishpersad Manohar; Rikhi Ramkissoon

2016-01-01

The effectiveness of including a horizontal rebar compared to only a vertical rebar in concrete filled core interlocking concrete block retaining wall sections was investigated with respect to the horizontal retaining force. Experimental results for three specimens of interlocking blocks with vertical rebar and concrete filled cores showed an average horizontal retaining force of 24546 N ± 5.7% at an average wall deflection of 13.3 mm. Experimental results for three wall specimens of interloc...

Student Engagement

DEFF Research Database (Denmark)

Conduit, Jodie; Karpen, Ingo; Farrelly, Francis

2017-01-01

system (the university), the narrow service system (the course), and the individual dyadic level of engagement (the student-lecturer interaction). These findings could be further considered and empirically tested in other engagement contexts (e.g. employee engagement, customer engagement).......Universities are seeking to actively and strategically manage student engagement through providing opportunities for students to interact and engage with the institution on a range of levels and in different ways. However, this increasingly complex and multi-layered nature of student engagement...... within a tertiary education environment is not well understood. Through qualitative focus groups and a series of interviews with undergraduate and postgraduate students, this study explores and articulates the cognitive, emotional, behavioural and social dimensions of engagement that depict the nature...

Abdominal retained surgical sponges: CT appearance

Energy Technology Data Exchange (ETDEWEB)

Kalovidouris, A.; Kehagias, D.; Moulopoulos, L.; Gouliamos, A.; Pentea, S.; Vlahos, L. [Department of Radiology, University of Athens (Greece)

1999-09-01

Retention of surgical sponges is rare. They cause either an aseptic reaction without significant symptoms or an exudative reaction which results in early but nonspecific symptoms. Computed tomography is very useful for recognition of retained sponges. The appearance of retained sponges is widely variable. Air trapping into a surgical sponge results in the spongiform pattern which is characteristic but unfortunately uncommon. A low-density, high-density, or complex mass is found in the majority of cases, but these patterns are not specific. Sometimes, a thin high-density capsule may be seen. Rim or internal calcification is a rare finding. Finally, a radiopaque marker is not a reliable sign. Differentiation from abscess and hematoma is sometimes difficult. (orig.) With 11 figs., 12 refs.

Implementing an interprofessional patient safety learning initiative: insights from participants, project leads and steering committee members.

Science.gov (United States)

Jeffs, Lianne; Abramovich, Ilona Alex; Hayes, Chris; Smith, Orla; Tregunno, Deborah; Chan, Wai-Hin; Reeves, Scott

2013-11-01

Effective teamwork and interprofessional collaboration are vital for healthcare quality and safety; however, challenges persist in creating interprofessional teamwork and resilient professional teams. A study was undertaken to delineate perceptions of individuals involved with the implementation of an interprofessional patient safety competency-based intervention and intervention participants. The study employed a qualitative study design that triangulated data from interviews with six steering committee members and five members of the project team who developed and monitored the intervention and six focus groups with clinical team members who participated in the intervention and implemented local patient safety projects within a large teaching hospital in Canada. Our study findings reveal that healthcare professionals and support staff acquired patient safety competencies in an interprofessional context that can result in improved patient and work flow processes. However, key challenges exist including managing projects amidst competing priorities, lacking physician engagement and sustaining projects. Our findings point to leaders to provide opportunities for healthcare teams to engage in interprofessional teamwork and patient safety projects to improve quality of patient care. Further research efforts should examine the sustainability of interprofessional safety projects and how leaders can more fully engage the participation of all professions, specifically physicians.

Dust retaining properties of leaves of some tree species

Energy Technology Data Exchange (ETDEWEB)

Gusev, M I

1960-05-01

A study was made in Tashkent, Russia of the dust-retaining power of leaves of several tree species. Investigations were made in a park where these tree species were growing in close proximity, exposed to the effects of dust from the main city street and from the highway passing through the park. Observations on the dust-retaining power of leaves were made mostly during the summer and fall months. The dust-retaining power of leaves of different tree species varied with the dust concentration in the air. In the summer and fall when rains are scarce a steady accumulation of dust was observed on the surface of the leaves. 1 table.

"Nursing Students Assaulted": Considering Student Safety in Community-Focused Experiences.

Science.gov (United States)

Maneval, Rhonda E; Kurz, Jane

2016-01-01

Community nursing experiences for undergraduate students have progressed beyond community-based home visits to a wide array of community-focused experiences in neighborhood-based centers, clinics, shelters, and schools. Our Bachelor of Science in Nursing program chose to use sites situated within neighborhoods close to campus in order to promote student and faculty engagement in the local community. These neighborhood sites provide opportunities for students to deliver nursing services to underserved and vulnerable populations experiencing poverty and health disparities. Some of these neighborhoods are designated as high crime areas that may potentially increase the risk of harm to students and faculty. There is a need to acknowledge the risk to personal safety and to proactively create policies and guidelines to reduce potential harm to students engaged in community-focused experiences. When a group of baccalaureate nursing students was assaulted while walking to a neighborhood clinic, the faculty was challenged as how to respond given the lack of policies and guidelines. Through our experience, we share strategies to promote personal safety for students and recommend transparency by administrators regarding potential safety risks to students engaged in community-focused fieldwork activities. Copyright © 2016 Elsevier Inc. All rights reserved.

A tailored online safety and health intervention for women experiencing intimate partner violence: the iCAN Plan 4 Safety randomized controlled trial protocol

Directory of Open Access Journals (Sweden)

Marilyn Ford-Gilboe

2017-03-01

Full Text Available Abstract Background Intimate partner violence (IPV threatens the safety and health of women worldwide. Safety planning is a widely recommended, evidence-based intervention for women experiencing IPV, yet fewer than 1 in 5 Canadian women access safety planning through domestic violence services. Rural, Indigenous, racialized, and immigrant women, those who prioritize their privacy, and/or women who have partners other than men, face unique safety risks and access barriers. Online IPV interventions tailored to the unique features of women’s lives, and to maximize choice and control, have potential to reduce access barriers, and improve fit and inclusiveness, maximizing effectiveness of these interventions for diverse groups. Methods/Design In this double blind randomized controlled trial, 450 Canadian women who have experienced IPV in the previous 6 months will be randomized to either a tailored, interactive online safety and health intervention (iCAN Plan 4 Safety or general online safety information (usual care. iCAN engages women in activities designed to increase their awareness of safety risks, reflect on their plans for their relationships and priorities, and create a personalize action plan of strategies and resources for addressing their safety and health concerns. Self-reported outcome measures will be collected at baseline and 3, 6, and 12 months post-baseline. Primary outcomes are depressive symptoms (Center for Epidemiological Studies Depression Scale, Revised and PTSD Symptoms (PTSD Checklist, Civilian Version. Secondary outcomes include helpful safety actions, safety planning self-efficacy, mastery, and decisional conflict. In-depth qualitative interviews with approximately 60 women who have completed the trial and website utilization data will be used to explore women’s engagement with the intervention and processes of change. Discussion This trial will contribute timely evidence about the effectiveness of online safety and

Safety engineering with COTS components

International Nuclear Information System (INIS)

O'Halloran, Mark; Hall, Jon G.; Rapanotti, Lucia

2017-01-01

Safety-critical systems are becoming more widespread, complex and reliant on software. Increasingly they are engineered through (COTS) (Commercial Off The Shelf) components to alleviate the spiralling costs and development time, often in the context of complex supply chains. A parallel increased concern for safety has resulted in a variety of safety standards, with a growing consensus that a safety life cycle is needed which is fully integrated with the design and development life cycle, to ensure that safety has appropriate influence on the design decisions as system development progresses. In this article we explore the application of an integrated approach to safety engineering in which assurance drives the engineering process. The paper reports on the outcome of a case study on a live industrial project with a view to evaluate: its suitability for application in a real-world safety engineering setting; its benefits and limitations in counteracting some of the difficulties of safety engineering with (COTS) components across supply chains; and, its effectiveness in generating evidence which can contribute directly to the construction of safety cases. - Highlights: • Assurance as effective driver for COTS-based safety-critical system development. • Engages stakeholders, captures requirements and provides rich traceability. • Shares appropriate safety requirements across the supply chain.

Recruiting and Retaining Army Nurses: An Annotated Bibliography

OpenAIRE

Roberts, Benjamin J.; Kocher, Kathryn M.

1988-01-01

This listing of annotated references includes studies dealing with the labor market behavior of registered nurses. References describing both the military and the civilian working environments for RNs are contained in the bibliography. Because the Army must recruit and retain nurses in the context of the national labor market for nurses, a broad perspective was maintained in selecting publication. Studies dealing with the factors influential in attracting and retaining Army Active Duty and Re...

Urban policy engagement with social sustainability in metro Vancouver.

Science.gov (United States)

Holden, Meg

2012-01-01

This article presents an analysis of social sustainability in comparative theoretical context and as a challenge to the post-political interpretation of sustainability in policy practice at the urban and regional scales. Metro Vancouver provides a case study for improving our understanding of the meaning of social sustainability as a framework for social policy in that it is among the handful of cities around the world currently working to define and enact social sustainability in governance terms. Results of this participant research provide evidence that some cities are politically engaging alternative development pathways using the concept of social sustainability. For sustainable development to retain its promise as an alternative policy framework for cities, social sustainability must be at the forefront.

New guidelines for dam safety classification

International Nuclear Information System (INIS)

Dascal, O.

1999-01-01

Elements are outlined of recommended new guidelines for safety classification of dams. Arguments are provided for the view that dam classification systems should require more than one system as follows: (a) classification for selection of design criteria, operation procedures and emergency measures plans, based on potential consequences of a dam failure - the hazard classification of water retaining structures; (b) classification for establishment of surveillance activities and for safety evaluation of dams, based on the probability and consequences of failure - the risk classification of water retaining structures; and (c) classification for establishment of water management plans, for safety evaluation of the entire project, for preparation of emergency measures plans, for definition of the frequency and extent of maintenance operations, and for evaluation of changes and modifications required - the hazard classification of the project. The hazard classification of the dam considers, as consequence, mainly the loss of lives or persons in jeopardy and the property damages to third parties. Difficulties in determining the risk classification of the dam lie in the fact that no tool exists to evaluate the probability of the dam's failure. To overcome this, the probability of failure can be substituted for by a set of dam characteristics that express the failure potential of the dam and its foundation. The hazard classification of the entire project is based on the probable consequences of dam failure influencing: loss of life, persons in jeopardy, property and environmental damage. The classification scheme is illustrated for dam threatening events such as earthquakes and floods. 17 refs., 5 tabs

Health care clinicians' engagement in organizational redesign of care processes: The importance of work and organizational conditions.

Science.gov (United States)

Dellve, L; Strömgren, M; Williamsson, A; Holden, R J; Eriksson, A

2018-04-01

The Swedish health care system is reorienting towards horizontal organization for care processes. A main challenge is to engage health care clinicians in the process. The aim of this study was to assess engagement (i.e. attitudes and beliefs, the cognitive state and clinical engagement behaviour) among health care clinicians, and to investigate how engagement was related to work resources and demands during organizational redesign. A cohort study was conducted, using a questionnaire distributed to clinicians at five hospitals working with care process improvement approaches, two of them having implemented Lean production. The results show that kinds of engagement are interlinked and contribute to clinical engagement behaviour in quality of care and patient safety. Increased work resources have importance for engagements in organizational improvements, especially in top-down implementations. An extended work engagement model during organizational improvements in health care was supported. The model contributes to knowledge about how and when clinicians are mobilized to engage in organizational changes. Copyright © 2017 Elsevier Ltd. All rights reserved.

Overview of NWMO's transportation engagement plan

Energy Technology Data Exchange (ETDEWEB)

Facella, J. [Nuclear Waste Management Organization, Toronto, ON (Canada)

2015-07-01

This paper describes the activities of the Nuclear Waste Management Organization (NWMO) in transportation of nuclear waste. Transportation is a technical and social consideration in the siting process. A transportation route must be identified, or be capable of development, which ensures safe and secure transportation to the site. Beyond safety, transportation is also an important consideration in identifying and assessing effects on well-being. NWMO is in the early phases of an engagement program.

Staying Engaged: Knowledge and Research Needs in Student Engagement

Science.gov (United States)

Wang, Ming-Te; Degol, Jessica

2016-01-01

In this article, we review knowledge about student engagement and look ahead to the future of study in this area. We begin by describing how researchers in the field define and study student engagement. In particular, we describe the levels, contexts, and dimensions that constitute the measurement of engagement, summarize the contexts that shape engagement and the outcomes that result from it, and articulate person-centered approaches for analyzing engagement. We conclude by addressing limitations to the research and providing recommendations for study. Specifically, we point to the importance of incorporating more work on how learning-related emotions, personality characteristics, prior learning experiences, shared values across contexts, and engagement in nonacademic activities influence individual differences in student engagement. We also stress the need to improve our understanding of the nuances involved in developing engagement over time by incorporating more extensive longitudinal analyses, intervention trials, research on affective neuroscience, and interactions among levels and dimensions of engagement. PMID:27087833

The ımpact of benefıts and servıces on manager engagement and manager retentıon ın tourısm ındustry: Enhanced by the effect of management level

OpenAIRE

ALDATMAZ, Ipek; AYKAÇ, Cansu; DICLE, Ülkü

2017-01-01

Manager engagement and retention are vital to the success and organizational performance of many service sector organisations. Maintaining manager retention is a major challenge that many hotel enterprises face today. It is critical that organizations give greater importance to manager engagement, motivation and retention and therefore establish an efficient benefits and services strategy for retaining these core managers for the persistence and achievement of the organization...

Is a Transdisciplinary Theory of Engagement in Organized Settings Possible? A Concept Analysis of the Literature on Employee Engagement, Consumer Engagement and Patient Engagement.

Science.gov (United States)

Graffigna, Guendalina

2017-01-01

Organizations are experiencing increased competition, disruptive innovation, and continuous changes in their social and economic context. Furthermore, the decrease of resources (economic and human) in such a demanding context make it imperative for organizations to find new models and strategies to make their service delivery more sustainable at the economic, environmental and psychological levels. In such a complex scenario the concept of engagement of the individuals involved in organized settings (either as service providers or as final receivers) is a promising lever for innovation. However, despite the number of studies on the matter, the debate on engagement is still very fragmented because the corpus of literature addressing the different areas of engagement is divided and diverse in its nature. In this paper, we discuss the results of a conceptual analysis of the literature conducted in order to investigate overlapping features and areas of divergence among three different areas of investigation and application of the engagement phenomenon in organized settings: the domains of employee engagement, consumer engagement, and patient engagement. These are deliberately selected as prototypical of the phenomenon of engagement along the "inside/outside" of organizational settings. The analysis consisted in a qualitative conceptual survey? Of the scholarly literature indexed with the key terms "employee engagement," "consumer engagement," and "patient engagement." We performed a key-word based survey? Of the literature in the Scopus database. A total of 163 articles were selected and analyzed. The analysis cast light on the following areas of conceptual overlap among employee, consumer and patient engagement: (1) engagement is different from empowerment and activation; (2) engagement is a multi-componential psychological experience; (3) engagement is a self-transformative experience; (4) engagement develops within a relational context; (5) engagement is a systemic

Is a Transdisciplinary Theory of Engagement in Organized Settings Possible? A Concept Analysis of the Literature on Employee Engagement, Consumer Engagement and Patient Engagement

Directory of Open Access Journals (Sweden)

Guendalina Graffigna

2017-07-01

Full Text Available Organizations are experiencing increased competition, disruptive innovation, and continuous changes in their social and economic context. Furthermore, the decrease of resources (economic and human in such a demanding context make it imperative for organizations to find new models and strategies to make their service delivery more sustainable at the economic, environmental and psychological levels. In such a complex scenario the concept of engagement of the individuals involved in organized settings (either as service providers or as final receivers is a promising lever for innovation. However, despite the number of studies on the matter, the debate on engagement is still very fragmented because the corpus of literature addressing the different areas of engagement is divided and diverse in its nature. In this paper, we discuss the results of a conceptual analysis of the literature conducted in order to investigate overlapping features and areas of divergence among three different areas of investigation and application of the engagement phenomenon in organized settings: the domains of employee engagement, consumer engagement, and patient engagement. These are deliberately selected as prototypical of the phenomenon of engagement along the “inside/outside” of organizational settings. The analysis consisted in a qualitative conceptual survey? Of the scholarly literature indexed with the key terms “employee engagement,” “consumer engagement,” and “patient engagement.” We performed a key-word based survey? Of the literature in the Scopus database. A total of 163 articles were selected and analyzed. The analysis cast light on the following areas of conceptual overlap among employee, consumer and patient engagement: (1 engagement is different from empowerment and activation; (2 engagement is a multi-componential psychological experience; (3 engagement is a self-transformative experience; (4 engagement develops within a relational context

Strengthening stakeholder-engaged research and research on stakeholder engagement.

Science.gov (United States)

Ray, Kristin N; Miller, Elizabeth

2017-06-01

Stakeholder engagement is an emerging field with little evidence to inform best practices. Guidelines are needed to improve the quality of research on stakeholder engagement through more intentional planning, evaluation and reporting. We developed a preliminary framework for planning, evaluating and reporting stakeholder engagement, informed by published conceptual models and recommendations and then refined through our own stakeholder engagement experience. Our proposed exploratory framework highlights contexts and processes to be addressed in planning stakeholder engagement, and potential immediate, intermediate and long-term outcomes that warrant evaluation. We use this framework to illustrate both the minimum information needed for reporting stakeholder-engaged research and the comprehensive detail needed for reporting research on stakeholder engagement.

Researching safety culture: deliberative dialogue with a restorative lens.

Science.gov (United States)

Lorenzini, Elisiane; Oelke, Nelly D; Marck, Patricia Beryl; Dall'agnol, Clarice Maria

2017-10-01

Safety culture is a key component of patient safety. Many patient safety strategies in health care have been adapted from high-reliability organizations (HRO) such as aviation. However, to date, attempts to transform the cultures of health care settings through HRO approaches have had mixed results. We propose a methodological approach for safety culture research, which integrates the theory and practice of restoration science with the principles and methods of deliberative dialogue to support active engagement in critical reflection and collective debate. Our aim is to describe how these two innovative approaches in health services research can be used together to provide a comprehensive effective method to study and implement change in safety culture. Restorative research in health care integrates socio-ecological theory of complex adaptive systems concepts with collaborative, place-sensitive study of local practice contexts. Deliberative dialogue brings together all stakeholders to collectively develop solutions on an issue to facilitate change. Together these approaches can be used to actively engage people in the study of safety culture to gain a better understanding of its elements. More importantly, we argue that the synergistic use of these approaches offers enhanced potential to move health care professionals towards actionable strategies to improve patient safety within today's complex health care systems. © The Author 2017. Published by Oxford University Press in association with the International Society for Quality in Health Care. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

Incidence and outcome of retained Port-A-Cath fragments during removal.

Science.gov (United States)

Aworanti, Olugbenga Michael; Linnane, Niall; Tareen, Farhan; Mortell, Alan

2017-07-01

Port-A-Cath devices are frequently used for long-term venous access. We postulate that long-term use predisposes them to getting stuck and retained in a central vein at the time of removal. We aim to report the incidence and outcome of this complication. Between January 2006 and July 2016, a retrospective review of all Port-A-Cath removals that were performed at our centre was conducted. At the time of removal, catheters that could not be removed from the vein were considered retained. During the study period, 107 children had 174 episodes of silicone Sitimplant (Vygon, Ecouen, France) Port-A-Cath insertions. These children required 135 removal episodes and there were 3 (2.2%) instances whereby the catheter fragment was retained. These episodes of retained catheters only occurred in children with factor VIII deficiency (4.1% incidence in this cohort). For each episode of catheter insertion and removal, the catheters had been left in situ for a mean duration of 43 months in children with factor deficiency and no retained fragments, and the mean duration was 91 months in children with factor deficiency and retained catheter fragments (p = 0.0011). Port-A-Caths that are retained after attempted removal is a complication encountered predominantly in catheters that have been in use for a prolonged duration. Furthermore, factor replacement therapy in haemophiliacs may be a risk factor for this complication.

Research and Engagement Strategies for Young Adult Immigrants Without Documentation: Lessons Learned Through Community Partnership.

Science.gov (United States)

Raymond-Flesch, Marissa; Siemons, Rachel; Brindis, Claire D

2016-01-01

Limited research has focused on undocumented immigrants' health and access to care. This paper describes participant engagement strategies used to investigate the health needs of immigrants eligible for Deferred Action for Childhood Arrivals (DACA). Community-based strategies engaged advocates and undocumented Californians in study design and recruitment. Outreach in diverse settings, social media, and participant-driven sampling recruited 61 DACA-eligible focus group participants. Social media, community-based organizations (CBOs), family members, advocacy groups, and participant-driven sampling were the most successful recruitment strategies. Participants felt engaging in research was instrumental for sharing their concerns with health care providers and policymakers, noteworthy in light of their previously identified fears and mistrust of government officials. Using multiple culturally responsive strategies including participant-driven sampling, engagement with CBOs, and use of social media, those eligible for DACA eagerly engage as research participants. Educating researchers and institutional review boards (IRBs) about legal and safety concerns can improve research engagement.

Migration of innumerable chronically retained acupuncture needles

Directory of Open Access Journals (Sweden)

Frances Lazarow, MD

2017-09-01

Full Text Available We present a case of a 50-year-old female with a 2-day history of back and abdominal pain who was discovered to have innumerable chronically retained acupuncture needles, which had migrated throughout her abdomen and pelvis. Although many of these needles were in precarious positions, including the epidural space, renal parenchyma, small bowel, and vasculature, there was no evidence for acute injury. We also briefly discuss evidence for the magnetic resonance imaging compatibility of acupuncture needles. Although a rare complication, given the high frequency of acupuncture therapy in the United States, physicians must be aware of the potential for retained and migrated needles.

49 CFR 214.337 - On-track safety procedures for lone workers.

Science.gov (United States)

2010-10-01

...-track equipment is not impaired by background noise, lights, precipitation, fog, passing trains, or any... performing routine inspection or minor correction may use individual train detection to establish on-track... worker retains an absolute right to use on-track safety procedures other than individual train detection...

The effects of fixed and removable orthodontic retainers: a systematic review

Directory of Open Access Journals (Sweden)

Dalya Al-Moghrabi

2016-07-01

Full Text Available Abstract Objective In the view of the widespread acceptance of indefinite retention, it is important to determine the effects of fixed and removable orthodontic retainers on periodontal health, survival and failure rates of retainers, cost-effectiveness, and impact of orthodontic retainers on patient-reported outcomes. Methods A comprehensive literature search was undertaken based on a defined electronic and gray literature search strategy (PROSPERO: CRD42015029169. The following databases were searched (up to October 2015; MEDLINE via OVID, PubMed, the Cochrane Central Register of Controlled Trials, LILACS, BBO, ClinicalTrials.gov, the National Research Register, and ProQuest Dissertation and Thesis database. Randomized and non-randomized controlled clinical trials, prospective cohort studies, and case series (minimum sample size of 20 with minimum follow-up periods of 6 months reporting periodontal health, survival and failure rates of retainers, cost-effectiveness, and impact of orthodontic retainers on patient-reported outcomes were identified. The Cochrane Collaboration’s Risk of Bias tool and Newcastle-Ottawa Scale were used to assess the quality of included trials. Results Twenty-four studies were identified, 18 randomized controlled trials and 6 prospective cohort studies. Of these, only 16 were deemed to be of high quality. Meta-analysis was unfeasible due to considerable clinical heterogeneity and variations in outcome measures. The mean failure risk for mandibular stainless steel fixed retainers bonded from canine to canine was 0.29 (95 % confidence interval [CI] 0.26, 0.33 and for those bonded to canines only was 0.25 (95 % CI: 0.16, 0.33. A meta-regression suggested that failure of fixed stainless steel mandibular retainers was not directly related to the period elapsed since placement (P = 0.938. Conclusion Further well-designed prospective studies are needed to elucidate the benefits and potential harms associated with

ORGANIZING, TRAINING, AND RETAINING INTELLIGENCE PROFESSIONALS FOR CYBER OPERATIONS

Science.gov (United States)

2016-02-13

in Education,” Preventing School Failure 57(3), (2013): 162-170. Wall , Andru, “Demystifying the Title 10-Title 50 Debate,” Harvard Law School...AIR WAR COLLEGE AIR UNIVERSITY ORGANIZING, TRAINING, AND RETAINING INTELLIGENCE PROFESSIONALS FOR CYBER OPERATIONS by Melissa A...to adequately organize, train and retain cyber expertise. This is especially true within Air Force intelligence, a critical component of the

Use of community engagement strategies to increase research participation in practice-based research networks (PBRNs).

Science.gov (United States)

Spears, William; Tsoh, Janice Y; Potter, Michael B; Weller, Nancy; Brown, Anthony E; Campbell-Voytal, Kimberly; Getrich, Christina M; Sussman, Andrew L; Pascoe, John; Neale, Anne Victoria

2014-01-01

Practice-based research networks (PBRNs) are increasingly encouraged to use community engagement approaches. The extent to which PBRNs engage clinic and community partners in strategies to recruit and retain participants from their local communities (specifically racial/ethnic communities) is the focus of this study. The design was a cross-sectional survey of PBRN directors in the United States. Survey respondents indicated whether their research network planned for, implemented, and has capacity for activities that engage clinic and community partners in 7 recommended strategies organized into study phases, called the cycle of trust. The objectives of the national survey were to (1) describe the extent to which PBRNs across the United States routinely implement the strategies recommended for recruiting diverse patient groups and (2) identify factors associated with implementing the recommended strategies. The survey response rate was 63%. Activities that build trust often are used more with clinic partners than with community partners. PBRNs that adopt engagement strategies when working with clinic and community partners have less difficulty in recruiting diverse populations. Multivariate analysis showed that the targeting racial/ethnic communities for study recruitment, Clinical and Translational Science Award affiliation, and planning to use community engagement strategies were independent correlates of PBRN implementation of the recommended strategies. PBRNs that successfully engage racial/ethnic communities as research partners use community engagement strategies. New commitments are needed to support PBRN researchers in developing relationships with the communities in which their patients live. Stable PBRN infrastructure funding that appreciates the value of maintaining community engagement between funded studies is critical to the research enterprise that values translating research findings into generalizable care models for patients in the community. �

Lead poisoning from retained bullets: pathogenesis, diagnosis, and management

International Nuclear Information System (INIS)

Linden, M.A.; Manton, W.I.; Stewart, R.M.; Thal, E.R.; Feit, H.

1982-01-01

Lead intoxication (plumbism) from retained bullets has rarely been reported but may be fatal if unrecognized. Bullets lodged within joint spaces or pseudocysts are more likely to develop this complication, although patients with retained missiles in other locations may also be at risk. Subtle findings such as the occurrence of unexplained anemia, abdominal colic, nephropathy, or neurologic deterioration in patients with retained missiles may suggest consideration of plumbism. An intercurrent metabolic stress such as infection, endocrinopathy, or alcoholism may be a precipitating factor. Among the various diagnostic studies available, mass spectrometric stable isotope dilution analysis may be the most reliable. It is important to employ chelation therapy prior to any operative intervention. This will reduce the mobilization of lead from bone during or following the surgical procedure

Accelerated aging effects on surface hardness and roughness of lingual retainer adhesives.

Science.gov (United States)

Ramoglu, Sabri Ilhan; Usumez, Serdar; Buyukyilmaz, Tamer

2008-01-01

To test the null hypothesis that accelerated aging has no effect on the surface microhardness and roughness of two light-cured lingual retainer adhesives. Ten samples of light-cured materials, Transbond Lingual Retainer (3M Unitek) and Light Cure Retainer (Reliance) were cured with a halogen light for 40 seconds. Vickers hardness and surface roughness were measured before and after accelerated aging of 300 hours in a weathering tester. Differences between mean values were analyzed for statistical significance using a t-test. The level of statistical significance was set at P statistically significant (P statistically significant (P .05). Accelerated aging significantly increased the surface microhardness of both light-cured retainer adhesives tested. It also significantly increased the surface roughness of the Transbond Lingual Retainer.

The Role of Radio Frequency Detection System Embedded Surgical Sponges in Preventing Retained Surgical Sponges: A Prospective Evaluation in Patients Undergoing Emergency Surgery.

Science.gov (United States)

Inaba, Kenji; Okoye, Obi; Aksoy, Hande; Skiada, Dimitra; Ault, Glenn; Sener, Stephen; Lam, Lydia; Benjamin, Elizabeth; Demetriades, Demetrios

2016-10-01

To prospectively evaluate the ability of radio frequency detection (RFD) system-embedded sponges to mitigate the incidence of retained surgical sponges (RSS) after emergency surgery. Emergency surgery patients are at high risk for retained foreign bodies. All emergent trauma and nontrauma cavitary operations over a 5-year period (January 2010-December 2014) were prospectively enrolled. For damage-control procedures, only the definitive closure was included. RFD sponges were used exclusively throughout the study period. Before closure, the sponge and instrument count was followed by RFD scanning and x-ray evaluation for retained sponges. RSS and near-misses averted using the RFD system were analyzed. In all, 2051 patients [median (range)], aged 41 (1-101) years, 72.2% male, 46.8% trauma patients, underwent 2148 operations (1824 laparotomy, 100 thoracotomy, 30 sternotomy, and 97 combined). RFD detected retained sponges in 11 (0.5%) patients (81.8%laparotomy, 18.2% sternotomy) before cavitary closure. All postclosure x-rays were negative. No retained sponges were missed by the RFD system. Body mass index was 29 (23-43), estimated blood loss 1.0 L (0-23), and operating room time 160 minutes (71-869). Procedures started after 18:00 to 06:00 hours in 45.5% of the patients. The sponge count was incorrect in 36.4%, not performed due to time constraints in 45.5%, and correct in 18.2%. The additional cost of using RFD-embedded disposables was $0.17 for a 4X18 laparotomy sponge and $0.46 for a 10 pack of 12ply, 4X8. Emergent surgical procedures are high-risk for retained sponges, even when sponge counts are performed and found to be correct. Implementation of a RFD system was effective in preventing this complication and should be considered for emergent operations in an effort to improve patient safety.

Trust-based approaches to safety and production

NARCIS (Netherlands)

Conchie, Stacey M.; Woodcock, Helena E.; Taylor, Paul J.; Clarke, Sharon; Probst, Tahira M.; Guldenmund, Frank; Passmore, Jonathan

2015-01-01

This chapter discusses the importance of interpersonal trust in the creation of a safe work environment. It highlights that trust is important in increasing employee engagement in safety, willingness to comply with management requests, and propensity to take the initiative. The chapter commences

DOE standard: Firearms safety

International Nuclear Information System (INIS)

1996-02-01

Information in this document is applicable to all DOE facilities, elements, and contractors engaged in work that requires the use of firearms as provided by law or contract. The standard in this document provides principles and practices for implementing a safe and effective firearms safety program for protective forces and for non-security use of firearms. This document describes acceptable interpretations and methods for meeting Order requirements

DOE standard: Firearms safety

Energy Technology Data Exchange (ETDEWEB)

NONE

1996-02-01

Information in this document is applicable to all DOE facilities, elements, and contractors engaged in work that requires the use of firearms as provided by law or contract. The standard in this document provides principles and practices for implementing a safe and effective firearms safety program for protective forces and for non-security use of firearms. This document describes acceptable interpretations and methods for meeting Order requirements.

Development of ultrasonic inspection technique for crack detection in retaining rings

International Nuclear Information System (INIS)

Brook, M.V.

1990-01-01

The majority of retaining rings which are currently in service, are composed of a material which is susceptible to stress corrosion when exposed to moisture. Due to the inherent stress levels in the shrunk-on areas, they are particularly susceptible to stress corrosion attack. Therefore, retaining rings require non-destructive examination to avert catastrophic failure. Guidelines for retaining ring inspection issued by EPRI recommend ultrasonic manual and automated methods of inspection for rings in place. Application of the conventional manual method, using S-waves is difficult, and yields unreliable results. Due to the unreliability factor, utilities have been forced to depend upon surface examination methods, such as visual and penetrant techniques. In most instances, a surface exam will necessitate the costly and potentially damaging removal of the rings from the rotor to provide full access to areas of interest. Due to the various complexities of conventional ultrasonic retaining ring inspections, it is essential that the front end ultrasonics (i.e., transducers and techniques) be optimized to produce the best possible examination. For this reason, AMDATA has developed custom transducers and techniques to enhance automated detection capability of flaws in the various suspect areas of retaining rings. When the optimized techniques are applied to generate the best possible raw data, the Intraspect /98 trademark is then used to reliably apply technique, acquire the data and perform post processing evaluations. One of the most promising ultrasonic techniques for retaining ring inspection is creeping waves. This paper investigates the use of creeping waves for retaining ring inspection

Autonomous home-care nursing staff are more engaged in their work and less likely to consider leaving the healthcare sector: a questionnaire survey.

Science.gov (United States)

Maurits, Erica E M; de Veer, Anke J E; van der Hoek, Lucas S; Francke, Anneke L

2015-12-01

The need for home care is rising in many Western European countries, due to the ageing population and governmental policies to substitute institutional care with home care. At the same time, a general shortage of qualified home-care staff exists or is expected in many countries. It is important to retain existing nursing staff in the healthcare sector to ensure a stable home-care workforce for the future. However, to date there has been little research about the job factors in home care that affect whether staff are considering leaving the healthcare sector. The main purpose of the study was to examine how home-care nursing staff's self-perceived autonomy relates to whether they have considered leaving the healthcare sector and to assess the possible mediating effect of work engagement. The questionnaire-based, cross-sectional study involved 262 registered nurses and certified nursing assistants employed in Dutch home-care organisations (mean age of 51; 97% female). The respondents were members of the Dutch Nursing Staff Panel, a nationwide group of nursing staff members in various healthcare settings (67% response rate). The questionnaire included validated scales concerning self-perceived autonomy and work engagement and a measure for considering pursuing an occupation outside the healthcare sector. Logistic regression and mediation analyses were conducted to test associations between self-perceived autonomy, work engagement and considering leaving the healthcare sector. Nursing staff members in home care who perceive more autonomy are more engaged in their work and less likely to have considered leaving the healthcare sector. The positive association between self-perceived autonomy and considering leaving, found among nursing staff members regardless of their level of education, is mediated by work engagement. In developing strategies for retaining nursing staff in home care, employers and policy makers should target their efforts at enhancing nursing staff

Using fuzzy self-organising maps for safety critical systems

International Nuclear Information System (INIS)

Kurd, Zeshan; Kelly, Tim P.

2007-01-01

This paper defines a type of constrained artificial neural network (ANN) that enables analytical certification arguments whilst retaining valuable performance characteristics. Previous work has defined a safety lifecycle for ANNs without detailing a specific neural model. Building on this previous work, the underpinning of the devised model is based upon an existing neuro-fuzzy system called the fuzzy self-organising map (FSOM). The FSOM is type of 'hybrid' ANN which allows behaviour to be described qualitatively and quantitatively using meaningful expressions. Safety of the FSOM is argued through adherence to safety requirements-derived from hazard analysis and expressed using safety constraints. The approach enables the construction of compelling (product-based) arguments for mitigation of potential failure modes associated with the FSOM. The constrained FSOM has been termed a 'safety critical artificial neural network' (SCANN). The SCANN can be used for non-linear function approximation and allows certified learning and generalisation for high criticality roles. A discussion of benefits for real-world applications is also presented

Patient safety trilogy: perspectives from clinical engineering.

Science.gov (United States)

Gieras, Izabella; Sherman, Paul; Minsent, Dennis

2013-01-01

This article examines the role a clinical engineering or healthcare technology management (HTM) department can play in promoting patient safety from three different perspectives: a community hospital, a national government health system, and an academic medical center. After a general overview, Izabella Gieras from Huntington Hospital in Pasadena, CA, leads off by examining the growing role of human factors in healthcare technology, and describing how her facility uses clinical simulations in medical equipment evaluations. A section by Paul Sherman follows, examining patient safety initiatives from the perspective of the Veterans Health Administration with a focus on hazard alerts and recalls. Dennis Minsent from Oregon Health & Science University writes about patient safety from an academic healthcare perspective, and details how clinical engineers can engage in multidisciplinary safety opportunities.

Economic and reproductive consequences of retained placenta in dairy cattle.

NARCIS (Netherlands)

Joosten, I.; Stelwagen, J.; Dijkhuizen, A.A.

1988-01-01

The financial losses due to retained placenta in Dutch dairy cattle were estimated by using two different methods of calculation. A data-set containing the birth records of 160,188 Meuse-Rhine-Yssel cows provided data on the reproductive performance of cows with and without retained placenta. The

Spring retainer apparatus and method for facilitating loading of fuel rods into a fuel assembly grid

International Nuclear Information System (INIS)

De Mario, E.E.

1988-01-01

For use with a fuel assembly having at least one grid formed of interleaved straps defining hollow cells for respectively receiving fuel rods, at least some of the straps being disposed in pairs thereof so as to form springs in pairs therof being positioned in back-to-back relationships between adjacent ones of the cells, the springs in each pair thereof being configured to normally assume expanded positions in which they are displaced away from one another to engage fuel rods received in the respective cells and being deflectible to retracted positions in which they are displaced toward one another to allow loading of the fuel rods in the respective cells without engaging the springs, a spring retainer apparatus for facilitating the loading of the fuel rods into the cells of the fuel assembly grid is described comprising: (a) elongated holder bars, each holder bar being alignable with one of the pairs of the straps of the grid which defines the pairs of springs and extendible along, and in spaced relation from, the one strap pair and between and spaced from positions occupied by fuel rods when received in the cells of the grid; and (b) supported by each of the holder bars corresponding to the pairs of springs defined by the pair of straps aligned with the holder bar

Total rewards that retain: A study of demographic preferences

OpenAIRE

Monica Pregnolato; Mark H.R. Bussin; Anton F. Schlechter

2017-01-01

Orientation: Changing workplace demographics and a dearth of employees with scarce skills have forced employers to better understand the various factors that retain talented employees. Research purpose: In this empirical study, the reward preferences and ideal combination of total reward elements (based on an estimation of their relative importance) that retain employees from various demographic groups, including employees of different race, gender and age groups, were investigated. M...

Attachment retained overdentures: a report on their maintenance requirements.

Science.gov (United States)

Shaw, M J

1984-07-01

Twenty-three patients who received attachment retained overdentures between 1964 and 1977 are reviewed. One third of the patients examined had carious abutment teeth, oral hygiene was poor, and periodontal disease prevalent. Overdentures opposed by natural teeth required more extensive prosthetic maintenance than overdentures opposed by a conventional complete denture. Three quarters of the teeth retaining the prostheses were functioning adequately after a mean period of 7 years.

Career Engagement: Bridging Career Counseling and Employee Engagement

Science.gov (United States)

Neault, Roberta A.; Pickerell, Deirdre A.

2011-01-01

In this article, the authors present a model of career engagement that helps bridge the gap between career counselors' focus on supporting individuals to find meaningful work and employers' desire for an engaged, productive, and committed workforce. They briefly review highlights of the employee engagement literature, introduce the Career…

Modeling the hospital safety partnership preferences of patients and their families: a discrete choice conjoint experiment

Directory of Open Access Journals (Sweden)

Cunningham CE

2016-07-01

Full Text Available Charles E Cunningham,1 Tracy Hutchings,2 Jennifer Henderson,2 Heather Rimas,1 Yvonne Chen1 1Department of Psychiatry and Behavioural Neurosciences, Faculty of Health Sciences, Michael G DeGroote School of Medicine, McMaster University, 2Department of Quality and Performance, Hamilton Health Sciences, Hamilton, ON, Canada Background: Patients and their families play an important role in efforts to improve health service safety. Objective: The objective of this study is to understand the safety partnership preferences of patients and their families. Method: We used a discrete choice conjoint experiment to model the safety partnership preferences of 1,084 patients or those such as parents acting on their behalf. Participants made choices between hypothetical safety partnerships composed by experimentally varying 15 four-level partnership design attributes. Results: Participants preferred an approach to safety based on partnerships between patients and staff rather than a model delegating responsibility for safety to hospital staff. They valued the opportunity to participate in point of service safety partnerships, such as identity and medication double checks, that might afford an immediate risk reduction. Latent class analysis yielded two segments. Actively engaged participants (73.3% comprised outpatients with higher education, who anticipated more benefits to safety partnerships, were more confident in their ability to contribute, and were more intent on participating. They were more likely to prefer a personal engagement strategy, valued scientific evidence, preferred a more active approach to safety education, and advocated disclosure of errors. The passively engaged segment (26.7% anticipated fewer benefits, were less confident in their ability to contribute, and were less intent on participating. They were more likely to prefer an engagement strategy based on signage. They preferred that staff explain why they thought patients should help

Safety experiences in using cryogenic liquid in IGCAR

International Nuclear Information System (INIS)

Senthilkumar, B.; Singh, Dharmendra S.; Kandasamy, S.

2009-01-01

Indira Gandhi Centre for Atomic Research is engaged in large-scale development work in the field of Fast Reactor Technology associated fuel cycle facilities metallurgy and material science. To meet the growing demands of these activities, the cryogenic are manufactured, stored, and handled in the Centre. Lot of precautionary measures are taken during the plant operations. However, the safety of the men and machine can be ensured only by systematic safety studies. So this study was taken up to identify the hazards of cryogenic, unsafe acts/unsafe conditions and to improve the safety standards in the Centre

Clear progress in nuclear safety worldwide: Convention on nuclear safety concludes

International Nuclear Information System (INIS)

2002-01-01

It has been concluded that a significant progress has been observed in a number of key areas, such as strengthened legislation, regulatory independence, the availability of financial resources, enhanced emergency preparedness and safety improvements at nuclear power plants built to earlier standards. The objective of the Convention is to achieve and maintain a high level of nuclear safety worldwide. During the two week Review Meeting, parties engaged in a 'peer review' process in which the National Reports from individual States were collectively examined and discussed, with written replies provided to all the questions raised. Clear improvement was noted in the quality of the National Reports, the number of questions and the openness and quality of discussion and answers. The Contracting Parties praised the IAEA's various safety review missions and services, which they use widely to help enhance the effectiveness of their national safety arrangements. Forty-six contracting parties participated at the Review Meeting with over 400 delegates attending, including many heads and senior officers from regulatory bodies and experts from industry. To date, the Convention has been signed by sixty-five States and ratified by fifty-four, representing 428 of the 448 nuclear power reactors worldwide

17 CFR 300.304 - Retained rights of brokers or dealers.

Science.gov (United States)

2010-04-01

... 17 Commodity and Securities Exchanges 3 2010-04-01 2010-04-01 false Retained rights of brokers or... Completion of Open Contractual Commitments § 300.304 Retained rights of brokers or dealers. (a) Nothing stated in these rules shall be construed to prejudice the right of a broker or dealer to any claim...

Patient safety principles in family medicine residency accreditation standards and curriculum objectives

Science.gov (United States)

Kassam, Aliya; Sharma, Nishan; Harvie, Margot; O’Beirne, Maeve; Topps, Maureen

2016-01-01

Abstract Objective To conduct a thematic analysis of the College of Family Physicians of Canada’s (CFPC’s) Red Book accreditation standards and the Triple C Competency-based Curriculum objectives with respect to patient safety principles. Design Thematic content analysis of the CFPC’s Red Book accreditation standards and the Triple C curriculum. Setting Canada. Main outcome measures Coding frequency of the patient safety principles (ie, patient engagement; respectful, transparent relationships; complex systems; a just and trusting culture; responsibility and accountability for actions; and continuous learning and improvement) found in the analyzed CFPC documents. Results Within the analyzed CFPC documents, the most commonly found patient safety principle was patient engagement (n = 51 coding references); the least commonly found patient safety principles were a just and trusting culture (n = 5 coding references) and complex systems (n = 5 coding references). Other patient safety principles that were uncommon included responsibility and accountability for actions (n = 7 coding references) and continuous learning and improvement (n = 12 coding references). Conclusion Explicit inclusion of patient safety content such as the use of patient safety principles is needed for residency training programs across Canada to ensure the full spectrum of care is addressed, from community-based care to acute hospital-based care. This will ensure a patient safety culture can be cultivated from residency and sustained into primary care practice. PMID:27965349

Undergraduates' Experience of Preparedness for Engaging with Sensitive Research Topics Using Qualitative Research

Science.gov (United States)

Simpson, Kerri L.; Wilson-Smith, Kevin

2017-01-01

This research explored the experience of five undergraduates who engaged with qualitative research as part of their final dissertation project. There have been concerns raised over the emotional safety of researchers carrying out qualitative research, which increases when researchers are inexperienced making this a poignant issues for lectures…

Modeling the Relationship between Safety Climate and Safety Performance in a Developing Construction Industry: A Cross-Cultural Validation Study.

Science.gov (United States)

Zahoor, Hafiz; Chan, Albert P C; Utama, Wahyudi P; Gao, Ran; Zafar, Irfan

2017-03-28

This study attempts to validate a safety performance (SP) measurement model in the cross-cultural setting of a developing country. In addition, it highlights the variations in investigating the relationship between safety climate (SC) factors and SP indicators. The data were collected from forty under-construction multi-storey building projects in Pakistan. Based on the results of exploratory factor analysis, a SP measurement model was hypothesized. It was tested and validated by conducting confirmatory factor analysis on calibration and validation sub-samples respectively. The study confirmed the significant positive impact of SC on safety compliance and safety participation , and negative impact on number of self-reported accidents/injuries . However, number of near-misses could not be retained in the final SP model because it attained a lower standardized path coefficient value. Moreover, instead of safety participation , safety compliance established a stronger impact on SP. The study uncovered safety enforcement and promotion as a novel SC factor, whereas safety rules and work practices was identified as the most neglected factor. The study contributed to the body of knowledge by unveiling the deviations in existing dimensions of SC and SP. The refined model is expected to concisely measure the SP in the Pakistani construction industry, however, caution must be exercised while generalizing the study results to other developing countries.

Radiation exposure dose on persons engaged in radiation-related industries in Korea

International Nuclear Information System (INIS)

Lim, Bong Sik

2006-01-01

This study investigated the status of radiation exposure doses since the establishment of the 'Regulations on Safety Management of Diagnostic Radiation Generation Device' in January 6, 1995. The level of radiation exposure in people engaged or having been engaged in radiation-related industries of inspection organizations, educational organization, military units, hospitals, public health centers, businesses, research organizations or clinics over a 5 year period from Jan. 1, 2000 to Dec. 31, 2004 was measured. The 149,205 measurement data of 57,136 workers registered in a measurement organization were analysed in this study. Frequency analysis, a Chi-square test, Chi-square trend test, and ANOVA was used for data analysis. Among 57,136 men were 40,870 (71.5%). 50.3% of them were radiologic technologists, otherwise medical doctors (22.7%), nurse (2.9%) and others (24.1%). The average of depth radiation and surface radiation during the 5-year period were found to decrease each year. Both the depth radiation and surface radiation exposure were significantly higher in males, in older age groups, in radiological technologists of occupation. The departments of nuclear medicine had the highest exposure of both depth and surface radiation of the divisions of labor. There were 1.98 and 2.57 per 1,000 person-year were exposed more than 20 mSv (limit recommended by International Commission on Radiological Protection) in depth and surface radiation consequently. The total exposure per worker was significantly decreased by year. But Careful awareness is needed for the workers who exposed over 20 mSv per year. In order to minimize exposure to radiation, each person engaged in a radiation-related industry must adhere to the individual safety management guidelines more thoroughly. In addition, systematic education and continuous guidance aimed at increasing the awareness of safety must be provided

Forschungszentrum Rossendorf, Institute of Safety Research. Annual report 1999

International Nuclear Information System (INIS)

Weiss, F.P.; Rindelhardt, U.

2000-02-01

The work of the institute is directed to the assessment and enhancement of the safety of large technical plants and to the increase of the effectiveness and environmental sustainability of those facilities. Subjects of investigations are equally nuclear plants and installations of process industries. To achieve the above mentioned goals, the institute is engaged in two scientific fields, i.e. thermo-fluiddynamics including magneto-hydrodynamics (MHD) and materials/components safety. (orig.)

Development of safety factors to be used for evaluation of cracked nuclear components

International Nuclear Information System (INIS)

Brickstad, B.; Bergman, M.

1996-10-01

A modified concept for safety evaluation is introduced which separately accounts for the failure mechanisms fracture and plastic collapse. For application on nuclear components a set of safety factors are also proposed that retain the safety margins expressed in ASME, section III and XI. By performing comparative studies of the acceptance levels for surface cracks in pipes and a pressure vessel, it is shown that some of the anomalies connected with the old safety procedures are removed. It is the authors belief that the outlined safety evaluation procedure has the capability of treating cracks in a consistent way and that the procedure together with the proposed safety factors fulfill the basic safety requirements for nuclear components. Hopefully, it is possible in the near future to develop a probabilistic safety assessment procedure in Sweden, which enables a systematic treatment of uncertainties in the involved data. 14 refs

Diffraction study of the retained austenite content in TRIP steels

Energy Technology Data Exchange (ETDEWEB)

Gnaeupel-Herold, T., E-mail: tg-h@nist.gov [NIST Center for Neuron Research, 100 Bureau Dr., Gaithersburg MD 20899-6102 (United States); University of Maryland, Department of Material Science and Engineering., College Park MD 20742-2142 (United States); Creuziger, A., E-mail: adam.creuziger@nist.gov [NIST Metallurgy Division, 100 Bureau Dr., Gaithersburg MD 20899-8553 (United States); Kent State University, Kent, OH 44242 (United States)

2011-04-25

Research highlights: {yields} Novel orientation averaging scheme for retained austenite content measurement. {yields} assumption of random grain orientation generally not justified. {yields} Averaging scheme allows to disregard texture. {yields} unlike Rietveld method, averaging method does not orientation density function. {yields} Two independent (hkl) are necessary for retained austenite content. - Abstract: The results of a study of using neutron diffraction for determining the retained austenite content of TRIP steels are presented. The study covers a wide area of materials, deformation modes (uniaxial, biaxial and plane strain), strains, and the retained austenite content as a result of these variables. It was determined using basic principles of statistics that a minimum of two reflections (hkl) for each phase is necessary to calculate a phase mass fraction and the associated standard deviation. Texture from processing the steel is the largest source of uncertainty. Through the method of complete orientation averaging described in this paper, the texture effect and with it the standard deviation of the austenite mass fraction can be substantially reduced, regardless of the type or severity of the texture.

Management of Retained Genital Piercings: A Case Report and Review

Directory of Open Access Journals (Sweden)

Laura J. Moulton

2017-01-01

Full Text Available The prevalence of genital piercing among women is increasing. As the popularity increases, the number of complications from infection, injury, and retained jewelry is likely to rise. Techniques to remove embedded jewelry are not well described in the literature. The purpose of this report was to describe a case of a patient with a retained clitoral glans piercing, discuss a simple technique for outpatient removal, and review current evidence regarding associated risks of clitoral piercings. A 24-year-old female presented to the emergency department with an embedded clitoral glans piercing. Local anesthetic was injected into the periclitoral skin and a small superficial vertical incision was made to remove the ball of the retained barbell safely. In conclusion, among patients with retained genital piercing, outpatient removal of embedded jewelry is feasible. While the practice of female genital piercing is not regulated, piercing of the glans of the clitoris is associated with increased injury to the nerves and blood supply of the clitoris structures leading to future fibrosis and diminished function compared to piercing of the clitoral hood.

Management of Retained Genital Piercings: A Case Report and Review.

Science.gov (United States)

Moulton, Laura J; Jernigan, Amelia M

2017-01-01

The prevalence of genital piercing among women is increasing. As the popularity increases, the number of complications from infection, injury, and retained jewelry is likely to rise. Techniques to remove embedded jewelry are not well described in the literature. The purpose of this report was to describe a case of a patient with a retained clitoral glans piercing, discuss a simple technique for outpatient removal, and review current evidence regarding associated risks of clitoral piercings. A 24-year-old female presented to the emergency department with an embedded clitoral glans piercing. Local anesthetic was injected into the periclitoral skin and a small superficial vertical incision was made to remove the ball of the retained barbell safely. In conclusion, among patients with retained genital piercing, outpatient removal of embedded jewelry is feasible. While the practice of female genital piercing is not regulated, piercing of the glans of the clitoris is associated with increased injury to the nerves and blood supply of the clitoris structures leading to future fibrosis and diminished function compared to piercing of the clitoral hood.

Fractures Due to Gunshot Wounds: Do Retained Bullet Fragments Affect Union?

Science.gov (United States)

Riehl, John T; Connolly, Keith; Haidukewych, George; Koval, Ken

2015-01-01

Many types of projectiles, including modern hollow point bullets, fragment into smaller pieces upon impact, particularly when striking bone. This study was performed to examine the effect on time to union with retained bullet material near a fracture site in cases of gunshot injury. All gunshot injuries operatively treated with internal fixation at a Level 1 Trauma Center between March 2008 and August 2011 were retrospectively reviewed. Retained bullet load near the fracture site was calculated based on percentage of material retained compared to the cortical diameter of the involved bone. Analyses were performed to assess the effect of the lead-cortical ratio and amount of comminution on time to fracture union. Thirty-two patients (34 fractures) met the inclusion criteria, with an equal number of comminuted (17) and non-comminuted fractures (17). Seventeen of 34 fractures (50%) united within 4 months, 16/34 (47%) developed a delayed union, and 1/34 (3%) developed a nonunion requiring revision surgery. Sixteen of 17 fractures (94%) that united by 4 months had a cumulative amount of bullet fragmentation retained near the fracture site of less than 20% of the cortical diameter. Nine out of 10 fractures (90%) with retained fragments near the fracture site was equal to or exceeding 20% of the cortical diameter had delayed or nonunion. Fracture comminution had no effect on time to union. The quantity of retained bullet material near the fracture site was more predictive of the rate of fracture union than was comminution. Fractures with bullet fragmentation equal to or exceeding 20% of the cortical width demonstrated a significantly higher rate of delayed union/nonunion compared to those fractures with less retained bullet material, which may indicate a local cytotoxic effect from lead on bone healing. These findings may influence decisions on timing of secondary surgeries. Level III.

Engineering design guidelines for nuclear criticality safety

International Nuclear Information System (INIS)

Waltz, W.R.

1988-08-01

This document provides general engineering design guidelines specific to nuclear criticality safety for a facility where the potential for a criticality accident exists. The guide is applicable to the design of new SRP/SRL facilities and to major modifications Of existing facilities. The document is intended an: A guide for persons actively engaged in the design process. A resource document for persons charged with design review for adequacy relative to criticality safety. A resource document for facility operating personnel. The guide defines six basic criticality safety design objectives and provides information to assist in accomplishing each objective. The guide in intended to supplement the design requirements relating to criticality safety contained in applicable Department of Energy (DOE) documents. The scope of the guide is limited to engineering design guidelines associated with criticality safety and does not include other areas of the design process, such as: criticality safety analytical methods and modeling, nor requirements for control of the design process

Work Demands-Burnout and Job Engagement-Job Satisfaction Relationships: Teamwork as a Mediator and Moderator.

Science.gov (United States)

Mijakoski, Dragan; Karadzinska-Bislimovska, Jovanka; Basarovska, Vera; Minov, Jordan; Stoleski, Sasho; Angeleska, Nada; Atanasovska, Aneta

2015-03-15

Few studies have examined teamwork as mediator and moderator of work demands-burnout and job engagement-job satisfaction relationships in healthcare workers (HCWs) in South-East Europe. To assess mediation and moderation effect of teamwork on the relationship between independent (work demands or job engagement) and dependent (burnout or job satisfaction) variables. Work demands, burnout, job engagement, and job satisfaction were measured with Hospital Experience Scale, Maslach Burnout Inventory, Utrecht Work Engagement Scale, and Job Satisfaction Survey, respectively. Hospital Survey on Patient Safety Culture was used for assessment of teamwork. In order to examine role of teamwork as a mediating variable we fit series of regression models for burnout and job satisfaction. We also fit regression models predicting outcome (burnout or job satisfaction) from predictor (work demands or job engagement) and moderator (teamwork) variable. Teamwork was partial mediator of work demands-burnout relationship and full mediator of job engagement-job satisfaction relationship. We found that only job engagement-job satisfaction relationship was moderated by teamwork. Occupational health services should target detection of burnout in HCWs and implementation of organizational interventions in hospitals, taking into account findings that teamwork predicted reduced burnout and higher job satisfaction.

The use of implants as retainers for removable partial dentures.

Science.gov (United States)

Zinner, Ira D; Markovits, Stanley; Jansen, Curtis E; Reid, Patrick E; Shapiro, Herbert J

2010-01-01

There has been little presented in the literature regarding the use of implant bodies as retainers for removable partial dentures. However, these fixtures can be a useful asset for restorative dentists, as they can be used when there is insufficient bone for a fixed prosthesis or as retainers for a provisional appliance until additional dental treatment is possible.

[Conventional retaining of removable partial dentures

NARCIS (Netherlands)

Keltjens, H.M.A.M.; Witter, D.J.; Creugers, N.H.J.

2009-01-01

Mechanical and biological criteria have to be met in retaining the metal frame of a removable partial denture. Additionally, a removable partial denture is part of the occlusal interface by the clasps and the denture teeth. With respect to mechanical aspects, all rigid parts of the removable partial

The stability of gabion walls for earth retaining structures

Directory of Open Access Journals (Sweden)

Mahyuddin Ramli

2013-12-01

Full Text Available The stability of earth retaining structures in flood prone areas has become a serious problem in many countries. The two most basic causes of failure arising from flooding are scouring and erosion of the foundation of the superstructure. Hence, a number of structures like bridges employ scour-arresting devices, e.g., gabions to acting on the piers and abutments during flooding. Research was therefore undertaken to improve gabion resistance against lateral movement by means of an interlocking configuration instead of the conventional stack-and-pair system. This involved simulating lateral thrusts against two dimensionally identical retaining wall systems configured according to the rectangular and hexagonal gabion type. The evolution of deformation observed suggested that the interlocking design exhibits better structural integrity than the conventional box gabion-based wall in resisting lateral movement and therefore warrants consideration for use as an appropriate scour-arresting device for earth retaining structures.

Maxillary overdentures retained by splinted and unsplinted implants : A retrospective study

NARCIS (Netherlands)

Narhi, TO; Hevinga, M; Voorsmit, RACA; Kalk, W

2001-01-01

The purpose of this retrospective study was to evaluate the clinical performance of and patients' satisfaction with maxillary overdentures retained by splinted and unsplinted implants. Patients who had been treated with maxillary implant-retained overdentures because of functional problems with

Automated identification of retained surgical items in radiological images

Science.gov (United States)

Agam, Gady; Gan, Lin; Moric, Mario; Gluncic, Vicko

2015-03-01

Retained surgical items (RSIs) in patients is a major operating room (OR) patient safety concern. An RSI is any surgical tool, sponge, needle or other item inadvertently left in a patients body during the course of surgery. If left undetected, RSIs may lead to serious negative health consequences such as sepsis, internal bleeding, and even death. To help physicians efficiently and effectively detect RSIs, we are developing computer-aided detection (CADe) software for X-ray (XR) image analysis, utilizing large amounts of currently available image data to produce a clinically effective RSI detection system. Physician analysis of XRs for the purpose of RSI detection is a relatively lengthy process that may take up to 45 minutes to complete. It is also error prone due to the relatively low acuity of the human eye for RSIs in XR images. The system we are developing is based on computer vision and machine learning algorithms. We address the problem of low incidence by proposing synthesis algorithms. The CADe software we are developing may be integrated into a picture archiving and communication system (PACS), be implemented as a stand-alone software application, or be integrated into portable XR machine software through application programming interfaces. Preliminary experimental results on actual XR images demonstrate the effectiveness of the proposed approach.

Long-term effectiveness of canine-to-canine bonded flexible spiral wire lingual retainers

NARCIS (Netherlands)

Renkema, Anne-Marie; Renkema, Alianne; Bronkhorst, Ewald; Katsaros, Christos

Introduction: The flexible spiral wire (FSW) canine-to-canine lingual retainer bonded to all 6 anterior teeth is a frequently used type of mandibular fixed retainer. This study aimed to assess the long-term effectiveness of FSW canine-to-canine lingual retainers in maintaining the alignment of the

Long-term effectiveness of canine-to-canine bonded flexible spiral wire lingual retainers

NARCIS (Netherlands)

Renkema, A.M.; Bronkhorst, E.M.; Katsaros, C.

2011-01-01

INTRODUCTION: The flexible spiral wire (FSW) canine-to-canine lingual retainer bonded to all 6 anterior teeth is a frequently used type of mandibular fixed retainer. This study aimed to assess the long-term effectiveness of FSW canine-to-canine lingual retainers in maintaining the alignment of the

Researchers' Roles in Patient Safety Improvement.

Science.gov (United States)

Pietikäinen, Elina; Reiman, Teemu; Heikkilä, Jouko; Macchi, Luigi

2016-03-01

In this article, we explore how researchers can contribute to patient safety improvement. We aim to expand the instrumental role researchers have often occupied in relation to patient safety improvement. We reflect on our own improvement model and experiences as patient safety researchers in an ongoing Finnish multi-actor innovation project through self-reflective narration. Our own patient safety improvement model can be described as systemic. Based on the purpose of the innovation project, our improvement model, and the improvement models of the other actors in the project, we have carried out a wide range of activities. Our activities can be summarized in 8 overlapping patient safety improvement roles: modeler, influencer, supplier, producer, ideator, reflector, facilitator, and negotiator. When working side by side with "practice," researchers are offered and engage in several different activities. The way researchers contribute to patient safety improvement and balance between different roles depends on the purpose of the study, as well as on the underlying patient safety improvement models. Different patient safety research paradigms seem to emphasize different improvement roles, and thus, they also face different challenges. Open reflection on the underlying improvement models and roles can help researchers with different backgrounds-as well as other actors involved in patient safety improvement-in structuring their work and collaborating productively.

[The impact of personality traits on adolescents' adaptation and compliance to clear retainers].

Science.gov (United States)

Xu, Fan; Tang, Guo-Hua

2017-02-01

The aim of this study was to evaluate the adolescents' adaptation and compliance to clear retainers, and to investigate their associations with personality traits. Fifty adolescents at the end of fixed orthodontic treatment were consecutively recruited. After debonding the fixed orthodontic appliances, clear retainers were used. Participants were asked to fill questionnaires 2 months after wearing the clear retainers. A questionnaire was designed to evaluate their adaptation and compliance for clear retianers. Eysenck personality questionnaire was used to assess the personality traits. Spearman rank correlation was used to analyze the associations between personality traits with the adaptation and compliance to clear retainers using SAS8.0 software package. Forty-two of 50 adolescents accomplished the questionnaires. 76% felt no mucous irritation, 95% felt no influence on socializing. However, 75% showed oral constraint, 71% felt impaired speech. Moreover, 40% adolescents wore the retainers less than 18 hours per day. 31% patients had their aligner lost. 83% patients did not brush their teeth after each meal. Neuroticism was positively associated with the effect of impaired chewing (r=0.32). Psychoticism was positively associated with the oral constraint (r=0.31) and facial muscular soreness (r=0.35), but negatively associated with the influence on emotion (r=-0.34). Extraversion was positively associated with the retainers' damage (r=0.31). Adolescents showed good adaptation for clear retainers, but unsatisfactory compliance. There are associations between adolescents' adaptation and compliance for clear retainers and personality traits. These results suggest that clinicians should pay more attention to the compliance of adolescents when using clear retainer. Personality traits could be a useful prediction to assess the compliance for clear aligners.

The Path from Ethical Organisational Culture to Employee Commitment: Mediating Roles of Value Congruence and Work Engagement

Directory of Open Access Journals (Sweden)

Mari Huhtala

2016-04-01

Full Text Available Following the Job Demands-Resources model’s motivational process, this study investigates the role of person-organisation fit and work engagement as mediating processes between ethical culture and employee commitment, where ethical culture is seen as an organisational resource. It was expected that the stronger the ethical values and practices are experienced to be, the more compatible employees feel with the organisation. A good person-organisation fit was further hypothesised to act as a personal job resource for the employees, who would consequently experience higher work engagement leading to stronger affective commitment and less turnover intentions. The study used questionnaire data gathered from 270 Finnish school psychologists. The analyses were performed by using SEM and mediation modelling with the bootstrapping method. Ethical organisational culture had a significant positive association with experienced person-organisation fit, which in turn was related to higher work engagement. Both person-organisation fit and work engagement were associated with higher affective commitment and with lower turnover intentions. This study contributes to understanding the mechanisms through which ethical culture affects employee commitment by integrating the concept of person-organisation fit with the Job Demands-Resources model. Organisations can retain committed and motivated workforce through fostering a strong ethical culture, which can support employees’ affective commitment to the organisation.

Implementation of a patient safety program at a tertiary health system: A longitudinal analysis of interventions and serious safety events.

Science.gov (United States)

Cropper, Douglas P; Harb, Nidal H; Said, Patricia A; Lemke, Jon H; Shammas, Nicolas W

2018-04-01

We hypothesize that implementation of a safety program based on high reliability organization principles will reduce serious safety events (SSE). The safety program focused on 7 essential elements: (a) safety rounding, (b) safety oversight teams, (c) safety huddles, (d) safety coaches, (e) good catches/safety heroes, (f) safety education, and (g) red rule. An educational curriculum was implemented focusing on changing high-risk behaviors and implementing critical safety policies. All unusual occurrences were captured in the Midas system and investigated by risk specialists, the safety officer, and the chief medical officer. A multidepartmental committee evaluated these events, and a root cause analysis (RCA) was performed. Events were tabulated and serious safety event (SSE) recorded and plotted over time. Safety success stories (SSSs) were also evaluated over time. A steady drop in SSEs was seen over 9 years. Also a rise in SSSs was evident, reflecting on staff engagement in the program. The parallel change in SSEs, SSSs, and the implementation of various safety interventions highly suggest that the program was successful in achieving its goals. A safety program based on high-reliability organization principles and made a core value of the institution can have a significant positive impact on reducing SSEs. © 2018 American Society for Healthcare Risk Management of the American Hospital Association.

Buff book 1: status summary report, water reactor safety research

International Nuclear Information System (INIS)

1980-01-01

This Management Report, to provide information for monitoring and controlling the progress of LWR Safety Research Projects Associated with the Office of Nuclear Regulatory Research and other agencies and organizations engaged in nuclear safety research. It utilizes data pertaining to project schedules, cost, and status which have been integrated into a network-based management information system, The purpose of this publication is to provide a vehicle for review of the current status and overall progress of the safety Research Program from a managerial point of view

Macroscopic and histological characteristics of retained placenta: A prospectively collected case-control study.

Science.gov (United States)

Endler, Margit; Saltvedt, Sissel; Papadogiannakis, Nikos

2016-05-01

Retained placenta is a potentially fatal obstetric disorder due to postpartum hemorrhage, its pathophysiology is however unknown. We aimed to assess if retained placenta was associated with increased macroscopic and histological signs of placental maternal underperfusion, a pattern otherwise seen in preeclampsia and other disorders of defective placentation. This was a case-control study of retained (n = 49) and non-retained (n = 47) placentas, collected from full-term singleton and otherwise healthy pregnancies, carried out at a tertiary level obstetric department. Macroscopic and histological analysis was performed. Signs of maternal placental underperfusion and signs of placental inflammation, fetal vascular thrombo-occlusive disease and increased placental attachment were recorded in a primary and secondary analysis respectively. Variables were compared groupwise using unconditional logistic regression or comparison of median or mean values. Compared to non-retained placentas retained placentas had a significantly smaller surface area (p = 0.05), were more oblong in shape (OR 5.24 95% CI:1.34-20.21) and showed overall more signs of maternal underperfusion (OR 2.52 95% CI: 1.07-5.87). There was no significant difference in signs of placental inflammation, fetal vascular thrombo-occlusive disease or placenta accreta but basal plate myometrial fibers were more common among retained placentas. In regard to shape, surface area and histological signs of maternal placental underperfusion, retained placentas showed a histological pattern similar to that seen in preeclamptic placentas. Copyright © 2016 Elsevier Ltd. All rights reserved.

Model Tests on the Retaining Walls Constructed from Geobags Filled with Construction Waste

Directory of Open Access Journals (Sweden)

Hua Wen

2016-01-01

Full Text Available Geobag retaining wall using construction waste is a new flexible supporting structure, and the usage of construction waste to fill geobags can facilitate the construction recycling. In this paper, model tests were performed on geobag retaining wall using construction waste. The investigation was concentrated on the slope top settlement, the distribution characteristics of the earth pressures on retaining walls and horizontal wall displacements, and slope failure modes. The results indicated that the ultimate loads that the slope tops with retaining walls could bear were 87.5%~125% higher than that of the slope top without retaining walls. The ultimate loading of strengthened slopes with different slope ratios from 1 : 0.75 to 1 : 0.25 could be reduced by 11.8% to 29.4%. The horizontal displacements of the retaining walls constructed from geobags were distributed in a drum shape, with the greatest horizontal displacements occurring about 1/3~1/2 of the wall height away from the bottom of the wall. As the slope ratio increased, the failure of the slope soil supported by geobag retaining wall using construction waste changed from sliding to sliding-toppling (dominated by sliding and then to toppling-sliding (dominated by toppling. The range of 1/3~1/2 of wall height is the weak part of the retaining walls, which should be strengthened with certain measures during the process of design and construction.

Placemaking: Attracting and Retaining Today's Students

Science.gov (United States)

Knight, Brent

2016-01-01

Research suggests that the appearance of a college campus--both inside and out--is a significant criterion in college selection. As community colleges are finding it increasingly important to attract and retain students, placemaking is becoming an effective and efficient platform to support recruitment and retention. Placemaking is imagining and…

To make or buy patient safety solutions: a resource dependence and transaction cost economics perspective.

Science.gov (United States)

Fareed, Naleef; Mick, Stephen S

2011-01-01

For almost a decade, public and private organizations have pressured hospitals to improve their patient safety records. Since 2008, the Centers for Medicare & Medicaid Services has no longer been reimbursing hospitals for secondary diagnoses not reported during the point of admission. This ruling has motivated some hospitals to engage in safety-oriented programs to decrease adverse events. This study examined which hospitals may engage in patient safety solutions and whether they create these patient safety solutions within their structures or use suppliers in the market. We used a theoretical model that incorporates the key constructs of resource dependence theory and transaction cost economics theory to predict a hospital's reaction to Centers for Medicare & Medicaid Services "never event" regulations. We present propositions that speculate on how forces conceptualized from the resource dependence theory may affect adoption of patient safety innovations and, when they do, whether the adopting hospitals will do so internally or externally according to the transaction cost economics theory. On the basis of forces identified by the resource dependence theory, we predict that larger, teaching, safety net, horizontally integrated, highly interdependent, and public hospitals in concentrated, high public payer presence, competitive, and resource-rich environments will be more likely to engage in patient safety innovations. Following the logic of the transaction cost economics theory, we predict that of the hospitals that react positively to the never event regulation, most will internalize their innovations in patient safety solutions rather than approach the market, a choice that helps hospitals economize on transaction costs. This study helps hospital managers in their strategic thinking and planning in relation to current and future regulations related to patient safety. For researchers and policy analysts, our propositions provide the basis for empirical testing.

Radiation safety in aviation

International Nuclear Information System (INIS)

2005-06-01

The guide presents the requirements governing radiation safety of aircrews exposed to cosmic radiation and monitoring of such exposure. It applies to enterprises engaged in aviation under a Finnish operating licence and to Finnish military aviation at altitudes exceeding 8,000 metres. The radiation exposure of aircrews at altitudes of less than 8,000 metres is so minimal that no special measures are generally required to investigate or limit exposure to radiation

Safety and maintenance engineering: A compilation

Science.gov (United States)

1974-01-01

A compilation is presented for the dissemination of information on technological developments which have potential utility outside the aerospace and nuclear communities. Safety of personnel engaged in the handling of hazardous materials and equipment, protection of equipment from fire, high wind, or careless handling by personnel, and techniques for the maintenance of operating equipment are reported.

Personal Vision: Enhancing Work Engagement and the Retention of Women in the Engineering Profession

Directory of Open Access Journals (Sweden)

Kathleen Relihan Buse

2014-12-01

Full Text Available This study examines how personal vision enhances work engagement and the retention of women in the engineering profession. Using a mixed method approach to understand the factors related to the retention of women in the engineering profession, we first interviewed women who persisted and women who opted out of the profession (Buse & Bilimoria, 2014. In these rich stories we found that women who persisted had a personal vision that included their profession, and that this personal vision enabled them to overcome the bias, barriers and discrimination in the engineering workplace. To validate this finding on a larger population, we developed a scale to measure one’s personal vision conceptualized as the ideal self (Boyatzis & Akrivou, 2006. The measure was tested in a pilot study and then used in a study of 495 women with engineering degrees. The findings validate that the ideal self is comprised of self efficacy, hope, optimism and core identity. For these women the ideal self directly impacts work engagement and work engagement directly impacts career commitment to engineering. The findings add to extant theory related to the role of personal vision and intentional change theory. From a practical perspective these findings will aid efforts to retain women in engineering and other STEM professions.

Personal vision: enhancing work engagement and the retention of women in the engineering profession.

Science.gov (United States)

Buse, Kathleen R; Bilimoria, Diana

2014-01-01

This study examines how personal vision enhances work engagement and the retention of women in the engineering profession. Using a mixed method approach to understand the factors related to the retention of women in the engineering profession, we first interviewed women who persisted and women who opted out of the profession (Buse and Bilimoria, 2014). In these rich stories, we found that women who persisted had a personal vision that included their profession, and that this personal vision enabled them to overcome the bias, barriers and discrimination in the engineering workplace. To validate this finding on a larger population, we developed a scale to measure one's personal vision conceptualized as the ideal self (Boyatzis and Akrivou, 2006). The measure was tested in a pilot study and then used in a study of 495 women with engineering degrees. The findings validate that the ideal self is comprised of self-efficacy, hope, optimism and core identity. For these women, the ideal self directly impacts work engagement and work engagement directly impacts career commitment to engineering. The findings add to extant theory related to the role of personal vision and intentional change theory. From a practical perspective, these findings will aid efforts to retain women in engineering and other STEM professions.

Personal vision: enhancing work engagement and the retention of women in the engineering profession

Science.gov (United States)

Buse, Kathleen R.; Bilimoria, Diana

2014-01-01

This study examines how personal vision enhances work engagement and the retention of women in the engineering profession. Using a mixed method approach to understand the factors related to the retention of women in the engineering profession, we first interviewed women who persisted and women who opted out of the profession (Buse and Bilimoria, 2014). In these rich stories, we found that women who persisted had a personal vision that included their profession, and that this personal vision enabled them to overcome the bias, barriers and discrimination in the engineering workplace. To validate this finding on a larger population, we developed a scale to measure one's personal vision conceptualized as the ideal self (Boyatzis and Akrivou, 2006). The measure was tested in a pilot study and then used in a study of 495 women with engineering degrees. The findings validate that the ideal self is comprised of self-efficacy, hope, optimism and core identity. For these women, the ideal self directly impacts work engagement and work engagement directly impacts career commitment to engineering. The findings add to extant theory related to the role of personal vision and intentional change theory. From a practical perspective, these findings will aid efforts to retain women in engineering and other STEM professions. PMID:25538652

Children Road Safety Training with Augmented Reality (AR) [Demo

OpenAIRE

Lugmayr, Artur; Tsang, Joyce; Williams, Toby; Lim, Casey X; Teo, Yeet Yung; Farmer, Matthew

2018-01-01

Children killed or seriously injured through road accidents can be avoided through an appropriate safety training. Through play and engagement children learn and understand hazards at i.e. railway stations, bus stops, crossings, school zones, train stations, footpaths, or while cycling. We developed a rapid prototype of an Augmented Reality (AR) safety training proof-of-concept demonstrator for a scaled real-world model of dangerous road hazards. Two scenarios have been picked to give childre...

Fall risk and prevention agreement: engaging patients and families with a partnership for patient safety.

Science.gov (United States)

Vonnes, Cassandra; Wolf, Darcy

2017-01-01

had an overall reduction of 37% and 58.6%, respectively. A robust fall prevention standard does not ensure care team participation in all elements to reduce fall occurrence. Historically, the Fall Risk and Prevention Agreement had not been initiated on admission. Incorporating patients and families in discussions related to fall risk and prevention is consistent with collaborative communication. The Joint Commission and the Centers for Medicare and Medicaid Services in 2002 encouraged patients and family participation in the acute care experience to promote safety. The medical oncology patient in many cases on admission is identified as 'moderate' risk for fall. It is during the course of treatment and an extended length of stay that deconditioning and treatment side effects result in a fall. This patient population often overestimates their abilities and functional status.Engagement with patients and families during the admission process will hopefully communicate the need for a collaborative effort for fall prevention during the hospitalisation. Although this project is limited in data, integrating patients and families into care planning may have a significant impact in reducing falls in the 'moderate' risk patient. Additional studies including a multivariate analysis are needed to determine whether supporting evidence links fall reduction to the presence and use of a patient and family agreement.

The safety regulation of small-scale coal mines in China: Analysing the interests and influences of stakeholders

International Nuclear Information System (INIS)

Song, Xiaoqian; Mu, Xiaoyi

2013-01-01

Small scale coal mines (SCMs) have played an important role in China’s energy supply. At the same time, they also suffer from many social, economic, environmental, and safety problems. The Chinese government has made considerable efforts to strengthen the safety regulation of the coal mining industry. Yet, few of these efforts have proven to be very effective. This paper analyzes the interests and influences of key stakeholders in the safety regulation of SCMs, which includes the safety regulator, the local government, the mine owner, and mineworkers. We argue that the effective regulation of coal mine safety must both engage and empower mineworkers. - Highlights: ► Small scale coal mines have played an important role in China's energy supply. ► We analyze the interests and influences of key stakeholders in the safety regulation of small coal mines. ► The mineworkers have the strongest interest but least influence. ► An effective regulation must engage the mineworkers, organize, and empower them.

Strengthening the Global Nuclear Safety Regime. INSAG-21. A report by the International Nuclear Safety Group

International Nuclear Information System (INIS)

2014-01-01

The Global Nuclear Safety Regime is the framework for achieving the worldwide implementation of a high level of safety at nuclear installations. Its core is the activities undertaken by each country to ensure the safety and security of the nuclear installations within its jurisdiction. But national efforts are and should be augmented by the activities of a variety of international enterprises that facilitate nuclear safety - intergovernmental organizations, multinational networks among operators, multinational networks among regulators, the international nuclear industry, multinational networks among scientists, international standards setting organizations and other stakeholders such as the public, news media and non-governmental organizations (NGOs) that are engaged in nuclear safety. All of these efforts should be harnessed to enhance the achievement of safety. The existing Global Nuclear Safety Regime is functioning at an effective level today. But its impact on improving safety could be enhanced by pursuing some measured change. This report recommends action in the following areas: - Enhanced use of the review meetings of the Convention on Nuclear Safety as a vehicle for open and critical peer review and a source for learning about the best safety practices of others; - Enhanced utilization of IAEA Safety Standards for the harmonization of national safety regulations, to the extent feasible; - Enhanced exchange of operating experience for improving operating and regulatory practices; and - Multinational cooperation in the safety review of new nuclear power plant designs. These actions, which are described more fully in this report, should serve to enhance the effectiveness of the Global Nuclear Safety Regime

Why do patients engage in medical tourism?

Science.gov (United States)

Runnels, Vivien; Carrera, P M

2012-12-01

Medical tourism is commonly perceived and popularly depicted as an economic issue, both at the system and individual levels. The decision to engage in medical tourism, however, is more complex, driven by patients' unmet need, the nature of services sought and the manner by which treatment is accessed. In order to beneficially employ the opportunities medical tourism offers, and address and contain possible threats and harms, an informed decision is crucial. This paper aims to enhance the current knowledge on medical tourism by isolating the focal content of the decisions that patients make. Based on the existing literature, it proposes a sequential decision-making process in opting for or against medical care abroad, and engaging in medical tourism, including considerations of the required treatments, location of treatment, and quality and safety issues attendant to seeking care. Accordingly, it comments on the imperative of access to health information and the current regulatory environment which impact on this increasingly popular and complex form of accessing and providing medical care. Copyright © 2012 Elsevier Ireland Ltd. All rights reserved.

Engaged to Learn Ways of Engaging ESL Learners

Directory of Open Access Journals (Sweden)

Brian Tomlinson

2010-01-01

Full Text Available In this paper I am going to argue that our most important role as language teachers is to provide potentially engaging materials for our learners and then to make use of them in optimally engaging ways. If we do not engage our learners most of the time no amount of exposure, teaching, practice or use of the language will help them to achieve sufficient language acquisition and development.

Retained Austenite in SAE 52100 Steel Post Magnetic Processing and Heat Treatment

Energy Technology Data Exchange (ETDEWEB)

Pappas, Nathaniel R [ORNL; Watkins, Thomas R [ORNL; Cavin, Odis Burl [ORNL; Jaramillo, Roger A [ORNL; Ludtka, Gerard Michael [ORNL

2007-01-01

Steel is an iron-carbon alloy that contains up to 2% carbon by weight. Understanding which phases of iron and carbon form as a function of temperature and percent carbon is important in order to process/manufacture steel with desired properties. Austenite is the face center cubic (fcc) phase of iron that exists between 912 and 1394 C. When hot steel is rapidly quenched in a medium (typically oil or water), austenite transforms into martensite. The goal of the study is to determine the effect of applying a magnetic field on the amount of retained austenite present at room temperature after quenching. Samples of SAE 52100 steel were heat treated then subjected to a magnetic field of varying strength and time, while samples of SAE 1045 steel were heat treated then subjected to a magnetic field of varying strength for a fixed time while being tempered. X-ray diffraction was used to collect quantitative data corresponding to the amount of each phase present post processing. The percentage of retained austenite was then calculated using the American Society of Testing and Materials standard for determining the amount of retained austenite for randomly oriented samples and was plotted as a function of magnetic field intensity, magnetic field apply time, and magnetic field wait time after quenching to determine what relationships exist with the amount of retained austenite present. In the SAE 52100 steel samples, stronger field strengths resulted in lower percentages of retained austenite for fixed apply times. The results were inconclusive when applying a fixed magnetic field strength for varying amounts of time. When applying a magnetic field after waiting a specific amount of time after quenching, the analyses indicate that shorter wait times result in less retained austenite. The SAE 1045 results were inconclusive. The samples showed no retained austenite regardless of magnetic field strength, indicating that tempering removed the retained austenite. It is apparent

Community Identity and User Engagement in a Multi-Community Landscape.

Science.gov (United States)

Zhang, Justine; Hamilton, William L; Danescu-Niculescu-Mizil, Cristian; Jurafsky, Dan; Leskovec, Jure

2017-05-01

A community's identity defines and shapes its internal dynamics. Our current understanding of this interplay is mostly limited to glimpses gathered from isolated studies of individual communities. In this work we provide a systematic exploration of the nature of this relation across a wide variety of online communities. To this end we introduce a quantitative, language-based typology reflecting two key aspects of a community's identity: how distinctive , and how temporally dynamic it is. By mapping almost 300 Reddit communities into the landscape induced by this typology, we reveal regularities in how patterns of user engagement vary with the characteristics of a community. Our results suggest that the way new and existing users engage with a community depends strongly and systematically on the nature of the collective identity it fosters, in ways that are highly consequential to community maintainers. For example, communities with distinctive and highly dynamic identities are more likely to retain their users. However, such niche communities also exhibit much larger acculturation gaps between existing users and newcomers, which potentially hinder the integration of the latter. More generally, our methodology reveals differences in how various social phenomena manifest across communities, and shows that structuring the multi-community landscape can lead to a better understanding of the systematic nature of this diversity.

Optimum Design of Gravity Retaining Walls Using Charged System Search Algorithm

Directory of Open Access Journals (Sweden)

S. Talatahari

2012-01-01

Full Text Available This study focuses on the optimum design retaining walls, as one of the familiar types of the retaining walls which may be constructed of stone masonry, unreinforced concrete, or reinforced concrete. The material cost is one of the major factors in the construction of gravity retaining walls therefore, minimizing the weight or volume of these systems can reduce the cost. To obtain an optimal seismic design of such structures, this paper proposes a method based on a novel meta-heuristic algorithm. The algorithm is inspired by the Coulomb's and Gauss’s laws of electrostatics in physics, and it is called charged system search (CSS. In order to evaluate the efficiency of this algorithm, an example is utilized. Comparing the results of the retaining wall designs obtained by the other methods illustrates a good performance of the CSS. In this paper, we used the Mononobe-Okabe method which is one of the pseudostatic approaches to determine the dynamic earth pressure.

Main safety lessons from 5-year operation of the renovated Dalat nuclear research reactor

International Nuclear Information System (INIS)

Anh, T.H.; Lam, P.V.; An, T.K.; Khang, N.P.; Tan, D.Q.

1989-01-01

The paper presents main safety related characteristics of the Dalat Nuclear Research Reactor (DNRR), which was reconstructed in 1982 at the site of the former TRIGA Mark II, while retaining some of its structures. Experience acquired from reactor operation is analysed. The programme of investigations aimed at better ensuring nuclear safety of the reactor, together with some of its results are presented. Finally some propositions to improve the present situation are suggested. (Authors). (2 Tables, 2 fig.)

Retained Herrick Plug

Directory of Open Access Journals (Sweden)

Justin B. Hellman

2018-05-01

Full Text Available A 79-year-old female with a history of keratoconjunctivitis sicca presented with several years of epiphora of both eyes. Thirteen years earlier, intracanalicular Herrick lacrimal plugs (Lacrimedics, Eastsound, WA, USA had been placed in both eyes to treat her dry eye syndrome. After 13 years the patient felt the epiphora was intolerable and underwent endoscopic dacryocystorhinostomy (DCR of the left, then the right side. Intraoperatively, during the right endoscopic DCR, a Herrick lacrimal plug was found in the common canaliculus into the lacrimal sac. Postoperatively, the patient did well with improved epiphora. The Herrick plug is designed to be intracanalicular, and this case illustrates that the plug can migrate and be retained for many years. Collared punctal plugs have a lower risk of this type of complication.

Tooth Retained Implant: No More an Oxymoron

Directory of Open Access Journals (Sweden)

Divya Bhat

2011-03-01

Full Text Available Introduction: Periodontally af-fected teeth are treated in one of the two ways. (1 Tooth retention after periodontal surgery, in which the degree of regeneration achieved is unpredictable. (2 Tooth extrac-tion and implant placement. Implants have an osseointegrated surface which does not provide adequate shock absorption. Regeneration can be achieved by resecting the crown of the affected tooth and submerging the root. This technique has not had a clinical application so far as the tooth becomes difficult to restore. Placing an implant within the root can make the retained root restorable. At the same time, as the implant is placed within the root surface it achieves a periodontal integration which dampens occlusal forces better than osseointegration. Therefore, such a “tooth retained implant” may serve as an additional treatment option with significant benefits over tooth retention and implant placement alone. The hypothesis: Implants placed within retained roots have shown cementum deposition and attachment of periodontal ligament fibers over their surface. This periodontal attachment may be able to dam-pen forces better than in an osseointegrated implant. Moreover, since an implant is being placed, the crown of the tooth can be resected and submerged. This prevents epithelial migration, allows for the periodontal ligament cells to populate the wound and favors regeneration.Evaluation of the hypothesis: The technique of placing implants within cavities prepared in the root and then submerging them are simple for any practitioner placing implants routinely.

Factors influencing success of cement versus screw-retained implant restorations: a clinical review

Directory of Open Access Journals (Sweden)

Ahmad Manawar

2012-10-01

Full Text Available Aim: As more and more dental practitioners are focusing on implant-supported fixed restorations, some clinicians favor the use of cement retained restorations while others consider screw retained prosthesis to be the best choice. Discussion: In screw-retained restorations, the fastening screw provides a solid joint between the restoration and the implant abutment, while in cement-retained prostheses the restorative screw is eliminated to enhance esthetics, occlusal stability, and passive fit of the restorations. The factors that influence the type of fixation of the prostheses to the implants like passivity of the framework, ease of fabrication, occlusion, esthetics, accessibility, retention and retrievability are discussed in this article with scientific studies demonstrating superior outcomes of one technique over another. Screwretained implant restorations have an advantage of predictable retention, retrievability and lack of potentially retained subgingival cement. However, a few disadvantages exist such as precise placement of the implant for optimal and esthetic location of the screw access hole and obtaining passive fit. On the other hand, cement retained restorations eliminate unesthetic screw access holes, have passive fit of castings, reduced complexity of clinical and lab procedures, enhanced esthetics, reduced cost factors and non disrupted morphology of the occlusal table. Conclusion: This article compares the advantages, potential disadvantages and limitations of screw and cement retained restorations and their specific implications in the most common clinical situation.

Systemic Presentation of Retained Foreign Body in the Peritoneal Cavity (Gossypiboma

Directory of Open Access Journals (Sweden)

S Mehrabi

2010-04-01

Full Text Available Introduction & Objective: One of the infrequent complications of surgical operations is retained foreign body in body cavities which lead to morbidity and mortality for patients and also medico-legal problems for surgeons. Gossypiboma is an uncommon surgical complication, which is defined as a mass or cystic lesion due to retained surgical sponge in the abdominal cavity. Retained foreign body causes abscess, fistula, mass, obstruction after surgical operations and is diagnosed by x ray evaluation. In all patients, it is presented with pain, palpable mass. The infected post operation retained foreign bodies should be considered in differential diagnosis. In this study, we reported a patient with systemic presentation of retained two foreign bodies (surgical sponge in abdominal cavity. Case: The patient is a 32 years old female, which after cesarean section in 2008 developed abdominal pain, anorexia, and weight loss. The patient was referred to a specialist, and para-clinical checkup was done on her. In sonography and CT-scan, two cystic lesions with calcified wall were reported in the left and right sides of the abdomen. Then, the patient was referred to a surgeon with the diagnosis of hydatid cyst. During operation, cystic lesion with adhesion to viscera in the right side of the abdomen and a mass lesion in the descending colon in the left side were seen.The pathology report showed a surgical sponge in the right cystic lesion and surgical towel in the descending colon. Conclusion: Retained foreign bodies should be considered in differential diagnosis of any post operative patients who are presented with pain, infection, or palpable mass.

A Research Experiences for Undergraduates program (REU) Program Designed to Recruit, Engage and Prepare a Diverse Student Population for Careers in Ocean Sciences.

Science.gov (United States)

Clarkston, B. E.; Garza, C.

2016-02-01

The problem of improving diversity within the Ocean Sciences workforce—still underperforming relative to other scientific disciplines—can only be addressed by first recruiting and engaging a more diverse student population into the discipline, then retaining them in the workforce. California State University, Monterey Bay (CSUMB) is home to the Monterey Bay Regional Ocean Science Research Experiences for Undergraduates (REU) program. As an HSI with strong ties to multiple regional community colleges and other Predominantly Undergraduate Institutions (PUIs) in the CSU system, the Monterey Bay REU is uniquely positioned to address the crucial recruitment and engagement of a diverse student body. Eleven sophomore and junior-level undergraduate students are recruited per year from academic institutions where research opportunities in STEM are limited and from groups historically underrepresented in the Ocean Sciences, including women, underrepresented minorities, persons with disabilities, and veterans. During the program, students engage in a 10-week original research project guided by a faculty research mentor in one of four themes: Oceanography, Marine Biology and Ecology, Ocean Engineering, and Marine Geology. In addition to research, students develop scientific self-efficacy and literacy skills through rigorous weekly professional development workshops in which they practice critical thinking, ethical decision-making, peer review, writing and oral communication skills. These workshops include tangible products such as an NSF-style proposal paper, Statement of Purpose and CV modelled for the SACNAS Travel Award Application, research abstract, scientific report and oral presentation. To help retain students in Ocean Sciences, students build community during the REU by living together in the CSUMB dormitories; post-REU, students stay connected through an online facebook group, LinkedIn page and group webinars. To date, the REU has supported 22 students in two

New developments in ultrasonic inspection of retaining rings on generators in operation

International Nuclear Information System (INIS)

Koch-Mathian, A.

1990-01-01

The ultrasonic inspection of retaining rings of operating generators has been operational since 1986. The aim of this presentation is to outline the experience acquired on many retaining rings on different types of generators. In-situ inspections have made it possible to detect more exactly the different shape echoes for the various elements located beneath the retaining ring such as rotor teeth, damping and epoxy insulation. Various methods of identifying these parts are currently being developed. Investigation on corroded retaining rings has made it possible to demonstrate the close correlation between the transverse beam detection and the presence of actual cracks identified by micrograph. The specific facies of these cracks precludes the use of classic dimensioning techniques, but a method based on longitudinal wave detection has already given encouraging results

A framework for the organizational assumptions underlying safety culture

International Nuclear Information System (INIS)

Packer, Charles

2002-01-01

The safety culture of the nuclear organization can be addressed at the three levels of culture proposed by Edgar Schein. The industry literature provides a great deal of insight at the artefact and espoused value levels, although as yet it remains somewhat disorganized. There is, however, an overall lack of understanding of the assumption level of safety culture. This paper describes a possible framework for conceptualizing the assumption level, suggesting that safety culture is grounded in unconscious beliefs about the nature of the safety problem, its solution and how to organize to achieve the solution. Using this framework, the organization can begin to uncover the assumptions at play in its normal operation, decisions and events and, if necessary, engage in a process to shift them towards assumptions more supportive of a strong safety culture. (author)

Measuring Engagement in Fourth to Twelfth Grade Classrooms: The Classroom Engagement Inventory

Science.gov (United States)

Wang, Ze; Bergin, Christi; Bergin, David A.

2014-01-01

Research on factors that may promote engagement is hampered by the absence of a measure of classroom-level engagement. Literature has suggested that engagement may have 3 dimensions--affective, behavioral, and cognitive. No existing engagement scales measure all 3 dimensions at the classroom level. The Classroom Engagement Inventory (CEI) was…

Selection of a Vegetable Water-Retaining Material and Its Effects on the Growth and Quality of Cucumber under Drought Stress Part 1 : Selection of a Vegetable Water-Retaining Material

OpenAIRE

Yang, Shang-Dong; Wang, Rui; Li, Gang; Egashira, Kazuhiko

2008-01-01

Water-retention capacities of moss, common water hyacinth and Late　Juncellus were compared with that of SAP (super absorbent polymers), a presently used chemical water-retaining material. Moss was highest in the amount of water retained per unit weight among the three vegetable materials and showed a somewhat higher water-retention capacity than did SAP. However, it is difficult to collect moss enough for use as a water-retaining material, and collection of a large amount of moss easily lea...

The role of job satisfaction, work engagement, self-efficacy and agentic capacities on nurses' turnover intention and patient satisfaction.

Science.gov (United States)

De Simone, Silvia; Planta, Anna; Cicotto, Gianfranco

2018-02-01

Nurses' voluntary turnover is a worrying global phenomenon which affects service quality. Retaining nursing staff within a hospital is important to eliminate the negative influence of voluntary turnover on the quality of care and organisation costs. This research helps explain nurses' voluntary turnover by analysing the role of self-efficacy, agentic capacities, job satisfaction, and work engagement on hospital turnover intention, and to study the relationships between these variables and patient satisfaction. This study gathered data from 194 nurses and 181 patients from 22 inpatient wards at two hospitals in southern Italy. Correlation analysis revealed that job satisfaction, work engagement, self-efficacy and agentic capacities were positively interrelated and negatively correlated with turnover intention. Path analysis showed that self-efficacy, some agentic capacities (anticipation and self-regulation), job satisfaction, and work engagement had direct or indirect effects on nurses' turnover intention, and that job satisfaction exerted a stronger effect on turnover intention. Also, patient satisfaction was positively correlated with nurses' job satisfaction, work engagement, self-efficacy, self-regulation and anticipation and negatively correlated with nurses' turnover intention. Results highlighted the importance of implementing actions (for example through feedforward methodology and the goal setting technique) to improve self-efficacy, self-regulation skill, work engagement and job satisfaction in order to reduce nurses' turnover intention and increase patient satisfaction with nursing care. Copyright © 2017 Elsevier Inc. All rights reserved.

Retainment of r-process material in dwarf galaxies

Science.gov (United States)

Beniamini, Paz; Dvorkin, Irina; Silk, Joe

2018-04-01

The synthesis of r-process elements is known to involve extremely energetic explosions. At the same time, recent observations find significant r-process enrichment even in extremely small ultra-faint dwarf (UFD) galaxies. This raises the question of retainment of those elements within their hosts. We estimate the retainment fraction and find that it is large ˜0.9, unless the r-process event is very energetic (≳ 1052erg) and / or the host has lost a large fraction of its gas prior to the event. We estimate the r-process mass per event and rate as implied by abundances in UFDs, taking into account imperfect retainment and different models of UFD evolution. The results are consistent with previous estimates (Beniamini et al. 2016b) and with the constraints from the recently detected macronova accompanying a neutron star merger (GW170817). We also estimate the distribution of abundances predicted by these models. We find that ˜0.07 of UFDs should have r-process enrichment. The results are consistent with both the mean values and the fluctuations of [Eu/Fe] in galactic metal poor stars, supporting the possibility that UFDs are the main 'building blocks' of the galactic halo population.

Occupational Safety and Health System for Workers Engaged in Emergency Response Operations in the USA.

Science.gov (United States)

Toyoda, Hiroyuki; Kubo, Tatsuhiko; Mori, Koji

2016-12-03

To study the occupational safety and health systems used for emergency response workers in the USA, we performed interviews with related federal agencies and conducted research on related studies. We visited the Federal Emergency Management Agency (FEMA) and National Institute for Occupational Safety and Health (NIOSH) in the USA and performed interviews with their managers on the agencies' roles in the national emergency response system. We also obtained information prepared for our visit from the USA's Occupational Safety and Health Administration (OSHA). In addition, we conducted research on related studies and information on the website of the agencies. We found that the USA had an established emergency response system based on their National Incident Management System (NIMS). This enabled several organizations to respond to emergencies cooperatively using a National Response Framework (NRF) that clarifies the roles and cooperative functions of each federal agency. The core system in NIMS was the Incident Command System (ICS), within which a Safety Officer was positioned as one of the command staff supporting the commander. All ICS staff were required to complete a training program specific to their position; in addition, the Safety Officer was required to have experience. The All-Hazards model was commonly used in the emergency response system. We found that FEMA coordinated support functions, and OSHA and NIOSH, which had specific functions to protect workers, worked cooperatively under NRF. These agencies employed certified industrial hygienists that play a professional role in safety and health. NIOSH recently executed support activities during disasters and other emergencies. The USA's emergency response system is characterized by functions that protect the lives and health of emergency response workers. Trained and experienced human resources support system effectiveness. The findings provided valuable information that could be used to improve the

A new effect of retained austenite on ductility enhancement in high strength bainitic steel

Energy Technology Data Exchange (ETDEWEB)

Wang Ying; Zhang Ke; Guo Zhenghong; Chen Nailu [School of Materials Science and Engineering, Shanghai Jiao Tong University, Shanghai 200240 (China); Rong Yonghua, E-mail: yhrong@sjtu.edu.cn [School of Materials Science and Engineering, Shanghai Jiao Tong University, Shanghai 200240 (China)

2012-08-30

Highlights: Black-Right-Pointing-Pointer A new DARA effect in the bainitic steel is proposed. Black-Right-Pointing-Pointer The conditions of DARA effect are proposed. Black-Right-Pointing-Pointer The mechanism of retained austenite on ductility enhancement is clarified. - Abstract: A designed high strength bainitic steel with considerable amount of retained austenite is presented in order to study the effect of retained austenite on the ductility enhancement in bainitic steels. Transformation induced plasticity (TRIP) effect is verified by both X-ray diffraction (XRD) measurement of retained austenite fraction in various deformation stages and transmission electron microscopy observation of the deformed twin-type martensite. Results from XRD line profile analysis reveal that the average dislocation density in bainite during the deformation is lower than that before deformation, and such a phenomenon can be explained by a new effect, dislocations absorption by retained austenite (DARA) effect, based on our previous investigation of martensitic steels. DARA effect availably enhances the compatibility of deformation ability of bainite with retained austenite. In view of microstructure similarity of bainitic steels with martensitic steels, the conditions of DARA effect are proposed. The effects of retained austenite on the ductility enhancement in bainitic steels are clarified.

Nuclear safety approach for PWRs design and operation

International Nuclear Information System (INIS)

Vignon, D.

1988-01-01

The implementation of France's major nuclear programme - 56 PWR units in service or under construction - has gone hand in hand with the development of an original philosophy in the field of nuclear safety. From an initial core of deterministic safety philosophy current in the seventies, which has been wholly retained and in some instances refined, a range of additions has been made to include consideration of a number of additional situations based on a probabilistic approach. This has resulted in a better coherence for safety and a mitigation of the severe accident probability. Furthermore, the establishment of emergency plans has enabled the Safety Authorities and the operator to adopt a coherent and logical approach to severe accidents with the aim of achieving greater defence in depth, this has resulted in the provision of certain additional measures designed to further reduce the consequences of severe accidents. This paper describes the culmination of this work, as exemplified in the new 1 400MWe - N4 advanced plant series currently under construction, of which the essential elements are also incorporated into all previous units, thereby giving them an equivalent level of safety. This now constitutes the French safety policy with respect to PWR nuclear units

Doing Knowledge Transfer: Engaging Management and Labor with Research on Employee Health and Safety

Science.gov (United States)

Kramer, Desre M.; Cole, Donald C.; Leithwood, Kenneth

2004-01-01

In workplace health interventions, engaging management and union decision makers is considered important for the success of the project, yet little research has described the process of making this happen. A case study of a knowledge-transfer process is presented to describe the practices and processes adopted by a knowledge broker who engaged…

Development of a Framework for Attracting and Retaining Women in Construction Practice

Directory of Open Access Journals (Sweden)

K.J. Adogbo

2015-01-01

Full Text Available Previous research has indicated that women are significantly under-represented in the Nigerian construction industry and that female undergraduates face barriers that deter them from engaging in construction practice. This research examined the barriers faced by female undergraduates in the construction disciplines at Nigerian Universities. The research adopted the use of a questionnaire and semi-structured interviews. A total of 360 questionnaires were distributed, and 259 (71.94% were returned and used in the analysis. The semi-structured interviews were conducted with 50 female students and 16 women across the professions of Architecture, Building, Civil Engineering and Quantity Surveying. The results revealed that the undergraduates perceived the construction practice to be synonymous with site activities and that family responsibility posed the greatest barrier to their participation. The strategies identified by the women in practice included active participation in the activity of professional bodies and seeking a mentor. It was concluded that female graduates can be attracted to the industry, but efforts need to be put in place to successfully implement the strategies identified by the professional women. A framework that addresses gender issues in attracting and retaining graduates in the construction practice was developed to help women plan their career in the industry.

A survey of failed post-retained restorations

DEFF Research Database (Denmark)

Peutzfeldt, A; Sahafi, A; Asmussen, E

2008-01-01

Survival of endodontically treated, post-restored teeth depends on a multitude of factors, all of which are practically impossible to include in a randomized, controlled clinical study. The purpose of this survey was to characterize and analyze reported failures of post-retained restorations...

Ending on a positive: Examining the role of safety leadership decisions, behaviours and actions in a safety critical situation.

Science.gov (United States)

Donovan, Sarah-Louise; Salmon, Paul M; Horberry, Timothy; Lenné, Michael G

2018-01-01

Safety leadership is an important factor in supporting safe performance in the workplace. The present case study examined the role of safety leadership during the Bingham Canyon Mine high-wall failure, a significant mining incident in which no fatalities or injuries were incurred. The Critical Decision Method (CDM) was used in conjunction with a self-reporting approach to examine safety leadership in terms of decisions, behaviours and actions that contributed to the incidents' safe outcome. Mapping the analysis onto Rasmussen's Risk Management Framework (Rasmussen, 1997), the findings demonstrate clear links between safety leadership decisions, and emergent behaviours and actions across the work system. Communication and engagement based decisions featured most prominently, and were linked to different leadership practices across the work system. Further, a core sub-set of CDM decision elements were linked to the open flow and exchange of information across the work system, which was critical to supporting the safe outcome. The findings provide practical implications for the development of safety leadership capability to support safety within the mining industry. Copyright © 2017 Elsevier Ltd. All rights reserved.

An appraisal of retained placentae in Ibadan: a five year review ...

African Journals Online (AJOL)

During the study period, 4980 deliveries took place at the University College Hospital, Ibadan and 106 cases of retained placenta were managed making the incidence 2.13 per cent of all births. Results: During the five year period, there were 106 patients with retained placenta; of these, 90 (84.9%) case notes were ...

Model Tests on the Retaining Walls Constructed from Geobags Filled with Construction Waste

OpenAIRE

Wen, Hua; Wu, Jiu-jiang; Zou, Jiao-li; Luo, Xin; Zhang, Min; Gu, Chengzhuang

2016-01-01

Geobag retaining wall using construction waste is a new flexible supporting structure, and the usage of construction waste to fill geobags can facilitate the construction recycling. In this paper, model tests were performed on geobag retaining wall using construction waste. The investigation was concentrated on the slope top settlement, the distribution characteristics of the earth pressures on retaining walls and horizontal wall displacements, and slope failure modes. The results indicated t...

Designing a Community Engagement Framework for a New Dengue Control Method: A Case Study from Central Vietnam

Science.gov (United States)

McNaughton, Darlene; Duong, Thi Thu Huong

2014-01-01

Background The Wolbachia strategy aims to manipulate mosquito populations to make them incapable of transmitting dengue viruses between people. To test its efficacy, this strategy requires field trials. Public consultation and engagement are recognized as critical to the future success of these programs, but questions remain regarding how to proceed. This paper reports on a case study where social research was used to design a community engagement framework for a new dengue control method, at a potential release site in central Vietnam. Methodology/Principal Findings The approach described here, draws on an anthropological methodology and uses both qualitative and quantitative methods to design an engagement framework tailored to the concerns, expectations, and socio-political setting of a potential trial release site for Wolbachia-infected Aedes aegypti mosquitoes. The process, research activities, key findings and how these were responded to are described. Safety of the method to humans and the environment was the most common and significant concern, followed by efficacy and impact on local lives. Residents expected to be fully informed and engaged about the science, the project, its safety, the release and who would be responsible should something go wrong. They desired a level of engagement that included regular updates and authorization from government and at least one member of every household at the release site. Conclusions/Significance Results demonstrate that social research can provide important and reliable insights into public concerns and expectations at a potential release site, as well as guidance on how these might be addressed. Findings support the argument that using research to develop more targeted, engagement frameworks can lead to more sensitive, thorough, culturally comprehensible and therefore ethical consultation processes. This approach has now been used successfully to seek public input and eventually support for releases Wolbachia

The effects of retained austenite on dry sliding wear behavior of carburized steels

Energy Technology Data Exchange (ETDEWEB)

Kim, Hyung-Jun [Research Inst. of Industrial Science and Technology, Steel Products Dept., Pohang (Korea, Republic of); Kweon, Young-Gak [Research Inst. of Industrial Science and Technology, Steel Products Dept., Pohang (Korea, Republic of)

1996-04-01

Ring-on-square tests on two kinds of low-alloy carburized steel which were AISI 8620 and 4140 were carried out to study the dry sliding wear behavior. The influence of different retained austenite level of 6% to 40% was evaluated while trying to eliminate other factors. Test results show that the effects of grain size and carburized steel species are negligible in dry sliding wear behavior. While the influence of retained austenite is negligible at 20 kg load condition, wear resistance is decreased at 40 kg load condition as the retained austenite level is increased from 6% to 30%. However, wear resistance is again increased above about 30% of retained austenite level at 40 kg load condition. (orig.)

Durable improvements in efficiency, safety, and satisfaction in the operating room.

Science.gov (United States)

Heslin, Martin J; Doster, Barbara E; Daily, Sandra L; Waldrum, Michael R; Boudreaux, Arthur M; Smith, A Blair; Peters, Glenn; Ragan, Debbie B; Buchalter, Scott; Bland, Kirby I; Rue, Loring W

2008-05-01

Enhanced productivity and efficiency in the operating room must be balanced with patient safety and staff satisfaction. In December 2004, transition to an expanded replacement hospital resulted in mandatory overtime, unpredictable work hours, and poor morale among operating room (OR) staff. A staff-retention crisis resulted, which threatened the viability of the OR and the institution. We report the changes implemented to efficiently deliver safe patient care in a supportive environment for surgeons and OR staff. University of Alabama at Birmingham University Hospital OR data were evaluated for fiscal year 2004 and compared with fiscal years 2005 and 2006. Case volumes, number of operational ORs, and on-time case starts were evaluated. OR adverse events were tabulated. Percentage of registered nurse hires and staff departures served as a proxy for staff satisfaction. Short, intermediate, and longterm strategies were implemented by an engaged OR management committee with the guidance of surgical, anesthesia, and hospital leadership. These included new block time release policies; use of traveling nurses until new staff could be hired and trained; and incentive-based, voluntary, employee-scheduled overtime. Mandatory nursing education time was blocked weekly. Enforcement of the National Patient Safety Goals were implemented and adjudicated with a "surgeon-of-the-day" system providing backup for nurse management. We demonstrated an increase in operations per year, on-time starts, and registered nurse hires in fiscal years 2005 and 2006. During this same time, we were able to markedly decrease the number of adverse events, admitting delays, and staff departures. Change is difficult to accept but essential when vital clinical activities are impaired and at risk. To maintain important clinical environments like the OR in an academic center, we developed and implemented effective, data-driven changes. This allowed us to retain critical human resources and restore a

A Market-Driven Approach to Retaining Talent.

Science.gov (United States)

Cappelli, Peter

2000-01-01

Employee retention must be rethought in a free-agent market. Compensation can shape who leaves and stays. Job design and customization can tailor jobs to employee needs. Encouraging social ties among colleagues and selecting appealing locations for workplaces are other ways to retain talented workers. (SK)

Acute care patients discuss the patient role in patient safety.

Science.gov (United States)

Rathert, Cheryl; Huddleston, Nicole; Pak, Youngju

2011-01-01

Patient safety has been a highly researched topic in health care since the year 2000. One strategy for improving patient safety has been to encourage patients to take an active role in their safety during their health care experiences. However, little research has shed light on how patients view their roles. This study attempted to address this deficit by inductively exploring the results of a qualitative study in which patients reported their ideas about what they believe their roles should be. Patients with an overnight stay in the previous 90 days at one of three hospitals were surveyed using a mailing methodology. Of 1,040 respondents, 491 provided an open-ended response regarding what they believe the patient role should be. Qualitative analysis found several prominent themes. The largest proportion of responses (23%) suggested that patients should follow instructions given by care providers. Other prominent themes were that patients should ask questions and become informed about their conditions and treatments, and many implied that they should expect competent care. Our results suggest that patients believe they should be able to trust that they are being provided competent care, as opposed to assuming a leadership role in their safety. Our results suggest that engaging patients in safety efforts may be complex, requiring a variety of strategies. Managers must provide environments conducive to staff and patient interactions to support patients in this effort. Different types of patients may require different engagement strategies.

RETENTION OF EDUCATORS: THE ROLE OF LEADERSHIP, EMPOWERMENT AND WORK ENGAGEMENT

Directory of Open Access Journals (Sweden)

A. S. Stander

2016-01-01

Full Text Available The teaching context in South Africa is continuously transforming. Consequently,there are numerous challenges that educators haveto face, such asa lack of resourcesand funds, teacher turnover, dealing with discipline, lack of learner motivation andshortageof skilled personnel. It can be expected that educators will be negativelyinfluenced by the above challenges and will therefore show turnover propensity,require the education profession to re-think and re-design its existing managementprocesses in order to retain staff. The aim of this research was to investigate theextent to which leader empowerment behaviour(LEB, psychological empowerment(PEand work engagement(WEpredict educators’ intentions to leave(ILtheteaching profession. A cross-sectional survey design was used to achieve theresearch objectives, utilisingfour standardised questionnaires, namely the LeaderEmpowering Behaviour Questionnaire, Measuring Empowerment Questionnaire,Work Engagement Survey and Intention to Leave Questionnaire. Results showed thatsignificant positive correlations werefound between LEB, PE, WEand negativerelations between ILand the other constructs. LEB and PE predicteda highpercentage of the variance in WE,whileLEB, PE, and WE predicted 28% of thevariance inIL. PE indirectly influenced the relationship between LEB and WE, whileWE had an indirect effect on the relationship between LEB and IL. The resultsindicate that school principals that empower educators can playa significant role ineducators’ wellness and their willingness to stay in the profession.

Magnet retained cheek plumper in complete denture esthetics: a case report.

Directory of Open Access Journals (Sweden)

Suryakant Chhagan Deogade

2014-02-01

Full Text Available This clinical report describes a technique to improve support for sunken cheeks using magnet retained detachable acrylic cheek plumpers. The new generation of magnets with improved technology provides sufficient denture retention for clinical application. However, further follow-up may be necessary to ascertain the long-term usefulness of the magnet-retained prosthesis, because of corrosion and further loss of magnetism.

Patient safety: break the silence.

Science.gov (United States)

Johnson, Hope L; Kimsey, Diane

2012-05-01

A culture of patient safety requires commitment and full participation from all staff members. In 2008, results of a culture of patient safety survey conducted in the perioperative division of the Lehigh Valley Health Network in Pennsylvania revealed a lack of patient-centered focus, teamwork, and positive communication. As a result, perioperative leaders assembled a multidisciplinary team that designed a safety training program focusing on Crew Resource Management, TeamSTEPPS, and communication techniques. The team used video vignettes and an audience response system to engage learners and promote participation. Topics included using preprocedural briefings and postprocedural debriefings, conflict resolution, and assertiveness techniques. Postcourse evaluations showed that the majority of respondents believed they were better able to question the decisions or actions of someone with more authority. The facility has experienced a marked decrease in the number of incidents requiring a root cause analysis since the program was conducted. Copyright © 2012 AORN, Inc. Published by Elsevier Inc. All rights reserved.

A guide to public engagement and appropriate dispute resolution

Energy Technology Data Exchange (ETDEWEB)

Jonsson, C.

2006-10-15

This guide was developed to help oil and gas companies operating in British Columbia to understand what tools are available to them when entering a public engagement process. It describes the BC Oil and Gas Commission's (OGC's) expectations regarding public engagement and appropriate dispute resolutions (ADR) associated with applications for oil and gas exploration, development and production in the province. The OGC's comprehensive application review process is designed to balance environmental, economic and social factors. The public engagement process is intended to allow the public to express concerns about how proposed oil and gas operations may affect them. This document also emphasized the government's responsibility to consult with First Nations on their treaty rights. The guide presented key concepts and best practices in the public engagement process and explained how to engage participants before, during and after application decisions are made. The OGC may impose conditions on the applicant to mitigate concerns of the affected public. The concerns typically range from noise of oil and gas machinery; air pollution; concern for health and safety; traffic control; water quality; and, aesthetics. A table of possible mitigative measures to these concerns was presented to demonstrate some options that may be used by industry and the affected public in resolving issues related to oil and gas activities. The OGC promotes the independent resolution of concerns. However, if conflicts exist, the OGC encourages participants to use appropriate dispute resolution (ADR) to help resolve any differences. Although participation in ADR is voluntary, its use allows affected parties to gain a sense of ownership over the proceedings and outcomes. In addition to being less costly than legal proceedings, ADR can lead to win-win outcomes, improve relationships and lead to more routine applications for oil and gas activities. refs., tabs., figs.

Maintenance of safety behaviors via response-produced stimuli.

Science.gov (United States)

Angelakis, Ioannis; Austin, Jennifer L

2015-11-01

Animal studies suggest that safety behaviors may be maintained by internally or externally produced safety signals, which function as positive reinforcers. We designed two experiments to test this phenomenon with humans. Participants played a computerized game in which they could earn or lose treasures by clicking on a map. In baseline, losses could be postponed by pressing a pedal that also produced a blue bar at the bottom of the screen. During test conditions, no losses were programmed, and pedal presses turned the bar from yellow to blue (Test 1) or blue to yellow (Test 2). In Experiment 2, new participants were exposed to the same conditions but were given information about the safety of the test environment. In both experiments, participants engaged in high rates of pedal pressing when presses were followed by blue bars, suggesting the bar functioned as a safety signal. We discuss how these findings may relate to safety behaviors commonly observed in certain mental health disorders. © The Author(s) 2015.

Effects of the Smartphone Application "Safe Patients" on Knowledge of Patient Safety Issues Among Surgical Patients.

Science.gov (United States)

Cho, Sumi; Lee, Eunjoo

2017-12-01

Recently, the patient's role in preventing adverse events has been emphasized. Patients who are more knowledgeable about safety issues are more likely to engage in safety initiatives. Therefore, nurses need to develop techniques and tools that increase patients' knowledge in preventing adverse events. For this reason, an educational smartphone application for patient safety called "Safe Patients" was developed through an iterative process involving a literature review, expert consultations, and pilot testing of the application. To determine the effect of "Safe Patients," it was implemented for patients in surgical units in a tertiary hospital in South Korea. The change in patients' knowledge about patient safety was measured using seven true/false questions developed in this study. A one-group pretest and posttest design was used, and a total of 123 of 190 possible participants were tested. The percentage of correct answers significantly increased from 64.5% to 75.8% (P effectively improve patients' knowledge of safety issues. This will ultimately empower patients to engage in safe practices and prevent adverse events related to surgery.

Early Decomposition of Retained Heavy Silicone Oil Droplets

Directory of Open Access Journals (Sweden)

Touka Banaee

2012-01-01

Full Text Available Purpose: To report a case of early decomposition of retained heavy silicone oil droplets. Case Report: The single highly myopic eye of a 16-year-old boy with history of scleral buckling and buckle revision developed redetachment due to inferior retinal dialysis. The patient underwent pars plana vitrectomy and injection of heavy silicone oil. Early emulsification of the silicone oil was observed following surgery, which was removed 4 weeks later in another operation. Retained heavy silicone droplets lost their heavier- than-water specific gravity within 2 months together with extensive iris depigmentation, and release of pigment granules into the anterior chamber and vitreous cavity. Conclusion: This case report demonstrates that heavy silicone oil droplets can undergo in vivo chemical decomposition with possible toxic effects on ocular tissues.

The cyclops lesion after bicruciate-retaining total knee replacement

Directory of Open Access Journals (Sweden)

Mark A. Klaassen, MD, FACS

2017-12-01

Full Text Available The cyclops lesion is a localized anterior arthrofibrosis most commonly seen following anterior cruciate ligament reconstruction. The lesion forms at the anterior cruciate ligament insertion creating a painful extension block between femoral intercondylar notch and tibial plateau. We present 2 cases (3 knees in which cyclops lesions appeared atypically following bicruciate-retaining total knee replacement. Two lesions occurred in a single patient following bilateral knee replacement. One lesion occurred in an active sportswoman. All 3 resolved following arthroscopic debridement. We describe the presentation of this unusual complication and suggest keys to its diagnosis, treatment, and prevention. Keywords: Cyclops lesion, Bicruciate-retaining, Total knee arthroplasty, Extension deficit

Successes, Challenges and Lessons Learned for Recruiting, Engaging and Preparing a Diverse Student Population for 21st Century Careers in Ocean Sciences.

Science.gov (United States)

Clarkston, B. E.; Garza, C.

2015-12-01

Diversity within the Ocean Sciences workforce is still underperforming relative to other scientific disciplines, a problem that will be only be solved by recruiting, engaging and retaining a more diverse student population. The Monterey Bay Regional Ocean Science Research Experiences for Undergraduates program is housed at California State University, Monterey Bay (CSUMB), an HSI with strong connections to multiple regional community colleges and other Predominantly Undergraduate Institutions (PUIs) in the CSU system. From this unique position, 11 sophomore and junior-level undergraduate students are recruited per year from academic institutions where research opportunities in STEM are limited and from groups historically underrepresented in the Ocean Sciences, including women, underrepresented minorities, persons with disabilities, and veterans. During the program, students engage in a 10-week original research project guided by a faculty research mentor in one of four themes: Oceanography, Marine Biology and Ecology, Ocean Engineering, and Marine Geology. In addition to research, students engage in rigorous weekly professional development workshops in which they practice critical thinking, ethical decision-making, peer review, writing and oral communication skills. These workshops include tangible products such as an NSF-style proposal paper, Statement of Purpose and CV modelled for the SACNAS Travel Award Application, research abstract, scientific report and oral presentation. To help retain students in Ocean Sciences, students build community during the REU by living together in the CSUMB dormitories; post-REU, students stay connected through an online facebook group, LinkedIn page and group webinars. To date, the REU has supported 22 students in two cohorts (2014, 2015) and here we present successes, challenges and lessons learned for a program designed to prepare students for 21st century Ocean Science careers.

Radiation safety standards : an environmentalist's approach

International Nuclear Information System (INIS)

Murthy, M.S.S.S.

1977-01-01

An integrated approach to the problem of environmental mutagenic hazards leads to the recommendation of a single dose-limit to the exposure of human beings to all man-made mutagenic agents including chemicals and radiation. However, because of lack of : (1) adequate information on chemical mutagens, (2) sufficient data on their risk estimates and (3) universally accepted dose-limites, control of chemical mutagens in the environment has not reached that advanced stage as that of radiation. In this situation, the radiation safety standards currently in use should be retained at their present levels. (M.G.B.)

Health matters in hiring and retaining personnel

NARCIS (Netherlands)

Houtman, I.L.D.

2014-01-01

Health is the most important issue when an employer is deciding whether to hire a worker, according to a new study from the Netherlands. The research looked at the results of a ‘vignette’ study on employer preferences when hiring or retaining personnel. It also showed that when an employer is

Bicycle safety education for children from a developmental and learning perspective.

Science.gov (United States)

2014-01-01

When children ride bicycles in and near traffic, they engage in a complicated task of combining motor skills and cognitive skills. In addition to developing bicycle-handling skills, bicycle safety education programs teach children how to ride safely ...

Failure evolution in granular material retained by rigid wall in active mode

Science.gov (United States)

Pietrzak, Magdalena; Leśniewska, Danuta

2012-10-01

This paper presents a detailed study of a selected small scale model test, performed on a sample of surrogate granular material, retained by a rigid wall (typical geotechnical problem of earth thrust on a retaining wall). The experimental data presented in this paper show that the deformation of granular sample behind retaining wall can undergo some cyclic changes. The nature of these cycles is not clear - it is probably related to some micromechanical features of granular materials, which are recently extensively studied in many research centers in the world. Employing very precise DIC (PIV) method can help to relate micro and macro-scale behavior of granular materials.

Knowledge and attitude of dentists toward implant retained ...

African Journals Online (AJOL)

2014-09-13

Sep 13, 2014 ... and 80% of GDP used SRR in <50% and <25% of their implant practice respectively. ..... micro‑gap formation resulting in plaque accumulation and .... opening in screw‑or cement‑retained implant fixed partial denture designs.

Prediction of retained residual stresses in laboratory fracture mechanics specimens extracted from welded components

International Nuclear Information System (INIS)

Hurlston, R.G.; Sherry, A.H.; James, P.; Sharples, J.K.

2015-01-01

The measurement of weld material fracture toughness properties is important for the structural integrity assessment of engineering components. However, welds can contain high levels of residual stress and these can be retained in fracture mechanics specimens, particularly when machined from non-stress relieved welds. Retained residual stresses can make the measurement of valid fracture toughness properties difficult. This paper describes the results of analytical work undertaken to investigate factors that can influence the magnitude and distribution of residual stresses retained in fracture mechanics specimen blanks extracted from as-welded ferritic and austenitic stainless steel plates. The results indicate that significant levels of residual stress can be retained in specimen blanks prior to notching, and that the magnitude and distribution of stress is dependent upon material properties, specimen geometry and size, and extraction location through the thickness of the weld. Finite element modelling is shown to provide a useful approach for estimating the level and distributions of retained residual stresses. A new stress partitioning approach has been developed to estimate retained stress levels and results compare favourably with FE analysis and available experimental data. The approach can help guide the selection of specimen geometry and machining strategies to minimise the level of residual stresses retained in fracture mechanics specimen blanks extracted from non stress-relieved welds and thus improve the measurement of weld fracture toughness properties. - Highlights: • A simplified method for generating realistic weld residual stresses has been developed. • It has been shown that significant levels of residual stress can be retained within laboratory fracture mechanics specimens. • The level and distribution is dependant upon material, specimen type, specimen size and extraction location. • A method has been developed to allow estimates of the

Temperature actuated automatic safety rod release

International Nuclear Information System (INIS)

Hutter, E.; Pardini, J.A.; Walker, D.E.

1987-01-01

This patent describes a nuclear reactor having a core, a safety rod for downward insertion into and upward withdrawal from the core, a drive shaft for supporting and operating the safety rod, and drive means connected to the drive shaft for operating the shaft. An apparatus is described for releasably supporting the safety rod, the apparatus comprising an upper adapter adapted to be affixed to the upper end of the safety rod, the upper adapter having a retention means, a lower portion on the drive shaft and having a hollow interior for housing the upper adapter, a bimetallic means supported within the hollow interior of the lower portion and having at least one ledge which engages the retention means to support the upper adapter, the bimetallic means being a substantially cylindrical bimetallic member for receiving the upper adapter in a generally coaxial relation, the substantially cylindrical bimetallic member comprising an inner layer and an outer layer, and the inner layer having a greater coefficient of thermal expansion than the outer layer

[Application of single-retainer all-ceramic resin-bonded fixed partial denture in replacing single anterior tooth].

Science.gov (United States)

Lili, Yang; Debiao, Du; Ruoyu, Ning; Deying, Chen; Junling, Wu

2017-08-01

Objective In this study, we aimed to evaluate the clinical effect of single-retainer all-ceramic resin-bonded fixed partial denture (RBFPD) on the single anterior tooth loss patients. Methods A total of 20 single-retainer all-ceramic RBFPD
were fabricated and evaluated in a two-year follow-up observation. The restorations were examined on the basis of the American Public Health Association (APHA) criteria. Results A total of 20 single-retainer all-ceramic RBFPD achieved class A evaluation after a six-month follow-up observation. One single-retainer all-ceramic RBFPD was classified as class B for secondary caries after a one-year follow-up observation. After a two-year follow-up observation, one single-retainer all-ceramic RBFPD was classified as class B because of secondary caries, and one single-retainer all-ceramic RBFPD was classified as class B because of fracture. Conclusion Single-retainer all-ceramic RBFPD is a promising and optional method in replacing single anterior tooth.

Examining the Relationship of an All-Cause Harm Patient Safety Measure and Critical Performance Measures at the Frontline of Care.

Science.gov (United States)

Sammer, Christine; Hauck, Loran D; Jones, Cason; Zaiback-Aldinger, Julie; Li, Michael; Classen, David

2018-02-07

In 2015, the Institute of Medicine Vital Signs report called for a new patient safety composite measure to lessen the reporting burden of patient harm. Before this report, two patient safety organizations had developed an electronic all-cause harm measurement system leveraging data from the electronic health record, which identified and grouped harms into five broad categories and consolidated them into one all-cause harm outcome measure. The objective of this study was to examine the relationship between this all-cause harm patient safety measure and the following three performance measures important to overall hospital safety performance: safety culture, employee engagement, and patient experience. We studied the relationship between all-cause harm and three performance measures on eight inpatient care units at one hospital for 7 months. The findings demonstrated strong correlations between an all-cause harm measure and patient safety culture, employee engagement, and patient experience at the hospital unit level. Four safety culture domains showed significant negative correlations with all-cause harm at a P value of 0.05 or less. Six employee engagement domains were significantly negatively correlated with all-cause harm at a P value of 0.01 or less, and six of the ten patient experience measures were significantly correlated with all-cause harm at a P value of 0.05 or less. The results show that there is a strong relationship between all-cause harm and these performance measures indicating that when there is a positive patient safety culture, a more engaged employee, and a more satisfying patient experience, there may be less all-cause harm.This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND), where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the

New vision of the control organisms in industrial safety and maintenance, based approach to new pressure equipment

International Nuclear Information System (INIS)

Bernardez Garcia, A.

2010-01-01

Control agencies are companies dedicated to the verification of compliance with the safety of products and facilities as administrative regulation in industrial safety through certification activities, testing, inspection or audit.Changes have been made that will stimulate the increase of companies engaged in this sector.

76 FR 54531 - Pipeline Safety: Potential for Damage to Pipeline Facilities Caused by the Passage of Hurricanes

Science.gov (United States)

2011-09-01

... prescribed in Sec. 195.452(h).'' Operators of shallow-water gas and hazardous liquid pipelines in the Gulf of... pipeline safety: 1. Identify persons who normally engage in shallow-water commercial fishing, shrimping... DEPARTMENT OF TRANSPORTATION Pipeline and Hazardous Materials Safety Administration [Docket No...

The micro-processor controlled process radiation monitoring system for reactor safety systems

International Nuclear Information System (INIS)

Mizuno, K.; Noguchi, A.; Kumagami, S.; Gotoh, Y.; Kumahara, T.; Arita, S.

1986-01-01

Digital computers are soon expected to be applied to various real-time safety and safety-related systems in nuclear power plants. Hitachi is now engaged in the development of a micro-processor controlled process radiation monitoring system, which operates on digital processing methods employed with a log ratemeter. A newly defined methodology of design and test procedures is being applied as a means of software program verification for these safety systems. Recently implemented micro-processor technology will help to achieve an advanced man-machine interface and highly reliable performance. (author)

15 CFR 762.2 - Records to be retained.

Science.gov (United States)

2010-01-01

..., Statement by Ultimate Consignee and Purchaser; (17) § 748.13, Delivery Verification (DV); (18) § 748.2(c... to be retained; (38) § 764.2, Violations; (39) § 764.5, Voluntary self-disclosure; and (40) § 766.10...

The promotion of work safety. A continuous task for the Swiss gas industry

International Nuclear Information System (INIS)

Luescher, H.J.

1993-01-01

The modern Western European population values the work safety very highly because of ethical and economical reasons. In Switzerland too, safety at work is actively promoted. Based on national legislation and on the SGWA-Association Statutes, the Swiss Gas Industry, with great engagement, promotes the measures for accident prevention. Following a general introduction into the legislative basis, possible ways and means for the promotion of safety at work are described. Subsequently, the concrete activities of the Gas Supply Authorities and the SGWA are pointed out, followed by a description of the future work-safety programmes of the Swiss Gas Industry. (orig.) [de

Evaluation of a workplace engagement project for people with younger onset dementia.

Science.gov (United States)

Robertson, Jacinta; Evans, David

2015-08-01

In 2011, a workplace project was established to provide a small group of people who had younger onset dementia with the opportunity to return to the workplace. The project sought to explore the feasibility and safety of engaging these younger people in workplace activities if an appropriate framework of support was provided. Opportunities to engage in meaningful activities are quite limited for younger people with dementia because services are targeted at an older client population. A qualitative exploratory approach was used for the project evaluation. Participants were people who were 65 years or younger and had a diagnosis of dementia. They attended a large metropolitan hardware store one day per week and worked beside a store employee for a four hour work shift. Evaluation of the project included observation of participant's engagement in the workplace, adverse events and a qualitative analysis that used participant-nominated good project outcomes. Nine people with a mean age of 58·8 years participated in the project. Six of these participants have been engaged at the workplace for more than two years. All participants were able to gain the skills needed to complete their respective work duties. Participants initially assisted with simple work tasks, but over time, they were able to expand their range of duties to include more complex activities such as customer sales. Participants achieved their nominated good outcomes of improved well-being, engaging in worthwhile activities, contributing to society and socialisation. The evaluation has shown that this workplace programme is a viable model of engagement for younger people with dementia. This evaluation offers a practical demonstration that it is feasible and safe to provide opportunities for younger people with dementia to engage in meaningful activities in the community if appropriate support is provided. © 2015 John Wiley & Sons Ltd.

Implementation of a protocol to reduce occurrence of retained sponges after vaginal delivery.

Science.gov (United States)

Lutgendorf, Monica A; Schindler, Lynnett L; Hill, James B; Magann, Everett F; O'Boyle, John D

2011-06-01

Retained sponges (gossypiboma) following vaginal delivery are an uncommon occurrence. Although significant morbidity from such an event is unlikely, there are many reported adverse effects, including symptoms of malodorous discharge, loss of confidence in providers and the medical system, and legal claims. To report a protocol intended to reduce the occurrence of retained sponges following vaginal delivery. After identification of limitations with existing delivery room protocols, we developed a sponge count protocol to reduce occurrence of retained vaginal sponges. We report our experience at Naval Medical Center Portsmouth, a large tertiary care military treatment facility with our efforts to implement a sponge count protocol to reduce retained sponges following vaginal delivery. With appropriate pre-implementation training, protocols which incorporate post-delivery vaginal sweep and sponge counts are well accepted by the health care team and can be incorporated into the delivery room routine.

Technical Safety Appraisal of the Lawrence Livermore National Laboratory

Energy Technology Data Exchange (ETDEWEB)

1990-12-01

This report documents the results of the Technical Safety Appraisal (TSA) of the Lawrence Livermore National Laboratory (LLNL) (including the Site 300 area), Livermore, California, conducted from February 26 to April 5, 1990. The purpose of the assessment was to provide the Secretary of Energy with the status of Environment, Safety and Health (ES H) Programs at LLNL. LLNL is operated by the University of California for the Department of Energy (DOE), and is a multi-program, mission-oriented institution engaged in fundamental and applied research programs that require a multidisciplinary approach. 1 fig.

Chronic Actinomyces Infection Caused by Retained Cervical Cerclage: A Case Report.

Science.gov (United States)

Lyttle, Brianna; Johnson, Julia V

2016-01-01

Historically, Actinomyces infection has been associated primarily with the intrauterine device. Recently, case reports associating Actinomyces with other implants have been described, including nonwoven polypropylene mesh used for urethral slings and Mersilene cerclage placements. However, there are no reported cases of chronic Actinomyces infections associated with retained Mersilene cerclage. A 51-year-old woman, gravida 3, para 3, presented with a 10-year history of vaginal discharge and Actinomyces identified on endometrial biopsy. After failing medical treatment and undergoing a hysterectomy, the patient was found to have a retained Mersilene cerclage. This is the first case to report persistent Actinomyces infection with a retained Mersilene cerclage. No current recommendations exist for assessing full removal of cerclage. Clinicians should have a high suspicion of Actinomyces infection in a patient who presents with persistent vaginal discharge and history of cerclage placement.

Assessing the MR compatibility of dental retainer wires at 7 Tesla.

Science.gov (United States)

Wezel, Joep; Kooij, Bert Jan; Webb, Andrew G

2014-10-01

To determine the MR compatibility of common dental retainer wires at 7 Tesla in terms of potential RF heating and magnetic susceptibility effects. Electromagnetic simulations and experimental results were compared for dental retainer wires placed in tissue-mimicking phantoms. Simulations were then performed for a human model with wire in place. Finally, image quality was assessed for different scanning protocols and wires. Simulations and experimental data in phantoms agreed well, with the length of the wire correlating to maximum heating in phantoms being approximately 47 mm. Even in this case, no substantial heating occurs when scanning within the specific absorption rate (SAR) guidelines for the head. Image distortions from the most ferromagnetic dental wire were not significant for any brain region. Dental retainer wires appear to be MR compatible at 7 Tesla. Copyright © 2013 Wiley Periodicals, Inc.

Leader communication approaches and patient safety: An integrated model.

Science.gov (United States)

Mattson, Malin; Hellgren, Johnny; Göransson, Sara

2015-06-01

Leader communication is known to influence a number of employee behaviors. When it comes to the relationship between leader communication and safety, the evidence is more scarce and ambiguous. The aim of the present study is to investigate whether and in what way leader communication relates to safety outcomes. The study examines two leader communication approaches: leader safety priority communication and feedback to subordinates. These approaches were assumed to affect safety outcomes via different employee behaviors. Questionnaire data, collected from 221 employees at two hospital wards, were analyzed using structural equation modeling. The two examined communication approaches were both positively related to safety outcomes, although leader safety priority communication was mediated by employee compliance and feedback communication by organizational citizenship behaviors. The findings suggest that leader communication plays a vital role in improving organizational and patient safety and that different communication approaches seem to positively affect different but equally essential employee safety behaviors. The results highlights the necessity for leaders to engage in one-way communication of safety values as well as in more relational feedback communication with their subordinates in order to enhance patient safety. Copyright © 2015 Elsevier Ltd. and National Safety Council. Published by Elsevier Ltd. All rights reserved.

Improving Patient Safety: Improving Communication.

Science.gov (United States)

Bittner-Fagan, Heather; Davis, Joshua; Savoy, Margot

2017-12-01

Communication among physicians, staff, and patients is a critical element in patient safety. Effective communication skills can be taught and improved through training and awareness. The practice of family medicine allows for long-term relationships with patients, which affords opportunities for ongoing, high-quality communication. There are many barriers to effective communication, including patient factors, clinician factors, and system factors, but tools and strategies exist to address these barriers, improve communication, and engage patients in their care. Use of universal precautions for health literacy, appropriate medical interpreters, and shared decision-making are evidence-based tools that improve communication and increase patient safety. Written permission from the American Academy of Family Physicians is required for reproduction of this material in whole or in part in any form or medium.

People analytics in the era of big data changing the way you attract, acquire, develop, and retain talent

CERN Document Server

Isson, Jean Paul

2016-01-01

Apply predictive analytics throughout all stages of workforce management People Analytics in the Era of Big Data provides a blueprint for leveraging your talent pool through the use of data analytics. Written by the Global Vice President of Business Intelligence and Predictive Analytics at Monster Worldwide, this book is packed full of actionable insights to help you source, recruit, acquire, engage, retain, promote, and manage the exceptional talent your organization needs. With a unique approach that applies analytics to every stage of the hiring process and the entire workforce planning and management cycle, this informative guide provides the key perspective that brings analytics into HR in a truly useful way. You're already inundated with disparate employee data, so why not mine that data for insights that add value to your organization and strengthen your workforce? This book presents a practical framework for real-world talent analytics, backed by groundbreaking examples of workforce analytics in a...

Rehabilitation of maxillary arch with attachment-retained mesh-reinforced single complete denture

Science.gov (United States)

Vamsi Krishna, C H; Rao, A Kaleshwar; Sekhar, N Chandra; Shastry, Y Mahadev

2014-01-01

Fabrication of conventional complete dentures was one of the most commonly advised treatment options to mange edentulous patients since many years. One of the commonly encountered challenging tasks in prosthodontics is a clinical situation in which patients have maxillary completely edentulous arches opposing mandibular natural dentition. This situation can be effectively managed by retaining some of the natural teeth as overdenture abutments. Tooth supported overdenture retained by attachments will improve retention, support and stability, and reduces rate of ridge resorption along with psychological benefits to the patients by providing tactile sensation. The present case report describes management of patients with edentulous maxillary arch opposing natural mandibular dentition-rehabilitated attachment-retained mesh-reinforced overdenture. PMID:24574522

Rehabilitation of maxillary arch with attachment-retained mesh-reinforced single complete denture.

Science.gov (United States)

Vamsi Krishna, C H; Rao, A Kaleshwar; Sekhar, N Chandra; Shastry, Y Mahadev

2014-02-26

Fabrication of conventional complete dentures was one of the most commonly advised treatment options to mange edentulous patients since many years. One of the commonly encountered challenging tasks in prosthodontics is a clinical situation in which patients have maxillary completely edentulous arches opposing mandibular natural dentition. This situation can be effectively managed by retaining some of the natural teeth as overdenture abutments. Tooth supported overdenture retained by attachments will improve retention, support and stability, and reduces rate of ridge resorption along with psychological benefits to the patients by providing tactile sensation. The present case report describes management of patients with edentulous maxillary arch opposing natural mandibular dentition-rehabilitated attachment-retained mesh-reinforced overdenture.

33 CFR 96.340 - Safety Management Certificate: what is it and when is it needed?

Science.gov (United States)

2010-07-01

... Safety Management Certificate: what is it and when is it needed? (a) Your U.S. vessel engaged on a... 33 Navigation and Navigable Waters 1 2010-07-01 2010-07-01 false Safety Management Certificate: what is it and when is it needed? 96.340 Section 96.340 Navigation and Navigable Waters COAST GUARD...

Odynophagia following retained bee stinger

Directory of Open Access Journals (Sweden)

S Viswanathan

2012-01-01

Full Text Available Nearly half of Hymenoptera stings affect the head and neck region of victims, but reports on oropharyngeal bee stings are very few. We describe the case of a patient with odynophagia and suffocation in mass envenomation. He had a retained bee stinger whose removal was delayed for more than 24 hours following the sting, due to persisting angioedema. Odynophagia receded after removal of the stinger and treatment with paracetamol, steroids and metronidazole. The patient also developed rhabdomyolysis, renal failure and hepatitis that were treated with conservative therapy. Oropharyngeal stings can simulate symptoms of persisting angioedema in victims of mass envenomation.

Under-represented students' engagement in secondary science learning: A non-equivalent control group design

Science.gov (United States)

Vann-Hamilton, Joy J.

conducted. The reliability results prompted exploratory factory analyses, which resulted in two of the three subscale factors, cognitive and behavioral, being retained. One-within one-between subjects ANOVAs, independent samples t-test, and multiple linear regressions were also used to examine the impact of a multicultural science education, multimedia, and individual characteristics on students' engagement in science learning. Results. There were main effects found within subjects on posttest scores for the cognitive and behavioral subscales of student engagement. Both groups, using their respective versions of the multimedia science curriculum, reported increased engagement in science learning. There was also a statistical difference found for the experimental group at posttest on the measure of "online science was more interesting than school science." All five items unique to the posttest related to the multimedia variable were found to be significant predictors of cognitive and/or behavioral engagement. Conclusions. Engagement in science learning increased for both groups of participants; this finding is aligned with other significant research findings that more embracive and relevant pedagogies can potentially benefit all students. The significant difference found for the experimental group in relation to the multimedia usage was moderate and also may have reflected positive responses to other questions about the use of technology in science learning. As all five measures of multimedia usage were found to be significant predictors of student engagement in science learning, the indications were that: (a) technical difficulties did not impede engagement; (b) participants were better able to understand and visualize the physics concepts as they were presented in a variety of ways; (c) participants' abilities to use computers supported engagement; (d) participants in both groups found the online science curriculum more interesting compared to school science learning; and

Perceived Attributes of Factors Influencing Consumers’ Engagement with Electronic Banking

Directory of Open Access Journals (Sweden)

Taiwo Adewale Muritala

2012-08-01

Full Text Available This study intends to critically analyze the relationship between perceived attributes as factors and consumers’ engagement with electronic banking technology. A survey method was used to gather data from 200 secondary school teachers from five selected local government in South-Western part of Nigeria namely; Ibadan North, Egbeda, Ido, Ibadan North-East and Ibadan North-West Local government. Data was collected with a structured questionnaire and analyzed with several descriptive statistics to identify consumers’ engagement in electronic banking technology in Nigeria. The results of the study therefore reveals that the most common influential factors hindering consumers’ adoption of electronic banking in Nigeria are relative advantage of economic gains and non-economic gains, social character, communication behavior, trialability as well as observability. Hence, it therefore recommends that the banks should create channels through which customers’ awareness will be enhanced and employ IT trained personnel to monitor and report any fraudulent transaction in order to secure customers’ trust on safety risk/security.

Designing for user engagement

CERN Document Server

Geisler, Cheryl

2013-01-01

Designing for User Engagement on the Web: 10 Basic Principles is concerned with making user experience engaging. The cascade of social web applications we are now familiar with - blogs, consumer reviews, wikis, and social networking - are all engaging experiences. But engagement is an increasingly common goal in business and productivity environments as well. This book provides a foundation for all those seeking to design engaging user experiences rich in communication and interaction. Combining a handbook on basic principles with case studies, it provides readers with a ric

The role of psychological ownership in retaining talent: A systematic literature review

Directory of Open Access Journals (Sweden)

Chantal Olckers

2012-02-01

Full Text Available Orientation: Managing psychological ownership can have positive attitudinal and behavioural effects, promote organisational effectiveness and support talent retention.Research purpose: This paper seeks to explore and describe psychological ownership, distinguish it from other work-related attitudes and clarify the role that psychological ownership can play in retaining talent.Motivation for the study: Previous studies of human resource practices and organisational characteristics that affect organisational commitment and the retention of talent have reported that absent variables could be responsible for varied results. Psychological ownership could be one of them.Research design, approach and method: Based on a systematic review of the literature published over the last 20 years, the authors synthesised various research perspectives into a framework of psychological ownership and its links to retaining talent.Main findings: The authors found that psychological ownership was a comprehensive multidimensional construct. It is distinct from other work-related attitudes and seems capable of enabling organisations to retain the talents of skilled employees.Practical/managerial implications: Organisations can benefit from psychological ownership because it leads employees to feel responsible towards targets (like organisations and to show stewardship. It can help organisations to retain talent and influence the intentions of skilled employees to remain with their organisations.Contribution/value-add: Psychological ownership, as an integrated multidimensional construct, has expanded the existing theory about the organisational commitment and work-related attitudes that organisations need to retain talent in the 21st century.

The role of organizational trust in safety climate's influence on organizational outcomes.

Science.gov (United States)

Kath, Lisa M; Magley, Vicki J; Marmet, Matthew

2010-09-01

Based on elements of social exchange theory and other conceptualizations of trust, a model was developed situating organizational trust as a central component to the relationship that safety climate has with organizational outcomes. Specifically, the model specified that two facets of safety climate--upward safety communication and management attitudes toward safety--would be positively related to organizational trust. Increased levels of trust would then predict increased motivation to engage in safe job-related behaviors, increased job satisfaction, and decreased turnover intentions. Another hypothesis investigated whether job safety relevance would moderate the relationship between safety climate and trust. Online survey research was conducted with 599 employees from 97 work groups across a New England grocery store chain. Hierarchical linear modeling indicated support for trust mediating the relationship between safety climate and organizational outcomes; further, the relationship between safety climate and trust was stronger within work groups where safety was more relevant. 2009 Elsevier Ltd. All rights reserved.

Case studies in food microbiology for food safety and quality

National Research Council Canada - National Science Library

Royal Society of Chemistry (Great Britain); Pawsey, Rosa K

2002-01-01

... to engage in the learning process, and in so doing learn techniques for learning, and subsequently for applying knowledge. This has been more interesting for me, the teacher, and I think for the students too. This book has grown from my ten years teaching food microbiology and hygiene to post-graduate students in Food Safety and Control at South Bank University, London. It was the decade during which, in the UK, the national policies behind the management of food safety changed rapidly, and this me...

Effects of Geofoam Panels on Static Behavior of Cantilever Retaining Wall

OpenAIRE

Navid Hasanpouri Notash; Rouzbeh Dabiri

2018-01-01

Geofoam is one of the geosynthetic products that can be used in geotechnical applications. According to researches, expanded polystyrene (EPS) geofoam placed directly against a rigid retaining wall has been proposed as a strategy to reduce static loads on the wall. This study employed a finite difference analysis using a 2-D FLAC computer program by considering yielding and nonyielding states for retaining walls to explore the effectiveness of geofoam panels in improving the static performanc...

The impact of nursing work environments on patient safety outcomes: the mediating role of burnout/engagement.

Science.gov (United States)

Spence Laschinger, Heather K; Leiter, Michael P

2006-05-01

To test a theoretical model of professional nurse work environments linking conditions for professional nursing practice to burnout and, subsequently, patient safety outcomes. The 2004 Institute of Medicine report raised serious concerns about the impact of hospital restructuring on nursing work environments and patient safety outcomes. Few studies have used a theoretical framework to study the nature of the relationships between nursing work environments and patient safety outcomes. Hospital-based nurses in Canada (N = 8,597) completed measures of worklife (Practice Environment Scale of the Nursing Work Index), burnout (Maslach Burnout Inventory-Human Service Scale), and their report of frequency of adverse patient events. Structural equation modeling analysis supported an extension of Leiter and Laschinger's Nursing Worklife Model. Nursing leadership played a fundamental role in the quality of worklife regarding policy involvement, staffing levels, support for a nursing model of care (vs medical), and nurse/physician relationships. Staffing adequacy directly affected emotional exhaustion, and use of a nursing model of care had a direct effect on nurses' personal accomplishment. Both directly affected patient safety outcomes. The results suggest that patient safety outcomes are related to the quality of the nursing practice work environment and nursing leadership's role in changing the work environment to decrease nurse burnout.

Percutaneous Retrieval of a Retained Jackson-Pratt Drain Fragment

International Nuclear Information System (INIS)

Namyslowski, Jan; Halin, Neil J.; Greenfield, Alan J.

1996-01-01

A retained intraabdominal Jackson-Pratt drain fragment was percutaneously retrieved using an inflated angioplasty balloon that had been maneuvered inside of the drain lumen over a hydrophilic-coated steerable guidewire

Plutonium safety training course

International Nuclear Information System (INIS)

Moe, H.J.

1976-03-01

This course seeks to achieve two objectives: to provide initial safety training for people just beginning work with plutonium, and to serve as a review and reference source for those already engaged in such work. Numerous references have been included to provide information sources for those wishing to pursue certain topics more fully. The first part of the course content deals with the general safety approach used in dealing with hazardous materials. Following is a discussion of the four properties of plutonium that lead to potential hazards: radioactivity, toxicity, nuclear properties, and spontaneous ignition. Next, the various hazards arising from these properties are treated. The relative hazards of both internal and external radiation sources are discussed, as well as the specific hazards when plutonium is the source. Similarly, the general hazards involved in a criticality, fire, or explosion are treated. Comments are made concerning the specific hazards when plutonium is involved. A brief summary comparison between the hazards of the transplutonium nuclides relative to 239 Pu follows. The final portion deals with control procedures with respect to contamination, internal and external exposure, nuclear safety, and fire protection. The philosophy and approach to emergency planning are also discussed

Evaluation of the Effect of Axial Wall Modification and Coping Design on the Retention of Cement-retained Implant-supported Crowns

Science.gov (United States)

Derafshi, Reza; Ahangari, Ahmad Hasan; Torabi, Kianoosh; Farzin, Mitra

2015-01-01

Background and aims. Because of compromised angulations of implants, the abutments are sometimes prepared. The purpose of this study was to investigate the effect of removing one wall of the implant abutment on the retention of cement-retained crowns. Materials and methods. Four prefabricated abutments were attached to analogues and embedded in acrylic resin blocks. The first abutment was left intact. Axial walls were partially removed from the remaining abutments to produce abutments with three walls. The screw access channel for the first and second abutments were completely filled with composite resin. For the third and fourth abutments, only partial filling was done. Wax-up models were made by CAD/CAM. Ten cast copings were fabricated for each abutment. The copings of fourth abutment had an extension into the screw access channel. Copings were cemented with Temp Bond. The castings were removed from the abutment using an Instron machine, and the peak removal force was recorded. A one-way ANOVA was used to test for a significant difference followed by the pairwise comparisons. Results. The abutments with opened screw access channel had a significantly higher retention than the two other abutments. The abutment with removed wall and no engagement into the hole by the castings exhibited the highest retention. Conclusion. Preserving the opening of screw access channel significantly increases the retention where one of the axial walls of implant abutments for cement-retained restorations is removed during preparation. PMID:25973152

Engaging students and faculty: implications of self-determination theory for teachers and leaders in academic medicine.

Science.gov (United States)

Lyness, Jeffrey M; Lurie, Stephen J; Ward, Denham S; Mooney, Christopher J; Lambert, David R

2013-11-11

Much of the work of teachers and leaders at academic health centers involves engaging learners and faculty members in shared goals. Strategies to do so, however, are seldom informed by empirically-supported theories of human motivation. This article summarizes a substantial body of motivational research that yields insights and approaches of importance to academic faculty leaders. After identification of key limitations of traditional rewards-based (i.e., incentives, or 'carrots and sticks') approaches, key findings are summarized from the science of self-determination theory. These findings demonstrate the importance of fostering autonomous motivation by supporting the fundamental human needs for autonomy, competence, and relatedness. In turn, these considerations lead to specific recommendations about approaches to engaging autonomous motivation, using examples in academic health centers. Since supporting autonomous motivation maximizes both functioning and well-being (i.e., people are both happier and more productive), the approaches recommended will help academic health centers recruit, retain, and foster the success of learners and faculty members. Such goals are particularly important to address the multiple challenges confronting these institutions.

Illusory Speed is Retained in Memory during Invisible Motion

Directory of Open Access Journals (Sweden)

Luca Battaglini

2013-05-01

Full Text Available The brain can retain speed information in early visual short-term memory in an astonishingly precise manner. We investigated whether this (early visual memory system is active during the extrapolation of occluded motion and whether it reflects speed misperception due to contrast and size. Experiments 1A and 2A showed that reducing target contrast or increasing its size led to an illusory speed underestimation. Experiments 1B, 2B, and 3 showed that this illusory phenomenon is reflected in the memory of speed during occluded motion, independent of the range of visible speeds, of the length of the visible trajectory or the invisible trajectory, and of the type of task. These results suggest that illusory speed is retained in memory during invisible motion.

Mother-child conversations about safety: implications for socializing safety values in children.

Science.gov (United States)

O'Neal, Elizabeth E; Plumert, Jodie M

2014-05-01

This study examined how mothers socialize their children about safety through conversations about potentially unsafe activities. Mothers and their 8- and 10-year-old children discussed and rated the safety of 12 photographs depicting another same-gender child engaged in potentially dangerous activities. Conversations usually unfolded with children giving the first rating or rationale, followed by additional discussion between the mother and child. Mothers and children relied on 2 main types of rationales to justify their ratings: potential outcomes of the activity and specific features of the situation (dangerous and nondangerous). Mothers (but not children) used dangerous feature rationales more often than dangerous outcome rationales. When disagreements arose, mothers typically guided children to adopt their own rating rather than the child's rating. Additionally, children who used more nondangerous feature and outcome rationales had experienced more injuries requiring medical attention. Mothers' focus on dangerous features appears to reflect their efforts to help children make causal connections between dangerous elements of the situation and adverse outcomes that might result.

Retained Gas Sampler Calibration and Simulant Tests

Energy Technology Data Exchange (ETDEWEB)

CRAWFORD, B.A.

2000-01-05

This test plan provides a method for calibration of the retained gas sampler (RGS) for ammonia gas analysis. Simulant solutions of ammonium hydroxide at known concentrations will be diluted with isotopically labeled 0.04 M ammonium hydroxide solution. Sea sand solids will also be mixed with ammonium hydroxide solution and diluent to determine the accuracy of the system for ammonia gas analysis.

Retained Gas Sampler Calibration and Simulant Tests

International Nuclear Information System (INIS)

CRAWFORD, B.A.

2000-01-01

This test plan provides a method for calibration of the retained gas sampler (RGS) for ammonia gas analysis. Simulant solutions of ammonium hydroxide at known concentrations will be diluted with isotopically labeled 0.04 M ammonium hydroxide solution. Sea sand solids will also be mixed with ammonium hydroxide solution and diluent to determine the accuracy of the system for ammonia gas analysis

Sustaining Nuclear Safety: Upholding the Core Regulatory Values

International Nuclear Information System (INIS)

Kumar, S.

2016-01-01

Nuclear Energy and management of safety therein, has a somewhat distinct streak in that from its early days it has had the privilege of being shaped and supervised by the eminent scientists and engineers, in fact it owes its very origin to them. This unique engagement has resulted in culmination of the several safety elements like defence-in-depth in the form of multiple safety layers, redundancy, diversity and physical separation of components, protection against single failures as well as common cause failures right at the beginning of designing a nuclear reactor. The fundamental principles followed by regulators across the globe have many similarities such as, creation of an organization which has a conflict-free primary responsibility of safety supervision, laying down the safety criteria and requirements for the respective industry and developing and using various tools and regulatory methodology to ensure adherence to the laid down regulatory requirements. Yet the regulatory regimes in different States have evolved differently and therefore, has certain attributes which are unique to these and confer on them their identity.

The ABCs of Student Engagement

Science.gov (United States)

Parsons, Seth A.; Nuland, Leila Richey; Parsons, Allison Ward

2014-01-01

Student engagement is an important consideration for teachers and administrators because it is explicitly associated with achievement. What the authors call the ABC's of engagement they outline as: Affective engagement, Behavioral engagement, and Cognitive engagement. They also present "Three Things Every Teacher Needs to Know about…

Developing safety culture in nuclear activities. Practical suggestions to assist progress

International Nuclear Information System (INIS)

2000-01-01

The term 'safety culture' was introduced by the International Nuclear Safety Advisory Group (INSAG) in Summary Report on the Post-Accident Review Meeting on the Chernobyl Accident published by the IAEA as Safety Series No. 75-INSAG-1 in 1986, and expanded in Basic Safety Principles for Nuclear Power Plants, Safety Series No. 75-INSAG-3 in 1988. This publication supplements INSAG-4 published in 1991 which includes the definition and concept of safety culture describing practices valuable in establishing and maintaining a sound safety culture in a number of countries. It is intended for those who design, construct, manufacture, operate, maintain or decommission nuclear facilities. It should be practically useful for all those involved in operating nuclear facilities. It will also provide a reference for groups such as regulators who have an interest in developing, improving and evaluating safety culture training and individuals engaged in nuclear activities, and for bodies such as ethics review committees who should take into account safety culture issues for certifying professional excellence in the medical field

Developing safety culture in nuclear activities. Practical suggestions to assist progress

International Nuclear Information System (INIS)

1998-01-01

The term 'safety culture' was introduced by the International Nuclear Safety Advisory Group (INSAG) in Summary Report on the Post-Accident Review Meeting on the Chernobyl Accident published by IAEA as safety Series No. 75-INSAG-1 in 1986, and expanded in Basic Safety principles for Nuclear Power Plants, Safety Series No. 75-INSAG-3 in 1988. This publication supplements INSAG-4 published in 1991 which includes the definition and concept of safety culture describing practices valuable in establishing and maintaining a sound safety culture in a number of countries. It is intended for those who design, construct, manufacture, operate, maintain or decommission nuclear facilities. It should be practically useful for all those involved in operating nuclear facilities. It will also provide a reference for groups such as regulators who have an interest in developing, improving and evaluating safety culture training and individuals engaged in nuclear activities, and for bodies such as ethics review committees who should take into account safety culture issues for certifying professional excellence in the medical field

Torque resistance of different stainless steel wires commonly used for fixed retainers in orthodontics.

Science.gov (United States)

Arnold, Dario T; Dalstra, Michel; Verna, Carlalberta

2016-06-01

Movements of teeth splinted by fixed retention wires after orthodontic treatment have been observed. The aetiological factors for these movements are unknown. The aim of this in vitro study was to compare the resistance to torque of different stainless steel wires commonly used for fixed retainers in orthodontics. Torquing moments acting on a retainer wire were measured in a mechanical force testing system by applying buccal crown torque to an upper lateral incisor in both a 3-teeth and in a 2-teeth setup. Seven stainless steel wires with different shape, type (plain, braided, coaxial, or chain) and dimensions were selected for this study. For a torquing angle of 16.2° in the 3-teeth setup torsion moments can vary between 390 cNmm and 3299 cNmm depending on the retainer wire. For the 2-teeth setup the torsion moments are much smaller. Exposure to the flame of a butane-gas torch for 10 seconds to anneal the wire reduces the stiffness of the retainer wire. Clinicians must select wires for fixed retainers very carefully since the difference in resistance to torque is large. A high level of torque control can be achieved with a plain 0.016 × 0.016-inch or a braided 0.016 × 0.022-inch stainless steel wire. A tooth attached by a retainer wire to only one neighbouring tooth is less resistant to torque than a tooth connected to two neighbouring teeth. Annealing a retainer wire with a flame reduces the stiffness of the wire markedly and can lead to a non-uniform and non-reproducible effect.

Approaching safety in the Swedish and Danish construction industry

DEFF Research Database (Denmark)

Grill, Martin; Grytnes, Regine; Törner, Marianne

2015-01-01

in accidents rates, especially in construction, and as such offer an opportunity to explore organizational and managerial issues related to safety outcomes. Methods: Semi-structured interviews were carried out with five construction managers and four construction workers in Danish and Swedish construction...... industry. The transcripts were analysed using semantic thematic analysis. Results: Seven safety related themes were distinguished, conveying safety culture differences between Swedish and Danish construction industry concerning: participatory or directive management; challenge or obey; compliance or non...... identifies seven factors perceived by the professionals as related to lower occupational accident rates in the construction industry. Engaging in participatory management, promoting long-term planning and long-term tenures, encouraging cooperation, cautiousness and compliance to rules as well as challenging...

Forschungszentrum Rossendorf, Institute for Safety Research. Annual report 1994

International Nuclear Information System (INIS)

Weiss, F.P.; Rindelhardt, U.

1995-06-01

Striving for the assessment and enhancement of design based safety, for improving operational safety, and for risk management IFS is engaged in the following methodical fields: - Experimental and theoretical thermo-fluiddynamics, - 3-dimensional neutron kinetics, - characterization of the mechanical behaviour of aged materials and microstructural analysis, -transport calculations of particle and radiation fields, - early failure diagnostics of processes and plants, - hazard ranking of non-nuclear waste deposits and support of the selection of appropriate remediation procedures by means of decision analysis. In 1994, special efforts were directed to the extension of experimental facilities needed for radioactive materials testing and for two phase flow investigations. Moreover, first research projects on the safety of VVER reactors could successfully be finished. (orig./HP)

Implant retained auricular prosthesis with a modified hader bar: a case report.

Science.gov (United States)

Lovely, M; Dathan, Pradeep C; Gopal, Dinesh; George, Biji Thomas; Chandrasekharan Nair, K

2014-06-01

Auricular prostheses for defects of external ear are retained either by mechanical means or implants. All implant retained prostheses are retained by various means such as bar and clip, magnetic attachments or a combination of bar, clip and magnets. The commonest problem encountered with the bar and clip system is loosening of the clip after 3-4 months. When magnets are used as retaining component they tend to corrode over a period of time. So various alternative retention methods which possess good retentive qualities, ease of reparability and patient friendly were tried. In the present case a newly modified Hader bar design which can act as an additional retentive feature apart from the clip is employed to increase retention. The major advantages in the modified Hader bar system were that only two implants were employed, the additional loops in the Hader bar prevented micro movements and the retentive acrylic locks were easy to repair if broken. The modified Hader bar has anti-rotational slots which prevents the sliding or rotation of the prosthesis which gave new confidence to the patient who was otherwise worried of inadvertent displacement of the ear prosthesis while playing.

Engaging with Assessment: Increasing Student Engagement through Continuous Assessment

Science.gov (United States)

Holmes, Naomi

2018-01-01

Student engagement is intrinsically linked to two important metrics in learning: student satisfaction and the quality of the student experience. One of the ways that engagement can be influenced is through careful curriculum design. Using the knowledge that many students are "assessment-driven," a low-stakes continuous weekly summative…

Performance of integrated retainer rings in silicon micro-turbines with thrust style micro-ball bearings

International Nuclear Information System (INIS)

Hergert, Robert J; Holmes, Andrew S; Hanrahan, Brendan; Ghodssi, Reza

2013-01-01

This work explores the performance of different silicon retainer ring designs when integrated into silicon micro-turbines (SMTs) incorporating thrust style bearings supported on 500 µm diameter steel balls. Experimental performance curves are presented for SMTs with rotor diameters of 5 mm and 10 mm, each with five different retainer designs varying in mechanical rigidity, ball pocket shape and ball complement. It was found that the different retainer designs yielded different performance curves, with the closed pocket designs consistently requiring lower input power for a given rotation speed, and the most rigid retainers giving the best performance overall. Both 5 mm and 10 mm diameter devices have shown repeatable performance at rotation speeds up to and exceeding 20 000 RPM with input power levels below 2 W, and devices were tested for over 2.5 million revolutions without failure. Retainer rings are commonly used in macro-scale bearings to ensure uniform spacing between the rolling elements. The integration of retainers into micro-bearings could lower costs by reducing the number of balls required for stable operation, and also open up the possibility of ‘smart’ bearings with integrated sensors to monitor the bearing status. (paper)

University student’s engagement: development of the University Student Engagement Inventory (USEI

Directory of Open Access Journals (Sweden)

João Maroco

2016-01-01

Full Text Available Abstract Student engagement is a key factor in academic achievement and degree completion, though there is much debate about the operationalization and dimensionality of this construct. The goal of this paper is to describe the development of an psycho-educational oriented measure – the University Student Engagement Inventory (USEI. This measure draws on the conceptualization of engagement as a multidimensional construct, including cognitive, behavioural and emotional engagement. Participants were 609 Portuguese University students (67 % female majoring in Social Sciences, Biological Sciences or Engineering and Exact Sciences. The content, construct and predictive validity, and reliability of the USEI were tested. The validated USEI was composed of 15 items, and supported the tri-factorial structure of student engagement. We documented evidence of adequate reliability, factorial, convergent and discriminant validities. USEI’s concurrent validity, with the Utrecht Work Engagement Scale-Student Survey, and the predictive validity for self-reported academic achievement and intention to dropout from school were also observed.

Safety assessment in schools: beyond risk: the role of child psychiatrists and other mental health professionals.

Science.gov (United States)

Rappaport, Nancy; Pollack, William S; Flaherty, Lois T; Schwartz, Sarah E O; McMickens, Courtney

2015-04-01

This article presents an overview of a comprehensive school safety assessment approach for students whose behavior raises concern about their potential for targeted violence. Case vignettes highlight the features of 2 youngsters who exemplify those seen, the comprehensive nature of the assessment, and the kind of recommendations that enhance a student's safety, connection, well-being; engage families; and share responsibility of assessing safety with the school. Copyright © 2015 Elsevier Inc. All rights reserved.

Relationship quality and student engagement

Science.gov (United States)

Culver, Jennifer

The purpose of this study was to examine the qualities of support, relatedness, and negative interaction within parent-child and teacher-student relationships and their association with cognitive, psychological, and behavioral engagement. Additionally, this study explored the contributions of cognitive and psychological engagement on behavioral engagement. The role of gender, grade, and ethnicity on relationship quality and engagement was also considered. Participants (n=311) were students in grades three through five from a suburban school district in southeastern Michigan. Perceptions of teacher-student relationship quality varied by grade level. In general, younger students reported greater teacher support and relatedness in comparison to older students. Conversely, older students perceived greater conflict within the teacher-student relationship. Student engagement also varied by grade level, with younger students reporting greater engagement than older students. Ethnicity also contributed to variance in student engagement, with African American students reporting significantly more engagement than Caucasian or Multiracial students. Teacher-student relationship quality was a significant predictor of student engagement, even after controlling for student characteristics and parent-child relationship variables. Results of path analysis revealed that cognitive and psychological engagement contributed significantly to behavioral engagement.

Supra-aural gossypiboma: case report of a retained textile surgical sponge in an unusual location.

Science.gov (United States)

Chawla, N; Gupta, N; Dhawan, N

2016-11-01

Gossypiboma or retained surgical sponge is an infrequently encountered surgical complication, more so in the head and neck region. A literature search did not reveal a previously reported case of retained or concealed surgical sponge after microscopic ear surgery. We present a unique and previously unreported case of a 25-year-old male who presented with a cystic swelling in the right supra-aural region 5 months post-modified radical mastoidectomy of the right ear. Surgical excision of the swelling revealed a retained surgical sponge. We emphasise the importance of counting surgical sponges after every surgical step to minimise the incidence of such retained surgical items.

The Untapped Potential of Patient and Family Engagement in the Organization of Critical Care.

Science.gov (United States)

Haines, Kimberley J; Kelly, Phillipa; Fitzgerald, Peter; Skinner, Elizabeth H; Iwashyna, Theodore J

2017-05-01

There is growing interest in patient and family participation in critical care-not just as part of the bedside, but as part of educational and management organization and infrastructure. This offers tremendous opportunities for change but carries risk to patients, families, and the institution. The objective is to provide a concise definitive review of patient and family organizational participation in critical care as a high-risk population and other vulnerable groups. A pragmatic, codesigned model for critical care is offered as a suggested approach for clinicians, researchers, and policy-makers. To inform this review, a systematic search of Ovid Medline, PubMed, and Embase was undertaken in April 2016 using the MeSH terms: patient participation and critical care. A second search was undertaken in PubMed using the terms: patient participation and organizational models to search for other examples of engagement in vulnerable populations. We explicitly did not seek to include discussions of bedside patient-family engagement or shared decision-making. Two reviewers screened citations independently. Included studies either actively partnered with patients and families or described a model of engagement in critical care and other vulnerable populations. Data or description of how patient and family engagement occurred and/or description of model were extracted into a standardized form. There was limited evidence of patient and family engagement in critical care although key recommendations can be drawn from included studies. Patient and family engagement is occurring in other vulnerable populations although there are few described models and none which address issues of risk. A model of patient and family engagement in critical care does not exist, and we propose a pragmatic, codesigned model that takes into account issues of psychologic safety in this population. Significant opportunity exists to document processes of engagement that reflect a changing paradigm of

It takes a community to engage a community: a model for public engagement about the impacts of nuclear research and development

International Nuclear Information System (INIS)

Dalzell, M.T.J.; Main, M.G.; Root, J.H.

2014-01-01

The Forum for Accountability and Communities Talking nuclear Science - 'nuclearFACTS' - is a cornerstone of the Sylvia Fedoruk Canadian Centre for Nuclear Innovation's strategy to engage the people of Saskatchewan in evidence-based conversations about the impacts of the nuclear research, development and training activities supported by the Fedoruk Centre. The event is the primary mechanism through which the Fedoruk Centre's community of researchers reports on the progress of their work to the Fedoruk Centre and to their peers in a collegial environment. Intended to be an annual event, the inaugural nuclearFACTS was held 28 August 2013, with leaders of five projects in nuclear medicine, energy and safety systems, materials research using nuclear techniques and social environmental research. The one day event included a peer-to-peer forum as well as a public colloquium and press briefing. The public colloquium clearly demonstrated that this unique approach, enlisting the participation of a willing community of experts, highlighting the impacts of their work using straightforward, concise explanations can lead to successful public engagement. This paper will discuss some of the lessons learned from the first nuclearFACTS and plans for future events. (author)

It takes a community to engage a community: a model for public engagement about the impacts of nuclear research and development

Energy Technology Data Exchange (ETDEWEB)

Dalzell, M.T.J.; Main, M.G.; Root, J.H., E-mail: matthew.dalzell@usask.ca, E-mail: marci.main@usask.ca, E-mail: john.root@usask.ca [Sylvia Fedoruk Canadian Centre for Nuclear Innovation, Saskatoon, SK (Canada)

2014-07-01

The Forum for Accountability and Communities Talking nuclear Science - 'nuclearFACTS' - is a cornerstone of the Sylvia Fedoruk Canadian Centre for Nuclear Innovation's strategy to engage the people of Saskatchewan in evidence-based conversations about the impacts of the nuclear research, development and training activities supported by the Fedoruk Centre. The event is the primary mechanism through which the Fedoruk Centre's community of researchers reports on the progress of their work to the Fedoruk Centre and to their peers in a collegial environment. Intended to be an annual event, the inaugural nuclearFACTS was held 28 August 2013, with leaders of five projects in nuclear medicine, energy and safety systems, materials research using nuclear techniques and social environmental research. The one day event included a peer-to-peer forum as well as a public colloquium and press briefing. The public colloquium clearly demonstrated that this unique approach, enlisting the participation of a willing community of experts, highlighting the impacts of their work using straightforward, concise explanations can lead to successful public engagement. This paper will discuss some of the lessons learned from the first nuclearFACTS and plans for future events. (author)

CT and sonographic diagnosis of retained surgical sponge

International Nuclear Information System (INIS)

Matsumoto, Syunro; Aikawa, Hisayuki; Miyake, Hidetoshi; Mori, Hiromu; Maeda, Tohru; Nishimura, Hiro; Monzen, Yoshio; Ashizawa, Akira; Isomoto, Ichiro.

1990-01-01

Seven cases of pathologically proven retained surgical sponge were reviewed and classified into four types, depending on CT and US findings. CT showed a mass with tiny gas bubbles, and sonogram showed an echogenic area with strong posterior shadow (Type I). CT showed an irregular high density mass with no gas bubble, and sonogram showed an echogenic area with strong posterior shadow (Type II). CT showed a low density mass with irregular internal high density areas, and somogram showed a cystic mass with zigzag internal components (Type III). CT showed an eliptic high density mass with low density area internally. Judging from the experiment and operative findings, these patterns were decided by the number and status of the gauze, volume of the exudate and hematoma, and status of the granulation. The author concludes that these characteristic CT and US findings, together with a history of surgery, permit the correct diagnosis of retained surgical sponge. (author)

Gossypiboma – the retained surgical swab: An enduring clinical ...

African Journals Online (AJOL)

Retained abdominal swabs remain a difficult problem. This review ... and continues to date, despite advances .... difficult problem to eradicate even though .... to complete multiple emergency surgeries with no rest is great, ... The position.

The Analysis Stability of Anchor Retaining Wall

International Nuclear Information System (INIS)

Benamara, F. Z.; Belabed, L

2011-01-01

The construction of anchored retaining walls reach every day in the field of Civil Engineering especially in public works. Their dimensioning and stability are the axes of research for geotechnical. The rule is to reduce the active forces of the slide and increase the effective normal stress on the rupture surface. So that, we anchored tied-back (constituted by steel cables) in the stable ground located under the failure surface and we apply at the top a traction force. This effort can be distributed over the ground surface by means of small plates or massive reinforced concrete. The study of the stability of anchored retaining wall was also performed by using software GEO4. Many cases can be solved using analytical solutions available in the group GEO4 program, but for our standard model solution studied analytically proved unsatisfactory so we used a numerical analysis based on the method of finite element in this program. The results obtained by numerical study were interpreted to identify the precision numerical predictions. Moreover these methods were useful and economics in the realization of reinforced slopes by tied-buck. (author)

Comparative evaluation of salivary bisphenol A levels in patients wearing vacuum-formed and Hawley retainers: An in-vivo study.

Science.gov (United States)

Raghavan, Akila Srinivasan; Pottipalli Sathyanarayana, Haritha; Kailasam, Vignesh; Padmanabhan, Sridevi

2017-03-01

The aims of the study were to evaluate and compare the bisphenol A (BPA) levels in saliva in patients using vacuum-formed retainers or Hawley retainers. Forty-five patients who had completed their fixed orthodontic treatment and were entering the retention phase were randomly allocated into 1 of 3 groups: vacuum-formed retainer, Hawley retainer fabricated by heat cure, and Hawley retainer fabricated by chemical cure. Saliva samples were collected immediately before placement, within 1 hour after placement, 1 week and 1 month after placement. Statistical analyses were performed by using 2-way analysis of variance and post-hoc multiple-comparisons Tukey HSD tests. Statistically significant BPA levels in saliva were found for all groups (P ≤0.05). The highest levels were noted in the vacuum-formed retainer group, followed by Hawley retainers fabricated by chemical cure; the lowest levels were found with Hawley retainers fabricated by heat cure. With many options available for removable retainers, clinicians should consider the BPA release from these retainers; a Hawley retainer fabricated by heat cure is a favorable choice. Copyright © 2016 American Association of Orthodontists. Published by Elsevier Inc. All rights reserved.

Esthetic, functional, and prosthetic outcomes with implant-retained finger prostheses.

Science.gov (United States)

Aydin, Cemal; Nemli, Secil Karakoca; Yilmaz, Handan

2013-04-01

Traumatic amputation of fingers results in a serious impairment of hand function and affects the psychological status of the patients. The implant-retained finger prostheses are an alternative treatment. The aim of this case report is to represent the use of osseointegrated implants for retention of finger prostheses in a patient with amputated thumb and index finger. Dental implants were placed in the residual bone of the fingers using two-stage surgery. Custom-made attachments were used to provide retention between implants and silicone prostheses. Prosthetic fingernails were made of composite resin material. After 6 months, implants were clinically successful, and the patient was satisfied with the appearance and the function of the prostheses. The complications of broken prosthetic nail and mild discoloration were observed. Reconstruction of amputated fingers with implant-retained prosthesis is a worthwhile treatment providing esthetic, functional, and psychological benefits, although some complications might be experienced. Clinical relevance Implant-retained finger prostheses are an acceptable treatment modality for patients with amputated fingers. Evaluating implant prognosis, functional results and prosthetic results of the patients are necessary to address the benefits and complications of the treatment.

Geophysicists' views about public engagement

Science.gov (United States)

Besley, J. C.; Dudo, A.; Yuan, S.

2016-12-01

The proposed talk would present the results of 2016 survey of American Geophysical Union members (n = 2040) about public engagement. This survey took place as part of a broader, NSF funded, study of engagement views across eight different U.S.-based scientific societies. The presentation would include data about geophysicists' past engagement behavior and willingness to engage alongside data about engagement attitudes, perceived norms (i.e. beliefs about whether peers engage and value engagement), and perceived efficacy (i.e., scientists' beliefs about their own communication skills and the impact of engagement). The presentation would also include results that describe scientists' overall goals for engagement (e.g., increasing support for specific policy positions, changing citizen behavior, etc.), as well as their communication-specific objectives (e.g., increasing knowledge, increase excitement, etc.). All of the results would be put in the context of equivalent results from scientists from seven other societies across a variety of fields, including chemistry, biology, and the social sciences. Three themes that would be emphasized in the presentation include (1) the fact that there are substantial commonalities in engagement views across scientific fields, (2) the important role that perceived engagement skill (efficacy) appears to play in predicting engagement willingness, and (3) a lack of evidence that scientists are thinking about engagement in strategic ways. Strategic engagement, in this regard, would involve setting clear goals and then choosing activities that the social science of science communication suggests might allow one to achieve those goals. The presentation would conclude with thoughts about what might be done to improve the effectiveness of science communication training.

Present status of nuclear power safety studies in JAERI

International Nuclear Information System (INIS)

1989-01-01

Japan Atomic Energy Research Institute carries out the safety research required for ensuring safety accompanying the development and utilization of atomic energy, dividing the roles with industrial circules, universities and other public research institutes. First, it carries out the research based on the yearly program of safety research, in which the subjects of safety research that the state should execute are decided. Next, it carries out a series of the safety verification test on atomic energy facilities entrusted by the state using the special account for power source development promotion countermeasures. Besides, it carries out the safety research on the specific subjects entrusted by outside organizations. The object and range of atomic energy safety at present are roughly divided into four fields, that is, nuclear power stations, nuclear fuel facilities, waste treatment and disposal, and environmental radioactivity. In order to advance the research effectively, in addition to the generalization department and the execution department, various committees are organized. In 1988, about 260 persons engaged in these four research fields, and the budget for fiscal year 1988 was about 17.4 billion yen. (K.I.)

Socially responsible investment engagement

NARCIS (Netherlands)

Goessling, T.; Buijter, Bas; Freeman, R.E.; Kujala, J.; Sachs, S.

2017-01-01

This study explores engagement in socially responsible investment (SRI) processes. More specifically, it researches the impact of shareholder salience on the success of engagement activities. The research question asks: What is the relationship between shareholder salience and engagement effort

Sun Safety at Work Canada: a multiple case-study protocol to develop sun safety and heat protection programs and policies for outdoor workers.

Science.gov (United States)

Kramer, Desre M; Tenkate, Thomas; Strahlendorf, Peter; Kushner, Rivka; Gardner, Audrey; Holness, D Linn

2015-07-10

CAREX Canada has identified solar ultraviolet radiation (UV) as the second most prominent carcinogenic exposure in Canada, and over 75 % of Canadian outdoor workers fall within the highest exposure category. Heat stress also presents an important public health issue, particularly for outdoor workers. The most serious form of heat stress is heat stroke, which can cause irreversible damage to the heart, lungs, kidneys, and liver. Although the need for sun and heat protection has been identified, there is no Canada-wide heat and sun safety program for outdoor workers. Further, no prevention programs have addressed both skin cancer prevention and heat stress in an integrated approach. The aim of this partnered study is to evaluate whether a multi-implementation, multi-evaluation approach can help develop sustainable workplace-specific programs, policies, and procedures to increase the use of UV safety and heat protection. This 2-year study is a theory-driven, multi-site, non-randomized study design with a cross-case analysis of 13 workplaces across four provinces in Canada. The first phase of the study includes the development of workplace-specific programs with the support of the intensive engagement of knowledge brokers. There will be a three-points-in-time evaluation with process and impact components involving the occupational health and safety (OHS) director, management, and workers with the goal of measuring changes in workplace policies, procedures, and practices. It will use mixed methods involving semi-structured key informant interviews, focus groups, surveys, site observations, and UV dosimetry assessment. Using the findings from phase I, in phase 2, a web-based, interactive, intervention planning tool for workplaces will be developed, as will the intensive engagement of intermediaries such as industry decision-makers to link to policymakers about the importance of heat and sun safety for outdoor workers. Solar UV and heat are both health and safety hazards

INTRODUCTION The incidence of retained placenta varies greatly ...

African Journals Online (AJOL)

balance between the post-partum haemorrhage risk of leaving the placenta in ... Conclusion: Retained placenta still remains a potentially life threatening condition in ... obstetric services by high skilled health care providers in ensuring a properly conducted .... of the preterm placenta may require more uterine work and time ...

13 CFR 120.1707 - Seller's retained Loan Interest.

Science.gov (United States)

2010-01-01

... 13 Business Credit and Assistance 1 2010-01-01 2010-01-01 false Seller's retained Loan Interest. 120.1707 Section 120.1707 Business Credit and Assistance SMALL BUSINESS ADMINISTRATION BUSINESS LOANS Establishment of SBA Secondary Market Guarantee Program for First Lien Position 504 Loan Pools § 120.1707 Seller...

Postoperative Radiculopathy Caused by a Retained Fractured Pedicle Cannulation Probe and Its Mechanism of Extraction.

Science.gov (United States)

Yuk, Frank; Steinberger, Jeremy; Skovrlj, Branko; Mascitelli, Justin; Cho, Samuel K; Caridi, John M

2017-11-01

Spine surgery relies heavily on technology and surgical instrumentation. Improperly used instrumentation can be detrimental to the patient. Despite multiple checkpoints to ensure that foreign bodies are not retained in surgery, numerous case reports have described retained foreign bodies; however, none of these cases involve retained instrumentation after open spine surgery. Of the retained objects, 4 were sponges and one was a Jamshidi needle fragment. Although smaller objects are more commonly the culprits, surgical instruments can break off, remain stuck, and cause clinical sequelae. This case presents a retained fractured pedicle finder as the cause of right L5 radiculopathy. To our knowledge, this report is the first to describe an instrumentation-associated postoperative radiculopathy. Because of the strength with which the object was impacted, its extraction proved difficult. The technique of removal using a mallet and osteotome in 4 directions to loosen its hold in the vertebral body. Attempts and eventual successful removal are described. Copyright © 2017 Elsevier Inc. All rights reserved.

[Capacity of extensive green roof to retain rainwater runoff in hot and humid region.

Science.gov (United States)

Liu, Ming Xin; Dai, Se Ping; Zhou, Tian Yang; Ruan, Lin; Zhang, Qiao Song

2017-02-01

The water logging has become the environmental problem of major cities with the sharp increase of impermeable urban pavement as the contributing cause. Abroad, the green roof has been widely used as a practical measure to intercept rainwater, yet the capacity of green roof to retain rainwater varies with climate conditions. As the hot and humid climate zone features high temperature, humidity and precipitation, it is meaningful to study the capacity of green roof to retain rainwater under such climatic condition. In this research, 3 plat forms were set up in Guangzhou in rainy and hot summer to test the capability of simple green roof to retain rainwater runoff, and the efficiency of green roof to retain rainwater under local climate conditions was worked out based on the meteorological observation and data measurement during the 13-month test period. The results showed that the simple green roof with a substrate thickness of 30, 50 and 70 mm could retain 27.2%, 30.9% and 32.1% of precipitation and reduce the average peak value by 18.9%, 26.2% and 27.7%, respectively. Given an urban built-up area of 1035.01 km 2 in Guangzhou and a roof area percentage of approximately 37.3% and assuming the green roofs with 30 mm-thick substrate were applied within the area, the light, medium and heavy rain could be delayed at 72.8%, 22.6% and 17.4%, respectively. Accordingly, the rainwater retained could reach up to 14317×10 4 m 3 . It suggested the great potential of the simple green roof in retaining rainwater. The research could serve as reference for the hot and humid climate zone to alleviate water logging and visualize sponge city construction.

Safety classification of systems, structures, and components for pool-type research reactors

Energy Technology Data Exchange (ETDEWEB)

Kim, Tae Ryong [KEPCO International Nuclear Graduate School, Ulsan (Korea, Republic of)

2016-08-15

Structures, systems, and components (SSCs) important to safety of nuclear facilities shall be designed, fabricated, erected, and tested to quality standards commensurate with the importance of the safety functions. Although SSC classification guidelines for nuclear power plants have been well established and applied, those for research reactors have been only recently established by the International Atomic Energy Agency (IAEA). Korea has operated a pool-type research reactor (the High Flux Advanced Neutron Application Reactor) and has recently exported another pool-type reactor (Jordan Research and Training Reactor), which is being built in Jordan. Korea also has a plan to build one more pool-type reactor, the Kijang Research Reactor, in Kijang, Busan. The safety classification of SSCs for pool-type research reactors is proposed in this paper based on the IAEA methodology. The proposal recommends that the SSCs of pool-type research reactors be categorized and classified on basis of their safety functions and safety significance. Because the SSCs in pool-type research reactors are not the pressure-retaining components, codes and standards for design of the SSCs following the safety classification can be selected in a graded approach.

Effect of Abutment Modification and Cement Type on Retention of Cement-Retained Implant Supported Crowns

OpenAIRE

Farzin, Mitra; Torabi, Kianoosh; Ahangari, Ahmad Hasan; Derafshi, Reza

2014-01-01

Objective: Provisional cements are commonly used to facilitate retrievability of cement-retained fixed implant restorations; but compromised abutment preparation may affect the retention of implant-retained crowns.The purpose of this study was to investigate the effect of abutment design and type of luting agent on the retentive strength of cement-retained implant restorations. Materials and Method: Two prefabricated abutments were attached to their corresponding analogs and embedded in an ac...

Australian fly-in, fly-out operations: Impacts on communities, safety, workers and their families.

Science.gov (United States)

Langdon, Rebecca R; Biggs, Herbert C; Rowland, Bevan

2016-10-17

Australia's mineral, resource and infrastructure sectors continues to expand as operations in rural and remote locations increasingly rely on fly-in, fly-out or drive-in, drive-out workforces in order to become economically competitive. The issues in effectively managing these workforces are becoming more apparent with reported high amounts of turnover and concerns for safety and performance. The issues presented include a range of physical, mental, psychosocial, safety and community challenges. This review aims to consolidate a range of research conducted to communicate potential challenges for industry in relation to a wide variety of issues when engaging and using FIFO/DIDO workforces which includes compressed working schedule design (work schedules), working hours, fatigue, safety performance, employee wellbeing, turnover, psychosocial relationships and community concerns. A comprehensive literature review was performed using EBSCOhost, PubMed and google scholar, with a focus on FIFO or DIDO workforces engaged within the resources sector. Search terms were kept broad in order to capture all national and international research conducted and included: "fly-in, fly-out" "FIFO" "DIDO" "drive-in, drive-out" "mining". There was no date restriction included in the search. Many of the studies were focused on sleep quality, fatigue and the influence of lowered safety performance while at work, presenting an increased risk for health and safety. These issues may be exacerbated for the FIFO workforce when linked to additional research surrounding the extended periods of absence from families influencing workers personal relationships, psychological wellbeing, job satisfaction and the reported high amounts of turnover within the industry. Taken together, this presents a unique implication for the management and continued use of FIFO workforces when considering balancing safety and performance with economic viability of production and operations. The issues of long working

Fracture strength and bending of all-ceramic and fiber-reinforced composites in inlay-retained fixed partial dentures

Directory of Open Access Journals (Sweden)

Serkan Saridag

2012-06-01

Conclusions: Zirconia-based ceramic inlay-retained fixed partial dentures demonstrated the highest fracture strength. The fiber-reinforced composite inlay-retained fixed partial dentures demonstrated higher bending values than did the all-ceramic inlay-retained fixed partial dentures.

Preventing falls in residential construction: Effectiveness of engaging partners for a national social marketing campaign.

Science.gov (United States)

Macario, Everly; Hannon, Sandra Wills; Baker, Robin; Branche, Christine M; Trahan, Christina

2015-08-01

Falls are the leading cause of fatalities in construction. The Safety Pays, Falls Cost campaign aims to prevent falls in residential construction. A critical component of our social marketing approach was to involve 70 partners in reaching target audiences. We assessed partner engagement April 2012-August 2013 through: (1) baseline partnership quality interviews (eight partners); (2) pre-/post-partner "market" readiness in-depth interviews (three partners); (3) a pre-/post- (29/31 partners) online partner engagement survey; and (4) standardized metrics to measure partner activity. We found a high level of interest and engagement that increased with the addition of prompting to action through regular communication and new resources from organizers and formation of local partnerships that were able to tailor their activities to their own communities or regions. It is feasible to leverage government-labor-management partnerships that enjoy trust among target audiences to widely disseminate campaign materials and messages. © 2015 Wiley Periodicals, Inc.

The stability of retained austenite at different locations during straining of I&Q&P steel

Energy Technology Data Exchange (ETDEWEB)

Song, Chenghao [School of Materials Science and Engineering, University of Science & Technology Beijing, 30 Xueyuan Road, Haidian District, Beijing 100083 (China); Yu, Hao, E-mail: yuhao@ustb.edu.cn [School of Materials Science and Engineering, University of Science & Technology Beijing, 30 Xueyuan Road, Haidian District, Beijing 100083 (China); Li, Lili; Zhou, Tao; Lu, Jun [School of Materials Science and Engineering, University of Science & Technology Beijing, 30 Xueyuan Road, Haidian District, Beijing 100083 (China); Liu, Xihui [Qingzhou Construction Quality and Safety Supervision Station, Shandong 262500 (China)

2016-07-18

This paper presents a detailed investigation of the transformation behavior of retained austenite at different locations of intercritical heating, quenching and partitioning (I&Q&P) steel. The consumption of retained austenite at different strains is investigated by X-ray diffraction (XRD). Results indicate that retained austenite can transform into martensite progressively during the whole deformation process, which is in favor of a good combination of strength and ductility, contributing to a high product of strength and elongation (PSE) of 31.9 GPa%. The transformation characteristics of retained austenite at different locations after different strains are characterized by electron back scattered diffraction (EBSD) and transmission electron microscopy (TEM). Results show that the transformation preferentially occurs in the retained austenite at ferrite grain boundaries, subsequently the one within ferrite grains (at 10% strain) and eventually the one between martensite laths (at 15% strain). In FCC phase, the average local misorientations are 0.547° and 0.674° at 5% and 10% strain, respectively; however, the values are not more than 0.7° at 15% and 20% strain due to the TRIP effect. For the retained austenite within ferrite grains, the interior part preferentially transforms into twin martensite, while the interface still remains due to alloying elements segregation.

Effect of tightening torque on the marginal adaptation of cement-retained implant-supported fixed dental prostheses.

Science.gov (United States)

Ghanbarzadeh, Jalil; Dashti, Hossin; Karamad, Reza; Alikhasi, Marzieh; Nakhaei, Mohammadreza

2015-01-01

The final position of the abutment changes with the amount of tightening torque. This could eventually lead to loss of passivity and marginal misfit of prostheses. The aim of this study was to evaluate the effect of three different tightening torques on the marginal adaptation of 3-unit cement-retained implant-supported fixed dental prostheses (FDPs). Two implants (Straumann) were inserted in an acrylic block so that one of the implants was placed vertically and the other at a 15° vertical angle. A straight abutment and a 15° angulated abutment were connected to the vertically and obliquely installed implants, respectively, so that the two abutments were parallel. Then, 10 cement-retained FDPs were waxed and cast. Abutments were tightened with 10, 20, and 35 Ncm torques, respectively. Following each tightening torque, FDPs were luted on respective abutments with temporary cement. The marginal adaptation of the retainers was evaluated using stereomicroscope. FDPs were then removed from the abutments and were sectioned at the connector sites. The retainers were luted again on their respective abutments. Luting procedures and marginal adaptation measurement were repeated. Data were analyzed by ANOVA and least significant difference tests (α = 0.05). After cutting the FDP connectors, the independent samples t-test was used to compare misfit values (α = 0.05). Following 10, 20, and 35 Ncm tightening torques, the marginal discrepancy of the retainers of FDPs significantly increased (P marginal discrepancies of these two retainers (P > 0.05). The marginal gap values of angulated abutment retainers (ANRs) were significantly higher than those of the straight abutment after cutting the connectors (P = 0.026). Within the limitations of this study, the marginal misfit of cement-retained FDPs increased continuously when the tightening torque increased. After cutting the connectors, the marginal misfit of the ANRs was higher than those of the straight abutment retainers.

75 FR 69912 - Pipeline Safety: Control Room Management/Human Factors

Science.gov (United States)

2010-11-16

... 192 and 195 [Docket ID PHMSA-2007-27954] RIN 2137-AE64 Pipeline Safety: Control Room Management/Human... Control Room Management/Human Factors rule at 49 CFR 192.631 and 195.446. The NPRM proposes to expedite... rule and to engage in open discussions with the agency at PHMSA's Control Room Management...

PERARES: Public Engagement with Research and Research Engagement with Society

NARCIS (Netherlands)

Steinhaus, Norbert; Mulder, Henk A.J.

2014-01-01

PERARES is a four-year project funded by the European Community's Seventh Framework Programme which started in 2010. The acronym stands for "Public Engagement with Research and Research Engagement with Society”. The project brings together Science Shops, Civil Society Organisations (CSOs) and

Retained placenta of dairy cows associated with managemental factors in Rajshahi, Bangladesh

Directory of Open Access Journals (Sweden)

K. M. Mozaffor Hossain

2013-08-01

Full Text Available Aim: The incidence of retained placenta of dairy cows in relation to individual animal level and farm management factors such as farm type, farm size, housing system, floor type, feed quality, time of parturition, farming experience of farmer and delivery pattern of cows was determined. Materials and Methods: A total 1205 parturated dairy cows conducted in nine upazilas and four Metro Thana of Rajshahi district during July 2010 to June 2011for attainment of the result. Individual animal and farm management factors associated with retained placenta were recorded in a structured questionnaire through face-to-face farmer's interview and reviewing farm records. The raw data were compiled and statistical SPSS program to analyze to obtained result. Results: The overall incidence of retained placenta was 13.4%. The incidence was significantly higher in Local × Sahiwal genotype (4.6% and late delivery (longer gestation period (80% than their counter groups (p<0.05. The large farm (6.0% had higher incidence and had no significant effect than medium and individual household. Similarly animals housed in Tin shed building with poor ventilation facilities (6.6%, animal housed in unscientific concrete floor (6.8%, animals mostly grassed along with small amount of straw supplied (5.4% and a farmer had less than one year farming experience (5.3% had not significant statistically show higher incidence of retained placenta. Conclusion: The local genotype; mini farm; supplied better feed quality; vast farming experience of farmer and normal delivery with eutocia had less chance of retained placenta of dairy cows. [Vet World 2013; 6(4.000: 180-184

Textiloma, migration of retained long gauze from abdominal cavity to intestine

Directory of Open Access Journals (Sweden)

Hojjat Molaei Govarjin

2010-01-01

Full Text Available Retaining of long gauzes and surgical sponges in the abdomen is one of the most frequent medical errors usually manifests as abscess or abdomino- cutaneus fistulas and with no definite symptoms during lifetime. Here, we introduce a 35 year old woman with an intestino-cutaneal fistula caused by retained long gauze in the abdomen entered the terminal ileum,9 months after cesarean section. This is called “Textiloma”. There is no report of textiloma in Iran and there are only a few cases in the world.

On the role of interlath retained austenite in the deformation of lath martensite

International Nuclear Information System (INIS)

Maresca, F; Kouznetsova, V G; Geers, M G D

2014-01-01

Literature presents extensive experimental evidence of large deformation and ductile fracture behaviour of lath martensite in martensitic and multi-phase high strength steels under quasi-static, uniaxial loading conditions. The physical origin of this apparent ductile behaviour of martensite is not clear, since martensite generally provides a high material strength. The presence of thin films of interlath retained austenite may trigger the observed apparent martensite ductility. The present contribution investigates the role played by interlath retained austenite on the mechanics of lath martensite by means of crystal plasticity simulations. It is shown that independently from the interlath retained austenite volume fraction and the exact lath morphology, localized shearing along the lath habit plane occurs as long as there are enough carriers for plasticity. The austenite film acts like a ‘greasy’ plane on which the stiffer laths can slide. The shearing mechanism is not a mere consequence of the lower flow stress in the austenitic phase, but it is largely due to the orientation relationship between the retained austenite face centred cubic lattice and the body centred cubic lath crystals. (paper)

Retained Products of Conception: An Atypical Presentation Diagnosed Immediately with Bedside Emergency Ultrasound

Directory of Open Access Journals (Sweden)

Kristin Adkins

2016-01-01

Full Text Available Background. Retained products of conception is an important diagnosis to consider in patients presenting with postpartum complaints. Bedside ultrasound is a rapid, accurate, noninvasive modality to evaluate these patients. Objective. To report an atypical case of retained products of conception diagnosed with bedside ultrasound in the emergency department. Case Report. A 27-year-old female who was 1-month postpartum presented with vaginal bleeding, pelvic pain, and no fever. At the time of initial H&P, bedside ultrasound revealed echogenic material within the endometrial cavity with blood flow seen by color Doppler consistent with retained products of conception. The bedside ultrasound rapidly narrowed the differential and allowed a definitive diagnosis immediately. Ob/Gyn was consulted and dilation and curettage was performed in the operating room. Conclusions. Retained products of conception is an important diagnosis for the emergency physician to consider in at-risk patients. The sonographic findings are easily obtained and interpreted by emergency physicians. Earlier diagnosis of this disease process should lead to more focused patient evaluations and management.

Large deformation and post-failure simulations of segmental retaining walls using mesh-free method (SPH)

OpenAIRE

Bui, H. H.; Kodikara, J. A.; Pathegama, R.; Bouazza, A.; Haque, A.

2015-01-01

Numerical methods are extremely useful in gaining insights into the behaviour of reinforced soil retaining walls. However, traditional numerical approaches such as limit equilibrium or finite element methods are unable to simulate large deformation and post-failure behaviour of soils and retaining wall blocks in the reinforced soil retaining walls system. To overcome this limitation, a novel numerical approach is developed aiming to predict accurately the large deformation and post-failure be...

Myomectomy for Retained Placenta Due to Incarcerated Fibroid Mass

African Journals Online (AJOL)

and life threatening complication. We present a patient who had mid-trimester miscarriage, complicated by retained ... the couple gave consent for the termination of the pregnancy. .... In conclusion, it is pertinent to note that uterine fibroid in.

An appraisal of retained placentae in ibadan: a five year review.

Science.gov (United States)

Obajimi, G O; Roberts, A O; Aimakhu, C O; Bello, F A; Olayemi, O

2009-06-01

To determine the frequency of retained placenta at the University College Hospital Ibadan (UCH). and to describe the socio-demographic characteristics of the patients and examine the risk factors predisposing to retained placenta. This is a descriptive study covering a period of 5 years from January 1(st) 2002 to December 31(st) 2006. During the study period, 4980 deliveries took place at the University College Hospital, Ibadan and 106 cases of retained placenta were managed making the incidence 2.13 per cent of all births. During the five year period, there were 106 patients with retained placenta; of these, 90 (84.9%) case notes were available for analysis. The mean age was 29.37 ± 4.99 years. First and second Para accounted for 52 per cent of the patients. Majority of the patient were unbooked for antenatal care in UCH with booked patients accounting for 27.8 per cent of the cases. The mean gestational age at delivery was 34.29 ± 6.02. Three patients presented to the hospital in shock of which 2 died on account of severe haemorrhagic shock. Fifty-eight patients (64.8%) presented with anaemia (packed cell volume less than 30 per cent) and 35 patients (38.8%) had blood transfusion ranging between 1-4 pints. 1 patient required hysterectomy on account of morbidly adherent placenta. Eleven patients (12.2%) had placenta retention in the past, 28 patients (31%) had a previous dilatation and curettage, 14 patients (15.5%) had previous caesarean sections and 47 patients (41.3%) had no known predisposing factors. Retained placenta still remains a potentially life threatening condition in the tropics due to the associated haemorrhage, and other complications related to its removal. The incidence and severity may be decreased by health education, women empowerment and the provision of facilities for essential obstetric services by high skilled health care providers in ensuring a properly conducted delivery with active management of the third stage of labour.

Students Engaged in Learning

Science.gov (United States)

Ismail, Emad A.; Groccia, James E.

2018-01-01

Engaging students in learning is a basic principle of effective undergraduate education. Outcomes of engaging students include meaningful learning experiences and enhanced skills in all learning domains. This chapter reviews the influence of engaging students in different forms of active learning on cognitive, psychomotor, and affective skill…

CT findings of foreign body reaction to retained endoloop ligature plastic tube mimicking acute appendicitis: A case report

Energy Technology Data Exchange (ETDEWEB)

Ahn, Jae Hong; Kang, Chae Hoon; Choi, Soo Jung; Park, Man Soo; Jung, Seung Mun; Ryu, Dae Shick; Shin, Dong Rock [Dept. of Radiology, GangNeung Asan Hospital, University of Ulsan College of Medicine, Gangneung (Korea, Republic of)

2016-07-15

Many hospitals experience one or more retained surgical instrument events with risk of patient morbidity and medicolegal problems. Identification of retained surgical instrument is important. The radiologists should be familiar with imaging finding of retained surgical instrument. In a 62-year-old female with a retained plastic tube, localized peritoneal infiltration around air-containing tubular structure mimicked acute appendicitis on abdomen computed tomography (CT), one year after laparoscopic cholecystectomy. We reported CT findings of foreign body reaction related to retained Endoloop ligature plastic tube mimicking acute appendicitis.

CT findings of foreign body reaction to retained endoloop ligature plastic tube mimicking acute appendicitis: A case report

International Nuclear Information System (INIS)

Ahn, Jae Hong; Kang, Chae Hoon; Choi, Soo Jung; Park, Man Soo; Jung, Seung Mun; Ryu, Dae Shick; Shin, Dong Rock

2016-01-01

Many hospitals experience one or more retained surgical instrument events with risk of patient morbidity and medicolegal problems. Identification of retained surgical instrument is important. The radiologists should be familiar with imaging finding of retained surgical instrument. In a 62-year-old female with a retained plastic tube, localized peritoneal infiltration around air-containing tubular structure mimicked acute appendicitis on abdomen computed tomography (CT), one year after laparoscopic cholecystectomy. We reported CT findings of foreign body reaction related to retained Endoloop ligature plastic tube mimicking acute appendicitis

Safety targets and public risk perceptions in the nuclear field - technical treadmill or institutional responses?

International Nuclear Information System (INIS)

Wynne, B.

1989-01-01

The context of our treatment of risk perceptions and safety targets is the apparently wide gap between expert judgements of 'objective risks' and public perceptions of those risks. In the nuclear field the latter appear to so multiply the objective risks as seen by the experts, as to make safety targets vastly too strict (whether for routine discharges or for large accidents), thus design extravagantly expensive on any 'rational' criteria. In recent years the nuclear industry has come to terms more with the public perceptions problem, and has accepted that it is legitimate to exercise different, more severe and costly safety standards in the nuclear field if that is what society wants, as it appears to do. Whilst retaining the conviction that this is scientifically unwarranted, the industry has therefore reconciled itself somewhat to more stringent technical safety targets. (author)

Patterns of patient safety culture: a complexity and arts-informed project of knowledge translation.

Science.gov (United States)

Mitchell, Gail J; Tregunno, Deborah; Gray, Julia; Ginsberg, Liane

2011-01-01

The purpose of this paper is to describe patterns of patient safety culture that emerged from an innovative collaboration among health services researchers and fine arts colleagues. The group engaged in an arts-informed knowledge translation project to produce a dramatic expression of patient safety culture research for inclusion in a symposium. Scholars have called for a deeper understanding of the complex interrelationships among structure, process and outcomes relating to patient safety. Four patterns of patient safety culture--blinding familiarity, unyielding determination, illusion of control and dismissive urgency--are described with respect to how they informed creation of an arts-informed project for knowledge translation.

animal trial on imaging appearances of abdominally retained gauze

International Nuclear Information System (INIS)

Wang Longxia; An Ningyu; Yin Hui; Wang Xiangdong; Li Jia; Bai Ying

2000-01-01

Objective: To evaluate the imaging appearances of abdominally retained crumpled gauze with US, CT and MRI and the changes with time. Methods: Eight rabbits were operated and crumpled gauze was put into in their abdominal cavity. US , plain and enhanced CT and MRI scan were performed on the day of operation, and 1 to 7 weeks after operation. The imaging appearances were compared with operation findings. Pathologic examination was done simultaneously. Results: Abdominally retained crumpled gauze was instantly adhesive with omentum and neighboring intestines tightly. Fibro-connective tissue membrane was produced at the adhesion site gradually, spreading out to enclose the crumpled gauze. The enclosure was finished completely in 3 to 4 weeks. Thickened membrane also invaded into the spaces within the gauze. The crumpled gauze was eventually infected. These changes could be revealed on US, CT or MRI scans. The US appearance exhibited a hyper echoic arc zone with broad clean acoustic shadow behind. It appeared as a soft tissue mass to CT and MRI scans. In early stage CT scan could easily show the gas within the crumpled gauze. CT and MRI enhanced scans showed only the enhanced membrane and no enhancement of the crumpled gauze. Conclusion: US, CT and MRI have quite characteristic appearances of the abdominally retained crumpled gauze, especially when combined imaging techniques were employed, which can lead to a correct diagnosis together with a history of operation

Retained Surgical Foreign Bodies after Surgery

Directory of Open Access Journals (Sweden)

Valon A. Zejnullahu

2017-01-01

Full Text Available The problem of retained surgical bodies (RSB after surgery is an issue for surgeons, hospitals and the entire medical team. They have potentially harmful consequences for the patient as they can be life threatening and usually, a further operation is necessary. The incidence of RSB is between 0.3 to 1.0 per 1,000 abdominal operations, and they occur due to a lack of organisation and communication between surgical staff during the process. Typically, the RSB are surgical sponges and instruments located in the abdomen, retroperitoneum and pelvis.

Safety in home care: A research protocol for studying medication management

Directory of Open Access Journals (Sweden)

Easty Anthony

2010-06-01

Full Text Available Abstract Background Patient safety is an ongoing global priority, with medication safety considered a prevalent, high-risk area of concern. Yet, we have little understanding of the supports and barriers to safe medication management in the Canadian home care environment. There is a clear need to engage the providers and recipients of care in studying and improving medication safety with collaborative approaches to exploring the nature and safety of medication management in home care. Methods A socio-ecological perspective on health and health systems drives our iterative qualitative study on medication safety with elderly home care clients, family members and other informal caregivers, and home care providers. As we purposively sample across four Canadian provinces: Alberta (AB, Ontario (ON, Quebec (QC and Nova Scotia (NS, we will collect textual and visual data through home-based interviews, participant-led photo walkabouts of the home, and photo elicitation sessions at clients' kitchen tables. Using successive rounds of interpretive description and human factors engineering analyses, we will generate robust descriptions of managing medication at home within each provincial sample and across the four-province group. We will validate our initial interpretations through photo elicitation focus groups with home care providers in each province to develop a refined description of the phenomenon that can inform future decision-making, quality improvement efforts, and research. Discussion The application of interpretive and human factors lenses to the visual and textual data is expected to yield findings that advance our understanding of the issues, challenges, and risk-mitigating strategies related to medication safety in home care. The images are powerful knowledge translation tools for sharing what we learn with participants, decision makers, other healthcare audiences, and the public. In addition, participants engage in knowledge exchange

Endovascular Removal of Fractured Inferior Vena Cava Filter Fragments: 5-Year Registry Data with Prospective Outcomes on Retained Fragments.

Science.gov (United States)

Kesselman, Andrew J; Hoang, Nam Sao; Sheu, Alexander Y; Kuo, William T

2018-06-01

To evaluate the safety and efficacy of attempted percutaneous filter fragment removal during retrieval of fractured inferior vena cava (IVC) filters and to report outcomes associated with retained filter fragments. Over a 5-year period, 82 consecutive patients presenting with a fractured IVC filter were prospectively enrolled into an institutional review board-approved registry. There were 27 men and 55 women (mean, 47 y; range, 19-85 y). After main filter removal, percutaneous removal of fragments was attempted if they were deemed intravascular and accessible on preprocedural computed tomography (CT), cone-beam CT, and/or intravascular ultrasound; distal pulmonary artery (PA) fragments were left alone. A total of 185 fragments were identified (81 IVC, 33 PA, 16 cardiac, 2 hepatic vein, 1 renal vein, 1 aorta, 51 retroperitoneal). Mean filter dwell time was 2,183 days (range, 59-9,936 d). Eighty-seven of 185 fragments (47%) were deemed amenable to attempted removal: 65 IVC, 11 PA, 8 cardiac, 2 hepatic, and 1 aortic. Primary safety outcomes were major procedure-related complications. Fragment removal was successful in 78 of 87 cases (89.7%; 95% confidence interval [CI], 81.3-95.2). There were 6 minor complications with no consequence (6.9%; 95% CI, 2.6-14.4) involving intraprocedural fragment embolization and 1 major complication (1.1%; 95% CI, 0.0-6.2), a cardiac tamponade that was successfully treated. The complication rate from attempted cardiac fragment removal was 12.5% (1 of 8; 95% CI, 0.3-52.7). Among patients with retained cardiopulmonary fragments (n = 19), 81% remained asymptomatic during long-term clinical follow-up of 845 days (range, 386-2,071 d). Percutaneous removal of filter fragments from the IVC and proximal PAs is safe and effective overall, but attempted intracardiac fragment removal carries a higher risk of complication. Most residual filter fragments not amenable to percutaneous removal remain asymptomatic and may be monitored clinically

Loss of Magnet® Designation and Changes in RN Work Engagement: A Report on How 1 Hospital's Culture Changed Over Time.

Science.gov (United States)

Wonder, Amy Hagedorn; York, Jacki; Jackson, Kathryn L; Sluys, Teresa D

2017-10-01

The aim of this study was to examine the loss of Magnet® designation and how RNs' work engagement changed at 1 community hospital. The importance of RN work engagement to promote quality and safety is widely recognized in healthcare. Ongoing consistent research is critical to determine what organizational structures are needed to support RN work engagement. This was a comparative, descriptive, correlational study of RN cohorts at 2 time points: time 1 (T1), in 2011 during Magnet designation (n = 119), and time 2 (T2), in 2016, approximately 2 years after the loss of Magnet designation (n = 140). The cohort of RNs at T2 reported significantly lower work engagement in the time period after the loss of Magnet designation when compared with the RN cohort at T1 during Magnet designation (P ≤ .0002). These results provide insights for clinical leaders striving to support a culture of RN work engagement and quality care.

DETERMINANTS OF RETAINED EARNINGS IN PROFITABLE STEEL COMPANIES IN INDIA: A STUDY OF STEEL SECTOR

OpenAIRE

Dr. Sohaib Masood

2018-01-01

In this paper an attempt has been made to identify the important determinants of retained earnings in profitable steel companies in steel sector of India and which have impact on the retention of earnings of steel companies under study. Multiple linear regression is used to identify the determinants of retained earnings for a period of sixteen years. Also the importance of retained earnings as a source of finance for steel sector companies is also studied in the paper.

Student Engagement in Assessments: What Students and Teachers Find Engaging

Science.gov (United States)

Bae, Soung; Kokka, Kari

2016-01-01

Although research has shown that student engagement is strongly related to performance on assessment tasks, especially for traditionally underserved subgroups of students, increasing student engagement has not been the goal of standardized tests of content knowledge. Recent state and federal policies, however, are changing the assessment…

Integration of safety in management tasks in onshore transport SME´s

DEFF Research Database (Denmark)

Jørgensen, Kirsten

2015-01-01

with animals and the risk of violence and robbery. To create a high level of safety in an enterprise is a difficult task that demands a great degree of management engagement. It is not only a question of having the right equipment, procedures and organization etc.; it is also necessary for everyone...... in the enterprise to have an understanding of safety and feel obligated to take responsibility for safety in all work at all times. Accident research shows that safety must be integrated in the whole enterprise and function on all levels of management, while it must also involve all employees in their daily work...... prevention. The result is a realistic strategy for integration safety, quality and environmental factors in an SME and procedures for how to go from strategy to action. Different tools were developed to fulfil the strategy ranging from risk identification, involvement of the employee and motivational...

Reproductive performance of Friesian mares after retained placenta and manual removal of the placenta

NARCIS (Netherlands)

Sevinga, M; Hesselink, JW; Barkema, H.W.

2002-01-01

Because the incidence of retained placenta in Friesian mares is estimated to be high, and no reports have been published on the reproductive performance of Friesian mares after retained placenta, we studied postpartum reproductive performance in Friesian brood mares with (n = 54) and without (n =

OPG's deep geologic repository for low and intermediate level waste - public participation and aboriginal engagement

International Nuclear Information System (INIS)

Wilson, M.

2011-01-01

Ontario Power Generation (OPG)'s Public Participation and Aboriginal Engagement Program for the proposed Deep Geologic Repository (DGR) for low and intermediate level waste (L and ILW) began with the signing of a Memorandum of Understanding (MOU) in 2002 between OPG and the Municipality of Kincardine. The MOU set out the terms under which the two parties would jointly study the feasibility of different options for the long-term management of L and ILW at the Bruce nuclear site. A consultant, independent from both the Municipality of Kincardine and OPG, was retained to manage the assessment of options as well as a communication plan to ensure the public and Aboriginal peoples were kept apprised of all activities associated with the MOU. This early commitment to transparency and openness, with its ensuing opportunities for the public and Aboriginal peoples to become informed, ask questions, and engage in meaningful two-way dialogue about the early assessment of options, established the foundation and later became the hallmark of the DGR Project's Public Participation and Aboriginal Engagement program. This paper provides an overview of the development, nature and results of that program as it has evolved through the early investigative stages of options and through the environmental assessment and licencing process for the proposed DGR Project. (author)

Research and Development on Coatings for Retaining Fission Product Iodine

Energy Technology Data Exchange (ETDEWEB)

Genco, J. M.; Berry, D. A.; Rosenberg, H. S.; Cremeans, G. E.; Morrison, D. L. [Battelle Memorial Institute, Columbus Laboratories, Columbus, OH (United States)

1968-12-15

It is well known that elemental iodine has the propensity for forming charge-transfer complexes with amines. These complexes are stable at ambient temperatures and retain much of this stability at elevated temperatures. Amines also react with methyl iodide and hydrogen iodide to form the quaternary ammonium salts and amine salts, respectively. These chemical properties of amines provide the basis for the development of retentive coatings for fission product iodine. Various amine-containing polymers were studied in steam-air environments at elevated temperatures using dilute quantities of tagged iodine. Both non-condensing and condensing steam conditions were investigated. Several of the polymers showed sorption rates and capacities that would be adequate for the chemical removal of accident-released fission-product iodine and were several times more effective than commercial protective coatings currently being used. The removal capabilities for amine polymers also could be enhanced by impregnating the reactant on a matrix material such as asbestos mat, presumably because the impregnation technique leads to enhanced surface area and porosity. The two most promising coating systems found were 1:10-phenanthroline impregnated upon asbestos and a three component composite film of the co-polymer of Genamid 2000 and Epon 828 as a reactive binder with 1,10-phenanthroline as a reactive filler. The use of a reactive coating as a passive safety system should reduce appreciably the airborne iodine half-life and the hazards associated with iodine release during a nuclear reactor accident. (author)

Safety and licensing of MHTGR [Modular High Temperature Gas Cooled Reactor

International Nuclear Information System (INIS)

Silady, F.A.; Millunzi, A.C.; Kelley, A.P. Jr.; Cunliffe, J.

1987-07-01

The Modular High Temperature Gas Cooled Reactor (MHTGR) design meets stringent top-level regulatory and user safety requirements that require that the normal and off-normal operation of the plant not disturb the public's day-to-day activities. Quantitative, top-level regulatory criteria have been specified from US NRC and EPA sources to guide the design. The user/utility group has further specified that these criteria be met at the plant boundary. The focus of the safety approach has then been centered on retaining the radionuclide inventory within the fuel by removing core heat, controlling chemical attack, and by controlling heat generation. The MHTGR is shown to passively meet the stringent requirements with margin. No operator action is required and the plant is insensitive to operator error

Experiments in engagement: Designing public engagement with science and technology for capacity building.

Science.gov (United States)

Selin, Cynthia; Rawlings, Kelly Campbell; de Ridder-Vignone, Kathryn; Sadowski, Jathan; Altamirano Allende, Carlo; Gano, Gretchen; Davies, Sarah R; Guston, David H

2017-08-01

Public engagement with science and technology is now widely used in science policy and communication. Touted as a means of enhancing democratic discussion of science and technology, analysis of public engagement with science and technology has shown that it is often weakly tied to scientific governance. In this article, we suggest that the notion of capacity building might be a way of reframing the democratic potential of public engagement with science and technology activities. Drawing on literatures from public policy and administration, we outline how public engagement with science and technology might build citizen capacity, before using the notion of capacity building to develop five principles for the design of public engagement with science and technology. We demonstrate the use of these principles through a discussion of the development and realization of the pilot for a large-scale public engagement with science and technology activity, the Futurescape City Tours, which was carried out in Arizona in 2012.

Effect of motivational group interviewing-based safety education on Workers' safety behaviors in glass manufacturing.

Science.gov (United States)

Navidian, Ali; Rostami, Zahra; Rozbehani, Nasrin

2015-09-19

Worker safety education using models that identify and reinforce factors affecting behavior is essential. The present study aimed to determine the effect of safety education based on motivational interviewing on awareness of, attitudes toward, and engagement in worker safety in the glass production industry in Hamedan, Iran, in 2014. This was a quasi-experimental interventional study including a total of 70 production line workers at glass production facilities in Hamedan. The workers were randomly assigned to either an intervention or a control group, with 35 workers in each group. Participants in the control group received four one-hour safety education sessions, in the form of traditional lectures. Those in the intervention group received four educational sessions based on motivational group interviewing, which were conducted in four groups of eight to ten participants each. The instruments used included a researcher-developed questionnaire with checklists addressing safety awareness, and attitude and performance, which were completed before and 12 weeks after the intervention. The data were analyzed using descriptive statistics, independent and paired t-tests, and chi-squared tests. Having obtained the differences in scores before and after the intervention, we determined mean changes in the scores of awareness, attitude, and use of personal protective equipment among workers who underwent motivational group interviewing (3.74 ± 2.16, 1.71 ± 3.16, and 3.2 ± 1.92, respectively, p work environment.

Assessment of Candida species colonization and denture-related stomatitis in bar- and locator-retained overdentures.

Science.gov (United States)

Kilic, Kerem; Koc, Ayse Nedret; Tekinsen, Fatma Filiz; Yildiz, Pinar; Kilic, Duygu; Zararsiz, Gokmen; Kilic, Erdem

2014-10-01

The aim of this study was to assess the prevalence of denture-related stomatitis (DRS) in different attachment-retained overdenture wearers and its association with particular colonizing Candida species. Thirty-seven edentulous patients with implant-supported maxillary or mandibular overdentures were enrolled. A full clinical history was obtained, including details of patients' oral hygiene practices and the levels of erythema based on Newton's classification scale. Swabs were taken from the palate and investigated mycologically to identify the yeast colonies. Quantitative and qualitative microbiological assessments were performed, which included recording the total numbers of colonies (cfu), their color, and their morphological characteristics. Significant differences were found in cfu values between the attachment and inner surfaces of locator- and bar-retained overdentures (P overdentures and 38.1% of locator-retained overdentures. DRS developed in all patients using bar-retained overdentures but in only 71.4% of those using locator-retained overdentures. No statistically significant relationship was found between bar and locator attachments according to smoking habit, overnight removal, or plaque and gingival indices (P > .05).

Transnational television audiences and modes of engagement: studying audience engagement as a set of experiences

DEFF Research Database (Denmark)

Keinonen, Heidi; Jensen, Pia Majbritt; Esser, Andrea

2018-01-01

Audience engagement is attracting increasing attention in various academic disciplines. Recently, the industry- and technology-oriented conceptualizations of engagement have been challenged by a more audience-oriented understanding. This article aims at contributing to the development of a more...... nuanced audience-oriented approach. First, we make a theoretical argument by bringing various key theories together and, second, we present an empirical contribution by analysing audience engagement as a set of experiences. Our analysis builds on the empirical material produced by conducting two rounds...... and ritualistic engagement, ludic engagement. We also discovered that audiences at times get disengaged or opt to actively resist engagement....

Measuring patient engagement: development and psychometric properties of the Patient Health Engagement (PHE) Scale.

Science.gov (United States)

Graffigna, Guendalina; Barello, Serena; Bonanomi, Andrea; Lozza, Edoardo

2015-01-01

Beyond the rhetorical call for increasing patients' engagement, policy makers recognize the urgency to have an evidence-based measure of patients' engagement and capture its effect when planning and implementing initiatives aimed at sustaining the engagement of consumers in their health. In this paper, authors describe the Patient Health Engagement Scale (PHE-scale), a measure of patient engagement that is grounded in rigorous conceptualization and appropriate psychometric methods. The scale was developed based on our previous conceptualization of patient engagement (the PHE-model). In particular, the items of the PHE-scale were developed based on the findings from the literature review and from interviews with chronic patients. Initial psychometric analysis was performed to pilot test a preliminary version of the items. The items were then refined and administered to a national sample of chronic patients (N = 382) to assess the measure's psychometric performance. A final phase of test-retest reliability was performed. The analysis showed that the PHE Scale has good psychometric properties with good correlation with concurrent measures and solid reliability. Having a valid and reliable measure to assess patient engagement is the first step in understanding patient engagement and its role in health care quality, outcomes, and cost containment. The PHE Scale shows a promising clinical relevance, indicating that it can be used to tailor intervention and assess changes after patient engagement interventions.

Measuring Student Engagement in the Online Course: The Online Student Engagement Scale (OSE)

Science.gov (United States)

Dixson, Marcia D.

2015-01-01

Student engagement is critical to student learning, especially in the online environment, where students can often feel isolated and disconnected. Therefore, teachers and researchers need to be able to measure student engagement. This study provides validation of the Online Student Engagement scale (OSE) by correlating student self-reports of…

Constituting Public Engagement

DEFF Research Database (Denmark)

Davies, Sarah Rachael

2013-01-01

understanding of science to those of public engagement with science and technology (PEST), and the histories, or genealogies, of such models. Data from two qualitative studies-a case study of one of the United Kingdom'ssix Beacons for Public Engagement and a study of contract research staff-are used......This article uses data from two U.K. studies in order to explore the meanings attached to public engagement. It focuses on two issues of importance to contemporary discussions of science communication: the degree to which there has been a smooth transition, in practice, from models of public...... to characterize the ways in which U.K. academic communities understand PEST. It is argued that engagement is construed as multiple, relational, and outcomes oriented, with seven key outcomes ranging from better research to empowered individuals. These differences are traced to personal and professional...

Indirect vs direct bonding of mandibular fixed retainers in orthodontic patients: Comparison of retainer failures and posttreatment stability. A 2-year follow-up of a single-center randomized controlled trial.

Science.gov (United States)

Egli, Fabienne; Bovali, Efstathia; Kiliaridis, Stavros; Cornelis, Marie A

2017-01-01

The objectives of this 2-arm parallel trial were to compare the numbers of failures of mandibular fixed retainers bonded with indirect and direct methods and to investigate the posttreatment changes 2 years after placement. Sixty-four consecutive patients from the postgraduate orthodontic clinic of the University of Geneva in Switzerland were randomly allocated to either an indirect or a traditional direct bonding procedure of a mandibular fixed retainer at the end of their orthodontic treatment (T0). Eligibility criteria were the presence of the 4 mandibular incisors and the 2 mandibular canines, and no active caries, restorations, fractures, or periodontal disease of these teeth. The patients were randomized in blocks of 4 (using an online randomization service) with allocation concealment secured by contacting the sequence generator for assignment. The patients were recalled 12 months and 24 months (T3) after retainer bonding. The main outcome was any first-time failure of retainers (ie, at least 1 composite pad debonded or fractured); unexpected posttreatment changes of the mandibular incisors and canines were a secondary outcome. Impressions and lateral cephalograms were taken at T0 and T3: changes in mandibular intercanine and interpremolar distances and mandibular incisor inclination were assessed. Blinding was applicable for outcome assessment only. The chi-square test and Cox regression were used to compare the survival rates of the retainers bonded with direct and indirect methods. Paired t tests were used to assess differences in intercanine and interpremolar distances and mandibular incisor inclination at T0 and T3. Significance was set at P direct bonding group (log-rank test, P = 0.64). The hazard ratio was 1.26 (95% confidence interval, 0.56-2.81; P = 0.58). Bond failures occurred mainly during the first year. There were no clinically significant changes in mandibular intercanine distance, interpremolar distance, and incisor inclination

Experimental assessment of dry stone retaining wall stability on a rigid foundation

OpenAIRE

Villemus , B.; Morel , J.C.; Boutin , C.

2007-01-01

International audience; Dry stone masonry retaining walls are present in the majority of mountainous areas all around the world, but the technique is marginal today in developed countries. The emergence of the concept of sustainable development calls for renewed use of this technique, both for the repair of existing retaining walls and the building of new ones. The objective of this research was to seek the knowledge necessary to ensure the stability of these structures, using experimental in...

Retained placenta in Friesian mares : reproductive performance after foal heat breeding versus breeding in a subsequent heat

NARCIS (Netherlands)

Sevinga, M; Hesselink, JW; Barkema, H.W.

2001-01-01

Postpartum reproductive performance was studied in 54 Friesian brood mares with and 50 without retained placenta. Retained placenta was defined as failure to expel all fetal membranes within 3 hours after the delivery of the foal. The group of mares with retained placenta was subdivided into mares

The effect of retained intramedullary nails on tibial bone mineral density.

Science.gov (United States)

Allen, J C; Lindsey, R W; Hipp, J A; Gugala, Z; Rianon, N; LeBlanc, A

2008-07-01

Intramedullary nailing has become a standard treatment for adult tibial shaft fractures. Retained intramedullary nails have been associated with stress shielding, although their long-term effect on decreasing tibial bone mineral density is currently unclear. The purpose of this study was to determine if retained tibial intramedullary nails decrease tibial mineral density in patients with successfully treated fractures. Patients treated with statically locked intramedullary nails for isolated, unilateral tibia shaft fractures were studied. Inclusion required that fracture had healed radiographically and that the patient returned to the pre-injury activity level. Data on patient demographic, fracture type, surgical technique, implant, and post-operative functional status were tabulated. Dual energy X-ray absorptiometry was used to measure bone mineral density in selected regions of the affected tibia and the contralateral intact tibia. Image reconstruction software was employed to ensure symmetry of the studied regions. Twenty patients (mean age 43; range 22-77 years) were studied at a mean of 29 months (range 5-60 months) following intramedullary nailing. There was statistically significant reduction of mean bone mineral density in tibiae with retained intramedullary nails (1.02 g/cm(2) versus 1.06 g/cm(2); P=0.04). A significantly greater decrease in bone mineral density was detected in the reamed versus non-reamed tibiae (-7% versus +6%, respectively; P<0.05). The present study demonstrates a small, but statistically significant overall bone mineral density decrease in healed tibiae with retained nails. Intramedullary reaming appears to be a factor potentiating the reduction of tibia bone mineral density in long-term nail retention.

Measuring user engagement

CERN Document Server

Lalmas, Mounia; Yom-Tov, Elad

2014-01-01

User engagement refers to the quality of the user experience that emphasizes the positive aspects of interacting with an online application and, in particular, the desire to use that application longer and repeatedly. User engagement is a key concept in the design of online applications (whether for desktop, tablet or mobile), motivated by the observation that successful applications are not just used, but are engaged with. Users invest time, attention, and emotion in their use of technology, and seek to satisfy pragmatic and hedonic needs. Measurement is critical for evaluating whether online

Management system of health and safety work (SMK3) with job safety analysis (JSA) in PT. Nira Murni construction

Science.gov (United States)

Melliana, Armen, Yusrizal, Akmal, Syarifah

2017-11-01

PT Nira Murni construction is a contractor of PT Chevron Pacific Indonesia which engaged in contractor, fabrication, maintenance construction suppliers, and labor services. The high of accident rate in this company is caused the lack of awareness of workplace safety. Therefore, it requires an effort to reduce the accident rate on the company so that the financial losses can be minimized. In this study, Safe T-Score method is used to analyze the accident rate by measuring the level of frequency. Analysis is continued using risk management methods which identify hazards, risk measurement and risk management. The last analysis uses Job safety analysis (JSA) which will identify the effect of accidents. From the result of this study can be concluded that Job Safety Analysis (JSA) methods has not been implemented properly. Therefore, JSA method needs to follow-up in the next study, so that can be well applied as prevention of occupational accidents.

Strengthening the culture of safety and performance in nuclear installations

International Nuclear Information System (INIS)

Briant, V.S.; Germann, R.P.

1997-01-01

In mid-1995, the International Atomic Energy Agency (IAEA) in Vienna brought together a group of safety culture experts from around the world to explore and summarize those practices they viewed as important in establishing sound safety cultures in nuclear installations. This paper will summarize key findings of the Vienna team and also expand those ideas based on related work in which the authors are engaged. The paper includes a definition of safety culture, a description of three stages of safety culture, and five key practices essential to establishing and maintaining a sound safety culture. Additionally, the authors contradicts the conventional view of safety and production as trade-offs, supporting the Vienna team's conclusion that the principles, attitudes, and practices which bring about sustained levels of high performance are the same as those which enhance safety. Based on input from colleagues in several countries, this appears to hold true across geographical and ethnic boundaries. The authors also discuss how this information can be put to practical use to obtain an objective, measurable, and repeated assessment of the current state of the safety culture within a company, plant or work unit. With that information, leaders are then in the position to act on any of the several parameters which affect both safety and performance effectiveness. (author)

Torque resistance of different stainless steel wires commonly used for fixed retainers in orthodontics

DEFF Research Database (Denmark)

Arnold, Dario; Dalstra, Michel; Verna, Carlalberta

2016-01-01

Objective: Movements of teeth splinted by fixed retention wires after orthodontic treatment have been observed. The aetiological factors for these movements are unknown. The aim of this in vitro study was to compare the resistance to torque of different stainless steel wires commonly used for fixed...... retainers in orthodontics. Materials and Methods: Torquing moments acting on a retainer wire were measured in a mechanical force testing system by applying buccal crown torque to an upper lateral incisor in both a 3-teeth and in a 2-teeth setup. Seven stainless steel wires with different shape, type (plain...... or a braided 0.016 × 0.022-inch stainless steel wire. A tooth attached by a retainer wire to only one neighbouring tooth is less resistant to torque than a tooth connected to two neighbouring teeth. Annealing a retainer wire with a flame reduces the stiffness of the wire markedly and can lead to a non...

Implant-Retained Auricular Prosthesis: A Case Report

OpenAIRE

Ozturk, A. Nilgun; Usumez, Aslihan; Tosun, Zekeriya

2010-01-01

Extraoral implant retained prosthesis have been proven to be a predictable treatment option for maxillofacial rehabilitation. This case report describes the clinical and laboratory procedures for fabricating an auricular prosthesis. In this case report, an auricular prosthesis was fabricated for a patient who lost the left and right external ear in an electrical burn. Extraoral implants and bar-and-clip retention for the proper connection of the auricular prosthesis to implant were used. This...

2005 dossier: granite. Tome: safety analysis of the geologic disposal; Dossier 2005: granite. Tome analyse de surete du stockage geologique

Energy Technology Data Exchange (ETDEWEB)

NONE

2005-07-01

This document makes a status of the researches carried out by the French national agency of radioactive wastes (ANDRA) about the safety aspects of the geologic disposal of high-level and long-lived (HLLL) radioactive wastes in granite formations. Content: 1 - safety approach: context and general goal, references, design approach by safety functions, safety approach during the construction-exploitation-observation-closure phase, safety analysis during the post-closure phase; 2 - general description: HLLL wastes, granitic environment, general structure of the architecture of a disposal facility; 3 - safety functions and disposal design: general context, safety functions of the long-term disposal, design dispositions retained to answer the functions; 4 - operational safety: people's protection, radiological risks during exploitation, risk analysis in accident situation; 5 - qualitative safety analysis: methodology, main results of the analysis of the features, events and processes (FEP) database; 6 - disposal efficiency evaluation during post-closure phase: calculation models, calculation tools used for the modeling of radionuclides transport, calculation results and main lessons. (J.S.)

2005 dossier: granite. Tome: safety analysis of the geologic disposal; Dossier 2005: granite. Tome analyse de surete du stockage geologique

Energy Technology Data Exchange (ETDEWEB)

NONE

2005-07-01

This document makes a status of the researches carried out by the French national agency of radioactive wastes (ANDRA) about the safety aspects of the geologic disposal of high-level and long-lived (HLLL) radioactive wastes in granite formations. Content: 1 - safety approach: context and general goal, references, design approach by safety functions, safety approach during the construction-exploitation-observation-closure phase, safety analysis during the post-closure phase; 2 - general description: HLLL wastes, granitic environment, general structure of the architecture of a disposal facility; 3 - safety functions and disposal design: general context, safety functions of the long-term disposal, design dispositions retained to answer the functions; 4 - operational safety: people's protection, radiological risks during exploitation, risk analysis in accident situation; 5 - qualitative safety analysis: methodology, main results of the analysis of the features, events and processes (FEP) database; 6 - disposal efficiency evaluation during post-closure phase: calculation models, calculation tools used for the modeling of radionuclides transport, calculation results and main lessons. (J.S.)

An application of ultrasonic inspection system (INER-SCAN) inspecting generator retaining rings

International Nuclear Information System (INIS)

Chen, L.C.; Hwang, S.C.

1994-01-01

The performances of the automatic ultrasonic inspecting and imaging system (INER-SCAN) developed by the NDT laboratory of the Institute of Nuclear Energy Research have been enhanced and much more improved to commercial level. With appropriate rearrangements of software libraries, it is used to inspect generator retaining rings which are critical structural rotor components that support the end-turn regions of the rotor wingings against centrifugal forces. The use of the INER-SCAN provides distinct advantages over other systems in terms of the reliability of inspection and the flexibility of system performance modifications. The INER-SCAN system assists users to select and modify ultrasonic parameters under computer-aided environment. In addition, the INER-SCAN system contains the necessary software functions to image the ultrasonic data (A-SCAN, B-SCAN, B'-SCAN, C-SCAN). The use of the imaging system makes it quite easy to evaluate various test parameters and their effects on the discrimination between geometric and IGSCC reflectors. Through experimental test, it is recognized that the system has powerful detectable capability which can find 0.2mm-depth slight scratch on the inner surface of retaining rings. This system can also be used on different generator retaining rings (different in terms of hidden design features) without the need for access to the dimension of retaining ring

Cultural safety as an ethic of care: a praxiological process.

Science.gov (United States)

McEldowney, Rose; Connor, Margaret J

2011-10-01

New writings broadening the construct of cultural safety, a construct initiated in Aotearoa New Zealand, are beginning to appear in the literature. Therefore, it is considered timely to integrate these writings and advance the construct into a new theoretical model. The new model reconfigures the constructs of cultural safety and cultural competence as an ethic of care informed by a postmodern perspective. Central to the new model are three interwoven, co-occurring components: an ethic of care, which unfolds within a praxiological process shaped by the context. Context is expanded through identifying the three concepts of relationality, generic competence, and collectivity, which are integral to each client-nurse encounter. The competence associated with cultural safety as an ethic of care is always in the process of development. Clients and nurses engage in a dialogue to establish the level of cultural safety achieved at given points in a care trajectory.

Integrating psychosocial safety climate in the JD-R model: a study amongst Malaysian workers

OpenAIRE

Idris, Mohd A.; Dollard, Maureen F.; Winefield, Anthony H.

2011-01-01

Orientation: Job characteristics are well accepted as sources of burnout and engagement amongst employees; psychosocial safety climate may precede work conditions. Research purpose: We expanded the Job Demands and Resources (JD-R) model by proposing psychosocial safety climate (PSC) as a precursor to job demands and job resources. As PSC theoretically influences the working environment, the study hypothesized that PSC has an impact on performance via both health erosion (i.e. burnout) and ...

Advanced nuclear reactor safety design technology research in NPIC

International Nuclear Information System (INIS)

Yu, H.

2014-01-01

After the Fukushima accident happen, Nuclear Power Plants (NPPs) construction has been suspended in China for a time. Now the new regulatory rule has been proposed that the most advanced safety standard must be adopted for the new NPPs and practical elimination of large fission product release by design during the next five plans period. So the advanced reactor research is developing in China. NPIC is engaging on the ACP1000 and ACP100 (Small Module Reactor) design. The main design character will be introduced in this paper. The Passive Combined with Active (PCWA) design was adopted during the ACP1000 design to reduce the core damage frequency (CDF); the Cavity Injection System (CIS) is design to mitigation the consequence of the severe accident. Advance passive safety system was designed to ensure the long term residual heat removal during the Small Module Reactor (SMR). The SMR will be utilized to be the floating reactors, district heating reactor and so on. Besides, the Science and Technology on Reactor System Design Technology Laboratory (LRSDT) also engaged on the fundamental thermal-hydraulic characteristic research in support of the system validation. (author)

An investigation and analysis of safety issues in Polish small construction plants.

Science.gov (United States)

Dąbrowski, Andrzej

2015-01-01

The construction industry is a booming sector of the Polish economy; however, it is stigmatised by a lower classification due to high occupational risks and an unsatisfactory state of occupational safety. Safety on construction sites is compromised by small construction firms which dominate the market and have high accident rates. This article presents the results of studies (using a checklist) conducted in small Polish construction companies in terms of selected aspects of safety, such as co-operation with the general contractor, occupational health and safety documents, occupational risk assessment, organization of work, protective gear and general work equipment. The mentioned studies and analyses provided the grounds to establish the main directions of preventive measures decreasing occupational risk in small construction companies, e.g., an increase in engagement of investors and general contractors, improvement of occupational health and safety (OSH) documents, an increase in efficiency of construction site managers, better stability of employment and removal of opposing objectives between economic strategy and work safety.

U.S. Food System Working Conditions as an Issue of Food Safety.

Science.gov (United States)

Clayton, Megan L; Smith, Katherine C; Pollack, Keshia M; Neff, Roni A; Rutkow, Lainie

2017-02-01

Food workers' health and hygiene are common pathways to foodborne disease outbreaks. Improving food system jobs is important to food safety because working conditions impact workers' health, hygiene, and safe food handling. Stakeholders from key industries have advanced working conditions as an issue of public safety in the United States. Yet, for the food industry, stakeholder engagement with this topic is seemingly limited. To understand this lack of action, we interviewed key informants from organizations recognized for their agenda-setting role on food-worker issues. Findings suggest that participants recognize the work standards/food safety connection, yet perceived barriers limit adoption of a food safety frame, including more pressing priorities (e.g., occupational safety); poor fit with organizational strategies and mission; and questionable utility, including potential negative consequences. Using these findings, we consider how public health advocates may connect food working conditions to food and public safety and elevate it to the public policy agenda.

Good, better, engaged? The effect of company-initiated customer engagement behavior on shareholder value

NARCIS (Netherlands)

Beckers, Sander F.M.; van Doorn, Jenny; Verhoef, Peter C.

In today’s connected world, customer engagement behaviors are very important. Many companies launch initiatives to stimulate customer engagement. However, despite evidence that customer engagement behavior also matters to share-holders, academic research on the firm value consequences of customer

Understanding safety climate in small automobile collision repair shops.

Science.gov (United States)

Parker, David L; Brosseau, Lisa M; Bejan, Anca; Skan, Maryellen; Xi, Min

2014-01-01

In the United States, approximately 236,000 people work in 37,600 auto collision-repair businesses. Workers in the collision-repair industry may be exposed to a wide range of physical and chemical hazards. This manuscript examines the relationship of safety climate as reported by collision repair shop workers and owners to: (1) an independent business safety assessment, and (2) employee self-reported work practices. The study was conducted in the Twin Cities metropolitan area. A total of 199 workers from 49 collision shops completed a survey of self-reported work practices and safety climate. Surveys were completed by an owner or manager in all but three shops. In general, self-reported work practices were poor. Workers' scores on safety climate were uniformly lower than those of owners. For workers, there was no correlation between how well the business scored on an independent audit of business safety practices and the safety climate measures they reported. For owners, however, there was a positive correlation between safety climate scores and the business safety assessment. For workers, safety rules and procedures were associated with improved work practices for those engaged in both painting-related and body technician-related activities. The enforcement of safety rules and procedures emerged as a strong factor positively affecting self-reported work practices. These findings identify a simple, cost effective path to reducing hazards in small workplaces. © 2013 Wiley Periodicals, Inc.

Technical safety appraisal of the Hanford Tank Farm Facility

International Nuclear Information System (INIS)

Brinkerhoff, L.C.

1989-05-01

This report presents the results of one in a series of TSAs being conducted at DOE nuclear operations by the Assistant Secretary for Environment, Safety, and Health, Office of Safety Appraisals. TSAs are one of the initiatives announced by the Secretary of Energy on September 18, 1985, to enhance the DOE environment, safety and health program. This report provides the results of a TSA of the Tank Farm in the 200 East and 200 West Areas located on the Hanford site. The appraisal was conducted by a team of experts assembled by the DOE Office of Safety Appraisals and was conducted during onsite visits of March 20--24 and April 3--14, 1989. At the Tank Farm, the processing of spent reactor fuels to recover the useful radioactive products is accompanied by the production of radioactive waste. Because many of these wastes will retain radioactivity for many years, they must be safely handled, contained, and disposed with regard to protection of the environment, employees, and the public. Dilute low-level waste and five year ''cooled'' aging wastes are pumped to an evaporator for concentration. The radioactive liquid and solid wastes are stored in underground carbon steel tanks ranging in capacity from 55,000 to over one million gallons

40 CFR 98.57 - Records that must be retained.

Science.gov (United States)

2010-07-01

... 40 Protection of Environment 20 2010-07-01 2010-07-01 false Records that must be retained. 98.57 Section 98.57 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) AIR PROGRAMS...) Documentation of how process knowledge was used to estimate abatement technology destruction efficiency. (f...