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Sample records for anti-psychotic maintenance medication

  1. Financial incentives to improve adherence to anti-psychotic maintenance medication in non-adherent patients - a cluster randomised controlled trial (FIAT

    Directory of Open Access Journals (Sweden)

    Firn Mike

    2009-09-01

    Full Text Available Abstract Background Various interventions have been tested to achieve adherence to anti-psychotic maintenance medication in non-adherent patients with psychotic disorders, and there is no consistent evidence for the effectiveness of any established intervention. The effectiveness of financial incentives in improving adherence to a range of treatments has been demonstrated; no randomised controlled trial however has tested the use of financial incentives to achieve medication adherence for patients with psychotic disorders living in the community. Methods/Design In a cluster randomised controlled trial, 34 mental health teams caring for difficult to engage patients in the community will be randomly allocated to either the intervention group, where patients will be offered a financial incentive for each anti-psychotic depot medication they receive over a 12 month period, or the control group, where all patients will receive treatment as usual. We will recruit 136 patients with psychotic disorders who use these services and who have problems adhering to antipsychotic depot medication, although all conventional methods to achieve adherence have been tried. The primary outcome will be adherence levels, and secondary outcomes are global clinical improvement, number of voluntary and involuntary hospital admissions, number of attempted and completed suicides, incidents of physical violence, number of police arrests, number of days spent in work/training/education, subjective quality of life and satisfaction with medication. We will also establish the cost effectiveness of offering financial incentives. Discussion The study aims to provide new evidence on the effectiveness and cost effectiveness of offering financial incentives to patients with psychotic disorders to adhere to antipsychotic maintenance medication. If financial incentives improve adherence and lead to better health and social outcomes, they may be recommended as one option to improve the

  2. Quantitative techniques for medical equipment maintenance management

    NARCIS (Netherlands)

    Ben Houria, Zeineb; Masmoudi, Malek; Al Hanbali, Ahmad; Khatrouch, Ikram; Masmoudi, Faouzi

    2016-01-01

    The maintenance department in a hospital is responsible for ensuring the safety of medical equipment and their availability while keeping the operation costs minimal. The selection of the best maintenance strategy is a key decision to reduce the equipment downtime, increase the availability, and bri

  3. Is aripiprazole the only choice of treatment of the patients who developed anti-psychotic agents-induced leucopenia and neutropenia? A case report.

    Science.gov (United States)

    Yalcin, Demet Ozen; Goka, Erol; Aydemir, M Cigdem; Kisa, Cebrail

    2008-05-01

    Leucopenia and neutropenia could be side effects of anti-psychotic drugs, especially clozapine. However, there is evidence that other anti-psychotics can cause leucopenia and neutropenia. We present the clinical follow-up and treatment process of a patient, who had initially developed quetiapine and amisulpride related neutropenia, but not with aripiprazole.

  4. Medical equipment maintenance management and oversight

    CERN Document Server

    Wang, Binseng

    2012-01-01

    In addition to being essential for safe and effective patient care, medical equipment also has significant impact on the income and, thus, vitality of healthcare organizations. For this reason, its maintenance and management requires careful supervision by healthcare administrators, many of whom may not have the technical background to understand all of the relevant factors. This book presents the basic elements of medical equipment maintenance and management required of healthcare leaders responsible for managing or overseeing this function. It will enable these individuals to understand thei

  5. [Challenges Analysis and Strategic Consideration on Medical Equipment Maintenance].

    Science.gov (United States)

    Deng, Tianhua; Yu, Bo

    2015-03-01

    Expounding the status of the current domestic medical equipment maintenance management, and puting forward the strategic thinking of medical maintenance for the challenges of equipment maintenance management in the hospital. This discussion can be performed to control the maintenance costs of hospital effectively, increase the income and social benefits of the hospital.

  6. Medical Equipment Maintenance Programme Overview WHO Medical device technical series

    CERN Document Server

    Organization, World Health

    2011-01-01

    WHO and partners have been working towards devising an agenda an action plan tools and guidelines to increase access to appropriate medical devices. This document is part of a series of reference documents being developed for use at the country level. The series will include the following subject areas: . policy framework for health technology . medical device regulations . health technology assessment . health technology management . needs assessment of medical devices . medical device procurement . medical equipment donations . medical equipment inventory management . medical equipment maint

  7. Discussion on Management Model of Medical Equipment Maintenance in Hospital

    Institute of Scientific and Technical Information of China (English)

    ZHOU Qiang; DENG Wen-yan; CAI Kui

    2016-01-01

    With the development of technology, medical equipment plays a more important role in the modern hospital. Medical equipment provides images, physiological results or other schematics of the patients to help doctors deal with the routines. It is also the major tool to the lab assistant in the clinical teaching and studies. It becomes one of a symbol of the technological level in modern hospital. The director of the hospital should establish an efficacious management pattern to manage the medical equipment, so that it will be operated in good condition to insure the safety of the patients. Since the maintenance is an important part of medical equipment management, it is significant that the hospital should establish a system to fit for itself. The study reviews the issues in hospital medical equipment maintenance management, the development of the maintenance management model and the characteristics, as well as the status at home and abroad. The research has been finished by using literature research method, questionnaire survey method and data analysis method. Then we analyze the current status of hospital medical equipment maintenance management model to find the problems. Based on the authentic and effective data from the survey, we can deduce the overview about the maintenance model in Beijing. The paper discusses the advantages and the disadvantages between the different model, and it makes suggestions on the follow aspects, such as system management, quality management, personnel management, cost management, information management perspective.

  8. [Web-based support system for medical device maintenance].

    Science.gov (United States)

    Zhao, Jinhai; Hou, Wensheng; Chen, Haiyan; Tang, Wei; Wang, Yihui

    2015-01-01

    A Web-based technology system was put forward aiming at the actual problems of the long maintenance cycle and the difficulties of the maintenance and repairing of medical equipments. Based on analysis of platform system structure and function, using the key technologies such as search engine, BBS, knowledge base and etc, a platform for medical equipment service technician to use by online or offline was designed. The platform provides users with knowledge services and interactive services, enabling users to get a more ideal solution.

  9. 5 CFR 293.507 - Maintenance and content of the Employee Medical Folder.

    Science.gov (United States)

    2010-01-01

    ... 5 Administrative Personnel 1 2010-01-01 2010-01-01 false Maintenance and content of the Employee Medical Folder. 293.507 Section 293.507 Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT CIVIL SERVICE REGULATIONS PERSONNEL RECORDS Employee Medical File System Records § 293.507 Maintenance...

  10. Application and preventive maintenance of neurology medical equipment in Isfahan alzahra hospital

    Directory of Open Access Journals (Sweden)

    Parivash Alikhani

    2013-01-01

    Conclusions: Survey of application and preventive maintenance of neurology medical equipment in Isfahan Alzahra hospital show there is no P.M system. Implementing a complete P.M system for this medical center is crucial to preventing cause problems for these medical equipment and decreasing maintenance costs and gaining uptime. Researchers of this article have tried to provide PM, use of texts, web and experts.

  11. Planning Maintenance of Medical Equipment Through the Workforce Adjustment

    Directory of Open Access Journals (Sweden)

    Michael Herrera Galán

    2015-12-01

    Full Text Available The health institutions have gained experience in managing their processes. For many the key to success lies in human resource management. Companies require personnel, and while more appropriate is the staff, its effi ciency will be greater. With the present article, we intend to provide a proceeding that supports the functions of the maintenance department at a hospital, under the criterion of determine the necessary staff, to carry out the maintenance tasks. Several factors are combined, highlighting, workload derived from the annual maintenance plan and the time available for department employees. The results obtained, permitted the identifi cation of the necessary staff to carry out the planned preventive maintenance actions at the at Children's Hospital Juan Manuel Marquez.

  12. The impact of discussing exercise test results of young asthmatic children on adherence to maintenance medication

    NARCIS (Netherlands)

    Visser, R.; Brusse-Keizer, M.; Palen, van der J.; Klok, T.; Thio, B.J.

    2015-01-01

    Objective: Parents’ awareness of their child’s asthma may improve by discussing an exercise challenge test (ECT) result with them. We investigated the influence of discussing an ECT result with parents on adherence to inhaled maintenance medication, parental illness perceptions and medication belief

  13. A placebo controlled trial on add-on modafinil on the anti-psychotic treatment emergent hyperglycemia and hyperlipidemia

    Directory of Open Access Journals (Sweden)

    Pathapati Lakshmi Prasuna

    2014-01-01

    Full Text Available Modafinil is non stimulant drug which is marketed for mainly Narcolepsy and daytime drowsiness. The clinical experience and Summary of Product Characteristics (SPC of the drug also mentions Anorexia as one of the side effects. Anorexia can have a direct impact on the carbohydrate and fat intake, which may, in turn, regulate antipsychotic induced dyslipidemia and Hyperglycaemia. Aim: To compare the effects of Modafinil- ADDON with Placebo add on with olanzapine, Clozapine and Risperidone in drug naive subjects and people who were started on the drugs within 15days of assessment. Materials and Methods: Randomized, Double blind, Placebo controlled study, which was conducted at two centres, one at department of Psychiatry, S.V Medical College, Tirupati and the other at Asha hospitals, Hyderabad. Seventy two patient were randomised, sixty three patients have completed the total study period of three months.The dose of Modafinil was 200 mgs constantly as Flexible doses of Olanzapine, Clozapine and Risperidone as per clinical need was given. A baseline, three week and twelve week assessments of Fasting blood Glucose and fasting Serum cholesterol were made and the groups were compared on these parameters. Results: From baseline to week 3 there was a significant raise in Fasting serum cholesterol followed by a fall from week 3 to week 12 in the Modafinil addon group, though it could not be considered a drug for hypercholesteremia like Statins in controlling hyperlipidaemia. The implications of these findings were discussed.

  14. [The Application of the Fault Tree Analysis Method in Medical Equipment Maintenance].

    Science.gov (United States)

    Liu, Hongbin

    2015-11-01

    In this paper, the traditional fault tree analysis method is presented, detailed instructions for its application characteristics in medical instrument maintenance is made. It is made significant changes when the traditional fault tree analysis method is introduced into the medical instrument maintenance: gave up the logic symbolic, logic analysis and calculation, gave up its complicated programs, and only keep its image and practical fault tree diagram, and the fault tree diagram there are also differences: the fault tree is no longer a logical tree but the thinking tree in troubleshooting, the definition of the fault tree's nodes is different, the composition of the fault tree's branches is also different.

  15. Budesonide/formoterol combination therapy as both maintenance and reliever medication in asthma

    DEFF Research Database (Denmark)

    O'Byrne, Paul M; Bisgaard, Hans; Godard, Philippe P;

    2005-01-01

    Asthma control is improved by combining inhaled corticosteroids with long-acting beta2-agonists. However, fluctuating asthma control still occurs. We hypothesized that in patients receiving low maintenance dose budesonide/formoterol (bud/form), replacing short-acting beta2-agonist (SABA) reliever...... the time to the first, second, and third exacerbation requiring medical intervention (p

  16. Low Use and Adherence to Maintenance Medication in Chronic Obstructive Pulmonary Disease in the General Population

    DEFF Research Database (Denmark)

    Ingebrigtsen, Truls S; Marott, Jacob L; Nordestgaard, Børge G;

    2015-01-01

    OBJECTIVE: We tested the hypothesis that use of and adherence to maintenance medication is low among individuals in the general population who have chronic obstructive pulmonary disease (COPD) , even in cases of severe and very severe COPD. DESIGN AND PARTICIPANTS: We identified 5,812 individuals...

  17. Optimal Medical Equipment Maintenance Service Proposal Decision Support System combining Activity Based Costing (ABC) and the Analytic Hierarchy Process (AHP).

    Science.gov (United States)

    da Rocha, Leticia; Sloane, Elliot; M Bassani, Jose

    2005-01-01

    This study describes a framework to support the choice of the maintenance service (in-house or third party contract) for each category of medical equipment based on: a) the real medical equipment maintenance management system currently used by the biomedical engineering group of the public health system of the Universidade Estadual de Campinas located in Brazil to control the medical equipment maintenance service, b) the Activity Based Costing (ABC) method, and c) the Analytic Hierarchy Process (AHP) method. Results show the cost and performance related to each type of maintenance service. Decision-makers can use these results to evaluate possible strategies for the categories of equipment.

  18. RADIATION ACCIDENTS: EXPERIENCE OF MEDICAL PROTECTION AND MODERN STRATEGY OF PHARMACOLOGICAL MAINTENANCE

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    A. N. Grebenyuk

    2012-01-01

    Full Text Available Experience of medical protection at radiation accidents is analyzed. It is shown, that medicines that have been in the arsenal of medical service during the liquidation of consequences of the Chernobyl nuclear power plant accident satisfied their predestination in a whole and were rather effective for radiation protection. The modern strategy of pharmacological maintenance based on use of means and methods, allowing to keeping a life, health and professional serviceability of people in conditions of amazing action of a complex of factors of radiation accidents, is submitted.

  19. Health Maintenance in Very Old Age : Medical Conditions, Functional Outcome and Nutritional Status

    OpenAIRE

    Dong, Huan-Ji

    2014-01-01

    The overall aim of this thesis was to provide better understanding of the underlying factors related to health maintenance in very old people, with a focus on medical conditions, functional outcome and nutritional status. Data were gathered from the ELSA 85 project (Elderly in Linköping Screening Assessment). The ELSA 85 project was started in 2007 with a population-based survey of 85-year-old individuals (n = 650) residing in Linköping municipality, Sweden. During the study period from 2007 ...

  20. Improving maintenance medication adherence in adult inflammatory bowel disease patients: a pilot study

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    Michelle L. Matteson-Kome

    2014-01-01

    Full Text Available Medication nonadherence in inflammatory bowel disease (IBD may lead to suboptimal control of the disease, decreased quality of life, and poor outcomes. This pilot study evaluated the feasibility, intervention mechanism, and potential effectiveness of a three-month continuous self-improvement (CSI intervention to enhance medication adherence (MA in adult nonadherent IBD patients. Adult IBD patients taking a daily or twice-daily dosed maintenance medication were screened electronically for two months to determine baseline MA levels. Nonadherent IBD participants were randomized to the CSI or the attention control (AC intervention and monitored for three months. The CSI intervention consisted of a data evaluation and system refinement process in which system changes were identified and implemented. The AC group was given educational information regarding IBD disease process, extra-intestinal manifestations of IBD, and medical therapy. Demographic statistics, change scores for within and between- group differences, and effect size estimates were calculated. Nine nonadherent participants (medication adherence score <0.85 were eligible for randomization. The intervention was found feasible and acceptable. Although no statistically significant improvement in MA was found (P=0.14, adherence improved in 3 of 4 of the CSI group and 1 of 2 in the attention control group. The effect size calculation of 1.9 will determine the sample size for future study. The results of this pilot study showed the intervention was feasible and had a positive effect on MA change score and adherence levels. A larger fully powered study is needed to test of the effectiveness of this innovative intervention.

  1. [Reference the YY/T 0841-2011 standard to improve preventive maintenance of medical electrical equipment and experience].

    Science.gov (United States)

    Liu, Xiang; Ge, Bin; Liu, Jinchu

    2014-09-01

    In this paper, we interpret the new YY/T 0841-2011 standard and contrast the difference between it and GB9706.1-2007 standard. Then, we improved the current preventive maintenance work. After the improvement, we not only have more effective detection of the electrical safety performance of all kinds of medical electrical equipment, but also reduce the workload of clinical engineers, improve efficiency, and reduce the risk of electrical shock.

  2. In Silico Identification and In Vitro and In Vivo Validation of Anti-Psychotic Drug Fluspirilene as a Potential CDK2 Inhibitor and a Candidate Anti-Cancer Drug.

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    Xi-Nan Shi

    Full Text Available Hepatocellular carcinoma (HCC is one of the leading causes of cancer-related deaths worldwide. Surgical resection and conventional chemotherapy and radiotherapy ultimately fail due to tumor recurrence and HCC's resistance. The development of novel therapies against HCC is thus urgently required. The cyclin-dependent kinase (CDK pathways are important and well-established targets for cancer treatment. In particular, CDK2 is a key factor regulating the cell cycle G1 to S transition and a hallmark for cancers. In this study, we utilized our free and open-source protein-ligand docking software, idock, prospectively to identify potential CDK2 inhibitors from 4,311 FDA-approved small molecule drugs using a repurposing strategy and an ensemble docking methodology. Sorted by average idock score, nine compounds were purchased and tested in vitro. Among them, the anti-psychotic drug fluspirilene exhibited the highest anti-proliferative effect in human hepatocellular carcinoma HepG2 and Huh7 cells. We demonstrated for the first time that fluspirilene treatment significantly increased the percentage of cells in G1 phase, and decreased the expressions of CDK2, cyclin E and Rb, as well as the phosphorylations of CDK2 on Thr160 and Rb on Ser795. We also examined the anti-cancer effect of fluspirilene in vivo in BALB/C nude mice subcutaneously xenografted with human hepatocellular carcinoma Huh7 cells. Our results showed that oral fluspirilene treatment significantly inhibited tumor growth. Fluspirilene (15 mg/kg exhibited strong anti-tumor activity, comparable to that of the leading cancer drug 5-fluorouracil (10 mg/kg. Moreover, the cocktail treatment with fluspirilene and 5-fluorouracil exhibited the highest therapeutic effect. These results suggested for the first time that fluspirilene is a potential CDK2 inhibitor and a candidate anti-cancer drug for the treatment of human hepatocellular carcinoma. In view of the fact that fluspirilene has a long history

  3. Psychosocial predictors of nonadherence to medical management among patients on maintenance dialysis

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    Alosaimi FD

    2016-10-01

    Full Text Available Fahad Dakheel Alosaimi,1 Mohammed Asiri,2 Saleh Alsuwayt,2 Tariq Alotaibi,2 Mohammed Bin Mugren,2 Abdulmalik Almufarrih,2 Saad Almodameg,2 1Department of Psychiatry, King Saud University, Riyadh, Saudi Arabia; 2College of Medicine, King Saud University, Riyadh, Saudi Arabia Background: A number of reports suggest a link between depression and nonadherence to recommended management for end-stage renal disease (ESRD patients on maintenance dialysis. However, the relationship between nonadherence and other psychosocial factors have been inadequately examined. Objectives: To examine the prevalence of psychosocial factors including depression, anxiety, insecure attachment style, as well as cognitive impairment and their associations with adherence to recommended management of ESRD. Methods: A cross-sectional observational study was carried out from 2014 to 2015. Chronic dialysis patients were recruited conveniently from four major dialysis units in Riyadh, Saudi Arabia. Nonadherence was defined as decreased attendance in dialysis sessions, failure to take prescribed medications, and/or follow food/fluid restrictions and exercise recommendations. Results: A total of 234 patients (147 males and 87 females were included in this analysis, with 45 patients (19.2% considered as nonadherent (visual analog scale < 8. Approximately 17.9% of the patients had depression (Patient Health Questionnaire score ≥10, 13.2% had anxiety (Hospital Anxiety and Depression scale-anxiety >7, while 77.4% had cognitive impairment (Montreal Cognitive Assessment score <26. Nonadherence was significantly associated with depression and anxiety (p<0.001 for both but not cognitive impairment (p=0.266. The Experiences in Close Relationships – Modified 16 (ECR-M16 scale score was 27.99±10.87 for insecure anxiety and 21.71±9.06 for insecure avoidance relationship, with nonadherence significantly associated with anxiety (p=0.001 but not avoidance (p=0.400. Conclusion: Nonadherence

  4. [Evaluation of a risk communication approach for maintenance staff working with induced radioactivity in medical linear accelerators].

    Science.gov (United States)

    Watanabe, Hiroshi; Yamaguchi, Ichiro; Maehara, Yoshiaki; Koizumi, Mitsue; Fujibuchi, Toshioh; Kida, Tetsuo; Tsukamoto, Atsuko; Horitsugi, Genki; Hiraki, Hitoshi; Kimura, Yumi; Oyama, Masaya

    2013-12-01

    In order to promote consensus building on decommissioning operation rules for medical linear accelerators in Japan, we carried out a risk communication (RC) approach mainly providing knowledge for maintenance staff regarding induced radioactivity. In February 2012, we created a booklet (26 pages) to present an overview of the amended law, the mechanism and the distribution of induced radioactivity showing the actual radiation dose rate around a linear accelerator and actual exposure doses to staff. In addition, we co-sponsored a seminar for workers in this field organized by the Japan Medical Imaging and Radiological Systems Industries Association to explain the contents of this booklet, and answer questions regarding induced radioactivity of linear accelerators as an RC program. As a result, the understanding of staff regarding the regulations on maximum X-ray energy on linear accelerators (Papproach suggests that consensus building should be used to make rules on decommissioning operations for linear medical accelerators.

  5. Reliability, Maintenance of Medical Equipment Maintenance Management Theory Application%医疗设备维修管理中的可靠性维修理论应用

    Institute of Scientific and Technical Information of China (English)

    马琰

    2016-01-01

    The so-caled reliability maintenance, namely the RCM, was to restore equipment technical performance, and effective way to increase the service life. At this stage, reliability maintenance theory gradualy atention by domestic and foreign counterparts. The reliability and maintenance as a standard maintenance principle and maintenance instructions, and to develop a scientiifc and reasonable maintenance scheme, used in the actual maintenance. RCM is to implement preventive maintenance, the balance of proactive maintenance and predictive maintenance, namely by predicting maintenance to provide accurate parameters for medical equipment running status, and to ensure that the balance of the active maintenance and preventive maintenance.%所谓可靠性维修,即R C M,就是恢复设备技术性能,并有效增加使用寿命的方式。目前阶段,可靠性维修理论逐渐被国内外的同行所关注。把可靠性维修当作标准的维修原则与维修指导,并制定出科学合理的维修方案,运用到实际的维修中。RCM就是实现预防维修、主动维修与预测维修的平衡,也就是通过预测维修为医疗设备运行状态提供准确的参数,并保证主动维修与预防维修的平衡。

  6. GADL1 variant and medication adherence in predicting response to lithium maintenance treatment in bipolar I disorder

    Science.gov (United States)

    Chen, Chih-Ken; Lee, Chau-Shoun; Chen, Hsuan-Yu; Wu, Lawrence Shih-Hsin; Chang, Jung-Chen; Liu, Chia-Yih

    2016-01-01

    Background Genetic variants and medication adherence have been identified to be the main factors contributing to lithium treatment response in bipolar disorders. Aims To simultaneously examine effects of variant glutamate decarboxylase-like protein 1 (GADL1) and medication adherence on response to lithium maintenance treatment in Han Chinese patients with bipolar I (BPI) disorder. Method Frequencies of manic and depressive episodes between carriers and non-carriers of the effective GADL1 rs17026688 T allele during the cumulative periods of off-lithium, poor adherence to lithium treatment and good adherence to lithium treatment were compared in Han Chinese patients with BPI disorder (n=215). Results GADL1 rs17026688 T carriers had significantly lower frequencies of recurrent affective episodes than non-T carriers during the cumulative period of good adherence, but not during those of poor adherence. Conclusions GADL1 rs17026688 and medication adherence jointly predict response to lithium maintenance treatment in Han Chinese BPI patients. Declaration of interest None. Copyright and usage © The Royal College of Psychiatrists 2016. This is an open access article distributed under the terms of the Creative Commons Non-Commercial, No Derivatives (CC BY-NC-ND) license. PMID:27703793

  7. Medical Physics Practice Guideline 4.a: Development, implementation, use and maintenance of safety checklists.

    Science.gov (United States)

    Fong de Los Santos, Luis E; Evans, Suzanne; Ford, Eric C; Gaiser, James E; Hayden, Sandra E; Huffman, Kristina E; Johnson, Jennifer L; Mechalakos, James G; Stern, Robin L; Terezakis, Stephanie; Thomadsen, Bruce R; Pronovost, Peter J; Fairobent, Lynne A

    2015-05-08

    The American Association of Physicists in Medicine (AAPM) is a nonprofit professional society whose primary purposes are to advance the science, education and professional practice of medical physics. The AAPM has more than 8,000 members and is the principal organization of medical physicists in the United States.The AAPM will periodically define new practice guidelines for medical physics practice to help advance the science of medical physics and to improve the quality of service to patients throughout the United States. Existing medical physics practice guidelines will be reviewed for the purpose of revision or renewal, as appropriate, on their fifth anniversary or sooner.Each medical physics practice guideline represents a policy statement by the AAPM, has undergone a thorough consensus process in which it has been subjected to extensive review, and requires the approval of the Professional Council. The medical physics practice guidelines recognize that the safe and effective use of diagnostic and therapeutic radiology requires specific training, skills, and techniques, as described in each document. Reproduction or modification of the published practice guidelines and technical standards by those entities not providing these services is not authorized.The following terms are used in the AAPM practice guidelines:Must and Must Not: Used to indicate that adherence to the recommendation is considered necessary to conform to this practice guideline.Should and Should Not: Used to indicate a prudent practice to which exceptions may occasionally be made in appropriate circumstances.

  8. Challenges Analysis and Strategic Consideration on Medical Equipment Maintenance%医疗设备维修管理面临的挑战与战略思考

    Institute of Scientific and Technical Information of China (English)

    邓田华; 余波

    2015-01-01

    Expounding the status of the current domestic medical equipment maintenance management, and puting forward the strategic thinking of medical maintenance for the chal enges of equipment maintenance management in the hospital. This discussion can be performed to control the maintenance costs of hospital effectively, increase the income and social benefits of the hospital.%阐述当前国内医疗设备维修管理的现状,针对医院设备维修管理中存在的挑战,提出医疗维修服务战略方面的思考,有效控制医院日益增长的维修费用,并增加医院的经济效益和社会效益。

  9. Lean Management of Maintenance of Medical Equipment%医疗设备维护与保养的精细化管理

    Institute of Scientific and Technical Information of China (English)

    吕辉; 吴筠; 陈建明

    2013-01-01

    The paper introduces the importance of medical equipment maintenance, and combines with the actual work to discuss the lean management of the maintenance.%文章对于医疗设备维护和保养的重要性进行了阐述,并结合本院实际工作,对于维护和保养的精细化管理工作进行了探讨.

  10. Baseline Substance Use Interferes with Maintenance of HIV Medication Adherence Skills.

    Science.gov (United States)

    Dale, Sannisha K; Traeger, Lara; O'Cleirigh, Conall; Bedoya, C Andres; Pinkston, Megan; Wilner, Julianne G; Stein, Michael; Safren, Steven A

    2016-05-01

    Cognitive behavioral therapy for adherence and depression (CBT-AD) in HIV improves both adherence and depression outcomes relative to enhanced treatment as usual (ETAU). However, in persons with injection drug use (PWIDU) histories, adherence gains seen during treatment have not been maintained postintervention. Therefore, we examined whether heroin or cocaine use at study entry moderated acquisition or maintenance of adherence gains after CBT-AD. HIV-positive adults in treatment for opioid dependence (n = 89) were randomly assigned to CBT-AD or ETAU and completed 3-, 6-, and 12-month assessments. Participants were majority male (61%), white (48%), and heterosexual (79%). Hierarchical linear modeling was used to evaluate whether heroin or cocaine use at baseline interacted with intervention assignment to predict change in adherence during active treatment and follow-up. CBT-AD-related improvement in adherence during the active intervention period did not vary by baseline substance use. However, cocaine use (but not heroin use) at baseline interacted with intervention assignment to predict a significant decline in follow-up adherence (cocaine use × group condition coefficient = -0.77, t = -2.44, p = 0.02) such that by 12 months, adherence among CBT participants was significantly lower among those who used cocaine (45.0%) compared to those who did not (72.3%; t = 2.50, p = 0.018). HIV-positive PWIDU who use heroin or cocaine at baseline can benefit from the CBT-AD intervention to improve adherence to antiretroviral therapy; therefore, providers should not withhold an active psychosocial treatment for HIV-positive PWIDU who are using. Cocaine use at baseline may limit the degree to which gains are maintained postintervention, and therefore, booster sessions may be needed.

  11. Adding mindfulness-based cognitive therapy to maintenance antidepressant medication for prevention of relapse/recurrence in major depressive disorder: Randomised controlled trial

    NARCIS (Netherlands)

    Huijbers, M.J.; Spinhoven, P.; Spijker, J.; Ruhe, H.G.; Schaik, D.J.F. van; Oppen, P. van; Nolen, W.A.; Ormel, J.; Kuyken, W.; Wilt, G.J. van der; Blom, M.B.J.; Schene, A.H.; Donders, A.R.T.; Speckens, A.E.M.

    2015-01-01

    BACKGROUND: Mindfulness-based cognitive therapy (MBCT) and maintenance antidepressant medication (mADM) both reduce the risk of relapse in recurrent depression, but their combination has not been studied. Our aim was to investigate whether the addition of MBCT to mADM is a more effective prevention

  12. Medical use of cannabis. Cannabidiol: a new light for schizophrenia?

    Science.gov (United States)

    Deiana, Serena

    2013-01-01

    The medical properties of cannabis have been known for many centuries; its first documented use dates back to 2800 BC when it was described for its hallucinogenic and pain-relieving properties. In the first half of the twentieth century, a number of pharmaceutical companies marked cannabis for indications such as asthma and pain, but since then its use has sharply declined, mainly due to its unpredictable effects, but also for socio-political issues. Recently, great attention has been directed to the medical properties of phytocannabinoids present in the cannabis plant alongside the main constituent Δ⁹-Tetrahydrocannabinol (THC); these include cannabinoids such as cannabidiol (CBD), cannabigerol (CBG), and tetrahydrocannabivarin (THCV). Evidence suggests an association between cannabis and schizophrenia: schizophrenics show a higher use of marijuana as compared to the healthy population. Additionally, the use of marijuana can trigger psychotic episodes in schizophrenic patients, and this has been ascribed to THC. Given the need to reduce the side effects of marketed antipsychotics, and their weak efficacy on some schizophrenic symptoms, cannabinoids have been suggested as a possible alternative treatment for schizophrenia. CBD, a non-psychoactive constituent of the Cannabis sativa plant, has been receiving growing attention for its anti-psychotic-like properties. Evidence suggests that CBD can ameliorate positive and negative symptoms of schizophrenia. Behavioural and neurochemical models suggest that CBD has a pharmacological profile similar to that of atypical anti-psychotic drugs and a clinical trial reported that this cannabinoid is a well-tolerated alternative treatment for schizophrenia.

  13. Practical experience with the maintenance and auditing of a large medical ontology.

    Science.gov (United States)

    Baorto, David; Li, Li; Cimino, James J

    2009-06-01

    The Medical Entities Dictionary (MED) has served as a unified terminology at New York Presbyterian Hospital and Columbia University for more than 20 years. It was initially created to allow the clinical data from the disparate information systems (e.g., radiology, pharmacy, and multiple laboratories, etc.) to be uniquely codified for storage in a single data repository, and functions as a real time terminology server for clinical applications and decision support tools. Being conceived as a knowledge base, the MED incorporates relationships among local terms, between local terms and external standards, and additional knowledge about terms in a semantic network structure. Over the past two decades, we have sought to develop methods to maintain, audit and improve the content of the MED, such that it remains true to its original design goals. This has resulted in a complex, multi-faceted process, with both manual and automated components. In this paper, we describe this process, with examples of its effectiveness. We believe that our process provides lessons for others who seek to maintain complex, concept-oriented controlled terminologies.

  14. 医疗仪器设备维修管理方法的研究%Maintenance and Management Method of Medical Equipment

    Institute of Scientific and Technical Information of China (English)

    刘海涛; 王思杰

    2012-01-01

    The maintenance and management of medical instrument and equipment is a crucial work in hospital, and it is directly related to the clinical effect and the hospital's medical reputation, also affects the hospital's economic benefits. The maintenance and management methods for medical instrument and equipment are researched in this article.%对医疗仪器设备的维修和管理是医院一项至关重要的工作,它会直接关系到临床医疗效果乃至医院的声誉,也会影响到医院的运行的经济效益.本文就医疗仪器设备维修管理方法进行研究.

  15. 医疗设备综合维修模式的探讨%Discussion on the comprehensive maintenance mode of medical equipment

    Institute of Scientific and Technical Information of China (English)

    周佳

    2014-01-01

    目的:改善医疗设备的维修现状,确保医疗仪器安全、有效地运行,为临床诊断和治疗提供有力技术保障。方法:回顾性分析上海市肺科医院2013年设备维修费用,探讨综合维修模式的对策。结果:76.9%的维修服务由厂方提供,23.1%由设备科维修。结论:外包是今后医疗设备维修一种发展趋势。但医疗设备有其特殊性,需要在短时间内到场和全天候服务,这就要求医院维修工程师应具备较强的业务能力,充分发挥作用,实现医院内部维修与外包维修的有效结合,达到合作互赢的效果。%Objective: Provide the hardware support for the clinical diagnose and treatment and make sure that the medical instruments run safely and efficient by improving the status of medical equipment maintenance. Methods: retrospective analyze of the equipment maintenance of Shanghai pulmonary hospital. Results: 76.9% of the maintenance service is provided by the manufacturer and 23.1% of which is provided by the equipment department of the hospital. Conclusion: Medical equipment is about the life safety of patients, the manufacturer outsourcing service has its incomparable advantage in technology. It ensures the safe and efficient operation of the equipment, so outsourcing maintenance is the inevitable trend of development. But medical equipment has its particularity, it needs a short period of time to be present and service throughout the day, which requires the maintenance engineers have stronger business ability and give full play to the role. The effective combination of internal maintenance and outsourcing maintenance promotes the effect of the cooperation win-win.

  16. SU-E-T-144: Effective Analysis of VMAT QA Generated Trajectory Log Files for Medical Accelerator Predictive Maintenance

    Energy Technology Data Exchange (ETDEWEB)

    Able, CM; Baydush, AH; Nguyen, C; Munley, MT [Wake Forest School of Medicine, Department of Radiation Oncology, Winston Salem, NC (United States); Gersh, J [Gibbs Cancer Center and Research Institute, Spartenburg Regional Medical Ce, Spartenburg, SC (United States); Ndlovu, A; Rebo, I [John Theuer Cancer Center, Hackensack University Medical Center, Hackensack, NJ (United States); Booth, J; Perez, M [North Sydney Cancer Center, Royal North Shore Hospital, Sydney, St Leonards (Australia); Sintay, B [Cone Health Cancer Center, Greensboro, NC (United States)

    2014-06-01

    Purpose: To determine the effectiveness of SPC analysis for a model predictive maintenance process that uses accelerator generated parameter and performance data contained in trajectory log files. Methods: Each trajectory file is decoded and a total of 131 axes positions are recorded (collimator jaw position, gantry angle, each MLC, etc.). This raw data is processed and either axis positions are extracted at critical points during the delivery or positional change over time is used to determine axis velocity. The focus of our analysis is the accuracy, reproducibility and fidelity of each axis. A reference positional trace of the gantry and each MLC is used as a motion baseline for cross correlation (CC) analysis. A total of 494 parameters (482 MLC related) were analyzed using Individual and Moving Range (I/MR) charts. The chart limits were calculated using a hybrid technique that included the use of the standard 3σ limits and parameter/system specifications. Synthetic errors/changes were introduced to determine the initial effectiveness of I/MR charts in detecting relevant changes in operating parameters. The magnitude of the synthetic errors/changes was based on: TG-142 and published analysis of VMAT delivery accuracy. Results: All errors introduced were detected. Synthetic positional errors of 2mm for collimator jaw and MLC carriage exceeded the chart limits. Gantry speed and each MLC speed are analyzed at two different points in the delivery. Simulated Gantry speed error (0.2 deg/sec) and MLC speed error (0.1 cm/sec) exceeded the speed chart limits. Gantry position error of 0.2 deg was detected by the CC maximum value charts. The MLC position error of 0.1 cm was detected by the CC maximum value location charts for every MLC. Conclusion: SPC I/MR evaluation of trajectory log file parameters may be effective in providing an early warning of performance degradation or component failure for medical accelerator systems.

  17. Discussion on maintenance technology of medical equipment electronic equipment%医疗器械电子设备的维修技术探讨

    Institute of Scientific and Technical Information of China (English)

    黄扬; 蒋延丰

    2016-01-01

    随着我国社会主义现代化建设的不断发展,我国的医疗卫生水平得到了极大的提升。作为医院日常工作中极为重要的组成部分,医疗器械电子设备的维修与管理直接影响着临床工作的顺利开展,其在医院的诊断与治疗过程中发挥着不可替代的作用,引起了医学界的高度重视。本文将着重对医疗器械电子设备普遍存在的问题进行深入分析,并提出相应的维修技术策略,为医院的医疗器械电子设备的维修提供一个参考与借鉴。%With thecontinuous development of China's socialist modernization construction,China's medical and health level has been greatly improved.The daily work of the hospital as a very important part, maintenance and management of medical equipment electronic equipment directly affects the smooth development of clinical work,the in the process of diagnosis and treatment of hospital plays a irreplaceable role,caused the great attention of the medical profession.This article will focus on the medical equipment,electronic equipment,the general problems of the in-depth analysis,and put forward the corresponding technical strategies for the maintenance of medical equipment for the hospital to provide a reference for the maintenance of electronic equipment.

  18. Ten Years of Abstinence in Former Opiate Addicts: Medication-Free Non-Patients Compared to Methadone Maintenance Patients.

    Science.gov (United States)

    Peles, Einat; Sason, Anat; Tene, Oren; Domany, Yoav; Schreiber, Shaul; Adelson, Miriam

    2015-01-01

    Fifty-five former opioid addicts who have been methadone maintained patients for 10 or more years and whose urine has tested negative for drugs for 2 or more years were compared to 99 former opioid addicts who have been medication-free for 10 or more years. Groups were comparable in age and education, but the medication-free subjects were younger when having started opioids with more severe addiction scores. Methadone maintained patients presented with a higher proportion of psychiatric comorbidity and chronic pain. Their scores of perceived sleep quality and cognitive state were poorer than the medication-free individuals. Possible explanations of the differences are discussed in this article.

  19. Non-medical use of opioids among HIV-infected opioid dependent individuals on opioid maintenance treatment: the need for a more comprehensive approach

    Directory of Open Access Journals (Sweden)

    Roux Perrine

    2011-11-01

    Full Text Available Abstract Background Opioid maintenance treatment (OMT has a positive impact on substance use and health outcomes among HIV-infected opioid dependent patients. The present study investigates non-medical use of opioids by HIV-infected opioid-dependent individuals treated with buprenorphine or methadone. Methods The MANIF 2000 study is a longitudinal study that enrolled a cohort of 476 HIV-infected opioid-dependent individuals. Data were collected in outpatient hospital services delivering HIV care in France. The sample comprised all patients receiving OMT (either methadone or buprenorphine who attended at least one follow-up visit with data on adherence to OMT (N = 235 patients, 1056 visits. Non-medical use of opioids during OMT was defined as having reported use of opioids in a non-medical context, and/or the misuse of the prescribed oral OMT by an inappropriate route of administration (injection or sniffing. After adjusting for the non-random assignment of OMT type, a model based on GEE was then used to identify predictors of non-medical use of opioids. Results Among the 235 patients, 144 (61.3% and 91 (38.9% patients were receiving buprenorphine and methadone, respectively, at baseline. Non-medical use of opioids was found in 41.6% of visits for 83% of individual patients. In the multivariate analysis, predictors of non-medical use of opioids were: cocaine, daily cannabis, and benzodiazepine use, experience of opioid withdrawal symptoms, and less time since OMT initiation. Conclusions Non-medical use of opioids was found to be comparable in OMT patients receiving methadone or buprenorphine. The presence of opioid withdrawal symptoms was a determinant of non-medical use of opioids and may serve as a clinical indicator of inadequate dosage, medication, or type of follow-up. Sustainability and continuity of care with adequate monitoring of withdrawal symptoms and polydrug use may contribute to reduced harms from ongoing non-medical use of opioids.

  20. 医护人员医疗设备使用及维护知识考核实施方法探讨%Investigation on Implementation Methods of Medical Equipment Use and Maintenance Skills Assessment for Medical Workers

    Institute of Scientific and Technical Information of China (English)

    王碧涛; 王官; 杨志刚; 高龙虎; 苗文贵; 焦恒来; 赵国斌; 王丽华

    2011-01-01

    阐述了在开展医护人员医疗设备使用及维护知识考核准备阶段、实施阶段、小结和总结及延续阶段具体工作内容,探讨了考核的具体实施方法.通过精心准备、严格实施、及时总结和补充这样严谨、有效、安全、有序的考核,广大医护人员使用医疗设备的现状必然会得到极大改善,最终确保医疗设备完好、安全运行,让最大程度发挥医疗设备功能,从而带动更大的社会效益和经济效益.%Three stages(preparation stage, implementation stage, summary and conclusion and additional stage) of the medical equipment use and maintenance skills assessment are described. The specific implementation methods are invcstigated. The assessment with dedicated prepraration, strict implementation, timely summing up and supplement is a rigorous, efficient, safe and orderly assessment. Though the assessment, the situation of medical equipment use and maintenance will be greatly improved. It can better ensure the medical equipment integrity and safety, and eventually maximize the equipment functions and win greater social efficiency and economic benefits.[Chinese Medical Equipment Jouma1.2011 ,32(7) :119-120

  1. Acquisition and maintenance of medical expertise: a perspective from the expert-performance approach with deliberate practice.

    Science.gov (United States)

    Ericsson, K Anders

    2015-11-01

    As a part of a special collection in this issue of Academic Medicine, which is focused on mastery learning in medical education, this Perspective describes how the expert-performance approach with deliberate practice is consistent with many characteristics of mastery learning. Importantly, this Perspective also explains how the expert-performance approach provides a very different perspective on the acquisition of skill. Whereas traditional education with mastery learning focuses on having students attain an adequate level of performance that is based on goals set by the existing curricula, the expert-performance approach takes an empirical approach and first identifies the final goal of training-namely, reproducibly superior objective performance (superior patient outcomes) for individuals in particular medical specialties. Analyzing this superior complex performance reveals three types of mental representations that permit expert performers to plan, execute, and monitor their own performance. By reviewing research on medical performance and education, the author describes evidence for these representations and their development within the expert-performance framework. He uses the research to generate suggestions for improved training of medical students and professionals. Two strategies-designing learning environments with libraries of cases and creating opportunities for individualized teacher-guided training-should enable motivated individuals to acquire a full set of refined mental representations. Providing the right resources to support the expert-performance approach will allow such individuals to become self-regulated learners-that is, members of the medical community who have the tools to improve their own and their team members' performances throughout their entire professional careers.

  2. Civilian Health and Medical Program of the Uniformed Services (CHAMPUS)/TRICARE: Refills of Maintenance Medications Through Military Treatment Facility Pharmacies or National Mail Order Pharmacy Program. Final rule.

    Science.gov (United States)

    2016-11-02

    This final rule implements section 702 (c) of the Carl Levin and Howard P. "Buck" McKeon National Defense Authorization Act for Fiscal Year 2015 which states that beginning October 1, 2015, the pharmacy benefits program shall require eligible covered beneficiaries generally to refill non-generic prescription maintenance medications through military treatment facility pharmacies or the national mail-order pharmacy program. An interim final rule is in effect. Section 702(c) of the National Defense Authorization Act for Fiscal Year 2015 also terminates the TRICARE For Life Pilot Program on September 30, 2015. The TRICARE For Life Pilot Program described in section 716(f) of the National Defense Authorization Act for Fiscal Year 2013, was a pilot program which began in March 2014 requiring TRICARE For Life beneficiaries to refill non-generic prescription maintenance medications through military treatment facility pharmacies or the national mail-order pharmacy program. TRICARE for Life beneficiaries are those enrolled in the Medicare wraparound coverage option of the TRICARE program. This rule includes procedures to assist beneficiaries in transferring covered prescriptions to the mail order pharmacy program.

  3. Psychological maintenance as an integrated approach to prevention and correction of professional burning out of the medical staff

    Directory of Open Access Journals (Sweden)

    V. S. Kucher

    2014-01-01

    Full Text Available The syndrome of professional burning out is a complex of symptoms and signs evidenced in various negative psychic conditions at individual, interpersonal and organizational levels. It is formed owing to a long mismatch between the requirements of the professional environment and the resources of the expert. Analysis of the preventive and correctional programs as a psychological assistance showed insufficiency of such approach. Creation of preventive and correctional programs within psychological maintenance from the position of involution of professional resources, taking into account the theoretical - methodological basis (the concept, the purposes, tasks, system approach, criteria of efficiency and the subjective-personal resources of counteraction directed at activization to burning out at all stages of professional development is progressive.

  4. A situated-Information Motivation Behavioral Skills Model of Care Initiation and Maintenance (sIMB-CIM): an IMB model based approach to understanding and intervening in engagement in care for chronic medical conditions.

    Science.gov (United States)

    Rivet Amico, K

    2011-10-01

    A sizable portion of adults living with chronic medical conditions (CMCs) delay initiation of care or maintain it inconsistently, which has tremendous personal and public costs. However, few explanatory models with high yield for intervention development and implementation have been proposed to date that would help to characterize and support care use for CMCs. A situated Information, Motivation, Behavioral Skills model of Care Initiation and Maintenance (sIMB-CIM) is presented here as an application of the IMB model to medical care use for CMCs. An example of a sIMB model for characterizing and intervening to support maintenance in HIV-care is provided.

  5. 关于医用高频电刀的使用安全和维护%Security and Maintenance on the Medical HF Electrotome

    Institute of Scientific and Technical Information of China (English)

    李广

    2016-01-01

    HF electrotome has been widely used in surgery by hospital, Compared with the traditional instruments scalpel , it has the advantage of surgery fast relief ,surgical bleeding , alleviate the suffering of the patient’s .however , it require special attention to security issues, because it will cause damage to patient or other security incidents . Therefore, as to avoid make patients suffering due to misuse ,and reduce medical disputes ,it’s necessary to make study on the securityand maintenance of the medical HF Electrotome.%医用高频电刀现在各大医院的外科手术中有着广泛的应用,相对于传统的器械手术刀,它具有手术速度快、减免手术出血、减轻病人痛苦的优点,但在使用过程中要特别注意安全问题,因为稍不注意就会出现高低频灼伤及其他一些难以察觉的安全事故。所以,为了避免使用失误增加患者痛苦,继而引发医患纠纷,就必须要研究探讨高频电刀的安全使用及防护管理工作。

  6. 南京军区“医云工程”运维管理模式%Operation Maintenance Management Mode of Medical Cloud Project of Nanjing Military Region

    Institute of Scientific and Technical Information of China (English)

    薛以锋; 韩雄; 唐华; 马锡坤; 陈一君; 林亚忠

    2013-01-01

    Objective:To study the necessity and importance of operation maintenance management mode of Medical Cloud Project, and put forward the new pattern for operation maintenance management of digital hospital under the cloud computing conditions. Method: Business structure change and challenge after introduction of cloud computing by Medical Cloud Project are analyzed and implemented. Operation maintenance management requirements under the cloud computing conditions are studied. Solutions are provided. Results:According to the operation maintenance management requirements of cloud computing, the organization structure of operation maintenance management, various operation maintenance positions and responsibilities of cloud platform, operation maintenance boundary between them are defined. Combined with the corresponding operation maintenance rules and regulations and management process, it is restricted so as to realize an efficient and standard cloud platform operation maintenance management system. Conclusion:During the advancement of Medical Cloud Project, effect of cloud computing shall be given full play to, and operation maintenance management model of cloud computing shall be established.%  目的:探讨“医云工程”运维管理的必要性和重要性,提出云计算条件下的数字化医院运维管理新模式。方法:剖析实施“医云工程”引入云计算后的业务构架改变和挑战,研究云计算条件下的运维管理需求,提出解决办法。结果:按云计算的运维管理要求,理顺运维管理组织架构,落实云平台的各个运维岗位及职责,明确彼此间的运维边界,并结合相应的运维规章制度和管理流程加以约束,从而实现高效规范的云平台运维管理体系。结论:在推进“医云工程”的过程中,要充分发挥云计算效力,必须建立云计算的运维管理模式。

  7. Powerful drivers for maintenance.

    Science.gov (United States)

    Mason, Steve

    2013-10-01

    A UPS system is the central building block of a Power Continuity Plan in medical facilities, but such equipment requires careful maintenance to continue fulfilling its vital role in delivering power resilience, and avoid catastrophic downtime, and potentially tens of thousands of pounds in costs to rectify the issues caused by poor maintenance. In our latest technical guidance article, Steve Mason, MD at Bender UK, one of the leading providers of isolated power supplies, theatre control panels, UPS systems, and Steris surgical products, and a turnkey provider of solutions for safe handling of electrical power and advanced provision of critical care products, examines some of the issue surrounding UPS maintenance.

  8. 临床医疗设备维修存在的问题及对策%Problems and Countermeasures on maintenance of Clinical Medical Equipments

    Institute of Scientific and Technical Information of China (English)

    王旭东; 张子耀; 王伊刚

    2009-01-01

    随着新技术的不断发展,临床医疗设备在现代医院广为运用.但与之配套的维修工作却存在维修成本过高、维修时间过长、维修技术垄断、维修手段落后等诸多问题,文章从医院临床医疗设备的种种不良现象和问题入手,对当前医疗设备维修问题进行了成因分析,指出要高度重视医疗设备维修工作的现实意义,并提出了三个解决对策,试着从理论和实践角度探讨:如何使医院建立相对完善的医疗设备维修队伍,如何保障医院医疗设备的完好性和如何减少医疗设备的维修成本、增加医院经济效益等现实问题.%With the continual development of new techniques, the clinical medical equipments are widely used in modern hospital. However, the relative maintenance and repairing work has many problems, such as the high repairing cost, the too long repairing time, the technique monopoly and the repairing technique falling behind. This article starts with the repairing phenome-na and problems; analyzes its reasons and points out that paying great attention on the medical equipment repairing work has prac-tical significance. And also, three countermeasures are given. The article tries to discuss the realistic problems from theoretical and practical viewpoints, such as, how to build up a relatively complete medical equipments repairing team, how to keep the e-quipments'integrality, how to reduce the repairing costs and increase the hospital economic benefit.

  9. Application of the 3D Printing Technology in the Maintenance of Medical Equipment%三维打印技术在医疗器械维修中的应用

    Institute of Scientific and Technical Information of China (English)

    徐路钊; 张华伟; 吴书铭; 刘成友; 蒋红兵

    2016-01-01

    The application of the three-dimensional printing technology in the medical ifeld has become widely used. The technology can be used in the production of customer-specified surgical models, implants, prosthesesand customized surgical equipment for a particular surgery. Yet the application of three-dimensional printing technology in the maintenance of the medical equipment is not common. In the daily maintenance of equipment, the deifciency and the high price of the spare parts has brought much inconvenience to the maintenance work. By analyzing the different cases in routine equipment maintenance, this paper used different modeling methods to conduct three-dimensional reduction of the existing or missing parts. The paper also compared the three-dimensional molded parts with the original parts and veriifed the effectiveness of the application in the medical equipment maintenance.%三维打印技术在医疗领域的应用范围越来越广泛,能够定制特定手术模型、植入物、假肢和个性化手术设备等,但三维打印技术在医疗设备维修中的应用却较少。在日常的设备维修保养中,设备零配件的缺失和高昂的价格给维修工作带来了诸多不便。本文结合日常维修实例,对已有或缺失的零配件使用不同的建模方法进行三维还原,比较了三维成型件与原零配件的特性,并通过实验验证了三维打印技术在医疗设备维修中的应用价值。

  10. Software Maintenance.

    Science.gov (United States)

    Cannon, Glenn; Jobe, Holly

    Proper cleaning and storage of audiovisual aids is outlined in this brief guide. Materials and equipment needed for first line maintenance are listed, as well as maintenance procedures for records, audio and video tape, film, filmstrips, slides, realia, models, prints, graphics, maps, and overhead transparencies. A 15-item quiz on software…

  11. 从医护患心理角度探讨提升医疗设备维修服务质量%Discussion on Promoting Maintenance Service Quality of Medical Equipments from Medical Care Personnel's ,Patients' and Their Family's Psychology

    Institute of Scientific and Technical Information of China (English)

    郑小溪

    2012-01-01

    The new challenges of maintenance service is clarified, the psychological characteristics of medical care personnel, patients and their family when medical equipments broken down is analyzed. New thinking of promoting maintenance service quality from medical care personnel's,patients' and their family's psychology is discussed particularly.%阐明了医疗设备维修工作面临的新挑战,分析了医护人员、患者及其家属在医疗设备故障后的心理特点,重点从医护人员、患者及其家属的心理状态方面探讨提升医疗设备维修服务质量的几点新思考.

  12. Maintenance Therapy in IBD

    Science.gov (United States)

    ... Help Center Home > Resources > Maintenance Therapy Go Back Maintenance Therapy Email Print + Share The term "maintenance therapy" ... are referred to as "maintenance therapies." Why is Maintenance Therapy Needed in IBD? Both Crohn's disease and ...

  13. Study on Maintenance of Combat Readiness Medical Equipment Based on RFID Technology%基于RFID技术的战储卫生装备维护保养应用研究

    Institute of Scientific and Technical Information of China (English)

    张玉明; 葛剑徽; 谢迅雷; 李成; 李传军; 许军

    2011-01-01

    目的:研究一种基于RFID技术的战储卫生装备维护保养管理系统,为卫生装备的仓储管理和卫勤保障提供决策依据.方法:通过RFID读写器实现了对电子标签的读写,即用利射频信号通过无线传输的方式,在读写器和电子标签之间进行数据交换和目标识别.结果:建立了基于RFID技术的战储卫生装备维护保养管理系统框架模型,提出了RFID应用中需要注意解决的一些问题.结论:RFID技术可以有效解决装备分散数据采集的瓶颈问题,将RFID技术应用于战储卫生装备维护管理中.可以提高管理效率,实现战储卫生装备信息的动态管理.%Objective To study the maintenance management system for combat readiness medical equipment based on RFID in order to make a valuable reference to the warehouse management of medical equipment and the decision-making of medical organization for the further medical support. Methods Reading and writing operation was done by using the electronic tag through RFID reader which exchanged data and distinguished object between the reader and the electronic tag by using radio frequency signals via wireless transmission means. Results The model of maintenance management system based on RFID was established for the medical equipment of combat readiness. Some problems to be settled in the future were put forward based on the- discussion. Conclusion RFID technology can resolve the bottleneck problem in acquiring scattered data for the equipments. By using RFID technology in medical equipment, managing efficiency can be improved and dynamic information management of medical equipment of combat readiness can be realized.

  14. [D.P.Zuikhin and his contribution to the establishment and development of the system of medical maintenance of nuclear submarines personnel].

    Science.gov (United States)

    Petrov, O I; Sukhorukov, V S

    2014-12-01

    A highly qualified physician, an outstanding leader, a scientist Dmitry Zuikhin (1924-1988) was directly involved into establishment of a system of medical support for submariners in the sea and on shore, he proved the necessity of forces and means for the medical service fleet. He was a pioneer in this challenging and new field of naval medicine. His energy, perseverance and determination helped to establish in the early 1960 a system of medical support for nuclear submarines personnel, which was subsequently implemented in all associations and connections of nuclear submarines of the Northern and Pacific fleets.

  15. Budesonide/formoterol maintenance plus reliever therapy

    DEFF Research Database (Denmark)

    Bisgaard, Hans; Le Roux, Pascal; Bjåmer, Ditlef;

    2006-01-01

    on ICS investigated whether a novel regimen using budesonide/formoterol for maintenance and reliever therapy (Symbicort maintenance and relief therapy [SMART]) [Symbicort; AstraZeneca R&D, Lund, Sweden] could reduce exacerbations. METHODS: Patients received SMART (budesonide/formoterol 80/4.5 microg qd...... maintenance plus additional inhalations for symptom relief), budesonide/formoterol 80/4.5 microg qd for maintenance (fixed combination), or higher-dose budesonide 320 microg qd (fixed-dose budesonide). Blinded as-needed medication (terbutaline 0.4 microg) was provided in both fixed-dose groups. RESULTS: SMART......, respectively; both p maintenance and as-needed symptom relief reduces the exacerbation...

  16. Opportune maintenance and predictive maintenance decision support

    OpenAIRE

    Thomas, Edouard; Levrat, Eric; Iung, Benoît; Cocheteux, Pierre

    2009-01-01

    International audience; Conventional maintenance strategies on a single component are being phased out in favour of more predictive maintenance actions. These new kinds of actions are performed in order to control the global performances of the whole industrial system. They are anticipative in nature, which allows a maintenance expert to consider non-already-planned maintenance actions. Two questions naturally emerge: when to perform a predictive maintenance action; how a maintenance expert c...

  17. Non-adherence to antipsychotic medication, relapse and rehospitalisation in recent-onset schizophrenia

    Directory of Open Access Journals (Sweden)

    Widen Jan H

    2008-04-01

    Full Text Available Abstract Background The aims of this study were to describe outcome with respect to persistent psychotic symptoms, relapse of positive symptoms, hospital admissions, and application of treatment by coercion among patients with recent onset schizophrenia being adherent and non-adherent to anti-psychotic medication. Materials and methods The study included 50 patients with recent onset schizophrenia, schizoaffective or schizophreniform disorders. The patients were clinically stable at study entry and had less than 2 years duration of psychotic symptoms. Good adherence to antipsychotic medication was defined as less than one month without medication. Outcomes for poor and good adherence were compared over a 24-month follow-up period. Results The Odds Ratio (OR of having a psychotic relapse was 10.27 and the OR of being admitted to hospital was 4.00 among non-adherent patients. Use of depot-antipsychotics were associated with relapses (OR = 6.44. Conclusion Non-adherence was associated with relapse, hospital admission and having persistent psychotic symptoms. Interventions to increase adherence are needed. Trial registration Current Controlled Trials NCT00184509. Key words: Adherence, schizophrenia, antipsychotic medication, admittances, relapse.

  18. Network maintenance

    CERN Multimedia

    GS Department

    2009-01-01

    A site-wide network maintenance operation has been scheduled for Saturday 28 February. Most of the network devices of the general purpose network will be upgraded to a newer software version, in order to improve our network monitoring capabilities. This will result in a series of short (2-5 minutes) random interruptions everywhere on the CERN sites throughout the day. This upgrade will not affect the Computer Centre itself, Building 613, the Technical Network and the LHC experiments, dedicated networks at the pits. For further details of this intervention, please contact Netops by phone 74927 or e-mail mailto:Netops@cern.ch. IT/CS Group

  19. Network maintenance

    CERN Multimedia

    IT Department

    2009-01-01

    A site wide network maintenance has been scheduled for Saturday 28 February. Most of the network devices of the General Purpose network will be upgraded to a newer software version, in order to improve our network monitoring capabilities. This will result in a series of short (2-5 minutes) random interruptions everywhere on the CERN sites along this day. This upgrade will not affect: the Computer centre itself, building 613, the Technical Network and the LHC experiments dedicated networks at the pits. Should you need more details on this intervention, please contact Netops by phone 74927 or email mailto:Netops@cern.ch. IT/CS Group

  20. [Selection of the information for solving medical diagnostic problems with "diagnostic games" (the example of predicting the time of sinus rhythm maintenance after eliminating atrial fibrillation)].

    Science.gov (United States)

    Gel'fand, I M; Syrkin, A L; Alekseevskaia, M A; Nedostup, A V; Kliushin, E S

    1983-01-01

    A new method is proposed for data selection with respect to solving medical diagnosis problems. It reduces the scope of information, leaving for further processing only the facts the physician actually needs for problem-solving. The protocols of "diagnostic games" reflect the physician's mental process and can be used in the development of a physician model.

  1. The Benefits of Health Maintenance.

    Science.gov (United States)

    Rosenstein, Alan H.

    1987-01-01

    The article focuses on the merits of a comprehensive, medically-oriented health maintenance/risk assessment program, and suggests that such conditions as heart disease, cancer, and arteriosclerosis can be prevented or postponed through proper nutrition, weight control, exercise, smoking cessation, and stress management. (Author/CB)

  2. Ground of maintenance of model of health of saving technologies of students of the special medical educational separation of physical education facilities

    Directory of Open Access Journals (Sweden)

    Prysjazhnuk S.I.

    2013-01-01

    Full Text Available The psychological pedagogical problems of physical development of students are considered with a rejection in a state of health. Experience of physical education of students of task medical force is studied. The structural functional model of process of physical education of students is developed with the use of health of saving technologies. Over 5000 students took part in researches. It is set that morphometric indexes are most closely associate. Intercommunications of indexes of level of development of physical qualities specify on insufficient differentiation in mechanisms which determine the structure of physical preparedness of students. Recommendations of model physical possibilities of students are resulted. Models are instrumental in an estimation individual potential possibility of organism. Models allow to utillize information for planning and leadthrough of a health educational educate process on physical education. Possibilities of determination of volume of the physical loading are shown taking into account a floor, nosology of diseases and state of physical preparedness of students.

  3. Maintenance Business Plans.

    Science.gov (United States)

    Adams, Matt

    2002-01-01

    Discusses maintenance business plans, statements which provide accountability for facilities maintenance organizations' considerable budgets. Discusses the plan's components: statement of plan objectives, macro and detailed description of the facility assets, maintenance function descriptions, description of key performance indicators, milestone…

  4. VT Maintenance District Boundaries

    Data.gov (United States)

    Vermont Center for Geographic Information — Vermont has eight transportation maintenance districts which are responsible for all maintenance activities on state highways, and for providing technical assistance...

  5. Two Different Maintenance Strategies in the Hospital Environment: Preventive Maintenance for Older Technology Devices and Predictive Maintenance for Newer High-Tech Devices.

    Science.gov (United States)

    Sezdi, Mana

    2016-01-01

    A maintenance program generated through the consideration of characteristics and failures of medical equipment is an important component of technology management. However, older technology devices and newer high-tech devices cannot be efficiently managed using the same strategies because of their different characteristics. This study aimed to generate a maintenance program comprising two different strategies to increase the efficiency of device management: preventive maintenance for older technology devices and predictive maintenance for newer high-tech devices. For preventive maintenance development, 589 older technology devices were subjected to performance verification and safety testing (PVST). For predictive maintenance development, the manufacturers' recommendations were used for 134 high-tech devices. These strategies were evaluated in terms of device reliability. This study recommends the use of two different maintenance strategies for old and new devices at hospitals in developing countries. Thus, older technology devices that applied only corrective maintenance will be included in maintenance like high-tech devices.

  6. Preventive Maintenance Optimization in Healthcare Domain: Status of Research and Perspective

    Directory of Open Access Journals (Sweden)

    H. Mahfoud

    2016-01-01

    Full Text Available Although medical equipment maintenance has been carefully managed for years, very few in-depth studies have been conducted to evaluate the effectiveness and efficiency of these implemented preventive maintenance strategies, especially after the debate about the credibility of manufacturer’s recommendations has increased in the clinical engineering community. Facing the dilemma of merely following manufactures maintenance manual or establishing an evidence-based maintenance, medical equipment maintenance could have exploited an advanced area in operations research which is maintenance optimization research. In this paper, we review and examine carefully the status of application oriented research on preventive maintenance optimization of medical devices. This study addresses preventive healthcare maintenance with a focus on factors influencing the maintenance decision making. The analysis is structured by defining different aspects necessary to construct a maintenance optimization model. We conclusively propose directions to develop suitable tools for better healthcare maintenance management.

  7. A Situational Maintenance Model

    DEFF Research Database (Denmark)

    Luxhoj, James T.; Thorsteinsson, Uffe; Riis, Jens Ove

    1997-01-01

    An overview of trend in maintenance management and presentation of a situational model and an analytical tools for identification of managerial efforts in maintenance.......An overview of trend in maintenance management and presentation of a situational model and an analytical tools for identification of managerial efforts in maintenance....

  8. Maintenance and Condition-Based Maintenance

    Institute of Scientific and Technical Information of China (English)

    DING Jin-hua; WANG Xue-Jun; ZHOU Rong; LIN Min; Olsson Erland

    2005-01-01

    The evolution of maintenance management is briefly introduced in this paper, from corrective maintenance to preventive maintenance. First, a range of condition monitoring and fault diagnosis techniques developed in different industries are surveyed; Second, many methods of condition monitoring are presented; Third, mathematical methods used in condition monitoring are given; Then the merits and shortcomings are discussed.Efficient maintenance policies are of fundamental importance in system engineering because of their fallbacks into the safety and economics of plant operation. Applying condition-based maintenance to a system can reduce the cost and extend the availability of facilities. With the advent of personal computers as fast and cost effective machines for data acquisition and processing of multiple signals some shortcomings mentioned in condition monitoring could be solved or reduced to some extent. These PCs can be a solution as a condition monitoring based maintenance system.

  9. Positioning embedded software maintenance within industrial maintenance

    OpenAIRE

    Karim, Ramin; Kajko-Mattsson, Mira; Söderholm, Peter; Candell, Olov; Tyrbern, Tommy; Öhlund, Hans; Johansson, Jan

    2008-01-01

    Little is known about of how software embedded in complex industrial technical systems is maintained. In this paper, we identify industrial maintenance process steps and position software maintenance activities within them. We do this in the context of JAS 39 Gripen, a multi-role combat aircraft developed by Saab.

  10. Rural road maintenance management

    OpenAIRE

    Johannessen, B.

    1999-01-01

    This manual summarizes relevant Cambodian government policies regarding rural road maintenance. Chapter 2 defines the various components of road maintenance and describes an effective strategy and organization which addresses the maintenance requirements of rural roads in Cambodia. Chapter 3 is a brief description of the planning, implementation and reporting cycle required in an effective road maintenance management system. Chapter 4 summarizes the contracts management procedures, and finall...

  11. Did FDA Decisionmaking Affect Anti-Psychotic Drug Prescribing in Children?: A Time-Trend Analysis.

    Directory of Open Access Journals (Sweden)

    Bo Wang

    Full Text Available Following Food and Drug Administration (FDA approval, many drugs are prescribed for non-FDA-approved ("off-label" uses. If substantial evidence supports the efficacy and safety of off-label indications, manufacturers can pursue formal FDA approval through supplemental new drug applications (sNDAs. We evaluated the effect of FDA determinations on pediatric sNDAs for antipsychotic drugs on prescribing of these products in children.Retrospective, segmented time-series analysis using new prescription claims during 2003-2012 for three atypical antipsychotics (olanzapine, quetiapine, ziprasidone. FDA approved the sNDAs for pediatric use of olanzapine and quetiapine in December 2009, but did not approve the sNDA for pediatric use of ziprasidone.During the months before FDA approval of its pediatric sNDA, new prescriptions of olanzapine decreased for both children and adults. After FDA approval, the increase in prescribing trends was similar for both age groups (P = 0.47 for schizophrenia and bipolar disorder; P = 0.37 for other indications. Comparable decreases in use of quetiapine were observed between pediatrics and adults following FDA approval of its pediatric sNDA (P = 0.88; P = 0.63. Prescribing of ziprasidone decreased similarly for pediatric and adult patients after FDA non-approval of its pediatric sNDA (P = 0.61; P = 0.79.The FDA's sNDA determinations relating to use of antipsychotics in children did not result in changes in use that favored the approved sNDAs and disfavored the unapproved sNDA. Improved communication may help translate the agency's expert judgments to clinical practice.

  12. Asphalt in Pavement Maintenance.

    Science.gov (United States)

    Asphalt Inst., College Park, MD.

    Maintenance methods that can be used equally well in all regions of the country have been developed for the use of asphalt in pavement maintenance. Specific information covering methods, equipment and terminology that applies to the use of asphalt in the maintenance of all types of pavement structures, including shoulders, is provided. In many…

  13. Two Different Maintenance Strategies in the Hospital Environment: Preventive Maintenance for Older Technology Devices and Predictive Maintenance for Newer High-Tech Devices

    OpenAIRE

    Mana Sezdi

    2016-01-01

    A maintenance program generated through the consideration of characteristics and failures of medical equipment is an important component of technology management. However, older technology devices and newer high-tech devices cannot be efficiently managed using the same strategies because of their different characteristics. This study aimed to generate a maintenance program comprising two different strategies to increase the efficiency of device management: preventive maintenance for older tec...

  14. Modern electronic maintenance principles

    CERN Document Server

    Garland, DJ

    2013-01-01

    Modern Electronic Maintenance Principles reviews the principles of maintaining modern, complex electronic equipment, with emphasis on preventive and corrective maintenance. Unfamiliar subjects such as the half-split method of fault location, functional diagrams, and fault finding guides are explained. This book consists of 12 chapters and begins by stressing the need for maintenance principles and discussing the problem of complexity as well as the requirements for a maintenance technician. The next chapter deals with the connection between reliability and maintenance and defines the terms fai

  15. Knowledge based maintenance

    Energy Technology Data Exchange (ETDEWEB)

    Sturm, A. [Hamburgische Electacitaets-Werke AG Hamburg (Germany)

    1997-12-31

    The establishment of maintenance strategies is of crucial significance for the reliability of a plant and the economic efficiency of maintenance measures. Knowledge about the condition of components and plants from the technical and business management point of view therefore becomes one of the fundamental questions and the key to efficient management and maintenance. A new way to determine the maintenance strategy can be called: Knowledge Based Maintenance. A simple method for determining strategies while taking the technical condition of the components of the production process into account to the greatest possible degree which can be shown. A software with an algorithm for Knowledge Based Maintenance leads the user during complex work to the determination of maintenance strategies for this complex plant components. (orig.)

  16. Studying the Advance Maintenance Practice & Computerised Maintenance

    Directory of Open Access Journals (Sweden)

    Eng Hamdy Ibrahim Mohamed Mahmoud

    2016-02-01

    Full Text Available Many companieѕ think of maintenance aѕ an inevitable ѕource of coѕt. For theѕe companieѕ maintenance operationѕ have a corrective function and are only executed in emergency conditionѕ. Today, thiѕ form of intervention iѕ no longer acceptable becauѕe of certain critical elementѕ ѕuch aѕ product quality, plant ѕafety, and the increaѕe in maintenance department coѕtѕ which can repreѕent from 15 to 70% of total production coѕtѕ. The managerѕ have to ѕelect the beѕt maintenance policy for each piece of equipment or ѕyѕtem from a ѕet of poѕѕible alternativeѕ. For example, corrective, preventive, opportuniѕtic, condition-baѕed and predictive maintenance policieѕ are conѕidered in thiѕ paper.

  17. Random maintenance policies

    CERN Document Server

    Nakagawa, Toshio

    2014-01-01

    Exploring random maintenance models, this book provides an introduction to the implementation of random maintenance, and it is one of the first books to be written on this subject.  It aims to help readers learn new techniques for applying random policies to actual reliability models, and it provides new theoretical analyses of various models including classical replacement, preventive maintenance and inspection policies. These policies are applied to scheduling problems, backup policies of database systems, maintenance policies of cumulative damage models, and reliability of random redundant systems. Reliability theory is a major concern for engineers and managers, and in light of Japan’s recent earthquake, the reliability of large-scale systems has increased in importance. This also highlights the need for a new notion of maintenance and reliability theory, and how this can practically be applied to systems. Providing an essential guide for engineers and managers specializing in reliability maintenance a...

  18. Framework for Maintenance Planning

    DEFF Research Database (Denmark)

    Soares, C. Guedes; Duarte, J. Caldeira; Garbatov, Y.;

    2010-01-01

    The present document presents a framework for maintenance planning. Maintenance plays a fundamental role in counteracting degradation effects, which are present in all infrastructure and industrial products. Therefore, maintenance planning is a very critical aspect to consider both during...... the design and during the whole life span of operational use, within an integrated framework founded on risk and reliability based techniques. The document addresses designers, decision makers and professionals responsible for or involved in establishing maintenance plans. The purpose of this document...... is to present maintenance as an integrated approach that needs to be planned, designed, engineered, and controlled by proper qualitative and quantitative techniques. This document outlines the basic premises for maintenance planning and provides the general philosophies that can be followed and points to a best...

  19. Software evolution and maintenance

    CERN Document Server

    Tripathy, Priyadarshi

    2014-01-01

    Software Evolution and Maintenance: A Practitioner's Approach is an accessible textbook for students and professionals, which collates the advances in software development and provides the most current models and techniques in maintenance.Explains two maintenance standards: IEEE/EIA 1219 and ISO/IEC14764Discusses several commercial reverse and domain engineering toolkitsSlides for instructors are available onlineInformation is based on the IEEE SWEBOK (Software Engineering Body of Knowledge)

  20. Turbine maintenance and modernization

    Energy Technology Data Exchange (ETDEWEB)

    Unga, E. [Teollisuuden Voima Oy, Olkiluoto (Finland)

    1998-12-31

    The disturbance-free operation of the turbine plant plays an important role in reaching good production results. In the turbine maintenance of the Olkiluoto nuclear power plant the lifetime and efficiency of turbine components and the lifetime costs are taken into account in determining the turbine maintenance and modernization/improvement program. The turbine maintenance program and improvement/modernization measures taken in the plant units are described in this presentation. (orig.)

  1. Continuation and maintenance use of antidepressants in recurrent depression

    NARCIS (Netherlands)

    Bockting, Claudi L H; ten Doesschate, Mascha C; Spijker, Jan; Spinhoven, Philip; Koeter, Maarten W J; Schene, Aart H

    2008-01-01

    Background: Maintenance antidepressant (AD) medication is the most commonly used preventive strategy in a highly recurrent disease, i. e. depression. Little is known about the discontinuation of maintenance AD use and the association with recurrence in daily clinical practice. The purpose was to exa

  2. Examining maintenance responsibilities.

    Science.gov (United States)

    Lam, K C

    2001-06-01

    This paper has examined the important responsibilities of the two organisations involved in the provision of maintenance service for the vital building services in many of our highly serviced buildings. The issues raised could be put to beneficial use in both clients and maintenance providers. All in all, the clients should work closely with their maintenance providers. Engineering services in buildings will not perform satisfactorily and efficiently if both parties do not work together and understand the maintenance tasks based on a business partnering mode. Put forward is the view that the management of the activities involved in the operation and maintenance process is a "shared commitment/involvement" between the client and the maintenance provider. It is obvious that many factors can influence the continued effectiveness of a quality maintenance scheme set up by client and provider. Some of these factors are: Change in key personnel Updates in technology Amendments to engineering practice Implementation of legislative requirements Changes in operation by client or provider Change of use of building Passage of time These factors must be fully reviewed by both parties from time to time, and necessary actions taken. A cooperative team working relationship and improved communication should be fostered by the client and his provider for the best management of services maintenance. This arrangement will contribute to better building services systems with continuous improvement; improved value for clients and higher return for the maintenance provider.

  3. Remote Maintenance Monitoring System -

    Data.gov (United States)

    Department of Transportation — The Remote Maintenance and Monitoring System (RMMS) is a collection of subsystems that includes telecommunication components, hardware, and software, which serve to...

  4. Software Maintenance Success Recipes

    CERN Document Server

    Reifer, Donald J

    2011-01-01

    Dispelling much of the folklore surrounding software maintenance, Software Maintenance Success Recipes identifies actionable formulas for success based on in-depth analysis of more than 200 real-world maintenance projects. It details the set of factors that are usually present when effective software maintenance teams do their work and instructs on the methods required to achieve success. Donald J. Reifer--an award winner for his contributions to the field of software engineering and whose experience includes managing the DoD Software Initiatives Office--provides step-by-step guidance on how t

  5. Maintenance Trades Guidelines

    Science.gov (United States)

    Weidner, Theodore J.

    2008-01-01

    In 2002, APPA published "Maintenance Staffing Guidelines for Educational Facilities," the first building maintenance trades staffing guideline designed to assist educational facilities professionals with their staffing needs. addresses how facilities professionals can determine the appropriate size and mix of their organization. Contents…

  6. Systemic treatment with capecitabine as maintenance therapy in patients with recurring or metastatic breast cancer: experience in the Oncology Hospital, National Medical Center Siglo XXI, Mexican Social Security Institute.

    Science.gov (United States)

    Segura-González, Manuel; Quintana-Quintana, Miguel

    2015-04-01

    Metastatic breast cancer as initial onset represents between 20 and 30 % of cases and is considered an incurable disease. The goal of its treatment is palliative, looking for increasing the survival while reducing the symptoms. Maintenance chemotherapy studies for metastatic breast cancer have demonstrated to prolong the progression-free survival, with unclear results in terms of overall survival. The main objectives of our study were the progression-free survival and overall survival in patients with recurring or metastatic breast cancer treated with capecitabine in the maintenance chemotherapy setting compared with patients not receiving maintenance chemotherapy. As secondary objectives, the frequency of dose-limiting toxicities and response rate were determined. A non-probabilistic sampling was used, through expert selection of patients from the recurring/metastatic breast cancer survey cared within the period from January 1, 2007, to December 21, 2012. A total of 77 patients were included. Clinical data of advanced/recurrent breast cancer patients that were treated with capecitabine were recorded. The study achieved its primary objective, since the progression-free survival was prolonged for the maintenance therapy group: 6.6 versus 18.1 months, p Siglo XXI Oncology Hospital extends the overall survival and progression-free survival with a good toxicity profile.

  7. Maintenance Process Strategic Analysis

    Science.gov (United States)

    Jasiulewicz-Kaczmarek, M.; Stachowiak, A.

    2016-08-01

    The performance and competitiveness of manufacturing companies is dependent on the availability, reliability and productivity of their production facilities. Low productivity, downtime, and poor machine performance is often linked to inadequate plant maintenance, which in turn can lead to reduced production levels, increasing costs, lost market opportunities, and lower profits. These pressures have given firms worldwide the motivation to explore and embrace proactive maintenance strategies over the traditional reactive firefighting methods. The traditional view of maintenance has shifted into one of an overall view that encompasses Overall Equipment Efficiency, Stakeholders Management and Life Cycle assessment. From practical point of view it requires changes in approach to maintenance represented by managers and changes in actions performed within maintenance area. Managers have to understand that maintenance is not only about repairs and conservations of machines and devices, but also actions striving for more efficient resources management and care for safety and health of employees. The purpose of the work is to present strategic analysis based on SWOT analysis to identify the opportunities and strengths of maintenance process, to benefit from them as much as possible, as well as to identify weaknesses and threats, so that they could be eliminated or minimized.

  8. Mobile network maintenance (GSM)

    CERN Multimedia

    IT Department

    2009-01-01

    Maintenance work will be carried out on the CERN mobile network infrastructure (GSM) on the 23 and 24 July from 6 p.m. to 6 a.m. in order to replace discontinued equipment and to increase the bandwidth capacity of the GSM mobile network. All CERN GSM emitters (40 units) will be moved one by one to the new infrastructure during the maintenance. The call of a user connected to an emitter at the time of its maintenance will be cut off. However, the general overlapping of the GSM radio coverage should mean that users are able immediately to call again should their call be interrupted. IT/CS/CS

  9. General Healthcare Maintenance of IBD

    Science.gov (United States)

    ... Resources > General Healthcare Maintenance Go Back General Healthcare Maintenance Email Print + Share It is important to continue ... Bowel Diseases. September 2009, 1399-1409 Health Care Maintenance Chart YEAR PPD (Tuberculosis skin test) Vaccinations Hepatitis ...

  10. 精准定位,科学衔接,搭建医疗器械职业人才培养立交桥--以中高职三二分段医疗器械制造与维护专业为例%Precise Positioning, Scientific Convergence, Build Overpass of Medical Equipment Professional Personnel Training--Vocational 3:2 in Medical Equipment Manufacturing and Maintenance Professionals as an example

    Institute of Scientific and Technical Information of China (English)

    翁灿烁

    2014-01-01

    在广东省加大职业教育人才培养立交桥建设力度的背景下,我院积极参与到实际工作中来,承担了医疗器械制造与维护专业中高职三二分段人才培养模式的设计与实施任务,已经取得一定的进展;本文旨在对目前各省开展高职三二分段人才培养模式进行调研,根据医疗器械制造与维护专业中高职不同就业方向对人才培养目标进行精准定位,研究医疗器械中高职三二分段科学衔接的人才培养方案。%In Guangdong Province, in the background of increasing vocational education the overpass construction efforts, and actively participate in the actual work to undertake a medical equipment manufacturing and maintenance of specialized vocational 3:2 in the design and implementation of the mission personnel training mode, some progress has been made;This pa-per aims to present the provinces to carry out vocational training model of 3:2 for research, according to the medical equipment manufacturing and maintenance professionals in different directions employment for vocational training objectives for accurate positioning, research medical devices vocational 3:2 convergence of scientific personnel training program.

  11. Health Maintenance Restaurant

    Institute of Scientific and Technical Information of China (English)

    JANE SHAW

    1994-01-01

    Arestaurant named "Health Maintenance Restaurant" which serves dishes cooked with traditional Chinese medicine recently opened at Xiyuan Hotel in western Beijing. Entering the restaurant, you’ll see the god of longevity on the

  12. Liver enzymes among microelectronics equipment maintenance technicians.

    Science.gov (United States)

    Upfal, M

    1992-04-01

    Equipment maintenance workers within the microelectronics industry have opportunities for occupational exposure to a variety of toxic agents. This pilot investigation compares liver enzymes in this population with that of other coworkers. Participants (n = 135) were randomly selected from a medical surveillance program at the manufacturing facility. Nine job categories were examined, including equipment maintenance workers and electronic technicians. Although abnormal liver enzymes were detected among equipment maintenance workers (odds ratio 16.4; P less than .008) and electronic technicians (odds ratio 27; P less than .0005), the numbers of participants were small (n = 8, 10). The data suggest that independent and/or interactive etiologic roles of occupation and alcohol should be further investigated. Early detection of subclinical occupational or recreational hepatotoxicity with appropriate employment of industrial hygiene control technology and/or the reduction of alcohol consumption may provide a means of preventing liver disease.

  13. Ototoxic Medications (Medication Effects)

    Science.gov (United States)

    ... Information for the Public / Hearing and Balance Ototoxic Medications (Medication Effects) By Barbara Cone, Patricia Dorn, Dawn Konrad- ... Audiology Information Series [PDF]. What Is Ototoxicity? Certain medications can damage the ear, resulting in hearing loss, ...

  14. Reliability Centered Maintenance - Methodologies

    Science.gov (United States)

    Kammerer, Catherine C.

    2009-01-01

    Journal article about Reliability Centered Maintenance (RCM) methodologies used by United Space Alliance, LLC (USA) in support of the Space Shuttle Program at Kennedy Space Center. The USA Reliability Centered Maintenance program differs from traditional RCM programs because various methodologies are utilized to take advantage of their respective strengths for each application. Based on operational experience, USA has customized the traditional RCM methodology into a streamlined lean logic path and has implemented the use of statistical tools to drive the process. USA RCM has integrated many of the L6S tools into both RCM methodologies. The tools utilized in the Measure, Analyze, and Improve phases of a Lean Six Sigma project lend themselves to application in the RCM process. All USA RCM methodologies meet the requirements defined in SAE JA 1011, Evaluation Criteria for Reliability-Centered Maintenance (RCM) Processes. The proposed article explores these methodologies.

  15. PROACTIVE STRATEGY MAINTENANCE

    Directory of Open Access Journals (Sweden)

    Stanisław RADKOWSKI

    2014-03-01

    Full Text Available Given challenging competition of today service providers are required to be more proactive in satisfying the environmental conditions and customer needs. Proactive maintenance should start at the design stage with establishing the functions, functional failures and failure modes. The understanding the failure behavior, especially the relationship between potential failures, functional failures and diagnostic parameters is the most important task. In the next step the designer have to explore the maintenance activities as they have to apply to the design criteria. The models and frameworks have been presented in the paper also a comprehensive review of literature and some results of laboratory investigations.

  16. Medical education in Malaysia.

    Science.gov (United States)

    Lim, Victor K E

    2008-01-01

    Malaysia has a long history of medical education, with Singapore becoming the first medical school to serve the region after its foundation in 1905. The first school to be established in Kuala Lumpur after independence from the British was the Faculty of Medicine at the University of Malaya in 1963. Whilst today there are 21 public and private medical schools, all offering a 5 year undergraduate programme, some private schools have diversified by developing international collaboration and conduct twinning or credit-transfer programmes. All medical schools require accreditation by the National Accreditation Board and the Malaysian Medical Council. Although the criteria for accreditation is comprehensive and covers a broad range of areas of assessment, it is debatable whether it always matches the needs of the country. The dramatic increase in medical schools in the last two decades has posed challenges in terms of maintenance of quality, physical infrastructure and suitably qualified faculty.

  17. Telephone Exchange Maintenance

    CERN Multimedia

    2005-01-01

    Urgent maintenance work on CERN telephone exchanges will be performed on 24 March from 6 a.m. to 8 a.m. Telephone services may be disrupted or even interrupted during this time. For more details, please contact us by email at Standard.Telephone@cern.ch.

  18. Electrical Maintenance Technician.

    Science.gov (United States)

    Ohio State Univ., Columbus. Center on Education and Training for Employment.

    This document contains 30 units to consider for use in a tech prep competency profile for the occupation of electrical maintenance technician. All the units listed will not necessarily apply to every situation or tech prep consortium, nor will all the competencies within each unit be appropriate. Several units appear within each specific…

  19. Maintenance: problem and solution

    CERN Multimedia

    CERN Bulletin

    2012-01-01

    Equipment that is often unique, machines that are as old as the Laboratory, continuous and demanding performance requirements: these are the challenges faced by CERN’s accelerator maintenance teams. There are some twenty such teams, attached to different departments. A new project aims to standardise their procedures to make their work easier, and you can be a part of it.   “For the past year or so, the Accelerator and Technologies Sector and the GS Department have been working together on identifying the needs of the different teams that perform maintenance on CERN’s equipment. We are now ready to provide computer support with detailed specifics about the processes that need to be set up,” explains Goran Perinić, one of the leaders in CERN’s new Maintenance Management project (MMP). Since the LHC entered operation, the responsibilities of the technical teams have been broadened to cover maintenance of the collider and that of its injectors...

  20. Operations and maintenance philosophy

    Energy Technology Data Exchange (ETDEWEB)

    DUNCAN, G.P.

    1999-10-28

    This Operations and Maintenance (O&M) Philosophy document is intended to establish a future O&M vision, with an increased focus on minimizing worker exposure, ensuring uninterrupted retrieval operations, and minimizing operation life-cycle cost. It is intended that this document would incorporate O&M lessons learned into on-going and future project upgrades.

  1. Industrial Mechanical Maintenance.

    Science.gov (United States)

    Hendrix, Laborn J.

    This manual was developed to assist teachers in Oklahoma in preparing students for industrial mechanical maintenance. The materials in this teacher's guide are organized in 14 units of instruction covering the following four areas: receiving and setting equipment; equipment hookup and operation; equipment layout, anchoring, and setup; and…

  2. Maintenance and hazardous substances

    NARCIS (Netherlands)

    Kuhl, K.; Terwoert, J.; Cabecas, J.J.M.

    2012-01-01

    Maintenance workers come into close contact with a broad variety of often hazardous chemicals. Depending on the specific type, these chemicals may not only cause diseases like skin sores or cancer, but many of them are highly flammable and explosive. This e-facts focuses on the specific risks relate

  3. Maintenance in sustainable manufacturing

    Directory of Open Access Journals (Sweden)

    Vladimir Stuchly

    2014-09-01

    Full Text Available Background: Sustainable development is about reaching a balance between economic, social, and environmental goals, as well as people's participation in the planning process in order to gain their input and support. For a company, sustainable development means adoption of such business strategy and actions that contribute to satisfying present needs of company and stakeholders, as well as simultaneous protection, maintenance and strengthening of human and environmental potential which will be needed in the future. This new approach forces manufacturing companies to change their previous management paradigms. New management paradigm should include new issues and develop innovative methods, practices and technologies striving for solving problem of shortages of resources, softening environment overload and enabling development of environment-friendly lifecycle of products. Hence, its realization requires updating existing production models as they are based on previously accepted paradigm of unlimited resources and unlimited regeneration capabilities. Maintenance plays a crucial role because of its impact on availability, reliability, quality and life cycle cost, thus it should be one of the main pillars of new business running model.  Material and methods: The following paper is a result of research on the literature and observation of practices undertaken by a company within maintenance area. Results and conclusions: The main message is that considering sustainable manufacturing requires considerable expanding range of analysis and focusing on supporting processes. Maintenance offers numerous opportunities of decreasing influence of business processes on natural environment and more efficient resources utilization. The goal of maintenance processes realizing sustainable development strategy is increased profitability of exploitation and optimization of total lifecycle cost without disturbing safety and environmental issues. 

  4. Interval of Routine Maintenance and Maintenance Performance: A Literature Review

    Directory of Open Access Journals (Sweden)

    Au-Yong Cheong Peng

    2016-01-01

    Full Text Available In high-rise residential buildings, the quality of facilities management services is significant to the normal operation of the facilities. Unfortunately, lack of concern towards building maintenance, especially preventive maintenance, happens in domestic housing industry in Malaysia. Majority of the maintenance operations of condominiums suffer from lack of planning, lack of proactive maintenance plan, and lack of proper implementation. Thus, this paper reviews the implementation of preventive maintenance strategy, routine maintenance in specific. An extensive review of literature published in 1987 to 2014 is performed for the purpose of this research. The publications are sourced from journal articles, conference proceedings and books. The literature analysis confirms that the routine maintenance of facilities and building services is vital and it can be influential towards the maintenance performance. Subsequently, a theoretical framework is developed, which shows the relationship between routine maintenance of building facilities & services and maintenance performance. The building facilities & services are divided into two categories. They are essential facilities & services that ensure the safety, health, habitability, and operability of buildings; while value-added facilities & services deal with property value, return on investment, and quality living of buildings. Based on the findings, a future research is proposed, which aims to identify the appropriate routine of maintenance for the facilities and services in high-rise residential buildings to improve the maintenance performance.

  5. Global Outsourcing of Aircraft Maintenance

    OpenAIRE

    McFadden, Michael; Worrells, D. Scott

    2012-01-01

    Before the airlines were deregulated, the majority of air carriers conducted their maintenance in-house. After deregulation, with competitive pressures mounting and airlines failing and starting up seemingly simultaneously, the outsourcing of maintenance became more prevalent. Not restricted to U.S. airlines, outsourcing maintenance has become a global practice. Factors involved in the outsourcing decision range from a startup not having the capital to develop their own in-house maintenance p...

  6. SCR maintenance fundamentals

    Energy Technology Data Exchange (ETDEWEB)

    Wicker, K.; Staudt, J.

    2004-06-01

    The latest round of NOx emissions rules in the USA may afford power plant operators more flexibility in meeting air-quality standards. But complying with the rules can be somewhat confusing. Because a selective catalytic reduction (SCR) system is the first line of defence against excessive NOx emission, its proper maintenance is critical. This article explains how to monitor an SCR system for ammonia slip and manage its catalysts in a way that optimizes the system's performance. 9 figs.

  7. Predictors of weight maintenance

    NARCIS (Netherlands)

    Pasman, W.J.; Saris, W.H.M.; Westerterp-Plantenga, M.S.

    1999-01-01

    Objective: To obtain predictors of weight maintenance after a weight-loss intervention. Research Methods and Procedures: An overall analysis of data from two-long intervention studies [n = 67 women; age: 37.9±1.0 years; body weight (BW): 87.0±1.2 kg; body mass index: 32.1±0.5 kg·m-2; % body fat: 42.

  8. Missile Maintenance Career Ladder

    Science.gov (United States)

    1994-01-01

    K696 INSPECT GENERAL PURPOSE EQUIPMENT 48 E176 LOCATE INFORMATION IN TOs 44 F235 PERFORM PREOPERATIONAL CHECKS ON MECHANICAL 42 MAINTENANCE SUPPORT...ON COLORIMETRIC GAS DETECTORS 24 27 TABLE 9 REPRESENTATIVE TASKS PERFORMED BY 2M052A PERSONNEL PERCENT MEMBERS PERFORMING TASKS (N=436) E176 LOCATE...AS STAFF MEETINGS, 67 BRIEFINGS, CONFERENCES, OR WORKSHOPS B30 CONDUCT PERFORMANCE FEEDBACK WORKSHEET SESSIONS 64 E176 LOCATE INFORMATION IN TOs 57

  9. Self-assessment for maintenance of certification.

    Science.gov (United States)

    Bosma, Jennifer; Laszakovits, David; Hattery, Robert R

    2007-01-01

    Self-assessment is paired with continuing medical education in the "lifelong learning " component of the American Board of Radiology's (ABR) Maintenance of Certification program. The literature on the use of self-assessment in higher education and the professions is instructive with regard to the distinctiveness of this form of adult learning. This article reviews pertinent literature, summarizes the findings, and applies the principles to the creation and use of "self-assessment modules" (SAMs) for the maintenance of certification. Data on the use of ABR-qualified SAMs are reported. On completion of this article, the reader should be able to describe the nature, role, and best practices of self-assessment; apply these concepts to the creation or use of a SAM; and identify future opportunities for SAM development and use that will enhance the lifelong learning of radiologists.

  10. 非医疗因素对长期腹膜透析患者生存质量的影响%The effect of non-medical factors on the quality of life in maintenance peritoneal dialysis patients

    Institute of Scientific and Technical Information of China (English)

    田娜; 陈孟华

    2009-01-01

    Objective To evaluate the quality of life (QOL) in continuous ambulatory peritoneal dialysis (CAPD) patients and analyze the non-medical factors influencing QOL in order to explore the possible way to improve QOL in peritoneal dialysis (PD) patients.Methods Seventy-nine chronic renal failure patients treated with PD included in the present study.Investigated their age,sex,working status,education,medical burden and family support.Patients' QOL was evaluated by international questionnaire-KDQOL/SF-36.Patients' anxiety/depmssion status was evaluated by Hamilton depression questionnaire.Results (1)The SF-36 with its eight scales of CAPD patients were markedly lower than ordinary people (P<0.05 or<0.01).(2) Comparing with those on work,the patients without work got lower SF-36 scores[(45.78±16.93) seores vs (32.65±12.26) scores,P<0.05].Comparing with those who had medical care,the patients without medical care got much lower SF-36 scores [(49.62±13.20) scores vs (33.85±6.24) scores,P<0.05].Patients with higher income had better QOL.(3) Patients cared by their children and companion had the higheat SF-36 [(68.33±14.73) scores],while those cared by nursemaid or themselves had the lowest [(27.98±15.77) scores].(4) Among the 79 patients,43 patients (54.4%) were anxiety and 12 patients (15.2%) were depression.QOL was negatively correlated with anxiety index and depression index.Conclusion The QOL of CAPD patients are remarkably low,which is deeply influenced by many non-medical factors such as working status,medical burden,family support and emotional status.%目的 研究可能影响长期腹膜透析患者生存质量的非医疗因素,旨在为临床工作中如何提高患者的生存质量提供依据.方法 采用横断面研究方法调查79例慢性肾衰竭进行持续非卧床腹膜透析(CAPD)患者.记录患者的年龄、性别、工作状况、文化程度、医疗负担及家庭支持等情况.采用国际通用的KDQOL-SFTM1.2中的短表SF-36

  11. Paranal maintenance and CMMS experience

    Science.gov (United States)

    Montano, Nelson

    2004-10-01

    During the last four years of operations, low technical downtime has been one of the relevant records of the Paranal Observatory. From the beginning of the Very Large Telescope (VLT) project, European Southern Observatory (ESO) has considered the implementation of a proper maintenance strategy a fundamental point in order to ensure low technical down time and preserve the Observatory's assets. The implementation of the maintenance strategy was based on the following aspects: - Strong maintenance sense during the design stage. Line Replacement Unit (LRU) concept, standardization and modularity of the Observatory equipment - Creation of a dedicated team for Maintenance - The implementation of a Computerized Maintenance Management System After four operational years, the result of these aspects has exceeded the expectations; the Observatory has been operating with high availability under a sustainable strategy. The strengths of the maintenance strategy have been based on modern maintenance concepts applied by regular production companies, where any minute of down time involves high cost. The operation of the actual Paranal Maintenance System is based mainly on proactive activities, such as regular inspections, preventive maintenance (PM) and predictive maintenance (PdM) plans. Nevertheless, it has been necessary to implement a strong plan for corrective maintenance (CM). The Spare Parts Strategy has also been an important point linked to the Maintenance Strategy and CMMS implementation. At present, almost 4,000 items related to the Observatory spare parts are loaded into the CMMS database. Currently, we are studying the implementation of a Reliability Centered Maintenance (RCM) project in one of our critical systems The following document presents the actual status of the Paranal Maintenance Strategy and which have been the motivations to implement the established strategy.

  12. Motorway maintenance work

    CERN Multimedia

    2005-01-01

    Built 20 years ago, the airport section of the Geneva motorway bypass is now in need of maintenance work and alterations to bring it into line with the new standards. Two-lane traffic will be maintained in both directions during the work, which will be carried out in 2006 and 2007, but there will be various temporary special traffic arrangements in force. We should like to thank you in advance for your understanding. Civil Engineering Department, DAEL, State of Geneva More information: tel. 163 or www.autoroute-aeroport.ch Fewer cars, fewer traffic jams, with www.covoiturage.ch

  13. Factors Influencing Army Maintenance

    Science.gov (United States)

    1989-01-01

    battle damage cannot be eliminated in the design process, but fault isolation and repair, as well as routine and preventive maintenance, can be...documentation does not meet thebe requirements, the efficiency of the xmaintainer’s performance will be reduced. It Is often the case that documentation...sustain battle damage of various levels of severity; and 3) systems experience relatively high ube latES I- Obat. C..L. LI= C 4LILCLr42 L C LI=%-t I- iC

  14. Canadian Economic Evaluation of Budesonide-Formoterol as Maintenance and Reliever Treatment in Patients with Moderate to Severe Asthma

    Directory of Open Access Journals (Sweden)

    Elizabeth Miller

    2007-01-01

    Full Text Available OBJECTIVES: To compare the cost-effectiveness of budesonide-formoterol in a single inhaler used as both maintenance and reliever medication versus clinician-directed titration of salmeterol-fluticasone as maintenance medication, plus salbutamol taken as needed, in controlling asthma in adults and adolescents.

  15. What If My Child Doesn't Take His or Her Asthma Medication?

    Science.gov (United States)

    ... Child Doesn't Take His or Her Asthma Medication? KidsHealth > For Parents > What if My Child Doesn' ... depending on what kind it is. What Controller Medications Do Also called preventive or maintenance medications, controller ...

  16. Assessment of Operational Maintenance in Public Hospitals Buildings in the Gaza Strip

    Directory of Open Access Journals (Sweden)

    Adnan Enshassi

    2015-01-01

    Full Text Available The issue of public hospitals buildings’ maintenance in Palestine is regarded as a challenging issue. The lack of attention to maintenance management in hospitals has led to deterioration of buildings and reduced the health care services. The aim of this paper is to assess the current practice of maintenance process and management in public hospitals buildings in the Gaza Strip. A questionnaire survey that distributed to 13 public hospitals, which are administered by the Ministry of Health (MoH in the Gaza Strip, was used to collect the primary data for this study. The results of this study present an overview of the current situation of the maintenance process in public hospitals buildings in the Gaza Strip. The findings indicated that while the corrective maintenance is implemented in all the 13 public hospitals, preventive maintenance is employed along with corrective maintenance, only in three hospitals. In addition, the findings indicated variances in responding to maintenance requests, while 50% of the maintenance departments took few hours to respond to maintenance requests, the rest took a few days to respond, this can be explained due to lack of spare parts and qualified staff. The study showed also that there is a shortage in training the hospital facility’s users on how to report maintenance problems. The results of this study indicated that most hospitals in the Gaza Strip have no maintenance plan for medical equipment; they do not have quality control system for repair and preventive maintenance. It is recommended to employ experience maintenance staff in order to prepare adequate maintenance plan and detailed check list, which is required for preventive maintenance. The MoH should organize specialized training courses in maintenance management for their staff in order to improve their effectiveness and efficiency. Hospitals in Gaza should make sure that all spare parts available in their storages for immediate action when

  17. Typical neuroleptic malignant syndrome presented in patient on maintenance quetiapine

    Directory of Open Access Journals (Sweden)

    Chintan Madhusudan Raval

    2014-01-01

    Full Text Available Neuroleptic malignant syndrome is an acute, life-threatening medical complication caused by antipsychotics. It is commonly seen with typical antipsychotics and very rare with atypicals. Cases have been reported with quetiapine also, but this case is of special interest because it occurred in patient who was stable on maintenance quetiapine 200 mg/day for last 5 years.

  18. Buildings Lean Maintenance Implementation Model

    Science.gov (United States)

    Abreu, Antonio; Calado, João; Requeijo, José

    2016-11-01

    Nowadays, companies in global markets have to achieve high levels of performance and competitiveness to stay "alive".Within this assumption, the building maintenance cannot be done in a casual and improvised way due to the costs related. Starting with some discussion about lean management and building maintenance, this paper introduces a model to support the Lean Building Maintenance (LBM) approach. Finally based on a real case study from a Portuguese company, the benefits, challenges and difficulties are presented and discussed.

  19. Entretian Model for Software Maintenance

    Directory of Open Access Journals (Sweden)

    Priya K Betala

    2013-10-01

    Full Text Available Maintenance refers to the act of modifying the software after putting in use in order to maintain its usability.[1]. In other words, Software maintenance can be defined as; it is the process of providing services to the customers after the delivery of the software. Despite the fact that maintaining software is very challenging, it is the most important routine that must be carried out in the development cycle. If the software is not maintained efficiently it may lead to the death of the software. Maintenance of software may be carried out in two ways. The first one is called „In-house maintenance‟ and the second one is called „Transition maintenance‟. The latter faces the drastic challenges when compared to former, as one team may not provide complete source code to the other, leading to unstructured code, lack of appropriate technique and knowledge about the functioning of the current software. There are a few aspects of software maintenance that set it apart from the other phases. Software maintenance cost comprises more than half of the total software development cost. Also, without software maintenance, it is impossible to change the problems within the product after its release, and many disasters can happen because of immature software. Recognising the importance of software maintenance, this paper proposes a model called “ENTRETIAN MODEL” (Entretian, a French word meaning Maintenance which consists of six basic steps to follow while maintaining software system. This model overcomes certain misconceptions about maintenance phase and it is highly beneficial to the Maintenance Support Team (MST to handle their maintenance activities systematically and efficiently. By employing the proposed model, the MST is able to overcome the technical and managerial issues that are faced earlier in the maintenance phase. The advantage of using “Entretian Model” is best illustrated in this paper with the help of the ERP package.

  20. Is Maintenance Therapy for Everyone?

    Science.gov (United States)

    Nooka, Ajay K; Lonial, Sagar

    2016-08-01

    Although myeloma remains an incurable disease among majority of myeloma patients, the prognosis has significantly improved after the introduction of novel agents. While more agents are being explored for their anti-myeloma activity, the more familiar agents with a better tolerability profile have been tested in the maintenance arena. Lenalidomide and bortezomib so far have shown promise as effective maintenance agents in prolonging PFS, and also OS in some studies. The current review aims at describing the clinical data supporting various maintenance therapies and also at providing some clarity to a few concerns associated with maintenance therapies.

  1. DCSP hardware maintenance system

    Energy Technology Data Exchange (ETDEWEB)

    Pazmino, M.

    1995-11-01

    This paper discusses the necessary changes to be implemented on the hardware side of the DCSP database. DCSP is currently tracking hardware maintenance costs in six separate databases. The goal is to develop a system that combines all data and works off a single database. Some of the tasks that will be discussed in this paper include adding the capability for report generation, creating a help package and preparing a users guide, testing the executable file, and populating the new database with data taken from the old database. A brief description of the basic process used in developing the system will also be discussed. Conclusions about the future of the database and the delivery of the final product are then addressed, based on research and the desired use of the system.

  2. Condition based maintenance in the context of opportunistic maintenance

    NARCIS (Netherlands)

    Koochaki, Javid; Bokhorst, Jos A. C.; Wortmann, Hans; Klingenberg, Warse

    2012-01-01

    Condition based maintenance (CBM) uses the operating condition of a component to predict a failure event. Compared to age based replacement (ABR), CBM usually results in higher availability and lower maintenance costs, since it tries to prevent unplanned downtime and avoid unnecessary preventive mai

  3. Illinois Occupational Skill Standards: Industrial Maintenance General Maintenance Cluster.

    Science.gov (United States)

    Illinois Occupational Skill Standards and Credentialing Council, Carbondale.

    These skill standards for the industrial maintenance general maintenance cluster are intended to be a guide to workforce preparation program providers in defining content for their programs and to employers to establish the skills and standards necessary for job acquisition. An introduction provides the Illinois perspective; Illinois Occupational…

  4. Reference the YY/T 0841-2011 Standard to Improve Preventive Maintenance of Medical Electrical Equipment and Experience%参照YY/T 0841-2011标准改进医用电气设备预防性维护工作及体会

    Institute of Scientific and Technical Information of China (English)

    刘翔; 葛斌; 刘锦初

    2014-01-01

    In this paper, we interpret the new YY/T 0841-2011 standard and contrast the difference between it and GB9706.1-2007 standard. Then, we improved the current preventive maintenance work. After the improvement, we not only have more effective detection of the electrical safety performance of al kinds of medical electrical equipment, but also reduce the workload of clinical engineers, improve efficiency, and reduce the risk of electrical shock.%该文通过解读新实施的YY/T 0841-2011标准并对比其与GB 9706.1-2007标准的差异,然后对现行的预防性维护工作进行改进。改进后不仅能更有效的检测各类医用电气设备的电气安全性能,还能减少临床工程师的工作量,提高工作效率,并且能降低临床工程师遭受电击的风险。

  5. Recent Research on Language Maintenance.

    Science.gov (United States)

    Garcia, MaryEllen

    2003-01-01

    Describes recent research on language maintenance to provide broad, worldwide coverage of different language contact situations. Surveys various countries in which research within ethnic and minority language communities illuminates language maintenance or shift, or revitalization, for that group. (Author/VWL)

  6. The Nordic maintenance care program

    DEFF Research Database (Denmark)

    Myburgh, Corrie; Brandborg-Olsen, Dorthe; Albert, Hanne;

    2013-01-01

    To describe and interpret Danish Chiropractors' perspectives regarding the purpose and rationale for using MC (maintenance care), its content, course and patient characteristics.......To describe and interpret Danish Chiropractors' perspectives regarding the purpose and rationale for using MC (maintenance care), its content, course and patient characteristics....

  7. Achieving world class maintenance status

    Energy Technology Data Exchange (ETDEWEB)

    Tomlingson, P.D. [Paul D. Tomingson Associates (United States)

    2007-08-15

    The article written by a management consultant, discusses the art of successful planning and operation of maintenance in mines considering factors such as benchmaking, key performance indices (KPIs) and frequency of procedures which can help achieve 'world class maintenance'. 1 fig.

  8. Robots for Aircraft Maintenance

    Science.gov (United States)

    1993-01-01

    Marshall Space Flight Center charged USBI (now Pratt & Whitney) with the task of developing an advanced stripping system based on hydroblasting to strip paint and thermal protection material from Space Shuttle solid rocket boosters. A robot, mounted on a transportable platform, controls the waterjet angle, water pressure and flow rate. This technology, now known as ARMS, has found commercial applications in the removal of coatings from jet engine components. The system is significantly faster than manual procedures and uses only minimal labor. Because the amount of "substrate" lost is minimal, the life of the component is extended. The need for toxic chemicals is reduced, as is waste disposal and human protection equipment. Users of the ARMS work cell include Delta Air Lines and the Air Force, which later contracted with USBI for development of a Large Aircraft Paint Stripping system (LARPS). LARPS' advantages are similar to ARMS, and it has enormous potential in military and civil aircraft maintenance. The technology may also be adapted to aircraft painting, aircraft inspection techniques and paint stripping of large objects like ships and railcars.

  9. Construction, repair and maintenance

    Energy Technology Data Exchange (ETDEWEB)

    Hinger, R. [Terasen Pipelines, Calgary, AB (Canada); Wong, P. [KC Integrity Corp., Calgary, AB (Canada); Yeomans, M.; Glover, A. [TransCanada PipeLines Ltd., Calgary, AB (Canada)

    2003-07-01

    The presentations by Working Group 4 focused on construction, repair and maintenance of pipelines with particular reference to high-strength steels and their applications for natural gas transmission pipelines. Discussions focused on how technology can be used to provide cost-effective design and construction solutions for long distance pipelines in a manner that does not compromise safety and reliability. The role that carbon plays in increasing the toughness of steel was also discussed. A few fundamental changes in steel production technology and a reduction in carbon content can result in a simultaneous increase in strength and toughness of steels. The cost impact of this technology was summarized. It was concluded that high strength steels offer effective solutions to deliver cost-effective pipelines to transport natural gas from northern basins. This session also presented pipeline routes that transport diluted bitumens from the Athabasca Oil Sands Project and the Muskeg River Mine to upgrader facilities in Alberta. Construction issues included design conservatism, water course crossings, winter construction, winter ditching, and public consultation. Examples of high strength steel pipe applications were also included with reference to experience gained by TransCanada and Corridor Pipeline. tabs., figs.

  10. Subcontracting Railway Maintenance

    DEFF Research Database (Denmark)

    Thommesen, Jacob

    2010-01-01

    In several European countries, national railway operators have been dismantled and partly privatized to create new contractual relations where operations originally performed internally are now outsourced to several companies. Breaking up work across several independent organizational and commerc......In several European countries, national railway operators have been dismantled and partly privatized to create new contractual relations where operations originally performed internally are now outsourced to several companies. Breaking up work across several independent organizational...... railway infrastructure manager (InfraMan), whichis subcontracting maintenance tasks to other companies. InfraMan has implemented various central elements in managing their subcontractors. The latter are required to present a safety plan as part of their bid, they must be approved if they are to be awarded...... a contract, and the competencies of their employees working on the railway are controlled and provided by InfraMan. However, this regime faces a number of further challenges, including uncertainties related to the safety plans, contested responsibility for the education program, difficulties in controlling...

  11. Research on Selection of Equipment Maintenance Modes

    Institute of Scientific and Technical Information of China (English)

    SHANG Wen-li; SHI Hai-bo; HE Bai-tao

    2006-01-01

    The development of equipment maintenance management is introduced, and equipment maintenance concept is defined. Equipment maintenance modes are classified, analyzed and compared, which merits and demerits are pointed out. At last, a decision-making frame to select equipment maintenance modes is advanced, and steps to select and implement equipment maintenance are given.

  12. Pharmacological maintenance treatments of opiate addiction.

    Science.gov (United States)

    Bell, James

    2014-02-01

    For people seeking treatment, the course of heroin addiction tends to be chronic and relapsing, and longer duration of treatment is associated with better outcomes. Heroin addiction is strongly associated with deviant behaviour and crime, and the objectives in treating heroin addiction have been a blend of humane support, rehabilitation, public health intervention and crime control. Reduction in street heroin use is the foundation on which all these outcomes are based. The pharmacological basis of maintenance treatment of dependent individuals is to minimize withdrawal symptoms and attenuate the reinforcing effects of street heroin, leading to reduction or cessation of street heroin use. Opioid maintenance treatment can be moderately effective in suppressing heroin use, although deviations from evidence-based approaches, particularly the use of suboptimal doses, have meant that treatment as delivered in practice may have resulted in poorer outcomes than predicted by research. Methadone treatment has been 'programmatic', with a one-size-fits-all approach that in part reflects the perceived need to impose discipline on deviant individuals. However, differences in pharmacokinetics and in side-effects mean that many patients do not respond optimally to methadone. Injectable diamorphine (heroin) provides a more reinforcing medication for some 'nonresponders' and can be a valuable option in the rehabilitation of demoralized, socially excluded individuals. Buprenorphine, a partial agonist, is a less reinforcing medication with different side-effects and less risk of overdose. Not only is it a different medication, but also it can be used in a different paradigm of treatment, office-based opioid treatment, with less structure and offering greater patient autonomy.

  13. Abortion - medical

    Science.gov (United States)

    Therapeutic medical abortion; Elective medical abortion; Induced abortion; Nonsurgical abortion ... A medical, or nonsurgical, abortion can be done within 7 weeks from the first day of the woman's last ...

  14. Oral Medication

    Science.gov (United States)

    ... Size: A A A Listen En Español Oral Medication The first treatment for type 2 diabetes blood ... new — even over-the-counter items. Explore: Oral Medication How Much Do Oral Medications Cost? Save money ...

  15. On Problems of Multicomponent System Maintenance Modelling

    Institute of Scientific and Technical Information of China (English)

    Tomasz Nowakowski; Sylwia Werbinka

    2009-01-01

    We present an overview of some recent developments in the area of mathematical modeling of maintenance decisions for multi-unit systems. The emphasis is on three main groups of multicomponent maintenance optimization models: the block replacement models, group maintenance models, and opportunistic maintenance models. Moreover, an example of a two-unit system maintenance process is provided in order to compare various maintenance policies.

  16. Health Maintenance Organization (HMO) Plan

    Science.gov (United States)

    ... doctors, hospitals, & other providers Health Maintenance Organization (HMO) Plan In most HMO Plans, you can only go ... I need to know about this type of plan? If your doctor or other health care provider ...

  17. Avionics Maintenance Technology Program Standards.

    Science.gov (United States)

    Georgia Univ., Athens. Dept. of Vocational Education.

    This publication contains statewide standards for the avionics maintenance technology program in Georgia. The standards are divided into the following categories: foundations, diploma/degree (philosophy, purpose, goals, program objectives, availability, evaluation); admissions, diploma/degree (admission requirements, provisional admission…

  18. Chromatin replication and epigenome maintenance

    DEFF Research Database (Denmark)

    Alabert, Constance; Groth, Anja

    2012-01-01

    initiates, whereas the replication process itself disrupts chromatin and challenges established patterns of genome regulation. Specialized replication-coupled mechanisms assemble new DNA into chromatin, but epigenome maintenance is a continuous process taking place throughout the cell cycle. If DNA...

  19. 33 CFR 127.401 - Maintenance: General.

    Science.gov (United States)

    2010-07-01

    ...) WATERFRONT FACILITIES WATERFRONT FACILITIES HANDLING LIQUEFIED NATURAL GAS AND LIQUEFIED HAZARDOUS GAS Waterfront Facilities Handling Liquefied Natural Gas Maintenance § 127.401 Maintenance: General. The...

  20. Implementation of an agile maintenance mechanic assignment methodology

    Science.gov (United States)

    Jimenez, Jesus A.; Quintana, Rolando

    2000-10-01

    The objective of this research was to develop a decision support system (DSS) to study the impact of introducing new equipment into a medical apparel plant from a maintenance organizational structure perspective. This system will enable the company to determine if their capacity is sufficient to meet current maintenance challenges. The DSS contains two database sets that describe equipment and maintenance resource profiles. The equipment profile specifies data such as mean time to failures, mean time to repairs, and minimum mechanic skill level required to fix each machine group. Similarly, maintenance-resource profile reports information about the mechanic staff, such as number and type of certifications received, education level, and experience. The DSS will then use this information to minimize machine downtime by assigning the highest skilled mechanics to machines with higher complexity and product value. A modified version of the simplex method, the transportation problem, was used to perform the optimization. The DSS was built using the Visual Basic for Applications (VBA) language contained in the Microsoft Excel environment. A case study was developed from current existing data. The analysis consisted of forty-two machine groups and six mechanic categories with ten skill levels. Results showed that only 56% of the mechanic workforce was utilized. Thus, the company had available resources for meeting future maintenance requirements.

  1. Selective Maintenance Model Considering Time Uncertainty

    OpenAIRE

    Le Chen; Zhengping Shu; Yuan Li; Xuezhi Lv

    2012-01-01

    This study proposes a selective maintenance model for weapon system during mission interval. First, it gives relevant definitions and operational process of material support system. Then, it introduces current research on selective maintenance modeling. Finally, it establishes numerical model for selecting corrective and preventive maintenance tasks, considering time uncertainty brought by unpredictability of maintenance procedure, indetermination of downtime for spares and difference of skil...

  2. 23 CFR 633.208 - Maintenance.

    Science.gov (United States)

    2010-04-01

    ... 23 Highways 1 2010-04-01 2010-04-01 false Maintenance. 633.208 Section 633.208 Highways FEDERAL... PROVISIONS Federal-Aid Contracts (Appalachian Contracts) § 633.208 Maintenance. Maintenance of all highway... responsibility of the State. The State may arrange for maintenance of such roads or portions thereof,...

  3. 18 CFR 367.81 - Maintenance.

    Science.gov (United States)

    2010-04-01

    ... 18 Conservation of Power and Water Resources 1 2010-04-01 2010-04-01 false Maintenance. 367.81... Expense Instructions § 367.81 Maintenance. (a) The cost of maintenance chargeable to the various operating... maintenance work. A list of work operations applicable generally to service company property is included...

  4. 46 CFR 185.702 - Maintenance.

    Science.gov (United States)

    2010-10-01

    ... 46 Shipping 7 2010-10-01 2010-10-01 false Maintenance. 185.702 Section 185.702 Shipping COAST...) OPERATIONS Operational Readiness, Maintenance, and Inspection of Lifesaving Equipment § 185.702 Maintenance. (a) The manufacturer's instructions for onboard maintenance of survival craft, rescue boats,...

  5. 46 CFR 122.702 - Maintenance.

    Science.gov (United States)

    2010-10-01

    ... 46 Shipping 4 2010-10-01 2010-10-01 false Maintenance. 122.702 Section 122.702 Shipping COAST..., Maintenance, and Inspection of Lifesaving Equipment § 122.702 Maintenance. (a) The manufacturer's instructions for onboard maintenance of survival craft, rescue boats, and launching appliances, manufactured on...

  6. Maintenance therapy in multiple myeloma

    Directory of Open Access Journals (Sweden)

    Jean-Luc Harousseau

    2009-08-01

    Full Text Available The treatment of multiple myeloma (MM has changed dramatically in the past twenty years with the introduction of high-dose therapy plus autologous stem-cell transplantation (ASCT in younger patients and, more recently, of three novel agents (thalidomide, bortezomib, and lenalidomide. When conventional chemotherapy was the only available possibility, complete responses (CR were very rare and the objective of maintenance was to prolong remission duration by continuing the same type of treatment that induced the initial response. With recent therapeutic improvements, CR achievement becomes a realistic goal that, in most cases, is significantly correlated with the outcome (1. Therefore, both the nature and the impact of maintenance therapy have changed. Maintenance therapy is based currently on novel agents, and its objective is not only to control the clone but also to further decrease the tumor burden and improve the quality of response. A number of randomized studies show a benefit from maintenance therapy with novel agents (until now, mostly thalidomide, at least in terms of response rate and progression-free survival (PFS. However, there is still a debate as concerns the impact on overall survival (OS and the optimal administration of maintenance therapy.

  7. A STEPPING STONE TOWARDS KNOWLEDGE BASED MAINTENANCE

    Directory of Open Access Journals (Sweden)

    G. Waeyenbergh

    2012-01-01

    Full Text Available Maintenance decision making becomes more and more a management concern. Some decades ago, maintenance was still often considered as an unavoidable side effect of production. The perception of maintenance has evolved considerably. One of the current issues is the maintenance concept, being the mix of maintenance interventions and the general framework for determining this mix. In this paper we describe a modular framework, called Knowledge Based Maintenance, for developing a customised maintenance concept. After describing the general framework and its decision support use, some case experiences are given. This experience covers some elements of the proposed framework.

  8. Total Productive Maintenance at Paccar INC

    OpenAIRE

    2010-01-01

    This paper reports the application of total productive maintenance method at Paccar Inc. truck’s plant in Victoria, Australia. The total productive maintenance method and total productive maintenance house are presented. The global equipment effectiveness is computed and exemplified. The production structure and organising maintenance are presented. Resultas of the variation of global equipment effectiveness and autonomous maintenance in a two weeks period of time are reported.

  9. Total Productive Maintenance at Paccar INC

    Directory of Open Access Journals (Sweden)

    Ştefan Farkas

    2010-06-01

    Full Text Available This paper reports the application of total productive maintenance method at Paccar Inc. truck’s plant in Victoria, Australia. The total productive maintenance method and total productive maintenance house are presented. The global equipment effectiveness is computed and exemplified. The production structure and organising maintenance are presented. Resultas of the variation of global equipment effectiveness and autonomous maintenance in a two weeks period of time are reported.

  10. Diverless maintenance in deep water

    Energy Technology Data Exchange (ETDEWEB)

    Hals, B.E. [Oceaneering International Services, (United Kingdom)

    1996-12-31

    The topic of diverless maintenance will address subsea production facilities in this paper. The major factors that determine diverless maintainability are development economics, maintenance philosophy, subsea hardware design, subsea intervention hardware, and compatibility of subsea hardware and remote work capabilities. The opportunity for developing and implementing low cost diverless installable and maintenable subsea facilities exist. Designs, hardwares, and procedures exist althoughmany of these have been combined into powerful solutions. This paper addresses the issues that need to be considered and provides one set of solutions. There are a number of other solutions that can be combined in a different set to provide a parallel but different solution. The challenge is to establish a process that defines the requirement, identifies the resources/capabilities, executes the work. 3 refs., 10 figs.

  11. Sensitivities in Structural Maintenance Planning

    DEFF Research Database (Denmark)

    Faber, Michael Havbro; Kroon, I.B.; Sørensen, John Dalsgaard

    1996-01-01

    A general description of optimal inspection and maintenance planning based on the classical decision theory and the modern reliability theory is given. A number of simplifications to this description is given leading to more appropriate formulations for practical applications. Sensitivities of both...... optimal inspection and maintenance plans as well as the associated costs are given with respect to the assumptions on which the planning has been performed. These sensitivities indicate the significance of the individual assumptions and may be used as a decision tool to reject particular optimal...... inspection and maintenance plans showing too large sensitivity. An example from the offshore industry is given to indicate how the methodologies can be used in practical applications....

  12. Inflammatory bowel disease patients are frequently nonadherent to scheduled induction and maintenance infliximab therapy: A Canadian cohort study

    OpenAIRE

    Christopher Ma; Evaschesen, Chad J; Grenvil Gracias; Huang, Vivian W; Fedorak, Darryl K; Kroeker, Karen I; Dieleman, Levinus A; Halloran, Brendan P; Fedorak, Richard N.

    2015-01-01

    BACKGROUND: Adherence to maintenance medication regimens in inflammatory bowel disease patients has traditionally been poor. Although infliximab has demonstrated efficacy in inducing and maintaining disease remission, adherence to regularly scheduled infliximab infusions is required to maintain therapeutic trough drug levels and prevent the development of anti-infliximab antibodies.OBJECTIVES: To characterize patient adherence to regularly scheduled induction and maintenance infliximab infusi...

  13. 14 CFR 135.433 - Maintenance and preventive maintenance training program.

    Science.gov (United States)

    2010-01-01

    ... 14 Aeronautics and Space 3 2010-01-01 2010-01-01 false Maintenance and preventive maintenance training program. 135.433 Section 135.433 Aeronautics and Space FEDERAL AVIATION ADMINISTRATION, DEPARTMENT... SUCH AIRCRAFT Maintenance, Preventive Maintenance, and Alterations § 135.433 Maintenance and...

  14. Fault maintenance trees: reliability centered maintenance via statistical model checking

    NARCIS (Netherlands)

    Ruijters, Enno; Guck, Dennis; Drolenga, Peter; Stoelinga, Mariëlle

    2016-01-01

    The current trend in infrastructural asset management is towards risk-based (a.k.a. reliability centered) maintenance, promising better performance at lower cost. By maintaining crucial components more intensively than less important ones, dependability increases while costs decrease. This requires

  15. Medical Identity

    DEFF Research Database (Denmark)

    Musaeus, Peter

    2015-01-01

    Purpose: To examine philosophical stances underpinning medical identity and assess the conceptual relationship between physician, medical practice and culture. Argument: Medical identity is about the ideals and moral positions that physicians take when justifying themselves. Medical identity...... hedonistic versus sentimentalist approaches to medical identity. The sociocultural philosophical analysis of medical identity can shed light on what it means conceptually for a physician to harbor beliefs associated with him/her being taken to be an autonomous professional. It is important because it touches...... on the meaning of being a compassionate, good and skilled physician, making its relevance to person-centered medicine self-evident. Conclusion: Medical identity should be analyzed with reference to literature, philosophy and medical practice in order for the physician to exercise a reflective position...

  16. Medical Management

    Science.gov (United States)

    ... email share facebook twitter google plus linkedin Medical Management Although there’s no cure for CMT, there are ... individualized physical therapy program. For more on medical management of CMT, see Surgery Sometimes, Bracing Often, Caution ...

  17. 不同基本医疗保障维持性血液透析患者营养不良的发生及干预%Occurrence and intervention of malnutrition in patients for maintenance hemodialysis under different basic medical care

    Institute of Scientific and Technical Information of China (English)

    郑曼韬; 包福祥; 谢芸

    2012-01-01

    Objective It is to observe the incidence of malnutrition in patients for maintenance hemodialysis under different basic medical insurance and the effect of intervention. Methods According to the different proportion paid in medicare, 150 patients were divided into three different groups: city insurance group ( 84 cases ), town insurance group ( 22 cases ) and farmer' s insurance group ( 44 cases ). The incidence of malnutrition was assessed by subjective method of assessing; the markers of anthropometric indexes, serum albumin, prealbumin, transferrin, hemoglobin, blood urea nitrogen, creatinine, Kt/V were detected to compare. And the comprehensive range of intervention was given as improve dialysis adequacy, dietary guidance, correct anemia drugs. Results The rate of malnutrition was 21% in city insurance group, 46% in town insurance group and 52% in farmer' s insurance group, there were significant differences between city insurance compared with others ( P 0. 05 ). In city insurance group, the levels of anthropometric indexes, serum albumin, prealbumin, transferring and hemoglobin were higher than those in the town or farmer' s insurance group ( P 0.05).城保组的人体测量学指标中血清白蛋白、前白蛋白、转铁蛋白、血红蛋白均较镇保组和农保组高(P均<0.05),而镇保组和农保组比较无显著性差异.经过综合干预,3组患者轻度营养不良32例 (21%),中度营养不良 13例(9%),重度级营养不良8例(4%),与治疗前比较有显著性差异(P均<0.01).结论 不同基本医疗保障对MHD患者的营养不良发生率有一定的影响,通过提高透析充分性、改善营养等综合措施能够改善透析患者的营养不良.

  18. Methods to much improve maintenance.

    Science.gov (United States)

    Lam, K C

    2004-11-01

    The benefits to be gained from the application of both value engineering (VE) and quality systems--e.g. quality assurance (QA), and total quality management (TQM)--to the management of building services maintenance have yet to be realised by the building services industry. These concepts are particularly applicable to complex hospital engineering services.

  19. Electrical Mechanical Maintenance. Instructor's Guide.

    Science.gov (United States)

    Santa Clara County Superintendent of Schools, San Jose, CA.

    This instructor's guide describes the development of a sixteen-week postsecondary course in electrical mechanical maintenance. Following introductory sections that provide background information and a course summary, the third section describes the instructional model used in the course. Section 4 presents an overview of instructional media used…

  20. Coastal maintenance in the Netherlands

    NARCIS (Netherlands)

    Verhagen, H.J.

    1991-01-01

    The government of The Netherlands has decided in the summer of 1990 to maintai.n the coastline at the position of 1990. This will be done mainly by artificial beach nourishment. The costs will be paid by the national government. The purpose of this coastal maintenance is to maintain a sufficient lev

  1. HVAC controls: Operation and maintenance

    Energy Technology Data Exchange (ETDEWEB)

    Gupton, G.W. Jr.

    1987-01-01

    The introductory chapters review HVAC system processes and equipment, control system types and equipment, and equipment-to-control interactions. The succeeding chapters cover specific control systems functions, including electrical interlock and motor starting, electrical and electronic control system diagrams, pneumatic control system diagrams, air supply to pneumatic control systems, and control system maintenance.

  2. Afrikaans Language Maintenance in Australia

    Science.gov (United States)

    Hatoss, Aniko; Starks, Donna; van Rensburg, Henriette Janse

    2011-01-01

    Changes in the political climate in the home country have resulted in the emigration of South Africans to English speaking countries such as Britain, Canada, Australia and New Zealand. Despite the scale of movement of the South African population, language maintenance in these diasporic contexts has received little consideration. This paper…

  3. Avionics Maintenance Technology Program Guide.

    Science.gov (United States)

    Georgia Univ., Athens. Dept. of Vocational Education.

    This program guide presents the avionics maintenance technology curriculum for technical institutes in Georgia. The general information section contains the following for both the diploma program and the associate degree program: purpose and objectives; program description, including admissions, typical job titles, and accreditation and…

  4. Maintenance as a safety issue.

    Science.gov (United States)

    White, Jim

    2008-11-01

    Because safety is related to electrical power systems maintenance, it seems reasonable to assume there could be legal issues if maintenance is not performed. OSHA has not yet taken the stand that not performing maintenance as required by the manufacturer, NFPA 70B, or ANSI/NETA MTS-07 constitutes a willful violation. OSHA defines a willful citation as one where: "the employer knowingly commits with plain indifference to the law. The employer either knows that what he or she is doing constitutes a violation, or is aware that a hazardous condition existed and made no reasonable effort to eliminate it". However, NFPA 70E 2009 requires this maintenance, and OSHA has stated on its Web site that NFPA 70E is "a guide for meeting the requirements of the OSHA electrical regulations". In addition, federal courts have found that NFPA 70E is "standard industry practice." Once a company receives and accepts a willful citation, especially if received as the result of an accident investigation, its worker's compensation protection no longer shields it. One definition given by a trial attorney for a willful citation was that it is equal to negligent behavior. Be smart: Maintain that equipment and save yourself major problems, including unscheduled shutdowns and possible litigation.

  5. Computer-Assisted School Maintenance

    Science.gov (United States)

    Kennedy, Mike

    2012-01-01

    At thousands of schools and universities, years of economic troubles have led to repeated budget cuts. The reductions typically fall disproportionately on maintenance departments, where cuts are viewed as less critical than those that directly affect classroom instruction. And so nearly every facility manager at an education institution faces a…

  6. Methadone Maintenance as Last Resort

    DEFF Research Database (Denmark)

    Järvinen, Margaretha; Miller, Gale

    2010-01-01

    Drawing on qualitative interviews with drug addicts in Copenhagen, Denmark, this article offers a phenomenological reading of a methadone maintenance program. The program is set within the principles of harm reduction, meaning that its aim is not to cure the participants’ addiction but to keep them...

  7. Laboratory Maintenance of Acinetobacter baumannii.

    Science.gov (United States)

    Jacobs, Anna C; Zurawski, Daniel V

    2014-11-03

    Acinetobacter baumannii has recently drawn great interest in the microbiology research community due to the increase in clinical antibiotic resistance of this organism, and persistence of this bacterial species in the hospital environment. This unit outlines protocols for the growth and maintenance of A. baumannii in the laboratory.

  8. Improving industrial maintenance contract relationships

    NARCIS (Netherlands)

    De Jong, A.

    2010-01-01

    Unavailability of technical systems, such as aircraft, is expensive. Technical systems require maintenance to prevent and to remedy defects that cause unavailability. Users of technical systems usually bear the consequences of the risk of unavailability, in particular the loss of productivity. This

  9. Maintenance-Ready Web Application Development

    Directory of Open Access Journals (Sweden)

    Ion IVAN

    2016-01-01

    Full Text Available The current paper tackles the subject of developing maintenance-ready web applications. Maintenance is presented as a core stage in a web application’s lifecycle. The concept of maintenance-ready is defined in the context of web application development. Web application maintenance tasks types are enunciated and suitable task types are identified for further analysis. The research hypothesis is formulated based on a direct link between tackling maintenance in the development stage and reducing overall maintenance costs. A live maintenance-ready web application is presented and maintenance related aspects are highlighted. The web application’s features, that render it maintenance-ready, are emphasize. The cost of designing and building the web-application to be maintenance-ready are disclosed. The savings in maintenance development effort facilitated by maintenance ready features are also disclosed. Maintenance data is collected from 40 projects implemented by a web development company. Homogeneity and diversity of collected data is evaluated. A data sample is presented and the size and comprehensive nature of the entire dataset is depicted. Research hypothesis are validated and conclusions are formulated on the topic of developing maintenance-ready web applications. The limits of the research process which represented the basis for the current paper are enunciated. Future research topics are submitted for debate.

  10. 14 CFR 43.9 - Content, form, and disposition of maintenance, preventive maintenance, rebuilding, and alteration...

    Science.gov (United States)

    2010-01-01

    ... Aeronautics and Space FEDERAL AVIATION ADMINISTRATION, DEPARTMENT OF TRANSPORTATION AIRCRAFT MAINTENANCE... 14 Aeronautics and Space 1 2010-01-01 2010-01-01 false Content, form, and disposition of maintenance, preventive maintenance, rebuilding, and alteration records (except inspections performed...

  11. Operations and maintenance - Safety challenges

    Energy Technology Data Exchange (ETDEWEB)

    Nielsen, Liv [Oljedirektoratet, Stavanger (Norway)

    1999-07-01

    With the unsteady oil prices and the possible consequences of the deregulation of the European energy markets one may expect further optimization of operating and maintenance costs. One may also expect extended use of various risk-based optimization techniques such as RCM (Reliability Centered Maintenance) and RBI (Risk Based Inspection). This presentation addresses the need for further research and development in this area. Maintenance work is necessary, but it can also create risk. The accident statistics show many examples of this. The Norwegian petroleum industry's ability to learn from previous incidents is questioned. Maintenance staff must be well trained and possess the necessary routines. Technical documentation must be updated. Uncertainties with respect to future oil and gas prices combined with the effect of the deregulation of the European energy markets will lead to even more focus on cost-effective operations and maintenance. The need for long-term research and development is stressed. Risk based techniques such as RCM and RBI are extensively used in the defence industry and the nuclear industry, but applying them to the petroleum industry requires improved risk models. Ageing effects such as corrosion, erosion, fatigue etc. can be expected, but the capability to predict, monitor and control them should be improved. At present, not even the most sophisticated risk analysis can model ageing effects. The importance of efficient use of information technology (IT) is stressed. Improving the product quality and safety often requires new technology and so research and development is important. Close cooperation with the industry is required.

  12. Lack of health maintenance examinations and risk in myeloma patients.

    Science.gov (United States)

    Tariman, Joseph D; Gleason, Charise; Faiman, Beth; Doss, Deborah; Catamero, Donna; Bishop-Royse, Jessica; Katz, Mike; Kurtin, Sandra; Moran, Diane; Lonial, Sagar

    2016-07-01

    Health maintenance (HM) practices are essential to prevent illness, promote well-being, and maximize health. Patients with multiple myeloma (MM) are at increased risk for cardiovascular disease and cancers, yet, research on HM practices and preventative care of MM survivors has limited report. The study comprised a descriptive, correlational, and cross-sectional online survey design. Survey of patients with MM was carried out through the International Myeloma Foundation (IMF) and the Association of Cancer Online Resources (ACOR) e-mail list services. The members of the IMF and ACOR e-mail list services were surveyed, of which 237 patients responded. The modified Medical Expenditure Preventive Survey-Preventive Care questionnaire was used; it included items that ask patients regarding their healthcare practices that relate to dental care, cancer prevention, addiction, lifestyles, sensory screening, immunizations, cardiovascular, endocrine, psychosocial, and bone health. Descriptive statistics, Pearson's chi-square, and Spearman's rho correlation coefficient were obtained. In this study, men had statistically significant inferior global health maintenance scores than women (P = 0.002). Being employed (P = 0.054) and married or partnered (P = 0.017) were significantly correlated with better health maintenance patterns among male respondents. In contrast, no statistically significant correlations between sociodemographic factors and health maintenance patterns were found in women. Patients with MM, particularly men, require continued education and close monitoring of health maintenance practices. These findings are consistent with publications looking at gender disparities in healthcare utilization in the United States. Studies show that men, in general, are less likely to seek preventative healthcare screenings. Healthcare providers must incorporate health maintenance promotion during clinic visits.

  13. Medication safety.

    Science.gov (United States)

    Keohane, Carol A; Bates, David W

    2008-03-01

    Patient safety is a state of mind, not a technology. The technologies used in the medical setting represent tools that must be properly designed, used well, and assessed on an on-going basis. Moreover, in all settings, building a culture of safety is pivotal for improving safety, and many nontechnologic approaches, such as medication reconciliation and teaching patients about their medications, are also essential. This article addresses the topic of medication safety and examines specific strategies being used to decrease the incidence of medication errors across various clinical settings.

  14. Functional Status of Patients on Maintenance Hemodialysis

    Directory of Open Access Journals (Sweden)

    Akash Nabil

    1999-01-01

    Full Text Available Factors associated with physical well being were examined in adults with end-stage renal disease (ESRD in two large hemodialysis units of the Royal Medical Services in Jordan. Utilizing the Karnofski scale we measured the functional status of 200 Patients who had been on maintenance hemodialysis for at least 12 months. A Marnofski scale of less than 70 incidents frank disability (Inability to perform routine living activities without assistance, in addition current vocational status was assessed as well as any existing comorbid conditions. The mean age of the study group was 45.2 years (range 16 to 70 and included 108 (54% males and 92 (46% females, there were 39 (19.5% diabetic patients and 27 (13.5% patients were receiving erythropoietin (EPO. The mean hematocrit of the entire group was 27.8%. As measured by Karnofski scale, 64 (32% of the patients were unable to perform routine living activity without assistance; dependence on wheelchair was reported by 9 (4.5% patients. The mean comorbidity index of patients who scored less than 70 on the Karnofski scale was 1.5 compared to 0.7 for those who scored at least 70 on the same scale (p< 0.001. Analysis of factors showed that age and diabetes mellitus affected functional status. Of the laboratory variables measured, only serum albumin concentration correlated significant with Karnofski scale. Fourteen (21.8% of the patients who scored below 70, had serum albumin concentration above 40g/L compared to 66 (48.5% of the patients who scored at least 70 on the Karnofski scale (p< 0.001. We conclude that a significant proportion of patients on maintenance hemodialysis is functionally disabled. The elderly, diabetics, patients with high co-morbidity index and those with low serum albumin are most likely to have poor functional status.

  15. CONTEXT DRIVEN MAINTENANCE: AN eMAINTENANCE APPROACH

    Directory of Open Access Journals (Sweden)

    Diego GALAR

    2014-07-01

    Full Text Available All assets necessarily suffer wear and tear during operation. Prognostics can assess the current health of a system and predict its remaining life based on features capturing the gradual degradation of its operational capabilities. Prognostics are critical to improve safety, plan successful work, schedule maintenance, and reduce maintenance costs and down time. Prognosis is a relatively new area but has become an important part of Condition‐based Maintenance (CBM of systems. As there are many prognostic techniques, usage must be attuned to particular applications. Broadly stated, prognostic methods are either data‐driven, rule based, or model‐based. Each approach has advantages and disadvantages; consequently, they are often combined in hybrid applications. A hybrid model can combine some or all model types; thus, more complete information can be gathered, leading to more accurate recognition of the fault state. This approach is especially relevant in systems where the maintainer and operator know some of the failure mechanisms, but the sheer complexity of the assets precludes the development of a complete model‐based approach. The paper addresses the process of data aggregation into a contextual awareness hybrid model to get RUL values within logical confidence intervals so that the life cycle of assets can be managed and optimised.

  16. Dynamic contracting mechanism for pavement maintenance management

    NARCIS (Netherlands)

    Demirel, H.C.; De Ridder, H.A.J.

    2013-01-01

    Technological advances, financial possibilities and changes of demands have increasingly affected the pavement maintenance environment for outsourcing in recent years. This induces complexity in the contracting methods of pavement maintenance activities. Despite the fact that current contracting pra

  17. Machine maintenance: the rules of the game

    CERN Multimedia

    Antonella Del Rosso

    2013-01-01

    GCO, GMIO, GSPO – ever heard of them? These acronyms stand for the “roles” that best practices identify as vital to successful maintenance management. CERN’s Maintenance Management Project (MMP) team is working with the technical departments to ensure that they implement these procedures when they deal with the maintenance of the collider and its injectors and infrastructure.   The participants of the workshop on asset and maintenance management (AMMW2013), which took place at CERN in November. Since its creation in 2012, CERN’s Maintenance Framework Implementation Office (MFIO) has been promoting the deployment of harmonised maintenance management methods across the BE, GS, EN and TE Departments. “The definition and identification of the Group Coding Officers (GCO), Group Maintenance Information Officers (GMIO) and Group Spare Part Officers (GSPO) are one of the best practices that should be adopted each time a maintenance programme...

  18. Mining Surveillance and Maintenance Dollars

    Energy Technology Data Exchange (ETDEWEB)

    MARTINEZ, R.

    2000-02-01

    Accelerating site cleanup to reduce facility risks to the workers, the public and the environment during a time of declining federal budgets represents a significant technical and economic challenge to U.S. Department of Energy (DOE) Operations Offices and their respective contractors. A significant portion of a facility's recurring annual expenses are associated with routine, long-term surveillance and maintenance (S&M) activities. However, ongoing S&M activities do nothing to reduce risks and basically spend money that could be reallocated towards facility deactivation. This paper discusses the background around DOE efforts to reduce surveillance and maintenance costs, one approach used to perform cost reviews, lessons learned from field implementation and what assistance is available to assist DOE sites in performing these evaluations.

  19. The Nordic maintenance care program

    DEFF Research Database (Denmark)

    Malmqvist, Stefan; Leboeuf-Yde, Charlotte

    2009-01-01

    of maintenance care. Previous studies have identified chiropractors' choices of case management strategies in response to different case scenarios. However, the rationale for these management strategies is not known. In other words, when presented with both the case, and different management strategies......Maintenance care is a well known concept among chiropractors, although there is little knowledge about its exact definition, its indications and usefulness. As an initial step in a research program on this phenomenon, it was necessary to identify chiropractors' rationale for their use......, there was consensus on how to match these, but if only the management strategies were provided, would chiropractors be able to define the cases to fit these strategies? The objective with this study was to investigate if there is a common pattern in Finnish chiropractors' case management of patients with low back...

  20. MODERN MANAGEMENT METHODS FOR EQUIPMENT MAINTENANCE

    OpenAIRE

    Ioan Cucu; Ciprian Cucu

    2009-01-01

    The concept of maintenance in the field of complex equipment wasdeveloped in the USA being quickly adopted by European countries and Japan. TheAmerican maintenance concept has the significance of creating a support system forindustrial equipment functioning. Functional maintenance is one of the most frequentused methods in maintenance management for industrial enterprises. This paper tries topresent some aspects related to the systemic approach of the functional maintenancemodel, starting fro...

  1. Business case for industrial DSM maintenance

    OpenAIRE

    Groenewald, H.J.; Van Rensburg, J.F.; Marais, J.H.

    2014-01-01

    The performance of industrial DSM projects often deteriorates without proper maintenance. Underperforming DSM projects waste money and increase the demand for electricity from Eskom. A solution to this problem is dedicated maintenance on industrial DSM projects. This ensures maximum performance and maximum electricity cost savings. In this paper, the business case for industrial DSM maintenance is presented. Results show that the benefits significantly outweigh the cost of DSM maintenance ...

  2. Chromatin replication and epigenome maintenance

    DEFF Research Database (Denmark)

    Alabert, Constance; Groth, Anja

    2012-01-01

    Stability and function of eukaryotic genomes are closely linked to chromatin structure and organization. During cell division the entire genome must be accurately replicated and the chromatin landscape reproduced on new DNA. Chromatin and nuclear structure influence where and when DNA replication...... initiates, whereas the replication process itself disrupts chromatin and challenges established patterns of genome regulation. Specialized replication-coupled mechanisms assemble new DNA into chromatin, but epigenome maintenance is a continuous process taking place throughout the cell cycle. If DNA...

  3. Profitability Versus Construction Equipment Maintenance

    Science.gov (United States)

    2010-05-01

    E7(/(3+21(180%(5 ,QFOXGHDUHDFRGH XX-05-2010 Master’s Thesis DEC 2009 - MAY 2010 Profitability Versus Construction Equipment Maintenance...optimization of a perceived profit . This project recommends a decision support model that can be used by private and public entities alike to determine the...best fir acquisition method between rent-lease-buy and guidance for profitability optimization. Methods of life cycle cost estimating and decision

  4. On condition based maintenance policy

    Directory of Open Access Journals (Sweden)

    Jong-Ho Shin

    2015-04-01

    Full Text Available In the case of a high-valuable asset, the Operation and Maintenance (O&M phase requires heavy charges and more efforts than the installation (construction phase, because it has long usage life and any accident of an asset during this period causes catastrophic damage to an industry. Recently, with the advent of emerging Information Communication Technologies (ICTs, we can get the visibility of asset status information during its usage period. It gives us new challenging issues for improving the efficiency of asset operations. One issue is to implement the Condition-Based Maintenance (CBM approach that makes a diagnosis of the asset status based on wire or wireless monitored data, predicts the assets abnormality, and executes suitable maintenance actions such as repair and replacement before serious problems happen. In this study, we have addressed several aspects of CBM approach: definition, related international standards, procedure, and techniques with the introduction of some relevant case studies that we have carried out.

  5. Collaborative learning in condition based maintenance

    NARCIS (Netherlands)

    Koochaki, J.; Ao, SI; Gelman, L; Hukins, DWL; Hunter, A; Korsunsky, AM

    2009-01-01

    In recent years, the importance of reliable and consistent production equipments has increased. As a result, companies are shifting their maintenance policy from preventive maintenance towards Condition Based Maintenance (CBM). Despite the growing trend in this area and success stories of CBM implem

  6. 23 CFR 1.27 - Maintenance.

    Science.gov (United States)

    2010-04-01

    ... 23 Highways 1 2010-04-01 2010-04-01 false Maintenance. 1.27 Section 1.27 Highways FEDERAL HIGHWAY ADMINISTRATION, DEPARTMENT OF TRANSPORTATION GENERAL MANAGEMENT AND ADMINISTRATION GENERAL § 1.27 Maintenance... maintenance of projects shall be carried out in accordance with policies and procedures issued by...

  7. 41 CFR 101-39.303 - Maintenance.

    Science.gov (United States)

    2010-07-01

    ... 41 Public Contracts and Property Management 2 2010-07-01 2010-07-01 true Maintenance. 101-39.303... Maintenance. In order to ensure uninterrupted operation of GSA Interagency Fleet Management System (IFMS) vehicles, safety and preventive maintenance inspections will be performed at regularly scheduled...

  8. 40 CFR 68.56 - Maintenance.

    Science.gov (United States)

    2010-07-01

    ... 40 Protection of Environment 15 2010-07-01 2010-07-01 false Maintenance. 68.56 Section 68.56... ACCIDENT PREVENTION PROVISIONS Program 2 Prevention Program § 68.56 Maintenance. (a) The owner or operator... maintenance procedures. (b) The owner or operator shall train or cause to be trained each employee involved...

  9. 14 CFR 145.217 - Contract maintenance.

    Science.gov (United States)

    2010-01-01

    ... 14 Aeronautics and Space 3 2010-01-01 2010-01-01 false Contract maintenance. 145.217 Section 145...) SCHOOLS AND OTHER CERTIFICATED AGENCIES REPAIR STATIONS Operating Rules § 145.217 Contract maintenance. (a) A certificated repair station may contract a maintenance function pertaining to an article to...

  10. 40 CFR 86.1725-99 - Maintenance.

    Science.gov (United States)

    2010-07-01

    ... 40 Protection of Environment 19 2010-07-01 2010-07-01 false Maintenance. 86.1725-99 Section 86....1725-99 Maintenance. The provisions of § 86.094-25 and subsequent model year provisions apply to this... are subject to the applicable Otto-cycle or diesel engine maintenance requirements of § 86.094-25...

  11. 49 CFR 195.420 - Valve maintenance.

    Science.gov (United States)

    2010-10-01

    ... 49 Transportation 3 2010-10-01 2010-10-01 false Valve maintenance. 195.420 Section 195.420 Transportation Other Regulations Relating to Transportation (Continued) PIPELINE AND HAZARDOUS MATERIALS SAFETY... PIPELINE Operation and Maintenance § 195.420 Valve maintenance. (a) Each operator shall maintain each...

  12. 40 CFR 86.001-25 - Maintenance.

    Science.gov (United States)

    2010-07-01

    ... 40 Protection of Environment 18 2010-07-01 2010-07-01 false Maintenance. 86.001-25 Section 86.001...-Fueled and Methanol-Fueled Heavy-Duty Vehicles § 86.001-25 Maintenance. Section 86.001-25 includes text... engines. (2) Maintenance performed on vehicles, engines, subsystems, or components used to...

  13. 49 CFR 37.203 - Lift maintenance.

    Science.gov (United States)

    2010-10-01

    ... 49 Transportation 1 2010-10-01 2010-10-01 false Lift maintenance. 37.203 Section 37.203... DISABILITIES (ADA) Over-the-Road Buses (OTRBs) § 37.203 Lift maintenance. (a) The entity shall establish a system of regular and frequent maintenance checks of lifts sufficient to determine if they are...

  14. 49 CFR 192.749 - Vault maintenance.

    Science.gov (United States)

    2010-10-01

    ... 49 Transportation 3 2010-10-01 2010-10-01 false Vault maintenance. 192.749 Section 192.749 Transportation Other Regulations Relating to Transportation (Continued) PIPELINE AND HAZARDOUS MATERIALS SAFETY... BY PIPELINE: MINIMUM FEDERAL SAFETY STANDARDS Maintenance § 192.749 Vault maintenance. (a) Each...

  15. 47 CFR 80.96 - Maintenance tests.

    Science.gov (United States)

    2010-10-01

    ... 47 Telecommunication 5 2010-10-01 2010-10-01 false Maintenance tests. 80.96 Section 80.96... MARITIME SERVICES Operating Requirements and Procedures Operating Procedures-General § 80.96 Maintenance tests. Stations are authorized to engage in test transmissions necessary for maintenance of the...

  16. 5 CFR 850.302 - Record maintenance.

    Science.gov (United States)

    2010-01-01

    ... 5 Administrative Personnel 2 2010-01-01 2010-01-01 false Record maintenance. 850.302 Section 850... (CONTINUED) RETIREMENT SYSTEMS MODERNIZATION Records § 850.302 Record maintenance. (a) The retirement and..., for the initiation and maintenance of records, evidence, or other information described in this...

  17. 50 CFR 80.17 - Maintenance.

    Science.gov (United States)

    2010-10-01

    ... 50 Wildlife and Fisheries 6 2010-10-01 2010-10-01 false Maintenance. 80.17 Section 80.17 Wildlife... WILDLIFE RESTORATION AND DINGELL-JOHNSON SPORT FISH RESTORATION ACTS § 80.17 Maintenance. The State is responsible for maintenance of all capital improvements acquired or constructed with Wildlife and Sport...

  18. 47 CFR 87.69 - Maintenance tests.

    Science.gov (United States)

    2010-10-01

    ... 47 Telecommunication 5 2010-10-01 2010-10-01 false Maintenance tests. 87.69 Section 87.69... Operating Requirements and Procedures Operating Requirements § 87.69 Maintenance tests. The licensee may make routine maintenance tests on equipment other than emergency locator transmitters if there is...

  19. 49 CFR 232.611 - Periodic maintenance.

    Science.gov (United States)

    2010-10-01

    ... 49 Transportation 4 2010-10-01 2010-10-01 false Periodic maintenance. 232.611 Section 232.611 Transportation Other Regulations Relating to Transportation (Continued) FEDERAL RAILROAD ADMINISTRATION... maintenance. (a) In addition to the maintenance requirements contained in § 232.303(b) through (d), a...

  20. Medical Scientists

    Science.gov (United States)

    ... Projected Employment, 2024 Change, 2014-24 Employment by Industry Percent Numeric SOURCE: U.S. Bureau of Labor Statistics, Employment Projections program Medical scientists, except epidemiologists 19- ...

  1. 75 FR 4099 - Maintenance Wage Rate Wage Recommendation and Maintenance Wage Survey; Report of Additional...

    Science.gov (United States)

    2010-01-26

    ... URBAN DEVELOPMENT Maintenance Wage Rate Wage Recommendation and Maintenance Wage Survey; Report of... adopt prevailing wage rates for maintenance laborers and mechanics, and to approve or refer to the U.S... lists the following information: Title of Proposal: Maintenance Wage Rate Wage Recommendation...

  2. 75 FR 37457 - Maintenance Wage Rate Wage Recommendation and Maintenance Wage Survey; Report of Additional...

    Science.gov (United States)

    2010-06-29

    ... URBAN DEVELOPMENT Maintenance Wage Rate Wage Recommendation and Maintenance Wage Survey; Report of... adopt prevailing wage rates for maintenance laborers and mechanics, and to approve or refer to the U.S... Lists the Following Information Title of Proposal: Maintenance Wage Rate Wage Recommendation...

  3. 14 CFR 135.425 - Maintenance, preventive maintenance, and alteration programs.

    Science.gov (United States)

    2010-01-01

    ... 14 Aeronautics and Space 3 2010-01-01 2010-01-01 false Maintenance, preventive maintenance, and alteration programs. 135.425 Section 135.425 Aeronautics and Space FEDERAL AVIATION ADMINISTRATION... ON BOARD SUCH AIRCRAFT Maintenance, Preventive Maintenance, and Alterations § 135.425...

  4. 14 CFR 91.407 - Operation after maintenance, preventive maintenance, rebuilding, or alteration.

    Science.gov (United States)

    2010-01-01

    ... 14 Aeronautics and Space 2 2010-01-01 2010-01-01 false Operation after maintenance, preventive maintenance, rebuilding, or alteration. 91.407 Section 91.407 Aeronautics and Space FEDERAL AVIATION... OPERATING AND FLIGHT RULES Maintenance, Preventive Maintenance, and Alterations § 91.407 Operation...

  5. 14 CFR 135.437 - Authority to perform and approve maintenance, preventive maintenance, and alterations.

    Science.gov (United States)

    2010-01-01

    ... 14 Aeronautics and Space 3 2010-01-01 2010-01-01 false Authority to perform and approve maintenance, preventive maintenance, and alterations. 135.437 Section 135.437 Aeronautics and Space FEDERAL... AND RULES GOVERNING PERSONS ON BOARD SUCH AIRCRAFT Maintenance, Preventive Maintenance,...

  6. 14 CFR 135.423 - Maintenance, preventive maintenance, and alteration organization.

    Science.gov (United States)

    2010-01-01

    ... 14 Aeronautics and Space 3 2010-01-01 2010-01-01 false Maintenance, preventive maintenance, and alteration organization. 135.423 Section 135.423 Aeronautics and Space FEDERAL AVIATION ADMINISTRATION... ON BOARD SUCH AIRCRAFT Maintenance, Preventive Maintenance, and Alterations § 135.423...

  7. 14 CFR 43.3 - Persons authorized to perform maintenance, preventive maintenance, rebuilding, and alterations.

    Science.gov (United States)

    2010-01-01

    ... 14 Aeronautics and Space 1 2010-01-01 2010-01-01 false Persons authorized to perform maintenance, preventive maintenance, rebuilding, and alterations. 43.3 Section 43.3 Aeronautics and Space FEDERAL AVIATION ADMINISTRATION, DEPARTMENT OF TRANSPORTATION AIRCRAFT MAINTENANCE, PREVENTIVE MAINTENANCE, REBUILDING,...

  8. 14 CFR 121.379 - Authority to perform and approve maintenance, preventive maintenance, and alterations.

    Science.gov (United States)

    2010-01-01

    ... 14 Aeronautics and Space 3 2010-01-01 2010-01-01 false Authority to perform and approve maintenance, preventive maintenance, and alterations. 121.379 Section 121.379 Aeronautics and Space FEDERAL... OPERATIONS Maintenance, Preventive Maintenance, and Alterations § 121.379 Authority to perform and...

  9. Medication exposure in pregnancy risk evaluation program: the prevalence of asthma medication use during pregnancy.

    Science.gov (United States)

    Hansen, Craig; Joski, Peter; Freiman, Heather; Andrade, Susan; Toh, Sengwee; Dublin, Sascha; Cheetham, Craig; Cooper, William; Pawloski, Pamala; Li, De-Kun; Beaton, Sarah; Kaplan, Sigal; Scott, Pamela; Hammad, Tarek; Davis, Robert

    2013-11-01

    Asthma is one of the most common chronic diseases in women of reproductive age, occurring in up to 8 % of pregnancies. The objective of this study is to assess the prevalence of asthma medication use during pregnancy in a large diverse cohort. We identified women aged 15-45 years who delivered a live born infant between 2001 and 2007 across 11 U.S. health plans within the Medication Exposure in Pregnancy Risk Evaluation Program (MEPREP). Using health plans' administrative and claims data, and birth certificate data, we identified deliveries for which women filled asthma medications from 90 days before pregnancy through delivery. Prevalence (%) was calculated for asthma diagnosis and medication dispensing. There were 586,276 infants from 575,632 eligible deliveries in the MEPREP cohort. Asthma prevalence among mothers was 6.7 %, increasing from 5.5 % in 2001 to 7.8 % in 2007. A total of 9.7 % (n = 55,914) of women were dispensed asthma medications during pregnancy. The overall prevalence of maintenance-only medication, rescue-only medication, and combined maintenance and rescue medication was 0.6, 6.7, and 2.4 % respectively. The prevalence of maintenance-only use doubled during the study period from 0.4 to 0.8 %, while rescue-only use decreased from 7.4 to 5.8 %. In this large population-based pregnancy cohort, the prevalence of asthma diagnoses increased over time. The dispensing of maintenance-only medication increased over time, while rescue-only medication dispensing decreased over time.

  10. Analyzing machine noise for real time maintenance

    Science.gov (United States)

    Yamato, Yoji; Fukumoto, Yoshifumi; Kumazaki, Hiroki

    2017-02-01

    Recently, IoT technologies have been progressed and applications of maintenance area are expected. However, IoT maintenance applications are not spread in Japan yet because of one-off solution of sensing and analyzing for each case, high cost to collect sensing data and insufficient maintenance automation. This paper proposes a maintenance platform which analyzes sound data in edges, analyzes only anomaly data in cloud and orders maintenance automatically to resolve existing technology problems. We also implement a sample application and compare related work.

  11. The Method of Mission Oriented Maintenance

    Institute of Scientific and Technical Information of China (English)

    2002-01-01

    In a real application, equipment in good condition sometimes have to be repairedbecause the equipment does not satisfy the requirements of the mission; However, it is notnecessary to repair some equipment with failures because the failures do not affect the mission completion. In these cases, maintenance activity guided by present maintenance methodsmay sometimes affect the mission completion in time or bring about extra maintenance. To overcome the shortage of present maintenance methods, we propose an idea and method of missionoriented maintenance (MOM) to deal with the maintenance policy on these kinds of problems. This method can work out different maintenance policies corresponding to differentmissions with full consideration of missions and mission requirements for the equipment.

  12. Lean thinking for a maintenance process

    Directory of Open Access Journals (Sweden)

    Sherif Mostafa

    2015-01-01

    Full Text Available The maintenance process shares significant operating costs in an organisation. Lean thinking can be incorporated into maintenance activities through applying its principles and practices/tools. Lean maintenance (LM is a prerequisite for lean manufacturing systems. This research proposes a new structure for LM process based on a systematic literature review of a significant number of related articles that were published on LM. The process structure is designed based on the five lean principles to guide and support organisations to pursue maintenance excellence. This study establishes a scheme for LM tools that are structured into 2 level 4 bundles and 26 lean practices/tools and develops a House of Waste (HoW to demonstrate the association between maintenance wastes and the LM tools. With a successful accomplishment of the proposed scheme, the performance of a maintenance department can create more improvement opportunities over time to reach the maintenance excellence status.

  13. Influence of handpiece maintenance sprays on resin bonding to dentin

    Directory of Open Access Journals (Sweden)

    Toyotarou Sugawara

    2010-03-01

    Full Text Available Toyotarou Sugawara1, Atsushi Kameyama2, Akiko Haruyama3, Takumi Oishi4, Nobuyuki Kukidome2, Yasuaki Takase2, Masatake Tsunoda21Undergraduate Student, Tokyo Dental College, Chiba, Japan; 2Division of General Dentistry, Tokyo Dental College Chiba Hospital, Chiba, Japan; 3Department of Dental Materials Science, Tokyo Dental College, Chiba, Japan; 4Department of Dentistry and Oral Surgery, Keio University School of Medicine, Tokyo, JapanObjective: To investigate the influence of maintenance spray on resin bonding to dentin.Materials and methods: The crown of extracted, caries-free human molars was transversally sectioned with a model trimmer to prepare the dentin surfaces from mid-coronal sound dentin, and then uniformly abraded with #600 silicon carbide paper. The dentin surfaces were randomly divided into three groups: oil-free spray group where maintenance cleaner for air bearing handpieces was sprayed onto the dentin surface for 1 s and rinsed with water spray for 30 s; oil-containing spray group where maintenance cleaner for micro motor handpieces was sprayed onto the dentin surface for 1 s and rinsed with water spray for 30 s; and control group where the surface was rinsed with water spray for 30 s and then air-dried. These surfaces were then bonded with Clearfil SE Bond (Kuraray Medical, and resin composite (Clearfil AP-X, Kuraray Medical build-up crowns were incrementally constructed on the bonded surfaces. After storage for 24 h in 37°C water, the bonded teeth were sectioned into hour-glass shaped slices (0.7-mm thick perpendicular to the bonded surfaces. The specimens were then subjected to microtensile bond strength (μTBS testing at a crosshead speed of 1.0 mm/min. Data were analyzed with one-way ANOVA and the Tukey-Kramer test.Results: Maintenance spray-contaminated specimens (oil-free and oil-containing spray groups showed significantly lower μTBS than control specimens (P < 0.05. However, there was no significant difference between

  14. Medical Services: Nursing Records and Reports

    Science.gov (United States)

    2007-11-02

    11) Item 11. Self–explanatory. (12) Item 12. Record if electrosurgical unit (ESU) was used by “X” in the YES or NO block. Enter medical maintenance...Guard cc cubic centimeter CNS clinical nurse specialist ESU electrosurgical unit expir expiration HR health record (records filed in DA Form 3444

  15. Proactive maintenance for mechanical systems

    CERN Document Server

    Fitch, EC

    1992-01-01

    Written by Dr. E.C. Fitch, the book contains over 340 double column pages which include 400 figures and tables, a comprehensive bibliography, and index. There is no root cause of mechanical failure, known to the author, that has been ignored or left out. Nowhere in the world is this information put together in such a concise and comprehensive manner, and the book will serve as a reference and guide to designers, practising engineers, maintenance technicians, plant managers and operators who must design, maintain and operate fluid-dependent mechanical systems.

  16. Medical Malpractice

    DEFF Research Database (Denmark)

    Grembi, Veronica

    2014-01-01

    MM first came to the attention of policy makers primarily in the USA where, from the 1970s, healthcare providers denounced problems in getting insurance for medical liability, pointing out to a crisis in the MM insurance market (Sage WM (2003) Understanding the first malpractice crisis of the 21th...... in the last decades also among European countries (Hospitals of the European Union (HOPE) (2004) Insurance and malpractice, final report. Brussels, www.hope.be; OECD (2006) Medical malpractice, insurance and coverage options, policy issues in insurance n.11; EC (European Commission, D.G. Sanco) (2006) Special...... eurobarometer medical errors)...

  17. Health Care Practices for Medical Textiles in Government Hospitals

    Science.gov (United States)

    Akubue, B. N.; Anikweze, G. U.

    2015-01-01

    The purpose of this study was to investigate the health care practices for medical textiles in government hospitals Enugu State, Nigeria. Specifically, the study determined the availability and maintenance of medical textiles in government hospitals in Enugu State, Nigeria. A sample of 1200 hospital personnel were studied. One thousand two hundred…

  18. Mitochondrial DNA maintenance: an appraisal.

    Science.gov (United States)

    Akhmedov, Alexander T; Marín-García, José

    2015-11-01

    Mitochondria play a crucial role in a variety of cellular processes ranging from energy metabolism, generation of reactive oxygen species (ROS), and Ca(2+) handling to stress responses, cell survival, and death. Malfunction of the organelle may contribute to the pathogenesis of neuromuscular disorders, cancer, premature aging, and cardiovascular diseases, including myocardial ischemia, cardiomyopathy, and heart failure. Mitochondria are unique as they contain their own genome organized into DNA-protein complexes, so-called mitochondrial nucleoids, along with multiprotein machineries, which promote mitochondrial DNA (mtDNA) replication, transcription, and repair. Although the organelle possesses almost all known nuclear DNA repair pathways, including base excision repair, mismatch repair, and recombinational repair, the proximity of mtDNA to the main sites of ROS production and the lack of protective histones may result in increased susceptibility to oxidative stress and other types of mtDNA damage. Defects in the components of these highly organized machineries, which mediate mtDNA maintenance (replication and repair), may result in accumulation of point mutations and/or deletions in mtDNA and decreased mtDNA copy number impairing mitochondrial function. This review will focus on the mechanisms of mtDNA maintenance with emphasis on the proteins implicated in these processes and their functional role in various disease conditions and aging.

  19. Ontology Maintenance using Textual Analysis

    Directory of Open Access Journals (Sweden)

    Yassine Gargouri

    2003-10-01

    Full Text Available Ontologies are continuously confronted to evolution problem. Due to the complexity of the changes to be made, a maintenance process, at least a semi-automatic one, is more and more necessary to facilitate this task and to ensure its reliability. In this paper, we propose a maintenance ontology model for a domain, whose originality is to be language independent and based on a sequence of text processing in order to extract highly related terms from corpus. Initially, we deploy the document classification technique using GRAMEXCO to generate classes of texts segments having a similar information type and identify their shared lexicon, agreed as highly related to a unique topic. This technique allows a first general and robust exploration of the corpus. Further, we apply the Latent Semantic Indexing method to extract from this shared lexicon, the most associated terms that has to be seriously considered by an expert to eventually confirm their relevance and thus updating the current ontology. Finally, we show how the complementarity between these two techniques, based on cognitive foundation, constitutes a powerful refinement process.

  20. Estimating Maintenance Cost for Web Applications

    Directory of Open Access Journals (Sweden)

    Ion IVAN

    2016-01-01

    Full Text Available The current paper tackles the issue of determining a method for estimating maintenance costs for web applications. The current state of research in the field of web application maintenance is summarized and leading theories and results are highlighted. The cost of web maintenance is determined by the number of man-hours invested in maintenance tasks. Web maintenance tasks are categorized into content maintenance and technical maintenance. Research is centered on analyzing technical maintenance tasks. The research hypothesis is formulated on the assumption that the number of man-hours invested in maintenance tasks can be assessed based on the web application’s user interaction level, complexity and content update effort. Data regarding the costs of maintenance tasks is collected from 24 maintenance projects implemented by a web development company that tackles a wide area of web applications. Homogeneity and diversity of collected data is submitted for debate by presenting a sample of the data and depicting the overall size and comprehensive nature of the entire dataset. A set of metrics dedicated to estimating maintenance costs in web applications is defined based on conclusions formulated by analyzing the collected data and the theories and practices dominating the current state of research. Metrics are validated with regards to the initial research hypothesis. Research hypothesis are validated and conclusions are formulated on the topic of estimating the maintenance cost of web applications. The limits of the research process which represented the basis for the current paper are enunciated. Future research topics are submitted for debate.

  1. Cardiac Medications

    Science.gov (United States)

    ... for Medication For the treatment of heart failure Beta Blockers (Also known as Beta-Adrenergic Blocking Agents) Commonly ... have had a heart attack. Combined alpha and beta-blockers Combined alpha and beta-blockers are used as ...

  2. Medical Illustration

    Science.gov (United States)

    ... Accredited programs prepare students for a career in academic or research health science centers, industry, or consulting. As members of the health career profession with strong communication skills, medical illustrators work closely with clients to interpret ...

  3. Morphine Maintenance: The Shreveport Clinic 1919-1923. Special Studies No. 1.

    Science.gov (United States)

    Waldorf, Dan; And Others

    This report describes the opiate maintenance clinic established in Shreveport, Louisiana (1919-1923), whose short existence has recently been questioned by researchers. The authors of this manuscript visited with the original director of the clinic and were given permission to use the medical records of patients of the old clinic and numerous…

  4. Medical education.

    Science.gov (United States)

    Krishnan, P

    1992-01-01

    In theory, the Medical Council of India (MCI) determines the standards and qualifications of medical schools. It also sanctions curricula and ensures standards. Yet no standards exist on the mode of selection in medical schools, duration of study, course content, student stipends or period of internship. It takes 4.5 years to finish medical school. Students undergo preclinical, paraclinical, and clinical training. Most courses are in English which tends to favor the urban elite. Students cannot always communicate with patients in local languages. Textbooks often provide medical examples unrelated to India. Pedagogy consists mainly of lectures and rote learning predominates. Curricula tend not to provide courses in community health. Students pick up on the elitist attitudes of the faculty. For example, faculty do not put much emphasis on community health, individual health, equity in health care delivery, and teamwork. Further the education system is not patient oriented, but hospital or disease oriented. Faculty should train students in creating sanitation programs, knowing local nutritious foods, and in making community diagnoses. Yet they tend to be practitioners 1st then educators. Further faculty are not paid well and are not always invited to take part in improving curriculum, so morale is often low. Moreover experience in health planning and management issues is not required for administrators. In addition, medical schools are not well equipped with learning aids, libraries, or teaching staff. Tax revenues finance medical education. 75% of graduating physicians set up a private practice. Further many physicians go to urban areas. 34-57% emigrate to other countries. The problems of medical education will not be solved until the political and economic system becomes more responsive to the health needs of the people.

  5. Second Line of Defense: Electronic Maintenance Reports, Local Maintenance Provider User Guide, Rev. 3

    Energy Technology Data Exchange (ETDEWEB)

    Leigh, Richard J.

    2012-09-01

    The Electronic Maintenance Report forms allow Local Maintenance Providers (LMP) and other program staff to enter maintenance information into a simple and secure system. This document describes the features and information required to complete the Maintenance Report forms. It is expected that all Corrective Maintenance Reports from LMPs will be submitted electronically into the SLD Portal. As an exception (e.g., when access to the SLD Portal is unavailable), Maintenance Reports can be submitted via a secure Adobe PDF form available through the Sustainability Manager assigned to each country.

  6. 14 CFR 43.17 - Maintenance, preventive maintenance, and alterations performed on U.S. aeronautical products by...

    Science.gov (United States)

    2010-01-01

    ... 14 Aeronautics and Space 1 2010-01-01 2010-01-01 false Maintenance, preventive maintenance, and... Aeronautics and Space FEDERAL AVIATION ADMINISTRATION, DEPARTMENT OF TRANSPORTATION AIRCRAFT MAINTENANCE, PREVENTIVE MAINTENANCE, REBUILDING, AND ALTERATION § 43.17 Maintenance, preventive maintenance,...

  7. Reliability centered maintenance mini-seminar

    Energy Technology Data Exchange (ETDEWEB)

    Laakso, K.; Simola, K. (eds.) [VTT Automation, Espoo (Finland)

    2000-10-01

    In the Earlier NKS-project RAK-1 (1994-1997), the sub-project RAK-1.4, 'Maintenance Strategies and Ageing' focused on development of methodologies and tools for improving maintenance strategies. In the NKS/SOS-2 project (1998-2001), the maintenance related Nordic co-operation is continued. For exchange of information and as background and for discussions related to maintenance decisions in the NKS/SOS-2 project, a mini-seminar on maintenance strategies with an emphasis on reliability centred maintenance (RCM) approaches was arranged 14.10.1999. The report summarises the topics of the presentations and discussions at the seminar. The transparencies presented at the mini-seminar are enclosed in this report. (au)

  8. Maintenance Therapy for NSCLC: Consensus and Controversy

    Institute of Scientific and Technical Information of China (English)

    Shun Lu; Yong-feng Yu

    2011-01-01

    Nowadays,advanced non-small cell lung cancer (NSCLC) is still an incurable disease.However,recent researches on maintenance therapy have led to considerable progress.Recently,pemetrexed and erlotinib have been approved for maintenance chemotherapy by both the U.S.Food and Drug Administration and European Medicines Agency.However,there are not adequate data to support the maintenance therapy as the standard treatment for advanced NSCLC and there has been no conclusive predictor of who will get benefit from maintenance chemotherapy and what type of maintenance,continuation or switch,is preferred.This article reviews the main studies on maintenance therapy of advanced NSCLC and discusses the results available to date.

  9. Maintenance Management in the ST Division

    CERN Document Server

    Rühl, I

    2001-01-01

    The Maintenance Manager Working Group was established in order to revise existing maintenance contracts and to provide comprehensive and applicable tools for the execution of maintenance activities in the ST Division. This was necessary mainly due to the fact that the maintenance plans in the Division have often evolved rather than being consciously set up and in respect to the change towards result orientated contracts. Also, because the decrease of CERN staff and the trend towards outsourcing, a tighter and well-organised maintenance management has to be established. In order to achieve the most realistic and applicable results the technical and commercial aspects must be considered by following the industrial approach. This document will outline the objectives of the working group and will show the progress that has been made by the implementation of already achieved results. Furthermore this paper will show a possible structure of future maintenance management.

  10. Trends and Perspective in Industrial Maintenance Management

    DEFF Research Database (Denmark)

    Luxhoj, James T.; Thorsteinsson, Uffe; Riis, Jens Ove

    1997-01-01

    With increased global competition for manufacturing, many companies are seeking ways to gain competitative advanges with respect to cost, service, quality and on-time deliveries. The role that effective maintenance management plays in contributing to overall organizational productivity has received...... increased attention. Trends and perspective in industrial maintenance are presented. The result of benchmarking studies from Scandinavia and United States are also presented and compared. Case studies that examine maintenance methods, knowledge, organization and information systems in three Danish...

  11. Software Maintenance Management Evaluation and Continuous Improvement

    CERN Document Server

    April, Alain

    2008-01-01

    This book explores the domain of software maintenance management and provides road maps for improving software maintenance organizations. It describes full maintenance maturity models organized by levels 1, 2, and 3, which allow for benchmarking and continuous improvement paths. Goals for each key practice area are also provided, and the model presented is fully aligned with the architecture and framework of software development maturity models of CMMI and ISO 15504. It is complete with case studies, figures, tables, and graphs.

  12. Machinery prognostics and prognosis oriented maintenance management

    CERN Document Server

    Yan, Jihong

    2014-01-01

    This book gives a complete presentatin of the basic essentials of machinery prognostics and prognosis oriented maintenance management, and takes a look at the cutting-edge discipline of intelligent failure prognosis technologies for condition-based maintenance.  Latest research results and application methods are introduced for signal processing, reliability moelling, deterioration evaluation, residual life prediction and maintenance-optimization as well as applications of these methods.

  13. PFP MICON maintenance manual. Revision 1

    Energy Technology Data Exchange (ETDEWEB)

    Silvan, G.R.

    1995-01-25

    This manual covers the use of maintenance displays, maintenance procedures, system alarms and common system failures. This manual is intended to supplement the MICON maintenance training not replace it. It also assumes that the user is familiar with the normal operation of the MICON A/S system. The MICON system is a distributed control computer and, among other things, controls the HVAC system for the Plutonium Finishing Plant.

  14. Characterization of the maintenance management of biomedical equipment in emergency services in clinics and hospitals in Medellin period 2008-2009

    Directory of Open Access Journals (Sweden)

    William Orozco Murillo

    2013-01-01

    Full Text Available Maintenance management is a tool that supports Biomedical Engineering staff in the development, control and direction of maintenance programs for medical equipment. Objective: to characterize the maintenance management of biomedical equipment in emergency areas of medical institutions in the metropolitan area of Medellin during 2008-2009. Materials and methods: a survey was conducted with chiefs and maintenance technicians of eleven institutions classified at level 3, belonging to the health network of the municipality of Medellin. Results: among the medical institutions included in the present study, it was found that 80% of equipment failure was related with mishandling of the devices, and 70% of maintenance work developed during the period of study was carried out by qualified Biomedical Technicians/ Technologist. On the other hand, a weakness was observed in programs for medical equipment maintenance of the surveyed institutions, as it was found that most of them had only working PM schedules, and outdated record information of equipment regarding, maintenance, acquisition or decommissioning plans of equipment. Conclusion: the study shows the existence of weaknesses in certain areas of the maintenance, such also poor organization and management, and poor availability of original spare parts.

  15. Adjustable Maintenance Dosing with Budesonide/Formoterol Reduces Asthma Exacerbations Compared with Traditional Fixed Dosing: A Five-Month Multicentre Canadian Study

    Directory of Open Access Journals (Sweden)

    J Mark FitzGerlad

    2003-01-01

    Full Text Available BACKGROUND: Adjustable maintenance dosing with budesonide/formoterol in a single inhaler (Symbicort, AstraZeneca, Lund, Sweden may provide a convenient means of maintaining asthma control with the minimum effective medication level.

  16. Conceptualization of an intellectual maintenance management system

    Energy Technology Data Exchange (ETDEWEB)

    Suda, Kazunori; Yonekawa, Tsuyoshi; Yoshikawa, Shinji; Ozawa, Kenji [Power Reactor and Nuclear Fuel Development Corp., Oarai, Ibaraki (Japan). Oarai Engineering Center

    1997-04-01

    It is studied in many research institute to enhance availability and safety of nuclear power plants operation and maintenance. On this account, development of autonomous plants has been carried out to replace the role of operators with artificial intelligence and autonomous robots. We have been developing an intellectual maintenance management system since 1994. As the first step, concept of an intellectual maintenance management system was constructed. The intellectual maintenance managerial system is in charge of maintenance function of an autonomous plant. The intellectual maintenance managerial system has three functions which is monitoring state and judging abnormal machine and deciding maintenance plan by autonomy. This system has an important role of indication and communication of the result to an autonomous operation system and autonomous robot. In this examination, we adopted the distributed and cooperative system technique by multi-agent of AI technology and examined a method to enforce problem solving by cooperation of sensor and actuator. In this report, we examined trouble detection and troubleshooting evaluation and maintenance plan decision function by the distributed and cooperative system technology, the distributed and cooperative system communication-function that these information releases functions was taken on. In conceptualization of the intellectual maintenance managerial system, we clarified of major functions to constitute this system and relation between autonomous operation system and autonomous robots. We clarified the information exchange scheme between this system and an outside system furthermore. In future, we will prototype each function and inspect the total system. (author)

  17. Maintenance planning and organisation at Appin Colliery

    Energy Technology Data Exchange (ETDEWEB)

    Dawkins, G.; O`Brien, B. [Appin Colliery, Appin, NSW (Australia)

    1994-12-31

    At the modern Appin Colliery 2.5 million tonnes are produced per year by 390 employees from one longwall and four development units. The maintenance organisation has both mechanical and electrical departments. Recent BHP Collieries improvement initiatives have benefitted the maintenance organisation at Appin in many ways, particularly with senior management support, an effective maintenance business plan and documented programme. With accent on skills and teamwork, maintenance times, and therefore costs have been reduced. Heightened communication has led to more acute condition monitoring.

  18. Maintenance management at La Silla Paranal Observatory

    Science.gov (United States)

    Montano, Nelson

    2008-07-01

    From the beginning of the VLT project, the European Southern Observatory (ESO) considered the application of a competent maintenance strategy a fundamental aspect for future operations of the Paranal Observatory. For that purpose, a special maintenance philosophy was developed during the project stage and applied during the initial years of operations. The merging of the La Silla and Paranal Observatories in 2005 added a new managerial challenge to the regular operational requirements (high availability and reliability) which motivated ESO Management to develop a stronger strategy for the operations of the new merged Observatory. Part of the new strategy considered the creation of a dedicated department for the management of all maintenance activities, separating this support from the traditional scheme where the Engineering Department had the responsibility for the entire technical support to operations. In order to keep a competent level of maintenance operations for the new unified Observatory, the La Silla Paranal (LSP) Maintenance Department has been using a well known maintenance management model used in various industrial applications as a guide. Today the operations of the Maintenance Department are concentrated on developing and implementing practices regarding concepts such as Maintenance Tactics, Planning, Data Management, Performance Indicators and Material Management. In addition to that, advances related to Reliability Analysis been taken in order to reach a superior level of excellence. The results achieved by the LSP Maintenance Department are reflected in a reduced rate of functional failures, allowing uninterrupted operations of the Observation sites.

  19. Fleet Aviation Maintenance Organic Support (FAMOS) Laboratory

    Data.gov (United States)

    Federal Laboratory Consortium — Purpose:The Fleet Aviation Maintenance Organic Support (FAMOS) Laboratory at the Naval Air Warfare Center Aircraft Division, Lakehurst, NJ provides rapid engineering...

  20. Need telomere maintenance? Call 911.

    Science.gov (United States)

    Francia, Sofia; Weiss, Robert S; d'Adda di Fagagna, Fabrizio

    2007-01-17

    "Natura non facit saltum" (nature makes no leap) the Latins used to say, meaning that nature does not like discontinuities. Cells make no exception and indeed any discontinuity in the DNA double helix is promptly detected, triggering an alteration of cell proliferation and an attempt to repair. Yet, linear chromosomes bear DNA ends that are compatible with normal cell proliferation and they escape, under normal conditions, any repair. How telomeres, the chromosomes tips, achieve that is not fully understood. We recently observed that the Rad9/Hus1/Rad1 (911) complex, previously known for its functions in DNA metabolism and DNA damage responses, is constitutively associated with telomeres and plays an important role in their maintenance. Here, we summarize the available data and discuss the potential mechanisms of 911 action at telomeres.

  1. Medical Renaissance.

    Science.gov (United States)

    Toledo-Pereyra, Luis H

    2015-06-01

    The Medical Renaissance started as the regular Renaissance did in the early 1400s and ended in the late 1600s. During this time great medical personalities and scholar humanists made unique advances to medicine and surgery. Linacre, Erasmus, Leonicello and Sylvius will be considered first, because they fit the early classic Renaissance period. Andreas Vesalius and Ambroise Paré followed thereafter, making outstanding anatomical contributions with the publication of the "Human Factory" (1543) by Vesalius, and describing unique surgical developments with the publication of the "The Apologie and Treatise of Ambroise Paré." At the end of the Renaissance and beginning of the New Science, William Harvey, noted British medical doctor and cardiovascular researcher, discovered the general circulation. He published his findings in "The Motu Cordis" in 1628 (Figure 1). The Medical Renaissance, in summary, included a great number of accomplished physicians and surgeons who made especial contributions to human anatomy; Vesalius assembled detailed anatomical information; Paré advanced surgical techniques; and Harvey, a medical genius, detailed the circulatory anatomy and physiology.

  2. Medical equipment in government health facilities: Missed opportunities

    OpenAIRE

    Pardeshi Geeta

    2005-01-01

    BACKGROUND: The availability and optimal utilization of medical equipment is important for improving the quality of health services. Significant investments are made for the purchase, maintenance and repair of medical equipment. Inadequate management of these equipment will result in financial losses and deprive the public of the intended benefits. This analysis is based on the conceptual framework drawn from the WHO recommended- lifecycle of medical equipment. AIMS: (1) To identify the probl...

  3. Medical emplotment

    DEFF Research Database (Denmark)

    Mønsted, Troels Sune

    ’. Theoretically the project departs from Computer Supported Cooperative Work and Participatory Design and is informed by Medical Informatics, Design Research and Science and Technology Studies. Methodically the project is founded on collaborative prototyping, ethnographic studies, and design interventions...... philosophy and building on theory on narrative reasoning, the dissertation offers the notions of emplotment and re-emplotment to describe how physicians marshal information from various sources, including the medical record, the patient and coSummary to form a narrative, when making sense of patients...

  4. Medical leasing.

    Science.gov (United States)

    Holden, Elizabeth A

    2012-01-01

    Leases for medical space can have far-reaching (and sometimes unintentional) consequences for the future of the practice and the costs of the business. In order to prevent hardship and expense down the line, it is especially important to review the lease to make sure that it reflects the practice's goals, needs, and structure. This article provides a number of provisions that are especially crucial to review and negotiate when leasing medical space, including use restrictions, assignment and subleasing clauses, build-out terms, and legal compliance requirements.

  5. Medical Applications

    CERN Document Server

    Biscari, C

    2014-01-01

    The use of accelerators for medical applications has evolved from initial experimentation to turn-key devices commonly operating in hospitals. New applications are continuously being developed around the world, and the hadrontherapy facilities of the newest generation are placed at the frontier between industrial production and advanced R&D. An introduction to the different medical application accelerators is followed by a description of the hadrontherapy facilities, with special emphasis on CNAO, and the report closes with a brief outlook on the future of this field.

  6. Medical Identity

    DEFF Research Database (Denmark)

    Musaeus, Peter

    2015-01-01

    is the study of the sociocultural paragons that conceptually underlie the phenomenology of physician’s coming to take themselves as autonomous social agents. The paper relies on Hegel’s Phenomenology of Spirit and investigates dilemmas pertaining to first objectivist versus subjectivist views and second...... hedonistic versus sentimentalist approaches to medical identity. The sociocultural philosophical analysis of medical identity can shed light on what it means conceptually for a physician to harbor beliefs associated with him/her being taken to be an autonomous professional. It is important because it touches...

  7. Maintenance of Electrical Services: Maintenance and Renewal in Educational Buildings. Building Bulletin 76.

    Science.gov (United States)

    Department for Education and Employment, London (England). Architects and Building Branch.

    This document provides guidance on the overall electrical services and maintenance strategy in educational facilities, the individual components of which are considered in the following sections: record documentation and systems; inspection and testing; condition appraisal; maintenance requirements; and maintenance works procedures. Other sections…

  8. Condition-based maintenance for complex systems : Coordinating maintenance and logistics planning for the process industries

    NARCIS (Netherlands)

    Olde Keizer, Minou Catharina Anselma

    2016-01-01

    Maintenance planning in the process industries is extremely complex for various reasons. Plants often run nonstop, allowing little time for performing preventive maintenance. Failures should be prevented, however, as they can lead to system downtime and high losses of revenue. Corrective maintenance

  9. A Study on Maintenance Management and Maintenance Decision-Making Methods

    Institute of Scientific and Technical Information of China (English)

    ZHAO Song-zheng; XIAO Wei

    2004-01-01

    By comparing the advantages and disadvantages of the main popular maintenance modes,this paper analyses the relationship between maintenance modes, and gives a model of maintenance decision-making. The model can be used in enterprises to minimize life cycle cost (LCC).

  10. Relationship Maintenance on Facebook: Development of a Measure, Relationship to General Maintenance, and Relationship Satisfaction

    Science.gov (United States)

    Dainton, Marianne

    2013-01-01

    Previous research indicates that the primary reason college students use Facebook is for relationship maintenance. The present study sought to determine the relationship between Facebook maintenance and general maintenance efforts in college student romantic relationships, as well as the impacts of such behaviors on the relationship. Survey data…

  11. 14 CFR 121.375 - Maintenance and preventive maintenance training program.

    Science.gov (United States)

    2010-01-01

    ... 14 Aeronautics and Space 3 2010-01-01 2010-01-01 false Maintenance and preventive maintenance training program. 121.375 Section 121.375 Aeronautics and Space FEDERAL AVIATION ADMINISTRATION, DEPARTMENT... OPERATIONS OPERATING REQUIREMENTS: DOMESTIC, FLAG, AND SUPPLEMENTAL OPERATIONS Maintenance,...

  12. 14 CFR 125.245 - Organization required to perform maintenance, preventive maintenance, and alteration.

    Science.gov (United States)

    2010-01-01

    ... 14 Aeronautics and Space 3 2010-01-01 2010-01-01 false Organization required to perform maintenance, preventive maintenance, and alteration. 125.245 Section 125.245 Aeronautics and Space FEDERAL... GOVERNING PERSONS ON BOARD SUCH AIRCRAFT Maintenance § 125.245 Organization required to perform...

  13. Towards Informed Maintenance Decision Making: Guiding the Application of Advanced Maintenance Analyses

    NARCIS (Netherlands)

    Tiddens, W.W.; Braaksma, A.J.J.; Tinga, T.

    2017-01-01

    Advanced maintenance techniques (AMTs) are practices that can help practitioners to make better-informed maintenance decisions, such as ensuring just-in-time maintenance, corporate business planning or lifetime extension of physical assets. These techniques take the current, but preferably also the

  14. A Significant Number of Charter Diplomates Participate in American Board of Family Medicine (ABFM) Maintenance of Certification.

    Science.gov (United States)

    Puffer, James C

    2015-01-01

    Considerable controversy about the value of participating in Maintenance of Certification has recently arisen within the medical community. Despite this controversy, large numbers of family physicians certified by the American Board of Family Medicine participate in Maintenance of Certification for Family Physicians. Surprisingly, a small but significant number of charter diplomats--those initially certified by the American Board of Family Medicine at its founding--are engaged in the process.

  15. Simulation based comparison of predictive maintenance policies

    NARCIS (Netherlands)

    Tinga, T.; Janssen, R.H.P.; Steenbergen, R.; Van Gelder, P.

    2013-01-01

    When an asset is operated in variable conditions, its operational efficiency can be improved significantly when the maintenance is performed in a dynamic manner. This means that variations in usage and operating environment are taken into account when deciding on the length of the maintenance interv

  16. Putting Relationship Maintenance into Proper Perspectives.

    Science.gov (United States)

    Aleman, Carlos G.

    Noting that scholars often agree that varying investigations of relationship maintenance are only different mappings of the same territory, this paper organizes and criticizes the literature on relationship change from a position that defines maintenance as behavior that functions to sustain interpersonal bonds towards future interaction. The…

  17. Principles of machine operation and maintenance

    CERN Document Server

    Jeffrey, Dick

    2013-01-01

    This book explains how rotating machinery works, and the role of the maintenance engineer in ensuring its proper operation. Stress is laid on the need for the trainee engineer to develop skills in diagnosis and troubleshooting as well as practicalexpertise in maintenance procedures.

  18. Modeling preventive maintenance using subjective data

    Institute of Scientific and Technical Information of China (English)

    2001-01-01

    Presents the optimal preventive maintenance model establishedwith the target function given through technical economic analysis, and failure rate and delay time distribution estimated from subjective data, which describes the relationship between the total downtime and the preventive maintenance and can be used to determine the rational inspection interval and to minimize the total expected downtime per unit time.

  19. Minor Maintenance. A Resource Manual for Custodians.

    Science.gov (United States)

    Florida State Dept. of Education, Tallahassee.

    Areas of minor maintenance covered by this manual are--(1) electrical, (2) carpentry, (3) plumbing, (4) painting, and (5) masonry. Each area is defined, tools and equipment for maintenance are listed, and the job procedure is given. The description of electrical work also covers sources of electricity and power transmission. The description of…

  20. Product Modelling for Model-Based Maintenance

    NARCIS (Netherlands)

    Houten, van F.J.A.M.; Tomiyama, T.; Salomons, O.W.

    1998-01-01

    The paper describes the fundamental concepts of maintenance and the role that information technology can play in the support of maintenance activities. Function-Behaviour-State modelling is used to describe faults and deterioration of mechanisms in terms of user perception and measurable quantities.

  1. 40 CFR 86.007-25 - Maintenance.

    Science.gov (United States)

    2010-07-01

    ... 40 Protection of Environment 18 2010-07-01 2010-07-01 false Maintenance. 86.007-25 Section 86.007-25 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) AIR PROGRAMS (CONTINUED...-Fueled and Methanol-Fueled Heavy-Duty Vehicles § 86.007-25 Maintenance. Section 86.007-25 includes...

  2. Stick with a School Maintenance Plan

    Science.gov (United States)

    Kennedy, Mike

    2012-01-01

    The U.S. Department of Education's "Planning Guide for Maintaining School Facilities" states that a sound facilities maintenance plan serves as evidence that school facilities are, and will be, cared for appropriately. On the other hand, negligent facilities maintenance planning can cause real problems. Budget restraints and cuts in…

  3. 40 CFR 86.098-25 - Maintenance.

    Science.gov (United States)

    2010-07-01

    ... 40 Protection of Environment 18 2010-07-01 2010-07-01 false Maintenance. 86.098-25 Section 86.098-25 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) AIR PROGRAMS (CONTINUED...-Fueled and Methanol-Fueled Heavy-Duty Vehicles § 86.098-25 Maintenance. (a) (b)(1)-(2) (3)(i)-(v)...

  4. 30 CFR 56.9313 - Roadway maintenance.

    Science.gov (United States)

    2010-07-01

    ... 30 Mineral Resources 1 2010-07-01 2010-07-01 false Roadway maintenance. 56.9313 Section 56.9313 Mineral Resources MINE SAFETY AND HEALTH ADMINISTRATION, DEPARTMENT OF LABOR METAL AND NONMETAL MINE... § 56.9313 Roadway maintenance. Water, debris, or spilled material on roadways which creates hazards...

  5. 7 CFR 1435.104 - Loan maintenance.

    Science.gov (United States)

    2010-01-01

    ... 7 Agriculture 10 2010-01-01 2010-01-01 false Loan maintenance. 1435.104 Section 1435.104 Agriculture Regulations of the Department of Agriculture (Continued) COMMODITY CREDIT CORPORATION, DEPARTMENT... Loan maintenance. (a) All processors receiving loans shall: (1) Abide by the terms and conditions...

  6. 30 CFR 57.9313 - Roadway maintenance.

    Science.gov (United States)

    2010-07-01

    ... 30 Mineral Resources 1 2010-07-01 2010-07-01 false Roadway maintenance. 57.9313 Section 57.9313 Mineral Resources MINE SAFETY AND HEALTH ADMINISTRATION, DEPARTMENT OF LABOR METAL AND NONMETAL MINE... § 57.9313 Roadway maintenance. Water, debris, or spilled material on roadways which creates hazards...

  7. 49 CFR 399.211 - Maintenance.

    Science.gov (United States)

    2010-10-01

    ... 49 Transportation 5 2010-10-01 2010-10-01 false Maintenance. 399.211 Section 399.211 Transportation Other Regulations Relating to Transportation (Continued) FEDERAL MOTOR CARRIER SAFETY... STANDARDS Step, Handhold, and Deck Requirements for Commercial Motor Vehicles § 399.211 Maintenance....

  8. 21 CFR 211.58 - Maintenance.

    Science.gov (United States)

    2010-04-01

    ... 21 Food and Drugs 4 2010-04-01 2010-04-01 false Maintenance. 211.58 Section 211.58 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) DRUGS: GENERAL... Maintenance. Any building used in the manufacture, processing, packing, or holding of a drug product shall...

  9. 12 CFR 347.205 - Record maintenance.

    Science.gov (United States)

    2010-01-01

    ... 12 Banks and Banking 4 2010-01-01 2010-01-01 false Record maintenance. 347.205 Section 347.205 Banks and Banking FEDERAL DEPOSIT INSURANCE CORPORATION REGULATIONS AND STATEMENTS OF GENERAL POLICY INTERNATIONAL BANKING Foreign Banks § 347.205 Record maintenance. The records of each insured branch shall...

  10. 47 CFR 101.1109 - Records maintenance.

    Science.gov (United States)

    2010-10-01

    ... 47 Telecommunication 5 2010-10-01 2010-10-01 false Records maintenance. 101.1109 Section 101.1109 Telecommunication FEDERAL COMMUNICATIONS COMMISSION (CONTINUED) SAFETY AND SPECIAL RADIO SERVICES FIXED MICROWAVE SERVICES Competitive Bidding Procedures for LMDS § 101.1109 Records maintenance. All winning...

  11. 7 CFR 772.5 - Security maintenance.

    Science.gov (United States)

    2010-01-01

    ... 7 Agriculture 7 2010-01-01 2010-01-01 false Security maintenance. 772.5 Section 772.5 Agriculture Regulations of the Department of Agriculture (Continued) FARM SERVICE AGENCY, DEPARTMENT OF AGRICULTURE SPECIAL PROGRAMS SERVICING MINOR PROGRAM LOANS § 772.5 Security maintenance. (a) General. Borrowers...

  12. 40 CFR 141.33 - Record maintenance.

    Science.gov (United States)

    2010-07-01

    ... 40 Protection of Environment 22 2010-07-01 2010-07-01 false Record maintenance. 141.33 Section 141.33 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) WATER PROGRAMS (CONTINUED) NATIONAL PRIMARY DRINKING WATER REGULATIONS Reporting and Recordkeeping § 141.33 Record maintenance....

  13. 23 CFR 660.115 - Maintenance.

    Science.gov (United States)

    2010-04-01

    ... 23 Highways 1 2010-04-01 2010-04-01 false Maintenance. 660.115 Section 660.115 Highways FEDERAL HIGHWAY ADMINISTRATION, DEPARTMENT OF TRANSPORTATION ENGINEERING AND TRAFFIC OPERATIONS SPECIAL PROGRAMS (DIRECT FEDERAL) Forest Highways § 660.115 Maintenance. The cooperator having jurisdiction over a FH...

  14. 14 CFR 91.417 - Maintenance records.

    Science.gov (United States)

    2010-01-01

    ... 14 Aeronautics and Space 2 2010-01-01 2010-01-01 false Maintenance records. 91.417 Section 91.417 Aeronautics and Space FEDERAL AVIATION ADMINISTRATION, DEPARTMENT OF TRANSPORTATION (CONTINUED) AIR TRAFFIC AND GENERAL OPERATING RULES GENERAL OPERATING AND FLIGHT RULES Maintenance, Preventive...

  15. 14 CFR 91.405 - Maintenance required.

    Science.gov (United States)

    2010-01-01

    ... 14 Aeronautics and Space 2 2010-01-01 2010-01-01 false Maintenance required. 91.405 Section 91.405 Aeronautics and Space FEDERAL AVIATION ADMINISTRATION, DEPARTMENT OF TRANSPORTATION (CONTINUED) AIR TRAFFIC AND GENERAL OPERATING RULES GENERAL OPERATING AND FLIGHT RULES Maintenance, Preventive...

  16. Stick with a School Maintenance Plan

    Science.gov (United States)

    Kennedy, Mike

    2012-01-01

    The U.S. Department of Education's "Planning Guide for Maintaining School Facilities" states that a sound facilities maintenance plan serves as evidence that school facilities are, and will be, cared for appropriately. On the other hand, negligent facilities maintenance planning can cause real problems. Budget restraints and cuts in areas not…

  17. Operation and maintenance cost-cutting

    Energy Technology Data Exchange (ETDEWEB)

    Hollingshead, T.W.

    1996-12-31

    This presentation by Timothy W. Hollingshead, Technical Services Manager, Pacific Gas and Electric, is about cutting costs in the Operation and Maintenance phase of geothermal energy production. The necessity of cost control, keeping workers well-trained and avoiding OSHA fines, taking advantages of new technologies, and establishing predictive maintenance programs are some of the issues discussed in this article.

  18. Information Technology Applications to Maintenance Management

    Institute of Scientific and Technical Information of China (English)

    Abdul Raouf S.I.

    2003-01-01

    Application of IT (Information Technology) to equipment management have not been ade-quately made. A system using Benefit Evaluation Ladder is described for evaluating the need for IT ap-plications to maintenance management. A systematic evaluation scheme for Computerized Maintenance Management System (CMMS) is presented.

  19. Standardized Curriculum for General Industrial Maintenance Trades.

    Science.gov (United States)

    Mississippi State Dept. of Education, Jackson. Office of Vocational, Technical and Adult Education.

    Standardized vocational education course titles and core contents for two courses in Mississippi are provided: general industrial maintenance trades I and II. The first course contains the following units: (1) orientation and leadership activities; (2) safety; (3) blueprint reading; (4) oxyacetylene cutting; (5) preventative maintenance; (6)…

  20. Glaucoma medications.

    Science.gov (United States)

    Chae, Bora; Cakiner-Egilmez, Tulay; Desai, Manishi

    2013-01-01

    Glaucoma is a common eye condition that affects millions of individuals worldwide, making it the second-leading cause of blindness. Because glaucoma is associated with increased IOP level, the primary goal in treatment of glaucoma includes lowering IOP to prevent further progression of the disease. While various surgical interventions exist, medical therapy is currently the first line of treatment. Medical treatment of glaucoma includes topical beta-blockers, alpha-2 agonists, prostaglandins, parasympathomimetics and CAIs. Anti-glaucoma agents help reduce IOP by affecting the production of aqueous humor or increasing the outflow of aqueous through the trabecular or uveoscleral pathway. Choosing an appropriate medical regimen can be challenging and various factors such as efficacy, safety, cost and patient compliance must be considered. First-line treatment is often topical beta-blockers or prostaglandin analogs. However, beta-blocking agents can be associated with systemic side effects and need to be used cautiously in patients with serious concomitant cardiopulmonary disease. Alpha-2 agonists and parasympathomimetics are often considered second- or third-line treatment options but good adjunctive agents. Oral CAIs are often indicated for patients with elevated IOP in an acute setting or for patients resistant to other glaucoma medications and patients who are not good surgical candidates.

  1. Medic Bleep.

    Science.gov (United States)

    2017-03-15

    Medic Bleep is a secure instant messaging app that enables clinicians to discuss patient care quickly, securely and legally. It looks and feels like WhatsApp, but has been designed for the healthcare market to enable staff to communicate with each other, and to help speed up conversations between clinicians to increase efficiency.

  2. Maintenance Approaches for Different Production Methods

    Directory of Open Access Journals (Sweden)

    Mungani, Dzivhuluwani Simon

    2013-11-01

    Full Text Available Various production methods are used in industry to manufacture or produce a variety of products needed by industry and consumers. The nature of a product determines which production method is most suitable or cost-effective. A continuous process is typically used to produce large volumes of liquids or gases. Batch processing is often used for small volumes, such as pharmaceutical products. This paper discusses a research project to determine the relationship between maintenance approaches and production methods. A survey was done to determine to what extent three maintenance approaches reliability-centred maintenance (RCM, total productive maintenance (TPM, and business-centred maintenance (BCM are used for three different processing methods (continuous process, batch process, and a production line method.

  3. Effective maintenance practices to manage system aging

    Science.gov (United States)

    Chockie, Alan; Bjorkelo, Kenneth

    A study for the Nuclear Regulatory Commission was recently undertaken to identify effective maintenance practices that could be adapted by the nuclear industry in the United States to assist in managing the aging degradation of plant systems and components. Four organizations were examined to assess the influence of maintenance programs on addressing the system and component aging degradation issues. An effective maintenance program was found to be essential to the management of system and component aging. Four key elements of an effective maintenance program that are important to an aging management were identified: (1) the selection of critical systems and components; (2) the development of an understanding of aging through the collection and analysis of equipment performance information; (3) the development of appropriate preventive and predictive maintenance tasks to manage equipment and system aging degradation; and (4) the use of feedback mechanisms to continuously improve the management of aging systems and components. These elements were found to be common to all four organizations.

  4. Transforming Medical Education: Is Competency-Based Medical Education the Right Approach?

    Science.gov (United States)

    Whitcomb, Michael E

    2016-05-01

    There is growing recognition within the medical education community that medical education in this country needs to be changed to better prepare doctors for the challenges they will face in providing their patients high-quality medical care. A competency-based medical education (CBME) approach was endorsed by the Accreditation Council for Graduate Medical Education and the American Board of Medical Specialties approximately 15 years ago, and a self-designated group-the International Competency-Based Medical Education (ICBME) Collaborators-is now calling on members of the medical education community to join them in their effort to establish CBME as the approach to be used in transforming medical education, not only in the United States but also around the world.In response to an article in this issue by a group of ICBME Collaborators, the author argues that more evidence about the effectiveness of CBME is needed before a global shift to this approach is undertaken. It is time for major organizations and foundations that are committed to improving medical education to step forward and take the lead in partnering with the medical education community to conduct a critical evaluation of CBME. In addition, maintenance of certification, relicensure, and continuing medical education programs should be evaluated for their effectiveness in ensuring that physicians are clinically competent not only at the beginning of their career but also until the end.

  5. Medication Errors - A Review

    OpenAIRE

    Vinay BC; Nikhitha MK; Patel Sunil B

    2015-01-01

    In this present review article, regarding medication errors its definition, medication error problem, types of medication errors, common causes of medication errors, monitoring medication errors, consequences of medication errors, prevention of medication error and managing medication errors have been explained neatly and legibly with proper tables which is easy to understand.

  6. Sleep habits and fatigue of children receiving maintenance chemotherapy for ALL and their parents.

    Science.gov (United States)

    Zupanec, Sue; Jones, Heather; Stremler, Robyn

    2010-01-01

    The study of potential contributors to fatigue, such as sleep disturbance, has been identified as a research priority in pediatric cancer. The primary objective of this descriptive study was to explore relationships between sleep habits, sleep disturbance, and fatigue for children receiving maintenance chemotherapy for acute lymphoblastic leukemia (ALL). This study also described sleep habits, sleep disturbance, and fatigue of parents of children and adolescents with ALL and determined if relationships existed between parent and child sleep disturbance and fatigue. Using a descriptive, cross-sectional design, children aged 4-18 years receiving maintenance chemotherapy for ALL and their parents completed questionnaires about their sleep and fatigue. Sleep disturbance was common in both children (87%) and parents (48%) and sleep disturbance scores were positively correlated with fatigue scores. From qualitative written responses to open-ended questions, 9 themes emerged related to sleep for children undergoing maintenance chemotherapy for ALL. Sleep differences noted since diagnosis included (1) sleep is disturbed, (2) sleep habits have changed, and (3) sleep is unchanged or improved. Things that got in the way of children sleeping well included (4) side effects of medication, especially dexamethasone; and (5) medication schedules. Things that helped children get sleep at night were (6) sleeping with someone, (7) comforting activities or routine, (8) medications, and (9) food and drink. Sleep disturbance in children on ALL maintenance and their parents is common and likely contributes to increased fatigue and is a potential target for nursing interventions.

  7. Preventative maintenance of straddle carriers

    Directory of Open Access Journals (Sweden)

    Si Li

    2015-02-01

    Full Text Available Background: Robotic vehicles such as straddle carriers represent a popular form of cargo handling amongst container terminal operators.Objectives: The purpose of this industry-driven study is to model preventative maintenance (PM influences on the operational effectiveness of straddle carriers.Method: The study employs historical data consisting of 21 273 work orders covering a 27-month period. Two models are developed, both of which forecast influences of PM regimes for different types of carrier.Results: The findings of the study suggest that the reliability of the straddle fleet decreases with increased intervals of PM services. The study also finds that three factors – namely resources, number of new straddles, and the number of new lifting work centres – influence the performances of straddles.Conclusion: The authors argue that this collaborative research exercise makes a significant contribution to existing supply chain management literature, particularly in the area of operations efficiency. The study also serves as an avenue to enhance relevant management practice.

  8. Proceedings of the fourth international conference on CANDU maintenance

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1997-07-01

    These proceedings record the information presented at the 4th International Conference on CANDU Maintenance held November 16-18,1997 in Toronto, Canada. The papers for these proceedings were prepared on component maintenance, human performance, steam generator leak detection, fuel channel inspections, rotating equipment maintenance, surveillance programs, inspection techniques, valve maintenance, steam generator repairs and performance, reactor aging management and preventative maintenance.

  9. Operation and maintenance of the technical installations in buildings

    DEFF Research Database (Denmark)

    Nielsen, O.(red.)

    The report contains twelve papers from a seminar on operation and maintenance, held at the Danish Building Research Institute in October 1976. The papers deal, among other things, with dimensioning and balancing of pipesystems, design of ventilating systems for adequate operation and maintenance......, cost and quality in maintenance, maintenance service companies, as well as organization and training for building services maintenance....

  10. Missile Systems Maintenance, AFSC 411XOB/C.

    Science.gov (United States)

    1988-04-01

    55 B61 IMPLEMENT EMERGENCY WAR ORDER (EWO) PLANS 52 E176 COORDINATE AFTO FORMS 349 (MAINTENANCE DATA COLLECTION RECORD) WITH MAINTENANCE CONTROL 49...40 E287 PREPARE MAINTENANCE REPORTS 37 E176 COORDINATE AFTO FORMS 349 (MAINTENANCE DATA COLLECTION E൜ RECORD) WITH MAINTENANCE CONTROL 34 E220 MAKE

  11. Compliance with periodontal maintenance at the University of Pittsburgh: Retrospective analysis of 315 cases.

    Science.gov (United States)

    Famili, Pouran; Short, Elizabeth

    2010-01-01

    Maintenance care is the most important part of periodontal treatment because maintenance - adherence to the schedule of recall dental appointments after treatment - is believed to be the key in preventing the recurrence of periodontal disease. This article is a retrospective analysis of 315 cases from the Department of Periodontics and Preventive Dentistry at the University of Pittsburgh to determine compliance with periodontal maintenance schedules over a two-year period. Following the completion of periodontal surgical treatment, patients were placed on a regimen of maintenance care that included recalls every three months, professional prophylaxis by the hygiene faculty, and repeated instructions in home self-care. Medical records and patient charts of 315 subjects were selected randomly and reviewed in terms of the patient's attending the scheduled recall visit. It was hypothesized that female subjects would show better compliance with the maintenance care regimen than male subjects, as suggested in the literature. Among the 315 subjects, 112 (54 women and 58 men) followed the recommended recall schedule; 30% ultimately returned for the three-month prophylaxis recall visit after the initial periodontal surgical appointment, and thus were considered to have complied with the suggested maintenance program. The investigators failed to reject the stated hypothesis that women would display better compliance than men (p = 0.3).

  12. Maintenance Electroconvulsive Therapy in a Patient with Treatment-Resistant Paranoid Schizophrenia and Comorbid Epilepsy

    Directory of Open Access Journals (Sweden)

    Beppe Micallef-Trigona

    2012-01-01

    Full Text Available The treatment of choice for acute schizophrenia is antipsychotic drug treatment and electroconvulsive therapy (ECT and should only be considered as an option for treatment-resistant schizophrenia, where treatment with clozapine has already proven ineffective or intolerable. The use of ECT as a maintenance treatment for patients with schizophrenia and comorbid epilepsy is uncommon as scant evidence exists to support this. We describe a patient with a serious case of paranoid schizophrenia and comorbid epilepsy who had not responded to typical and atypical antipsychotic medication, but responded remarkably to acute ECT and required maintenance ECT to sustain a positive therapeutic response.

  13. Maintenance electroconvulsive therapy in a patient with treatment-resistant paranoid schizophrenia and comorbid epilepsy.

    Science.gov (United States)

    Micallef-Trigona, Beppe; Spiteri, Joseph

    2012-01-01

    The treatment of choice for acute schizophrenia is antipsychotic drug treatment and electroconvulsive therapy (ECT) and should only be considered as an option for treatment-resistant schizophrenia, where treatment with clozapine has already proven ineffective or intolerable. The use of ECT as a maintenance treatment for patients with schizophrenia and comorbid epilepsy is uncommon as scant evidence exists to support this. We describe a patient with a serious case of paranoid schizophrenia and comorbid epilepsy who had not responded to typical and atypical antipsychotic medication, but responded remarkably to acute ECT and required maintenance ECT to sustain a positive therapeutic response.

  14. Medical imaging

    CERN Document Server

    Townsend, David W

    1996-01-01

    Since the introduction of the X-ray scanner into radiology almost 25 years ago, non-invasive imaging has become firmly established as an essential tool in the diagnosis of disease. Fully three-dimensional imaging of internal organs is now possible, b and for studies which explore the functional status of the body. Powerful techniques to correlate anatomy and function are available, and scanners which combine anatomical and functional imaging in a single device are under development. Such techniques have been made possible through r ecent technological and mathematical advances. This series of lectures will review both the physical basis of medical imaging techniques using X-rays, gamma and positron emitting radiosiotopes, and nuclear magnetic resonance, and the mathematical methods used to reconstruct three-dimentional distributions from projection data. The lectures will trace the development of medical imaging from simple radiographs to the present-day non-invasive measurement of in vivo biochemistry. They ...

  15. Magnetically Attached Multifunction Maintenance Rover

    Science.gov (United States)

    Bar-Cohen, Yoseph; Joffe, Benjamin

    2005-01-01

    A versatile mobile telerobot, denoted the magnetically attached multifunction maintenance rover (MAGMER), has been proposed for use in the inspection and maintenance of the surfaces of ships, tanks containing petrochemicals, and other large ferromagnetic structures. As its name suggests, this robot would utilize magnetic attraction to adhere to a structure. As it moved along the surface of the structure, the MAGMER would perform tasks that could include close-up visual inspection by use of video cameras, various sensors, and/or removal of paint by water-jet blasting, laser heating, or induction heating. The water-jet nozzles would be mounted coaxially within compressed-air-powered venturi nozzles that would collect the paint debris dislodged by the jets. The MAGMER would be deployed, powered, and controlled from a truck, to which it would be connected by hoses for water, compressed air, and collection of debris and by cables for electric power and communication (see Figure 1). The operation of the MAGMER on a typical large structure would necessitate the use of long cables and hoses, which can be heavy. To reduce the load of the hoses and cables on the MAGMER and thereby ensure its ability to adhere to vertical and overhanging surfaces, the hoses and cables would be paid out through telescopic booms that would be parts of a MAGMER support system. The MAGMER would move by use of four motorized, steerable wheels, each of which would be mounted in an assembly that would include permanent magnets and four pole pieces (see Figure 2). The wheels would protrude from between the pole pieces by only about 3 mm, so that the gap between the pole pieces and the ferromagnetic surface would be just large enough to permit motion along the surface but not so large as to reduce the magnetic attraction excessively. In addition to the wheel assemblies, the MAGMER would include magnetic adherence enhancement fixtures, which would comprise arrays of permanent magnets and pole pieces

  16. Recruitment of beta-arrestin2 to the dopamine D2 receptor: insights into anti-psychotic and anti-parkinsonian drug receptor signaling

    DEFF Research Database (Denmark)

    Klewe, Ib V; Nielsen, Søren M; Tarpø, Louise

    2008-01-01

    of a Bioluminescence Resonance Energy Transfer (BRET) assay for measuring dopamine induced recruitment of human beta-arrestin2 to the human dopamine D2 receptor. Dopamine, as well as the dopamine receptor agonists pramipexole and quinpirole, acted as full agonists in the assay as reflected by their ability to elicit...

  17. A comparative study using HPLC and packed column supercritical fluid chromatography for the assay of three anti-psychotic dosage forms.

    Science.gov (United States)

    Patela, Y P; Dhorda, U J; Sundaresan, M

    1998-11-01

    A reproducible and selective method was developed for the analysis of three anti-pschycotics, i.e. haloperidol, trifluoperazine and trihexyphenidyl in bulk and dosage forms using packed column supercritical fluid chromatography (SFC). The analytes were resolved by elution with supercritical fluid carbon dioxide doped with 16.67% (v/v) methanol containing 0.8% isopropylamine. Parallel studies were performed by HPLC using ion pairing reagent and a comparison is discussed. The method was successfully used for the assay of three formulations containing a combination of: (1) haloperidol-trihexyphenidyl; (2) haloperidol-trifluoperazine; (3) trifluoperazine-trihexyphenidyl.

  18. Maintenance of the CERN telephone exchanges

    CERN Multimedia

    2007-01-01

    Maintenance work will be carried out on the CERN telephone exchanges between 8 p.m. and midnight on 20 November. Fixed-line telephone and audioconference services may be disrupted while the work is being carried out. However, the CCC and the fire brigade will be reachable at any time. Mobile telephony services (GSM) will not be affected by the maintenance work. For further details about the maintenance work, please contact the telephone switchboard on 76111 or by email. Telecom Section - IT/CS

  19. Maintenance of the CERN telephone exchanges

    CERN Multimedia

    2007-01-01

    Maintenance work will be carried out on the CERN telephone exchanges between 8 p.m. and midnight on 20 November. Fixed-line telephone and audioconference services may be disrupted while the work is being carried out. However, the CCC and the fire brigade will be contactable at any time. Mobile telephony services (GSM) will not be affected by the maintenance work. For further details about the maintenance work, please contact the telephone switchboard on 76111 or by email to standard.telephone@cern.ch. Telecom Section IT/CS

  20. Analysis of the Improvement Methods for Equipment Maintenance Support

    Institute of Scientific and Technical Information of China (English)

    ZHANG Rui-chang; ZHAO Song-zheng

    2005-01-01

    According to military requirement, and based on the problems of equipment maintenance support methods in high-tech battles, each element supporting equipment maintenance is analyzed, and the methods for improving equipment maintenance are proposed.

  1. Home Healthcare Medical Devices: Infusion Therapy - Getting the Most Out of Your Pump

    Science.gov (United States)

    ... Home Healthcare Medical Devices: Infusion Therapy - Getting the Most Out of Your Pump Share Tweet Linkedin Pin ... and accessories schedule routine maintenance What are the most common problems with an infusion pump and how ...

  2. Psychosocial predictors of non-adherence to chronic medication: systematic review of longitudinal studies.

    NARCIS (Netherlands)

    Zwikker, H.E.; Bemt, B.J. van den; Vriezekolk, J.E.; Ende, C.H. van den; Dulmen, S. van

    2014-01-01

    Objectives: Several cross-sectional studies suggest that psychosocial factors are associated with non-adherence to chronic preventive maintenance medication (CPMM); however, results from longitudinal associations have not yet been systematically summarized. Therefore, the objective of this study was

  3. Psychosocial predictors of non-adherence to chronic medication: systematic review of longitudinal studies

    NARCIS (Netherlands)

    Zwikker, H.E.; Bemt, B.J.F van den; Vriezekolk, J.E.; Ende, C.H.M. van den; Dulmen, S. van

    2014-01-01

    OBJECTIVES: Several cross-sectional studies suggest that psychosocial factors are associated with non-adherence to chronic preventive maintenance medication (CPMM); however, results from longitudinal associations have not yet been systematically summarized. Therefore, the objective of this study was

  4. Medical revolution in Argentina.

    Science.gov (United States)

    Ballarin, V L; Isoardi, R A

    2010-01-01

    The paper discusses the major Argentineans contributors, medical physicists and scientists, in medical imaging and the development of medical imaging in Argentina. The following are presented: history of medical imaging in Argentina: the pioneers; medical imaging and medical revolution; nuclear medicine imaging; ultrasound imaging; and mathematics, physics, and electronics in medical image research: a multidisciplinary endeavor.

  5. Dissecting aortic aneurysm in maintenance hemodialysis patients

    Directory of Open Access Journals (Sweden)

    Ounissi M

    2009-01-01

    Full Text Available The dissecting aortic aneurysm (DAA is a rare pathology that may result in fatal outcome. We report follow up of three cases of DAA patients undergoing maintenance hemo-dialysis who were managed conservatively.

  6. The maintenance management for lean organization

    Directory of Open Access Journals (Sweden)

    Daniel D. GEORGESCU

    2010-12-01

    Full Text Available The goal of lean maintenance approach is to maintain organization international competitiveness. In the spirit of continuously improvement, in the paper it is shown how by adjusting some Lean manufacturing specific techniques for Total Productive Maintenance (TPM system, was born new maintenance system named Lean TPM. This is a systemic approach with three techniques, which don’t exclude specific techniques of TPM pillars, but complete them: the 7Ss as a critical first step in any improvement program; instantaneous maintenance; improvement setup operations. In the spirit of Lean principle, Lean TPM adjusts overall equipment effectiveness concept for all supply-chain from supplier to customer. Maintaining equipment in its optimal state and continually improving its productivity is the whole strategy behind Lean TPM.

  7. Aircraft Electronics Maintenance Training Simulator. Curriculum Outlines.

    Science.gov (United States)

    Blackhawk Technical Coll., Janesville, WI.

    Instructional materials are provided for nine courses in an aircraft electronics maintenance training program. Courses are as follows: aviation basic electricity, direct current and alternating current electronics, basic avionic installations, analog electronics, digital electronics, microcomputer electronics, radio communications, aircraft…

  8. Risk Based Maintenance in Electricity Network Organisations

    NARCIS (Netherlands)

    Mehairjan, R.P.Y.

    2016-01-01

    Presently, maintenance management of assets in infrastructure utilities such as electricity, gas and water are widely undergoing changes towards new working environments. These are mainly driven against the background of stringent regulatory regimes, an ageing asset base, increased customer demands

  9. Performance measures for world class maintenance

    Energy Technology Data Exchange (ETDEWEB)

    Labib, A.W. [Department of Mechanical Engineering, University of Manchester, Institute of Science and Technology, Manchester (United Kingdom)

    1998-12-31

    A main problem in maintenance in general, and in power plants and related equipment in particular, is the lack of a practical, consistent, and adaptive performance measure that provides a focused feedback and integrates preventive and corrective modes of maintenance. The presentation defines concepts of world class and benchmarking. Desirable features in an appropriate performance measure are identified. It then, demonstrates current practices in maintenance and criticises their shortcomings. An alternative model is presented through a case study. The model monitors performance from a general view, and then offers a focused analysis. The main conclusion is that the proposed model offers an adaptive and a dynamic framework, and hence production and maintenance are integrated in a `real time` environment. The system is also flexible in working with any other criteria whether they are of a quantitative or a qualitative nature. (orig.) 16 refs.

  10. A Predictive Maintenance Model for Railway Tracks

    DEFF Research Database (Denmark)

    Li, Rui; Wen, Min; Salling, Kim Bang

    2015-01-01

    For the modern railways, maintenance is critical for ensuring safety, train punctuality and overall capacity utilization. The cost of railway maintenance in Europe is high, on average between 30,000 – 100,000 Euro per km per year [1]. Aiming to reduce such maintenance expenditure, this paper...... presents a mathematical model based on Mixed Integer Programming (MIP) which is designed to optimize the predictive railway tamping activities for ballasted track for the time horizon up to four years. The objective function is setup to minimize the actual costs for the tamping machine (measured by time...... recovery on the track quality after tamping operation and (5) Tamping machine operation factors. A Danish railway track between Odense and Fredericia with 57.2 km of length is applied for a time period of two to four years in the proposed maintenance model. The total cost can be reduced with up to 50...

  11. Optimum Maintenance Strategies for Highway Bridges

    DEFF Research Database (Denmark)

    Frangopol, Dan M.; Thoft-Christensen, Palle; Das, Parag C.;

    As bridges become older and maintenance costs become higher, transportation agencies are facing challenges related to implementation of optimal bridge management programs based on life cycle cost considerations. A reliability-based approach is necessary to find optimal solutions based on minimum...... expected life-cycle costs or maximum life-cycle benefits. This is because many maintenance activities can be associated with significant costs, but their effects on bridge safety can be minor. In this paper, the program of an investigation on optimum maintenance strategies for different bridge types...... is described. The end result of this investigation will be a general reliability-based framework to be used by the UK Highways Agency in order to plan optimal strategies for the maintenance of its bridge network so as to optimize whole-life costs....

  12. Analyse of Maintenance Cost in ST

    CERN Document Server

    Jenssen, B W

    2001-01-01

    An analyse has been carried out in ST concerning the total costs for the division. Even though the target was the maintenance costs in ST, the global budget over has been analysed. This has been done since there is close relation between investments & consolidation and the required level for maintenance. The purpose of the analyse was to focus on maintenance cost in ST as a ratio of total maintenance costs over the replacement value of the equipment, and to make some comparisons with other industries and laboratories. Families of equipment have been defined and their corresponding ratios calculated. This first approach gives us some "quantitative" measurements. This analyse should be combined with performance indicators (more "qualitative" measurements) that are telling us how well we are performing. This will help us in defending our budget, make better priorities, and we will satisfy the requirements from our external auditors.

  13. Analysis and modeling of rail maintenance costs

    Directory of Open Access Journals (Sweden)

    Amir Ali Bakhshi

    2012-01-01

    Full Text Available Railroad maintenance engineering plays an important role on availability of roads and reducing the cost of railroad incidents. Rail is of the most important parts of railroad industry, which needs regular maintenance since it covers a significant part of total maintenance cost. Any attempt on optimizing total cost of maintenance could substantially reduce the cost of railroad system and it can reduce total cost of the industry. The paper presents a new method to estimate the cost of rail failure using different cost components such as cost of inspection and cost of risk associated with possible accidents. The proposed model of this paper is used for a real-world case study of railroad transportation of Tehran region and the results have been analyzed.

  14. 14 CFR 121.380a - Transfer of maintenance -records.

    Science.gov (United States)

    2010-01-01

    ... REQUIREMENTS: DOMESTIC, FLAG, AND SUPPLEMENTAL OPERATIONS Maintenance, Preventive Maintenance, and Alterations... aircraft shall transfer to the purchaser, at the time of sale, the following records of that aircraft,...

  15. Maintenance accountability, jobs, and inventory control (MAJIC) program

    Energy Technology Data Exchange (ETDEWEB)

    Adkisson, B P

    1990-01-01

    This document describes the operating procedures for the maintenance accountability, jobs, and inventory control (MAJIC) program for the Maintenance Management Department of the ORNL Instrumentation and Controls Division.

  16. Medical History: Compiling Your Medical Family Tree

    Science.gov (United States)

    ... family medical history, sometimes called a medical family tree, is a record of illnesses and medical conditions ... to consult family documents, such as existing family trees, baby books, old letters, obituaries or records from ...

  17. Smoking cessation medications

    Science.gov (United States)

    Smoking cessation - medications; Smokeless tobacco - medications; Medications for stopping tobacco ... Creating a plan to help you deal with smoking urges. Getting support from a doctor, counselor, or ...

  18. Manufacture and maintenance of laboratory equipment

    Energy Technology Data Exchange (ETDEWEB)

    Hwang, Chang Kyu; Hwang, Bong Ha; Lee, Jong Wha; Kim, Jong Kyun; Yeum, Ki Eon; Park, Myung Ku; Hong, Soon Eon; Choi, Ho Young; An, Dae Kyu; An, Choon; Park, In Won; Kim, Kyung Sik; Lee, Won Jae; Yoon, Ki Byung; Kim, Heung Woo; Lee, In Bae; Yeom, Jeong Hyun; Lee, Chul Ku; Sin, Keon Ju; Oh, Wan Ho; Seo, Yong Chil; Yang, Song Yeul; Lee, Young Soon; Choi, Byung Kwon; Chang, Kyung Duk [Korea Atomic Energy Research Institute, Taejon (Korea, Republic of)

    1993-12-01

    This report on the manufacture and maintenance of laboratory equipment contains working contents, scope and contents of request working to the machine shop, also records the principal production design, manufacture contents and a relevant working drawing. The working content and scope of the machine shop is to support the successful and convenient performance of the R and D by manufacture and maintenance of all sorts of laboratory equipment. 11 tabs., 3 figs. (Author) .new.

  19. A Qualitative Analysis of SAC Aircraft Maintenance.

    Science.gov (United States)

    1982-09-01

    A122 815 A QUALITATIVE ANALYSIS OF SAC AIRCRAFT MRINTENANCE(U) 112 AIR FORCE INST OF TECH WRIGHT-PRTTERSON AFB OH SCHOOL OF SYSTEMS AND LOGISTICS D...Wright-Patterson Air Force Base, Ohio ’ ; " ... ..... ... ... . .. .. A QUALITATIVE ANALYSIS OF SAC AIRCRAFT MAINTENANCE Douglas P. Cook, Captain... QUALITATIVE ANALYSIS OF SAC Master’s Thesis AIRCRAFT MAINTENANCE 6. PERFORMING ORG. REPORT NUMBER 7. AUTHOR(q) S. CONTRACT OR GRANT NUMBER(a) Douglas

  20. Mining truck scheduling with stochastic maintenance cost

    Institute of Scientific and Technical Information of China (English)

    Erkan TOPAL; Salih RAMAZAN

    2012-01-01

    Open pit mining operations utilize large scale and expensive equipment.For the mines implementing shovel and truck operation system,trucks constitute a large portion of these equipment and are used for hauling the mined materials.In order to have sustainable and viable operation,these equipment need to be utilized efficiently with minimum operating cost.Maintenance cost is a significant proportion of the overall operating costs.The maintenance cost of a truck changes non-linearly depending on the type,age and truck types.A new approach based on stochastic integer programming (SIP) techniques is used for annually scheduling a fixed fleet of mining trucks in a given operation,over the life of mine (multi-year time horizon) to minimize maintenance cost.The maintenance cost data in mining usually has uncertainty caused from the variability of the operational conditions at mines.To estimate the cost,usually historic data from different operations for new mines,and/or the historic data at the operating mines are used.However,maintenance cost varies depending on road conditions,age of equipment and many other local conditions at an operation.Traditional models aim to estimate the maintenance cost as a deterministic single value and financial evaluations are based on the estimated value.However,it does not provide a confidence on the estimate.The proposed model in this study assumes the truck maintenance cost is a stochastic parameter due to the significant level of uncertainty in the data and schedules the available fleet to meet the annual production targets.The scheduling has been performed by applying both the proposed stochastic and deterministic approaches.The approach provides a distribution for the maintenance cost of the optimized equipment schedule minimizing the cost.

  1. A Review of Software Maintenance Technology.

    Science.gov (United States)

    1980-02-01

    is a concept that must be formalized. Class differentiation in this context implies that there are varying maintenance requirements among the classes...has been developed using a number of fundamental equations which relate failures experienced, present MTTF, MTTF objective, and time required to meet...34Scheduled Maintenance of Applications Software,’ Datamation, Volume 19, Number 5, May 1973, pp. 64-67. Liskov, B. and Zilles , S., "Specification

  2. Maintenance of the CERN telephone exchanges

    CERN Document Server

    IT/CS

    2014-01-01

    Maintenance work will be carried out on the CERN telephone exchanges between 8 p.m. and 2 a.m. on 26 August.   Fixed-line telephone and audio-conference services may be disrupted during this intervention. Nevertheless, the CCC and the Fire Brigade will be reachable at any time. Mobile telephony services (GSM) will not be affected by the maintenance work.

  3. Maintenance of the CERN telephone exchanges

    CERN Multimedia

    IT Department

    2011-01-01

    Maintenance work will be carried out on the CERN telephone exchanges between 20h00 and 2h00 on the 16 November. Fixed-line telephone and audio-conference services may be disrupted during this intervention. Nevertheless, the CCC and the fire brigade will be reachable at any time. Mobile telephony services (GSM) will not be affected by the maintenance work. IT/CS

  4. Maintenance of the CERN telephone exchanges

    CERN Multimedia

    2007-01-01

    Maintenance work on the CERN telephone exchanges will be performed on 10 July from 8 p.m. to midnight. During this intervention, the fixed telephone services, audioconference services and GSM calls made via the 333 prefix may be disrupted. However, the CCC and the fire brigade will be reachable at all times. For more details about this maintenance work, please call the telephone switchboard on 76111 or send an e-mail. Telecom SectionIT/CS

  5. Maintenance of the CERN telephone exchanges

    CERN Multimedia

    2007-01-01

    A maintenance of the CERN telephone exchanges will be performed on the 10th of July from 8 p.m. to midnight. During this intervention, the fixed telephone services, audioconference services, and GSM calls made via the 333 prefix may be disrupted. However, the CCC and the fire brigade will be reachable at any time. For more details about this maintenance, please contact the telephone switchboard at 76111 or by email. Telecom Section IT/CS

  6. Maintenance of the CERN telephone exchanges

    CERN Multimedia

    IT Department

    2011-01-01

    Maintenance work will be carried out on the CERN telephone exchanges between 20h00 and midnight on the 21st of February in order to apply the latest software patches. Fixed-line telephone and audio-conference services may be disrupted during this intervention. Nevertheless, the CCC and the fire brigade will be reachable at any time. Mobile telephony services (GSM) will not be affected by the maintenance work. CS Group

  7. Maintenance of the CERN telephone exchanges

    CERN Multimedia

    IT Department

    2009-01-01

    Maintenance work will be carried out on the CERN telephone exchanges between 8h30 and 17h30 on Saturday 9 May. Fixed-line telephone and audio-conference services may be disrupted during this intervention. Nevertheless, the CCC and the fire brigade will be reachable at any time. Mobile telephony services (GSM) will not be affected by the maintenance work. IT/CS/CS

  8. Maintenance of the CERN telephone exchanges

    CERN Multimedia

    IT Department

    2009-01-01

    Maintenance work will be carried out on the CERN telephone exchanges between 20h00 and midnight on the 29th of July in order to apply the latest software patches. Fixed-line telephone and audio-conference services may be disrupted during this intervention. Nevertheless, the CCC and the fire brigade will be reachable at any time. Mobile telephony services (GSM) will not be affected by the maintenance work. IT/CS/CS

  9. Augmented Reality for Maintenance and Repair (ARMAR)

    Science.gov (United States)

    2007-08-01

    The purpose of this research, Augmented Reality for Maintenance and Repair (ARMAR), was to research the design and development of experimental... augmented reality systems for maintenance job aiding. The goal was to explore and evaluate the feasibility of developing prototype adaptive augmented ... reality systems that can be used to investigate how real time computer graphics, overlaid on and registered with the actual equipment being maintained, can

  10. Maintenance Implementation Plan for the Grout Facility

    Energy Technology Data Exchange (ETDEWEB)

    Yoakum, A.K.

    1993-08-01

    The objective of the Maintenance Implementation Plan (MIP) is to describe how the Grout Treatment Facility will implement the requirements established by US Department of Energy (DOE) Order 4330.4A, Maintenance Management Program, Chapter 2.0 Nuclear Facilities (DOE 1990). The plan provides a blueprint for a disciplined approach to implementation and compliance. Each element of the order is prioritized, categorized, and then placed into one of three phases for implementation.

  11. Contribution to DEMO reactor RH maintenance assessment

    Energy Technology Data Exchange (ETDEWEB)

    Bonnemason, Julie [CEA, LIST, Service de Robotique Interactive 18 route du Panorama, BP6, FONTENAY AUX ROSES, F-92265 (France)], E-mail: julie.bonnemason@cea.fr; Friconneau, Jean-Pierre [CEA, LIST, Service de Robotique Interactive 18 route du Panorama, BP6, FONTENAY AUX ROSES, F-92265 (France); Maisonnier, David [EFDA, Boltzmannstrasse 2, 85748 Garching (Germany); Perrot, Yann [CEA, LIST, Service de Robotique Interactive 18 route du Panorama, BP6, FONTENAY AUX ROSES, F-92265 (France)

    2009-06-15

    The scope of this paper is a preliminary assessment of the maintenance scheme in support of the European study for the next generation of fusion reactor: DEMO. Despite other fusion machine requiring remote handling maintenance operations, DEMO is supposed to work under steady state operational conditions. Therefore, requirement on the maintenance scheme is stronger. To target a good availability of the machine along machine operation plan, it is necessary to draw an adequate maintenance scheme. Indeed, due to the high fluxes generated by the plasma in the vacuum vessel, the first wall lifetime is limited, so the frequent replacement is necessary. On current fusion experimental machine, as first wall load conditions are less severe, DEMO condition implies high level of requirement on maintenance time. During DEMO lifetime, several full first wall replacements are expected. To provide access to the vacuum vessel machine for first wall removal, preparatory work is required to set the machine to adequate maintenance conditions and to open the machine properly, the same situation at the end of the maintenance period. Shutdown duration for first wall replacement should be as short as possible to reach the availability target of the machine. From this statement, the maintenance duration should not exceed 20% of the total lifetime of the reactor operation. First wall segmentation (i.e. total number of component to replace) has a high impact onto the replacement time. Considering the number of feasible designs for the first wall segmentation, we concentrate remote handling concept assessments one type of segmentation, the one minimizing the numbers of modules to replace . Assumption on Divertor segmentation for these DEMO studies have similarities with Divertor ITER design; therefore ITER design output is relevant . We assume divertor removal performed in shadow time, while removing the other first wall modules.

  12. Medical Physics

    OpenAIRE

    Voto Bernales, Juan; Facultad de Medicina, Universidad Nacional Mayor de San Marcos, Lima, Perú

    2014-01-01

    Medical Physics is to study the physical phenomena that occur in the body and exert action on the agents. It also addresses the manner taught natural agents in the study and exploration of the human body and in the way in the same agents for use in the treatment of disease can be used. La Física Médica tiene por objeto estudiar los fenómenos físicos que se realizan en el organismo y la acción que sobre el ejercen los agentes. Se ocupa, además, de enseñar la manera cómo pueden utilizarse lo...

  13. Medical robotics

    CERN Document Server

    Troccaz, Jocelyne

    2013-01-01

    In this book, we present medical robotics, its evolution over the last 30 years in terms of architecture, design and control, and the main scientific and clinical contributions to the field. For more than two decades, robots have been part of hospitals and have progressively become a common tool for the clinician. Because this domain has now reached a certain level of maturity it seems important and useful to provide a state of the scientific, technological and clinical achievements and still open issues. This book describes the short history of the domain, its specificity and constraints, and

  14. Product modular design incorporating preventive maintenance issues

    Science.gov (United States)

    Gao, Yicong; Feng, Yixiong; Tan, Jianrong

    2016-03-01

    Traditional modular design methods lead to product maintenance problems, because the module form of a system is created according to either the function requirements or the manufacturing considerations. For solving these problems, a new modular design method is proposed with the considerations of not only the traditional function related attributes, but also the maintenance related ones. First, modularity parameters and modularity scenarios for product modularity are defined. Then the reliability and economic assessment models of product modularity strategies are formulated with the introduction of the effective working age of modules. A mathematical model used to evaluate the difference among the modules of the product so that the optimal module of the product can be established. After that, a multi-objective optimization problem based on metrics for preventive maintenance interval different degrees and preventive maintenance economics is formulated for modular optimization. Multi-objective GA is utilized to rapidly approximate the Pareto set of optimal modularity strategy trade-offs between preventive maintenance cost and preventive maintenance interval difference degree. Finally, a coordinate CNC boring machine is adopted to depict the process of product modularity. In addition, two factorial design experiments based on the modularity parameters are constructed and analyzed. These experiments investigate the impacts of these parameters on the optimal modularity strategies and the structure of module. The research proposes a new modular design method, which may help to improve the maintainability of product in modular design.

  15. Framework for Bridges Maintenance in Egypt

    Directory of Open Access Journals (Sweden)

    Hesham Abd Elkhalek

    2016-01-01

    Full Text Available The traditional approaches for bridges maintenance is proven to be inefficient as they lead to random way of spending maintenance budget and deteriorating bridge conditions. In many cases, maintenance activities are performed due to user complaints. The objective of this paper is to develop a practical and reliable framework to manage the maintenance and repair activities of Bridges network in Egypt considering performance and budget limits. The model solves an optimization problem that maximizes the average condition of the network given the limited budget using Genetic Algorithm (GA. The main tasks of the system are bridge inventory, condition assessment, deterioration using markov model, and maintenance optimization. The developed model takes into account multiple parameters including serviceability requirements, budget allocation, element importance on structural safety and serviceability, bridge impact on network, and traffic. A questionnaire is conducted to complete the research scope. The proposed model is implemented in software, which provides a friendly user interface. The results of the framework are multi – year maintenance plan for the entire network for up to five years. A case study is presented for validating and testing the model with Data collected from “General Authority for Roads, Bridges and Land Transport” in Egypt.

  16. Automation tools for flexible aircraft maintenance.

    Energy Technology Data Exchange (ETDEWEB)

    Prentice, William J.; Drotning, William D.; Watterberg, Peter A.; Loucks, Clifford S.; Kozlowski, David M.

    2003-11-01

    This report summarizes the accomplishments of the Laboratory Directed Research and Development (LDRD) project 26546 at Sandia, during the period FY01 through FY03. The project team visited four DoD depots that support extensive aircraft maintenance in order to understand critical needs for automation, and to identify maintenance processes for potential automation or integration opportunities. From the visits, the team identified technology needs and application issues, as well as non-technical drivers that influence the application of automation in depot maintenance of aircraft. Software tools for automation facility design analysis were developed, improved, extended, and integrated to encompass greater breadth for eventual application as a generalized design tool. The design tools for automated path planning and path generation have been enhanced to incorporate those complex robot systems with redundant joint configurations, which are likely candidate designs for a complex aircraft maintenance facility. A prototype force-controlled actively compliant end-effector was designed and developed based on a parallel kinematic mechanism design. This device was developed for demonstration of surface finishing, one of many in-contact operations performed during aircraft maintenance. This end-effector tool was positioned along the workpiece by a robot manipulator, programmed for operation by the automated planning tools integrated for this project. Together, the hardware and software tools demonstrate many of the technologies required for flexible automation in a maintenance facility.

  17. Product Modular Design Incorporating Preventive Maintenance Issues

    Institute of Scientific and Technical Information of China (English)

    GAO Yicong; FENG Yixiong; TAN Jianrong

    2016-01-01

    Traditional modular design methods lead to product maintenance problems, because the module form of a system is created according to either the function requirements or the manufacturing considerations. For solving these problems, a new modular design method is proposed with the considerations of not only the traditional function related attributes, but also the maintenance related ones. First, modularity parameters and modularity scenarios for product modularity are defined. Then the reliability and economic assessment models of product modularity strategies are formulated with the introduction of the effective working age of modules. A mathematical model used to evaluate the difference among the modules of the product so that the optimal module of the product can be established. After that, a multi-objective optimization problem based on metrics for preventive maintenance interval different degrees and preventive maintenance economics is formulated for modular optimization. Multi-objective GA is utilized to rapidly approximate the Pareto set of optimal modularity strategy trade-offs between preventive maintenance cost and preventive maintenance interval difference degree. Finally, a coordinate CNC boring machine is adopted to depict the process of product modularity. In addition, two factorial design experiments based on the modularity parameters are constructed and analyzed. These experiments investigate the impacts of these parameters on the optimal modularity strategies and the structure of module. The research proposes a new modular design method, which may help to improve the maintainability of product in modular design.

  18. Measuring the performance of maintenance service outsourcing.

    Science.gov (United States)

    Cruz, Antonio Miguel; Rincon, Adriana Maria Rios; Haugan, Gregory L

    2013-01-01

    The aims of this paper are (1) to identify the characteristics of maintenance service providers that directly impact maintenance service quality, using 18 independent covariables; (2) to quantify the change in risk these covariables present to service quality, measured in terms of equipment turnaround time (TAT). A survey was applied to every maintenance service provider (n = 19) for characterization purposes. The equipment inventory was characterized, and the TAT variable recorded and monitored for every work order of each service provider (N = 1,025). Finally, the research team conducted a statistical analysis to accomplish the research objectives. The results of this study offer strong empirical evidence that the most influential variables affecting the quality of maintenance service performance are the following: type of maintenance, availability of spare parts in the country, user training, technological complexity of the equipment, distance between the company and the hospital, and the number of maintenance visits performed by the company. The strength of the results obtained by the Cox model built are supported by the measure of the Rp,e(2) = 0.57 with a value of Rp,e= 0.75. Thus, the model explained 57% of the variation in equipment TAT, with moderate high positive correlation between the dependent variable (TAT) and independent variables.

  19. High-efficiency Maintenance of Medical Equipment Supplier & Maintainer Query Database Based on Hospital LAN%基于院内网实现医疗器械供应维护查询数据库的高效维护

    Institute of Scientific and Technical Information of China (English)

    黄金清; 程广斌; 马承华

    2013-01-01

    目的:对已建立的实用有效的医疗设备供应商、维修商查询数据库进行高效率的共享及维护.方法:使用院内局域网作为媒介,按照不同种类对医疗器械供应维护数据库进行有效的自定义分类,将其作为查询依据,并根据医学工程科不同操作人员权限进行功能扩充和修改,使之更加完善.结果:利用该方法能够可靠地进行备份与内容扩充,数据库更加稳定,维护更加科学.结论:基于院内局域网共享数据库,并且按照不同录入人员职能与权限进行及时备份与扩充,可使数据库维护更加科学、更加稳定.%Objective To share and maintain the established medical equipment supplier & maintainer query database. Methods Self-defined classification of the medical equipment supplier & maintainer database was realized with the hospital LAN, then the staffs from the medical engineering department performed function extension and perfection with different authorities. Results The backup and extension of the database were carried out, and its stability was enhanced greatly. Conclusion The medical equipment supplier & maintainer database is shared based on hospital LAN, and the staffs are gifted with different authorities for backup and extension, then the efficiency and stability of the database are improved.

  20. Medical robotics.

    Science.gov (United States)

    Ferrigno, Giancarlo; Baroni, Guido; Casolo, Federico; De Momi, Elena; Gini, Giuseppina; Matteucci, Matteo; Pedrocchi, Alessandra

    2011-01-01

    Information and communication technology (ICT) and mechatronics play a basic role in medical robotics and computer-aided therapy. In the last three decades, in fact, ICT technology has strongly entered the health-care field, bringing in new techniques to support therapy and rehabilitation. In this frame, medical robotics is an expansion of the service and professional robotics as well as other technologies, as surgical navigation has been introduced especially in minimally invasive surgery. Localization systems also provide treatments in radiotherapy and radiosurgery with high precision. Virtual or augmented reality plays a role for both surgical training and planning and for safe rehabilitation in the first stage of the recovery from neurological diseases. Also, in the chronic phase of motor diseases, robotics helps with special assistive devices and prostheses. Although, in the past, the actual need and advantage of navigation, localization, and robotics in surgery and therapy has been in doubt, today, the availability of better hardware (e.g., microrobots) and more sophisticated algorithms(e.g., machine learning and other cognitive approaches)has largely increased the field of applications of these technologies,making it more likely that, in the near future, their presence will be dramatically increased, taking advantage of the generational change of the end users and the increasing request of quality in health-care delivery and management.

  1. Opportunistic maintenance and adaptation of warranty maintenance tasks for Power Plant equipment

    Directory of Open Access Journals (Sweden)

    P. McGibney

    2016-08-01

    Full Text Available This paper makes a link between opportunistic maintenance literature and warranty analysis of a power plant. A new plant warranty maintenance tasks are observed over a two year period. The main aim is to see how opportunistic maintenance could be incorporated when the warranty period has elapsed. The paper examine the warranty period maintenance task list and propose adequate methods for assessing opportunistic maintenance as a preventive maintenance task in order to ensure reliability and availability of the plant equipment. Statistical approach is used to give an insight to the plant equipment status and a modeling approach is proposed to also assess maintenance information defined by experts in the context of actual operating regimes. This study focuses on the power plant‟s critical equipment. Failure Mode and Effect Analysis (FMEA is conducted on the power plant Booster Fans. This gives an insight about equipment failure mode patterns and maintenance requirements. A simulation example is presented based in the failure modes results obtained and a graphical display of optimum preventive maintenance schedule cost curves is also presented.

  2. Modern Maintenance Strategy of Electronic Equipment in Complex Electromechanical System

    Institute of Scientific and Technical Information of China (English)

    LIU Xiao-fang; CHEN Gui-ming; YANG Bao-li; ZHANG Xue-tao; WANG Han-gong

    2004-01-01

    In this paper, the failure mechanism of electronic equipment was analysed. Aiming at the limitation of traditional maintenance modes, moderu maintenance strategy was put forward on the basis of reliability-centered maintenance (RCM) combined with condition-based maintenance (CBM)aud maintenance efficiency review (MER). A maintenance management information system was constructed for electronic equipment for the purpose of failure analysis, reliability evaluation, and maintenance decisions such as time, mode, and plan. The best maintenance time could be predicted with failure analysis and reliability evaluation, which was mainly influenced by environmental stress. Suitable maintenance modes should be determined fiom equipment importance, failure aftereffect, maintenance condition, and economical power so as to ensure equipment reliability and decrease the requirement of the maintenance source.

  3. Medication/Drug Allergy

    Science.gov (United States)

    ... Science Education & Training Home Conditions Medication/Drug Allergy Medication/Drug Allergy Make an Appointment Find a Doctor ... immediate or delayed. What Is an Allergy to Medication/Drugs? Allergies to drugs/medications are complicated, because ...

  4. Assisted knowledge discovery for the maintenance of clinical guidelines.

    Directory of Open Access Journals (Sweden)

    Emilie Pasche

    Full Text Available BACKGROUND: Improving antibiotic prescribing practices is an important public-health priority given the widespread antimicrobial resistance. Establishing clinical practice guidelines is crucial to this effort, but their development is a complex task and their quality is directly related to the methodology and source of knowledge used. OBJECTIVE: We present the design and the evaluation of a tool (KART that aims to facilitate the creation and maintenance of clinical practice guidelines based on information retrieval techniques. METHODS: KART consists of three main modules 1 a literature-based medical knowledge extraction module, which is built upon a specialized question-answering engine; 2 a module to normalize clinical recommendations based on automatic text categorizers; and 3 a module to manage clinical knowledge, which formalizes and stores clinical recommendations for further use. The evaluation of the usability and utility of KART followed the methodology of the cognitive walkthrough. RESULTS: KART was designed and implemented as a standalone web application. The quantitative evaluation of the medical knowledge extraction module showed that 53% of the clinical recommendations generated by KART are consistent with existing clinical guidelines. The user-based evaluation confirmed this result by showing that KART was able to find a relevant antibiotic for half of the clinical scenarios tested. The automatic normalization of the recommendation produced mixed results among end-users. CONCLUSIONS: We have developed an innovative approach for the process of clinical guidelines development and maintenance in a context where available knowledge is increasing at a rate that cannot be sustained by humans. In contrast to existing knowledge authoring tools, KART not only provides assistance to normalize, formalize and store clinical recommendations, but also aims to facilitate knowledge building.

  5. Performance-based inspection and maintenance strategies

    Energy Technology Data Exchange (ETDEWEB)

    Vesely, W.E.

    1995-04-01

    Performance-based inspection and maintenance strategies utilize measures of equipment performance to help guide inspection and maintenance activities. A relevant measure of performance for safety system components is component unavailability. The component unavailability can also be input into a plant risk model such as a Probabilistic Risk Assessment (PRA) to determine the associated plant risk performance. Based on the present and projected unavailability performance, or the present and projected risk performance, the effectiveness of current maintenance activities can be evaluated and this information can be used to plan future maintenance activities. A significant amount of information other than downtimes or failure times is collected or can be collected when an inspection or maintenance is conducted which can be used to estimate the component unavailability. This information generally involves observations on the condition or state of the component or component piecepart. The information can be detailed such as the amount of corrosion buildup or can be general such as the general state of the component described as {open_quotes}high degradation{close_quotes}, {open_quotes}moderate degradation{close_quotes}, or {open_quotes}low degradation{close_quotes}. Much of the information collected in maintenance logs is qualitative and fuzzy. As part of an NRC Research program on performance-based engineering modeling, approaches have been developed to apply Fuzzy Set Theory to information collected on the state of the component to determine the implied component or component piecepart unavailability. Demonstrations of the applications of Fuzzy Set Theory are presented utilizing information from plant maintenance logs. The demonstrations show the power of Fuzzy Set Theory in translating engineering information to reliability and risk implications.

  6. [MEDICAL CANNABIS].

    Science.gov (United States)

    Naftali, Timna

    2016-02-01

    The cannabis plant has been known to humanity for centuries as a remedy for pain, diarrhea and inflammation. Current research is inspecting the use of cannabis for many diseases, including multiple sclerosis, epilepsy, dystonia, and chronic pain. In inflammatory conditions cannabinoids improve pain in rheumatoid arthritis and:pain and diarrhea in Crohn's disease. Despite their therapeutic potential, cannabinoids are not free of side effects including psychosis, anxiety, paranoia, dependence and abuse. Controlled clinical studies investigating the therapeutic potential of cannabis are few and small, whereas pressure for expanding cannabis use is increasing. Currently, as long as cannabis is classified as an illicit drug and until further controlled studies are performed, the use of medical cannabis should be limited to patients who failed conventional better established treatment.

  7. Medical telesensors

    Science.gov (United States)

    Ferrell, Trinidad L.; Crilly, P. B.; Smith, S. F.; Wintenberg, Alan L.; Britton, Charles L., Jr.; Morrison, Gilbert W.; Ericson, M. N.; Hedden, D.; Bouldin, Donald W.; Passian, A.; Downey, Todd R.; Wig, A. G.; Meriaudeau, Fabrice

    1998-05-01

    Medical telesensors are self-contained integrated circuits for measuring and transmitting vital signs over a distance of approximately 1-2 meters. The circuits are unhoused and contain a sensor, signal processing and modulation electronics, a spread-spectrum transmitter, an antenna and a thin-film battery. We report on a body-temperature telesensor, which is sufficiently small to be placed on a tympanic membrane in a child's ear. We also report on a pulse-oximeter telesensor and a micropack receiver/long- range transmitter unit, which receives form a telesensor array and analyzes and re-transmits the vital signs over a longer range. Signal analytics are presented for the pulse oximeter, which is currently in the form of a finger ring. A multichip module is presented as the basic signal-analysis component. The module contains a microprocessor, a field=programmable gate array, memory elements and other components necessary for determining trauma and reporting signals.

  8. Review of contemporary antiarrhythmic drug therapy for maintenance of sinus rhythm in atrial fibrillation.

    Science.gov (United States)

    Singla, Sandeep; Karam, Pascal; Deshmukh, Abhishek J; Mehta, Jawahar; Paydak, Hakan

    2012-03-01

    Atrial fibrillation (AF) is the most common rhythm disturbance seen in clinical practice, and its prevalence and incidence are rising rapidly as the population ages with its attendant complications. Management of AF involves anticoagulation, and fortunately new drugs for long-term anticoagulation are now available. Maintenance of sinus rhythm, though intuitively better than rate control strategy, has not been shown to offer mortality benefit. Still, maintenance of sinus rhythm is considered an appropriate therapeutic strategy when symptoms are not adequately controlled with rate control. Though significant advances have been made in ablation techniques for AF, pharmacological therapy is still the first line of treatment for rate control and maintenance of sinus rhythm, given ease of use, noninvasive nature, and limited experience with catheter-based ablation techniques. Class IC and III agents (Vaughan Williams classification) form the backbone for pharmacological maintenance of sinus rhythm. Dronedarone, a recently approved class III agent, provides a significant advance because of its relatively safe side effect profile. Currently drugs with selective atrial channels blocking properties, like Vernakalant, are being tested in trials and may provide an opportunity to maintain sinus rhythm with limited toxicity. Large trials are also being conducted to better define the efficacy of catheter-based ablation strategy as first-line treatment. Here, we review the current status of commonly used antiarrhythmic medications for the maintenance of sinus rhythm in AF.

  9. 25 CFR 170.812 - What is emergency maintenance?

    Science.gov (United States)

    2010-04-01

    ... 25 Indians 1 2010-04-01 2010-04-01 false What is emergency maintenance? 170.812 Section 170.812 Indians BUREAU OF INDIAN AFFAIRS, DEPARTMENT OF THE INTERIOR LAND AND WATER INDIAN RESERVATION ROADS PROGRAM BIA Road Maintenance § 170.812 What is emergency maintenance? Emergency maintenance is work...

  10. 49 CFR 193.2707 - Operations and maintenance.

    Science.gov (United States)

    2010-10-01

    ... 49 Transportation 3 2010-10-01 2010-10-01 false Operations and maintenance. 193.2707 Section 193... and maintenance. (a) Each operator shall utilize for operation or maintenance of components only those... operation or maintenance function; and (3) Acceptable performance on a proficiency test relevant to...

  11. The Research State and Problems Needing Study of Green Maintenance

    Institute of Scientific and Technical Information of China (English)

    2001-01-01

    According with the request of sustainable development for asset maintenance, in this paper the research state of China and other countries are indexed, then the contents of green maintenance were described and a system model of green maintenance was established. This paper discussed in brief the problems needing research, key techniques and adoptable methods of green maintenance.``

  12. 49 CFR 396.3 - Inspection, repair, and maintenance.

    Science.gov (United States)

    2010-10-01

    ... 49 Transportation 5 2010-10-01 2010-10-01 false Inspection, repair, and maintenance. 396.3 Section..., REPAIR, AND MAINTENANCE § 396.3 Inspection, repair, and maintenance. (a) General. Every motor carrier and... and maintenance operations to be performed; (3) A record of inspection, repairs, and...

  13. 14 CFR 135.421 - Additional maintenance requirements.

    Science.gov (United States)

    2010-01-01

    ... 14 Aeronautics and Space 3 2010-01-01 2010-01-01 false Additional maintenance requirements. 135.421 Section 135.421 Aeronautics and Space FEDERAL AVIATION ADMINISTRATION, DEPARTMENT OF... Maintenance, Preventive Maintenance, and Alterations § 135.421 Additional maintenance requirements. (a)...

  14. Qualitative Analysis for Maintenance Process Assessment

    Science.gov (United States)

    Brand, Lionel; Kim, Yong-Mi; Melo, Walcelio; Seaman, Carolyn; Basili, Victor

    1996-01-01

    In order to improve software maintenance processes, we first need to be able to characterize and assess them. These tasks must be performed in depth and with objectivity since the problems are complex. One approach is to set up a measurement-based software process improvement program specifically aimed at maintenance. However, establishing a measurement program requires that one understands the problems to be addressed by the measurement program and is able to characterize the maintenance environment and processes in order to collect suitable and cost-effective data. Also, enacting such a program and getting usable data sets takes time. A short term substitute is therefore needed. We propose in this paper a characterization process aimed specifically at maintenance and based on a general qualitative analysis methodology. This process is rigorously defined in order to be repeatable and usable by people who are not acquainted with such analysis procedures. A basic feature of our approach is that actual implemented software changes are analyzed in order to understand the flaws in the maintenance process. Guidelines are provided and a case study is shown that demonstrates the usefulness of the approach.

  15. Current and future inspection and maintenance challenges

    Science.gov (United States)

    Bhagat, Pramode K.; Bessette, Lorence; Leonelli, Fredrick

    1996-11-01

    Ever-increasing diversity of civilian aircraft inventory and continued technological advancements in aircraft materials, aircraft flight control equipment, testing equipment, and software methodologies are impacting aircraft inspection and maintenance practices. Current procedures deal mainly with issues related to structural and electrical or electronic integrity to assure continued airworthiness of operational aircraft. Techniques and methodologies for these are widely available, and training needs are well defined. Advances in technology, however, are yielding new and different aircraft, which require more sophisticated electronic instruments for navigation and control.A major issue is the continued reliability and airworthiness of avionics and development of adequate safeguards for these aircraft. Built-in test equipment, maintenance across terminals, and data bases defining inspection needs that are based on operational data, and software integrity, are also rapidly becoming important considerations in aircraft maintenance. In this era of declining funds and personnel resources, a cost-effective approach requires a fresh look at all phases of the current inspection and maintenance practices, including oversight and management. This paper provides a perspective on issues and challenges facing a civilian regulatory agency, specifically, the aircraft maintenance division in the FAA.

  16. Safety assured financial evaluation of maintenance

    Science.gov (United States)

    Erguina, Vera

    Management decisions in complex industrial facilities usually consider both the economic and environmental aspects of the plant's performance. For nuclear power plants (NPPs), safety is also a very substantial issue. The objectives of this dissertation are to develop and demonstrate a novel useful conceptual model that could be used to allocate maintenance funds for a nuclear power plant in such a way as to meet all specified safety requirements and objectives, while achieving a high degree of economic performance. The model is based on the general theory that the reliability of a plant at any time is a function of its initial reliability and the maintenance history of the individual plant components (Smith, 1997). Such a model can assist in evaluating strategic management decisions regarding allocation of funds for nuclear power plant maintenance. It could be used as a simulation tool; various scenarios could be studied to answer "what if" questions. Simulations of this type will allow a better understanding of the relationship between maintenance, economic performance, and safety, and consequently will lead to better decision making. The novelty of this model is tied to the intimate relationship that it develops between maintenance activities at a nuclear plant, and their relationship to prescribed safety requirements and to the economic performance of that plant.

  17. Preventive maintenance by vibratory analysis: case study

    Directory of Open Access Journals (Sweden)

    Amal Boukili,

    2015-08-01

    Full Text Available :The majority of the industrial machine components have to satisfy to the requirements of the high quality and incessantly increasing; so the machines maintaining in good state during the production has became a fundamental point for a product or a company success. Through the measure of the predictive maintenance, it is possible to satisfy these complex requirements with success and to reduce the costs of maintenance. However, an optimization of the maintenance is realized by a continued monitoring of degradation, by way of a control system on line “On Line”, which can respond to industrial imperatives and which provides to define just the necessary at the level of interventions, “The machine can’t be serviced except if only its state requires.”For an effective maintenance, it takes precise and reliable measures. Nevertheless, the experience has shown that the vibratory measure is the most reliable parameter that gives the precociously and with a best ways the deterioration state of a turnable machine. It provides to identify the efforts as soon as they appear, before of an irreversible damage, it also provides, after analysis, to deduce the origin and to estimate the breakdown risks.In this context, a study had done inside a workshop of a phosphoric office, which adopt a continued surveillance (On-Line, in the hope of doing an optimal process of a conditional maintenance which can be developed in time toward an idealized by a vibratory indicator accomplishing satisfactory results.

  18. 14 CFR 121.367 - Maintenance, preventive maintenance, and alterations programs.

    Science.gov (United States)

    2010-01-01

    ... 14 Aeronautics and Space 3 2010-01-01 2010-01-01 false Maintenance, preventive maintenance, and alterations programs. 121.367 Section 121.367 Aeronautics and Space FEDERAL AVIATION ADMINISTRATION... AND OPERATIONS OPERATING REQUIREMENTS: DOMESTIC, FLAG, AND SUPPLEMENTAL OPERATIONS...

  19. 14 CFR 121.377 - Maintenance and preventive maintenance personnel duty time limitations.

    Science.gov (United States)

    2010-01-01

    ... 14 Aeronautics and Space 3 2010-01-01 2010-01-01 false Maintenance and preventive maintenance personnel duty time limitations. 121.377 Section 121.377 Aeronautics and Space FEDERAL AVIATION...: CERTIFICATION AND OPERATIONS OPERATING REQUIREMENTS: DOMESTIC, FLAG, AND SUPPLEMENTAL OPERATIONS...

  20. 14 CFR 121.365 - Maintenance, preventive maintenance, and alteration organization.

    Science.gov (United States)

    2010-01-01

    ... 14 Aeronautics and Space 3 2010-01-01 2010-01-01 false Maintenance, preventive maintenance, and alteration organization. 121.365 Section 121.365 Aeronautics and Space FEDERAL AVIATION ADMINISTRATION... AND OPERATIONS OPERATING REQUIREMENTS: DOMESTIC, FLAG, AND SUPPLEMENTAL OPERATIONS...

  1. Overall asthma control achieved with budesonide/formoterol maintenance and reliever therapy for patients on different treatment steps

    Directory of Open Access Journals (Sweden)

    Östlund Ollie

    2011-04-01

    Full Text Available Abstract Background Adjusting medication for uncontrolled asthma involves selecting one of several options from the same or a higher treatment step outlined in asthma guidelines. We examined the relative benefit of introducing budesonide/formoterol (BUD/FORM maintenance and reliever therapy (Symbicort SMART® Turbuhaler® in patients previously prescribed treatments from Global Initiative for Asthma (GINA Steps 2, 3 or 4. Methods This is a post hoc analysis of the results of five large clinical trials (>12000 patients comparing BUD/FORM maintenance and reliever therapy with other treatments categorised by treatment step at study entry. Both current clinical asthma control during the last week of treatment and exacerbations during the study were examined. Results At each GINA treatment step, the proportion of patients achieving target levels of current clinical control were similar or higher with BUD/FORM maintenance and reliever therapy compared with the same or a higher fixed maintenance dose of inhaled corticosteroid/long-acting β2-agonist (ICS/LABA (plus short-acting β2-agonist [SABA] as reliever, and rates of exacerbations were lower at all treatment steps in BUD/FORM maintenance and reliever therapy versus same maintenance dose ICS/LABA (P Conclusions BUD/FORM maintenance and reliever therapy may be a preferable option for patients on Steps 2 to 4 of asthma guidelines requiring a more effective treatment and, compared with other fixed dose alternatives, is most effective in the higher treatment steps.

  2. Essential Medical Capabilities and Medical Readiness

    Science.gov (United States)

    2016-07-01

    15-001098 Copy Essential Medical Capabilities and Medical Readiness John E. Whitley Joseph F. Adams Joseph J. Angello Jennifer T. Brooks Sarah K...other national challenges. Essential Medical Capabilities and Medical Readiness John E. Whitley Joseph F. Adams Joseph J. Angello Jennifer T. Brooks...noted that the ability of the Military Health System to provide operational healthcare is measured by the readiness of its medical personnel and

  3. Modeling and Analysis of Complex Equipment Maintenance Dynamics

    Institute of Scientific and Technical Information of China (English)

    2007-01-01

    An equipment maintenance system is naturally a complex dynamical system. The effective maintenance management must be based on the knowledge of the system's intrinsic dynamics. And the structure of the maintenance system determines its behavior. This paper analyzes the basic structures and elements of a maintenance system for complex multi-components equipment. The maintenance system is considered as a dynamic system whose behavior is influenced by its structure's feedback and interaction, and the system's available resources. Building the dynamical model with Simulink, we show some results about the maintenance system's nonlinear dynamics, which are never given by stochastic process methods. The model can be used for understanding and determining maintenance system behavior, towards which operational adjustments of maintenance infrastructure, precise prediction of maintenance requirements and timely supply of maintenance resources can be made in a more informed way.

  4. Geothermal Power Plant Maintenance: Evaluating Maintenance System Needs Using Quantitative Kano Analysis

    Directory of Open Access Journals (Sweden)

    Reynir S. Atlason

    2014-07-01

    Full Text Available A quantitative Kano model is used in this study to identify which features are preferred by top-level maintenance engineers within Icelandic geothermal power plants to be implemented in a maintenance tool or software. Visits were conducted to the largest Icelandic energy companies operating geothermal power plants. Thorough interviews with chiefs of operations and maintenance were used as a basis for a quantitative Kano analysis. Thirty seven percent of all maintenance engineers at Reykjavik Energy and Landsvirkjun, responsible for 71.5% of the total energy production from geothermal resources in Iceland, answered the Kano questionnaire. Findings show that solutions focusing on (1 planning maintenance according to condition; (2 shortening documentation times; and (3 risk analysis are sought after by the energy companies but not provided for the geothermal sector specifically.

  5. A Novel of Hybrid Maintenance Management Models for Industrial Applications

    OpenAIRE

    Tahir, Zulkifli

    2010-01-01

    It is observed through empirical studies that the effectiveness of industrial process have been increased by a well organized of machines maintenance structure. In current research, a novel of maintenance concept has been designed by hybrid several maintenance management models with Decision Making Grid (DMG), Analytic Hierarchy Process (AHP) and Fuzzy Logic. The concept is designed for maintenance personnel to evaluate and benchmark the maintenance operations and to reveal important maintena...

  6. Availability of Aircraft Subject to Imperfect Preventive Maintenance

    Science.gov (United States)

    1990-09-01

    maintenance model for determining an improved preventive maintenance policy, and the strength of simulating the operating environment when determining... preventive maintenance schedule and the use of simulation as a driver for the model. For those systems that are subject to preventive maintenance, the model...decrease in effectiveness. It further looks at the feasibility of using an imperfect preventive maintenance model for determining an improved

  7. Operation and maintenance strategies for wave energy converters

    DEFF Research Database (Denmark)

    Ambühl, Simon; Marquis, Laurent; Kofoed, Jens Peter;

    2015-01-01

    Inspection and maintenance costs are a significant contributor to the cost of energy for wave energy converters. There are different operation and maintenance strategies for wave energy converters. Maintenance can be performed after failure (corrective) or before a breakdown (preventive) occurs...... and maintenance costs estimations for wave energy converter applications including real weather data and damage accumulation. Furthermore, uncertainties related with costs, structural damage accumulation, inspection accuracy and different maintenance strategies can be included. This article contains a case study...

  8. Optimising agile development practices for the maintenance operation: nine heuristics

    DEFF Research Database (Denmark)

    Tordrup Heeager, Lise; Rose, Jeremy

    2014-01-01

    is therefore a trivial endeavour - the maintenance operation differs in some important respects from development work. Classical accounts of software maintenance emphasise more traditional software engineering processes, whereas recent research accounts of agile maintenance efforts uncritically focus......Agile methods are widely used and successful in many development situations and beginning to attract attention amongst the software maintenance community – both researchers and practitioners. However, it should not be assumed that implementing a well-known agile method for a maintenance department...

  9. Maintenance system improvement in cast iron foundry

    Directory of Open Access Journals (Sweden)

    S. Kukla

    2011-07-01

    Full Text Available The work presents the issue of technical equipment management in an iron foundry basing on the assumptions of the TPM system (Total Productive Maintenance. Exploitation analysis of automatic casting lines has been carried out and their work’s influence on the whole production system’s functioning has been researched. Within maintenance system improvement, implementation of autonomic service and planned lines’ review have been proposed in order to minimize the time of breakdown stoppages. The SMED method was used to optimize changeover time, and the OEE (Overall Equipment Effectiveness was applied to evaluate the level of resources usage before and after implementing changes. Further, the influence of the maintenance strategy of casting devices’ efficiency on own costs of casting manufac- ture was estimated.

  10. Prolonged remission maintenance in acute myeloid leukaemia.

    Science.gov (United States)

    Spiers, A S; Goldman, J M; Catovsky, D; Costello, C; Galton, D A; Pitcher, C S

    1977-08-27

    Twenty-five patients with acute myeloid leukaemia were treated with three quadruple drug combinations in predetermined rotation: TRAP (thioguanine, daunorubicin, cytarabine, prednisolone); COAP (cyclophosphamide, vincristine, cytarabine, prednisolone); and POMP (prednisolone, vincristine, methotrexate, mercaptopurine). Fifteen patients (60%) achieved complete remission and five (20%) partial remission. For maintenance, five-day courses of drugs were administered every 14 to 21 days and doses were increased to tolerance. The median length of complete remission was 66 weeks. In eight patients remission maintenance treatment was discontinued and some remained in complete remission for over two years. In this series the remission induction rate was comparable with that reported for other regimens and complete remission lasted longer with this intensive maintenance regimen than with others. Nevertheless, the TRAP programme must still be regarded as only palliative treatment for acute myeloid leukaemia.

  11. A Logical Framework for Knowledge Base Maintenance

    Institute of Scientific and Technical Information of China (English)

    李未

    1995-01-01

    The maintenance sequences of a knowledge base and their limits are introduced.Some concepts used in knowledge base maintenance,such as new laws,user's rejections,and reconstructions of a knowledge base are defined;the related theorems are proved.A procedure is defined using transition systems;it generates maintenance sequences for a given user's model and a knowledge base.It is proved that all sequences produced by the procedure are convergent,and their limit is the set of true sentences of the model.Some computational aspects of reconstructions are studied.An R-calculus is given to deduce a reconstruction when a knowledge base meets a user's rejection.The work is compared with AGM's theory of belief revision.

  12. The Modern Approach to Industrial Maintenance Management

    Directory of Open Access Journals (Sweden)

    Vasile DEAC

    2010-01-01

    Full Text Available The maintenance activity isn’t a purpose in itself, it’s a necessity of which "the production suffers" and the financial agent “considers too expensive”. It often exists a conflict between the production units and the maintenance department, not only for a short term, but, sometimes, for a long term, imposing a rigorous definition of each person’s responsibilities. Considering the mutations in the industrial equipments’ technical complexity and the accidental failures’ catastrophic consequences from the economic and/or social point of view, it should be assigned a new dimension to the maintenance activity. One of the imperatives imposed to this action is represented by modern means of informing through the maintenance’s operational computerization.

  13. Open Data: Reverse Engineering and Maintenance Perspective

    CERN Document Server

    Kienle, Holger M

    2012-01-01

    Open data is an emerging paradigm to share large and diverse datasets -- primarily from governmental agencies, but also from other organizations -- with the goal to enable the exploitation of the data for societal, academic, and commercial gains. There are now already many datasets available with diverse characteristics in terms of size, encoding and structure. These datasets are often created and maintained in an ad-hoc manner. Thus, open data poses many challenges and there is a need for effective tools and techniques to manage and maintain it. In this paper we argue that software maintenance and reverse engineering have an opportunity to contribute to open data and to shape its future development. From the perspective of reverse engineering research, open data is a new artifact that serves as input for reverse engineering techniques and processes. Specific challenges of open data are document scraping, image processing, and structure/schema recognition. From the perspective of maintenance research, mainten...

  14. Flight control electronics reliability/maintenance study

    Science.gov (United States)

    Dade, W. W.; Edwards, R. H.; Katt, G. T.; Mcclellan, K. L.; Shomber, H. A.

    1977-01-01

    Collection and analysis of data are reported that concern the reliability and maintenance experience of flight control system electronics currently in use on passenger carrying jet aircraft. Two airlines B-747 airplane fleets were analyzed to assess the component reliability, system functional reliability, and achieved availability of the CAT II configuration flight control system. Also assessed were the costs generated by this system in the categories of spare equipment, schedule irregularity, and line and shop maintenance. The results indicate that although there is a marked difference in the geographic location and route pattern between the airlines studied, there is a close similarity in the reliability and the maintenance costs associated with the flight control electronics.

  15. Electronic Procedures for Medical Operations

    Science.gov (United States)

    2015-01-01

    Electronic procedures are replacing text-based documents for recording the steps in performing medical operations aboard the International Space Station. S&K Aerospace, LLC, has developed a content-based electronic system-based on the Extensible Markup Language (XML) standard-that separates text from formatting standards and tags items contained in procedures so they can be recognized by other electronic systems. For example, to change a standard format, electronic procedures are changed in a single batch process, and the entire body of procedures will have the new format. Procedures can be quickly searched to determine which are affected by software and hardware changes. Similarly, procedures are easily shared with other electronic systems. The system also enables real-time data capture and automatic bookmarking of current procedure steps. In Phase II of the project, S&K Aerospace developed a Procedure Representation Language (PRL) and tools to support the creation and maintenance of electronic procedures for medical operations. The goal is to develop these tools in such a way that new advances can be inserted easily, leading to an eventual medical decision support system.

  16. Medical muddle.

    Science.gov (United States)

    Gartrell, Nanette

    2014-01-01

    Nanette Gartrell, MD, is a psychiatrist and researcher whose investigations have documented the mental health and psychological well-being of lesbian, gay, bisexual, and transgender (LGBT) people over the past four decades. Nanette is the principal investigator of an ongoing longitudinal study of lesbian families in which the children were conceived by donor insemination. Now in its 27th year, this project has been cited internationally in the debates over equality in marriage, foster care, and adoption. Previously on the faculty at Harvard Medical School and the University of California, San Francisco, Nanette is currently a Visiting Distinguished Scholar at the Williams Institute, UCLA School of Law. In 2013, Nanette received the Association of Women Psychiatrists Presidential Commendation Award for "selfless and enduring vision, leadership, wisdom, and mentorship in the fields of women's mental health, ethics, and gender research." At the age of 63, Nanette experienced a 3 ½ month period of intractable, incapacitating dizziness for which there was never a clear diagnosis.

  17. Effects of dairy intake on weight maintenance

    Directory of Open Access Journals (Sweden)

    Sun Xiaocun

    2008-10-01

    Full Text Available Abstract Background To compare the effects of low versus recommended levels of dairy intake on weight maintenance and body composition subsequent to weight loss. Design and Methods Two site (University of Kansas-KU; University of Tennessee-UT, 9 month, randomized trial. Weight loss was baseline to 3 months, weight maintenance was 4 to 9 months. Participants were maintained randomly assigned to low dairy ( 3 servings/d diets for the maintenance phase. Three hundred thirty eight men and women, age: 40.3 ± 7.0 years and BMI: 34.5 ± 3.1, were randomized; Change in weight and body composition (total fat, trunk fat from 4 to 9 months were the primary outcomes. Blood chemistry, blood pressure, resting metabolism, and respiratory quotient were secondary outcomes. Energy intake, calcium intake, dairy intake, and physical activity were measured as process evaluation. Results During weight maintenance, there were no overall significant differences for weight or body composition between the low and recommended dairy groups. A significant site interaction occurred with the low dairy group at KU maintaining weight and body composition and the low dairy group at UT increasing weight and body fat. The recommended dairy group exhibited reductions in plasma 1,25-(OH2-D while no change was observed in the low dairy group. No other differences were found for blood chemistry, blood pressure or physical activity between low and recommended dairy groups. The recommended dairy group showed significantly greater energy intake and lower respiratory quotient compared to the low dairy group. Conclusion Weight maintenance was similar for low and recommended dairy groups. The recommended dairy group exhibited evidence of greater fat oxidation and was able to consume greater energy without greater weight gain compared to the low dairy group. Recommended levels of dairy products may be used during weight maintenance without contributing to weight gain compared to diets low

  18. Maintenance work on CERN mobile phone services

    CERN Multimedia

    2007-01-01

    Maintenance work on the CERN GSM services will be carried out by our mobile operator, Sunrise, from 8.00 p.m. on 25 June to 1 a.m. on 26 June. External calls from CERN mobile phones using the 333 prefix may be disrupted for 30 minutes during this time. Other type of calls, e.g. mobile to mobile or mobile to CERN fixed phones, will not be affected. Should you have any questions regarding this maintenance operation, please contact the switchboard by phone (76111) or e-mail (standard.telephone@cern.ch) Telecom Section IT/CS

  19. Outage maintenance checks on large generator windings

    Energy Technology Data Exchange (ETDEWEB)

    Nindra, B.; Jeney, S.I.; Slobodinsky, Y. [National Electric Coil, Columbus, OH (United States)

    1995-12-31

    In the present days of austerity, more constraints and pressures are being brought on the maintenance engineers to certify the generators for their reliability and life extension. The outages are shorter and intervals between the outages are becoming longer. The annual outages were very common when utilities had no regulatory constraints and also had standby capacities. Furthermore, due to lean and mean budgets, outage maintenance programs are being pursued more aggressively, so that longer interval outages can be achieved to ensure peak generator performance. This paper will discuss various visual checks, electrical tests and recommended fixes to achieve the above mentioned objectives, in case any deficiencies are found.

  20. ATLAS Maintenance and Operation management system

    CERN Multimedia

    Copy, B

    2007-01-01

    The maintenance and operation of the ATLAS detector will involve thousands of contributors from 170 physics institutes. Planning and coordinating the action of ATLAS members, ensuring their expertise is properly leveraged and that no parts of the detector are understaffed or overstaffed will be a challenging task. The ATLAS Maintenance and Operation application (referred to as Operation Task Planner inside the ATLAS experiment) offers a fluent web based interface that combines the flexibility and comfort of a desktop application, intuitive data visualization and navigation techniques, with a lightweight service oriented architecture. We will review the application, its usage within the ATLAS experiment, its underlying design and implementation.

  1. Multiple Learning Strategies Project. Medical Assistant. Visually Impaired. [Vol. 1.

    Science.gov (United States)

    Varney, Beverly; And Others

    This instructional package, one of two designed for visually impaired students, focuses on the vocational area of medical assistant. Contained in this document are twelve learning modules organized into five units: language; receptioning; asepsis; supplies and equipment maintenance; and diagnostic tests. Each module, printed in block type,…

  2. Knowledge and stigma regarding methadone maintenance treatment among personnel of methadone maintenance treatment and non-methadone maintenance treatment addiction facilities in Israel.

    Science.gov (United States)

    Shidlansik, Lia; Adelson, Miriam; Peles, Einat

    2017-01-01

    Stigma attached to methadone maintenance treatment is very common. The objective of the current article is to evaluate the presence of stigma and its relation to the extent of knowledge about methadone maintenance treatment. The authors conducted a survey among methadone maintenance treatment and non-methadone maintenance treatment addiction therapists from different treatment centers in Israel, including methadone maintenance treatment clinics (Ministry of Health) and non-methadone maintenance treatment addiction facilities (Ministry of Social Services), using an anonymous questionnaire about methadone maintenance treatment stigma and knowledge. There were 63 therapists from methadone maintenance treatment clinics (63%) and 46 therapists from the social services department (SSD) non-methadone maintenance treatment addiction facilities (9.2%) who responded. Methadone maintenance treatment versus social services department personnel were older (42.7 ± 12.8 versus 37.5 ± 8.2 years; p = 0.03), with fewer females (48 versus 75%; p = 0.006), and 50% were social workers compared to 100% social workers in the SSD group (p maintenance treatment personnel compared to the social services department personnel (3 ± 2.5 versus 5.0 ± 3.5; p = 0.0001), while the knowledge score about methadone maintenance treatment was higher among the methadone maintenance treatment personnel (10.3 ± 2.9 versus 7.7 ± 2.8; p maintenance treatment (R = -0.5, p maintenance treatment, with ignorance and stigma against methadone maintenance treatment being more pronounced among social services department personnel. An educational intervention, especially among social services department personnel, may benefit people who use opioids and improve the overall quality of treatment for opioid addiction in Israel.

  3. Information-Based Maintenance Optimization with Focus on Predictive Maintenance (Informatiegebaseerde onderhoudsoptimalisatie met focus op predictief onderhoud)

    OpenAIRE

    Van Horenbeek, Adriaan

    2013-01-01

    This dissertation presents an information-based maintenance optimization methodology for physical assets; with focus on, but not limited to, predictive maintenance (PdM). The overall concept of information-based maintenance is that of updating maintenance decisions based on evolving knowledge of operation history and anticipated usage of the machinery, as well as the physics and dynamics of material degradation in critical machinery components. Within this concept, predictive maintenance is a...

  4. Turkish Medical Information System and Medical Librarianship

    Directory of Open Access Journals (Sweden)

    Huriye Çolaklar

    2010-01-01

    Full Text Available In Turkey, medical information is supported at state level according to national policies. However, although the history of medical libraries in Turkey goes back to the 13th century in Anatolia, modern medical library applications adopted since the 1950s have not received much state support. In the past thirteen years a few medical libraries joined forces under ÜNAK (the Association of University and Research Librarians to contribute to the organization and development of Turkish Medical Information through the establishment of a "Medical Working Group" in 2000.

  5. Maintenance Chemotherapy of Stage Ⅲ Epithelial Ovarian Carcinoma-Focusing on Individualized Maintenance Chemotherapy

    Institute of Scientific and Technical Information of China (English)

    Xiaodong Zhao; Yi Zhang; Qiao Zhang

    2005-01-01

    OBJECTIVE To investigate the role of maintenance chemotherapy on stage Ⅲ ovarian carcinoma.METHODS A retrospective analysis was conducted of 47 stage Ⅲ ovarian carcinoma patients with clinical complete remission after first-line chemotherapy. Among these patients, 21 cases were treated with maintenance chemotherapy, while the other 26 cases were free of treatment until progression. The 2 groups were compared with respect to progression-free survival (PFS) and overall survival(OS).RESULTS The median PFS and OS were not significantly different between the 2 groups. For those patients, in a subgroup of suboptimal surgery (residual disease >2 cm), the median PFS was 110 weeks and 56 weeks and the median OS was 223 weeks and 157 weeks for the maintenance and non-treated respectively. Both PFS and OS values favoured the maintenance group, P=0.004 and P=0.015 respectively. In a subgroup of optimal surgery (residual disease ≤2 cm), the differences were not significant.CONCLUSION Patients with stage Ⅲ ovarian carcinoma with clinical complete remission may benefit from maintenance chemotherapy, if the residual disease is >2 cm. To those with a residual disease ≤2 cm, the maintenance chemotherapy maybe of no value. So "individualized maintenance chemotherapy" should be conducted in the clinical setting.

  6. Educational technology in medical education.

    Science.gov (United States)

    Han, Heeyoung; Resch, David S; Kovach, Regina A

    2013-01-01

    This article aims to review the past practices of educational technology and envision future directions for medical education. The discussion starts with a historical review of definitions and perspectives of educational technology, in which the authors propose that educators adopt a broader process-oriented understanding of educational technology. Future directions of e-learning, simulation, and health information technology are discussed based on a systems view of the technological process. As new technologies continue to arise, this process-oriented understanding and outcome-based expectations of educational technology should be embraced. With this view, educational technology should be valued in terms of how well the technological process informs and facilitates learning, and the acquisition and maintenance of clinical expertise.

  7. Planning and control of maintenance systems modelling and analysis

    CERN Document Server

    Duffuaa, Salih O

    2015-01-01

    Analyzing maintenance as an integrated system with objectives, strategies and processes that need to be planned, designed, engineered, and controlled using statistical and optimization techniques, the theme of this book is the strategic holistic system approach for maintenance. This approach enables maintenance decision makers to view maintenance as a provider of a competitive edge not a necessary evil. Encompassing maintenance systems; maintenance strategic and capacity planning, planned and preventive maintenance, work measurements and standards, material (spares) control, maintenance operations and control, planning and scheduling, maintenance quality, training, and others, this book gives readers an understanding of the relevant methodology and how to apply it to real-world problems in industry. Each chapter includes a number exercises and is suitable as a textbook or a reference for a professionals and practitioners whilst being of interest to industrial engineering, mechanical engineering, electrical en...

  8. Payment mechanisms for winter road maintenance services

    Directory of Open Access Journals (Sweden)

    Adel Abdi

    2013-12-01

    Full Text Available In countries with severe winters a major part of the annual budget for road maintenance is allocated on performance of winter road maintenance tasks. Finding appropriate remuneration forms to compensate entrepreneurs for performed road measures during winter is not an easy task in order to minimise or eliminate disputes and satisfy both client organisations and contractors. On the other hand improper reimbursement models lead either to the client’s annual budget imbalance due to unnecessary cost overruns or affect contractor’s cash-flow. Such cases in turn affect just-in-time winter road maintenance and then traffic safety. To solve such problems, a number of countries in cold regions like Sweden have developed different remuneration models based more on weather data called Weather Index. Therefore the objective of this paper is to investigate and evaluate the payment models applied in Sweden. The study uses a number of approaches namely; domestic questionnaire survey, analysis of a number of contract documents, a series of meetings with the project managers and an international benchmarking. The study recognised four remuneration models for winter maintenance service of which one based on weather data statistics. The study reveals the payment model based on weather data statistics is only applied for the roads with higher traffic flow and the model generates most uncertainty.

  9. LHC Report: The machine under maintenance

    CERN Multimedia

    Katy Foraz for the LHC Team

    2012-01-01

    The LHC Christmas break started on 12 December. Since then, teams have been working hard to complete all the maintenance work planned to ensure the reliable operation of the LHC in 2012.   Installation of shielding at Point 1. The maintenance work is being carried out on key infrastructure such as the cooling, ventilation, electricity and safety systems. Maintenance work is being carried out not just in the LHC but also across the whole accelerator complex, which makes planning the work even more complicated. At the time of going to print, 50% of the cryogenics system maintenance has been finished, which, according to the schedule, will allow the LHC teams to start cooling down the first sectors next week to have the entire machine cold by the end of February. A lot of activity is going on in order to mitigate the effects of radiation on equipment installed in the LHC tunnel and underground areas during 2012 operation. To this end, teams have installed additional shielding at Point 1 (see ph...

  10. Maintenance and fabrication of electronic equipment

    Energy Technology Data Exchange (ETDEWEB)

    Chung, Chong Eun; Moon, Byung Soo; Hong, Suk Boong; Kim, Jung Bok

    1999-12-01

    Providing technical support to the maintenance and repair problems of electronic instruments, we have assisted the research and development work, and reduced operation cost of the pilot plants in KAERI. In addition, we have improved the performance of the data processing system of RMS, and also modified the cyclic box using PLC which is a facility for airborne monitoring in radiation area. (author)

  11. Oil coastal tanker maintenance and availability

    Energy Technology Data Exchange (ETDEWEB)

    Goldsztejn, Eduardo; Gomez Haedo, Juan Carlos [Government' s Oil Company of Uruguay (ANCAP), Montivideo (Uruguay)

    2008-07-01

    ANCAP (Government's Oil Company of Uruguay) owns a 4000 DWT oil coastal tanker which is mainly used for oil transport in the River Plate, Uruguay and Parana rivers. Availability of the ship is critical because of shortage of available vessels in the region. Full maximum draught of the vessel is 4m , so it can navigate in very shallow waters as it is the case of some places in the Uruguay and Parana rivers. Although the ship was built in 1979, it is a complete double hull, powered by two twin main engines and propellers. Since 1994, several changes in maintenance management have been introduced, in order to increase the availability, thus increasing the total oil volume yearly transported. These changes affected several maintenance items and they also included a modification in the design of part of the cargo tank floors of the ship. As a result of these changes, an increase of 60% of the oil derivatives volume transported yearly was achieved. In this paper, some of the important improvements on maintenance practises and management are described, together with a quantification of their influence on vessel's availability and overall maintenance costs. (author)

  12. Migration Patterns and Language Maintenance in Paraguay.

    Science.gov (United States)

    Gynan, Shaw N.

    1998-01-01

    Discusses migration patterns and language maintenance in Paraguay, where the majority of the population are speakers of Guarani, an indigenous South American language. Careful examination of Paraguayan census data reveals that Spanish-Guarani bilingualism is not nearly as widespread as claimed. (Author/VWL)

  13. Women Members of Gyigyia Road Maintenance Team

    Institute of Scientific and Technical Information of China (English)

    CHEGANG

    2004-01-01

    The Sichuan-Tibet and Qinghai-Tibet Highways were built and open to traffic in1954. Today,the mileage of highways open to traffic reaches over 40,000 km. Thousands of maintenance workers have been working on them over the past 50 years.They include what we call iron-will women with the Gyiagyia road section team.

  14. Epigenetic Regulation of Memory Formation and Maintenance

    Science.gov (United States)

    Zovkic, Iva B.; Guzman-Karlsson, Mikael C.; Sweatt, J. David

    2013-01-01

    Understanding the cellular and molecular mechanisms underlying the formation and maintenance of memories is a central goal of the neuroscience community. It is well regarded that an organism's ability to lastingly adapt its behavior in response to a transient environmental stimulus relies on the central nervous system's capability for structural…

  15. Miramar College Program Evaluation: Aviation Maintenance.

    Science.gov (United States)

    Moriyama, Bruce; Brumley, Leslie

    Qualitative and quantitative data are presented in this evaluation of the curricular, personnel, and financial status of Miramar College's program in aviation maintenance. The report first provides the results of an interview with the program chairperson, which sought information on program objectives and goals and their determination, the extent…

  16. Community Maintenance Programs for Sexual Offenders

    Science.gov (United States)

    Youssef, Carollyne

    2013-01-01

    While optimism regarding the treatment of sexual offenders has increased over the past couple of decades, research into the factors that assist offenders in maintaining therapeutic changes remains in the dark. Maintenance programs for offenders, while theoretically appearing to have a solid place in offender rehabilitation, surprisingly have not…

  17. Language Maintenance: A Liberal-Egalitarian Approach

    Science.gov (United States)

    Lewis, Huw

    2013-01-01

    This paper will seek to determine what types of legislative or policy measures should be considered as morally acceptable ones for the state to implement as part of a language maintenance effort. It will approach the issue from a liberal-egalitarian perspective. As a first step, a series of normative constraints that liberal-egalitarians would…

  18. Preventive maintenance at opportunities of restricted duration

    NARCIS (Netherlands)

    R. Dekker (Rommert); E. Smeitink

    1994-01-01

    textabstractThis article deals with the problem of setting priorities for the execution of maintenance packages at randomly occurring opportunities. These opportunities are of restricted duration, implying that only a limited number of packages can be executed. The main idea proposed is to set up a

  19. Operation and maintenance of offshore wind farms

    DEFF Research Database (Denmark)

    Petersen, Kristian R.; Madsen, Erik Skov; Bilberg, Arne

    The offshore wind industry is booming and larger, more efficient wind-turbines have constantly been introduced into the market. However, research within the field of the operation and maintenance (O&M) of offshore wind farms is limited as the field is still immature. In this paper, two current...

  20. 40 CFR 610.52 - Maintenance.

    Science.gov (United States)

    2010-07-01

    ... lubrication, and oil filter changes, as specified in the original owner's manual, will be performed during... durability evaluation in this program will probably have considerable mileage accumulation and unknown maintenance prior to inclusion in the program, it can be anticipated that certain vehicle and engine...

  1. A process for risk-focused maintenance

    Energy Technology Data Exchange (ETDEWEB)

    Lofgren, E.V.; Cooper, S.E.; Kurth, R.E.; Phillips, L.B. (Science Applications International Corp., McLean, VA (USA))

    1991-03-01

    This report presents a process for focusing maintenance resources on components that enable nuclear plant systems to perform their essential functions and on components whose failure may initiate challenges to safety systems, so as to have the greatest impact in decreasing risk. The process provides criteria, based on risk, for deciding which components are critical to risk and determining what maintenance activities are required to ensure reliable operation of those risk-critical components. Two approaches are provided for selection of risk-critical components. One approach uses the results of a Probabilistic Risk Assessment (PRA); the other is based on the methodology developed for this report, which has a basis in PRA although it does not use the results of a PRA study. Following identification of risk-critical components, both approaches use a single methodology for determining what maintenance activities are required to ensure reliable operation of the identified components. The report also provides demonstrations of application of the two approaches to selection of risk-critical components and demonstrations of application of the methodology for determining what maintenance activities are required to an active standby safety system, a normally operating system, and passive components. 5 refs., 11 figs., 1 tab.

  2. Davis PV plant operation and maintenance manual

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1994-09-01

    This operation and maintenance manual contains the information necessary to run the Photovoltaics for Utility Scale Applications (PVUSA) test facility in Davis, California. References to more specific information available in drawings, data sheets, files, or vendor manuals are included. The PVUSA is a national cooperative research and demonstration program formed in 1987 to assess the potential of utility scale photovoltaic systems.

  3. Maintenance and fabrication of electronic equipment

    Energy Technology Data Exchange (ETDEWEB)

    Han, Kwang Soo; Jeong, Jong Eun; Park, Kwang Hyeon; Hong, Suk Bong; Moon, Je Sun; Choi, Myeong Jin; Kim, Seung Bok; Kim, Jeong Bok [Korea Atomic Energy Research Institute, Taejon (Korea, Republic of)

    1994-12-01

    Solving the maintenance and repair problems of electronic instruments, we have supported the research and development work, and reduced operation costs of the pilot plants in KAERI. In addition, we have imposed the maintainability of instruments to use effectively. 15 tabs., 14 figs., 14 refs. (Author) .new.

  4. Improving human performance in maintenance personnel

    Energy Technology Data Exchange (ETDEWEB)

    Gonzalez Anez, Francisco [Maintenance Training Centre, TECNATOM, S.A, Avd. Montes de Oca, 1. 28709-San Sebastian de los Reyes, Madrid (Spain); Agueero Agueero, Jorge [Technologic Institute, TECNATOM, S.A, Avd. Montes de Oca, 1. 28709-San Sebastian de los Reyes, Madrid (Spain)

    2010-07-01

    The continuous evolution and improvement of safety-related processes has included the analysis, design and development of training plans for the qualification of maintenance nuclear power plant personnel. In this respect, the international references in this area recommend the establishment of systematic qualification programmes for personnel performing functions or carrying out safety related tasks. Maintenance personnel qualification processes have improved significantly, and training plans have been designed and developed based on Systematic Approach to Training methodology to each job position. These improvements have been clearly reflected in recent training programmes with new training material and training facilities focused not only on developing technical knowledge and skills but also on improving attitudes and safety culture. The objectives of maintenance training facilities such as laboratories, mock-ups real an virtual, hydraulic loops, field simulators and other training material to be used in the maintenance training centre are to cover training necessities for initial and continuous qualification. Evidently, all these improvements made in the qualification of plant personnel should be extended to include supplemental personnel (external or contracted) performing safety-related tasks. The supplemental personnel constitute a very spread group, covering the performance of multiple activities entailing different levels of responsibility. Some of these activities are performed permanently at the plant, while others are occasional or sporadic. In order to establish qualification requirements for these supplemental workers, it is recommended to establish a rigorous analysis of job positions and tasks. The objective will be to identify the qualification requirements to assure competence and safety. (authors)

  5. Industrial Maintenance. Ohio's Competency Analysis Profile.

    Science.gov (United States)

    Ohio State Univ., Columbus. Vocational Instructional Materials Lab.

    Developed through a modified DACUM (Developing a Curriculum) process involving business, industry, labor, and community agency representatives in Ohio, this document is a comprehensive and verified employer competency profile for industrial maintenance occupations. The list contains units (with and without subunits), competencies, and competency…

  6. Industrial Maintenance Technology. Technical Committee Report.

    Science.gov (United States)

    Idaho State Dept. of Education, Boise. Div. of Vocational Education.

    This Technical Committee Report prepared by industry representatives in Idaho lists the skills currently necessary for an employee in that state to obtain a job in industrial maintenance technology, retain a job once hired, and advance in that occupational field. (Task lists are grouped according to duty areas generally used in industry settings,…

  7. ICD Complex Operations and Maintenance Plan

    Energy Technology Data Exchange (ETDEWEB)

    Gibson, P. L.

    2007-06-25

    This Operations and Maintenance (O&M) Plan describes how the Idaho National Laboratory (INL) conducts operations, winterization, and startup of the Idaho CERCLA Disposal Facility (ICDF) Complex. The ICDF Complex is the centralized INL facility responsible for the receipt, storage, treatment (as necessary), and disposal of INL Comprehensive Environmental Response, Compensation and Liability Act (CERCLA) remediation waste.

  8. Korean Heritage Language Maintenance and Language Ideology

    Science.gov (United States)

    Jeon, Mihyon

    2008-01-01

    This paper explores ways in which language ideology is linked to maintenance of Korean as a heritage language by Koreans in America. The data for this ethnographic study come from three separate sources: 1) a Korean language program at an American university; 2) a community-based ESL program for Korean seniors; and 3) a recently immigrated Korean…

  9. Integrated maintenance planning in manufacturing systems

    CERN Document Server

    Al-Turki, Umar M; Yilbas, Bekir Sami; Sahin, Ahmet Ziyaettin

    2014-01-01

    This book introduces the concept of integrated planning for maintenance and production taken into account quality and safety for high global socio-economic impact. It provides insight into the planning process at a global level starting from the business level and ending with the operational level where the plan is implemented and controlled.

  10. MODERN APPROACHES IN THE INDUSTRIAL MAINTENANCE MANAGEMENT - THE CONDITIONAL TYPE MAINTENANCE

    Directory of Open Access Journals (Sweden)

    IOAN CUCU

    2010-01-01

    Full Text Available Modern solutions from the industrial type management consist in using informational systems, sustained by means of measure and control of the main equipments from the technological flow. The paper presents several solutions in applying management in the conditional type maintenance activity. Conditions for a optimal work flow specific to this type of maintenance assume covering several analysis phases and the systematic examination of the range of means of measure and control. Application of Informatics in the conditional type maintenance also implies using methods for deploying systems of technological equipments work pursuit, taking into consideration the complexity of the means used and the deployment and using costs.

  11. Guidelines for maintenance treatment of childhood asthma: development of a score card system by multivariate cluster analysis.

    Science.gov (United States)

    Donnelly, W J; Donnelly, J E; Thong, Y H

    1987-01-01

    Multivariate cluster analysis of data on 128 asthmatic children resulted in the identification of 8 major discriminating variables. Stepwise divisions by this computer programme resulted in the formation of 6 grades of severity. There was significant correlation between higher grades of severity and early onset of the disease (P less than 0.02). There was also significant correlation between higher grades of severity and greater use of interval medications (P less than 0.002). However, 27.3% were receiving inadequate interval medications in respect of their grade of severity. Assignation of a 5-point scale to each of the 8 major discriminating variables resulted in the generation of computer-designated scores commensurate with each grade of severity. This was coupled to current recommendations for stepwise maintenance medications appropriate for each grade. This Score Card system for maintenance management of childhood asthma may prove useful in busy clinical settings.

  12. Cost-Effectiveness of Maintenance Hemodialysis in Japan.

    Science.gov (United States)

    Takura, Tomoyuki; Nakanishi, Takeshi; Kawanishi, Hideki; Nitta, Kosaku; Akizawa, Tadao; Hiramatsu, Makoto; Kawasaki, Tadayuki; Kukita, Kazutaka; Soejima, Hidehisa; Hirakata, Hideki; Yoshida, Toyohiko; Miyamoto, Takashi; Takahashi, Susumu

    2015-10-01

    The cost-effectiveness according to primary disease or dialysis duration has never been analyzed with respect to maintenance hemodialysis (MHD). Study candidates were > 20 years of age and had received hemodialysis for at least 6 months. Hemodialysis patients were prospectively observed for 36 months, and patient utility was assessed based on the Euro-QOL 5-dimensions (EQ-5D), from which the quality adjusted life years (QALYs) were estimated. Medical costs were calculated based on medical service fees. The cost-effectiveness defined as the incremental cost utility ratio (ICUR) was analyzed from a social perspective. A total of 29 patients (mean age; 59.9 ± 13.1 years) undergoing 437 dialysis sessions were analyzed. Utility based upon the EQ-5D score was 0.75 ± 0.21, and the estimated total medical cost for one year of MHD treatment was 4.52 ± 0.88 US$10 000. ICUR was 6.88 ± 4.47 US$10 000/QALY on average, and when comparing ICUR based on the causes of kidney failure, the value for diabetic nephropathy was found to be higher than that for glomerulonephritis (8.17 ± 6.28 vs. 6.82 ± 4.07). ICUR after 36 months observation increased mainly in the patients below 65 years of age (All; P MHD is a treatment that could improve the socioeconomic state of elderly patients with end-stage kidney disease (ESKD), but the ICUR for diabetic nephropathy was higher than that for glomerulonephritis.

  13. Association between adherence to medications for COPD and medications for other chronic conditions in COPD patients

    Science.gov (United States)

    Dhamane, Amol D; Schwab, Phil; Hopson, Sari; Moretz, Chad; Annavarapu, Srinivas; Burslem, Kate; Renda, Andrew; Kaila, Shuchita

    2017-01-01

    Background Patients with COPD often have multiple comorbidities requiring use of multiple medications, and adherence rates for maintenance COPD (mCOPD) medications are already known to be suboptimal. Presence of comorbidities in COPD patients, and use of medications used to treat those comorbidities (non-COPD medications), may have an adverse impact on adherence to mCOPD medications. Objective The objective of the study was to evaluate the association between non-adherence to mCOPD medications and non-COPD medications in COPD patients. Methods COPD patients were identified using a large administrative claims database. Selected patients were 40–89 years old and continuously enrolled for 12 months prior to and 24 months after the first identified COPD diagnosis (index date) during January 1, 2009 to December 31, 2010. Patients were required to have ≥1 prescription for a mCOPD medication within 365 days of the index date and ≥1 prescription for one of 12 non-COPD medication classes within ±30 days of the first COPD prescription. Adherence (proportion of days covered [PDC]) was measured during 365 days following the first COPD prescription. The association between non-adherence (PDC <0.8) to mCOPD and non-adherence to non-COPD medications was determined using logistic regression, controlling for baseline patient characteristics. Results A total of 14,117 patients, with a mean age of 69.9 years, met study criteria. Of these, 40.9% were males and 79.2% were non-adherent to mCOPD medications with a mean PDC of 0.47. Non-adherence to mCOPD medications was associated with non-adherence to 10 of 12 non-COPD medication classes (odds ratio 1.38–1.78, all P<0.01). Conclusion Adherence to mCOPD medications is low. Non-adherence (or adherence) to mCOPD medications is positively related to non-adherence (or adherence) to non-COPD medications, implying that the need to take medications prescribed for comorbid conditions does not adversely impact adherence to m

  14. Medical alert bracelet (image)

    Science.gov (United States)

    People with diabetes should always wear a medical alert bracelet or necklace that emergency medical workers will be able to find. Medical identification products can help ensure proper treatment in an ...

  15. Implantable Medical Devices

    Science.gov (United States)

    ... Artery Disease Venous Thromboembolism Aortic Aneurysm More Implantable Medical Devices Updated:Sep 16,2016 For Rhythm Control ... a Heart Attack Introduction Medications Surgical Procedures Implantable Medical Devices • Life After a Heart Attack • Heart Attack ...

  16. When Medication Is Prescribed

    Science.gov (United States)

    ... page please turn Javascript on. Feature: Depression When Medication Is Prescribed Past Issues / Fall 2009 Table of ... you have about the medicine. —NIMH Types of Medications There are several types of medications used to ...

  17. Medication Use during Pregnancy

    Science.gov (United States)

    ... What's this? Submit Button Past Emails CDC Features Medication Use During Pregnancy Recommend on Facebook Tweet Share ... are taking only medications that are necessary. What Medications Can Cause Birth Defects? We know that taking ...

  18. Management of medical records: facts and figures for surgeons.

    Science.gov (United States)

    Bali, Amit; Bali, Deepika; Iyer, Nageshwar; Iyer, Meenakshi

    2011-09-01

    Medical records are the document that explains all detail about the patient's history, clinical findings, diagnostic test results, pre and postoperative care, patient's progress and medication. If written correctly, notes will support the doctor about the correctness of treatment. Inspite of knowing the importance of proper record keeping in India, it is still in the initial stages. Medical records are the one of the most important aspect on which practically almost every medico-legal battle is won or lost. This article discusses the various aspect of record maintenance.

  19. Autonomous and professional maintenance in metallurgical enterprise as activities within total productive maintenance

    OpenAIRE

    2014-01-01

    The content of this publication consists of notions connected with Total Productive Maintenance (TPM) in metallurgical enterprise. The basic areas of devices condition management through Autonomous and Professional Maintenance are described here. Mentioned areas of activities are performed in metallurgical enterprise ArcelorMittal Poland within pillars of World Class Manufacturing (WCM). The aims of UR programs are to maintain the basic functionality of the devices and decrease the number of ...

  20. Autonomous and professional maintenance in metallurgical enterprise as activities within total productive maintenance

    Directory of Open Access Journals (Sweden)

    B. Gajdzik

    2014-04-01

    Full Text Available The content of this publication consists of notions connected with Total Productive Maintenance (TPM in metallurgical enterprise. The basic areas of devices condition management through Autonomous and Professional Maintenance are described here. Mentioned areas of activities are performed in metallurgical enterprise ArcelorMittal Poland within pillars of World Class Manufacturing (WCM. The aims of UR programs are to maintain the basic functionality of the devices and decrease the number of failures in order to reach improvement of production efficiency.

  1. MODERN APPROACHES IN THE INDUSTRIAL MAINTENANCE MANAGEMENT - THE CONDITIONAL TYPE MAINTENANCE

    OpenAIRE

    IOAN CUCU; CIPRIAN IOAN CUCU; MARIA-ELENA BOATCĂ

    2010-01-01

    Modern solutions from the industrial type management consist in using informational systems, sustained by means of measure and control of the main equipments from the technological flow. The paper presents several solutions in applying management in the conditional type maintenance activity. Conditions for a optimal work flow specific to this type of maintenance assume covering several analysis phases and the systematic examination of the range of means of measure and control. Application of ...

  2. Survey of methadone-drug interactions among patients of methadone maintenance treatment program in Taiwan

    Directory of Open Access Journals (Sweden)

    Lee Hsin-Ya

    2012-03-01

    Full Text Available Abstract Background Although methadone has been used for the maintenance treatment of opioid dependence for decades, it was not introduced in China or Taiwan until 2000s. Methadone-drug interactions (MDIs have been shown to cause many adverse effects. However, such effects have not been scrutinized in the ethnic Chinese community. Methods The study was performed in two major hospitals in southern Taiwan. A total of 178 non-HIV patients aged ≥ 20 years who had participated in the Methadone Maintenance Treatment Program (MMTP ≥ 1 month were recruited. An MDI is defined as concurrent use of drug(s with methadone that may result in an increase or decrease of effectiveness and/or adverse effect of methadone. To determine the prevalence and clinical characteristics of MDIs, credible data sources, including the National Health Insurance (NHI database, face-to-face interviews, medical records, and methadone computer databases, were linked for analysis. Socio-demographic and clinical factors associated with MDIs and co-medications were also examined. Results 128 (72% MMTP patients took at least one medication. Clinically significant MDIs included withdrawal symptoms, which were found among MMTP patients co-administered with buprenorphine or tramadol; severe QTc prolongation effect, which might be associated with use of haloperidol or droperidol; and additive CNS and respiratory depression, which could result from use of methadone in combination with chlorpromazine or thioridazine. Past amphetamine use, co-infection with hepatitis C, and a longer retention in the MMTP were associated with increased odds of co-medication. Among patients with co-medication use, significant correlates of MDIs included the male gender and length of co-medication in the MMTP. Conclusions The results demonstrate clinical evidence of significant MDIs among MMTP patients. Clinicians should check the past medical history of MMTP clients carefully before prescribing medicines

  3. Medications (for IBS)

    Medline Plus

    Full Text Available ... Anthony J. Lembo, MD, Instructor of Medicine, Harvard Medical School; Division of Gastroenterology, Beth Israel Deaconess Medical Center, Boston, MA. Last modified on February 23, ...

  4. HRCT findings of asthmatic children under maintenance therapy

    Energy Technology Data Exchange (ETDEWEB)

    Hong, Hyun Sook; Park, Jai Soung; Goo, Dong Erk; Lee, Hae Kyung; Kwon, Kui Hyang; Choi, Deuk Lin; Pyun, Bok Yang [Soonchunhyang University Hospital, Seoul (Korea, Republic of)

    2000-05-01

    The purpose of this study was to evaluate the HRCT findings of bronchial asthma during maintenance bronchodilator therapy and to determine whether there were irreversible bronchial changes occurred in pediatric patients with this condition. HRCT findings of the lung in 21 asthmatic children (14 boys and 7 girls aged between 3.5 and 13.8 (mean: 7.7) years) who were receiving maintenance bronchodilator therapy were retrospectively studied. At the time of CT examination, 16 were receiving nonsteroid bronchodilator therapy only, and five were receiving both bronchodilator and steroid therapy. Thirteen patients were defined as allergic and eight were nonallergic. The clinical severity of chronic asthma was graded as severe in seven cases, and moderate in 14. The duration of the disease ranged from 4 months to 6 years (mean 3.2 years). HRCT was performed in 19 cases for evaluation of the atelectasis, hyperinflation, and prominent bronchovascular bundles seen on plain radiographs, and in two cases for evaluation following acute exacerbation. A CT W-2000 scanner (Hitachi Medical Co. Tokyo, Japan) was used during the end inspiratory phase, and in addition, ten patients were scanned during the expiratory phase. Scans were reviewed for evidence of bronchial thickening, bronchiectasis, emphysema, abnormal density, mucus plugs, and other morphological abnormalities. The presence of bronchial wall thickening or air trapping was evaluated according to the duration, severity and type of asthma. Among the 21 patients, 7 (33.3%) had normal HRCT findings, while in 14 (66.7%), bronchial wall thickening was demonstrated. Eleven of the 14 patients with bronchial wall thickening(78.6%) also had air trapping. No patient was suffering from bronchiectasis or emphysema. There were no statistically significant correlations between the presence of bronchial wall thickening or air trapping and the duration of the disease, its severity, or type of asthma. There was, however, a statistically

  5. [Medical therapy of inflammatory bowel diseases: Crohn's disease].

    Science.gov (United States)

    Lakatos, László; Lakatos, Péter László

    2007-06-17

    The therapy of inflammatory bowel diseases is based on 5-aminosalicylates (5-ASAs) that are the forefront of treatment of mild-to-moderate active disease and maintenance; steroids are used for the treatment of moderate-to-severe active disease; immunosuppressives and sometimes antibiotics in moderate-to-severe disease; maintenance and for the treatment of selected complications. The last few years have witnessed a significant change in the treatment of Crohn's disease. Based on evidence from new clinical studies and recent meta-analyses, the role of and indications for conventional therapy have been reassessed. The 5-ASAs are nowadays less frequently used in both active disease and maintenance therapy. Instead, budesonide has been introduced in the treatment of mild-to-moderate ileal disease. Besides the modest use of 5-ASAs, steroids are prescribed for active colonic disease. Immunosuppressives, especially azathioprine, are more commonly used in moderate-to-severe disease as well as in maintenance. The preferred maintenance regimen following medically- and surgically-induced remission, in addition to relationship between medical and surgical therapies, has also changed. The recent introduction of new "biological" therapy represents a major, promising change in the therapy of resistant and penetrating disease.

  6. Analysis of Medical Equipment Management in Relation to the Mandatory Medical Equipment Safety Manager (MESM in Japan

    Directory of Open Access Journals (Sweden)

    Kai Ishida

    2014-01-01

    Full Text Available Half a decade has passed since the fifth revision of the medical law and mandatory appointment of a medical equipment safety manager (MESM in hospitals in Japan. During this period, circumstances have changed regarding maintenance of medical equipment (ME. We conducted a survey to examine these changes and the current situation in ME management. Maintenance of ME and related work were found to have increased in many hospitals, but the number of clinical engineering technologists (CETs has only slightly increased. The appointed MESM was a CET or physician in most hospitals. In hospitals where physicians were appointed as the MESM, 81% had operation managers. Many respondents commented that it was difficult for one person to cover all the tasks required by the MESM, due to a lack of knowledge, too much work, or other reasons. This suggests the importance of an operation manager for ME to work under the MESM.

  7. 46 CFR 131.545 - Maintenance in general.

    Science.gov (United States)

    2010-10-01

    ...) Instructions for maintenance and repair. (3) A schedule of periodic maintenance. (4) A diagram of lubrication... OCMI may accept, instead of the instructions required by paragraph (a) of this section, a program...

  8. Estimated Annual Maintenance Costs for Educational Facilities in Eritrea

    DEFF Research Database (Denmark)

    Vagnby, Bo Hellisen

    Global estimated annual costs for undertaking basic maintenance of all educational facilities in Eritrea.......Global estimated annual costs for undertaking basic maintenance of all educational facilities in Eritrea....

  9. 14 CFR 91.1423 - CAMP: Maintenance organization.

    Science.gov (United States)

    2010-01-01

    ... Operations Program Management § 91.1423 CAMP: Maintenance organization. (a) Each program manager who... maintenance, or alterations, must organize the performance of those functions so as to separate the...

  10. Productivity in Software Maintenance Multicultural Teams

    Directory of Open Access Journals (Sweden)

    Mircea PRODAN

    2014-04-01

    Full Text Available Software maintenance has been and remains a significant part of the information technology business, no matter if you we are referring to legacy software, SAP, cloud or mobile applications. In the latest ten years we have witnessed a massive move of IT jobs into countries like India, Philippines, Brazil and Romania which generated a high degree of multicultural diversity. In this context it could have an impact on team overall productivity. A significant part of the software lifecycle budget varying from 40% to 70% is spent in the maintenance phase, from where there is a high interest in continuous increase of productivity both from the client and the supplier. Through this paper we are proposing to analyze previous written literature on this topic and use the experience in multicultural IT environment, as well as providing a fresh view of the factors contributing to higher level of performance.

  11. OPTIMAL MAINTENANCE AND REPLACEMENT OF EXTRACTION MACHINERY

    Institute of Scientific and Technical Information of China (English)

    Suresh P.SETHI; Hong-Mo YEH; Rong ZHANG; Andrew K.S.JARDINE

    2008-01-01

    This paper considers a problem of optimal preventive maintenance and replacement schedule ofequipment devoted to extracting resources from known deposits. Typical examples are oil drills, mine shovels, etc. At most one replacement of the existing machinery by a new one is allowed. The problem is formulated as an optimal control problem subject to the state constraint that the remaining deposit at any given time is nonnegative. We show that the optimal preventive maintenance, production rates, and the replacement and salvage times of the existing machinery and the new one, if required, can be obtained by solving sequentially a series of free-end-point optimal control problems. Moreover, an algorithm based on this result is developed and used to solve two illustrative examples.

  12. Dynamic environment for training for maintenance

    Energy Technology Data Exchange (ETDEWEB)

    Sanchez, F.; Gonzalez, F.; Marti, F. [Tecnatom, s.a., Madrid (Spain)

    2001-07-01

    The governing board of TECNATOM approved a project for creating a maintenance training center in 1995. The objective was to cover training necessities identified in the maintenance area, mainly in issues related with continuous training, recycling and professional development. A team of instructors in the 3 specialties: mechanical, electrical and instrumentation, was selected. Written training material has been developed. New facilities and adequate mock-ups for training has been acquired, more than 100 didactical units have been developed. The mock-ups are real components from nuclear power plants, they have been adapted to fulfill the didactical function. New courses and mock-ups are being developed as new customer necessities are being identified. (A.C.)

  13. Proceedings of FED remote maintenance equipment workshop

    Energy Technology Data Exchange (ETDEWEB)

    Sager, P.; Garin, J.; Hager, E.R.; Spampinato, P.T.; Tobias, D.; Young, N.

    1981-11-01

    A workshop was convened in two sessions in January and March 1981, on the remote maintenance equipment for the Fusion Engineering Device (FED). The objectives of the first session were to familiarize the participants with the status of the design of the FED and to develop a remote maintenance equipment list for the FED. The objective of the second session was to have the participants present design concepts for the equipment which had been identified in the first session. The equipment list was developed for general purpose and special purpose equipment. The general purpose equipment was categorized as manipulators and other, while the special purpose equipment was subdivided according to the reactor subsystem it serviced: electrical, magnetic, and nuclear. Both mobile and fixed base manipulators were identified. Handling machines were identified as the major requirement for special purpose equipment.

  14. Cost-effectiveness of budesonide/formoterol for maintenance and reliever asthma therapy in Denmark--cost-effectiveness analysis based on five randomised controlled trials

    DEFF Research Database (Denmark)

    Wickstrøm, Jannie; Dam, Nanna; Malmberg, Irena;

    2009-01-01

    Budesonide/formoterol maintenance and reliever therapy (Symbicort SMART) is an effective asthma-management regime where patients use budesonide/formoterol both as maintenance treatment and as additional doses as needed to improve overall asthma control by reducing symptoms and exacerbations....... The aim of this study was to determine the cost-effectiveness of the Symbicort SMART regime in Denmark vs higher dose inhaled corticosteroid (ICS) plus reliever medication, similar dose inhaled corticosteroid/long-acting beta(2)-agonist (ICS/LABA) combination therapy plus reliever medication or higher...

  15. KC-46 Workforce Requirements for Depot Maintenance Activation

    Science.gov (United States)

    2014-03-27

    based and encompasses responses from maintenance experts in eight organizations. Four are third party MROs , three are airline MROs and the remaining...Development Document MRO : Maintenance Repair & Overhaul MSG-1,-2,-3: Maintenance Steering Group 1, 2, & 3 OC-ALC: Oklahoma City Air Logistics...carriers. Also, there is a possibility that the maintenance performed by the Air Force could be recognized by MRO facilities and air carriers

  16. RURAL MARKETS IN BANGLADESH AND THE RURAL MAINTENANCE PROGRAMME

    OpenAIRE

    Uddin, M. Mosleh; Kabir, M.; Alam, M. Mostafa; Boss, G. K.

    1989-01-01

    This study describes the Impact of rural maintenance programme on rural markets in Bangladesh. Rural Maintenance programme (RMP) is a year-round programme for maintenance ol 16 miles earthen roads In each selected union. The programme is run by crews consisting of 15 destitute women. The findings suggest that better road maintenance by RMP in the programme areas has resulted in more traffic f low through which the markets in the programme areas have been expanded. Better supply of services su...

  17. TOTAL PRODUCTIVE MAINTENANCE, A CENTRAL PREOCCUPATION OF THE MANAGERS

    OpenAIRE

    2013-01-01

    This present study demonstrates that the role of the mangers in the productive maintenance is currently becoming more important. This assessment is formulated starting from the daily realities regarding the growth of the proportions of productions and along with these the growth of the volume of equipments which need a better care and maintenance for a proper operation. The productive maintenance has developed and emerged out of this necessity. Therefore, the productive maintenance in the eco...

  18. Integrated Maintenance: analysis and perspective of innovation in railway sector

    OpenAIRE

    Nappi, Roberto

    2014-01-01

    The high costs for the management of the modern and complex industrial control systems make it necessary to enhance the current maintenance processes. Therefore, the need arises to clearly define the goals of the maintenance, in order to evolve and continuously enhance the management methods, to efficiently integrate the maintenance activities with the ones related to the production, the service provisioning, and the operation, and to use smart computer-based maintenance systems. This paper p...

  19. Bridge engineering handbook construction and maintenance

    CERN Document Server

    Chen, Wai-Fah

    2014-01-01

    Over 140 experts, 14 countries, and 89 chapters are represented in the second edition of the Bridge Engineering Handbook. This extensive collection highlights bridge engineering specimens from around the world, contains detailed information on bridge engineering, and thoroughly explains the concepts and practical applications surrounding the subject.Published in five books: Fundamentals, Superstructure Design, Substructure Design, Seismic Design, and Construction and Maintenance, this new edition provides numerous worked-out examples that give readers step-by-step design procedures, includes c

  20. COLOUR IMAGE STEGANOGRAPHY USING MEDIAN MAINTENANCE

    Directory of Open Access Journals (Sweden)

    S. Arivazhagan

    2011-08-01

    Full Text Available Steganographic algorithms in the recent past have been producing stego images with perceptual invisibility, better secrecy and certain robustness against attacks like cropping, filtering etc. Recovering a good quality secret from a good quality stego image may not always be possible. The method proposed in this paper works in transform domain and attempts to extract the secret almost as same as the embedded one maintaining minimal changes to the cover image by using techniques like median maintenance, offset and quantization.

  1. Optimization of Continuous Maintenance Availability Scheduling

    Science.gov (United States)

    2014-09-01

    racetrack . Each condition has four possible statuses: active, inactive, set-up or take-down. Between these four statuses, all possible forms of...a CMAV-S condition. Conversely, the racetrack scaffolding assembly around the sail of the submarine (“ Racetrack ” in Table 6) will (a) require a...significantly affecting nearly any maintenance on the sail exterior). For these two reasons, the “ Racetrack ” condition is considered significant enough to

  2. Maintenance of the CERN telephone exchanges

    CERN Multimedia

    TS Department

    2008-01-01

    Maintenance work will be carried out on the CERN telephone exchanges between 8 p.m. and midnight on 3 December. During this time, the fixed-line telephone and audio-conference services may be disrupted. However, the CCC and the Fire Brigade will be reachable at all times. Mobile telephone services (GSM) will not be affected by this work. For further details please contact Netops@cern.ch.

  3. Maintenance of the CERN telephone exchanges

    CERN Multimedia

    TS Department

    2008-01-01

    Maintenance work will be carried out on the CERN telephone exchanges between 8 p.m. and midnight on 3 December. During this time, the fixed-line telephone and audio-conference services may be disrupted. However, the CCC and the Fire Brigade will be reachable at all times. Mobile telephone services (GSM) will not be affected by this work. For further details please contact mailto:Netops@cern.ch.

  4. Planning for recall of maintenance manpower

    OpenAIRE

    Poh, Yang Siang Kelvin

    2015-01-01

    Approved for public release; distribution is unlimited Mission availability is a key component of system effectiveness wherein manpower forms a critical part of the resource requirements. Within the United States Air Force, military technicians supplement essential maintenance and logistics support for fighter aircraft. Under certain conditions, the placement of these technicians in their roles as reserve personnel creates disproportionate economic loss for the parent unit and the reserve ...

  5. A Social Identity Maintenance Model of Groupthink.

    Science.gov (United States)

    Turner; Pratkanis

    1998-02-01

    We present a social identity maintenance model of groupthink that (a) defines groupthink as a collective attempt to maintain a positive image of the group, (b) identifies conditions under which this form of concurrence seeking is likely to occur, (c) parsimoniously explains the equivocal empirical findings on groupthink, and (d) specifies intervention tactics that can mitigate the detrimental consequences of groupthink for group decision outcomes. Copyright 1998 Academic Press.

  6. Quality of EIS support and maintenance services

    OpenAIRE

    Laakso, Tiina

    2015-01-01

    Company X delivers integrated information systems for enterprises operating in various business areas. In addition to planning, implementing and deploying these systems, the company provides continuous support and maintenance services to its customers. However these services have not been systematically developed and quality of service can vary greatly. The purpose of this thesis was to identify the problem areas causing low customer satisfaction and operational inefficiency. The objectiv...

  7. EHV network operation, maintenance, organization and training

    Energy Technology Data Exchange (ETDEWEB)

    Gravier, J.P. [Electricite de France (EDF), 75 - Paris (France)

    1994-12-31

    The service interruptions of electricity have an ever increasing social and industrial impact, it is thus fundamental to operate the network to its best level of performances. To face these changing conditions, Electricite de France has consequently adapted its strategy to improve its organization for maintenance and operation, clarify the operation procedures and give further training to the staff. This work presents the above mentioned issues. (author) 2 figs.

  8. Human Factors in Aviation Maintenance. Phase 1

    Science.gov (United States)

    1991-11-01

    communication in the aircraft logs , pi- during the visit? lots would sometimes verbally describe the per- formance of the plane to a lead mechanic’ or...however, handwritten input may eventually be usefl for implemeinting technology in aviation maintenance and spcf Ic maneac’ ctiiis. other applications...functions. When the auto is referred for service of a int ermittent or other problem, the data recorder may be hooked up by modem to enable e data log to

  9. Optimal Maintenance Management of Offshore Wind Farms

    Directory of Open Access Journals (Sweden)

    Alberto Pliego Marugán

    2016-01-01

    Full Text Available Nowadays offshore wind energy is the renewable energy source with the highest growth. Offshore wind farms are composed of large and complex wind turbines, requiring a high level of reliability, availability, maintainability and safety (RAMS. Firms are employing robust remote condition monitoring systems in order to improve RAMS, considering the difficulty to access the wind farm. The main objective of this research work is to optimise the maintenance management of wind farms through the fault probability of each wind turbine. The probability has been calculated by Fault Tree Analysis (FTA employing the Binary Decision Diagram (BDD in order to reduce the computational cost. The fault tree presented in this paper has been designed and validated based on qualitative data from the literature and expert from important European collaborative research projects. The basic events of the fault tree have been prioritized employing the criticality method in order to use resources efficiently. Exogenous variables, e.g., weather conditions, have been also considered in this research work. The results provided by the dynamic probability of failure and the importance measures have been employed to develop a scheduled maintenance that contributes to improve the decision making and, consequently, to reduce the maintenance costs.

  10. Echinodermata in ecotoxicological tests: maintenance and sensitivity

    Directory of Open Access Journals (Sweden)

    Jocássio Batista Soares

    2016-03-01

    Full Text Available Abstract This work investigates the sensitivity of four species of Echinodermata (Lytechinus variegatus, Echinometra lucunter, Arbacia lixula and Encope emarginata, evaluating the effect of five reference toxicants (Cd, Pb, Cr, Cu and SDS on embryo-larval development, following the official protocols. It also evaluates techniques for the maintenance of L. variegatus in the laboratory, changes in its sensitivity, and the effects of chemical agents that induce the release of gametes, on the survival rates of the organisms. In terms of the maintenance of L. variegatus in the laboratory, the diet with vegetable content appears to be more favorable for maintenance and maturation in cultivation tanks. Chemical inducers such as KCl and the Anesthetic (lidocaine and epinephrine resulted in high adult mortality rates, discouraging its re-induction. The tests performed with different species of sea urchin and sand dollar, using different reference toxicants, showed no variations in sensitivity to the more toxic chemicals, indicating that different species can be used for evaluation and environmental impact assessment.

  11. Effect of Maintenance on Computer Network Reliability

    Directory of Open Access Journals (Sweden)

    Rima Oudjedi Damerdji

    2014-08-01

    Full Text Available At the time of the new information technologies, computer networks are inescapable in any large organization, where they are organized so as to form powerful internal means of communication. In a context of dependability, the reliability parameter proves to be fundamental to evaluate the performances of such systems. In this paper, we study the reliability evaluation of a real computer network, through three reliability models. The computer network considered (set of PCs and server interconnected is localized in a company established in the west of Algeria and dedicated to the production of ammonia and fertilizers. The result permits to compare between the three models to determine the most appropriate reliability model to the studied network, and thus, contribute to improving the quality of the network. In order to anticipate system failures as well as improve the reliability and availability of the latter, we must put in place a policy of adequate and effective maintenance based on a new model of the most common competing risks in maintenance, Alert-Delay model. At the end, dependability measures such as MTBF and reliability are calculated to assess the effectiveness of maintenance strategies and thus, validate the alert delay model.

  12. Cold head maintenance with minimal service interruption

    Science.gov (United States)

    Radovinsky, A. L.; Michael, P. C.; Zhukovsky, A.; Forton, E.; Paradis, Y.; Nuttens, V.; Minervini, J. V.

    2015-12-01

    Turn-key superconducting magnet systems are increasingly conduction-cooled by cryogenerators. Gifford-McMahon systems are reliable and cost effective, but require annual maintenance. A usual method of servicing is replacing the cold head of the cryocooler. It requires a complicated design with a vacuum chamber separate from the main vacuum of the cryostat, as well as detachable thermal contacts, which add to the thermal resistance of the cooling heat path and reduce the reliability of the system. We present a rapid warm-up scheme to bring the cold head body, which remains rigidly affixed to the cold mass, to room temperature, while the cold mass remains at cryogenic temperature. Electric heaters thermally attached to the cold head stations are used to warm them up, which permits conventional cold head maintenance with no danger of contaminating the inside of the cold head body. This scheme increases the efficiency of the cooling system, facilitates annual maintenance of the cold head and returning the magnet to operation in a short time.

  13. Universals of language maintenance, shift and change.

    Science.gov (United States)

    Wölck, Wolfgang

    2004-01-01

    Since Greenberg the recognition of linguistic universals has been the backbone of language typology. Earlier Garvin had already divided universals into absolute and potential ones, the former uncontested cornerstones of linguistic theory, the latter commonly accepted generalizations among experienced professionals. The 'universals' to be discussed here are of the latter type: tried and tested principles of language maintenance and of language change, whose applicability has been established in numerous language contact and conflict situations in different communities. Among the principles displayed and discussed are the following: Fishman's 'intergenerational dislocation' of language reproduction; Haugen's 'dialect fragmentation' of languages vs. Garvin's 'unification' and standardization; Fishman's claim of the complementary distribution of language functions as a guarantee of stable bilingualism; Wölck's disparate distribution of minority language maintenance along the social scale. Evidence for those and some other 'universals' of language maintenance and change will be provided from a 30-year longitudinal survey of Quechua-Spanish bilingualism in Peru; from Seneca-English bilingualism in New York; from studies of diglossia in Scotland and North Germany, of German-Hungarian bilingualism in Hungary from the Ladin survey in Italy and the Sorbian Project in Germany, and from the EUROMOSAIC survey.

  14. La gestion de la fonction maintenance

    CERN Document Server

    Principe, R

    2000-01-01

    Le présent article a pour objet d'analyser la fonction maintenance au sein de la division ST. Seront d'abord évoqués, les principaux facteurs qui ont marqué ladite fonction tels que sa décentralisation au niveau de chaque groupe, organisé par spécialité, et l'externalisation des activités jugées non stratégiques. En rapprochant la fonction maintenance de la fonction études et travaux, la décentralisation a sans doute permis de développer, par spécialité, un niveau de compétence accru. La sous-traitance de plus en plus importante de nos activités et les recrutements à un niveau plus élevé ont permis de faire face aux diminutions de personnel CERN. Cependant, ces aspects positifs s'accompagnent d'effets pervers tels que le manque de communication entre les services de maintenance de chaque spécialité, la disparité des approches dans la façon de gérer les activités et d'organiser le travail, et une difficulté à analyser globalement les performances des contractants. Ces différentes ...

  15. Maintenance sur les infrastructures de surface

    CERN Document Server

    Chevret, P

    2000-01-01

    L'objet de ce document est de dresser le bilan de l'activité du Groupe Technical Facilities Management dans le domaine de la maintenance. Ce bilan couvre les activités techniques du génie civil, du chauffage-climatisation et de l'électricité, s'appliquant dans une large majorité au seul secteur tertiaire, tant sur le plan préventif que correctif. Les principaux paramètres indicateurs de l'activité sont situés dans leur évolution au cours des dernières années. Les auteurs abordent également les principaux projets complémentaires de maintenance, qui sont conduits pour maintenir l'état du patrimoine en dépit des restrictions budgétaires, faire face aux problèmes d'obsolescence, de défaillances récurrentes sur certains matériels, et satisfaire aux normes de sécurité. L'incidence positive de ces actions sur le nombre d'interventions de maintenance corrective est également montrée. Enfin, des perspectives de progrès sont dégagées, visant à une gestion davantage prévisionnelle de la ma...

  16. L'externalisation de la maintenance

    CERN Document Server

    Véret, Daniele

    2003-01-01

    La maintenance évolue ! De plus en plus d'entreprises externalisent tout ou partie des tâches ou fonctions de la maintenance à des prestataires. Dans ces conditions, une relation d confiance doit s'établir entre le donneur d'ordres et le prestataire, qui se traduira par un contrat respectant les intérêts de chacun. L'externalisation de la maintenance apporte les réponses à toutes les questions qui se posent lors de l'élaboration du cahier des charges et de la phase précontractuelle, afin de bien préciser les exigences à satisfaire. Vous trouverez les réponses à toutes vos questions et même à celles auxquelles vous n'aviez pas pensé ! - Jusqu'où va la notion d'externalisation ? - Quels sont les risques d'une mauvaise définition de la phase précontractuelle ? - Quels modes de relation contractuelle peut-on rencontrer ? - En quoi consistent les astreintes ? - Qu'est-ce que la sous-traitante ? - Qu'est-ce qu'un cahier des charges ? - Quelles sont les relations entre le donneur d'ordres et le p...

  17. Our experience with deceased organ donor maintenance

    Directory of Open Access Journals (Sweden)

    Kumar Meena

    2007-01-01

    Full Text Available Deceased organ donors in an intensive care unit (ICU are the richest source of organs for transplantation. Careful donor maintenance plays a vital role in the successful functioning of the organ in the recipient. Aims : Early identification of brain stem death (BSD in the ICU, problems and management in donor maintenance till retrieval are the main objectives. Materials and Methods : BSD was identified in a level I trauma center over a period of eight years (1996-2004 using UK code. After screening for fitness, they were maintained to achieve normothermia, systolic BP > 90 mm Hg, CVP 8-10 cm water, urine output > 80 ml/hour and normal acid base balance. Results: 168 cases of BSD were maintained, 30 with identity unknown. Common transient complications noted were hypotension (68%, hypokalemia (62%, hypothermia (12%, diabetes insipidus (70%. Brain stem death was identified early and resuscitated to maintain normal tissue perfusion. 17 (12.3% consent for organ donation was obtained. Organs (24 kidneys and one liver were retrieved from 12 donors. Four donors sustained cardiac arrest before retrieval. Conclusion: Early recognition of brain stem death and prompty correction of hemodyanamic instability is the key to deceased donor maintenance. Optimal care of potential donor translates to care of multiple recipients.

  18. MEDICAL ETHICS COURSE IMPROVES MEDICAL PROFESSIONALISM: MEDICAL STUDENTS´ OPINIONS

    Directory of Open Access Journals (Sweden)

    Abdolreza Sotoodeh Jahromi

    2014-01-01

    Full Text Available Training physicians who are expert in many medical aspects is the most improtant mission of medical universities. One of these aspects, is professional behavior achievement. One of the important goals in training of ethics, is recognition of conflicts in different parts of ethics and having logical viewpoint for resolving and analyzing these conflicts. This descriptive and analytical study was done to evaluate the efficacy of medical ethics education in medical students´ professional attitudes improvement. One hundred and two medical students were selected randomly in different steps of education and were questioned and their opinions correlation with stage of education and gender were evaluated. There was a significant difference between female viewpoint (in roles of ethic course which is presented in preclinical step in professional attitude improvement (P = 0.009 and also a significant difference was seen in the viewpoint score between student stage with intern stage (P = 0.031. Medical students in educational student stage believe ethic course improve medical professionalism. Since there is no special course to train medical students in professionalism, some interventions are required in this field to improve this aspect of physicians' professional life.

  19. 25 CFR 170.802 - How is road maintenance funded?

    Science.gov (United States)

    2010-04-01

    ... 25 Indians 1 2010-04-01 2010-04-01 false How is road maintenance funded? 170.802 Section 170.802 Indians BUREAU OF INDIAN AFFAIRS, DEPARTMENT OF THE INTERIOR LAND AND WATER INDIAN RESERVATION ROADS PROGRAM BIA Road Maintenance § 170.802 How is road maintenance funded? (a) The U.S. Congress funds a...

  20. Improving Diagnostics Capabilities Through Enhanced Maintenance Data Collection

    Science.gov (United States)

    1990-12-01

    7100 11. SUPPLEMENTARY NOTES 12a. DISTRIBUTION/ AVAILABILTY STATEMENT 12b. DISTRIBUTION CODE Approved for public release, unlimited distribution. 2A 13...Service MDC systems are designed to collect information for maintenance management activities and to provide hardware usage information for the supply...General Motors Computerized Automotive Maintenance System demonstrated 33% improvement in maintenance shop pro- ductivity within 3 weeks of usage , (2

  1. 14 CFR 147.38 - Maintenance of curriculum requirements.

    Science.gov (United States)

    2010-01-01

    ... 14 Aeronautics and Space 3 2010-01-01 2010-01-01 false Maintenance of curriculum requirements. 147... § 147.38 Maintenance of curriculum requirements. (a) Each certificated aviation maintenance technician school shall adhere to its approved curriculum. With FAA approval, curriculum subjects may be taught...

  2. Maintenance Manual for School Buildings in the Caribbean.

    Science.gov (United States)

    Bastidas, Pedro

    A manual provides guidelines for school maintenance activities for schools located in the Caribbean, and examines the organization of a maintenance program, the inspection process, and the maintenance plan. The assessment process is detailed and forms are provided for assessing school roofs, building exteriors and interiors, plumbing, electrical…

  3. 29 CFR 1926.431 - Maintenance of equipment.

    Science.gov (United States)

    2010-07-01

    ... (CONTINUED) SAFETY AND HEALTH REGULATIONS FOR CONSTRUCTION Electrical Safety-Related Maintenance and Environmental Considerations § 1926.431 Maintenance of equipment. The employer shall ensure that all wiring... 29 Labor 8 2010-07-01 2010-07-01 false Maintenance of equipment. 1926.431 Section 1926.431...

  4. 49 CFR 193.2713 - Training: operations and maintenance.

    Science.gov (United States)

    2010-10-01

    ... 49 Transportation 3 2010-10-01 2010-10-01 false Training: operations and maintenance. 193.2713... Training: operations and maintenance. (a) Each operator shall provide and implement a written plan of initial training to instruct— (1) All permanent maintenance, operating, and supervisory personnel—...

  5. 36 CFR 212.4 - Construction and maintenance.

    Science.gov (United States)

    2010-07-01

    ... 36 Parks, Forests, and Public Property 2 2010-07-01 2010-07-01 false Construction and maintenance... TRAVEL MANAGEMENT Administration of the Forest Transportation System § 212.4 Construction and maintenance. (a) Construction and maintenance work on forest transportation facilities with appropriated...

  6. 76 FR 55364 - Rules for Patent Maintenance Fees

    Science.gov (United States)

    2011-09-07

    ... United States Patent and Trademark Office Rules for Patent Maintenance Fees ACTION: Proposed collection... or after December 12, 1980. Payment of these maintenance fees is due at 3\\1/2\\, 7\\1/2\\, and 11\\1/2... maintenance fee and any applicable surcharge within a grace period of six months following each of the...

  7. 78 FR 20619 - Customer Account Registration and Maintenance

    Science.gov (United States)

    2013-04-05

    ... United States Patent and Trademark Office Customer Account Registration and Maintenance ACTION: Proposed... Maintenance'' in the subject line of the message. Mail: Susan K. Fawcett, Records Officer, Office of the Chief... Customer Profile Account Request and 12 minutes 5,000 1,000 Maintenance. Correspondence and...

  8. 40 CFR 86.1725-01 - Allowable maintenance.

    Science.gov (United States)

    2010-07-01

    ... 40 Protection of Environment 19 2010-07-01 2010-07-01 false Allowable maintenance. 86.1725-01... Trucks § 86.1725-01 Allowable maintenance. This section includes text that specifies requirements that... are subject to the applicable Otto-cycle or diesel engine maintenance requirements of §...

  9. 40 CFR 92.1004 - Maintenance and repair.

    Science.gov (United States)

    2010-07-01

    ... 40 Protection of Environment 20 2010-07-01 2010-07-01 false Maintenance and repair. 92.1004... Owners and Operators of Locomotives and Locomotive Engines § 92.1004 Maintenance and repair. (a) Unless..., all maintenance and repair of locomotives and locomotive engines subject to the provisions of...

  10. 32 CFR 174.14 - Maintenance and repair.

    Science.gov (United States)

    2010-07-01

    ... 32 National Defense 1 2010-07-01 2010-07-01 false Maintenance and repair. 174.14 Section 174.14... REVITALIZING BASE CLOSURE COMMUNITIES AND ADDRESSING IMPACTS OF REALIGNMENT Maintenance and Repair § 174.14 Maintenance and repair. (a) Facilities and equipment located on installations being closed are often...

  11. 14 CFR 121.380 - Maintenance recording requirements.

    Science.gov (United States)

    2010-01-01

    ... 14 Aeronautics and Space 3 2010-01-01 2010-01-01 false Maintenance recording requirements. 121.380 Section 121.380 Aeronautics and Space FEDERAL AVIATION ADMINISTRATION, DEPARTMENT OF TRANSPORTATION... REQUIREMENTS: DOMESTIC, FLAG, AND SUPPLEMENTAL OPERATIONS Maintenance, Preventive Maintenance, and...

  12. Licencing and Training Reform in the Australian Aircraft Maintenance Industry

    Science.gov (United States)

    Hampson, Ian; Fraser, Doug

    2016-01-01

    The training and licencing of aircraft maintenance engineers fulfils a crucial protective function since it is they who perform and supervise aircraft maintenance and certify that planes are safe afterwards. In Australia, prior to training reform, a trades-based system of aircraft maintenance engineer training existed in an orderly relation with…

  13. Photovoltaic power plants maintenance; El mantenimiento en plantas fotovoltaicas

    Energy Technology Data Exchange (ETDEWEB)

    Suanzes, F.; Rodelgo, I.

    2010-07-01

    It is reviewed the evolution of the maintenance contracts in solar facilities in a young environment and with a large projection. Thus, is described the preventive maintenance in this kind of facilities, and are also analyzed the most relevant cases of corrective maintenance. (Author)

  14. 49 CFR 236.919 - Operations and Maintenance Manual.

    Science.gov (United States)

    2010-10-01

    ... 49 Transportation 4 2010-10-01 2010-10-01 false Operations and Maintenance Manual. 236.919 Section... for Processor-Based Signal and Train Control Systems § 236.919 Operations and Maintenance Manual. (a... Maintenance Manual, readily available to persons required to perform such tasks and for inspection by FRA...

  15. 49 CFR 236.1039 - Operations and Maintenance Manual.

    Science.gov (United States)

    2010-10-01

    ... 49 Transportation 4 2010-10-01 2010-10-01 false Operations and Maintenance Manual. 236.1039... Train Control Systems § 236.1039 Operations and Maintenance Manual. (a) The railroad shall catalog and..., modification, inspection, and testing of the PTC system and have them in one Operations and Maintenance...

  16. 49 CFR 238.309 - Periodic brake equipment maintenance.

    Science.gov (United States)

    2010-10-01

    ... that all of the equipment's brake system pneumatic components that contain moving parts and are sealed... 49 Transportation 4 2010-10-01 2010-10-01 false Periodic brake equipment maintenance. 238.309... Maintenance Requirements for Tier I Passenger Equipment § 238.309 Periodic brake equipment maintenance....

  17. Optimization of Equipment Maintenance Strategy Based on Availability

    Institute of Scientific and Technical Information of China (English)

    张友诚

    2001-01-01

    It is very important to optimize maintenance strategy in maintenance plan. Proper parameters play a decisive role for the optimization. In the opinion of writer, availability is a basic parameter, failure consequence cost and failure characteristic are also important parameters. Maintenance strategy can be optimized on the base by means of quantitative analysis and diagram.

  18. Comparative evaluation of maintenance performance using subsurvival functions

    DEFF Research Database (Denmark)

    Paulsen, J.L.; Cooke, R.; Nyman, R.

    1997-01-01

    Subsurvival functions are applied to operational data for the control rod drive systems of Nordic nuclear reactors to evaluate maintenance performance. Competing failure modes are preventive and corrective maintenance. Maintenance indicators are defined and evaluated for 8 plants. (C) 1997 Elsevier...

  19. 49 CFR 192.745 - Valve maintenance: Transmission lines.

    Science.gov (United States)

    2010-10-01

    ... 49 Transportation 3 2010-10-01 2010-10-01 false Valve maintenance: Transmission lines. 192.745... TRANSPORTATION OF NATURAL AND OTHER GAS BY PIPELINE: MINIMUM FEDERAL SAFETY STANDARDS Maintenance § 192.745 Valve maintenance: Transmission lines. (a) Each transmission line valve that might be required during any...

  20. 49 CFR 230.66 - Design, construction, and maintenance.

    Science.gov (United States)

    2010-10-01

    ... 49 Transportation 4 2010-10-01 2010-10-01 false Design, construction, and maintenance. 230.66... Locomotives and Tenders § 230.66 Design, construction, and maintenance. The steam locomotive owner and operator are responsible for the general design, construction and maintenance of the steam locomotives...

  1. 14 CFR 121.701 - Maintenance log: Aircraft.

    Science.gov (United States)

    2010-01-01

    ... 14 Aeronautics and Space 3 2010-01-01 2010-01-01 false Maintenance log: Aircraft. 121.701 Section... REQUIREMENTS: DOMESTIC, FLAG, AND SUPPLEMENTAL OPERATIONS Records and Reports § 121.701 Maintenance log... have made, a record of that action in the airplane's maintenance log. (b) Each certificate holder...

  2. 14 CFR 125.407 - Maintenance log: Airplanes.

    Science.gov (United States)

    2010-01-01

    ... 14 Aeronautics and Space 3 2010-01-01 2010-01-01 false Maintenance log: Airplanes. 125.407 Section... Maintenance log: Airplanes. (a) Each person who takes corrective action or defers action concerning a reported... record the action taken in the airplane maintenance log in accordance with part 43 of this chapter....

  3. 46 CFR 122.704 - Maintenance of falls.

    Science.gov (United States)

    2010-10-01

    ... 46 Shipping 4 2010-10-01 2010-10-01 false Maintenance of falls. 122.704 Section 122.704 Shipping..., Maintenance, and Inspection of Lifesaving Equipment § 122.704 Maintenance of falls. (a) Each fall used in a... fall must be renewed when necessary due to deterioration or at internals of not more than 5...

  4. Medical Informatics For Medical Students And Medical Practitioners

    Directory of Open Access Journals (Sweden)

    Jai MOHAN

    2010-06-01

    Full Text Available The importance of incorporating medical (or healthinformatics into the education of medical students andmedical practitioners is being increasingly recognised.The advances in information and communicationtechnology and the pervasion of the Internet intoeveryday life have important implications forhealthcare services and medical education.Students and practitioners should learn to utilisebiomedical information for problem solving anddecision making based on evidence. The extensiveintroduction of electronic health information systemsinto hospitals and clinics and at the enterprise level inMalaysia and elsewhere is driving a demand for healthprofessionals who have at least basic skills in andappreciation of the use of these technologies.The essential clinical informatics skills have beenidentified and should be incorporated into theundergraduate medical curriculum. It is recommendedthat these be introduced in stages and integrated intoexisting programmes rather than taught as a separatemodule. At the same time, medical schools shouldsupport the integration of e-learning in the educationalprocess in view of the numerous potential benefits.

  5. Road Maintenance Districts, Road maintenance for resurfacing projects data located in Transportation database, Published in unknown, City of Roswell, GA.

    Data.gov (United States)

    NSGIC GIS Inventory (aka Ramona) — This Road Maintenance Districts dataset as of unknown. It is described as 'Road maintenance for resurfacing projects data located in Transportation database'. Data...

  6. Increasing the competitiveness of maintenance contract rates by using an alternative methodology for the calculation of average vehicle maintenance costs

    Directory of Open Access Journals (Sweden)

    Stephen Carstens

    2008-11-01

    Full Text Available Companies tend to outsource transport to fleet management companies to increase efficiencies if transport is a non-core activity. The provision of fleet management services on contract introduces a certain amount of financial risk to the fleet management company, specifically fixed rate maintenance contracts. The quoted rate needs to be sufficient and also competitive in the market. Currently the quoted maintenance rates are based on the maintenance specifications of the manufacturer and the risk management approach of the fleet management company. This is usually reflected in a contingency that is included in the quoted maintenance rate. An alternative methodology for calculating the average maintenance cost for a vehicle fleet is proposed based on the actual maintenance expenditures of the vehicles and accepted statistical techniques. The proposed methodology results in accurate estimates (and associated confidence limits of the true average maintenance cost and can beused as a basis for the maintenance quote.

  7. Machine medical ethics

    CERN Document Server

    Pontier, Matthijs

    2015-01-01

    The essays in this book, written by researchers from both humanities and sciences, describe various theoretical and experimental approaches to adding medical ethics to a machine in medical settings. Medical machines are in close proximity with human beings, and getting closer: with patients who are in vulnerable states of health, who have disabilities of various kinds, with the very young or very old, and with medical professionals. In such contexts, machines are undertaking important medical tasks that require emotional sensitivity, knowledge of medical codes, human dignity, and privacy. As machine technology advances, ethical concerns become more urgent: should medical machines be programmed to follow a code of medical ethics? What theory or theories should constrain medical machine conduct? What design features are required? Should machines share responsibility with humans for the ethical consequences of medical actions? How ought clinical relationships involving machines to be modeled? Is a capacity for e...

  8. Depot Maintenance: Improved Strategic Planning Needed to Ensure That Army and Marine Corps Depots Can Meet Future Maintenance Requirements

    Science.gov (United States)

    2009-09-01

    of Representatives DEPOT MAINTENANCE Improved Strategic Planning Needed to Ensure That Army and Marine Corps Depots Can Meet Future...Depot Maintenance. Improved Strategic Planning Needed to Ensure That Army and Marine Corps Depots Can Meet Future Maintenance Requirements 5a... Strategic Planning Needed to Ensure That Army and Marine Corps Depots Can Meet Future Maintenance Requirements Highlights of GAO-09-865, a report to

  9. Solving the Periodic Maintenance Scheduling Problem via Genetic Algorithm to Balance Workforce Levels and Maintenance Cost

    Directory of Open Access Journals (Sweden)

    Mohamed A.A.-F. Mansour

    2011-01-01

    Full Text Available Problem statement: In this article we address the multi-objective Periodic Maintenance Scheduling Problem (PMSP of scheduling a set of cyclic maintenance operations for a given set of machines through a specified planning period to minimize the total variance of workforce levels measured in man-hours and maintenance costs with equal weights. Approach: The article proposed a mixed integer non-linear math programming model and a linearised model for the PMSP. Also, we proposed a Genetic Algorithm (GA for solving the problem using a new genome representation considered as a new addition to the maintenance scheduling literature. The algorithms were compared on a set of representative test problems. Results: The developed GA proves its capability and superiority to find good solutions for the PMSP and outperforms solutions found by the commercial optimization package CPLEX. The results indicated that the developed algorithms were able to identify optimal solutions for small size problems up to 5 machines and 6 planning periods.The GAs defined solutions in 22 seconds consuming less than two kilobytes with a reliability of 0.84 while the nonlinear and linear models consumes on average 705 and 37 kilobytes respectively. Conclusion: The developed GA could define solutions of average performance of 0.34 and 0.8 for the linearized algorithm compared with lower bound defined by the nonlinear math programming model. We hope to expand the developed algorithms for integrating maintenance planning and aggregate production planning problems.

  10. 14 CFR 43.5 - Approval for return to service after maintenance, preventive maintenance, rebuilding, or alteration.

    Science.gov (United States)

    2010-01-01

    ... 14 Aeronautics and Space 1 2010-01-01 2010-01-01 false Approval for return to service after maintenance, preventive maintenance, rebuilding, or alteration. 43.5 Section 43.5 Aeronautics and Space FEDERAL AVIATION ADMINISTRATION, DEPARTMENT OF TRANSPORTATION AIRCRAFT MAINTENANCE, PREVENTIVE...

  11. The Virtual Maintenance System: A Computer-Based Support Tool for Robust Design, Product Monitoring, Fault Diagnosis and Maintenance Planning

    NARCIS (Netherlands)

    Houten, van F.J.A.M.; Kimura, F.

    2000-01-01

    Digital (geometric) product models can be used for maintainability analysis and maintenance planning. It is not feasible to build digital product models for maintenance purposes only, but if a digital product model is available, it may be used to support many maintenance-related engineering tasks. E

  12. Naltrexone Maintenance Decreases Cannabis Self-Administration and Subjective Effects in Daily Cannabis Smokers.

    Science.gov (United States)

    Haney, Margaret; Ramesh, Divya; Glass, Andrew; Pavlicova, Martina; Bedi, Gillinder; Cooper, Ziva D

    2015-10-01

    Given that cannabis use is increasing in the United States, pharmacological treatment options to treat cannabis use disorder are needed. Opioid antagonists modulate cannabinoid effects and may offer a potential approach to reducing cannabis use. In this double-blind, placebo-controlled human laboratory study, we assessed the effects of naltrexone maintenance on the reinforcing, subjective, psychomotor, and cardiovascular effects of active and inactive cannabis. Nontreatment-seeking, daily cannabis smokers were randomized to receive naltrexone (50 mg: n=18 M and 5 F) or placebo (0 mg; n=26 M and 2 F) capsules for 16 days. Before, during, and after medication maintenance, participants completed 10 laboratory sessions over 4-6 weeks, assessing cannabis' behavioral and cardiovascular effects. Medication compliance was verified by observed capsule administration, plasma naltrexone, and urinary riboflavin. Relative to placebo, maintenance on naltrexone significantly reduced both active cannabis self-administration and its positive subjective effects ('good effect'). Participants in the placebo group had 7.6 times (95% CI: 1.1-51.8) the odds of self-administering active cannabis compared with the naltrexone group. This attenuation of reinforcing and positive subjective effects also influenced cannabis use in the natural ecology. Naltrexone had intrinsic effects: decreasing ratings of friendliness, food intake, and systolic blood pressure, and increasing spontaneous reports of stomach upset and headache, yet dropout rates were comparable between groups. In summary, we show for the first time that maintenance on naltrexone decreased cannabis self-administration and ratings of 'good effect' in nontreatment-seeking daily cannabis smokers. Clinical studies in patients motivated to reduce their cannabis use are warranted to evaluate naltrexone's efficacy as a treatment for cannabis use disorder.

  13. Quantitative Analysis of Criteria in University Building Maintenance in Malaysia

    Directory of Open Access Journals (Sweden)

    Olanrewaju Ashola Abdul-Lateef

    2010-10-01

    Full Text Available University buildings are a significant part of university assets and considerable resources are committed to their design, construction and maintenance. The core of maintenance management is to optimize productivity and user satisfaction with optimum resources. An important segment in the maintenance management system is the analysis of criteria that influence building maintenance. Therefore, this paper aims to identify quantify, rank and discuss the criteria that influence maintenance costs, maintenance backlogs, productivity and user satisfaction in Malaysian university buildings. The paper reviews the related literature and presents the outcomes of a questionnaire survey. Questionnaires were administered on 50 university maintenance organizations. Thirty-one criteria were addressed to the university maintenance organizations to evaluate the degree to which each of the criteria influences building maintenance management. With a 66% response rate, it was concluded that the consideration of the criteria is critical to the university building maintenance management system. The quality of components and materials, budget constraints and the age of the building were found to be the most influential criteria but information on user performance satisfaction, problems associated with in-house workforce and shortage of materials and components were the least influential criteria. The paper also outlined that maintenance management is a strategic function in university administration.

  14. Comparative evaluation of remote maintenance schemes for fusion DEMO reactor

    Energy Technology Data Exchange (ETDEWEB)

    Utoh, Hiroyasu, E-mail: uto.hiroyasu@jaea.go.jp; Tobita, Kenji; Someya, Youji; Asakura, Nobuyuki; Sakamoto, Yoshiteru; Hoshino, Kazuo; Nakamura, Makoto

    2015-10-15

    Highlights: • Various remote maintenance schemes for DEMO were comparatively assessed based on requirements for DEMO remote maintenance. • The banana shape segment transport using all vertical maintenance ports would be more probable DEMO reactor maintenance scheme. • The key engineering issues are in-vessel transferring mechanism of segment, pipe connection and conducting shell design for plasma vertical stability. - Abstract: Maintenance schemes are one of the critical issues in DEMO design, significantly affecting the configuration of in-vessel components, the size of toroidal field (TF) coil, the arrangement of poloidal field (PF) coils, reactor building, hot cell and so forth. Therefore, the maintenance schemes should satisfy many design requirements and criteria to assure reliable and safe plant operation and to attain reasonable plant availability. The plant availability depends on reliability of remote maintenance scheme, inspection of pipe connection and plasma operation. In this paper, various remote maintenance schemes for DEMO were comparatively assessed based on requirements for DEMO remote maintenance. From the view points of the reliability of inspection on hot cell, TF coil size, stored energy of PF coil and portability of segment, the banana shape segment transport using all vertical maintenance ports would be more probable DEMO reactor maintenance scheme, and it has key engineering issues such as in-vessel transferring mechanism of segment, pipe connection and conducting shell design for plasma vertical stability.

  15. Predictive maintenance of critical equipment in industrial processes

    Science.gov (United States)

    Hashemian, Hashem M.

    /D) converter can bring this about when it is combined with a large data storage unit to save the massive volume of data that will result from fast data sampling. Due to recent advances in electronics and computer technologies, fast A/Ds and large data storage units are now readily available and very affordable. Furthermore, advanced signal processing and interpretation techniques are readily available in commercial packages that provide fast Fourier transform (FFT) and wavelet analysis, correlation and cross-correlation results, application-specific neural networks, fuzzy data clustering, and other techniques to help arrive at test results quickly. When existing process sensors are not available to provide the necessary data, wireless sensors can be deployed to fill the gap. It is understood that wireless sensors are still evolving, but an assessment of these sensors performed under one of the R&D projects described in this dissertation shows that they are ready to play a positive role in equipment and process condition monitoring in industrial installations. Another class of predictive maintenance and condition-monitoring technologies now available is called by a number of names, such as "non-destructive examination," "non-destructive testing," "non-destructive inspection," or "in-service inspection" methods. These methods are not described in this dissertation as they are a separate discipline of their own and require a different set of skills to be implemented in an industrial process. They are nevertheless mentioned here to acknowledge their availability for predictive maintenance and to recognize their prominence as an important class of condition-monitoring techniques. These methods are used for detecting defects such as cracks, corrosion, and wear in metals, plastics, composites, ceramics, and other material except for wood and paper products. Some of these techniques are also used in medical diagnostics.

  16. A randomized controlled trial of isotonic versus hypotonic maintenance intravenous fluids in hospitalized children

    Directory of Open Access Journals (Sweden)

    Laforte Diane

    2011-09-01

    Full Text Available Abstract Background Isotonic saline has been proposed as a safer alternative to traditional hypotonic solutions for intravenous (IV maintenance fluids to prevent hyponatremia. However, the optimal tonicity of maintenance intravenous fluids in hospitalized children has not been determined. The objective of this study was to estimate and compare the rates of change in serum sodium ([Na] for patients administered either hypotonic or isotonic IV fluids for maintenance needs. Methods This was a masked controlled trial. Randomization was stratified by admission type: medical patients and post-operative surgical patients, aged 3 months to 18 years, who required IV fluids for at least 8 hours. Patients were randomized to receive either 0.45% or 0.9% saline in 5.0% dextrose. Treating physicians used the study fluid for maintenance; infusion rate and the use of additional fluids were left to their discretion. Results Sixteen children were randomized to 0.9% saline and 21 to 0.45% saline. Baseline characteristics, duration (average of 12 hours and rate of study fluid infusion, and the volume of additional isotonic fluids given were similar for the two groups. [Na] increased significantly in the 0.9% group (+0.20 mmol/L/h [IQR +0.03, +0.4]; P = 0.02 and increased, but not significantly, in the 0.45% group (+0.08 mmol/L/h [IQR -0.15, +0.16]; P = 0.07. The rate of change and absolute change in serum [Na] did not differ significantly between groups. Conclusions When administered at the appropriate maintenance rate and accompanied by adequate volume expansion with isotonic fluids, 0.45% saline did not result in a drop in serum sodium during the first 12 hours of fluid therapy in children without severe baseline hyponatremia. Confirmation in a larger study is strongly recommended. Clinical Trial Registration Number NCT00457873 (http://www.clinicaltrials.gov/

  17. Medical Physics Panel Discussion

    Science.gov (United States)

    Guèye, Paul; Avery, Steven; Baird, Richard; Soares, Christopher; Amols, Howard; Tripuraneni, Prabhakar; Majewski, Stan; Weisenberger, Drew

    2006-03-01

    The panel discussion will explore opportunities and vistas in medical physics research and practice, medical imaging, teaching medical physics to undergraduates, and medical physics curricula as a recruiting tool for physics departments. Panel members consist of representatives from NSBP (Paul Guèye and Steven Avery), NIH/NIBIB (Richard Baird), NIST (Christopher Soares), AAPM (Howard Amols), ASTRO (Prabhakar Tripuraneni), and Jefferson Lab (Stan Majewski and Drew Weisenberger). Medical Physicists are part of Departments of Radiation Oncology at hospitals and medical centers. The field of medical physics includes radiation therapy physics, medical diagnostic and imaging physics, nuclear medicine physics, and medical radiation safety. It also ranges from basic researcher (at college institutions, industries, and laboratories) to applications in clinical environments.

  18. Proactive maintenance initiatives at Argonne National Laboratory-West

    Energy Technology Data Exchange (ETDEWEB)

    Duckwitz, N.R.; Duncan, L.W.; Whipple, J.J.

    1995-06-01

    In the late 1980`s, ANL-W Management foresaw a need to provide dedicated technical support for maintenance supervisors. Maintenance supervisors were facing increased challenges to ensure all environmental, safety, and waste management regulations were followed in daily maintenance activities. This increased burden was diverting supervisory time away from on-the-job supervision. Supervisors were finding less time for their ``mentor`` roles to ensure maintenance focused on finding and correcting root causes. Additionally the traditional maintenance organization could not keep up with the explosion in predictive maintenance technologies. As a result, engineers were tasked to provide direct technical support to the maintenance organization. Today the maintenance technical support group consists of two mechanical engineers, two electrical engineers and an I&C engineer. The group provides a readily available, quick response resource for crafts people and their supervisors. They can and frequently do ask the support group for help to determine the root cause and to effect permanent fixes. Crafts and engineers work together informally to make an effective maintenance team. In addition to day-to-day problem solving, the technical support group has established several maintenance improvement programs for the site. This includes vibration analysis of rotating machinery, testing of fuel for emergency diesel generators, improving techniques for testing of high efficiency particulate air (HEPA) filters, and capacity testing of UPS and emergency diesel starting batteries. These programs have increased equipment reliability, reduced conventional routine maintenance, reduced unexpected maintenance, and improved testing accuracy. This paper will discuss the interaction of the technical support group within the maintenance department. Additionally the maintenance improvement programs will be presented along with actual cases encountered, the resolutions and lessons learned.

  19. Teaching Medical Sociology in Medical Schools.

    Science.gov (United States)

    Hunt, Gerard J.; Sobal, Jeffery

    1990-01-01

    Provides 11 teaching guidelines for presentation of sociological material to medical students and addresses the problems of dense scheduling and competition for time in a medical school curriculum. Considers career implications for sociologists in this setting as well as resources available. (NL)

  20. [Supply of medical equipment in Mexico].

    Science.gov (United States)

    Arredondo, A; Cruz, C; Faba, G; Sánchez, E; Hernández, B; Damián, T

    1992-01-01

    This article covers the report on Supply of Medical Equipment in Mexico, presented during the Second National Congress of Public Health. The results are part of an investigation that dealt with the general conditions that currently prevail in the production and distribution of medical equipment. The information was obtained by means of a survey applied to 208 companies that comprised the sample study. The facts indicate that of the companies that correspond to this industrial sector in Mexico, 3.8 per cent are manufacturers, 69.7 per cent distributors, 19.2 per cent manufacturer-distributors, and the remaining 7.2 per cent correspond to corrective and preventive maintenance. Also, these companies pose serious problems of external dependence with regard to production costs and the commercialization of products. Furthermore, it became evident that there is a substantial need for financial support to optimally satisfy the demands of various institutions in the country's health sector.