WorldWideScience

Sample records for assistance supply experiment

  1. Store-Assistance Management for a Supply Chain with Consumer Return under Consignment Contract

    Directory of Open Access Journals (Sweden)

    Zhihui Wu

    2017-01-01

    Full Text Available In this paper, the strategy problems of pricing and store-assistance service investment are investigated for a supply chain with consumer return, where the considered supply chain under consignment contract consists of a single manufacturer and a single retailer. Firstly, we use differential equation to model the evolution of store-assistance service level and depict the effect of store-assistance service level on the return rate. By applying two-stage game, both optimal pricing and store-assistance service strategies are obtained based on the presented optimal control model. Subsequently, the committed dynamic consignment price contract is designed to coordinate and improve the performance of supply chain. Finally, a numerical example is provided to illustrate the impacts of the effectiveness of store-assistance service level and decay rate on the feasible region of corresponding contract.

  2. 43 CFR 404.12 - Can Reclamation provide assistance with the construction of a rural water supply project under...

    Science.gov (United States)

    2010-10-01

    ... the construction of a rural water supply project under this program? 404.12 Section 404.12 Public... RECLAMATION RURAL WATER SUPPLY PROGRAM Overview § 404.12 Can Reclamation provide assistance with the construction of a rural water supply project under this program? Reclamation may provide assistance with the...

  3. The supply of pharmaceuticals in humanitarian assistance missions: implications for military operations.

    Science.gov (United States)

    Mahmood, Maysaa; Riley, Kevin; Bennett, David; Anderson, Warner

    2011-08-01

    In this article, we provide an overview of key international guidelines governing the supply of pharmaceuticals during disasters and complex emergencies. We review the World Health Organization's guidelines on pharmaceutical supply chain management and highlight their relevance for military humanitarian assistance missions. Given the important role of pharmaceuticals in addressing population health needs during humanitarian emergencies, a good understanding of how pharmaceuticals are supplied at the local level in different countries can help military health personnel identify the most appropriate supply options. Familiarity with international guidelines involved in cross-border movement of pharmaceuticals can improve the ability of military personnel to communicate more effectively with other actors involved in humanitarian and development spheres. Enhancing the knowledge base available to military personnel in terms of existing supply models and funding procedures can improve the effectiveness of humanitarian military operations and invite policy changes necessary to establish more flexible acquisition and funding regulations.

  4. Assistive technologies along supply chains in health care and in the social services sector.

    Science.gov (United States)

    Mayer, Peter; Hauer, Katharina; Schloffer, Evelyn; Leyrer, Barbara

    2015-01-01

    Health care systems in Austria and Slovenia are currently facing challenges due to scarce resources and demographic change which can be seen especially along the supply chains. The main objective of this paper is to present an option to improve the use of assistive technologies. An extensive literature research for the theoretic part as well as a qualitative survey for the empiric part focusing on short-term care were carried out. Results show that there is a lack of information and training on assistive technologies. As a consequence, their full potential cannot be exploited. Therefore a guideline for nursing consultations was developed. To conclude, both the literature research and the qualitative survey show that assistive technologies have high potentials to improve the supply chains in the health care and social services sector, but there is a lot of information and training on them needed.

  5. A Model of U.S. Army Recruit Labor Supply

    National Research Council Canada - National Science Library

    Wargelin, Mark

    1997-01-01

    .... This paper reviews previous military manpower research and critically examines two recruit labor supply experiments the Multiple Option Recruiting Experiment of 1979, and the Educational Assistance Test Program of 1981...

  6. ASSISTments Dataset from Multiple Randomized Controlled Experiments

    Science.gov (United States)

    Selent, Douglas; Patikorn, Thanaporn; Heffernan, Neil

    2016-01-01

    In this paper, we present a dataset consisting of data generated from 22 previously and currently running randomized controlled experiments inside the ASSISTments online learning platform. This dataset provides data mining opportunities for researchers to analyze ASSISTments data in a convenient format across multiple experiments at the same time.…

  7. 43 CFR 404.56 - If a financial assistance agreement is entered into for a rural water supply project that...

    Science.gov (United States)

    2010-10-01

    ... entered into for a rural water supply project that benefits more than one Indian tribe, is the approval of... Lands BUREAU OF RECLAMATION, DEPARTMENT OF THE INTERIOR RECLAMATION RURAL WATER SUPPLY PROGRAM Miscellaneous § 404.56 If a financial assistance agreement is entered into for a rural water supply project that...

  8. Opportunities and realities of supply chain integration

    DEFF Research Database (Denmark)

    van Donk, Dirk Pieter; Akkerman, Renzo; van der Vaart, Taco

    2008-01-01

    Purpose: The purpose of the paper is to investigate the limitations and barriers for supply chain integration that food manufacturers experience and to highlight their planning and scheduling problems. Possible ways to cope with these are offered. Methodology: The paper is theoretical/conceptual ......Purpose: The purpose of the paper is to investigate the limitations and barriers for supply chain integration that food manufacturers experience and to highlight their planning and scheduling problems. Possible ways to cope with these are offered. Methodology: The paper is theoretical...... of solutions that might assist production managers in better understanding their situation and thinking about improvements. Originality/Value of the paper: The paper introduces buyer focus, shared resources and the limitations of supply chain integration into the field of food supply chains....

  9. Impact of pharmacists assisting with prescribing and undertaking medication review on oxycodone prescribing and supply for patients discharged from surgical wards.

    Science.gov (United States)

    Tran, T; Taylor, S E; Hardidge, A; Findakly, D; Aminian, P; Elliott, R A

    2017-10-01

    Overprescribing of oxycodone is a contributor to the epidemic of prescription opioid misuse and deaths. Practice models to optimize oxycodone prescribing and supply need to be evaluated. We explored the impact of pharmacist-assisted discharge prescribing and medication review on oxycodone prescribing and supply for patients discharged from surgical wards. A retrospective audit was conducted on two surgical inpatient wards following a 16-week prospective pre- and post-intervention study. During the pre-intervention period, discharge prescriptions were prepared by hospital doctors and then reviewed by a ward pharmacist (WP) before being dispensed. Post-intervention, prescriptions were prepared by a project pharmacist in consultation with hospital doctors and then reviewed by a WP and dispensed. Proportion of patients who were prescribed, and proportion supplied, oxycodone on discharge; Median amount (milligrams) of oxycodone prescribed and supplied, for patients who were prescribed and supplied at least one oxycodone-containing preparation, respectively. A total of 320 and 341 patients were evaluated pre- and post-intervention, respectively. Pre-intervention, 75.6% of patients were prescribed oxycodone; after WP review, 60.3% were supplied oxycodone (Psupplied was 100 milligrams/patient. Post-intervention, 68.6% of patients were prescribed oxycodone; after WP review, 57.8% were supplied oxycodone (Psupplied was 50 milligrams/patient (difference in amount prescribed and supplied: 50 milligrams, Psupplied oxycodone but not the amount supplied/patient. Having a pharmacist assist with prescribing reduced the amount of oxycodone supplied. © 2017 John Wiley & Sons Ltd.

  10. Wheelchair users' perceptions of and experiences with power assist wheels.

    Science.gov (United States)

    Giacobbi, Peter R; Levy, Charles E; Dietrich, Frederick D; Winkler, Sandra Hubbard; Tillman, Mark D; Chow, John W

    2010-03-01

    To assess wheelchair users' perceptions of and experiences with power assist wheels using qualitative interview methods. Qualitative evaluations were conducted in a laboratory setting with a focus on users' experiences using power assist wheel in their naturalistic environments. Participants consisted of seven women and 13 men (M(age) = 42.75, SD = 14.68) that included one African American, one Hispanic, 17 whites, and one individual from Zambia. Qualitative interviews were conducted before, during, and after use of a power assist wheel. Main outcome measures included the wheelchair users' evaluations and experiences related to the use of power assist wheels. The primary evaluations included wheeling on challenging terrains, performance of novel activities, social/family aspects, fatigue, and pain. These descriptions indicated that most participants perceived positive experiences with the power assist wheels, including access to new and different activities. Secondary evaluations indicated that the unit was cumbersome and prohibitive for some participants because of difficulties with transport in and out of a vehicle and battery life. Most participants felt that power assist wheels provided more independence and social opportunities. The power assist wheel seems to offer physical and social benefits for most wheelers. Clinicians should consider users' home environment and overall life circumstances before prescribing.

  11. The Undergraduate Teaching Assistant Experience Offers Opportunities Similar to the Undergraduate Research Experience

    Directory of Open Access Journals (Sweden)

    Kelly A. Schalk

    2009-12-01

    Full Text Available There has been a growing concern in higher education about our failure to produce scientifically trained workers and scientifically literate citizens. Active-learning and research-oriented activities are posited as ways to give students a deeper understanding of science. We report on an undergraduate teaching assistant (UTA experience and suggest that students who participate as a UTA obtain benefits analogous to those who participate as an undergraduate research assistant (URA. We examined the experiences of 24 undergraduates acting as UTAs in a general microbiology course. Self-reported gains by the UTAs were supported by observational data from undergraduates in the course who were mentored by the UTAs and by the graduate teaching assistants (GTAs with whom the UTAs worked. Specifically, data from the UTAs’ journals and self-reported Likert scales and rubrics indicated that our teaching assistants developed professional characteristics such as self-confidence and communication and leadership skills, while they acquired knowledge of microbiology content and laboratory skills. Data from the undergraduate Likert scale as well as the pre- and post-GTA rubrics further confirmed our UTA’s data interpretations. These findings are significant because they offer empirical data to support the suggestion that the UTA experience is an effective option for developing skills and knowledge in undergraduates that are essential for careers in science. The UTA experience provides a valuable alternative to the URA experience.

  12. Deploying Electric Vehicles and Electric Vehicle Supply Equipment: Tiger Teams Offer Project Assistance for Federal Fleets

    Energy Technology Data Exchange (ETDEWEB)

    None

    2017-01-02

    To assist federal agencies with the transition to plug-in electric vehicles (PEVs), including battery electric vehicles (BEVs) and plug-in hybrid electric vehicles (PHEVs), FEMP offers technical guidance on electric vehicle supply equipment (EVSE) installations and site-specific planning through partnerships with the National Renewable Energy Laboratory’s EVSE Tiger Teams.

  13. Pricing Scheme of Ocean Carrier for Inbound Container Storage for Assistance of Container Supply Chain Finance

    Directory of Open Access Journals (Sweden)

    Mingzhu Yu

    2014-01-01

    Full Text Available The aim of this paper is to investigate the pricing scheme of ocean carrier for inbound container storage so as to assist container supply chain finance. In this paper, how an ocean carrier should set price of inbound container storage to the customer while facing the contract from the container terminal operator is first analyzed. Then, two different contract systems, the free-time contract system which is widely used in practice and the free-space contract system which is newly developed recently, are considered. In the two different contract systems, inbound container storage pricing models are constructed, and accordingly optimal solution approaches for the ocean carrier are provided. For comparison purpose, some numerical experiments for the two different contract systems are conducted to investigate the effects of the container terminal operator’s decision on the system outcomes. Numerical experiments show that (1 the carrier is more flexible in the free-space contract system and can receive more profit by using the free-storage-space as a pooling storage system and (2 the free-space contract system benefits both the carrier in profit and the busy terminal in traffic control.

  14. Turn-key supply for the power supplies of the control coils of wendelstein 7-X experiment

    International Nuclear Information System (INIS)

    Jauregi, E.; Ganuza, D.; Garcia, I.; Rio, J.M. del; Rummel, T.; Fuellenbach, F.

    2003-01-01

    In the Max-Planck Institute for Plasma Physics, IPP, in Greifswald, a new stellerator is being built for fusion research experiments, the so called Wendelstein 7-X Experiment. JEMA Company has designed, manufacture and supply the turnkey system which energises the ten control coils in the stellerator. The system comprises ten independent Switch-mode power supplies, and the central distribution stations for power, cooling and control facilities. Each power supply must provide a controlled current compounded of direct current and 0-20 Hz bandwidth ac current in a range of almost 3 kA at low voltage, 30 V, in four quadrants. Positive and negative voltage and sinusoidal current with low harmonic distortion is required by load. The selected design is based on Switch-mode-power supply technology (SMPS) providing the system with a very high regulation response (very low current and voltage ripple) and excellent input power factor, keeping the grid total harmonic distortion (THD) under minimum values. The sources can be operated locally as independent systems or they can be co-ordinated from a main control keeping current synchronisation requirements. The system in its entirety requires a high efficiency due to thermal considerations and reduced space. The system presented here introduces a decisive solution for the future power supplies to superconducting or regular coils, where the regulation, precision and ripple are the basic requirements for the design. During year 2000 the design stage was covered and in 2001 a first prototype for the power supplies was manufactured and successfully tested at factory. The entire system has been installed over this year after the series fabrication and it is currently working at IPP facilities, waiting for the acceptance tests scheduled before end of the year. This paper aims to explain the different stages the company went through in order to get validation of the power supply system and make it running at its last location

  15. Tokamak Physics Experiment (TPX) power supply design and development

    International Nuclear Information System (INIS)

    Neumeyer, C.; Bronner, G.; Lu, E.; Ramakrishnan, S.

    1995-01-01

    The Tokamak Physics Experiment (TPX) is an advanced tokamak project aimed at the production of quasi-steady state plasmas with advanced shape, heating, and particle control. TPX is to be built at the Princeton Plasma Physics Laboratory (PPPL) using many of the facilities from the Tokamak Fusion Test Reactor (TFTR). TPX will be the first tokamak to utilize superconducting (SC) magnets in both the toroidal field (TF) and poloidal field (PF) systems. This new feature requires a departure from the traditional tokamak power supply schemes. This paper describes the plan for the adaptation of the PPPL/FTR power system facilities to supply TPX. Five major areas are addressed, namely the AC power system, the TF, PF and Fast Plasma Position Control (FPPC) power supplies, and quench protection for the TF and PF systems. Special emphasis is placed on the development of new power supply and protection schemes

  16. Development of Power Assisting Suit

    Science.gov (United States)

    Yamamoto, Keijiro; Ishii, Mineo; Hyodo, Kazuhito; Yoshimitsu, Toshihiro; Matsuo, Takashi

    In order to realize a wearable power assisting suit for assisting a nurse to carry a patient in her arms, the power supply and control systems of the suit have to be miniaturized, and it has to be wireless and pipeline-less. The new wearable suit consists of shoulders, arms, back, waist and legs units to be fitted on the nurse's body. The arms, waist and legs have new pneumatic rotary actuators driven directly by micro air pumps supplied by portable Ni-Cd batteries. The muscle forces are sensed by a new muscle hardness sensor utilizing a sensing tip mounted on a force sensing film device. An embedded microcomputer is used for the calculations of control signals. The new wearable suit was applied practically to a human body and a series of movement experiments that weights in the arms were held and taken up and down was performed. Each unit of the suit could transmit assisting torque directly to each joint verifying its practicability.

  17. Citizen preference assessment for power supply visions using choice experiments

    International Nuclear Information System (INIS)

    Nakatani, Jun; Tahara, Kiyotaka; Tanaka, Koji; Matsumoto, Shinya; Mizuno, Tateki

    2015-01-01

    In this paper, citizen preferences for power supply visions were assessed using choice experiments. In particular, preferences for the composition of power generation including renewable energy and nuclear power were analyzed. We also investigated how the need and consciousness for electricity saving affected the preferences for power supply visions. The results indicated that a respondent group who felt negative about resuming the operations at nuclear power plants had discriminative preferences for attributes of the power supply visions, and that the priority of carbon dioxide emissions as a criterion for evaluating the power supply visions became lower when the composition of power generation was presented. Consciousness for electricity saving, as well as preferences for nuclear power generation, differed depending on regions of residence, while their relationship was similar among respondent groups who lived in the jurisdictional areas of the electric power companies that had experienced risks of demand-supply gaps. (author)

  18. Development of brake assist system. Summary of hydraulic brake assist system; Brake assist system no kaihatsu. Ekiatsushiki brake assist system no gaiyo

    Energy Technology Data Exchange (ETDEWEB)

    Hara, M; Ota, M; Shimizu, S [Toyota, Motor Corp., Aichi (Japan)

    1997-10-01

    We have already developed vacuum-booster-type Brake Assist System that supplies additional braking power when panic braking is recognized. We are convinced that the expansion of Brake Assist System will become more important issue in the future. Therefore we have developed hydraulic Brake Assist System with increasing its controllability and reducing its discomfort. This system have a brake pressure sensor to detect emergency braking operation and an antilock device to supply additional braking power. 8 refs., 11 figs.

  19. A novel proton exchange membrane fuel cell based power conversion system for telecom supply with genetic algorithm assisted intelligent interfacing converter

    International Nuclear Information System (INIS)

    Kaur, Rajvir; Krishnasamy, Vijayakumar; Muthusamy, Kaleeswari; Chinnamuthan, Periasamy

    2017-01-01

    Highlights: • Proton exchange membrane fuel cell based telecom tower supply is proposed. • The use of diesel generator is eliminated and battery size is reduced. • Boost converter based intelligent interfacing unit is implemented. • The genetic algorithm assisted controller is proposed for effective interfacing. • The controller is robust against input and output disturbance rejection. - Abstract: This paper presents the fuel cell based simple electric energy conversion system for supplying the telecommunication towers to reduce the operation and maintenance cost of telecom companies. The telecom industry is at the boom and is penetrating deep into remote rural areas having unreliable or no grid supply. The telecom industry is getting heavily dependent on a diesel generator set and battery bank as a backup for continuously supplying a base transceiver station of telecom towers. This excessive usage of backup supply resulted in increased operational expenditure, the unreliability of power supply and had become a threat to the environment. A significant development and concern of clean energy sources, proton exchange membrane fuel cell based supply for base transceiver station is proposed with intelligent interfacing unit. The necessity of the battery bank capacity is significantly reduced as compared with the earlier solutions. Further, a simple closed loop and genetic algorithm assisted controller is proposed for intelligent interfacing unit which consists of power electronic boost converter for power conditioning. The proposed genetic algorithm assisted controller would ensure the tight voltage regulation at the DC distribution bus of the base transceiver station. Also, it will provide the robust performance of the base transceiver station under telecom load variation and proton exchange membrane fuel cell output voltage fluctuations. The complete electric energy conversion system along with telecom loads is simulated in MATLAB/Simulink platform and

  20. A new VME based high voltage power supply for large experiments

    Energy Technology Data Exchange (ETDEWEB)

    Ahn, S.C.; Angstadt, R.D.; Droege, T.F.; Johnson, M.E.; MacKinnon, B.A.; McNulty, S.E.; Shea, M.F.; Thompson, R.N.; Watson, M.M. (Fermi National Accelerator Lab., Batavia, IL (United States)); Franzini, P. (Columbia Univ., New York, NY (United States)); Jones, A.A. (Superconducting Super Collider Lab., Dallas, TX (United States)); Lopez, M.L. (La Plata Univ. Nacional (Argentina)); Wimpenny, S.J.; Yang, M.J

    1991-11-01

    A new VME based high voltage power supply has been developed for the D{O} experiment at Fermilab. There are three types of supplies delivering up to {plus minus}5.6 kV at 1.0 mA or +2.0 kV at 3.0 mA with a set accuracy of 1.5 V and extremely low voltage ripples. Complete computer control has allowed many special features to be developed for the supply, including user-defined control land monitor groups, variable ramp rates, and advanced histogram and graphic functions. 3 refs.

  1. A new VME based high voltage power supply for large experiments

    International Nuclear Information System (INIS)

    Ahn, S.C.; Angstadt, R.D.; Droege, T.F.; Johnson, M.E.; MacKinnon, B.A.; McNulty, S.E.; Shea, M.F.; Thompson, R.N.; Watson, M.M.; Franzini, P.; Jones, A.A.; Lopez, M.L.; Wimpenny, S.J.; Yang, M.J.

    1991-11-01

    A new VME based high voltage power supply has been developed for the D OE experiment at Fermilab. There are three types of supplies delivering up to ±5.6 kV at 1.0 mA or +2.0 kV at 3.0 mA with a set accuracy of 1.5 V and extremely low voltage ripples. Complete computer control has allowed many special features to be developed for the supply, including user-defined control land monitor groups, variable ramp rates, and advanced histogram and graphic functions. 3 refs

  2. EPRtm project experience: selection of partners and supply chain

    International Nuclear Information System (INIS)

    Lorenzo, D. de

    2012-01-01

    With 4 EPR T M units under construction, the new plants to be built in the following years will benefit from the return on experience of the work already performed. The knowledge about licensing processes, detail engineering, supply chain, logistics and on-site work gathered from the Olkiluoto 3 and Flamanville 3 projects has already been used in the Taishan 1 and 2 project, resulting in a project that is on schedule and on budget. This article will show how the advantage of such broad experience gained will be used to benefit future projects to ensure certainty of completion, leaving few and limited unresolved issues even before the beginning of the project. Several areas that are not usually tackled when speaking of a New Build project will be covered by this text from the point of view of a nuclear vendor: Project Partnership Selection and the Gate Review Process applied by AREVA in the supply chain of the main components. (Author)

  3. The supply voltage apparatus of the CUORE experiment

    Energy Technology Data Exchange (ETDEWEB)

    Arnaboldi, C.; Baú, A.; Carniti, P.; Cassina, L.; Giachero, A.; Gotti, C.; Maino, M.; Passerini, A. [INFN, Sezione di Milano Bicocca - Istituto Nazionale di Fisica Nucleare, Piazza della Scienza 3 Milano (Italy); Università di Milano Bicocca - Dipartimento di Fisica, Piazza della Scienza 3 Milano (Italy); Pessina, G., E-mail: Pessina@mib.infn.it [INFN, Sezione di Milano Bicocca - Istituto Nazionale di Fisica Nucleare, Piazza della Scienza 3 Milano (Italy); Università di Milano Bicocca - Dipartimento di Fisica, Piazza della Scienza 3 Milano (Italy)

    2016-07-11

    The Electronics system of experiments for the study of rare decays, such as the neutrino-less double beta decay, must be very stable over very long expected runs. We introduce our solution for the power supply of such an experiment, CUORE. In this case the power supply chain consists of a series of ACDCs, followed by DCDCs and then Linear Regulators. We emphasize here our approach to the DCDC regulation system that was designed with a complete rejection of the switching noise, across 100 MHz bandwidth. In the experimental layout the DCDC will be located far from the very front-end, with long connecting cables (10 m). We introduced our very simple and safe solution to prevent huge over-voltages, due to the energy stored in the inductance of the cables, generated after the release of accidental short circuits, so avoiding destructive effects. Some micro-controllers are present on every board and take care of the DCDC operation. These micro-controllers are managed from the control room, via CAN BUS protocol coupled via optical fibres. CUORE is an array of 1000 cryogenic detectors that will need 30 of our DCDCs.

  4. The supply voltage apparatus of the CUORE experiment

    Science.gov (United States)

    Arnaboldi, C.; Baú, A.; Carniti, P.; Cassina, L.; Giachero, A.; Gotti, C.; Maino, M.; Passerini, A.; Pessina, G.

    2016-07-01

    The Electronics system of experiments for the study of rare decays, such as the neutrino-less double beta decay, must be very stable over very long expected runs. We introduce our solution for the power supply of such an experiment, CUORE. In this case the power supply chain consists of a series of ACDCs, followed by DCDCs and then Linear Regulators. We emphasize here our approach to the DCDC regulation system that was designed with a complete rejection of the switching noise, across 100 MHz bandwidth. In the experimental layout the DCDC will be located far from the very front-end, with long connecting cables (10 m). We introduced our very simple and safe solution to prevent huge over-voltages, due to the energy stored in the inductance of the cables, generated after the release of accidental short circuits, so avoiding destructive effects. Some micro-controllers are present on every board and take care of the DCDC operation. These micro-controllers are managed from the control room, via CAN BUS protocol coupled via optical fibres. CUORE is an array of 1000 cryogenic detectors that will need 30 of our DCDCs.

  5. The supply voltage apparatus of the CUORE experiment

    International Nuclear Information System (INIS)

    Arnaboldi, C.; Baú, A.; Carniti, P.; Cassina, L.; Giachero, A.; Gotti, C.; Maino, M.; Passerini, A.; Pessina, G.

    2016-01-01

    The Electronics system of experiments for the study of rare decays, such as the neutrino-less double beta decay, must be very stable over very long expected runs. We introduce our solution for the power supply of such an experiment, CUORE. In this case the power supply chain consists of a series of ACDCs, followed by DCDCs and then Linear Regulators. We emphasize here our approach to the DCDC regulation system that was designed with a complete rejection of the switching noise, across 100 MHz bandwidth. In the experimental layout the DCDC will be located far from the very front-end, with long connecting cables (10 m). We introduced our very simple and safe solution to prevent huge over-voltages, due to the energy stored in the inductance of the cables, generated after the release of accidental short circuits, so avoiding destructive effects. Some micro-controllers are present on every board and take care of the DCDC operation. These micro-controllers are managed from the control room, via CAN BUS protocol coupled via optical fibres. CUORE is an array of 1000 cryogenic detectors that will need 30 of our DCDCs.

  6. 13 CFR 143.33 - Supplies.

    Science.gov (United States)

    2010-01-01

    ... residual inventory of unused supplies exceeding $5,000 in total aggregate fair market value upon... 13 Business Credit and Assistance 1 2010-01-01 2010-01-01 false Supplies. 143.33 Section 143.33..., and Subawards § 143.33 Supplies. (a) Title. Title to supplies acquired under a grant or subgrant will...

  7. The Text of the Agreement connected with the Agency's Assistance to Bulgaria in furthering Projects by the Supply of Materials

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1971-05-20

    The text of the Master Agreement between the Agency and the Government of Bulgaria for assistance by the Agency in furthering projects by the supply of materials is reproduced herein for the information of all Members. This Agreement entered into force on 15 July 1970.

  8. The Text of the Agreement connected with the Agency's assistance to Pakistan in furthering Projects by the Supply of Materials

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1971-05-20

    The text of the Master Agreement between the Agency and the Government of Pakistan for assistance by the Agency in furthering projects by the supply of materials is reproduced herein for the information of all Members. This Agreement entered into force on 27 February 1970.

  9. The Text of the Agreement connected with the Agency's Assistance to Bulgaria in furthering Projects by the Supply of Materials

    International Nuclear Information System (INIS)

    1971-01-01

    The text of the Master Agreement between the Agency and the Government of Bulgaria for assistance by the Agency in furthering projects by the supply of materials is reproduced herein for the information of all Members. This Agreement entered into force on 15 July 1970.

  10. The Text of the Agreement connected with the Agency's assistance to Pakistan in furthering Projects by the Supply of Materials

    International Nuclear Information System (INIS)

    1971-01-01

    The text of the Master Agreement between the Agency and the Government of Pakistan for assistance by the Agency in furthering projects by the supply of materials is reproduced herein for the information of all Members. This Agreement entered into force on 27 February 1970.

  11. 44 CFR 13.33 - Supplies.

    Science.gov (United States)

    2010-10-01

    ... aggregate fair market value upon termination or completion of the award, and if the supplies are not needed... 44 Emergency Management and Assistance 1 2010-10-01 2010-10-01 false Supplies. 13.33 Section 13.33... GOVERNMENTS Post-Award Requirements Changes, Property, and Subawards § 13.33 Supplies. (a) Title. Title to...

  12. Integrated supply chain risk management

    Directory of Open Access Journals (Sweden)

    Riaan Bredell

    2007-11-01

    Full Text Available Integrated supply chain risk management (ISCRM has become indispensable to the theory and practice of supply chain management. The economic and political realities of the modern world require not only a different approach to supply chain management, but also bold steps to secure supply chain performance and sustainable wealth creation. Integrated supply chain risk management provides supply chain organisations with a level of insight into their supply chains yet to be achieved. If correctly applied, this process may optimise management decision-making and assist in the protection and enhancement of shareholder value.

  13. The Texts of the Instruments connected with the Agency's Assistance to Mexico in Furthering Projects by the Supply of Materials

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1973-11-28

    The texts of the Master Agreement between the Agency and the Government of Mexico, and of Supplementary Agreement No. 1 thereto, in connection with the Agency's assistance to that Government in furthering projects by the supply of materials, are reproduced herein for the information of all Members.

  14. The Texts of the Instruments connected with the Agency's Assistance to Iraq in Furthering Projects by the Supply of Materials

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1973-11-28

    The texts of the Master Agreement between the Agency and the Government of Iraq, and of Supplementary Agreement No. 1 thereto, in connection with the Agency's assistance to that Government in furthering projects by the supply of materials, are reproduced herein for the information of all Members.

  15. The Texts of the Instruments connected with the Agency's Assistance to Iraq in Furthering Projects by the Supply of Materials

    International Nuclear Information System (INIS)

    1973-01-01

    The texts of the Master Agreement between the Agency and the Government of Iraq, and of Supplementary Agreement No. 1 thereto, in connection with the Agency's assistance to that Government in furthering projects by the supply of materials, are reproduced herein for the information of all Members

  16. Halalan Toyyiban Supply Chain The New Insights in Sustainable Supply Chain Management

    OpenAIRE

    Omar, Emi Normalina; Jaafar, Harlina Suzana; Osman, Muhamad Rahimi; Nasruddin, Faisol

    2013-01-01

    Purpose: In today’s highly competitive world scenario, in order for logistics and supply chain firms to be successful, resilient and sustainable, halalan-toyyiban supply chain could be the new insight in assisting the firm. Hence, the purpose of this study is to provide a practical definition for developing an effective supply chain through halalan toyyiban processes and comparing the similarities and differences of the halal term. Design/methodology/approach: The analysis is develo...

  17. Supply Chain Management In Construction Revealed

    OpenAIRE

    Dr. Ghaith Al-Werikat

    2017-01-01

    The construction supply chain plays a major role in the construction market competition. Construction supply chain management assists enterprises by helping to improve competitiveness increase profits and have more control over the different factors and variables within the project. This paper discusses the construction supply chain characteristics challenges and problems supply chains encounter and the benefits of an integrated supply chain in the construction sector.

  18. Experiments on supply chain contracting: effects of contract type and fairness concerns

    OpenAIRE

    Arabacı, Özge; Arabaci, Ozge

    2013-01-01

    In this thesis, we conduct experiments with human decision makers on supply chain contracting. We consider a simple manufacturer-retailer supply chain scenario where the retailer faces the newsvendor problem. Building on Sahin and Kaya (2011), we compare the experimental performance of three contract types (wholesale price, buyback and revenue sharing contracts) between the firms with theoretical predictions, and among each other. We are interested in the manufacturer’s contract parameter dec...

  19. Using assistive technology for schoolwork: the experience of children with physical disabilities.

    Science.gov (United States)

    Murchland, Sonya; Parkyn, Helen

    2010-01-01

    This study explored the experience of children with physical disabilities using assistive technology for participation with schoolwork to gain a greater understanding of their perspectives and subjective experiences. A qualitative study involving thematic analysis of in-depth interviews of the child with a parent or significant adult. Purposeful sampling from a larger study recruited five children aged between 10 and 14 years, with differing physical disabilities who attended mainstream schools. All children used computer-based assistive technology. All of the children recognised that assistive technology enabled them to participate and reduced the impact of their physical disability, allowing independent participation, and facilitated higher learning outcomes. Issues related to ease of use, social implications and assistive technology systems are discussed.

  20. Assisted-living elderly and the mealtime experience.

    Science.gov (United States)

    Mahadevan, M; Hartwell, H J; Feldman, C H; Ruzsilla, J A; Raines, E R

    2014-04-01

    Although there is increasing evidence of barriers to nutritional health among elderly assisted-living residents, there has not been the same emphasis when examining the ways in which these individuals experience their mealtimes, as well as the factors that they perceive as contributing to their overall sense of health and well-being. Mealtimes may be disregarded as being particularly unimportant or hurried and overlooked, especially for those residents who may be lonely and have feelings of isolation, ultimately leading to a reduced food intake and poor nutrition. A convenience sample of 38 men and women, aged ≥65 years, were selected from four assisted-living facilities in and around Montclair, NJ, USA, to participate in focus group discussions. Data were analysed using content analysis procedures. Participants described their experiences of mealtimes, and the factors contributing to an overall sense of well-being during these occasions. The ability to make healthy food choices, socialise, interact with staff, friends and family members, and enjoy a tasty meal in a warm and inviting dining environment, may provide a dignity that is unmatched by other services. The findings of the present study highlight the importance of maintaining the health of elderly assisted-living residents through strategies that enhance their mealtime experiences. Listening to the food voice of elderly through research such as that carried out in the present study will help policy makers develop a plan that will effectively deal with systemic barriers prevalent in these facilities, and incorporate strategies to motivate and encourage their residents to increase their food intake and improve their health and well-being. © 2013 The Authors Journal of Human Nutrition and Dietetics © 2013 The British Dietetic Association Ltd.

  1. Supply Chain Management In Construction Revealed

    Directory of Open Access Journals (Sweden)

    Dr. Ghaith Al-Werikat

    2017-03-01

    Full Text Available The construction supply chain plays a major role in the construction market competition. Construction supply chain management assists enterprises by helping to improve competitiveness increase profits and have more control over the different factors and variables within the project. This paper discusses the construction supply chain characteristics challenges and problems supply chains encounter and the benefits of an integrated supply chain in the construction sector.

  2. 7 CFR 3015.171 - Unused supplies.

    Science.gov (United States)

    2010-01-01

    ..., DEPARTMENT OF AGRICULTURE UNIFORM FEDERAL ASSISTANCE REGULATIONS Property § 3015.171 Unused supplies. (a) If unused supplies exceeding $1,000 in total aggregate market value are left over upon termination or... 7 Agriculture 15 2010-01-01 2010-01-01 false Unused supplies. 3015.171 Section 3015.171...

  3. Analysis of Supply and Demand to Enhance Educational Tourism Experience in the Smart Park of Yogyakarta, Indonesia

    Directory of Open Access Journals (Sweden)

    Ani Wijayanti

    2017-11-01

    Full Text Available The Smart Park (also known as Taman Pintar is a major educational tourist destination in Yogyakarta, which offers a variety of attractions that are very interesting for tourists. The main purpose of tourists visiting Smart Park is to obtain an educational tourism experience. This subjective experience raises specific challenges for Smart Park as it works towards being a competitive destination. The purpose of this study is to analyze the aspects of the educational tourism experience that are affected by tourism demand and supply. Data were collected from surveys that were sent to 150 respondents and were analyzed using path analysis. The results show that tourism demand and supply contributed to the variation of tourism activities by 45.1%, while the remaining was explained by other variables, such as national budget, local budget, ticket sale, and cooperation with some stakeholders. Tourism supply had a higher effect than tourism demand. Tourism demand did not particularly affect tourism experience. However, the results of the path analysis indicate that tourism supply had direct and indirect effects on tourism experience through the variation of tourism activities, with the indirect effect being the most predominant. In the management of Smart Park, there is still a gap between tourism demand and supply, so the tourism experience has not been maximized to its full potential.

  4. RHIC BEAM ABORT KICKER POWER SUPPLY SYSTEM COMMISSIONING EXPERIENCE AND REMAINING ISSUES

    International Nuclear Information System (INIS)

    ZHANG, W.; AHRENS, L.A.; MI, J.; OERTER, B.; SANDERS, R.; SANDBERG, J.

    2001-01-01

    The RHIC Beam Abort Kicker Power Supply Systems commissioning experience and the remaining issues will be reported in this paper. The RHIC Blue Ring Beam Abort Kicker Power Supply System initial commissioning took place in June 1999. Its identical system in Yellow Ring was brought on line during Spring 2000. Each of the RHIC Beam Abort Kicker Power Supply Systems consists of five high voltage modulators and subsystems. These systems are critical devices for RHIC machine protection and environmental protection. They are required to be effective, reliable and operating with sufficient redundancy to safely abort the beam to its beam dump at the end of accumulation or at any time when they are commanded. To deflect 66 GeV ion beam to the beam absorbers, the RHIC Beam Abort Kicker Power Supply Systems were operated at 22 kV level. The RHIC 2000 commissioning run was very successful

  5. Da Vinci robot-assisted system for thymectomy: experience of 55 patients in China.

    Science.gov (United States)

    Jun, Yi; Hao, Li; Demin, Li; Guohua, Dong; Hua, Jing; Yi, Shen

    2014-09-01

    Da Vinci robot-assisted thymectomy has been used in the past several years in China, however, practical experience in performing this approach in China remains limited. Thus, the study aimed to evaluate the experience of da Vinci robot-assisted thymectomy in China. From June 2010 to December 2012, 55 patients with diseases of the thymus underwent thymectomy using the da Vinci surgical HD robotic system. The clinical data of the da Vinci robot-assisted thymectomies were compared with the data of video-assisted thoracoscopic thymectomies in the same period. All da Vinci robot operations were successful. This is a retrospective analysis which demonstrated that compared with video-assisted thoracoscopic thymectomy in the same period, the clinical outcomes of da Vinci robot-assisted thymectomy were not significantly different. The da Vinci robot-assisted thymectomy is a safe, minimally invasive, and convenient operation, and shows promise for general thoracic surgery in China. Copyright © 2014 John Wiley & Sons, Ltd.

  6. An approach for high voltage power supply system for HCAL of LHCb experiment

    International Nuclear Information System (INIS)

    Cimpean, A.; Dumitru, D.; Kluger, A.; Magureanu, C.; Tarta, D.; Coca, C.; Orlandea, M.; Popescu, S.

    2003-01-01

    The main aim of the calorimeter system of the LHCb (Large Hadron Collider Beauty) experiment dedicated to precision measurements of CP violation and rare phenomena is to provide identification of the electrons, hadrons and photons, for the level-0 trigger and offline analysis with measurements of position and energy. The system consists in a scintillator pad/preshower (SPD/PS) detector, an electromagnetic calorimeter (ECAL) and a hadron calorimeter (HCAL), all the sub-detectors having a similar technology with scintillating tiles as active material and being read out via wavelength-shifting fibers and with an identical readout electronics for ECAL and HCAL and similar electronics for the PS. During 1997-1999 a computer controlled High Voltage (HV) distribution scheme was developed by Horia Hulubei National Institute for Physics and Nuclear Engineering (IFIN-HH) group and used to supply the PMTs of half HCAL prototype during the beam tests (1998-2000). This scheme consisted of three parts: 1) a control box which includes low voltage power supply, the RS232 interface to a PC and three modules of high voltage power supply; 2) two types of multichannel HV distributors with an individual voltage setting; 3) a software package to control all settings and refresh them periodically. Based on the acquired experience, a new design for a High Voltage Power Supply (HVPS) which satisfies the LHCb requirements has been developed for PMTs of the hadron calorimeter. The demands of this system are simplicity and low cost. This HVPS with multiple outputs (HV for photocathode and D1 - D4 dynodes) is destined to supply, with the same high voltage, groups of PMTs sorted by similar characteristics as gain and sensitivity. Because of the high rates (∼ 40 MHz) supported by PMTs, booster voltage sources are necessary to supply current for the last 4 dynodes. The box has 5 HV power supplies for photocathodes and the last 4 dynodes, each HV power supply being followed by a 4 channel

  7. The Texts of the Instruments connected with the Agency's Assistance to India in furthering Projects by the Supply of Materials

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1967-06-09

    The texts of the Master Agreement between the Agency and the Government of India, and of Supplementary Agreement No. 1 thereto, in connection with the Agency's assistance to that Government in furthering projects by the supply of materials, are reproduced in this document for the information of all Members. Both Agreements entered into force on 9 December 1966.

  8. The Texts of the Instruments connected with the Agency's Assistance to Turkey in furthering Projects by the Supply of Materials

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1966-07-20

    The texts of the Master Agreement between the Agency and the Government of Turkey and of Supplementary Agreement No. 1 thereto, in connection with the Agency's assistance to that Government in furthering projects by the supply of materials are reproduced in this document for the information of all Members. Both Agreements entered into force on 8 February 1966.

  9. The Texts of the Instruments connected with the Agency's Assistance to India in furthering Projects by the Supply of Materials

    International Nuclear Information System (INIS)

    1967-01-01

    The texts of the Master Agreement between the Agency and the Government of India, and of Supplementary Agreement No. 1 thereto, in connection with the Agency's assistance to that Government in furthering projects by the supply of materials, are reproduced in this document for the information of all Members. Both Agreements entered into force on 9 December 1966

  10. The Texts of the Instruments connected with the Agency's Assistance to Turkey in furthering Projects by the Supply of Materials

    International Nuclear Information System (INIS)

    1966-01-01

    The texts of the Master Agreement between the Agency and the Government of Turkey and of Supplementary Agreement No. 1 thereto, in connection with the Agency's assistance to that Government in furthering projects by the supply of materials are reproduced in this document for the information of all Members. Both Agreements entered into force on 8 February 1966

  11. Remote power supply by wind/diesel/battery systems - operational experience and economy

    International Nuclear Information System (INIS)

    Kniehl, R.; Cramer, G.; Toenges, K.H.

    1995-01-01

    To continuously supply remote villages and settlements not connected to the public grid with electric power is an ambitious technical task considering ecological and economical points of view. The German company SMA has developed a modular supply system as a solution for this task in the range of 30 kW to 5 MW. Meanwhile more than 20 applications of these 'Intelligent Power Systems (IPS)' have proved their technical reliability and economical competitiveness worldwide under different, and also extreme environmental conditions. Actually it is the first commercially available advanced Wind/Diesel/Battery System for remote area electrification. The modular autonomous electric supply systems realized by SMA basically consist of two or more diesel power sets, battery storage with converter, a rotating phaseshifter, and an optional number of wind turbines. All modules are coupled on the 3-phase AC system grid and run in various parallel configurations depending on the wind speed and the consumer power demand. The control system operates fully automatical and offers a very user-friendly graphical interface. This advanced system control also contains a remote control and operating data output via modem and telephone line. SMA and CES have considerable experience with Wind/Diesel/Battery Systems for more than eight years. In many cases wind energy converters in the power range of 30 to 40 kW were used, but it is also possible to use larger wind turbines (e.g. 250 kW). In the following the system technology is described in detail, experience of different system sizes in several countries of application is presented, and economical analyses for power supply by IPS are given in comparison to a conventional fully diesel power supply. (author)

  12. Remote power supply by wind/diesel/battery systems - operational experience and economy

    Energy Technology Data Exchange (ETDEWEB)

    Kniehl, R [CES - Consulting and Engineering Services, Heidelberg (Germany); Cramer, G; Toenges, K H [SMA Regelsysteme GmbH, Niestetal (Germany)

    1996-12-31

    To continuously supply remote villages and settlements not connected to the public grid with electric power is an ambitious technical task considering ecological and economical points of view. The German company SMA has developed a modular supply system as a solution for this task in the range of 30 kW to 5 MW. Meanwhile more than 20 applications of these `Intelligent Power Systems (IPS)` have proved their technical reliability and economical competitiveness worldwide under different, and also extreme environmental conditions. Actually it is the first commercially available advanced Wind/Diesel/Battery System for remote area electrification. The modular autonomous electric supply systems realized by SMA basically consist of two or more diesel power sets, battery storage with converter, a rotating phaseshifter, and an optional number of wind turbines. All modules are coupled on the 3-phase AC system grid and run in various parallel configurations depending on the wind speed and the consumer power demand. The control system operates fully automatical and offers a very user-friendly graphical interface. This advanced system control also contains a remote control and operating data output via modem and telephone line. SMA and CES have considerable experience with Wind/Diesel/Battery Systems for more than eight years. In many cases wind energy converters in the power range of 30 to 40 kW were used, but it is also possible to use larger wind turbines (e.g. 250 kW). In the following the system technology is described in detail, experience of different system sizes in several countries of application is presented, and economical analyses for power supply by IPS are given in comparison to a conventional fully diesel power supply. (author)

  13. Remote power supply by wind/diesel/battery systems - operational experience and economy

    Energy Technology Data Exchange (ETDEWEB)

    Kniehl, R. [CES - Consulting and Engineering Services, Heidelberg (Germany); Cramer, G.; Toenges, K.H. [SMA Regelsysteme GmbH, Niestetal (Germany)

    1995-12-31

    To continuously supply remote villages and settlements not connected to the public grid with electric power is an ambitious technical task considering ecological and economical points of view. The German company SMA has developed a modular supply system as a solution for this task in the range of 30 kW to 5 MW. Meanwhile more than 20 applications of these `Intelligent Power Systems (IPS)` have proved their technical reliability and economical competitiveness worldwide under different, and also extreme environmental conditions. Actually it is the first commercially available advanced Wind/Diesel/Battery System for remote area electrification. The modular autonomous electric supply systems realized by SMA basically consist of two or more diesel power sets, battery storage with converter, a rotating phaseshifter, and an optional number of wind turbines. All modules are coupled on the 3-phase AC system grid and run in various parallel configurations depending on the wind speed and the consumer power demand. The control system operates fully automatical and offers a very user-friendly graphical interface. This advanced system control also contains a remote control and operating data output via modem and telephone line. SMA and CES have considerable experience with Wind/Diesel/Battery Systems for more than eight years. In many cases wind energy converters in the power range of 30 to 40 kW were used, but it is also possible to use larger wind turbines (e.g. 250 kW). In the following the system technology is described in detail, experience of different system sizes in several countries of application is presented, and economical analyses for power supply by IPS are given in comparison to a conventional fully diesel power supply. (author)

  14. Laparoscopic hand-assisted versus robotic-assisted laparoscopic sleeve gastrectomy: experience of 103 consecutive cases.

    Science.gov (United States)

    Kannan, Umashankkar; Ecker, Brett L; Choudhury, Rashikh; Dempsey, Daniel T; Williams, Noel N; Dumon, Kristoffel R

    2016-01-01

    Laparoscopic sleeve gastrectomy has become a stand-alone procedure in the treatment of morbid obesity. There are very few reports on the use of robotic approach in sleeve gastrectomy. The purpose of this retrospective study is to report our early experience of robotic-assisted laparoscopic sleeve gastrectomy (RALSG) using a proctored training model with comparison to an institutional cohort of patients who underwent laparoscopic hand-assisted sleeve gastrectomy (LASG). University hospital. The study included 108 patients who underwent sleeve gastrectomy either via the laparoscopic-assisted or robot-assisted approach during the study period. Of these 108 patients, 62 underwent LASG and 46 underwent RALSG. The console surgeon in the RALSG is a clinical year 4 (CY4) surgery resident. All CY4 surgery residents received targeted simulation training before their rotation. The console surgeon is proctored by the primary surgeon with assistance as needed by the second surgeon. The patients in the robotic and laparoscopic cohorts did not have a statistical difference in their demographic characteristics, preoperative co-morbidities, or complications. The mean operating time did not differ significantly between the 2 cohorts (121 min versus 110 min, P = .07). Patient follow-up in the LSG and RALSG were 91% and 90% at 3 months, 62% and 64% at 6 months, and 60% and 55% at 1 year, respectively. The mean percentage estimated weight loss (EWL%) at 3 months, 6 months, and 1 year was greater in the robotic group but not statistically significant (27 versus 22 at 3 mo [P = .05] and 39 versus 34 at 6 mo [P = .025], 57 versus 48 at 1 yr [P = .09]). There was no mortality in either group. Early results of our experience with RALSG indicate low perioperative complication rates and comparable weight loss with LASG. The concept of a stepwise education model needs further validation with larger studies. Copyright © 2016 American Society for Bariatric Surgery. Published by Elsevier Inc

  15. The Texts of the Instruments connected with the Agency's Assistance to Greece in furthering Projects by the Supply of Materials

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1971-05-27

    The texts of the Master Agreement between the Agency and the Government of Greece, and of Supplementary Agreement No. 1 thereto, in connection with the Agency's assistance to that Government in furthering projects by the supply of materials are reproduced herein for the information of all Members. These Agreements entered into force on 2 June 1970 and 20 July 1970 respectively.

  16. The Texts of the Instruments connected with the Agency's Assistance to Brazil in Furthering Projects by the Supply of Material

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1971-05-20

    The texts of the Master Agreement between the Agency and the Government of Brazil, and of Supplementary Agreement No.1 thereto, in connection with the Agency's assistance to that Government in furthering projects by the supply of materials, are reproduced herein for the information of all Members. These Agreements entered into force on 20 November 1970 and 12 January 1971 respectively.

  17. The Texts of the Instruments connected with the Agency's Assistance to Greece in furthering Projects by the Supply of Materials

    International Nuclear Information System (INIS)

    1971-01-01

    The texts of the Master Agreement between the Agency and the Government of Greece, and of Supplementary Agreement No. 1 thereto, in connection with the Agency's assistance to that Government in furthering projects by the supply of materials are reproduced herein for the information of all Members. These Agreements entered into force on 2 June 1970 and 20 July 1970 respectively.

  18. The Texts of the Instruments connected with the Agency's Assistance to Brazil in Furthering Projects by the Supply of Material

    International Nuclear Information System (INIS)

    1971-01-01

    The texts of the Master Agreement between the Agency and the Government of Brazil, and of Supplementary Agreement No.1 thereto, in connection with the Agency's assistance to that Government in furthering projects by the supply of materials, are reproduced herein for the information of all Members. These Agreements entered into force on 20 November 1970 and 12 January 1971 respectively.

  19. Demonstration of entanglement assisted invariance on IBM's quantum experience.

    Science.gov (United States)

    Deffner, Sebastian

    2017-11-01

    Quantum entanglement is among the most fundamental, yet from classical intuition also most surprising properties of the fully quantum nature of physical reality. We report several experiments performed on IBM's Quantum Experience demonstrating envariance - entanglement assisted invariance. Envariance is a recently discovered symmetry of composite quantum systems, which is at the foundational origin of physics and a quantum phenomenon of pure states. These very easily reproducible and freely accessible experiments on Quantum Experience provide simple tools to study the properties of envariance, and we illustrate this for several cases with "quantum universes" consisting of up to five qubits.

  20. 33 CFR 203.61 - Emergency water supplies due to contaminated water source.

    Science.gov (United States)

    2010-07-01

    .... (5) Loss of water supply is not a basis for assistance under this authority. (6) Water will not be... 33 Navigation and Navigable Waters 3 2010-07-01 2010-07-01 false Emergency water supplies due to... PROCEDURES Emergency Water Supplies: Contaminated Water Sources and Drought Assistance § 203.61 Emergency...

  1. Assistência psicológica ao estudante de medicina: 21 anos de experiência Psychological assistance to medical students: 21 years of experience

    Directory of Open Access Journals (Sweden)

    Luiz Roberto Millan

    2008-02-01

    Full Text Available Este artigo tem como objetivo relatar a experiência de 21 anos do Grupo de Assistência Psicológica ao Aluno da Faculdade de Medicina da Universidade de São Paulo (GRAPAL. Inicialmente, é apresentada, de forma sucinta, uma introdução acerca do histórico da assistência psicológica ao estudante de medicina, seguida da criação do GRAPAL, em 1983, e do início de suas atividades, em 1986. São apresentados os principais motivos da procura psicológica pelos alunos, os obstáculos encontrados por parte da instituição, da equipe de trabalho e dos alunos. A seguir, são apresentados alguns trabalhos publicados pelo serviço, que abordam a personalidade do aluno de medicina, a escolha da profissão e o problema do suicídio. Finalmente, são apresentadas sugestões feitas pelos alunos para o aperfeiçoamento dos atendimentos e as providências tomadas pela equipe do GRAPAL para alcançar a realização destas sugestões.The purpose of this article is to report on the 21-year experience of the Group of Psychological Assistance to Students at the School of Medicine of the São Paulo University (GRAPAL. First, the authors briefly introduce historical aspects of the psychological assistance provided to medical students, followed by the organization of GRAPAL in 1983 and the beginning of activities in 1986. Major reasons for medical students to seek psychological assistance, obstacles found by the institution, the work team and students are presented. Then, several works published by the Service, which approach the personality traits of medical students, their choice for Medicine and the suicide problem, are listed. Finally, the authors present some suggestions made by students to improve assistance services and measures to be taken by the GRAPAL team to carry out such suggestions.

  2. The Texts of the Instruments connected with the Agency's Assistance to Romania in Furthering Projects by the Supply of Materials

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1967-06-09

    The texts of the Master Agreement between the Agency and the Government of Romania, and of Supplementary Agreement No. 1 thereto, in connection with the Agency's assistance to that Government in furthering projects by the supply of materials, are reproduced in this document for the information of all Members. The former Agreement entered into force on 22 April 1966, and the latter on 1 August 1966.

  3. The Texts of the Instruments connected with the Agency's Assistance to Yugoslavia in Furthering Projects by the Supply of Materials

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1971-05-27

    The texts of the Master Agreement between the Agency and the Government of Yugoslavia, and of Supplementary Agreements No. 1 and No. 2 thereto, in connection with the Agency's assistance to that Government in furthering projects by the supply of materials, are reproduced herein for the information of all Members. These Agreements entered into force on 29 May 1970, 8 September 1970 and 2 February 1971 respectively.

  4. The Texts of the Instruments connected with the Agency's Assistance to Yugoslavia in Furthering Projects by the Supply of Materials

    International Nuclear Information System (INIS)

    1971-01-01

    The texts of the Master Agreement between the Agency and the Government of Yugoslavia, and of Supplementary Agreements No. 1 and No. 2 thereto, in connection with the Agency's assistance to that Government in furthering projects by the supply of materials, are reproduced herein for the information of all Members. These Agreements entered into force on 29 May 1970, 8 September 1970 and 2 February 1971 respectively.

  5. The Texts of the Instruments connected with the Agency's Assistance to Romania in Furthering Projects by the Supply of Materials

    International Nuclear Information System (INIS)

    1967-01-01

    The texts of the Master Agreement between the Agency and the Government of Romania, and of Supplementary Agreement No. 1 thereto, in connection with the Agency's assistance to that Government in furthering projects by the supply of materials, are reproduced in this document for the information of all Members. The former Agreement entered into force on 22 April 1966, and the latter on 1 August 1966

  6. The Undergraduate Teaching Assistant Experience Offers Opportunities Similar to the Undergraduate Research Experience†

    Science.gov (United States)

    Schalk, Kelly A.; McGinnis, J. Randy; Harring, Jeffrey R.; Hendrickson, Amy; Smith, Ann C.

    2009-01-01

    There has been a growing concern in higher education about our failure to produce scientifically trained workers and scientifically literate citizens. Active-learning and research-oriented activities are posited as ways to give students a deeper understanding of science. We report on an undergraduate teaching assistant (UTA) experience and suggest that students who participate as a UTA obtain benefits analogous to those who participate as an undergraduate research assistant (URA). We examined the experiences of 24 undergraduates acting as UTAs in a general microbiology course. Self-reported gains by the UTAs were supported by observational data from undergraduates in the course who were mentored by the UTAs and by the graduate teaching assistants (GTAs) with whom the UTAs worked. Specifically, data from the UTAs’ journals and self-reported Likert scales and rubrics indicated that our teaching assistants developed professional characteristics such as self-confidence and communication and leadership skills, while they acquired knowledge of microbiology content and laboratory skills. Data from the undergraduate Likert scale as well as the pre- and post-GTA rubrics further confirmed our UTA’s data interpretations. These findings are significant because they offer empirical data to support the suggestion that the UTA experience is an effective option for developing skills and knowledge in undergraduates that are essential for careers in science. The UTA experience provides a valuable alternative to the URA experience. PMID:23653688

  7. Initial Clinical Experience With Surgical Technique of Robot-assisted Transperitoneal Laparoscopic Partial Nephrectomy

    Directory of Open Access Journals (Sweden)

    Cheng-Kuang Yang

    2009-12-01

    Conclusion: Robot-assisted LPN is feasible and may be a viable alternative to open or LPN in selected patients with small exophytic renal tumors. Compared with standard LPN, the robotic assisted LPN approach with precise renal reconstruction under a safe warm ischemia time is feasible and can be easily adopted by those with experience in robot-assisted surgery.

  8. The Texts of the Instruments connected with the Agency's Assistance to India in Furthering Projects by the Supply of Materials. Second and Third Supplementary Agreements

    International Nuclear Information System (INIS)

    1971-01-01

    As a sequel to the assistance which the Agency has provided to the Government of India in furthering projects by the supply of materials, two additional Supplementary Agreements to the Master Agreement concerning the provision of that assistance have been concluded between the Agency and the Government. These Supplementary Agreements entered into force on 2 July 1970 and 16 November 1970 respectively, and the texts are reproduced herein for the information of all Members

  9. The Texts of the Instruments connected with the Agency's Assistance to Romania in Furthering Projects by the Supply of Materials. Second and Third Supplementary Agreements

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1970-02-06

    As a sequel to the assistance which the Agency has provided to the Government of Romania in furthering projects by the supply of materials, two additional Supplementary Agreements to the Master Agreement concerning the provision of that assistance have been concluded between the Agency and the Government. These Agreements entered into force on 4 June 1968 and 21 August 1968 respectively, and the texts are reproduced herein for the information of all Members.

  10. The Texts of the Instruments connected with the Agency's Assistance to Romania in Furthering Projects by the Supply of Materials. Second and Third Supplementary Agreements

    International Nuclear Information System (INIS)

    1970-01-01

    As a sequel to the assistance which the Agency has provided to the Government of Romania in furthering projects by the supply of materials, two additional Supplementary Agreements to the Master Agreement concerning the provision of that assistance have been concluded between the Agency and the Government. These Agreements entered into force on 4 June 1968 and 21 August 1968 respectively, and the texts are reproduced herein for the information of all Members

  11. The Texts of the Instruments Concerning the Agency's assistance to Mexico in Establishing a Nuclear Power Facility. A Second Supply Agreement

    International Nuclear Information System (INIS)

    1974-01-01

    As a sequel to the assistance which the Agency provided to the Government of Mexico in establishing a nuclear power facility, a Second Supply Agreement has been concluded between the Agency and that Government. The Agreement entered into force on 14 June 1974, pursuant to Article IX, and the text thereof is reproduced herein for the information of all Members.

  12. The Texts of the Instruments Concerning the Agency's assistance to Mexico in Establishing a Nuclear Power Facility. A Second Supply Agreement

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1974-10-31

    As a sequel to the assistance which the Agency provided to the Government of Mexico in establishing a nuclear power facility, a Second Supply Agreement has been concluded between the Agency and that Government. The Agreement entered into force on 14 June 1974, pursuant to Article IX, and the text thereof is reproduced herein for the information of all Members.

  13. The Texts of the Instruments connected with the Agency's Assistance to Yugoslavia in Establishing a Research Reactor Project. Second Supply Agreement

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1968-08-28

    As a sequel to the assistance which the Agency provided to the Government of Yugoslavia in establishing a research reactor project, a second Supply Agreement has been concluded between the Agency and the Governments of the United States of America and Yugoslavia. The Agreement entered into force on 20 February 1968, and the text is reproduced herein for the information of all Members.

  14. The Texts of the Instruments connected with the Agency's Assistance to Yugoslavia in Establishing a Research Reactor Project. Second Supply Agreement

    International Nuclear Information System (INIS)

    1968-01-01

    As a sequel to the assistance which the Agency provided to the Government of Yugoslavia in establishing a research reactor project, a second Supply Agreement has been concluded between the Agency and the Governments of the United States of America and Yugoslavia. The Agreement entered into force on 20 February 1968, and the text is reproduced herein for the information of all Members

  15. HAND-ASSISTED LAPAROSCOPIC DONOR NEPHRECTOMY. THE FIRST RUSSIAN EXPERIENCE

    Directory of Open Access Journals (Sweden)

    S. V. Gautier

    2010-01-01

    Full Text Available The first experience of hand-assisted laparoscopic donor nephrectomy is described in the article. A new technique of the operation and it’s results are discussed in details. Advantages of this type of the operation in comparison with open and full laparoscopic techniques are presented. 

  16. A Review of the Wood Pellet Value Chain, Modern Value/Supply Chain Management Approaches, and Value/Supply Chain Models

    OpenAIRE

    Hughes, Natalie M.; Shahi, Chander; Pulkki, Reino

    2014-01-01

    We reviewed 153 peer-reviewed sources to provide identification of modern supply chain management techniques and exploration of supply chain modeling, to offer decision support to managers. Ultimately, the review is intended to assist member-companies of supply chains, mainly producers, improve their current management approaches, by directing them to studies that may be suitable for direct application to their supply chains and value chains for improved efficiency and profitability. We found...

  17. An Agri-food Supply Chain Model to Enhance the Business Skills of Small-scale Farmers Using Corporate Social Responsibility

    OpenAIRE

    Wahyudi Sutopo; Muh. Hisjam; Yuniaristanto

    2012-01-01

    In general, small-scale vegetable farmers experience problems in improving the safety and quality of vegetables for supplying high-class consumers in modern retailers. Farmer Group and/or Cooperative (FGC) should be able to assist its members to meet the relevant provisions of modern retail on product specifications, delivery terms, and internal business requirements. This study proposed an agri-food supply chain (ASC) model that involves the corporate social responsibility (CSR) activities t...

  18. The Texts of the Instruments connected with the Agency's Assistance to Yugoslavia in Establishing a Research Reactor Project. Third Supply Agreement

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1971-03-11

    As a sequel to the assistance which the Agency provided to the Government of Yugoslavia in connection with a research reactor project, a third Supply Agreement has been concluded between the Agency and the Governments of the United States of America and Yugoslavia. This Agreement entered into force on 30 December 1970, and the text is reproduced herein for the information of all Members.

  19. The Texts of the Instruments connected with the Agency's Assistance to Yugoslavia in Establishing a Research Reactor Project. Third Supply Agreement

    International Nuclear Information System (INIS)

    1971-01-01

    As a sequel to the assistance which the Agency provided to the Government of Yugoslavia in connection with a research reactor project, a third Supply Agreement has been concluded between the Agency and the Governments of the United States of America and Yugoslavia. This Agreement entered into force on 30 December 1970, and the text is reproduced herein for the information of all Members

  20. The Texts of the Instruments Connected with the Agency's Assistance to Chile in Furthering Projects by the Supply of Materials

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1973-11-29

    The texts of the Master Agreement between the Agency and the Government of Chile, and of Supplementary Agreement No. 1 thereto, in connection with the Agency's assistance to that Government in furthering projects by the supply of materials, are reproduced herein for the information of all Members. The Master Agreement entered into force on 16 March 1973, pursuant to its Article XIV, and the Supplementary Agreement on 14 June 1973, pursuant to its Article IV.

  1. The Texts of the Instruments Connected with the Agency's Assistance to Chile in Furthering Projects by the Supply of Materials

    International Nuclear Information System (INIS)

    1973-01-01

    The texts of the Master Agreement between the Agency and the Government of Chile, and of Supplementary Agreement No. 1 thereto, in connection with the Agency's assistance to that Government in furthering projects by the supply of materials, are reproduced herein for the information of all Members. The Master Agreement entered into force on 16 March 1973, pursuant to its Article XIV, and the Supplementary Agreement on 14 June 1973, pursuant to its Article IV.

  2. Two years of experience with robot-assisted anti-reflux surgery

    DEFF Research Database (Denmark)

    Sanberg Jensen, Jonas; Kold Antonsen, Henning; Durup, Jesper

    2017-01-01

    Background and aims Robot-assisted anti-reflux surgery (RAAS) is an alternative to conventional laparoscopic anti-reflux surgery (CLAS). The purpose of this study was to evaluate initial Danish experiences with robot-assisted anti-reflux surgery compared to conventional laparoscopic anti-reflux...... significantly dependent on type of fundic wrap with reoperation of Nissen fundoplication being dysphagia and reoperation of Toupet being recurrent reflux (p = 0.008). There was no clearly determined learning curve. Conclusions RAAS was safe, feasible and with equal efficacy to CLAS. There were however...

  3. Computer-assisted training experiment used in the field of thermal energy production (EDF)

    International Nuclear Information System (INIS)

    Felgines, R.

    1982-01-01

    In 1981, the EDF carried out an experiment with computer-assisted training (EAO). This new approach, which continued until June 1982, involved about 700 employees all of whom operated nuclear power stations. The different stages of this experiment and the lessons which can be drawn from it are given the lessons were of a positive nature and make it possible to envisage complete coverage of all nuclear power stations by computer-assisted training within a very short space of time [fr

  4. International experiences with power supply crises

    International Nuclear Information System (INIS)

    2002-01-01

    Many so-called deregulated power markets experience a hardened energy and power balance and some have had supply crises. This report discusses the crises, their impacts and their causes as well as the measures taken by the authorities to solve the crises. It also considers the similarities or dissimilarities with respect to the situation in Norway the winter 2002/2003. Like Norway, many of the countries have a considerable share of hydroelectric power. It is found, however, that the dependence on water of its own is not the reason for the crises, but that the inflow conditions give the market greater challenges. Furthermore, the Norwegian market has greater flexibility in the consumption, greater import capacity, better price security possibilities and less problems with market power than most of the countries here considered. Various factors influence a country's power consumption and production capacity. Economic growth and the availability of inexpensive power contribute to accelerate the consumption, while predictable external conditions and sufficient expected investment earnings are necessary to achieve an increase of the capacity - both through new investments and attendance to existing capacity. In a smooth power market there must be a certain correspondence between consumption and installed capacity, and the capacity must be such that it can cover the continuous demand for power and at the same time be flexible enough to deliver power at peak loads. This is also true of the transmission capacity. In addition, some extra capacity must be available for unexpected events. The basic problem is, in any power market, that the consumption may rise fast, while the investments in new capacity typically occurs in leaps, with long and costly construction phases. Many countries have lately experienced a hardening of the balance between consumption and capacity and so have been vulnerable to unexpected increases in consumption or resource failure. This was also the

  5. Laparoscopic hand-assisted pancreaticoduodenectomy: initial UK experience.

    Science.gov (United States)

    Ammori, B J

    2004-04-01

    By and large, the limited world experience with laparoscopic pancreaticoduodenectomy (PD) has been unfavorable, but the laparoscopic hand-assisted approach to PD has recently shown promising results. We report the first successful UK experience with laparoscopic hand-assisted PD (LHAPD). A 62-year-old man who presented with painless obstructive jaundice was found at endoscopy, to have an ampullary tumor. Preoperative biopsy specimens confirmed the diagnosis of an adenocarcinoma, and CT showed no evidence of either vascular involvement or metastatic disease. A staging laparoscopy showed no intraabdominal metastases, and an LHAPD was performed using a Gelport. The intraoperative course was uneventful. Two units of blood were transfused intraoperatively, but no postoperative blood transfusion was required. The operative time was 11 h (plus a 30-min break). The patients postoperative recovery was uneventful except for superficial pressure sores over the buttocks and elbows. The patient resumed oral fluid and dietary intake on the 1st and 3rd postoperative days, respectively, and was discharged from hospital on the 9th postoperative day. Histology demonstrated an ampullary adenocarcinoma with clear resection margins and involvement of two of the 13 lymph nodes examined. At 2-month follow-up, the patient remains well and is receiving adjuvant chemotherapy. LHAPD achieves good oncological clearance and can be performed safely in selected patients. The early promising results with this approach will undoubtedly encourage wider adoption of this procedure and are likely to widen the selection criteria.

  6. The Texts of the Instruments connected with the Agency's Assistance to Pakistan in Establishing a Research Reactor Project. A Second Supply Agreement

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1968-01-12

    As a sequel to the assistance which the Agency provided to the Government of Pakistan in establishing a research reactor project, a second Supply Agreement has been concluded between the Agency and the Governments of Pakistan and the United States of America. This Agreement entered into force on 19 October 1967, and the text is reproduced herein for the information of all Members.

  7. The Texts of the Instruments connected with the Agency's Assistance to Finland in relation to a Research Reactor Project. Second Supply Agreement

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1966-07-25

    As a sequel to the assistance which the Agency provided to the Government of Finland in establishing a research reactor project, a second Supply Agreement has been concluded between the Agency and the Government of Finland and the United States of America. This Agreement entered into force on 8 July 1966, and the text is reproduced herein for the information of all Members.

  8. The Texts of the Instruments connected with the Agency's Assistance to Pakistan in Establishing a Research Reactor Project. A Second Supply Agreement

    International Nuclear Information System (INIS)

    1968-01-01

    As a sequel to the assistance which the Agency provided to the Government of Pakistan in establishing a research reactor project, a second Supply Agreement has been concluded between the Agency and the Governments of Pakistan and the United States of America. This Agreement entered into force on 19 October 1967, and the text is reproduced herein for the information of all Members

  9. The Texts of the Instruments connected with the Agency's Assistance to Finland in relation to a Research Reactor Project. Second Supply Agreement

    International Nuclear Information System (INIS)

    1966-01-01

    As a sequel to the assistance which the Agency provided to the Government of Finland in establishing a research reactor project, a second Supply Agreement has been concluded between the Agency and the Government of Finland and the United States of America. This Agreement entered into force on 8 July 1966, and the text is reproduced herein for the information of all Members

  10. Experiences and lessons learned for planning and supply of micronutrient powders interventions

    Science.gov (United States)

    Schauer, Claudia; Sunley, Nigel; Nyhus Dhillon, Christina; Roca, Claudia; Tapia, Gustavo; Mathema, Pragya; Walton, Shelley; Situma, Ruth; Zlotkin, Stanley; DW Klemm, Rolf

    2017-01-01

    Abstract Realistic planning for a nutrition intervention is a critical component of implementation, yet effective approaches have been poorly documented. Under the auspices of “The Micronutrient Powders Consultation: Lessons Learned for Operational Guidance,” 3 working groups were formed to summarize experiences and lessons across countries regarding micronutrient powders (MNP) interventions for young children. This paper focuses on programmatic experiences in the planning stages of an MNP intervention, encompassing assessment, enabling environment and adaptation, as well as considerations for supply. Methods included a review of published and grey literature, key informant interviews, and deliberations throughout the consultation process. We found that assessments helped justify adopting an MNP intervention, but these assessments were often limited by their narrow scope and inadequate data. Establishing coordinating bodies and integrating MNP into existing policies and programmes have helped foster an enabling environment and support programme stability. Formative research and pilots have been used to adapt MNP interventions to specific contexts, but they have been insufficient to inform scale‐up. In terms of supply, most countries have opted to procure MNP through international suppliers, but this still requires understanding and navigating the local regulatory environment at the earliest stages of an intervention. Overall, these findings indicate that although some key planning and supply activities are generally undertaken, improvements are needed to plan for effective scale‐up. Much still needs to be learned on MNP planning, and we propose a set of research questions that require further investigation. PMID:28960875

  11. Family Caregivers' Reflections on Experiences of Assisted Suicide in Switzerland: A Qualitative Interview Study.

    Science.gov (United States)

    Gamondi, C; Pott, Murielle; Preston, Nancy; Payne, Sheila

    2018-04-01

    Thousands of family members worldwide are annually involved in assisted dying. Family participation in assisted dying has rarely been investigated and families' needs typically are not considered in assisted dying legislation and clinical guidelines. To explore family caregivers' reflections on experiences of assisted suicide in Switzerland. A cross-sectional qualitative interview study conducted in the Italian- and French-speaking regions of Switzerland. Interpretation and analysis were performed using qualitative content analysis. Twenty-eight close relatives and family carers of 18 patients who died by assisted suicide in Switzerland were interviewed. Family members perceived their involvement in assisted suicide as characterized by five phases; 1) contemplation, 2) gaining acceptance, 3) gaining permission, 4) organization, and 5) aftermath. Families can participate in these phases at diverse levels and with varying degrees of involvement. Important triggers for families and patients for transition between phases include patients' experiences of their life-threatening illnesses and related treatments, their increasing awareness of approaching death, and family member recognition of their loved one's unbearable suffering. Participating in assisted suicide created further demanding tasks for families in addition to their role of caregivers. Families appeared to be involved in the preparation of assisted suicide along with patients, irrespective of their personal values regarding assisted dying. Support for family members is essential if they are involved in tasks preparatory to assisted suicide. Clinical guidelines and policies concerning assisted dying should acknowledge and address family needs. Copyright © 2017 American Academy of Hospice and Palliative Medicine. Published by Elsevier Inc. All rights reserved.

  12. Hope and despair: community health assistants' experiences of working in a rural district in Zambia.

    Science.gov (United States)

    Zulu, Joseph Mumba; Kinsman, John; Michelo, Charles; Hurtig, Anna-Karin

    2014-05-25

    In order to address the challenges facing the community-based health workforce in Zambia, the Ministry of Health implemented the national community health assistant strategy in 2010. The strategy aims to address the challenges by creating a new group of workers called community health assistants (CHAs) and integrating them into the health system. The first group started working in August 2012. The objective of this paper is to document their motivation to become a CHA, their experiences of working in a rural district, and how these experiences affected their motivation to work. A phenomenological approach was used to examine CHAs' experiences. Data collected through in-depth interviews with 12 CHAs in Kapiri Mposhi district and observations were analysed using a thematic analysis approach. Personal characteristics such as previous experience and knowledge, passion to serve the community and a desire to improve skills motivated people to become CHAs. Health systems characteristics such as an inclusive work culture in some health posts motivated CHAs to work. Conversely, a non-inclusive work culture created a social structure which constrained CHAs' ability to learn, to be innovative and to effectively conduct their duties. Further, limited supervision, misconceptions about CHA roles, poor prioritisation of CHA tasks by some supervisors, as well as non- and irregular payment of incentives also adversely affected CHAs' ability to work effectively. In addition, negative feedback from some colleagues at the health posts affected CHA's self-confidence and professional outlook. In the community, respect and support provided to CHAs by community members instilled a sense of recognition, appreciation and belonging in CHAs which inspired them to work. On the other hand, limited drug supplies and support from other community-based health workers due to their exclusion from the government payroll inhibited CHAs' ability to deliver services. Programmes aimed at integrating

  13. Experience using individually supplied heater rods in critical power testing of advanced BWR fuel

    Energy Technology Data Exchange (ETDEWEB)

    Majed, M.; Morback, G.; Wiman, P. [ABB Atom AB, Vasteras (Sweden)] [and others

    1995-09-01

    The ABB Atom FRIGG loop located in Vasteras Sweden has during the last six years given a large experience of critical power measurements for BWR fuel designs using indirectly heated rods with individual power supply. The loop was built in the sixties and designed for maximum 100 bar pressure. Testing up to the mid eighties was performed with directly heated rods using a 9 MW, 80 kA power supply. Providing test data to develop critical power correlations for BWR fuel assemblies requires testing with many radial power distributions over the full range of hydraulic conditions. Indirectly heated rods give large advantages for the testing procedure, particularly convenient for variation of individual rod power. A test method being used at Stern Laboratories (formerly Westinghouse Canada) since the early sixties, allows one fuel assembly to simulate all required radial power distributions. This technique requires reliable indirectly heated rods with independently controlled power supplies and uses insulated electric fuel rod simulators with built-in instrumentation. The FRIGG loop was adapted to this system in 1987. A 4MW power supply with 10 individual units was then installed, and has since been used for testing 24 and 25 rod bundles simulating one subbundle of SVEA-96/100 type fuel assemblies. The experience with the system is very good, as being presented, and it is selected also for a planned upgrading of the facility to 15 MW.

  14. The Texts of the Instruments connected with the Agency's Assistance to Mexico in Establishing a Research Reactor Project. A Second Supply Agreement

    International Nuclear Information System (INIS)

    1972-01-01

    As a sequel to the assistance which the Agency has provided to the Government of Mexico in connection with a research reactor project, a Second Supply Agreement has been concluded between the Agency and the Governments of Mexico and the United States of America. This Agreement entered into force on 4 October 1972, and the text is reproduced herein for the information of all Members

  15. The Texts of the Instruments connected with the Agency's Assistance to Mexico in Establishing a Research Reactor Project. A Second Supply Agreement

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1972-11-17

    As a sequel to the assistance which the Agency has provided to the Government of Mexico in connection with a research reactor project, a Second Supply Agreement has been concluded between the Agency and the Governments of Mexico and the United States of America. This Agreement entered into force on 4 October 1972, and the text is reproduced herein for the information of all Members.

  16. The Text of the Agreement connected with the Agency's Assistance to Pakistan in furthering Projects by the Supply of Materials. Supplementary Agreement No. 1

    International Nuclear Information System (INIS)

    1972-01-01

    The text of the Supplementary Agreement No. 1 to the Master Agreement between the Agency and the Government of Pakistan for assistance by the Agency in furthering projects by the supply of materials is reproduced herein for the information of all Members. The Supplementary Agreement entered into force on 16 November 1971.

  17. Integrating the Department of Defense Supply Chain

    Science.gov (United States)

    2012-01-01

    Defense for Logistics and Materiel Readiness, DoD Supply Chain Materiel Management Procedures , DoD Manual 4140.01, Volumes 1 through 11, draft as of March...this is summarized in R. Glenn Richey, Jr., Anthony S. Roath, Judith M. Whipple , and Stanley E. Fawcett, “Exploring a Governance Theory of Supply...of this report, DoD Supply Chain Materiel Management Procedures (Assistant Secretary of Defense for Logis- tics and Materiel Readiness, DoD Manual

  18. Trans people's experiences with assisted reproduction services: a qualitative study.

    Science.gov (United States)

    James-Abra, S; Tarasoff, L A; Green, D; Epstein, R; Anderson, S; Marvel, S; Steele, L S; Ross, L E

    2015-06-01

    What are the experiences of trans persons (i.e. those whose gender identity does not match the gender assigned to them at birth) who sought or accessed assisted reproduction (AR) services in Ontario, Canada, between 2007 and 2010? The majority of trans persons report negative experiences with AR service providers. Apart from research examining desire to have children among trans people, most of the literature on this topic has debated the ethics of assisting trans persons to become parents. To-date, all of the published research concerning trans persons' experiences with AR services is solely from the perspective of service providers; no studies have examined the experiences of trans people themselves. Secondary qualitative research study of data from nine trans-identified people and their partners (total n = 11) collected as part of a community-based study of access to AR services for sexual and gender minority people between 2010 and 2012. Trans-identified volunteers (and their partners, when applicable) who had used or attempted to access AR services since 2007 from across Ontario, Canada, participated in a 60-90 minute, semi-structured qualitative interview. Qualitative analysis was performed using a descriptive phenomenological approach. Emerging themes were continually checked against the data as part of an iterative process. The data highlight barriers to accessing AR services for trans people. Participant recommendations for improving AR service provision to better meet the needs of this population are presented. These recommendations address the following areas: (i) AR service provider education and training; (ii) service provider and clinic practices and (iii) clinic environment. The majority of study participants were trans people who identified as men and who resided in major urban areas; those living in smaller communities may have different experiences that were not adequately captured in this analysis. While existing literature debates the ethics of

  19. Assisted reproduction in history: the ethical experience of parenting

    Directory of Open Access Journals (Sweden)

    Carmen Massé García

    2018-02-01

    Full Text Available The decision to undergo medically assisted reproduction techniques involves a series of ethical questions that men and women of all times have had to answer: why do so? Wwho decides? Why so? Why not? How to face the process? We look at History to help them respond from the experience of so many women and couples who have needed to react toattend their impossible reproduction with the most unlikely resources. Looking at the subject and theirhis experience of meaning may be a more fruitful bioethical proposal than resorting toducing reflecting solely onion only to techniques.

  20. Parents of Autistic Children and Their Experiences with Assistive Technology

    Science.gov (United States)

    Curran, David

    2017-01-01

    Assistive Technology (AT) has become an important tool used by special needs children for improving their quality of life by empowering their abilities, therefore improving their personal independence. The purpose of this Interpretative Phenomenological Analysis (IPA) study was to closely examine the experiences and meaning-making of parents, of…

  1. The Texts of the Instruments connected with the Agency's Assistance to India in Furthering Projects by the Supply of Materials. Supplementary Agreements Nos 4, 5 and 6

    International Nuclear Information System (INIS)

    1972-01-01

    As a sequel to the assistance which the Agency has provided to the Government of India in furthering projects by the supply of materials, three additional Supplementary Agreements to the Master Agreement concerning the provision of that assistance have been concluded between the Agency and the Government. These Supplementary Agreements entered into force on 1 July 1971, 20 August 1971 and 1 October 1971 respectively, and the texts are reproduced herein for the information of all Members

  2. The Texts of the Instruments connected with the Agency's Assistance to India in Furthering Projects by the Supply of Materials. Supplementary Agreements Nos 4, 5 and 6

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1972-04-14

    As a sequel to the assistance which the Agency has provided to the Government of India in furthering projects by the supply of materials, three additional Supplementary Agreements to the Master Agreement concerning the provision of that assistance have been concluded between the Agency and the Government. These Supplementary Agreements entered into force on 1 July 1971, 20 August 1971 and 1 October 1971 respectively, and the texts are reproduced herein for the information of all Members.

  3. 76 FR 49787 - Rural Water Supply Program Approved Appraisal Reports; Availability

    Science.gov (United States)

    2011-08-11

    ... DEPARTMENT OF THE INTERIOR Bureau of Reclamation Rural Water Supply Program Approved Appraisal...: Reclamation provides assistance for appraisal investigations and feasibility studies for rural water supply... the findings and conclusions of the appraisal investigations that identified the water supply problems...

  4. The Texts of the Instruments connected with the Agency's Assistance to Pakistan in Establishing a Research Reactor Project. A Third Supply Agreement

    International Nuclear Information System (INIS)

    1974-01-01

    As a sequel to the assistance which the Agency has provided to the Government of Pakistan in connection with a research reactor project, a Third Supply Agreement has been concluded between the Agency and the Governments of Pakistan and the United States of America. The Agreement entered into force on 14 June 1974 pursuant to Article V, and the text is reproduced herein for the information of all Members

  5. Performance analysis of Supply Chain Management with Supply Chain Operation reference model

    Science.gov (United States)

    Hasibuan, Abdurrozzaq; Arfah, Mahrani; Parinduri, Luthfi; Hernawati, Tri; Suliawati; Harahap, Bonar; Rahmah Sibuea, Siti; Krianto Sulaiman, Oris; purwadi, Adi

    2018-04-01

    This research was conducted at PT. Shamrock Manufacturing Corpora, the company is required to think creatively to implement competition strategy by producing goods/services that are more qualified, cheaper. Therefore, it is necessary to measure the performance of Supply Chain Management in order to improve the competitiveness. Therefore, the company is required to optimize its production output to meet the export quality standard. This research begins with the creation of initial dimensions based on Supply Chain Management process, ie Plan, Source, Make, Delivery, and Return with hierarchy based on Supply Chain Reference Operation that is Reliability, Responsiveness, Agility, Cost, and Asset. Key Performance Indicator identification becomes a benchmark in performance measurement whereas Snorm De Boer normalization serves to equalize Key Performance Indicator value. Analiytical Hierarchy Process is done to assist in determining priority criteria. Measurement of Supply Chain Management performance at PT. Shamrock Manufacturing Corpora produces SC. Responsiveness (0.649) has higher weight (priority) than other alternatives. The result of performance analysis using Supply Chain Reference Operation model of Supply Chain Management performance at PT. Shamrock Manufacturing Corpora looks good because its monitoring system between 50-100 is good.

  6. Initial experience with the new da Vinci single-port robot-assisted platform.

    Science.gov (United States)

    Ballestero Diego, R; Zubillaga Guerrero, S; Truan Cacho, D; Carrion Ballardo, C; Velilla Diez, G; Calleja Hermosa, P; Gutiérrez Baños, J L

    2017-06-01

    To describe our experience in the first cases of urological surgeries performed with the da Vinci single-port robot-assisted platform. We performed 5 single-port robot-assisted surgeries (R-LESS) between May and October 2014. We performed 3 ureteral reimplant surgeries, one ureteropyeloplasty in an inverted kidney and 1 partial nephrectomy. The perioperative and postoperative results were collected, as well as a report of the complications according to the Clavien classification system. Of the 5 procedures, 4 were performed completely by LESS, while 1 procedure was reconverted to multiport robot-assisted surgery. There were no intraoperative complications. We observed perioperative complications in 4 patients, all of which were grade 1 or 2. The mean surgical time was 262minutes (range, 230-300). In our initial experience with the da Vinci device, R-LESS surgery was feasible and safe. There are still a number of limitations in its use, which require new and improved R-LESS platforms. Copyright © 2016 AEU. Publicado por Elsevier España, S.L.U. All rights reserved.

  7. The Texts of the Instruments Concerning the Agency's Assistance to Indonesia for the Continuation of a Research Reactor Project. A Second Supply Agreement

    International Nuclear Information System (INIS)

    1972-01-01

    As a sequel to the assistance which the Agency has provided to the Government of Indonesia in connection with a research reactor project, a Second Supply Agreement has been concluded between the Agency and the Governments of Indonesia and the United States of America. This Agreement entered into force on 14 September 1972, and the text is reproduced herein for the information of all Members.

  8. The Texts of the Instruments connected with the Agency's Assistance to Finland in relation to a Research Reactor Project. A Fourth Supply Agreement

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1970-02-05

    As a sequel to the assistance which the Agency provided to the Government of Finland in connection with a research reactor project, a fourth Supply Agreement has been concluded between the Agency and the Governments of Finland and the United States of America. This Agreement entered into force on 27 November 1969, and the text is reproduced herein for the information of all Members.

  9. The Texts of the Instruments Concerning the Agency's Assistance to Indonesia for the Continuation of a Research Reactor Project. A Second Supply Agreement

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1972-11-17

    As a sequel to the assistance which the Agency has provided to the Government of Indonesia in connection with a research reactor project, a Second Supply Agreement has been concluded between the Agency and the Governments of Indonesia and the United States of America. This Agreement entered into force on 14 September 1972, and the text is reproduced herein for the information of all Members.

  10. The Texts of the Instruments connected with the Agency's Assistance to Finland in relation to a Research Reactor Project. A Third Supply Agreement

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1968-01-12

    As a sequel to the assistance which the Agency provided to the Government of Finland in connection with a research reactor project), a third Supply Agreement has been concluded between the Agency and the Governments of Finland and the United States of America. This Agreement entered into force on 5 November 1967, and the text) is reproduced herein for the information of all Members.

  11. The Texts of the Instruments connected with the Agency's Assistance to Finland in relation to a Research Reactor Project. A Third Supply Agreement

    International Nuclear Information System (INIS)

    1968-01-01

    As a sequel to the assistance which the Agency provided to the Government of Finland in connection with a research reactor project), a third Supply Agreement has been concluded between the Agency and the Governments of Finland and the United States of America. This Agreement entered into force on 5 November 1967, and the text) is reproduced herein for the information of all Members

  12. The Texts of the Instruments connected with the Agency's Assistance to Finland in relation to a Research Reactor Project. A Fourth Supply Agreement

    International Nuclear Information System (INIS)

    1970-01-01

    As a sequel to the assistance which the Agency provided to the Government of Finland in connection with a research reactor project, a fourth Supply Agreement has been concluded between the Agency and the Governments of Finland and the United States of America. This Agreement entered into force on 27 November 1969, and the text is reproduced herein for the information of all Members

  13. Robot-assisted radiofrequency ablation of primary and secondary liver tumours: early experience

    International Nuclear Information System (INIS)

    Abdullah, Basri Johan Jeet; Yeong, Chai Hong; Goh, Khean Lee; Yoong, Boon Koon; Ho, Gwo Fuang; Yim, Carolyn Chue Wai; Kulkarni, Anjali

    2014-01-01

    Computed tomography (CT)-compatible robots, both commercial and research-based, have been developed with the intention of increasing the accuracy of needle placement and potentially improving the outcomes of therapies in addition to reducing clinical staff and patient exposure to radiation during CT fluoroscopy. In the case of highly inaccessible lesions that require multiple plane angulations, robotically assisted needles may improve biopsy access and targeted drug delivery therapy by avoidance of the straight line path of normal linear needles. We report our preliminary experience of performing radiofrequency ablation of the liver using a robotic-assisted CT guidance system on 11 patients (17 lesions). Robotic-assisted planning and needle placement appears to have high accuracy, is technically easier than the non-robotic-assisted procedure, and involves a significantly lower radiation dose to both patient and support staff. (orig.)

  14. Robot-assisted radiofrequency ablation of primary and secondary liver tumours: early experience

    Energy Technology Data Exchange (ETDEWEB)

    Abdullah, Basri Johan Jeet [University of Malaya, Department of Biomedical Imaging, Faculty of Medicine, Kuala Lumpur (Malaysia); Yeong, Chai Hong [University of Malaya, University of Malaya Research Imaging Centre, Faculty of Medicine, Kuala Lumpur (Malaysia); Goh, Khean Lee [University of Malaya, Department of Internal Medicine, Faculty of Medicine, Kuala Lumpur (Malaysia); Yoong, Boon Koon [University of Malaya, Department of Surgery, Faculty of Medicine, Kuala Lumpur (Malaysia); Ho, Gwo Fuang [University of Malaya, Department of Oncology, Faculty of Medicine, Kuala Lumpur (Malaysia); Yim, Carolyn Chue Wai [University of Malaya, Department of Anesthesia, Faculty of Medicine, Kuala Lumpur (Malaysia); Kulkarni, Anjali [Perfint Healthcare Corporation, Florence, OR (United States)

    2014-01-15

    Computed tomography (CT)-compatible robots, both commercial and research-based, have been developed with the intention of increasing the accuracy of needle placement and potentially improving the outcomes of therapies in addition to reducing clinical staff and patient exposure to radiation during CT fluoroscopy. In the case of highly inaccessible lesions that require multiple plane angulations, robotically assisted needles may improve biopsy access and targeted drug delivery therapy by avoidance of the straight line path of normal linear needles. We report our preliminary experience of performing radiofrequency ablation of the liver using a robotic-assisted CT guidance system on 11 patients (17 lesions). Robotic-assisted planning and needle placement appears to have high accuracy, is technically easier than the non-robotic-assisted procedure, and involves a significantly lower radiation dose to both patient and support staff. (orig.)

  15. A Student Experience of Peer Assisted Study Sessions in Physiotherapy

    Science.gov (United States)

    Sole, Gisela; Rose, Andrew; Bennet, Tracey; Jaques, Katrina; Rippon, Zoe; van der Meer, Jacques

    2012-01-01

    Peer Assisted Study Sessions (PASS) were introduced as an optional learning experience in a Bachelor of Physiotherapy programme. The aim of this study was to evaluate the use of PASS from the student perspective. Eight third year physiotherapy students who had participated in PASS during their second year of training attended a focus group, at…

  16. Granular activated carbon assisted ozonation of cephalexin antibiotic

    International Nuclear Information System (INIS)

    Akhtar, J.; Amin, N.S.; Imran, M.

    2016-01-01

    This study investigates removal of cephalexin using ozonation in the presence of granular activated carbon. Initial experiments were carried out about adsorption of cephalexin onto granular activated carbon, effect of catalytic ozonation, and biodegradability of cephalexin solution. The effect of ozonation on pH, ozone utilization efficiency and decomposition byproducts, was observed. Response surface methodology was adopted to optimize three operating parameters pH of solution, ozone supply and cephalexin concentration. GAC assisted ozonation, was found to be effective in decomposing COD (chemical oxygen demand) and cephalexin from solution. Optimum values of variables were pH from 7-8, ozone supply 30 mg/L and 100 mg/L of cephalexin solution. The complete removal of cephalexin and 60% COD removal was achieved at these optimum input values. (author)

  17. The composite supply chain efficiency model: A case study of the Sishen-Saldanha supply chain

    Directory of Open Access Journals (Sweden)

    Leila L. Goedhals-Gerber

    2016-01-01

    Full Text Available As South Africa strives to be a major force in global markets, it is essential that South African supply chains achieve and maintain a competitive advantage. One approach to achieving this is to ensure that South African supply chains maximise their levels of efficiency. Consequently, the efficiency levels of South Africa’s supply chains must be evaluated. The objective of this article is to propose a model that can assist South African industries in becoming internationally competitive by providing them with a tool for evaluating their levels of efficiency both as individual firms and as a component in an overall supply chain. The Composite Supply Chain Efficiency Model (CSCEM was developed to measure supply chain efficiency across supply chains using variables identified as problem areas experienced by South African supply chains. The CSCEM is tested in this article using the Sishen-Saldanda iron ore supply chain as a case study. The results indicate that all three links or nodes along the Sishen-Saldanha iron ore supply chain performed well. The average efficiency of the rail leg was 97.34%, while the average efficiency of the mine and the port were 97% and 95.44%, respectively. The results also show that the CSCEM can be used by South African firms to measure their levels of supply chain efficiency. This article concludes with the benefits of the CSCEM.

  18. Gaze-based assistive technology used in daily life by children with severe physical impairments - parents' experiences

    OpenAIRE

    Borgestig, Maria; Rytterstrom, Patrik; Hemmingsson, Helena

    2017-01-01

    Objective: To describe and explore parents' experiences when their children with severe physical impairments receive gaze-based assistive technology (gaze-based assistive technology (AT)) for use in daily life. Methods: Semi-structured interviews were conducted twice, with one year in between, with parents of eight children with cerebral palsy that used gaze-based AT in their daily activities. To understand the parents' experiences, hermeneutical interpretations were used during data analysis...

  19. Overcoming SMEs Financing and Supply Chain Obstacles by Introducing Supply Chain Finance

    Directory of Open Access Journals (Sweden)

    Abbasi Waseem Ahmed

    2018-05-01

    Full Text Available Keeping in view the importance of small and medium enterprises (SMEs for the growth of a nation, we must also keep an eye on the challenges faced by those SMEs. There are various kinds of financing and supply chain options available for SMEs but they still face lot of hindrances. This paper would help us to understand why SMEs are important for the development of any country and how could we help the SMEs from facing challenges related to financing and supply chain. This study further highlights the key financing issues faced by SMEs and also focuses on major supply chain challenges confronted by the SMEs. This study put emphasis on the concept of supply chain finance (SCF and that how SCF could help SMEs to overcome those challenges. In addition, this paper also points out the benefits and prospects of SMEs. Even though the concept of SCF is still in developing phase but it has shown significant assistance to SMEs in order to grow further.

  20. Experiment of Power Supply Method for WLAN Sensor Using Both Energy Harvesting and Microwave Power Transmission

    International Nuclear Information System (INIS)

    Sakaguchi, K; Yamashita, S; Yamamoto, K; Nishio, T; Morikura, M; Huang, Y; Shinohara, N

    2014-01-01

    This paper proposes to improve effectiveness of supplying a sensor with energy using microwave power transmission (MPT) and energy harvesting (EH). The MPT duration should be as short as possible to avoid serious interference between the MPT and wireless local area network data transmission when co-channel operation of both microwave power transmission (MPT) and wireless data transmissions is performed. To shorten the MPT duration, we use multiple power sources such as an MPT source and an EH source to supply a sensor with power. Here, an overcharge or an energy shortage could occur at the sensor if the power supplied by both the MPT and EH sources is not adjusted appropriately. To solve this problem, the power supplied by multiple sources should be estimated precisely. In this paper, we propose a scheme for estimating the power supplied by multiple sources on the basis of an existing MPT scheduling system and then conducted an experiment using the scheme. From the experimental results, it is confirmed to estimate the power supplied by multiple sources successfully. In addition, the required MPT duration when the EH source is used is reduced compared to that when it is not used. Moreover, it is confirmed that the sensor station successfully estimates the power supplied by an MPT source and that by an EH source and adequately configures the MPT duration

  1. Robot-assisted pancreatoduodenectomy with preservation of the vascular supply for autologous islet cell isolation and transplantation: a case report

    Directory of Open Access Journals (Sweden)

    Giulianotti Piero

    2012-03-01

    Full Text Available Abstract Introduction For patients with chronic pancreatitis presenting with medically intractable abdominal pain, surgical intervention may be the only treatment option. However, extensive pancreatic resections are typically performed open and are associated with a substantial amount of postoperative pain, wound complications and long recovery time. Minimally invasive surgery offers an avenue to improve results; however, current limitations of laparoscopic surgery render its application in the setting of chronic pancreatitis technically demanding. Additionally, pancreatic resections are associated with a high incidence of diabetes. Transplantation of islets isolated from the resected pancreas portion offers a way to prevent post-surgical diabetes; however, preservation of the vascular supply during pancreatic resection, which determines islet cell viability, is technically difficult using current laparoscopic approaches. With recent advances in the surgical field, robotic surgery now provides a means to overcome these obstacles to achieve the end goals of pain relief and preserved endocrine function. We present the first report of a novel, minimally invasive robotic approach for resection of the pancreatic head that preserves vascular supply and enables the isolation of a high yield of viable islets for transplantation. Case presentation A 35-year old Caucasian woman presented with intractable chronic abdominal pain secondary to chronic pancreatitis, with a stricture of her main pancreatic duct at the level of the ampulla of Vater and distal dilatation. She was offered a robotic-assisted pylorus-preserving pancreatoduodenectomy and subsequent islet transplantation, to both provide pain relief and preserve insulin-secretory reserves. Conclusion We present a novel, minimally invasive robotic approach for resection of the pancreatic head with complete preservation of the vascular supply, minimal warm ischemia time (less than three minutes and

  2. The Supply of Medical Radioisotopes. An Economic Study of the Molybdenum-99 Supply Chain

    International Nuclear Information System (INIS)

    2010-01-01

    The reliable supply of molybdenum-99 (Mo-99) and its decay product, technetium-99m (Tc-99m), is a vital component of modern medical diagnostic practices. Disruptions in the supply chain of these radioisotopes - which cannot be effectively stored - can suspend important medical testing services. Unfortunately, supply reliability has declined over the past decade, due to unexpected or extended shutdowns at the few ageing, Mo-99 producing, research reactors and processing facilities. These shutdowns have created global supply shortages. The full study offers a unique analysis of the economic structure and present state of the Mo-99/Tc-99m supply chain. It finds that the shortages are a symptom of a longer-term problem linked to insufficient capital investment, which has been brought about by an economic structure that does not provide sufficient remuneration for producing Mo-99 or support for developing additional production and processing infrastructure. To assist governments and other decision makers in their efforts to ensure long-term, reliable supply of these important medical isotopes, the study presents options for creating a sustainable economic structure. The study will also enhance understanding amongst stakeholders of the costs of supplying Mo-99 and ultimately contribute to a better functioning market. (authors)

  3. Older individuals' experiences during the assistive technology device service delivery process.

    Science.gov (United States)

    Gramstad, Astrid; Storli, Sissel Lisa; Hamran, Torunn

    2014-07-01

    Providing assistive technology devices to older individuals living in their ordinary homes is an important intervention to increase and sustain independence and to enable ageing at home. However, little is known about older individuals' experiences and needs in the assistive technology device (ATD) service delivery process. The purpose of this study was to investigate older individuals' experiences during the service delivery process of ATDs. Nine older individuals were interviewed three times each throughout the ATD service delivery process. The interviews were analysed within a hermeneutical phenomenological perspective. The results show that the service delivery process could be interpreted as an enigmatic journey and described using four themes: "hope and optimistic expectations", "managing after delivery or needing additional help", "having available help versus being abandoned", and "taking charge or putting up". The results emphasize the need for occupational therapists to maintain an individualized approach towards older clients throughout the service delivery process. The experiences of older individuals were diverse and related to expectations that were not necessarily articulated to the occupational therapist. The situation when the ATD is delivered to the client was highlighted by the clients as an important event with the potential to facilitate a successful service delivery process.

  4. Euthanasia and physician-assisted suicide: knowledge, attitudes and experiences of nurses in Andalusia (Spain).

    Science.gov (United States)

    Tamayo-Velázquez, María-Isabel; Simón-Lorda, Pablo; Cruz-Piqueras, Maite

    2012-09-01

    The aim of this study is to assess the knowledge, attitudes and experiences of Spanish nurses in relation to euthanasia and physician-assisted suicide. In an online questionnaire completed by 390 nurses from Andalusia, 59.1% adequately identified a euthanasia situation and 64.1% a situation involving physician-assisted suicide. Around 69% were aware that both practices were illegal in Spain, while 21.4% had received requests for euthanasia and a further 7.8% for assisted suicide. A total of 22.6% believed that cases of euthanasia had occurred in Spain and 11.4% believed the same for assisted suicide. There was greater support (70%) for legalisation of euthanasia than for assisted suicide (65%), combined with a greater predisposition towards carrying out euthanasia (54%), if it were to be legalised, than participating in assisted suicide (47.3%). Nurses in Andalusia should be offered more education about issues pertaining to the end of life, and extensive research into this area should be undertaken.

  5. Operational experience with -20 kV, 5 A DC power supply in Indus-2 RF system

    International Nuclear Information System (INIS)

    Tyagi, R.K.; Tripathi, A.; Upadhyay, R.; Badapanda, M.K.; Lad, M.

    2015-01-01

    An AC regulator based -20 kV, 5 A DC power supply is employed to bias 60 kW, 505.8 MHz klystron amplifier in Indus-2 RF system. A three terminal triggered spark gap based crowbar along with suitable limiting elements is incorporated at the output of the power supply for protection of sensitive klystron amplifier during load arcing conditions. Wire burn test is carried out on this power supply along with crowbar to ensure that the stored energy dumped into klystron during its arcing is less than 20 Joule. Various protection circuits like over voltage, over current, under voltage, phase failure, thermal overload and transformer oil over temperature protection have been incorporated in this power supply. Preventive maintenance of the power supply is carried out at regular intervals to ensure that it operates satisfactorily during actual operation.This includes checking the breakdown strength of transformer oil, drying of Silica gels in transformer breathers, checking of all electrical connections and cleaning of all high voltage components. The calibration of various meters, checking the setting of various protection-interlock cards and checking the healthiness of crowbar system are also done at regular intervals. During operation, crucial performance parameters of this power supply along with various interlock signals are continuously monitored. Suitable arrangement has been made to operate this supply either in local mode as well as in remote mode. This power supply is operating satisfactorily with klystron amplifier in Indus-2 RF system in round the clock mode for last 15 years and its operational experience are presented in this paper. (author)

  6. Experiences of rural and remote nurses assisting with disasters.

    Science.gov (United States)

    Kulig, Judith C; Penz, Kelly; Karunanayake, Chandima; MacLeod, Martha L P; Jahner, Sharleen; Andrews, Mary Ellen

    2017-05-01

    Globally, disasters are on the rise. Nurses play a significant role in responding to such events but little is known about rural and remote nurses' experiences. A national cross-sectional survey of regulated nurses (registered nurses, registered psychiatric nurses, licensed practical nurses and nurse practitioners) in rural and remote Canada provided the data (n=2465) for the logistic regression of predictors of assisting with a disaster event within the last five years. The types of disaster events were also examined and open-ended responses were explored to reveal nurses' perspectives. Nurse type, age, region of employment, employment status, number of rural communities worked, distance to advanced referral centre, remote community, personal-professional boundaries, burnout and work engagement were significant factors related to assisting with a disaster event. Open-ended data alluded to the importance of pre-disaster preparation, and the difficulties experienced when personal-professional relationships are impacted during a disaster. Nursing education curricula needs to include information about disasters and the nurse's role. Continuing education opportunities and preparation for nurses should be offered in the workplace. Psychosocial supports to assist rural nurses who attend to disasters in their workplace will help them deal with issues such as the blurring of personal-professional relationships. Copyright © 2017 College of Emergency Nursing Australasia. Published by Elsevier Ltd. All rights reserved.

  7. [Drug supply chain safety in hospitals: current data and experience of the Grenoble university hospital].

    Science.gov (United States)

    Bedouch, P; Baudrant, M; Detavernier, M; Rey, C; Brudieu, E; Foroni, L; Allenet, B; Calop, J

    2009-01-01

    Drug supply chain safety has become a priority for public health which implies a collective process. This process associates all health professionals including the pharmacist who plays a major role. The objective of this present paper is to describe the several approaches proven effective in the reduction of drug-related problem in hospital, illustrated by the Grenoble University Hospital experience. The pharmacist gets involved first in the general strategy of hospital drug supply chain, second by his direct implication in clinical activities. The general strategy of drug supply chain combines risk management, coordination of the Pharmacy and Therapeutics Committee, selection and purchase of drugs and organisation of drug supply chain. Computer management of drug supply chain is a major evolution. Nominative drug delivering has to be a prior objective and its implementation modalities have to be defined: centralized or decentralized in wards, manual or automated. Also, new technologies allow the automation of overall drug distribution from central pharmacy and the implementation of automated drug dispensing systems into wards. The development of centralised drug preparation allows a safe compounding of high risk drugs, like cytotoxic drugs. The pharmacist should develop his clinical activities with patients and other health care professionals in order to optimise clinical decisions (medication review, drug order analysis) and patients follow-up (therapeutic monitoring, patient education, discharge consultation).

  8. Robotic-assisted transperitoneal radical prostatectomy in a patient with pelvic kidney

    International Nuclear Information System (INIS)

    Rabah, Danny M.; Alyami, Fahad A.

    2008-01-01

    Robots are increasingly utilized in urology, due to their favorable performance characteristics especially in prostatectomy and pyeloplasty. However, preoperative diagnosis of urogenital congenital anomalies and preoperative planning are important aspects to be considered. The presence of ectopic pelvic kidney is a challenge for the surgeon to perform robotic-assisted radical prostatectomy (RARP) without injury to the pelvic kidney (PC) or its blood supply. We report our experience of performing RARP in a patient with a PK. (author)

  9. The Supply of Medical Radioisotopes An Economic Study of the Molybdenum-99 Supply Chain: Summary

    International Nuclear Information System (INIS)

    2010-01-01

    The reliable supply of molybdenum-99 (Mo-99) and its decay product, technetium-99m (Tc-99m), is a vital component of modern medical diagnostic practices. Disruptions in the supply chain of these radioisotopes - which cannot be effectively stored - can suspend important medical testing services. Unfortunately, supply reliability has declined over the past decade, due to unexpected or extended shutdowns at the few ageing, Mo-99 producing, research reactors and processing facilities. These shutdowns have created global supply shortages. The full study offers a unique analysis of the economic structure and present state of the Mo-99/Tc-99m supply chain. It finds that the shortages are a symptom of a longer-term problem linked to insufficient capital investment, which has been brought about by an economic structure that does not provide sufficient remuneration for producing Mo-99 or support for developing additional production and processing infrastructure. To assist governments and other decision makers in their efforts to ensure long-term, reliable supply of these important medical isotopes, the study presents options for creating a sustainable economic structure. The study will also enhance understanding amongst stakeholders of the costs of supplying Mo-99 and ultimately contribute to a better functioning market. (authors)

  10. Supply chain management in Forest products industry-case study for S?dra Cell Company

    Institute of Scientific and Technical Information of China (English)

    YAO; PAN

    2016-01-01

    The supply chain plays an increasing significant role in current global business operation process.It is not just considered as a crucial factor for leading the company to achieve their strategic goals,but also assisting firm’s to enhance the competitiveness in its own industry.This report choses the Swedish forest company-S?dra Cell as a case company to analysis its supply chain management advantages and disadvantages. It also states the role of supply chain management theory in assisting organization to achieve its strategic goal and marketing strategies.

  11. Will blockchain technology revolutionize excipient supply chain management?

    OpenAIRE

    Shireesh Apte; Nikolai Petrovsky

    2016-01-01

    Blockchain technology provides a major advance for excipient supply chains, assisting in the delivery of unadulterated, source, process and transit verifiable excipients (or APIs and drug products), but does not alleviate the necessity for quality audits. The adoption of blockchain technology should make the process faster and make the transactional record more robust and reliable, however other rate-limiting steps of the excipient supply chain including transit ...

  12. 10 CFR 216.3 - Requests for assistance.

    Science.gov (United States)

    2010-01-01

    ... DOMESTIC ENERGY SUPPLIES § 216.3 Requests for assistance. (a) Persons who believe that they perform work..., performance data (capacity, life duration, etc.), standards, acceptable tolerances in dimensions and.... (10) Any known conflicts with rated orders already issued pursuant to the DPA for supplies of the...

  13. INTEGRATED AUTOMOTIVE MANUFACTURING SUPPLY

    Directory of Open Access Journals (Sweden)

    P.J.S. Van Dyk

    2012-01-01

    Full Text Available

    ENGLISH ABSTRACT: Supply planning and traffic flow planning are major activities in the automotive manufacturing environment worldwide. Traditionally, the impact of supply planning strategies on plant traffic is rarely considered. This paper describes the development of a Decision Support System (DSS that will assist automotive manufacturers to analyse the effect of supply planning decisions on plant traffic during the supply planning phase of their logistics planning process. In essence, this DSS consists of a Supply Medium Decision Support Tool (SMDST (an interactive MS-Excel model with Visual Basic interfacing and a traffic flow simulation model tool (using eMPlant simulation software.

    AFRIKAANSE OPSOMMING: Verskaffingsbeplanning en verkeersvloeibeplanning is belangrike aktiwiteite in die motorvervaardigingsbedryf wêreldwyd. Tradisioneel word die uitwerking van verskaffings-beplanningsstrategië op aanlegverkeer selde in ag geneem. Hierdie artikel beskryf die ontwikkeling van ’n Besluitnemings Ondersteuningstelsel (DSS wat motorvervaardigers sal ondersteun in die analise van die effek van verskaffingsbeplanningbesluite op aanlegverkeer tydens die verskaffingsbeplanningsfase van hulle logistieke beplanningsproses. Hierdie DSS bestaan hoofsaaklik uit ’n Verskaffings-vervoermiddel Besluitnemingshulpmiddel (SMDST (’n interaktiewe MS-Excel model met “Visual Basic” koppelling asook ’n simulasiemodel van verkeersvloei (met eM-Plant simulasiesagteware.

  14. Sustainability of Hydrogen Supply Chain. Part II: Prioritizing and Classifying the Sustainability of Hydrogen Supply Chains based on the Combination of Extension Theory and AHP

    DEFF Research Database (Denmark)

    Ren, Jingzheng; Manzardo, Alessandro; Toniolo, Sara

    2013-01-01

    The purpose of this study is to develop a method for prioritizing and classifying the sustainability of hydrogen supply chains and assist decision-making for the stakeholders/decision-makers. Multiple criteria for sustainability assessment of hydrogen supply chains are considered and multiple...... decision-makers are allowed to participate in the decision-making using linguistic terms. In this study, extension theory and analytic hierarchy process are combined to rate the sustainability of hydrogen supply chains. The sustainability of hydrogen supply chains could be identified according...

  15. [Initial experience in robot-assisted colorectal surgery in Mexico].

    Science.gov (United States)

    Villanueva-Sáenz, Eduardo; Ramírez-Ramírez, Moisés Marino; Zubieta-O'Farrill, Gregorio; García-Hernández, Luis

    Colorectal surgery has advanced notably since the introduction of the mechanical suture and the minimally invasive approach. Robotic surgery began in order to satisfy the needs of the patient-doctor relationship, and migrated to the area of colorectal surgery. An initial report is presented on the experience of managing colorectal disease using robot-assisted surgery, as well as an analysis of the current role of this platform. A retrospective study was conducted in order to review five patients with colorectal disease operated using a robot-assisted technique over one year in the initial phase of the learning curve. Gender, age, diagnosis and surgical indication, surgery performed, surgical time, conversion, bleeding, post-operative complications, and hospital stay, were analysed and described. A literature review was performed on the role of robotic assisted surgery in colorectal disease and cancer. The study included 5 patients, 3 men and 2 women, with a mean age of 62.2 years. Two of them were low anterior resections with colorectal primary anastomoses, one of them extended with a loop protection ileostomy, a Frykman-Goldberg procedure, and two left hemicolectomies with primary anastomoses. The mean operating time was 6hours and robot-assisted 4hours 20minutes. There were no conversions and the mean hospital stay was 5 days. This technology is currently being used worldwide in different surgical centres because of its advantages that have been clinically demonstrated by various studies. We report the first colorectal surgical cases in Mexico, with promising results. There is enough evidence to support and recommend the use of this technology as a viable and safe option. Copyright © 2016 Academia Mexicana de Cirugía A.C. Publicado por Masson Doyma México S.A. All rights reserved.

  16. EC assisted start-up experiments reproduction in FTU and AUG for simulations of the ITER case

    Energy Technology Data Exchange (ETDEWEB)

    Granucci, G.; Ricci, D.; Farina, D.; Figini, L. [Associazione EURATOM-ENEA sulla Fusione, IFP-CNR, Via R. Cozzi 53, 20125 Milano (Italy); Cavinato, M. [F4E C/Josep Pla2, Torres Diagonal Litoral - Building 83 08019 Barcelona (Spain); Mattei, M. [CREATE via Claudio 21, 80125 Napoli (Italy); Stober, J. [Max-Planck-Institut für Plasmaphysik, EURATOM Association, Boltzmannstr. 2, 85748 Garching bei München (Germany); Tudisco, O. [Associazione EURATOM-ENEA sulla Fusione, C.R. Frascati, Via E. Fermi 45, 00044 Frascati (Roma) (Italy)

    2014-02-12

    The breakdown and plasma start-up in ITER are well known issues studied in the last few years in many tokamaks with the aid of calculation based on simplified modeling. The thickness of ITER metallic wall and the voltage limits of the Central Solenoid Power Supply strongly limit the maximum toroidal electric field achievable (0.3 V/m), well below the level used in the present generation of tokamaks. In order to have a safe and robust breakdown, the use of Electron Cyclotron Power to assist plasma formation and current rump up has been foreseen. This has raised attention on plasma formation phase in presence of EC wave, especially in order to predict the required power for a robust breakdown in ITER. Few detailed theory studies have been performed up to nowadays, due to the complexity of the problems. A simplified approach, extended from that proposed in ref[1] has been developed including a impurity multispecies distribution and an EC wave propagation and absorption based on GRAY code. This integrated model (BK0D) has been benchmarked on ohmic and EC assisted experiments on FTU and AUG, finding the key aspects for a good reproduction of data. On the basis of this, the simulation has been devoted to understand the best configuration for ITER case. The dependency of impurity distribution content and neutral gas pressure limits has been considered. As results of the analysis a reasonable amount of power (1 - 2 MW) seems to be enough to extend in a significant way the breakdown and current start up capability of ITER. The work reports the FTU data reproduction and the ITER case simulations.

  17. Bridging the gap between university and industry: experiences with a senior level undergraduate supply chain course

    NARCIS (Netherlands)

    Steenhuis, H.J.; de Bruijn, E.J.

    2005-01-01

    Teaching operations and supply chain management courses can be challenging especially because textbook materials and “real” life experiences don’t always coincide. At Eastern Washington University a new approach has been introduced with a heavy emphasis on practical knowledge, i.e. oriented towards

  18. A Review of the Wood Pellet Value Chain, Modern Value/Supply Chain Management Approaches, and Value/Supply Chain Models

    Directory of Open Access Journals (Sweden)

    Natalie M. Hughes

    2014-01-01

    Full Text Available We reviewed 153 peer-reviewed sources to provide identification of modern supply chain management techniques and exploration of supply chain modeling, to offer decision support to managers. Ultimately, the review is intended to assist member-companies of supply chains, mainly producers, improve their current management approaches, by directing them to studies that may be suitable for direct application to their supply chains and value chains for improved efficiency and profitability. We found that information on supply chain management and modeling techniques in general is available. However, few Canadian-based published studies exist regarding a demand-driven modeling approach to value/supply chain management for wood pellet production. Only three papers were found specifically on wood pellet value chain analysis. We propose that more studies should be carried out on the value chain of wood pellet manufacturing, as well as demand-driven management and modeling approaches with improved demand forecasting methods.

  19. The Texts of the Instruments concerning the Agency's Assistance to Pakistan in connection with the Establishment of a Nuclear Power Reactor Project. A Second Supply Agreement

    International Nuclear Information System (INIS)

    1971-01-01

    As a sequel to the assistance which the Agency provided to the Government of Pakistan in connection with a nuclear power reactor project, a Second Supply Agreement has been concluded between the Agency and the Governments of Pakistan and the United States of America. This Agreement entered into force on 22 June 1971, and the text is reproduced herein for the information of all Members

  20. The Texts of the Instruments concerning the Agency's Assistance to Pakistan in connection with the Establishment of a Nuclear Power Reactor Project. A Second Supply Agreement

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1971-10-08

    As a sequel to the assistance which the Agency provided to the Government of Pakistan in connection with a nuclear power reactor project, a Second Supply Agreement has been concluded between the Agency and the Governments of Pakistan and the United States of America. This Agreement entered into force on 22 June 1971, and the text is reproduced herein for the information of all Members.

  1. The Impact of ICT on Work-Life Experiences among University Teaching Assistants

    Science.gov (United States)

    Osterlund, Katherine; Robson, Karen

    2009-01-01

    Email is now commonplace in the university environment, but little research has addressed the impact of this technology on the work-life experiences of Teaching Assistants (TAs). These workers are of interest as they are typically responsible for most day-to-day, routine interaction with undergraduates, for ensuring students understand lectures…

  2. The Texts of the Instruments Concerning the Agency's Assistance to Indonesia for the Continuation of a Research Reactor Project. The Second Supply Agreement. An Amendment

    International Nuclear Information System (INIS)

    1975-01-01

    On 7 April 1975 the Agency and the Governments of Indonesia and the United States of America amended by letter of agreement Article I of the Second Supply Agreement, concluded in connection with the Agency's assistance to Indonesia for the continuation of a research reactor project and reproduced in document INFCIRC/136/Add. 1, to provide for Indonesia to purchase the enriched uranium which is the subject thereof direct from the manufacturer.

  3. Roles of National and Local Governments and the Dietetic Association in Nutrition Assistance Response to Natural Disasters: Systems and Experiences in Japan and the USA.

    Science.gov (United States)

    Sudo, Noriko

    2015-01-01

    In the first half of this symposium, the disaster response system in Japan will be introduced. The ultimate aim of nutrition assistance is to keep people in disaster areas healthy. This is a task for the Ministry of Health, Labour and Welfare and the health departments of prefectural governments. Our first speaker, Dr. Yasuhiro Kanatani, National Institute of Public Health, will briefly overview the disaster response system in Japan and its related laws. He will also mention how the Ministry responded to the Great East Japan Earthquake. In the second presentation, I will play one chapter of DVD that we released in last September. In that chapter, Ms. Makiko Sawaguchi, a registered dietitian working for a public health center in the area affected by the Great East Japan Earthquake, talks about her experience in supporting disaster victims. As an employee of Iwate Prefectural Government, she helped affected municipal governments and coordinated outside support. One type of outside support was registered dietitians dispatched by the Japan Dietetic Association (JDA). Dr. Nobuyo Tsuboyama-Kasaoka will report what those dietitians did in the affected areas. She will also explain the aim and training of the JDA-Disaster Assistance Team. Provision of food is essential in nutrition assistance. This is a task for the Ministry of Agriculture, Forestry and Fisheries. Our fourth speaker, Mr. Kunihiro Doi, analyzed the government procurement data and will discuss the limitations of government emergency food supplies and lessons learned from the Great East Japan Earthquake. As for the systems and experiences in the US, we invited Ms. Toni Abernathy from the Office of Emergency Management, Food and Nutrition Service (FNS), United States Department of Agriculture.

  4. Application of BIM Technology in Building Water Supply and Drainage Design

    Science.gov (United States)

    Wei, Tianyun; Chen, Guiqing; Wang, Junde

    2017-12-01

    Through the application of BIM technology, the idea of building water supply and drainage designers can be related to the model, the various influencing factors to affect water supply and drainage design can be considered more comprehensively. BIM(Building information model) technology assist in improving the design process of building water supply and drainage, promoting the building water supply and drainage planning, enriching the building water supply and drainage design method, improving the water supply and drainage system design level and building quality. Combined with fuzzy comprehensive evaluation method to analyze the advantages of BIM technology in building water supply and drainage design. Therefore, application prospects of BIM technology are very worthy of promotion.

  5. 10 CFR 603.695 - Requirements for supplies.

    Science.gov (United States)

    2010-01-01

    ... 10 Energy 4 2010-01-01 2010-01-01 false Requirements for supplies. 603.695 Section 603.695 Energy DEPARTMENT OF ENERGY (CONTINUED) ASSISTANCE REGULATIONS TECHNOLOGY INVESTMENT AGREEMENTS Award Terms Affecting Participants' Financial, Property, and Purchasing Systems Property § 603.695 Requirements for...

  6. An expert system for fault management assistance on a space sleep experiment

    Science.gov (United States)

    Atamer, A.; Delaney, M.; Young, L. R.

    2002-01-01

    The expert system, Principal Investigator-in-a-box, or [PI], was designed to assist astronauts or other operators in performing experiments outside their expertise. Currently, the software helps astronauts calibrate instruments for a Sleep and Respiration Experiment without contact with the investigator on the ground. It flew on the Space Shuttle missions STS-90 and STS-95. [PI] displays electrophysiological signals in real time, alerts astronauts via the indicator lights when a poor signal quality is detected, and advises astronauts how to restore good signal quality. Thirty subjects received training on the sleep instrumentation and the [PI] interface. A beneficial effects of [PI] and training reduced troubleshooting time. [PI] benefited subjects on the most difficult scenarios, even though its lights were not 100% accurate. Further, questionnaires showed that most subjects preferred monitoring waveforms with [PI] assistance rather than monitoring waveforms alone. This study addresses problems of complex troubleshooting and the extended time between training and execution that is common to many human operator situations on earth such as in power plant operation, and marine exploration.

  7. Gas engine driven freon-free heat supply system complying with multiple fuels (eco-energy city project)

    Energy Technology Data Exchange (ETDEWEB)

    Yagyu, Sumio; Maekawa, Koich; Sugawara, Koich; Hayashida, Masaru; Fujishima, Ichiro; Fukuyama, Yuji; Morikawa, Tomoyuki; Yamato, Tadao; Obata, Norio [Advanced Technology Lab., Kubota Corp., Amagasaki, Hyogo (Japan)

    1999-07-01

    This paper describes recent results at Kubota to develop a gas engine driven freon-free heat supply system. Utilizing a gas mixture which consists of CO and H{sub 2} supplied from a broad area energy utilization network, the system produces four heat sources (263 K, 280 K, 318 K, and 353 K) for air-conditioning, hot water supply, and refrigeration in a single system. It also conforms to fuel systems that utilize methane and hydrogen. This multi-functional heat supply system is composed of an efficient gas engine (methanol gas engine) and a freon-free heat pump (heat-assisted Stirling heat pump). The heat-assisted Stirling heat pump is mainly driven by engine shaft power and is partially assisted by thermal power provided by engine exhaust heat. By proportioning the two energy sources to match the characteristics of the driving engine, the heat pump is supplied with the maximum share of the original energy fueling the engine. Developing the system will establish freon-free thermal utilization system technology that satisfies both wide heat demands and various fuel systems. (orig.)

  8. A Virtual Assistant for Websites

    OpenAIRE

    Duizith, José Luiz Andrade; Lutheran University of Brazil; da Silva, Lizandro Kirst; ADS Digital; Brahm, Daniel Ribeiro; ADS Digital; Tagliassuchi, Gustavo; ADS Digital; Loh, Stanley; Lutheran University of Brazil ” ULBRA, Brasil Catholic University of Pelotas ” UCPEL, Brasil

    2004-01-01

    This work presents a Virtual Assistant (VA) whose main goal is to supply information for Websites users. AVA is a software system that interacts with persons through a Web browser, receiving textual questions and answering automatically without human intervention. The VA supplies information by looking for similar questions in a knowledge base and giving the corresponding answer. Artificial Intelligence techniques are employed in this matching process, to compare the user’s question aga...

  9. Medical supply on contingency military operations: experience from Operation GRITROCK.

    Science.gov (United States)

    Robinson, J P; Reeves, P

    2015-01-01

    Medical supply during military operations has the ability to affect the efficacy of the operation being undertaken, either negatively or positively. An appropriately-managed maritime platform with a robust medical supply chain during transit and on arrival in theatre is the main aim. A secure supply chain will reduce any implications that logistics may have with regard to capability, and negate the effects of deficiencies of short shelf life items occurring over time and during use in high tempo operations.

  10. Supply Chain Management Practices in Toy Supply Chains

    DEFF Research Database (Denmark)

    Arlbjørn, Jan Stentoft; Johansen, J.; Wong, C. Y.

    2005-01-01

    Purpose - Innovative products usually experience highly unpredictable and variable demand. This is especially valid for the volatile and seasonal toy industry, which produces high obsolete inventory, lost sales and markdown. In such a volatile industry, what supply chain management (SCM) practices...... (traditional mass-production or push-models). These low-responsive practices in the toy supply chain are not caused only by slow knowledge diffusion. SCM know-how is not yet capable of managing such levels of volatility and seasonality. Therefore, explanations of these theoretical gaps and what new theories...... are required for such extreme volatility and seasonality are proposed. Originality/value - It reveals actual SCM practices in a volatile and seasonal supply chain, such that theoretical and practical gaps are identified. Also, it proposes a model to match manufacturing SCM-practices with retailer SCM-practices....

  11. Young women's perceptions and experiences with contraception supply in community pharmacies.

    Science.gov (United States)

    Fakih, Souhiela; Batra, Peter; Gatny, Heather H; Kusunoki, Yasamin; Barber, Jennifer S; Farris, Karen B

    2015-01-01

    Unintended pregnancy is a major public health problem in the United States.Correct contraceptive use can reduce the rate of unintended pregnancy. Community pharmacies are well positioned to provide contraceptives and advice about contraception. To determine young women's perceptions and experiences with contraception supply in community pharmacies and to identify whether pharmacy characteristics predicted very positive experiences. This study comprised two cross-sectional surveys including an online women's pharmacy perceptions and experiences (PPE) survey and a faxed/observed survey of community pharmacies. One county in Michigan. Young women and community pharmacies. The two surveys were merged to explore pharmacy characteristics that may impact women's perceptions and experiences with community pharmacies. Multiple logistic regression analysis was used to explore relationships between pharmacy characteristics and positive outcomes. The response rate for the PPE survey was 54% (n = 343/637). Data from all community pharmacies in the county was retrieved via fax (n = 41/94, 43.6%) or observation (n = 53/94, 56.4%). Women were included in this analysis if they indicated a regular pharmacy (one they go to most often) in the county of interest (n = 210). More than 50% of women (n = 125/210) visited a pharmacy more than once per month. Sixty percent of women were currently using something to prevent pregnancy (n = 124/210, 60.8%). Thirty-five percent of women had a positive experience (n = 73/210, 34.8%). In the multiple logistic regression, women who visited a chain pharmacy had almost 65% lower odds of an overall positive experience with their regular pharmacy compared with women who visited a grocery or mass merchandise pharmacy (odds ratio 0.35 [95% CI 0.16], P = 0.75). Young women visit community pharmacies and use contraceptives frequently. Interventions need to be developed and implemented to improve young women's perceptions and experiences with

  12. Our experience with implantation of VentrAssist left ventricular assist device

    Directory of Open Access Journals (Sweden)

    Hiriyur Shivalingappa Jayanthkumar

    2013-01-01

    Full Text Available Perioperative anaesthetic management of the VentrAssist TM left ventricular assist device (LVAD is a challenge for anaesthesiologists because patients presenting for this operation have long-standing cardiac failure and often have associated hepatic and renal impairment, which may significantly alter the pharmacokinetics of administered drugs and render the patients coagulopathic. The VentrAssist is implanted by midline sternotomy. A brief period of cardiopulmonary bypass (CPB for apical cannulation of left ventricle is needed. The centrifugal pump, which produces non-pulsatile, continuous flow, is positioned in the left sub-diaphragmatic pocket. This LVAD is preload dependent and afterload sensitive. Transoesophageal echocardiography is an essential tool to rule out contraindications and to ensure proper inflow cannula position, and following the implantation of LVAD, to ensure right ventricular (RV function. The anaesthesiologist should be prepared to manage cardiac decompensation and acute desaturation before initiation of CPB, as well as RV failure and severe coagulopathic bleeding after CPB. Three patients had undergone implantation of VentrAssist in our hospital. This pump provides flow of 5 l/min depending on preload, afterload and pump speed. All the patients were discharged after an average of 30 days. There was no perioperative mortality.

  13. Experimentos didáticos envolvendo radiação microondas Microwave-assisted experiments for undergraduate courses

    Directory of Open Access Journals (Sweden)

    Fabiana Rosini

    2004-12-01

    Full Text Available Theoretical and practical aspects of the use of microwave-assisted strategies in chemistry are introduced for students using simple and safe experiments employing a domestic oven. Three procedures are proposed for evaluating the distribution of microwave radiation inside the microwave oven cavity: (1 variation of the volume of marshmallows; (2 drying of filter paper wetted with Co(II solution, and (3 variation of water temperature, after microwave-assisted heating. These experiments establish the position with the highest incidence of microwave radiation in the oven cavity, which was chosen for the synthesis of salicylic acid acetate. This synthesis was performed in 5 min of heating and the yield was around 85%. All experiments can be carried out in a 4 h lab-session using low-cost instrumentation.

  14. Becoming Physics People: Development of Integrated Physics Identity through the Learning Assistant Experience

    Science.gov (United States)

    Close, Eleanor W.; Conn, Jessica; Close, Hunter G.

    2016-01-01

    In this study, we analyze the experience of students in the Physics Learning Assistant (LA) program at Texas State University in terms of the existing theoretical frameworks of "community of practice" and "physics identity," and explore the implications suggested by these theories for LA program adoption and adaptation.…

  15. Nursing home practices following resident death: the experience of Certified Nursing Assistants.

    Science.gov (United States)

    Barooah, Adrita; Boerner, Kathrin; van Riesenbeck, Isabelle; Burack, Orah R

    2015-01-01

    This study examined certified nursing assistants' (CNAs) experiences of nursing home practices following resident death. Participants were 140 CNAs who had experienced recent resident death. In semi-structured, in-person interviews, CNAs were asked about their experiences with the removal of the resident's body, filling the bed with a new resident, and how they were notified about the death. The facilities' practice of filling the bed quickly was most often experienced as negative. Responses to body removal and staff notification varied, but negative experiences were reported by a substantial minority. Being notified prior to returning to work was associated with a more positive experience. Learning about the death by walking into a room to find the bed empty or already filled was the most negative experience. Study findings suggest that more mindful approaches to the transitions related to resident deaths would be valued by CNAs and could improve their work experience. Copyright © 2015 Elsevier Inc. All rights reserved.

  16. Individual Experiences in Four Cancer Patients Following Psilocybin-Assisted Psychotherapy.

    Science.gov (United States)

    Malone, Tara C; Mennenga, Sarah E; Guss, Jeffrey; Podrebarac, Samantha K; Owens, Lindsey T; Bossis, Anthony P; Belser, Alexander B; Agin-Liebes, Gabrielle; Bogenschutz, Michael P; Ross, Stephen

    2018-01-01

    A growing body of evidence shows that existential and spiritual well-being in cancer patients is associated with better medical outcomes, improved quality of life, and serves as a buffer against depression, hopelessness, and desire for hastened death. Historical and recent research suggests a role for psilocybin-assisted psychotherapy in treating cancer-related anxiety and depression. A double-blind controlled trial was performed, where 29 patients with cancer-related anxiety and depression were randomly assigned to treatment with single-dose psilocybin (0.3 mg/kg) or niacin in conjunction with psychotherapy. Previously published results of this trial demonstrated that, in conjunction with psychotherapy, moderate-dose psilocybin produced rapid, robust, and enduring anxiolytic, and anti-depressant effects. Here, we illustrate unique clinical courses described by four participants using quantitative measures of acute and persisting effects of psilocybin, anxiety, depression, quality of life, and spiritual well-being, as well as qualitative interviews, written narratives, and clinician notes. Although the content of each psilocybin-assisted experience was unique to each participant, several thematic similarities and differences across the various sessions stood out. These four participants' personal narratives extended beyond the cancer diagnosis itself, frequently revolving around themes of self-compassion and love, acceptance of death, and memories of past trauma, though the specific details or narrative content differ substantially. The results presented here demonstrate the personalized nature of the subjective experiences elicited through treatment with psilocybin, particularly with respect to the spiritual and/or psychological needs of each patient.

  17. Polycentrism and Poverty: Experiences of Rural Water Supply Reform in Namibia

    Directory of Open Access Journals (Sweden)

    Thomas Falk

    2009-02-01

    This paper investigates how polycentric rural water supply reform impacts on natural resource management and water users’ livelihoods in three communal areas of Namibia. The analysis takes into account the effects of historic discriminative policies and the resulting low financial, human and social capital of rural communities. We conclude that the devolution of institutional and financial responsibility for water supply to users has had a positive impact on rural water management. However, the introduction of cost recovery principles conflicts with the objectives of the Namibian government to alleviate poverty and inequality. The high level of inequality within the country as a whole and also within communities impedes the development of fair fee systems. Polycentrism faces the major challenge of building on existing structures without replicating historic injustices. It allows, however, for the state to mitigate any negative impact on livelihoods. While the reform is in the process of full implementation, the government is discussing various options of how the poor can be guaranteed access to water without diminishing their development opportunities. The Namibian experience demonstrates the difficulties in developing effective incentive mechanisms without undermining major social objectives. Our analyses show that, compared to naive monocentric governance approaches, polycentrism offers much broader opportunities for achieving multidimensional objectives. Nonetheless, a reform does not become successful simply because it is polycentric.

  18. Emergency Nursing Experiences in Assisting People With Suicidal Behavior: A Grounded Theory Study.

    Science.gov (United States)

    Vedana, Kelly Graziani Giacchero; Magrini, Daniel Fernando; Miasso, Adriana Inocenti; Zanetti, Ana Carolina Guidorizzi; de Souza, Jacqueline; Borges, Tatiana Longo

    2017-08-01

    To understand emergency nursing experiences in assisting people with suicidal behavior. Grounded theory study with symbolic interactionism conducted in 2015 to 2016 in Brazil with 19 nurses. Assistance for people with suicidal behavior is critical, challenging, evokes different feelings and requires knowledge, skills and emotional control. Nurses did not feel prepared or supported, and identified recurrent gaps and problems. Nurses occupied a limited role, restricted to attending to physical needs. They predominantly manifested opposition, judgments and incomprehension about patients. This study presents key elements to be addressed in interventions and investigations regarding nursing support, training and supervision. Copyright © 2017 Elsevier Inc. All rights reserved.

  19. The Texts of the Instruments connected with the Agency's Assistance to the Democratic Republic of the Congo in Continuing a Research Reactor Project. A Second Supply Agreement

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1971-10-04

    As a sequel to the assistance which the Agency provided to the Government of the Democratic Republic of the Congo in connection with a research reactor project, a Second Supply Agreement has been concluded between the Agency and the Governments of the Congo and the United States of America. This Agreement entered into force on 15 April 1971, and the text is reproduced herein for the information of all Members.

  20. The Texts of the Instruments connected with the Agency's Assistance to the Democratic Republic of the Congo in Continuing a Research Reactor Project. A Second Supply Agreement

    International Nuclear Information System (INIS)

    1971-01-01

    As a sequel to the assistance which the Agency provided to the Government of the Democratic Republic of the Congo in connection with a research reactor project, a Second Supply Agreement has been concluded between the Agency and the Governments of the Congo and the United States of America. This Agreement entered into force on 15 April 1971, and the text is reproduced herein for the information of all Members

  1. The Development of Physician Assistant Education in the Netherlands

    NARCIS (Netherlands)

    Esther Verboon

    2005-01-01

    The primary reason for the development of physician assistant (PA) educational programs in the Netherlands was the discrepancy between supply and demand for health care providers. The need for health care workers was increasing while the supply of (para)medical and nursing practitioners stagnated.

  2. Water Supply. Fire Service Certification Series. Unit FSCS-FF-9-80.

    Science.gov (United States)

    Pribyl, Paul F.

    This training unit on water supply is part of a 17-unit course package written to aid instructors in the development, teaching, and evaluation of fire fighters in the Wisconsin Fire Service Certification Series. The purpose stated for the 4-hour unit is to assist the firefighter in the proper use of water supplies and the understanding of the…

  3. Experiences Providing Medical Assistance during the Sewol Ferry Disaster Using Traditional Korean Medicine.

    Science.gov (United States)

    Kim, Kyeong Han; Jang, Soobin; Lee, Ju Ah; Jang, Bo-Hyoung; Go, Ho-Yeon; Park, Sunju; Jo, Hee-Guen; Lee, Myeong Soo; Ko, Seong-Gyu

    2017-01-01

    This study aimed to investigate medical records using traditional Korean medicine (TKM) in Sewol Ferry disaster in 2014 and further explore the possible role of traditional medicine in disaster situation. After Sewol Ferry accident, 3 on-site tents for TKM assistance by the Association of Korean Medicine (AKOM) in Jindo area were installed. The AKOM mobilized volunteer TKM doctors and assistants and dispatched each on-site tent in three shifts within 24 hours. Anyone could use on-site tent without restriction and TKM treatments including herb medicine were administered individually. The total of 1,860 patients were treated during the periods except for medical assistance on the barge. Most patients were diagnosed in musculoskeletal diseases (66.4%) and respiratory diseases (7.4%) and circulatory diseases (8.4%) followed. The most frequently used herbal medicines were Shuanghe decoction (80 days), Su He Xiang Wan (288 pills), and Wuji powder (73 days). TKM in medical assistance can be helpful to rescue worker or group life people in open shelter when national disasters occur. Therefore, it is important to construct a rapid respond system using TKM resources based on experience.

  4. Experiences Providing Medical Assistance during the Sewol Ferry Disaster Using Traditional Korean Medicine

    Directory of Open Access Journals (Sweden)

    Kyeong Han Kim

    2017-01-01

    Full Text Available Background. This study aimed to investigate medical records using traditional Korean medicine (TKM in Sewol Ferry disaster in 2014 and further explore the possible role of traditional medicine in disaster situation. Methods. After Sewol Ferry accident, 3 on-site tents for TKM assistance by the Association of Korean Medicine (AKOM in Jindo area were installed. The AKOM mobilized volunteer TKM doctors and assistants and dispatched each on-site tent in three shifts within 24 hours. Anyone could use on-site tent without restriction and TKM treatments including herb medicine were administered individually. Results. The total of 1,860 patients were treated during the periods except for medical assistance on the barge. Most patients were diagnosed in musculoskeletal diseases (66.4% and respiratory diseases (7.4% and circulatory diseases (8.4% followed. The most frequently used herbal medicines were Shuanghe decoction (80 days, Su He Xiang Wan (288 pills, and Wuji powder (73 days. Conclusions. TKM in medical assistance can be helpful to rescue worker or group life people in open shelter when national disasters occur. Therefore, it is important to construct a rapid respond system using TKM resources based on experience.

  5. The Impact of Phosphorus Supply on Selenium Uptake During Hydroponics Experiment of Winter Wheat (Triticum aestivum) in China.

    Science.gov (United States)

    Liu, Hongen; Shi, Zhiwei; Li, Jinfeng; Zhao, Peng; Qin, Shiyu; Nie, Zhaojun

    2018-01-01

    Selenium (Se) is a necessary trace element for humans and animals, and Se fertilization is an efficient way to increase Se concentration in the edible parts of crops, thus enhance the beneficiary effects of Se in human and animal health. Due to the similarity of physical and chemical properties between phosphate () and selenite (), phosphorus (P) supply often significantly impacts the absorption of Se in plants, but little is known about how P supply influences the subcellular distribution and chemical forms of Se. In this study, the effects of P supply on subcellular distribution and chemical forms of Se in winter wheat were investigated in a hydroponic trial with medium Se level (0.1 mg Se L -1 ). P was applied with three concentrations (0.31, 3.1, and 31 mg P L -1 ) in the experiment. The results showed that increasing P supply significantly decreased the concentration and accumulation of Se in the roots, stems, and leaves of winter wheat. An increase in P supply significantly inhibited Se accumulation in the root cell wall, but enhanced Se distribution in the organelles and soluble fraction of root cells. These findings suggest that increased P supply inhibited the root-to-shoot transport of Se. An increase in P supply enhanced Se accumulation in the cell wall of plant stems (both apical and axillary stem) and cell organelles of plants leaves, but inhibited Se distribution in the soluble fraction of stems and leaves. This suggests that P supply enhances Se transportation across the cell membrane in shoots of winter wheat. In addition, increased P supply also altered the chemical forms of Se in tissues of winter wheat. These findings will help in understanding of the regulation grain Se accumulation and provide a practical way to enhance Se intake for humans inform Se-enriched grains.

  6. The Texts of the Instruments concerning the Agency's Assistance to Indonesia for the Continuation of a Research Reactor Project. A Third Supply Agreement and an Amendment to the Project Agreement

    International Nuclear Information System (INIS)

    1981-02-01

    As a sequel to the assistance with the Agency has provided to the Government of Indonesia for the continuation of a research reactor project, a Third Supply Agreement has been concluded between the Agency and the Governments of Indonesia and the United States of America. In this connection, an Amendment to the Project Agreement of 19 December 1969 has been concluded between the Agency and the Government of Indonesia. Both the Third Supply Agreement and the Amendment to the Project Agreement entered into force on 7 December 1979, pursuant to Article VI and IV respectively. The texts of both instruments are reproduced in this document for the information of all Members.

  7. Individual Experiences in Four Cancer Patients Following Psilocybin-Assisted Psychotherapy

    Directory of Open Access Journals (Sweden)

    Tara C. Malone

    2018-04-01

    Full Text Available A growing body of evidence shows that existential and spiritual well-being in cancer patients is associated with better medical outcomes, improved quality of life, and serves as a buffer against depression, hopelessness, and desire for hastened death. Historical and recent research suggests a role for psilocybin-assisted psychotherapy in treating cancer-related anxiety and depression. A double-blind controlled trial was performed, where 29 patients with cancer-related anxiety and depression were randomly assigned to treatment with single-dose psilocybin (0.3 mg/kg or niacin in conjunction with psychotherapy. Previously published results of this trial demonstrated that, in conjunction with psychotherapy, moderate-dose psilocybin produced rapid, robust, and enduring anxiolytic, and anti-depressant effects. Here, we illustrate unique clinical courses described by four participants using quantitative measures of acute and persisting effects of psilocybin, anxiety, depression, quality of life, and spiritual well-being, as well as qualitative interviews, written narratives, and clinician notes. Although the content of each psilocybin-assisted experience was unique to each participant, several thematic similarities and differences across the various sessions stood out. These four participants’ personal narratives extended beyond the cancer diagnosis itself, frequently revolving around themes of self-compassion and love, acceptance of death, and memories of past trauma, though the specific details or narrative content differ substantially. The results presented here demonstrate the personalized nature of the subjective experiences elicited through treatment with psilocybin, particularly with respect to the spiritual and/or psychological needs of each patient.

  8. Green supply chain management strategies - experiences from the Danish textile sector

    DEFF Research Database (Denmark)

    Forman, Marianne; Jørgensen, Michael Søgaard

    This paper focuses on Danish textile industry experiences with setting environmental requirements throughout the supply chain. Based on a qualitative study, three models were formulated for the development of environmental competency in the product chain. The models centre on the environmental...... to their potential contribution to a long-term environmental effort, including how the models contribute to the spread of environmental competency etc. to other textile companies, as well as how certain model aspects ensure/hinder stabilisation of the product chain, including the interaction between social, economic......, legal, and environmental variables, among others. This last theme is central as it says much about the durability of the models and the inherent risk factors with regard to the organisations involved. The first section of this article will outline the background and status of environmental efforts...

  9. Attitudes towards assisted dying are influenced by question wording and order: a survey experiment.

    Science.gov (United States)

    Magelssen, Morten; Supphellen, Magne; Nortvedt, Per; Materstvedt, Lars Johan

    2016-04-27

    Surveys on attitudes towards assisted dying play an important role in informing public debate, policy and legislation. Unfortunately, surveys are often designed with insufficient attention to framing effects; that is, effects on the respondents' stated attitudes caused by question wording and context. The purpose of this study was to demonstrate and measure such framing effects. Survey experiment in which an eight-question survey on attitudes towards assisted dying was distributed to Norwegian citizens through a web-based panel. Two variations of question wording as well as two variations of question order were employed. Respondents were randomized to receive one of four questionnaire versions. Three thousand and fifty responses were received. There were moderate to large question wording and question order effects. A majority of Norwegian citizens favour the legalization of assisted dying for patients with terminal or chronic disease. Stakeholders in the assisted dying debate need to acknowledge potential framing effects, and accordingly should interpret survey results with caution. The same holds for researchers who conduct attitude surveys in the field of bioethics.

  10. Greening Supply Chains: Impact on Cost and Design

    NARCIS (Netherlands)

    I. Mallidis (Ioannis); D. Vlachos (Dimitrios); R. Dekker (Rommert)

    2010-01-01

    textabstractThe consideration of environmental issues has emerged as a topic of critical importance for today’s globalized supply chains. The purpose of this paper is to develop a strategic-tactical decision-support methodology to assist managers in evaluating the impact of environmental issues,

  11. A laboratory experiment on the evolution of a sand gravel reach under a lack of sediment supply

    NARCIS (Netherlands)

    Orru, C.; Chavarrias Borras, V.; Ferrara, V.; Stecca, G.; Blom, A.

    2015-01-01

    A flume experiment was conducted to examine the evolution of a sand-gravel reach under a lack of sediment supply. A bed composed of a bimodal sediment mixture was installed with a uniform slope and an gradual fining pattern. At the upstream end of the flume the initial bed consisted of 100% gravel,

  12. 40 CFR 35.3520 - Systems, projects, and project-related costs eligible for assistance from the Fund.

    Science.gov (United States)

    2010-07-01

    ... distribution pipes to improve water pressure to safe levels or to prevent contamination caused by leaks or... needed to consolidate water supplies where, for example, a supply has become contaminated or a system is... ENVIRONMENTAL PROTECTION AGENCY GRANTS AND OTHER FEDERAL ASSISTANCE STATE AND LOCAL ASSISTANCE Drinking Water...

  13. Security of supply in liberated electricity markets - key issues and experiences in OECD countries (work in progress)

    International Nuclear Information System (INIS)

    Stridbaek, Ulrik

    2005-06-01

    Security of supply of electricity could in principle refer to any parts of the value chain from fuel input to delivery of electricity to the final costumer with the expected quality. Concerns about security of supply are usually focused on three aspects: Timely and adequate supply of the input fuel for electricity generation is a prerequisite - security of energy supply. There has to be timely and adequate infrastructure in place to transform the input fuel into electricity and transport it to the final costumer - adequacy of generation and transmission capacity. Finally, it is an operational challenge to make the electricity system work and deliver at the expected quality - secure operation of the electricity system. Security of supply becomes relevant in a policy context from concerns about market failures in any parts of the value chain or, indeed, from the perspective that policy will set the framework for markets to serve as an instrument to secure the supply. This paper discusses some of the experiences with security of supply concerns and market failures in these three basic segments of the value chain; fuel input, adequate generation and transmission capacity and secure operation of the system, with an emphasis on the role of the market to serve as an efficient instrument. In the aftermath of the large black outs of electricity systems in North America, Italy and Sweden/Denmark IEA initiated a project on 'Transmission Reliability and Power System Security in Competitive Electricity Markets'. The results of this work will be published towards the end of 2005. After a decade with liberalised electricity markets in some pioneer regions, IEA now also finds it timely to analyse some of the lessons in a forthcoming publication. Recent and ongoing IEA-work thereby covers all the main aspects of security of supply. This paper summarises the key findings and messages, with a focus on the work in progress on lessons from liberalisation

  14. Proposal for a blanket purchase agreement for the supply and repair of subracks for the LHC experiments

    CERN Document Server

    2002-01-01

    This document concerns the award of a blanket purchase agreement for the supply and repair of subracks for the LHC experiments. Following a market survey carried out among 27 firms in seven Member States and one firm in a non-Member State, a call for tenders (IT-2916/EP) was sent on 9 November 2001 to 16 firms in five Member States. By the closing date, CERN had received six tenders. The Finance Committee is invited to agree to the negotiation of a blanket purchase agreement with WIENER, PLEIN & BAUS (DE) for the supply of subracks for a period of four years and a repair service for a period of ten years after expiry of the initial two year guarantee period, for a total amount not exceeding 5 600 000 euros, subject to revision for inflation from 1 January 2003. At the present rate of exchange, the total amount of the blanket purchase agreement is equivalent to approximately 8 300 000 Swiss francs. This requirement will be financed by the collaborating institutes of the LHC experiments and by CERN. CERN's ...

  15. The First Korean Experience of Telemanipulative Robot-Assisted Laparoscopic Cholecystectomy Using the da Vinci System

    Science.gov (United States)

    Kang, Chang Moo; Chi, Hoon Sang; Hyeung, Woo Jin; Kim, Kyung Sik; Choi, Jin Sub; Kim, Byong Ro

    2007-01-01

    With the advancement of laparoscopic instruments and computer sciences, complex surgical procedures are expected to be safely performed by robot assisted telemanipulative laparoscopic surgery. The da Vinci system (Intuitive Surgical, Mountain View, CA, USA) became available at the many surgical fields. The wrist like movements of the instrument's tip, as well as 3-dimensional vision, could be expected to facilitate more complex laparoscopic procedure. Here, we present the first Korean experience of da Vinci robotic assisted laparoscopic cholecystectomy and discuss the introduction and perspectives of this robotic system. PMID:17594166

  16. Penerapan Green Supply Chain Management Untuk Peningkatan Kinerja Keuangan Perusahaan

    Directory of Open Access Journals (Sweden)

    Daniel Alfa Puryono

    2017-11-01

    The results of this research is a decision system information which is capable of linking green supply chain performance with the company's financial performance. The results of the analysis indicated that the supplying, making, delivering and returning are very sustainable. The assessment result shows 87.3% of companies have increased the company's financial and 12.7% companies’ efficiency. This information system can be developed to assist the manager in the company's decision-making started from the sustainable design.  This research method can be developed to assess the extent of each indicator of the supply chain performance related to the financial strategies.

  17. Development of power supplies at VECC

    International Nuclear Information System (INIS)

    De, T.K.

    2005-01-01

    Large scale indigenous production of power supplies started at VECC since 1970. At a later stage, compact Superconducting Cyclotron demanded highly stable (of the order of 20 ppm) magnet power supplies to accommodate a large number of highly precise distributed beam trajectory in a smaller radial distance. Intensive quality development around the power supplies became essential. In-depth understanding of the power supply components, modules, computer based simulation, design, instrumentation, wide and long experience, all put together have contributed remarkable results leading to high quality indigenous development of power supply at VECC - a brief report has been presented in this paper. (author)

  18. [Horus: technological innovation in pharmaceutical assistance within the Brazilian unified health system].

    Science.gov (United States)

    Costa, Karen Sarmento; Nascimento, José Miguel do

    2012-12-01

    To analyze results of the Horus Information System, comparing elements of this system with some international experiences. Horus is a technological innovation introduced in 2009 in the Pharmaceutical management information system of the Sistema Único de Saúde (Brazilian Unified Health System). In 2011, local managers and health professionals of 1,247 municipalities (16 states) that adhered to Horus answered questionnaires on pharmaceutical assistance in primary care and about the Horus system. This is a descriptive and exploratory study, developed with the use of quantitative and qualitative methods of research. Multivariate tools were used for data collection and interpretative support of the statistical inference and thematic analysis. The main changes identified after the implementation of this system were: improvement on technical and scientific quality control of Pharmaceutical Assistance, improvement on the supply of medications and health care; training of human resources and knowledge management; improvement on the relationship health managers/users; development in the administrative management and greater inter-state management; and improvement on the technological infrastructure. In terms of health information systems, these categories are consistent with programs and obstacles observed in international experiences. The biggest gap identified was the fact that Horus was not included in a national policy of health information systems, which is in a process of consolidation in Brazil. The national database of actions and services within the Pharmaceutical Assistance will enable the collection, analysis and dissemination of information regarding integrated pharmaceutical assistance in the Brazilian context. The Horus System is a technological innovation that enables the management of the Pharmaceutical Assistance. The national base will enable the definition and agreement on national indicators of Pharmaceutical Assistance, aiming to produce evidence of

  19. Supply chain integration: A qualitative exploration of perspectives from plastic manufacturers in Gauteng

    OpenAIRE

    Yvonne Vermeulen; Wesley Niemann; Theuns Kotzé

    2016-01-01

    Background: Supply chain integration was identified as a tool to assist an organisation to survive in a competitive marketplace. It was unclear how plastic manufacturers in Gauteng perceived supply chain integration efforts between themselves and their suppliers. Objectives: This study’s main purpose was to investigate the nature and extent of supply chain integration between 10 plastic manufacturers in Gauteng and their suppliers. The focus was on these manufacturers’ commitment to and p...

  20. Biventricular assist using a portable driver in combination with implanted devices: preliminary experience.

    Science.gov (United States)

    von Segesser, L K; Tkebuchava, T; Leskosek, B; Marty, B; Pei, Y C; Turina, M

    1997-01-01

    Left ventricular assist systems with portable drive units are increasingly used in the clinical setting. However, such systems usually are not suitable for right ventricular support, and therefore, in the case of biventricular heart failure, they must be combined with other support devices that require additional drive consoles. As a result, most of the benefits of the wearable drive units (early mobilization and outpatient care) are lost. This present study was performed to evaluate biventricular support with implanted assist devices and a portable DC/battery-powered driver (Thoratec TLC-II). Electronic control by nonvolatile RAM accessible via RS232 interface, internal backup emergency battery, and optional manual activation are additional features of this 6 kg biventricular drive unit. In 3 bovine experiments (body weight 70 +/- 5 kg) partial cardiopulmonary bypass (CPB) was established, and two ventricular assist devices were implanted into a preperitoneal pocket on each side after connection to the right atrium and the pulmonary artery and to the left atrium and aorta, respectively. After weaning the patient from CPB, activated coagulation time (ACT) was kept at greater than 180 s, and biventricular support with the portable driver was activated. After 10 min, mean device flow stabilized at 3.5 +/- 0 L/min and remained at that level throughout the ensuing 6 h (3.5 +/- 0.3 L/min; NS). The heart rate moved from 130 +/- 13 beats per minute (bpm) at the end of CPB to 116 +/- 13 bpm after 10 min of assist (p < 0.05). Right atrial pressure moved from 11 +/- 2 mm Hg at the end of CPB to 13 +/- 3 mm Hg after 10 min of assist (not significant [NS]). Mean pulmonary artery pressure was 18 +/- mm Hg at the end of CPB and 17 +/- 5 mm Hg after 10 min of assist (NS). Left atrial pressure was 10 +/- 1 mm Hg at the end of CPB and 13 +/- 3 mm Hg after 10 min of assist (NS). Mean aortic pressure was 73 +/- 11 mm Hg at the end of CPB and 77 +/- 3 mm Hg after 10 min of assist (NS

  1. Operating procedures: Fusion Experiments Analysis Facility

    Energy Technology Data Exchange (ETDEWEB)

    Lerche, R.A.; Carey, R.W.

    1984-03-20

    The Fusion Experiments Analysis Facility (FEAF) is a computer facility based on a DEC VAX 11/780 computer. It became operational in late 1982. At that time two manuals were written to aid users and staff in their interactions with the facility. This manual is designed as a reference to assist the FEAF staff in carrying out their responsibilities. It is meant to supplement equipment and software manuals supplied by the vendors. Also this manual provides the FEAF staff with a set of consistent, written guidelines for the daily operation of the facility.

  2. Operating procedures: Fusion Experiments Analysis Facility

    International Nuclear Information System (INIS)

    Lerche, R.A.; Carey, R.W.

    1984-01-01

    The Fusion Experiments Analysis Facility (FEAF) is a computer facility based on a DEC VAX 11/780 computer. It became operational in late 1982. At that time two manuals were written to aid users and staff in their interactions with the facility. This manual is designed as a reference to assist the FEAF staff in carrying out their responsibilities. It is meant to supplement equipment and software manuals supplied by the vendors. Also this manual provides the FEAF staff with a set of consistent, written guidelines for the daily operation of the facility

  3. Clinical Interpretations of Patient Experience in a Trial of Psilocybin-Assisted Psychotherapy for Alcohol Use Disorder

    Directory of Open Access Journals (Sweden)

    Michael P. Bogenschutz

    2018-02-01

    Full Text Available After a hiatus of some 40 years, clinical research has resumed on the use of classic hallucinogens to treat addiction. Following completion of a small open-label feasibility study, we are currently conducting a double-blind placebo-controlled clinical trial of psilocybin-assisted treatment of alcohol use disorder. Although treatment effects cannot be analyzed until the study is complete, descriptive case studies provide a useful window into the therapeutic process of psychedelic-assisted treatment of addiction. Here we describe treatment trajectories of three participants in the ongoing trial to illustrate the range of experiences and persisting effects of psilocybin treatment. Although it is difficult to generalize from a few cases, several qualitative conclusions can be drawn from the data presented here. Although participants often find it difficult to describe much of their psilocybin experience, pivotal moments tend to be individualized, extremely vivid, and memorable. Often, the qualitative content extends beyond the clinical problem that is being addressed. The participants discussed in this paper experienced acute and lasting alterations in their perceptions of self, in the quality of their baseline consciousness, and in their relationship with alcohol and drinking. In these cases, experiences of catharsis, forgiveness, self-compassion, and love were at least as salient as classic mystical content. Finally, feelings of increased “spaciousness” or mindfulness, and increased control over choices and behavior were reported following the drug administration sessions. Ultimately, psilocybin-assisted treatment appears to elicit experiences that are extremely variable, yet seem to meet the particular needs of the individual.

  4. Clinical Interpretations of Patient Experience in a Trial of Psilocybin-Assisted Psychotherapy for Alcohol Use Disorder.

    Science.gov (United States)

    Bogenschutz, Michael P; Podrebarac, Samantha K; Duane, Jessie H; Amegadzie, Sean S; Malone, Tara C; Owens, Lindsey T; Ross, Stephen; Mennenga, Sarah E

    2018-01-01

    After a hiatus of some 40 years, clinical research has resumed on the use of classic hallucinogens to treat addiction. Following completion of a small open-label feasibility study, we are currently conducting a double-blind placebo-controlled clinical trial of psilocybin-assisted treatment of alcohol use disorder. Although treatment effects cannot be analyzed until the study is complete, descriptive case studies provide a useful window into the therapeutic process of psychedelic-assisted treatment of addiction. Here we describe treatment trajectories of three participants in the ongoing trial to illustrate the range of experiences and persisting effects of psilocybin treatment. Although it is difficult to generalize from a few cases, several qualitative conclusions can be drawn from the data presented here. Although participants often find it difficult to describe much of their psilocybin experience, pivotal moments tend to be individualized, extremely vivid, and memorable. Often, the qualitative content extends beyond the clinical problem that is being addressed. The participants discussed in this paper experienced acute and lasting alterations in their perceptions of self, in the quality of their baseline consciousness, and in their relationship with alcohol and drinking. In these cases, experiences of catharsis, forgiveness, self-compassion, and love were at least as salient as classic mystical content. Finally, feelings of increased "spaciousness" or mindfulness, and increased control over choices and behavior were reported following the drug administration sessions. Ultimately, psilocybin-assisted treatment appears to elicit experiences that are extremely variable, yet seem to meet the particular needs of the individual.

  5. Fast MRI-guided vacuum-assisted breast biopsy: initial experience.

    Science.gov (United States)

    Liberman, Laura; Morris, Elizabeth A; Dershaw, D David; Thornton, Cynthia M; Van Zee, Kimberly J; Tan, Lee K

    2003-11-01

    The purpose of this study was to evaluate a new method for performing MRI-guided vacuum-assisted breast biopsy in a study of lesions that had subsequent surgical excision. SUBJECTS AND METHODS. Twenty women scheduled for MRI-guided needle localization and surgical biopsy were prospectively entered in the study. MRI-guided biopsy was performed with a vacuum-assisted probe, followed by placement of a localizing clip, and then needle localization for surgical excision. Vacuum-assisted biopsy and surgical histology were correlated. Vacuum-assisted biopsy was successfully performed in 19 (95%) of the 20 women. The median size of 27 MRI-detected lesions that had biopsy was 1.0 cm (range, 0.4-6.4 cm). Cancer was present in eight (30%) of 27 lesions and in six (32%) of 19 women; among these eight cancers, five were infiltrating and three were ductal carcinoma in situ (DCIS). Among these 27 lesions, histology was benign at vacuum-assisted biopsy and at surgery in 19 (70%), cancer at vacuum-assisted biopsy in six (22%), atypical ductal hyperplasia at vacuum-assisted biopsy and DCIS at surgery in one (4%), and benign at vacuum-assisted biopsy with surgery showing microscopic DCIS that was occult at MRI in one (4%). The median time to perform vacuum-assisted biopsy of a single lesion was 35 min (mean, 35 min; range, 24-48 min). Placement of a localizing clip, attempted in 26 lesions, was successful in 25 (96%) of 26, and the clip was retrieved on specimen radiography in 22 (96%) of 23. One complication occurred: a hematoma that resolved with compression. MRI-guided vacuum-assisted biopsy is a fast, safe, and accurate alternative to surgical biopsy for breast lesions detected on MRI.

  6. Early operating and reliability experience with the CEBAF DC magnet power supplies

    International Nuclear Information System (INIS)

    Merz, W.; Flood, R.; Martin, E.J.; O'Sullivan, M.

    1996-01-01

    The CEBAF accelerator is a five pass, recirculating, CW electron linear accelerator. There are a total of nine recirculation arcs connecting the two linacs. Three experimental halls are serviced by the accelerator through separate transport channels. The magnet powering system for CEBAF consists of approximately 2000 independent control channels. About 1850 of these channels are low current, trim magnet power supplies. There are 28 higher power supplies used to energize the major bending elements. Over one hundred, 20 amp, active shunts are used to vary current in selected magnets in the major dipole strings. The majority of the magnetic elements are concentrated in the arcs and transport channels. The correction dipoles, quadrupoles and sextupoles are each powered individually be a dedicated trim power supply channel. The arc and extraction channel dipoles are powered in series strings by the high powered supplies, known locally at CEBAF as 'box power supplies'. Arc loads consist of some 30--40 magnets in series. Transport channel, path length control doglegs and septa box power supplies have loads ranging from 1 to 10 magnets. Shunts are installed on virtually all loads where two or more magnets are in series. At this time, 95% of the power supplies are installed and commissioned. In the past twelve months, beginning in May 1994, approximately 1200 trim magnet power supplies have been checked out. During this same period approximately 22 box power supplies and 100 shunts have been made operational. Full operation of the equipment has only been under way since early 1995. While this operation is only just beginning, much has been learned based on the reliability performance seen so far. The remainder of this paper describes the systems mentioned, their reliability problems, the fixes implemented to date, and some plans for the future. 6 refs., 3 tabs

  7. Supply chain risk management processes for resilience: A study of South African grocery manufacturers

    OpenAIRE

    Simon Simba; Wesley Niemann; Theuns Kotzé; Assilah Agigi

    2017-01-01

    Background: The supply chain risk management (SCRM) process is aimed at the implementation of strategies that assist in managing both daily and exceptional risks facing the supply chain through continuous risk assessment to reduce vulnerability and ensure continuity. Purpose: The purpose of the study was to determine whether the SCRM process enables supply chain resilience among grocery manufacturers in South Africa. The fast-moving consumer goods (FMCG)-manufacturing industry faces incre...

  8. System redesign of the immunization supply chain: Experiences from Benin and Mozambique.

    Science.gov (United States)

    Prosser, Wendy; Jaillard, Philippe; Assy, Emmanuelle; Brown, Shawn T; Matsinhe, Graça; Dekoun, Mawutondji; Lee, Bruce Y

    2017-04-19

    Evidence suggests that immunization supply chains are becoming outdated and unable to deliver needed vaccines due to growing populations and new vaccine introductions. Redesigning a supply chain could result in meeting current demands. The Ministries of Health in Benin in Mozambique recognized known barriers to the immunization supply chain and undertook a system redesign to address those barriers. Changes were made to introduce an informed push system while consolidating storage points, introducing transport loops, and increasing human resource capacity for distribution. Evaluations were completed in each country. Evaluation in each country indicated improved performance of the supply chain. The Effective Vaccine Management (EVM) assessment in Benin documented notable improvements in the distribution criteria of the tool, increasing from 40% to 100% at the district level. In Mozambique, results showed reduced stockouts at health facility level from 79% at baseline to less than 1% at endline. Coverage rates of DTP3 also increased from 68.9% to 92.8%. Benin and Mozambique are undertaking system redesign in order to respond to constraints identified in the vaccine supply chain. Results and learnings show improvements in supply chain performance and make a strong case for system redesign. These countries demonstrate the feasibility of system redesign for other countries considering how to address outdated supply chains. Copyright © 2017 The Author(s). Published by Elsevier Ltd.. All rights reserved.

  9. Gas markets and security of supply

    International Nuclear Information System (INIS)

    Gibot, G.

    1997-01-01

    In the natural gas business, some European states and companies seem to be concerned by security of supply. Security of supply for a governmental organisation is discussed, to share the author's conception and experience. The targets of a security of supply policy and the measures that can be set are described. The possible changes in implementing this policy are considered, according to recent developments in the field of gas security. The specificity of European gas markets justify the concern in security of supply, as concluded the Commission and the IEA. The integration of national gas markets in Europe will give new opportunities for managing this security of supply. (R.P.)

  10. Operating experience feedback on lose of offsite power supply for nuclear power plant

    International Nuclear Information System (INIS)

    Jiao Feng; Hou Qinmai; Che Shuwei

    2013-01-01

    The function of the service power system of a nuclear power plant is to provide safe and reliable power supply for the nuclear power plant facilities. The safety of nuclear power plant power supply is essential for nuclear safety. The serious accident of Fukushima Daiichi nuclear power plant occurred due to loss of service power and the ultimate heat sink. The service power system has two independent offsite power supplies as working power and auxiliary power. This article collected events of loss of offsite power supply in operating nuclear power plants at home and abroad, and analyzed the plant status and cause of loss of offsite power supply events, and proposed improvement measures for dealing with loss of offsite power supply. (authors)

  11. 22 CFR 226.35 - Supplies and other expendable equipment.

    Science.gov (United States)

    2010-04-01

    ... Section 226.35 Foreign Relations AGENCY FOR INTERNATIONAL DEVELOPMENT ADMINISTRATION OF ASSISTANCE AWARDS TO U.S. NON-GOVERNMENTAL ORGANIZATIONS Post-award Requirements Property Standards § 226.35 Supplies...-Federal outside organizations for a fee that is less than private companies charge for equivalent services...

  12. Understanding forest-derived biomass supply with GIS modelling

    DEFF Research Database (Denmark)

    Hock, B. K.; Blomqvist, L.; Hall, P.

    2012-01-01

    distribution, and the cost of delivery as forests are frequently remote from energy users. A GIS-based model was developed to predict supply curves of forest biomass material for a site or group of sites, both now and in the future. The GIS biomass supply model was used to assist the New Zealand Energy...... Efficiency and Conservation Authority's development of a national target for biomass use for industrial heat production, to determine potential forest residue volumes for industrial heat and their delivery costs for 19 processing plants of the dairy company Fonterra, and towards investigating options...

  13. Rural power supply with local management: Examples from Bolivia, India and Nepal

    Energy Technology Data Exchange (ETDEWEB)

    Gerger, Aa; Gullberg, M

    1997-08-01

    Local management of rural power supply is being evaluated in a joint research project conducted by Tanzania Electric Supply Company Limited (TANESCO) and Stockholm Environment Institute (SEI) on new approaches to management and organization of rural electrification. The study is based on literature, and on data from eight visited local organizations for management of power supply in Bolivia (4), India (1) and Nepal (3). Common for these countries is that the national, rural electrification programmes have encountered difficulties. Governments have failed to generate enough funds from existing power supply systems to cover the cost for a continued rural electrification. In cases where large private companies exist, they have had few incentives for expanding into rural areas since it is often not profit making. A third category may be defined as local initiators to power supply, private or co-operative. In all these countries, locally managed power supply systems have developed as a complement to governmental and other large scale programmes. The national policies pertaining to rural power supply in general and local management thereof in particular are described for each country. From the study, it appears that local management of rural power supply is a feasible approach in developing countries. Local management of rural power supply can slightly lower the costs of electrification, and it may help accelerate the pace of load development in newly electrified areas. For successful local organizations though, the most significant factor appears to be local peoples` willingness to develop their own area. Important though, is that proper financial and technical assistance is provided the local organizations. Crucial for sound external assistance is that the national rural electrification policies are clear and consistent. 53 refs, 1 fig, 11 tabs

  14. Work Floor Experiences of Supply Chain Partnering in the Dutch Housing Sector

    Directory of Open Access Journals (Sweden)

    Marieke Venselaar

    2017-11-01

    consider SCP in construction industry as an emergent practice is relatively scarce. It is said that current literature on this topic is stylized and too abstracted from daily work practice. Individual experiences are averaged away in an attempt to develop a general theory. There is too little insight in what people actually do in daily work practice and how they form a strategy such as SCP. Work floor experiences of SCP should be studied, because without the insight, it is difficult (if not impossible to intervene in an efficient and effective way and to improve performances. To study work floor experience of SCP, a specific part of the construction sector was chosen. After all, experiences in different fields may differ. This study focuses on Dutch housing associations. Dutch housing associations own a third of the total Dutch housing stock. Being one of the biggest clients, they dominate the sector. Due to several reasons, Dutch housing associations have to cut back expenditures. Supply chain partnering is one way to try to do this. Within the context of Dutch housing associations, we chose to study the work floor experiences of the project leaders, because project leaders are important in translating principles of SCP into daily work floor routines. Thus, the problem is that not enough attention has been paid to what goes on at work floor level when project leaders try to apply principles of supply chain partnering. This insight is necessary, because supply chain partnering is formed by ongoing processes of interactions between professionals in daily work practice. Therefore, to improve performances and intervene effectively, insight in work floor practices should increase. This research aims to describe work floor experiences of professionals who work for Dutch housing association and who attempt to apply SCP. To reach this target the following question will be answered: What are work floor experiences of project leaders that work for Dutch housing associations who try

  15. Using peer-assisted learning to teach basic surgical skills: medical students’ experiences

    Directory of Open Access Journals (Sweden)

    Mahdi Saleh

    2013-08-01

    Full Text Available Standard medical curricula in the United Kingdom (UK typically provide basic surgical-skills teaching before medical students are introduced into the clinical environment. However, these sessions are often led by clinical teaching fellows and/or consultants. Depending on the roles undertaken (e.g., session organizers, peer tutors, a peer-assisted learning (PAL approach may afford many benefits to teaching surgical skills. At the University of Keele's School of Medicine, informal PAL is used by the Surgical Society to teach basic surgical skills to pre-clinical students. As medical students who assumed different roles within this peer-assisted model, we present our experiences and discuss the possible implications of incorporating such sessions into UK medical curricula. Our anecdotal evidence suggests that a combination of PAL sessions – used as an adjunct to faculty-led sessions – may provide optimal learning opportunities in delivering a basic surgical skills session for pre-clinical students.

  16. Supply chain planning classification

    Science.gov (United States)

    Hvolby, Hans-Henrik; Trienekens, Jacques; Bonde, Hans

    2001-10-01

    Industry experience a need to shift in focus from internal production planning towards planning in the supply network. In this respect customer oriented thinking becomes almost a common good amongst companies in the supply network. An increase in the use of information technology is needed to enable companies to better tune their production planning with customers and suppliers. Information technology opportunities and supply chain planning systems facilitate companies to monitor and control their supplier network. In spite if these developments, most links in today's supply chains make individual plans, because the real demand information is not available throughout the chain. The current systems and processes of the supply chains are not designed to meet the requirements now placed upon them. For long term relationships with suppliers and customers, an integrated decision-making process is needed in order to obtain a satisfactory result for all parties. Especially when customized production and short lead-time is in focus. An effective value chain makes inventory available and visible among the value chain members, minimizes response time and optimizes total inventory value held throughout the chain. In this paper a supply chain planning classification grid is presented based current manufacturing classifications and supply chain planning initiatives.

  17. Supply chain design approaches for supply chain resilience: A qualitative study of South African fast-moving consumer goods grocery manufacturers

    Directory of Open Access Journals (Sweden)

    Assilah Agigi

    2016-10-01

    Full Text Available Orientation: In today’s globalised and complex business environment, firms are ever more vulnerable to supply chain disruptions, originating both internally and externally from the supply chain. Supply chain resilience minimises the impact of a disruption through design approaches, which allows the supply chain to respond appropriately to disruptive events. Research purpose: This article investigated the supply chain risks faced by grocery manufacturers in the South African fast-moving consumer goods (FMCG industry and explored supply chain design approaches that enable supply chain resilience. Motivation for the study: South African grocery manufacturers are faced with distinct risks. Whilst supply chain risk management studies have provided firms with certain guidelines to mitigate risk, supply chains are still vulnerable to unanticipated risks. Literature on supply chain resilience in the South African context is scant. The concept of supply chain resilience provides firms with strategies that are built into the supply chain that allow firms to react and recover swiftly from disruptions. Furthermore, supply chain resilience strategies assist firms in becoming less vulnerable to possible disruptions. Research design approach and method: This study was conducted by using a descriptive qualitative research design. Data were collected through semi-structured interviews with senior supply chain practitioners specifically within the South African FMCG grocery manufacturing industry. Main findings: The study found that labour unrest is the most common risk faced by the industry. Furthermore, strategic stock and supply chain mapping are of the most useful design approaches to enhance supply chain resilience. Practical/managerial implications: The study provides managers with new insights in guiding supply chain design decisions for resilient supply chains. Through the identification of risks and appropriate solutions linked to the various risks

  18. Does Social Security Affect Retirement and Labor Supply? Using the Chilean Experience as an Experiment

    OpenAIRE

    Rodrigo Cerda

    2002-01-01

    The paper explores the effects of the social security system over retirement and labor supply decision of individuals aged 55 to 65 in Chile. We use the 1998 CASEN survey elaborated by the Chilean government. Due to regulations established by the current social security law, two social security systems coexist on 1998: the .Pay-as-you-go. and the individual account system. This property of the dataset, allows us to disentangle the effects of those two systems over retirement and labor supply....

  19. Modelling Lean and Green Supply Chain

    Science.gov (United States)

    Duarte, Susana Carla Vieira Lino Medina

    The success of an organization depends on the effective control of its supply chain. It is important to recognize new opportunities for organization and its supply chain. In the last few years the approach to lean, agile, resilient and green supply chain paradigms has been addressed in the scientific literature. Research in this field shows that the integration of these concepts revealed some contradictions among so many paradigms. This thesis is mainly focused on the lean and green approaches. Thirteen different management frameworks, embodied in awards, standards and tools were studied to understand if they could contribute for the modelling process of a lean and green approach. The study reveals a number of categories that are common in most management frameworks, providing adequate conditions for a lean and green supply chain transformation. A conceptual framework for the evaluation of a lean and green organization`s supply chain was proposed. The framework considers six key criteria, namely, leadership, people, strategic planning, stakeholders, processes and results. It was proposed an assessment method considering a criteria score for each criterion. The purpose is to understand how lean and green supply chain can be compatible, using principles, practices, techniques or tools (i.e. elements) that support both, a lean and a green approach, in all key criteria. A case study in the automotive upstream supply chain was performed to understand more deeply if the elements proposed for the conceptual framework could be implemented in a real-scenario. Based on the conceptual framework and the case study, a roadmap to achieve a lean-green transformation is presented. The proposed roadmap revealed its contribution to the understanding on how and when an organization`s supply chain should apply the lean and green elements. This study is relevant to practice, as it may assist managers in the adoption of a lean and green supply chain approach, giving insights for the

  20. Design, manufacture and factory testing of the Ion Source and Extraction Power Supplies for the SPIDER experiment

    International Nuclear Information System (INIS)

    Bigi, Marco; Rinaldi, Luigi; Simon, Muriel; Sita, Luca; Taddia, Giuseppe; Carrozza, Saverino; Decamps, Hans; Luchetta, Adriano; Meddour, Abdelraouf; Moressa, Modesto; Morri, Cristiano; Musile Tanzi, Antonio; Recchia, Mauro; Wagner, Uwe; Zamengo, Andrea; Toigo, Vanni

    2015-01-01

    Highlights: • 5 MVA ion source power supplies effectively integrated in 150 m"2 Faraday cage. • Load protection and performance requirements met of custom design high voltage power supplies. • 200 kW tetrode oscillator with 200 kHz frequency range successfully tested. - Abstract: The SPIDER experiment, currently under construction at the Neutral Beam Test Facility in Padua, Italy, is a full-size prototype of the ion source for the ITER Neutral Beam Injectors. The Ion Source and Extraction Power Supplies (ISEPS) for SPIDER are supplied by OCEM Energy Technology s.r.l. (OCEM) under a procurement contract with Fusion for Energy (F4E) covering also the units required for MITICA and ITER injectors. The detailed design of SPIDER ISEPS was finalized in 2011 and manufacture of most components completed by end 2013. The Factory Acceptance Tests took place early 2014. ISEPS, with an overall power rating of 5 MVA, form a heterogeneous set of items including solid state power converters and 1 MHz radiofrequency generators of 200 kW output power. The paper presents the main features of the detailed design developed by OCEM, focusing in particular on the high output voltage pulse step modulators, the high output current resonant converters, the radiofrequency generators by HIMMELWERK GmbH and the architecture and implementation of the complex control system. Details are given on non-standard factory tests verifying the insulation requirements specific to this application. Performance of ISEPS during the factory acceptance tests is described, with emphasis on demonstration of the load protection requirements, a crucial point for all neutral beam power supplies. Finally, key dates of SPIDER ISEPS installation and site testing schedule are provided.

  1. Design, manufacture and factory testing of the Ion Source and Extraction Power Supplies for the SPIDER experiment

    Energy Technology Data Exchange (ETDEWEB)

    Bigi, Marco, E-mail: marco.bigi@igi.cnr.it [Consorzio RFX (CNR, ENEA, INFN, Università di Padova, Acciaierie Venete SpA), Corso Stati Uniti 4, 35127 Padova (Italy); Rinaldi, Luigi [OCEM Energy Technology, Via della Solidarietà 2/1, 40056 Valsamoggia (località Crespellano), Bologna (Italy); Simon, Muriel [Fusion for Energy, Josep Pla 2, 08019 Barcelona (Spain); Sita, Luca; Taddia, Giuseppe; Carrozza, Saverino [OCEM Energy Technology, Via della Solidarietà 2/1, 40056 Valsamoggia (località Crespellano), Bologna (Italy); Decamps, Hans [ITER Organization, Route de Vinon sur Verdon, 13115 Saint Paul lez Durance (France); Luchetta, Adriano [Consorzio RFX (CNR, ENEA, INFN, Università di Padova, Acciaierie Venete SpA), Corso Stati Uniti 4, 35127 Padova (Italy); Meddour, Abdelraouf [HIMMELWERK Hoch- und Mittelfrequenzanlagen GmbH, Jopestr. 10, 72072 Tübingen (Germany); Moressa, Modesto [Consorzio RFX (CNR, ENEA, INFN, Università di Padova, Acciaierie Venete SpA), Corso Stati Uniti 4, 35127 Padova (Italy); Morri, Cristiano; Musile Tanzi, Antonio [OCEM Energy Technology, Via della Solidarietà 2/1, 40056 Valsamoggia (località Crespellano), Bologna (Italy); Recchia, Mauro [Consorzio RFX (CNR, ENEA, INFN, Università di Padova, Acciaierie Venete SpA), Corso Stati Uniti 4, 35127 Padova (Italy); Wagner, Uwe [HIMMELWERK Hoch- und Mittelfrequenzanlagen GmbH, Jopestr. 10, 72072 Tübingen (Germany); Zamengo, Andrea; Toigo, Vanni [Consorzio RFX (CNR, ENEA, INFN, Università di Padova, Acciaierie Venete SpA), Corso Stati Uniti 4, 35127 Padova (Italy)

    2015-10-15

    Highlights: • 5 MVA ion source power supplies effectively integrated in 150 m{sup 2} Faraday cage. • Load protection and performance requirements met of custom design high voltage power supplies. • 200 kW tetrode oscillator with 200 kHz frequency range successfully tested. - Abstract: The SPIDER experiment, currently under construction at the Neutral Beam Test Facility in Padua, Italy, is a full-size prototype of the ion source for the ITER Neutral Beam Injectors. The Ion Source and Extraction Power Supplies (ISEPS) for SPIDER are supplied by OCEM Energy Technology s.r.l. (OCEM) under a procurement contract with Fusion for Energy (F4E) covering also the units required for MITICA and ITER injectors. The detailed design of SPIDER ISEPS was finalized in 2011 and manufacture of most components completed by end 2013. The Factory Acceptance Tests took place early 2014. ISEPS, with an overall power rating of 5 MVA, form a heterogeneous set of items including solid state power converters and 1 MHz radiofrequency generators of 200 kW output power. The paper presents the main features of the detailed design developed by OCEM, focusing in particular on the high output voltage pulse step modulators, the high output current resonant converters, the radiofrequency generators by HIMMELWERK GmbH and the architecture and implementation of the complex control system. Details are given on non-standard factory tests verifying the insulation requirements specific to this application. Performance of ISEPS during the factory acceptance tests is described, with emphasis on demonstration of the load protection requirements, a crucial point for all neutral beam power supplies. Finally, key dates of SPIDER ISEPS installation and site testing schedule are provided.

  2. Catheter-assisted retrieval of adhesive Geunther Tulip filter: preliminary experience

    International Nuclear Information System (INIS)

    Xiao Liang; Tong Jiajie; Xie Shiyang; Shen Jing

    2011-01-01

    Objective: To retrospectively summarize the technical experience in performing catheter-assisted retrieval of adhesive Geunther Tulip filter. Methods: During the period from November 2007 to October 2009, 95 patients with pulmonary embolism and acute deep vein thrombosis of lower limbs were admitted to authors' hospital. As simple snare technique failed to catch the adhesive Geunther Tulip filter previously implanted in inferior vena cava (IVC) in 6 patients (four males and two females with a mean age of 43.7 years), catheter-assisted retrieval of adhesive Geunther Tulip filter had to be carried out. The specific procedure was as follows. After phlebography of IVC confirmed that the filter's retrieval hook had adhered to IVC wall, the adhesion was separated with the help of catheter as well as goose-neck capturing device, then, the Geunther Tulip filter was retrieved. After the procedure, both anticoagulation and antibiotic medication were employed for 3-5 days. All the patients were followed up for 4-12 months. Vascular ultrasonography and pulmonary 3D CTA were re-examined in 6 months after primary operation. Results: All 6 adhesive Geunther Tulip filters were successfully removed with a success rate of 100%. The manipulation used in the procedure included catheter-twisting technique (n=1), catheter-looping technique (n=1) and catheter-snare looping technique (n=4). The mean operation time was 40.5 minutes (in the range of 17-78 minutes). The average filter-dwelling time was 46.7 days (ranging from 14 to 80 days). No thrombus formation in deep veins of lower extremity or pulmonary embolism occurred during the follow-up period. Conclusion: The catheter-assisted retrieval technique carries high retrieval rate for adhesive Geunther Tulip filter in IVC, it can markedly improve the retrieval success rate of Tulip IVC filter. (authors)

  3. Drug supply indicators: Pitfalls and possibilities for improvements to assist comparative analysis.

    Science.gov (United States)

    Singleton, Nicola; Cunningham, Andrew; Groshkova, Teodora; Royuela, Luis; Sedefov, Roumen

    2018-06-01

    Interventions to tackle the supply of drugs are seen as standard components of illicit drug policies. Therefore drug market-related administrative data, such as seizures, price, purity and drug-related offending, are used in most countries for policy monitoring and assessment of the drug situation. International agencies, such as the European Monitoring Centre for Drugs and Drug Addiction (EMCDDA) and the UN Office of Drugs and Crime, also monitor and report on the drug situation cross-nationally and therefore seek to collect and make available key data in a uniform manner from the countries they cover. However, these data are not primarily collected for this purpose, which makes interpretation and comparative analysis difficult. Examples of limitations of these data sources include: the extent to which they reflect operational priorities rather than market changes; question marks over the robustness of and consistency in data collection methods, and issues around the timeliness of data availability. Such problems are compounded by cultural, social and contextual differences between countries. Making sense of such data is therefore challenging and extreme care needs to be taken using it. Nevertheless, these data provide an important window on a hidden area, so improving the quality of the data collected and expanding its scope should be a priority for those seeking to understand or monitor drug markets and supply reduction. In addition to highlighting some of the potential pitfalls in using supply indicators for comparative analysis, this paper presents a selection of options for improvements based on the current EMCDDA programme of work to improve their supply-related monitoring and analysis. The conceptual framework developed to steer this work may have wider application. Adopting this approach has the potential to provide a richer picture of drug markets, at both national and international levels, and make it easier to compare data between countries. Copyright

  4. NEA activities on medical isotope supply issues

    International Nuclear Information System (INIS)

    Westmacott, C.; Vance, R.

    2009-01-01

    Medical radioisotopes play a vital role in modern medical practices. One of their principal uses is for nuclear diagnostic imaging techniques. These techniques are powerful and non-invasive, allowing the identification of common diseases such as heart conditions and cancer at an early stage, tracking disease progression and providing predictive information about likely success of a therapy. Such techniques enable precise and accurate management of the disease and may significantly assist in the medical decision-making process, for example removing the need for surgical intervention to obtain diagnostic information. Every year, 46 million people are estimated to benefit globally from such nuclear medicine testing. However, over the last few years there have been a number of supply shortages of Molybdenum-99 (Mo-99) and its decay product, Technetium-99m (Tc-99m), the most widely used medical radioisotope. These isotopes decay within a matter of days; therefore they must be produced continually in order to meet demand. Most recently, the unexpected extended shutdown of Canada's NRU research reactor - which produces approximately 35 percent of world Mo-99 supply - has compounded existing concerns regarding the supply reliability of these medical radioisotopes. Currently, five reactors between 42 and 52 years old produce over 95 percent of the world's supply of Mo-99 and face challenges in maintaining a continuous supply to the health community. As outlined above, disruptions in this supply chain have affected the availability of vital medical testing for millions of patients around the world. On 29-30 January 2009, the NEA hosted a workshop on Security of Supply of Medical Radioisotopes at the request of the Government of Canada. The workshop assembled an international group of experts to identify challenges faced in providing a reliable supply of Mo-99 and Tc-99m and measures that should be taken to ensure such reliability. Workshop participants discussed a wide

  5. Cost-effectiveness of open versus laparoscopic versus robotic-assisted laparoscopic cystectomy and urinary diversion.

    Science.gov (United States)

    Zehnder, Pascal; Gill, Inderbir S

    2011-09-01

    To provide insight into the recently published cost comparisons in the context of open, laparoscopic, and robotic-assisted laparoscopic radical cystectomy and to demonstrate the complexity of such economic analyses. Most economic evaluations are from a hospital perspective and summarize short-term perioperative therapeutic costs. However, the contributing factors (e.g. study design, included variables, robotic amortization plan, supply contract, surgical volume, surgeons' experience, etc.) vary substantially between the institutions. In addition, a real cost-effective analysis considering cost per quality-adjusted life-year gained is not feasible because of the lack of long-term oncologic and functional outcome data with the robotic procedure. On the basis of a modeled cost analysis using results from published series, robotic-assisted cystectomy was - with few exceptions - found to be more expensive when compared with the open approach. Immediate costs are affected most by operative time, followed by length of hospital stay, robotic supply, case volume, robotic cost, and transfusion rate. Any complication substantially impacts overall costs. Economic cost evaluations are complex analyses influenced by numerous factors that hardly allow an interinstitutional comparison. Robotic-assisted cystectomy is constantly refined with many institutions being somewhere on their learning curve. Transparent reports of oncologic and functional outcome data from centers of expertise applying standardized methods will help to properly analyze the real long-term benefits of robotic surgery and successor technologies and prevent us from becoming slaves of successful marketing strategies.

  6. Proposal to negotiate an amendment to an existing blanket purchase contract for the supply and repair of subracks for the LHC experiments

    CERN Document Server

    2006-01-01

    This document concerns the proposal to negotiate an amendment to an existing blanket purchase contract for the supply and repair of subracks for the LHC experiments. For the reasons explained in this document, the Finance Committee is invited to agree to the negotiation of an amendment to the blanket purchase contract for the supply and repair of subracks for the LHC experiments with the company WIENER, PLEIN & BAUS (DE), for an extension of the period of supply from four to six years for an amount exceeding the previously authorised amount of 5 600 000 euros, subject to revision for inflation from January 2003, by up to 1 880 000 euros, subject to revision for inflation, bringing the total amount of the blanket purchase contract to a maximum amount of 7 480 000 euros, subject to revision for inflation. At the present rate of exchange, the total amended amount of the blanket purchase contract is equivalent to approximately 11 800 000 Swiss francs. CERN's total financial contribution to the funding of the ...

  7. Computational Experiment Approach to Controlled Evolution of Procurement Pattern in Cluster Supply Chain

    Directory of Open Access Journals (Sweden)

    Xiao Xue

    2015-01-01

    Full Text Available Companies have been aware of the benefits of developing Cluster Supply Chains (CSCs, and they are spending a great deal of time and money attempting to develop the new business pattern. Yet, the traditional techniques for identifying CSCs have strong theoretical antecedents, but seem to have little traction in the field. We believe this is because the standard techniques fail to capture evolution over time, nor provide useful intervention measures to reach goals. To address these problems, we introduce an agent-based modeling approach to evaluate CSCs. Taking collaborative procurement as research object, our approach is composed of three parts: model construction, model instantiation, and computational experiment. We use the approach to explore the service charging policy problem in collaborative procurement. Three kinds of service charging polices are compared in the same experiment environment. Finally, “Fixed Cost” is identified as the optimal policy under the stable market environment. The case study can help us to understand the workflow of applying the approach, and provide valuable decision support applications to industry.

  8. A Technology Selection Framework for Integrating Manufacturing within a Supply Chain

    DEFF Research Database (Denmark)

    Farooq, Sami; O' Brien, Chris

    2012-01-01

    This paper describes a structured analytical approach for selecting a manufacturing technology. A framework consisting of six integrated steps is proposed by considering the growing importance of supply chains in manufacturing organisations. The framework makes use of Analytical Hierarchy (AHP......) approach combined with Strategic Assessment Model (SAM) to evaluate and select the technologies appropriate for providing overall competitive advantage. The framework is intended to assist industrial managers in promoting manufacturing and supply chain collaboration and coordination by including intra...

  9. Efficient adders for assistive devices

    Directory of Open Access Journals (Sweden)

    Mansi Jhamb

    2017-02-01

    Full Text Available The Body sensor network [IEEE 802.15] is a wireless communication network consisting of assistive devices which are of prime importance in medical applications. The delay critical and power hungry blocks in these assistive devices are designed so that they consume less power, have low latency and require a lesser area on chip. In this paper, we present a qualitative as well as a quantitative analysis of an asynchronous pipelined adder design with two latest computation completion sensing approaches based on Pseudo NMOS logic and other based on C-element. The Pseudo NMOS based completion sensing approach provides a maximum improvement of 76.92% in critical path delay at supply voltage of 1.2 V and the maximum drop in power dissipation has been observed at a supply voltage of 1.1 V which is 85.60% as compared to C-element based completion sensing approach. Even at low voltages such as 0.8 V, there is a significant improvement in speed and power which is 75.64% and 74.79% respectively. Since the adder is the most widely used component in all present day assistive devices, this analysis acts as a pointer for the application of asynchronous pipelined circuits with efficient Pseudo NMOS based completion sensing approach in low voltage/low power rehabilitative devices.

  10. LEAN HEALTHCARE SUPPLY CHAIN MANAGEMENT: MINIMIZING WASTE AND COSTS

    Directory of Open Access Journals (Sweden)

    Catia M L Machado

    2014-12-01

    Full Text Available The purpose of this research is to investigate the management models applied in the supply chain providing services in healthcare organizations, considering the lenses of lean. The aim of this is to develop a model of supply chain management focusing on the identification and minimization of waste, assisting in decision making and contributing to the quality of services and as a consequence the reduction of the costs involved in healthcare supply chain. The philosophies of continuous improvement and lean techniques have a role to play in helping healthcare to provide quality service and support to reduce costs in the current budget constraints. In the supply chain of hospitals the financial costs can be around 40% of its budget (MASOUMI et al. 2012; SOUZA et al., 2013. This article sheds light on the improvement in decision making and the effect of reducing costs in the healthcare supply chain. In this sense, the research intend to expand knowledge related to supply chain management in the area of ​​provision of healthcare services through the use of the philosophy of continuous improvement and lean principles, helping healthcare to provide quality service within their current budget constraints.

  11. Power supply in future: ecological aspects

    International Nuclear Information System (INIS)

    Hustedt, M.

    2000-01-01

    The most important prerequisites for an ecological supply of energy in the future is the opting out of nuclear energy and the completion of the second and third phase of the socio-ecological tax reform. As a part of our energy will continue to be generated on the basis of fossil fuels in the foreseeable future, it is essential that a radical change takes place in the efficiency of fossil energy engineering. In addition to this, any possible energy-saving potential must be exploited; this includes the new energy-saving law, promoting the modernisation of old buildings and modern energy management (heat insulation, heating engineering, warm water heating etc.). For an ecological power supply the share of renewable energies must be increased to form a major pillar of our power supply. The '100,000-roof' programme of the German federal government and the development programme for near-market renewable energy sources form part of this approach. Energy research should shift its orientation and accelerate the conversion of our power supply: priority should be given to developing energy-saving technologies and renewable energy. Supporting municipalities and public utilities is especially important. This means revising the basic conditions of energy laws so that they assist public utilities to face competition as power utilities. (orig.) [de

  12. Development of a direct expansion solar assisted heat pump for hot water supply

    International Nuclear Information System (INIS)

    Abdesselam Hamloui; Ong, K.S.; Than Cheok Fah; Masjuki Hassan

    2000-01-01

    Experimental investigations were conducted on the direct expansion solar assisted Heat Pump (DESAHP). Refrigerant R-22 was expanded in the solar collector which also acted as the evaporator in a conventional vapor compression refrigerating machine. The experiments were conducted under conditions of high and low solar radiation, with evaporator completely shaded from the sun, and at night. System thermal performance was determined by measuring refrigerant flow rate, temperature and pressure at numerous points in the system. The results showed that 227-l of water could be heated from 3O degree to 55 degree C in about 105 minutes. Higher water temperatures were obtained during hot sunny days. The coefficient of performance of heating, COP h , ranged from 11 to 4.7, depending upon operating conditions. The total saving of electric energy during hot sunny days was about 460 %. It means that for 1 kWh of electrical input to the system, we achieve 4.6 kWh. This percentage decreases as the evaporator temperature decreases and is a function of solar energy input. (Author)

  13. The performance and subjective responses of call-center operators with new and used supply air filters at two outdoor air supply rates

    DEFF Research Database (Denmark)

    Wargocki, Pawel; Wyon, David; Fanger, Povl Ole

    2004-01-01

    A 2X2 replicated field intervention experiment was conducted in a call-center providing a telephone directory service: outdoor air supply rate was adjusted to be 8% of the total airflow of 430 l/s (3.5/h)and the supply air filters were either new or had been in place for 6 months. One of these in......A 2X2 replicated field intervention experiment was conducted in a call-center providing a telephone directory service: outdoor air supply rate was adjusted to be 8% of the total airflow of 430 l/s (3.5/h)and the supply air filters were either new or had been in place for 6 months. One...

  14. Initial experience gained with the balance-group system of the Swiss power supply legislation

    International Nuclear Information System (INIS)

    Waldner, M.; Rechsteiner, S.

    2010-01-01

    This article takes a look at the initial experience gained with the Swiss balance-group system. This system was introduced within the framework of Swiss power supply legislation (StromVG - Stromversorgungsgesetz). The balance-group system was considered to be an essential precondition for the implementation of an energy trading business in a liberalised power market. The associated rights and responsibilities and the economic risks involved are discussed in detail. The partners and structures involved in such a balance-group are looked at and basic models for the associated contracts are examined. The relationship between balance-groups and the national power grid Swissgrid are discussed

  15. 14 CFR 382.133 - What are the requirements concerning the evaluation and use of passenger-supplied electronic...

    Science.gov (United States)

    2010-01-01

    ... evaluation and use of passenger-supplied electronic devices that assist passengers with respiration in the... What are the requirements concerning the evaluation and use of passenger-supplied electronic devices... to use in the passenger cabin during air transportation, a ventilator, respirator, continuous...

  16. Occupational Therapy and assistive technology: thoughts about the experience with collaborative school consulting

    Directory of Open Access Journals (Sweden)

    Luciana Ramos Baleotti

    2017-06-01

    Full Text Available This study presents thoughts and ideas based on the experience developed in the project entitled Assistive Technology for Inclusion of Students with Physical Disorders: Resources and Procedures, in development since 2009. This project aims to help in the process of school inclusion of students with physical disorder in Early Childhood Education in the city of Marilia, Brazil, through the collaboration between Health and Education departments. Health professionals contribute through the implementation of the Assistive Technology by means of school consulting. The project has been developed in six different stages, namely: Gaining access and establishing goals for the team; Identifying the problem; Interventions/Recommendations; Implementation; Evaluation and further actions. This working model, seeks to insert occupational therapy in the school environment. This project showed the importance of occupational therapists as team members in school settings, and the importance of a collaborative work between Education and Health departments.

  17. Tuning magnet power supply

    International Nuclear Information System (INIS)

    Han, B.M.; Karady, G.G.; Thiessen, H.A.

    1989-01-01

    The particles in a Rapid Cycling Accelerator are accelerated by rf cavities, which are tuned by dc biased ferrite cores. The tuning is achieved by the regulation of bias current, which is produced by a power supply. The tuning magnet power supply utilizes a bridge circuit, supplied by a three phase rectifier. During the rise of the current, when the particles are accelerated, the current is controlled with precision by the bridge which operates a power amplifier. During the fall of the current, the bridge operates in a switching mode and recovers the energy stored in the ferrites. The recovered energy is stored in a capacitor bank. The bridge circuit is built with 150 power transistors. The drive, protection and control circuit were designed and built from commercial component. The system will be used for a rf cavity experiment in Los Alamos and will serve as a prototype tuning power supply for future accelerators. 1 ref., 7 figs

  18. 13 CFR 127.505 - May a non-manufacturer submit an offer on an EDWOSB or WOSB requirement for supplies?

    Science.gov (United States)

    2010-01-01

    ... 13 Business Credit and Assistance 1 2010-01-01 2010-01-01 false May a non-manufacturer submit an offer on an EDWOSB or WOSB requirement for supplies? 127.505 Section 127.505 Business Credit and Assistance SMALL BUSINESS ADMINISTRATION WOMEN-OWNED SMALL BUSINESS FEDERAL CONTRACT ASSISTANCE PROCEDURES...

  19. 2006 Land and Maritime Supply Chains Business Conference and Exhibition

    Science.gov (United States)

    2006-08-30

    Clifford G. Scott, SC, USN, Unit Chief, Electronics Division Ms. Arretta Griffi th, Procurement Support Assistant (OA) Ms. Shelly Jenkins, Customer Account...Business Systems Modernization............715 DLA - Casting and Forging.................................712 DLA - Defense Distribution Center (DDC...219 Kovatch Castings , Inc.....................................409 Lambda Supply Corp......................................103 Lockheed

  20. Gaze-based assistive technology used in daily life by children with severe physical impairments - parents' experiences.

    Science.gov (United States)

    Borgestig, Maria; Rytterström, Patrik; Hemmingsson, Helena

    2017-07-01

    To describe and explore parents' experiences when their children with severe physical impairments receive gaze-based assistive technology (gaze-based assistive technology (AT)) for use in daily life. Semi-structured interviews were conducted twice, with one year in between, with parents of eight children with cerebral palsy that used gaze-based AT in their daily activities. To understand the parents' experiences, hermeneutical interpretations were used during data analysis. The findings demonstrate that for parents, children's gaze-based AT usage meant that children demonstrated agency, provided them with opportunities to show personality and competencies, and gave children possibilities to develop. Overall, children's gaze-based AT provides hope for a better future for their children with severe physical impairments; a future in which the children can develop and gain influence in life. Gaze-based AT provides children with new opportunities to perform activities and take initiatives to communicate, giving parents hope about the children's future.

  1. ROBOT-ASSISTED LAPAROSCOPIC PROSTATECTOMY: OUR EXPERIENCE

    Directory of Open Access Journals (Sweden)

    S. N. Nesterov

    2014-08-01

    Full Text Available Background. Retropubic radical prostatectomy (RPE is now the gold standard of treatment for locally advanced prostate cancer (PC. However, robot-assisted RPE procedures using the da Vinci system are finding increasing acceptance.Materials and methods. The authors conducted a prospective study of 60 robot-assisted prostatectomies made at the Clinic of Urology, N.I. Pirogov National Medical Surgical Center, in the period January 2009 to December 2010.Results. The duration of an operation averaged 230 min; the average amount of blood loss was 200 ml. The mean duration of postoperative analgesia was 2,7 days. That of urinary catheterization was 8.5 days. A normal postoperative course was noted in most cases (88,4 %. Seven patients were found to have 8 (13,3 % mild and moderate complications. A pathohistological study revealed a positive surgical margin of resection in 21,7 % of the patients, extracapsular tumor growth in 21,7 %, and seminal vesicle invasion in 23,3 %. Tumor-affected regional lymph nodes were detected in 1 (1,7 % patient. In our observed series, 82 and 93 % of the subjects completely retained urine after 6 and 12 moths, respectively. Throughout the follow-up, erectile function recovered in 7 of the 15 patients undergoing a nerve-sparing surgical procedure.Conclusion. Postoperative results in our series of interventions are comparable to those obtained in the studies by Russian and foreign colleagues at the early stage of mastering this procedure. By considering a few observations, it is today difficult to say that our study is valid in the context of evidence-based medicine. Estimation of the benefits of robot-assisted laparoscopic prostatectomy calls for long-term multicenter randomized trials.

  2. Mapping Risks of Indonesian Tuna Supply Chain

    Science.gov (United States)

    Karningsih, P. D.; Anggrahini, D.; Kurniati, N.; Suef, M.; Fachrur, A. R.; Syahroni, N.

    2018-04-01

    Due to its high economic value and is produced by many countries, Tuna is considered as one of the world’s popular fish. Demand for Tuna species are very high and it usually sells in three form: fresh, frozen or canned. Competition in Tuna trading is challengin with the potential risk of price and supply fluctuations. With recent focus of Indonesia government that see the future of Indonesia civilization depend on the oceans and as the three biggest Tuna producing country, Ministry of Marine Affairs and Fisheries should ensure sustainability and competitiveness of Indonesian tuna. Therefore, there is a great need to develop a proper and effective strategy to manage potential risks in Indonesian Tuna supply chain. This paper is aimed at identifying and mapping potential Tuna supply chain risks and its interrelationships that would assist government in determining proper strategies to manage Indonesian Tuna. A framework for identifying Tuna supply chain risks is proposed. Generic risk structure of Supply Chain Risk Identification System is adopted and modified to match with particular object, which is Indonesian Tuna. The proposed model consists of hierarchical and causal structure that encompass potential risks of Tuna supply chain operations from fishing, trading, processing and distribution. The causal structure consist of risk events and its risk agents which is the cause of risk events. To ensure the root cause of risk events are identified properly, five why’s analysis is utilized to obtain risk agents. This proposed model also captures risk interrelationship between internal and external environment of Tuna supply chain. Preliminary result of this study identifies 15 risk events and 13 risk factors on fishing and trading operations and maps their interrelationships.

  3. A beer game simulation model for studying the impact of information sharing to diminish the bullwhip effect in supply chains: an educational support tool in supply chain management

    Directory of Open Access Journals (Sweden)

    Éder Vasco Pinheiro

    2016-06-01

    Full Text Available This paper simulates the Beer Distribution Game using object oriented simulation software. A five echelon supply chain with bidirectional relationships is reproduced, employing simulation to demonstrate the impact of information on the generation of the bullwhip effect. In doing so, this study intends to provide a simple didactic tool to assist academically in supply chain management. As the result of the simulations, it was possible to demonstrate the occurrence of the bullwhip effect and how information sharing can diminish it.

  4. 34 CFR 366.10 - What agencies are eligible for assistance to provide training and technical assistance?

    Science.gov (United States)

    2010-07-01

    ... training and technical assistance? 366.10 Section 366.10 Education Regulations of the Offices of the... EDUCATION CENTERS FOR INDEPENDENT LIVING Training and Technical Assistance § 366.10 What agencies are eligible for assistance to provide training and technical assistance? Entities that have experience in the...

  5. The Texts of the Instruments connected with the Agency's Assistance to Yugoslavia in Establishing a Research Reactor Project. The Third Supply Agreement. Amendments

    International Nuclear Information System (INIS)

    1975-01-01

    On 29 December 1972 the Agency and the Governments of the United States of America and Yugoslavia amended by letter of agreement Sections l(i), 4 and 5 of the Third Supply Agreement, concluded in connection with the Agency's assistance to Yugoslavia for the continuation of a research reactor project and reproduced in document INFCIRC/32/Add. 3, to provide for the transfer to Yugoslavia of up to a total net amount of 4800 grams of uranium-23 5 contained in uranium enriched up to approximately 70 per cent in the isotope uranium-235, and for payment by Yugoslavia within 20 days from the date of the invoice received from the Agency and by the Agency within 30 days from the date of the invoice received from the United States Atomic Energy Commission

  6. Waste Biomass Based Energy Supply Chain Network Design

    Directory of Open Access Journals (Sweden)

    Hatice Güneş Yıldız

    2018-06-01

    Full Text Available Reducing dependence on fossil fuels, alleviating environmental impacts and ensuring sustainable economic growth are among the most promising aspects of utilizing renewable energy resources. Biomass is a major renewable energy resource that has the potential for creating sustainable energy systems that are critical in terms of social welfare. Utilization of biomass for bioenergy production is an efficient alternative for meeting rising energy demands, reducing greenhouse gas emissions and thus alleviating climate change. A supply chain for such an energy source is crucial for assisting deliverance of a competitive end product to end-user markets. Considering the existing constraints, a mixed integer linear programming (MILP model for waste biomass based supply chain was proposed in this study for economic performance optimization. Performance of the proposed modelling approach was demonstrated with a real life application study realized in İstanbul. Moreover, sensitivity analyses were conducted which would serve as a foresight for efficient management of the supply chain as a whole

  7. Assisting a child with tuberous sclerosis complex (TSC): a qualitative deep analysis of parents' experience and caring needs.

    Science.gov (United States)

    Graffigna, Guendalina; Bosio, Caterina; Cecchini, Isabella

    2013-12-06

    This study was aimed to explore parents' experience of assisting children affected by tuberous sclerosis complex (TSC) with subependymal giant-cell astrocytoma (SEGA) manifestation, in order to understand their caring needs and expectation of support. The study was designed according to the qualitative method of interpretative description and implied two sequential phases of data collection. The first phase was based on in-depth interviews with 18 Italian caregivers of children living with TSC. The second phase of the research was based on an online forum with 30 caregivers of children living with TSC. 48 Italian caregivers, assisting patients with TSC with SEGA manifestation have been involved in the study. When a TSC diagnosis is made, the whole family is affected psychologically. TSC has a great impact on families' quality of life and on their ability to cope with the disease and support the child's ability to recover and reach an acceptable level of well-being. Caregivers report the experience of losing control and the feeling of loneliness and abandon from the healthcare system. Families of children affected by TSC need targeted psychosocial assistance in order to support patients and caregivers and facilitate their social integration.

  8. Thermoeconomic optimization of a solar-assisted heat pump based on transient simulations and computer Design of Experiments

    International Nuclear Information System (INIS)

    Calise, Francesco; Dentice d’Accadia, Massimo; Figaj, Rafal Damian; Vanoli, Laura

    2016-01-01

    Highlights: • A polygeneration system for a residential house is presented. • Hybrid photovoltaic/thermal collectors are used, coupled with a solar-assisted heat pump. • An optimization has been performed. • The system is profitable even in the absence of incentives. • A simple pay-back period of about 5 year is achieved. - Abstract: In the paper, a model for the simulation and the optimization of a novel solar trigeneration system is presented. The plant simulation model is designed to supply electricity, space heating or cooling and domestic hot water for a small residential building. The system is based on a solar field equipped with flat-plate photovoltaic/thermal collectors, coupled with a water-to-water electric heat pump/chiller. The electrical energy produced by the hybrid collectors is entirely supplied to the building. During the winter, the thermal energy available from the solar field is used as a heat source for the evaporator of the heat pump and/or to produce domestic hot water. During the summer, the heat pump operates in cooling mode, coupled with a closed circuit cooling tower, providing space cooling for the building, and the hot water produced by the collectors is only used to produce domestic hot water. For such a system, a dynamic simulation model was developed in TRNSYS environment, paying special attention to the dynamic simulation of the building, too. The system was analyzed from an energy and economic point of view, considering different time bases. In order to minimize the pay-back period, an optimum set of the main design/control parameters was obtained by means of a sensitivity analysis. Simultaneously, a computer-based Design of Experiment procedure was implemented, aiming at calculating the optimal set of design parameters, using both energy and economic objective functions. The results showed that thermal and electrical efficiencies are above 40% and 10%, respectively. The coefficient of performance of the reversible heat

  9. EPRTM project experience: selection of partners and supply chain; Experiencia en Proyectos de EPTTM: seleccion de socios y cadena de suministros

    Energy Technology Data Exchange (ETDEWEB)

    Lorenzo, D. de

    2012-07-01

    With 4 EPRTM units under construction, the new plants to be built in the following years will benefit from the return on experience of the work already performed. The knowledge about licensing processes, detail engineering, supply chain, logistics and on-site work gathered from the Olkiluoto 3 and Flamanville 3 projects has already been used in the Taishan 1 and 2 project, resulting in a project that is on schedule and on budget. This article will show how the advantage of such broad experience gained will be used to benefit future projects to ensure certainty of completion, leaving few and limited unresolved issues even before the beginning of the project. Several areas that are not usually tackled when speaking of a New Build project will be covered by this text from the point of view of a nuclear vendor: Project Partnership Selection and the Gate Review Process applied by AREVA in the supply chain of the main components. (Author)

  10. 48 CFR 831.7001-7 - Reimbursement for other supplies and services.

    Science.gov (United States)

    2010-10-01

    ... 48 Federal Acquisition Regulations System 5 2010-10-01 2010-10-01 false Reimbursement for other... Principles and Procedures 831.7001-7 Reimbursement for other supplies and services. VA will provide reimbursement for other services and assistance that may be authorized under provisions of applicable Chapter 31...

  11. Hand-assisted laparoscopic liver resection using Habib's technique: early experience.

    Science.gov (United States)

    Vávra, Petr; Ihnat, Peter; Vavrova, Michaela; Martinek, Lubomir; Dostalik, Jan; Habib, Nagy

    2012-03-01

    Hand-assisted laparoscopic liver surgery, a newly developed technique based on an innovative concept, has proved useful and safe for a variety of less invasive hepatectomies. Radiofrequency-assisted hepatic resection has been reported to be safe, associated with minimal morbidity and mortality and decreased intraoperative blood loss and transfusion requirements. We describe how we perform hand-assisted laparoscopic radiofrequency-assisted hepatic resection using a bipolar radiofrequency device. The use of the hand port has allowed the surgeon to use his hand in direct liver manipulation, mobilization, and retraction. It was also useful for tactile tumour localization. Radiofrequency-assisted hepatic parenchymal transection was performed on 15 patients using a bipolar device (Habib 4X) with minimal blood loss (74 ml), and very decent operative and resection times (92 min, 33 min respectively). This combined procedure offers a safe, effective and rapid liver resection technique. This might encourage surgeons to perform a minimally invasive approach for liver resection more frequently.

  12. Drinking Water Supply without Use of a Disinfectant

    Science.gov (United States)

    Rajnochova, Marketa; Tuhovcak, Ladislav; Rucka, Jan

    2018-02-01

    The paper focuses on the issue of drinking water supply without use of any disinfectants. Before the public water supply network operator begins to consider switching to operation without use of chemical disinfection, initial assessment should be made, whether or not the water supply system in question is suitable for this type of operation. The assessment is performed by applying the decision algorithm. The initial assessment is followed by another decision algorithm which serves for managing and controlling the process of switching to drinking water supply without use of a disinfectant. The paper also summarizes previous experience and knowledge of this way operated public water supply systems in the Czech Republic.

  13. Domestic rainwater harvesting to improve water supply in rural South Africa

    Science.gov (United States)

    Mwenge Kahinda, Jean-marc; Taigbenu, Akpofure E.; Boroto, Jean R.

    Halving the proportion of people without sustainable access to safe drinking water and basic sanitation, is one of the targets of the 7th Millennium Development Goals (MDGs). In South Africa, with its mix of developed and developing regions, 9.7 million (20%) of the people do not have access to adequate water supply and 16 million (33%) lack proper sanitation services. Domestic Rainwater Harvesting (DRWH), which provides water directly to households enables a number of small-scale productive activities, has the potential to supply water even in rural and peri-urban areas that conventional technologies cannot supply. As part of the effort to achieve the MDGs, the South African government has committed itself to provide financial assistance to poor households for the capital cost of rainwater storage tanks and related works in the rural areas. Despite this financial assistance, the legal status of DRWH remains unclear and DRWH is in fact illegal by strict application of the water legislations. Beyond the cost of installation, maintenance and proper use of the DRWH system to ensure its sustainability, there is risk of waterborne diseases. This paper explores challenges to sustainable implementation of DRWH and proposes some interventions which the South African government could implement to overcome them.

  14. Computer utilization for the solution of gas supply problems

    Energy Technology Data Exchange (ETDEWEB)

    Raleigh, J T; Brady, J R

    1968-01-01

    The computer programs in this paper have proven to be useful tools in the solution of gas supply problems. Some of the management type of applications are: (1) long range planning projects; (2) comparison of various proposed gas purchase contracts; (3) to assist with budget and operational planning; (4) to assist in making cost-of-servic and rate predictions; (5) to investigate the feasibility of processing plants at any point on the system; and (6) to assist dispatching in its daily operation for cost and quality control. Competition, not only from the gas industry, but also from other forms of energy, makes it imperative that quantitative and economic information with regard to that marketable resource be available under a variety of assumptions and alternatives. This information can best be made available in a timely manner by the use of the computer.

  15. Research and service experience with environmentally assisted cracking of low-alloy steel

    Energy Technology Data Exchange (ETDEWEB)

    Hickling, J. [Electric Power Reasearch Inst., Palo Alto, CA (United States); Seifert, H.P.; Ritter, S. [Paul Scherrer Inst. (Switzerland)

    2005-01-01

    Environmentally assisted cracking (EAC) of carbon and low-alloy steels has been identified as a possible degradation mechanism for pressure vessels and piping in nuclear power plants. Selected aspects of research and service experience with cracking of these materials in high-temperature water are reviewed, with special emphasis on the primary pressure boundary in boiling water reactors. The main factors controlling EAC susceptibility under reactor conditions are discussed with regard to both crack initiation and crack growth. The adequacy and conservatism of the relevant engineering criteria for component design and disposition of detected or postulated flaws are evaluated in the context of recent research results, e.g., on the effects of so-called ''ripple loading'' or of water chemistry transients. Finally, the relevant operating experience over the last 30 years is briefly summarized and compared with the background knowledge which has been accumulated in more recent laboratory experiments. Some of the insights gained in this work may also be of value in improving understanding and prediction of the EAC behavior of carbon and low-alloy steels in certain fossil plant components, if appropriate allowances are made for differences in temperature and water chemistry. (orig.)

  16. Decision for disclosure: The experiences of Iranian infertile couples undergoing assisted reproductive donation procedures.

    Science.gov (United States)

    Hadizadeh-Talasaz, Fatemeh; Roudsari, Robab Latifnejad; Simbar, Masoumeh

    2015-01-01

    Controversy surrounding disclosure among the recipients of assisted reproductive donation procedures is escalating worldwide, but little research has been conducted in this topic. The purpose of this qualitative study was to explore the experiences of infertile couples undergoing assisted reproductive donation procedures. In this exploratory qualitative study, 32 patients (nine couples and 14 women) who were candidates to use donor eggs, donor embryos or surrogacy, and 5 members of infertility treatment team including gynaecologists, midwives and psychologist (total 37) were purposively selected from the Montaserieh Infertility Research Centre at Mashhad, Iran in 2012 and interviewed using a semi-structured in-depth method. Data were analysed using conventional qualitative content analysis with MAXqda software. One overarching theme, entitled 'experiencing uncertainty surrounding the disclosure to others' was identified from the data. This theme contained two subthemes including 'Couples' decisions to not disclose to others' and 'Couples' decisions to disclose to others'. Five categories formed the first subtheme, and the second subtheme emerged from four categories which are discussed in this paper. The main reason for secrecy was concern over societal negative views about assisted reproductive donation procedures. This worry deprived the couples from support from family and friends and as a result requires them to tolerate psychological pressure when using such procedures.

  17. PROCESS SIMULATION IN SUPPLY CHAIN USING LOGWARE SOFTWARE

    OpenAIRE

    Sebastian Kot; Beata Åšlusarczyk

    2009-01-01

    The authors present basis of simulation usage in managerial decisionsupport focusing on the supply chain processes. In the beginning the need for simulationis presented, then advantages and disadvantages of simulation experiments and thesimulation tools juxtaposition. Finally the chances of supply chain process simulationusing Logware software are presented.

  18. The overvoltage protection module for the power supply system for the pixel detector at Belle II experiment at KEK

    International Nuclear Information System (INIS)

    Kapusta, P.; Kisielewski, B.

    2015-01-01

    In this paper the overvoltage protection modules (OVP) for the power supply (PS) system of the Belle II pixel detector (PXD) are described. The aim of the OVP is to protect the detector and associated electronics against overvoltage conditions. Most critical in the system are voltages supplying the front-end ASICs. The PXD detector consists of the DEPFET sensor modules with integrated chips like the Drain Current Digitizer, the Switcher and the Data Handling Processor. These chips, implemented in modern sub-micron technologies, are quite vulnerable to variations in the supply voltages. The PXD will be placed in the Belle II experiment as close as possible to the interaction point, where access during experiment is very limited or even impossible, thus the PS and OVP systems exploit the remote-sensing method. Overvoltage conditions are due to failures of the PS itself, wrong setting of the output voltages or transient voltages coming out of hard noisy environment of the experiment. The OVP modules are parts of the PS modules. For powering the PXD 40 PS modules are placed 15 m outside the Belle II spectrometer. Each one is equipped with the OVP board. All voltages (22) are grouped in 4 domains: Analog, Digital, Steering and Gate which have independent grounds. The OVP boards are designed from integrated circuits from Linear Technology. All configurations were simulated with the Spice program. The control electronics is designed in a Xilinx CPLD. Two types of integrated circuits were used. LT4356 surge stopper protects loads from high voltage transients. The output voltages are limited to a safe value and also protect loads against over current faults. For less critical voltages, the LTC2912 voltage monitors are used that detect under-voltage and overvoltage events. It has to be noted that the OVP system is working independently of any other protection of the PS system, which increases its overall reliability. (authors)

  19. The overvoltage protection module for the power supply system for the pixel detector at Belle II experiment at KEK

    Energy Technology Data Exchange (ETDEWEB)

    Kapusta, P.; Kisielewski, B. [Institute of Nuclear Physics PAN, ul.Radzikowskiego 152, 31-875 Krakow, (Poland)

    2015-07-01

    In this paper the overvoltage protection modules (OVP) for the power supply (PS) system of the Belle II pixel detector (PXD) are described. The aim of the OVP is to protect the detector and associated electronics against overvoltage conditions. Most critical in the system are voltages supplying the front-end ASICs. The PXD detector consists of the DEPFET sensor modules with integrated chips like the Drain Current Digitizer, the Switcher and the Data Handling Processor. These chips, implemented in modern sub-micron technologies, are quite vulnerable to variations in the supply voltages. The PXD will be placed in the Belle II experiment as close as possible to the interaction point, where access during experiment is very limited or even impossible, thus the PS and OVP systems exploit the remote-sensing method. Overvoltage conditions are due to failures of the PS itself, wrong setting of the output voltages or transient voltages coming out of hard noisy environment of the experiment. The OVP modules are parts of the PS modules. For powering the PXD 40 PS modules are placed 15 m outside the Belle II spectrometer. Each one is equipped with the OVP board. All voltages (22) are grouped in 4 domains: Analog, Digital, Steering and Gate which have independent grounds. The OVP boards are designed from integrated circuits from Linear Technology. All configurations were simulated with the Spice program. The control electronics is designed in a Xilinx CPLD. Two types of integrated circuits were used. LT4356 surge stopper protects loads from high voltage transients. The output voltages are limited to a safe value and also protect loads against over current faults. For less critical voltages, the LTC2912 voltage monitors are used that detect under-voltage and overvoltage events. It has to be noted that the OVP system is working independently of any other protection of the PS system, which increases its overall reliability. (authors)

  20. Laparoscopic robot-assisted pancreas transplantation: first world experience.

    Science.gov (United States)

    Boggi, Ugo; Signori, Stefano; Vistoli, Fabio; D'Imporzano, Simone; Amorese, Gabriella; Consani, Giovanni; Guarracino, Fabio; Marchetti, Piero; Focosi, Daniele; Mosca, Franco

    2012-01-27

    Surgical complications are a major disincentive to pancreas transplantation, despite the undisputed benefits of restored insulin independence. The da Vinci surgical system, a computer-assisted electromechanical device, provides the unique opportunity to test whether laparoscopy can reduce the morbidity of pancreas transplantation. Pancreas transplantation was performed by robot-assisted laparoscopy in three patients. The first patient received a pancreas after kidney transplant, the second a simultaneous pancreas kidney transplantation, and the third a pancreas transplant alone. Operations were carried out through an 11-mm optic port, two 8-mm operative ports, and a 7-cm midline incision. The latter was used to introduce the grafts, enable vascular cross-clamping, and create exocrine drainage into the jejunum. The two solitary pancreas transplants required an operating time of 3 and 5 hr, respectively; the simultaneous pancreas kidney transplantation took 8 hr. Mean warm ischemia time of the pancreas graft was 34 min. All pancreatic transplants functioned immediately, and all recipients became insulin independent. The kidney graft, revascularized after 35 min of warm ischemia, also functioned immediately. No patient had complications during or after surgery. At the longer follow-up of 10, 8, and 6 months, respectively, all recipients are alive with normal graft function. We have shown the feasibility of laparoscopic robot-assisted solitary pancreas and simultaneous pancreas and kidney transplantation. If the safety and feasibility of this procedure can be confirmed by larger series, laparoscopic robot-assisted pancreas transplantation could become a new option for diabetic patients needing beta-cell replacement.

  1. Startup experience with the MFTF-B ECRH 100 kV dc power supply

    International Nuclear Information System (INIS)

    Bishop, S.R.; Goodman, R.A.; Wilson, J.H.

    1983-01-01

    One of the 24 Accel dc Power Supplies (ADCPS) originally intended for the Mirror Fusion Test Facility (MFTF-B) Neutral Beam Power Supply (NBPS) System has been converted to provide negative polarity output at 90 kV with a load current of 64 A dc. The load duty cycle is a pulse of 30-seconds duration with a pulse repetition period of five minutes. A new control system has been built which will serve as a prototype for the MFTF-B ADCPS controls, and a test setup was built which will be used to test the ADCPS. The Electron Cyclotron Resonance Heating (ECRH) dc Power Supply (DCPS) has been tested under both no-load and dummy-load conditions, under remote control, without notable problems. Test results indicate that the power supply should be reliable and safe to operate, and will meet the load duty requirements

  2. Startup experience with the MFTF-B ECRH 100 kV dc power supply

    International Nuclear Information System (INIS)

    Bishop, S.R.; Goodman, R.A.; Wilson, J.H.

    1983-01-01

    One of the 24 Accel DC Power Supplies (ADCPS) originally intended for the Mirror Fusion Test Facility (MFTF-B) Neutral Beam Power Supply (NBPS) System has been converted to provide negative polarity output at 90 kV with a load current of 64 A dc. The load duty cycle is a pulse of 30-seconds duration with a pulse repetition period of five minutes. A new control system has been built which will serve as a prototype for the MFTF-B ADCPS controls, and a test setup was built which will be used to test the ADCPS. The Electron Cyclotron Resonance Heating (ECRH) DC Power Supply (DCPS) has been tested under both no-load and dummy-load conditions, under remote control, without notable problems. Test results indicate that the power supply should be reliable and safe to operate, and will meet the load duty requirements

  3. Optimizing clinical trial supply requirements: simulation of computer-controlled supply chain management.

    Science.gov (United States)

    Peterson, Magnus; Byrom, Bill; Dowlman, Nikki; McEntegart, Damian

    2004-01-01

    Computer-controlled systems are commonly used in clinical trials to control dispensing and manage site inventories of trial supplies. Typically such systems are used with an interactive telephone or web system that provide an interface with the study site. Realizing the maximum savings in medication associated with this approach has, in the past, been problematic as it has been difficult to fully estimate medication requirements due to the complexities of these algorithms and the inherent variation in the clinical trial recruitment process. We describe the traditional and automated methods of supplying sites. We detail a simulation approach that models the automated system. We design a number of simulation experiments using this model to investigate the supply strategy properties that influence medication overage and other strategy performance metrics. The computer-controlled medication system gave superior performance to the traditional method. In one example, a 75% overage of wasted medication in the traditional system was associated with higher supply failure than an automated system strategy with an overage of 47%. In a further example, we demonstrate that the impact of using a country stratified as opposed to site stratified scheme affects the number of deliveries and probability of supply failures more than the amount of drug wasted with respective increases of 20, 2300 and 4%. Medication savings with automated systems are particularly significant in repeat dispensing designs. We show that the number of packs required can fall by as much as 50% if one uses a predictive medication algorithm. We conclude that a computer-controlled supply chain enables medication savings to be realized and that it is possible to quantify the distribution of these savings using a simulation model. The simulation model can be used to optimize the prestudy medication supply strategy and for midstudy monitoring using real-time data contained in the study database.

  4. Educating the Employee Assistance Professional: Cornell University's Employee Assistance Education and Research Program.

    Science.gov (United States)

    Quick, R. C.; And Others

    1987-01-01

    Outlines Cornell University's Employee Assistance Education and Research Program, which uses an academic curriculum and field experience to further develop the Employee Assistance Program (EAP) profession. Addresses the dilemma of personnel executives in ensuring quality in EAP programs and staff. (JOW)

  5. System for selecting a postponement strategy portfolio for supply chains

    Directory of Open Access Journals (Sweden)

    Luiz Eduardo Simão

    2015-03-01

    Full Text Available The stagnation of the economy has increased competition and uncertainty in the industrial sector. Trends such as the increase in the proliferation of the variety of products and the requirement for customization of products has contributed to difficulties in forecasting demand, due to increased uncertainty of demand for final products. In this new competitive environment, it is no longer possible to use the traditional “one size fits all” supply chain process, with unique policies for all products because this practice can lead to significant profitability losses due to the increase in stock levels and lost sales. However, research on supply chains has given relatively little attention to the need to use different, segmented supply chain strategies as well as to develop and manage these multiple supply chains strategies simultaneously. Thus, this paper aims to present an approach for selecting a portfolio of postponement strategies based on segmentation of supply chain, based on analysis of the demand profile (volume-variety analysis and a tool to assist in the selection of postponement strategies driven by the customer-product sector and their respective propositions of value.

  6. Assisting a child with tuberous sclerosis complex (TSC): a qualitative deep analysis of parents’ experience and caring needs

    Science.gov (United States)

    Graffigna, Guendalina; Bosio, Caterina; Cecchini, Isabella

    2013-01-01

    Objective This study was aimed to explore parents’ experience of assisting children affected by tuberous sclerosis complex (TSC) with subependymal giant-cell astrocytoma (SEGA) manifestation, in order to understand their caring needs and expectation of support. Setting and procedure The study was designed according to the qualitative method of interpretative description and implied two sequential phases of data collection. The first phase was based on in-depth interviews with 18 Italian caregivers of children living with TSC. The second phase of the research was based on an online forum with 30 caregivers of children living with TSC. Participants 48 Italian caregivers, assisting patients with TSC with SEGA manifestation have been involved in the study. Results When a TSC diagnosis is made, the whole family is affected psychologically. TSC has a great impact on families’ quality of life and on their ability to cope with the disease and support the child's ability to recover and reach an acceptable level of well-being. Caregivers report the experience of losing control and the feeling of loneliness and abandon from the healthcare system. Conclusion and practice implications Families of children affected by TSC need targeted psychosocial assistance in order to support patients and caregivers and facilitate their social integration. PMID:24319280

  7. The balance of uranium supply and demand to 1990

    International Nuclear Information System (INIS)

    Erkes, P.

    1980-01-01

    The subject is discussed under the following headings: lead times in the nuclear industry; short term flexibilities -impact on demand of changes in tails assay and effect on supply of changed operating characteristics; supply-demand balance (Uranium Institute methodology); installed nuclear capacity forecast; enrichment capacity forecast; uranium production projections; estimates of uranium supply and demand until 1990; the effect of stockpiling; recent influences on the supply and demand balance; the Harrisburg experience; the International Fuel Cycle Evaluation (INFCE); the oil price spiral; conclusions. (U.K.)

  8. Evaluation of advanced driver assistance system with the VEHIL test facility: experiences and future developments at TNO automotive

    NARCIS (Netherlands)

    Kusters, L.J.J.; Gietelink, O.J.; Hoof, J.F.A.M. van; Lemmen, P.P.M.

    2004-01-01

    This paper presents the working principle, functionality and the experience during the first operational period of the VEHIL laboratory, dedicated to the development and testing of advanced driver assistance systems. The position of VEHIL and its PC based full software variant PRESCAN is illustrated

  9. The international cooperation year - Technical assistance through IAEA

    International Nuclear Information System (INIS)

    1965-01-01

    In 1964, sixty-two countries benefited from the Agency's technical assistance programme, which involved an actual expenditure of more than 3 million dollars (including some payments against obligations incurred in previous years). This represents an increase of 29 percent over the amount of $2,423,000. spent in 1963. In addition to funds provided from the Agency's own resources and from the United Nations Expanded Programme of Technical Assistance, many gifts in kind - equipment, fellowships, and expert services - were supplied through the Agency, to a value of $708,000

  10. European Union's efforts to sustain the supply of 99Mo

    International Nuclear Information System (INIS)

    Remigiusz Baranczyk; Stamatios Tsalas; Turquet de Beauregard, G.Y.

    2015-01-01

    The Molybdenum-99/Technetium-99m ( 99 Mo/ 99m Tc) supply disruptions occurred in the recent years prompted the European Commission and industry to establish in 2012 a European Observatory on the Supply of Medical Radioisotopes, aimed at bringing together all relevant information to the decision makers in the European Union (EU) institutions and national governments in order to assist them in defining strategies as well as policies for their implementation. The Observatory follows the Organisation for Economic Co-operation and Development/Nuclear Energy Agency-OECD/NEA principles established by the High Level Group on the Security of Supply of Medical Radioisotopes (HLG-MR), of which the European Commission is a Member, and focuses on the specificities of their implementation in the EU, recognizing at the same time that the supply is of a global nature and requires broader international cooperation. The Observatory has four general strategic objectives: to support a secure 99 Mo/ 99m Tc supply across the European Union, ensure that the issue of 99 Mo/ 99m Tc supply is given high political visibility, encourage the creation of a sustainable economic structure of the supply chain and establish periodic reviews of the supply capacities and demand. (author)

  11. An Examination of the Outcomes of the Undergraduate Leadership Teaching Assistant (ULTA) Experience as a High-Impact Practice in Leadership Education

    Science.gov (United States)

    Odom, Summer F.; Ho, Sarah P.; Moore, Lori L.

    2015-01-01

    The Undergraduate Leadership Teaching Assistant (ULTA) experience offers students a high-impact opportunity to develop, practice, and evaluate their leadership knowledge, skills, and abilities. The purpose of this qualitative study was to examine outcomes of the ULTA experience as a high-impact practice for students studying leadership. Weekly…

  12. Effects of the learning assistant experience on in-service teachers' practices

    Science.gov (United States)

    Gray, Kara E.; Webb, David C.; Otero, Valerie K.

    2012-02-01

    The Colorado Learning Assistant (LA) Program serves as a content-specific supplement to standard teacher preparation programs. In addition to transforming undergraduate STEM courses, it recruits and prepares math and science majors for teaching careers by involving university STEM faculty. The research reported here compares the teaching practices of in-service teachers who participated in the LA experience as undergraduates to a comparison group of teachers who did not participate in the LA program as undergraduates but were certified to teach through the same program. We report on teachers' views of assessments and differences in their teaching practices. This analysis is based on interviews with approximately 30 teachers and observations of their classrooms throughout their induction years of teaching. This work considers how the LA program may help improve current teacher preparation models.

  13. Linking consumer energy efficiency with security of supply

    International Nuclear Information System (INIS)

    Rutherford, J.P.; Scharpf, E.W.; Carrington, C.G.

    2007-01-01

    Most modern energy policies seek to achieve systematic ongoing incremental increases in consumer energy efficiency, since this contributes to improved security of supply, favourable environmental outcomes and increased economic efficiency. Yet realised levels of efficiency are typically well below the most cost-effective equilibrium due to variety of behavioural and organisational barriers, which are often linked to information constraints. In addition efficient users are normally unrewarded for collective benefits to system security and to the environment, thus reducing the incentives for energy consumers to invest in efficiency improvements. This paper examines the dichotomies and symmetries between supply- and demand-side solutions to energy security concerns and reviews opportunities to overcome barriers to improved consumer efficiency. A security market is identified as a mechanism to promote both demand- and supply-side investments that support electricity system security. Such a market would assist in setting the optimal quantity of reserves while achieving an efficient balance between supply- and demand-side initiatives. It would also help to smooth overall investment throughout the energy system by encouraging incremental approaches, such as distributed generation and demand-side alternatives where they provide competitive value. Although the discussion is applicable to energy systems in general, it focuses primarily on electricity in New Zealand

  14. Combined Use of Mathematical Optimization and Design of Experiments for the Maximization of Profit in a Four-Echelon Supply Chain

    Directory of Open Access Journals (Sweden)

    Daniel Arturo Olivares Vera

    2018-01-01

    Full Text Available This paper develops a location-allocation model to optimize a four-echelon supply chain network, addressing manufacturing and distribution centers location, supplier selection and flow allocation for raw materials from suppliers to manufacturers, and finished products for end customers, while searching for system profit maximization. A fractional-factorial design of experiments is performed to analyze the effects of capacity, quality, delivery time, and interest rate on profit and system performance. The model is formulated as a mixed-integer linear programming problem and solved by using well-known commercial software. The usage of factorial experiments combined with mathematical optimization is a novel approach to address supply chain network design problems. The application of the proposed model to a case study shows that this combination of techniques yields satisfying results in terms of both its behavior and the obtained managerial insights. An ANOVA analysis is executed to quantify the effects of each factor and their interactions. In the analyzed case study, the transportation cost is the most relevant cost component, and the most relevant opportunity for profit improvement is found in the factor of quality. The proposed combination of methods can be adapted to different problems and industries.

  15. Study of Contactless Power Supply for Spindle Ultrasonic Vibrator

    Science.gov (United States)

    Chen, T. R.; Lee, Y. L.; Liu, H. T.; Chen, S. M.; Chang, H. Z.

    2017-11-01

    In this study, a contactless power supply for the ultrasonic motor on the spindle is proposed. The proposed power supply is composed of a series-parallel resonant circuit and a cylindrical contactless transformer. Based on the study and rotation experiments, it can be seen that the proposed power supply can both provide a stable ac power with 25 kHz / 70 V to the ultrasonic motor. When the output power is 250 W, the efficiency of the proposed supply is 89.8 % in respectively rotation tests. When the output power is more than 150 W, the efficiency of the proposed supply is higher than 80 % within the rated output power range.

  16. Plant physiological responses to hydrologically mediated changes in nitrogen supply on a boreal forest floodplain: a mechanism explaining the discrepancy in nitrogen demand and supply

    Science.gov (United States)

    Lina Koyama; Knut. Kielland

    2011-01-01

    A discrepancy between plant demand and soil supply of nitrogen (N) has been observed in early successional stages of riparian vegetation in interior Alaska. We hypothesized that a hydrologically mediated N supply serves as a mechanism to balance this apparent deficiency of plant N supply. To test this hypothesis, we conducted a tracer experiment and measured the...

  17. Robotic-assisted laparoscopic partial nephrectomy: initial experience in Brazil and a review of the literature

    Directory of Open Access Journals (Sweden)

    Carlo Camargo Passerotti

    2012-02-01

    Full Text Available CONTEXT AND PURPOSE: Partial nephrectomy has become the standard of care for renal tumors less than 4 cm in diameter. Controversy still exists, however, regarding the best surgical approach, especially when minimally invasive techniques are taken into account. Robotic-assisted laparoscopic partial nephrectomy (RALPN has emerged as a promising technique that helps surgeons achieve the standards of open partial nephrectomy care while offering a minimally invasive approach. The objective of the present study was to describe our initial experience with robotic-assisted laparoscopic partial nephrectomy and extensively review the pertinent literature. MATERIALS AND METHODS: Between August 2009 and February 2010, eight consecutive selected patients with contrast enhancing renal masses observed by CT were submitted to RALPN in a private institution. In addition, we collected information on the patients' demographics, preoperative tumor characteristics and detailed operative, postoperative and pathological data. In addition, a PubMed search was performed to provide an extensive review of the robotic-assisted laparoscopic partial nephrectomy literature. RESULTS: Seven patients had RALPN on the left or right sides with no intraoperative complications. One patient was electively converted to a robotic-assisted radical nephrectomy. The operative time ranged from 120 to 300 min, estimated blood loss (EBL ranged from 75 to 400 mL and, in five cases, the warm ischemia time (WIT ranged from 18 to 32 min. Two patients did not require any clamping. Overall, no transfusions were necessary, and there were no intraoperative complications or adverse postoperative clinical events. All margins were negative, and all patients were disease-free at the 6-month follow-up. CONCLUSIONS: Robotic-assisted laparoscopic partial nephrectomy is a feasible and safe approach to small renal cortical masses.Further prospective studies are needed to compare open partial nephrectomy with

  18. Temperature Stabilized Characterization of High Voltage Power Supplies

    CERN Document Server

    Krarup, Ole

    2017-01-01

    High precision measurements of the masses of nuclear ions in the ISOLTRAP experiment relies on an MR-ToF. A major source of noise and drift is the instability of the high voltage power supplies employed. Electrical noise and temperature changes can broaden peaks in time-of-flight spectra and shift the position of peaks between runs. In this report we investigate how the noise and drift of high-voltage power supplies can be characterized. Results indicate that analog power supplies generally have better relative stability than digitally controlled ones, and that the high temperature coefficients of all power supplies merit efforts to stabilize them.

  19. Braille Literacy: Resources for Instruction, Writing Equipment, and Supplies. NLS Reference Circulars

    Science.gov (United States)

    Peaco, Freddie L., Comp.

    2004-01-01

    This reference circular lists instructional materials, supplies, and equipment currently available for learning braille, and cites sources about braille literacy. The resources given are intended to assist sighted individuals who are interested in learning braille or want to transcribe print materials into braille; instructors who teach braille;…

  20. The Development of a Peer Assisted Learning Model for the Clinical Education of Physiotherapy Students

    Science.gov (United States)

    Sevenhuysen, Samantha L.; Nickson, Wendy; Farlie, Melanie K.; Raitman, Lyn; Keating, Jennifer L.; Molloy, Elizabeth; Skinner, Elizabeth; Maloney, Stephen; Haines, Terry P.

    2013-01-01

    Demand for clinical placements in physiotherapy education continues to outstrip supply. Peer assisted learning, in various formats, has been trialled to increase training capacity and facilitate student learning during clinical education. There are no documented examples of measurable or repeatable peer assisted learning models to aid clinicians…

  1. 44 CFR 206.171 - Crisis counseling assistance and training.

    Science.gov (United States)

    2010-10-01

    ... description of the organizational structure of the program, including designation by the Governor of an... assistance based on recommendations of the Regional Administrator and the Secretary; (ii) Obligate funds and... books, documents, papers, and records that pertain to Federal funds, equipment, and supplies received...

  2. Experience with physician assistants in a Canadian arthroplasty program.

    Science.gov (United States)

    Bohm, Eric R; Dunbar, Michael; Pitman, David; Rhule, Chris; Araneta, Jose

    2010-04-01

    Recent increases in orthopedic surgical services in Canada have added further demand to an already stretched orthopedic workforce. Various initiatives have been undertaken across Canada to meet this demand. One successful model has been the use of physician assistants (PAs) within the Winnipeg Regional Health Authority (WRHA). This study documents the effect of PAs working in an arthroplasty practice from the perspective of patients and health care providers. We also describe the costs, time savings for surgeons and the effects on surgical throughput and waiting times. We calculated time savings by the use of a daily diary kept by the PAs. Surgeons', residents', nurses' and patients' opinions about PAs were recorded by use of a self administered questionnaire. We calculated costs using forgone general practitioner (GP) surgical assist fees and salary costs for PAs. We obtained information about surgical throughput and wait times from the WRHA waitlist database. In this study, PAs "saved" their supervising physician about 204 hours per year; this time can be used for other clinical, administrative or research duties. Physician assistants are regarded as important members of the health care team by surgeons, nurses, orthopedic residents and patients. When we compared the billing costs with those that would have been generated by the use of GP surgical assists, PAs were essentially cost neutral. Furthermore, they potentially freed GPs from the operating room to spend more time delivering primary care. We found that use of the double operating room model facilitated by PAs increased the surgical throughput of primary hip and knee replacements by 42%, and median wait times decreased from 44 weeks to 30 weeks compared with the preceding year. Physician assistants integrate well into the care team and can increase surgical volumes to reduce wait times in a cost-effective manner.

  3. Climate policy and the intertemporal supply of fossil resources

    International Nuclear Information System (INIS)

    Beermann, Christian

    2015-01-01

    This thesis was written by Christian Beermann while he was a research assistant at the Center for Economic Studies (CES) at the University of Munich. It was completed in December 2014 and accepted as a doctoral thesis by the Department of Economics at the University of Munich in May 2015. The thesis analyses the intertemporal supply reaction of the fossil resource supply side to demand-reducing climate policies while explicitly taking into account the global warming problem. The interaction between a climate coalition that can either be global or incomplete, comprising only a subset of the world's countries in the latter case, and a representative competitive resource supplier is analysed in a Stackelberg differential game in which the coalition leads.

  4. Climate policy and the intertemporal supply of fossil resources

    Energy Technology Data Exchange (ETDEWEB)

    Beermann, Christian

    2015-05-13

    This thesis was written by Christian Beermann while he was a research assistant at the Center for Economic Studies (CES) at the University of Munich. It was completed in December 2014 and accepted as a doctoral thesis by the Department of Economics at the University of Munich in May 2015. The thesis analyses the intertemporal supply reaction of the fossil resource supply side to demand-reducing climate policies while explicitly taking into account the global warming problem. The interaction between a climate coalition that can either be global or incomplete, comprising only a subset of the world's countries in the latter case, and a representative competitive resource supplier is analysed in a Stackelberg differential game in which the coalition leads.

  5. SUPPLIES COSTS: AN EXPLORATORY STUDY WITH APPLICATION OF MEASUREMENT MODEL OF LOGISTICS COSTS

    Directory of Open Access Journals (Sweden)

    Ana Paula Ferreira Alves

    2013-12-01

    Full Text Available One of the main reasons for the difficulty in adopting an integrated method of calculation of logistics costs is still a lack of adequate information about costs. The management of the supply chain and identify its costs can provide information for their managers, with regard to decision making, generating competitive advantage. Some models of calculating logistics costs are proposed by Uelze (1974, Dias (1996, Goldratt (2002, Christopher (2007, Castiglioni (2009 and Borba & Gibbon (2009, with little disclosure of the results. In this context, this study aims to evaluate the costs of supplies, applying a measurement model of logistics costs. Methodologically, the study characterized as exploratory. The model applied pointed, in original condition, that about R$ 2.5 million were being applied in the process of management of supplies, with replacement costs and storage imbalance. Upgrading the company's data, it is possible obtain a 52% reduction in costs to replace and store supplies. Thus, the cost model applied to logistical supplies showed feasibility of implementation, as well as providing information to assist in management and decision-making in logistics supply.

  6. Chemistry Graduate Teaching Assistants' Experiences in Academic Laboratories and Development of a Teaching Self-image

    Science.gov (United States)

    Gatlin, Todd Adam

    Graduate teaching assistants (GTAs) play a prominent role in chemistry laboratory instruction at research based universities. They teach almost all undergraduate chemistry laboratory courses. However, their role in laboratory instruction has often been overlooked in educational research. Interest in chemistry GTAs has been placed on training and their perceived expectations, but less attention has been paid to their experiences or their potential benefits from teaching. This work was designed to investigate GTAs' experiences in and benefits from laboratory instructional environments. This dissertation includes three related studies on GTAs' experiences teaching in general chemistry laboratories. Qualitative methods were used for each study. First, phenomenological analysis was used to explore GTAs' experiences in an expository laboratory program. Post-teaching interviews were the primary data source. GTAs experiences were described in three dimensions: doing, knowing, and transferring. Gains available to GTAs revolved around general teaching skills. However, no gains specifically related to scientific development were found in this laboratory format. Case-study methods were used to explore and illustrate ways GTAs develop a GTA self-image---the way they see themselves as instructors. Two general chemistry laboratory programs that represent two very different instructional frameworks were chosen for the context of this study. The first program used a cooperative project-based approach. The second program used weekly, verification-type activities. End of the semester interviews were collected and served as the primary data source. A follow-up case study of a new cohort of GTAs in the cooperative problem-based laboratory was undertaken to investigate changes in GTAs' self-images over the course of one semester. Pre-semester and post-semester interviews served as the primary data source. Findings suggest that GTAs' construction of their self-image is shaped through the

  7. Adequacy of supply standards for the electricity market: from obligations to informal market signals

    International Nuclear Information System (INIS)

    Werven, Michiel J.N. van; Nooij, Michiel de; Scheepers, Martin J.J.

    2005-06-01

    The adequacy of supply standard is ultimately based on a loss of load probability in combination with assumptions about the extent to which the national system can count on assistance of adjoining electricity supply systems during times of shortages. It can be used to calculate the required generation capacity in an ex-ante market analysis using different future scenarios. This standard in combination with monitoring of (future) market developments on the basis of several market indicators, can give a signal to market participants with respect to the expected adequacy of supply in the longer term. Market participants are informed about the actual and expected future status of adequacy of supply in the market. It is, however, very important that the assessment and the resulting signal should not be used by the government to intervene in the market, but only to improve market transparency and assist producers, suppliers, and consumers in their decisions towards an effective and efficient response on long-term market developments. Specific policy measures based on the monitoring results could provoke strategic behaviour of market participants. The signalising standard might be a powerful instrument in helping to solve the generation adequacy problem. This solution can be seen as a compromise between options that fully rely on an optimal response by the free electricity market and options where governments take the full responsibility

  8. Republic of India : Service Level Benchmarking, Citizen Voice and Performance Improvement Strategies in Urban Water Supply and Sanitation

    OpenAIRE

    World Bank Group

    2016-01-01

    This synthesis report details the process, outputs and intermediate outcomes of the Water and Sanitation Program - World Bank (WSP) Technical Assistance (TA) to Service Level Benchmarking, Citizen Voice and Performance Improvement Strategies in Urban Water Supply and Sanitation (UWSS) in India. This technical assistance (TA) sought to strengthen accountability for service outcomes in urban...

  9. Development of S-ARIMA Model for Forecasting Demand in a Beverage Supply Chain

    Science.gov (United States)

    Mircetic, Dejan; Nikolicic, Svetlana; Maslaric, Marinko; Ralevic, Nebojsa; Debelic, Borna

    2016-11-01

    Demand forecasting is one of the key activities in planning the freight flows in supply chains, and accordingly it is essential for planning and scheduling of logistic activities within observed supply chain. Accurate demand forecasting models directly influence the decrease of logistics costs, since they provide an assessment of customer demand. Customer demand is a key component for planning all logistic processes in supply chain, and therefore determining levels of customer demand is of great interest for supply chain managers. In this paper we deal with exactly this kind of problem, and we develop the seasonal Autoregressive IntegratedMoving Average (SARIMA) model for forecasting demand patterns of a major product of an observed beverage company. The model is easy to understand, flexible to use and appropriate for assisting the expert in decision making process about consumer demand in particular periods.

  10. 44 CFR 208.37 - Reimbursement for equipment and supply costs incurred during Activation.

    Science.gov (United States)

    2010-10-01

    ... 44 Emergency Management and Assistance 1 2010-10-01 2010-10-01 false Reimbursement for equipment... SEARCH AND RESCUE RESPONSE SYSTEM Response Cooperative Agreements § 208.37 Reimbursement for equipment and supply costs incurred during Activation. (a) Allowable costs. DHS will reimburse costs incurred...

  11. Proposal to negotiate an amendment to an existing blanket purchase contract for the supply of Burndy connectors for the LHC project and LHC experiments

    CERN Document Server

    2006-01-01

    This document concerns the proposal to negotiate an amendment to an existing blanket purchase contract for the supply of Burndy connectors for the LHC project and LHC experiments. For the reasons explained in this document, the Finance Committee is invited to agree to the negotiation of an amendment to the blanket purchase contract for the supply of Burndy connectors for the LHC project and LHC experiments with the company SOURIAU (CH), for the next three years for up to 600 000 euros (954 600 Swiss francs), subject to revision for inflation from January 2007, bringing the total amount of the blanket purchase contract to a maximum amount of 1 200 000 euros (1 909 200 Swiss francs), subject to revision for inflation from January 2007. The amounts in Swiss francs have been calculated using the present rate of exchange. 2006/60/5/e

  12. The importance of North Sea oil to European energy supply

    International Nuclear Information System (INIS)

    Bauw, R. De

    1992-01-01

    There is no doubt about the importance of North Sea oil to the energy supply of the European Community. One might however be used to it and forget about the nature and the size of its impact on our economies. Firstly, this paper intends to estimate this impact - past, present and future. Secondly, a more qualitative approach will explore possible consequences of the implementation of the internal market for North Sea oil. Thirdly, the assistance given by the Community to innovative technologies which enabled North Sea oil to contribute, under better economic conditions and within a safer environment, to our supply is recalled. And finally, some remarks on energy policy form an EC perspective, are offered. (author)

  13. BUSINESS PROCEDURES. AGRICULTURAL SUPPLY - SALES AND SERVICE OCCUPATIONS, MODULE NUMBER 6.

    Science.gov (United States)

    Ohio State Univ., Columbus. Center for Vocational and Technical Education.

    THE PURPOSE OF THIS MODULE, ONE OF A SERIES DEVELOPED TO ASSIST TEACHERS TO TRAIN HIGH SCHOOL STUDENTS FOR AGRICULTURAL SUPPLY OCCUPATIONS, IS TO DEVELOP ABILITY TO USE COMMON AGRICULTURAL BUSINESS PROCEDURES. IT WAS DEVELOPED BY A NATIONAL TASK FORCE ON THE BASIS OF DATA FROM STATE STUDIES. SECTIONS ARE (1) RECORDS IN BUSINESS, (2) SALES TICKETS…

  14. Assistive Solutions in Practice: Experiences from AAL Pilot Regions in Austria.

    Science.gov (United States)

    Ates, Nesrin; Aumayr, Georg; Drobics, Mario; Förster, Kristina Maria; Frauenberger, Christopher; Garschall, Markus; Kofler, Manfred; Krainer, Daniela; Kropf, Johannes; Majcen, Kurt; Oberzaucher, Johannes; Piazolo, Felix; Rzepka, Angelika; Sauskojus, Julia; Schneider, Cornelia; Stainer-Hochgatterer, Andreas; Sturm, Nadine; Waibel, Uli; Willner, Viktoria

    2017-01-01

    Since 2012 six AAL pilot regions were launched in Austria. The main goal of these pilot regions is to evaluate the impact of AAL technologies in daily use considering the entire value chain. Additionally, go-to market strategies for assistive technologies based on an involvement of all relevant stakeholders are developed. Within this paper an overview of the specific objectives, approaches and the status of all Austrian AAL pilot regions is given. Taking into account the different experiences of the different pilot regions, specific challenges in establishing, implementing and sustaining pilot region projects are discussed and lessons-learned are presented. Results show that a careful planning of all project phases taking into account available resources is crucial for the successful implementation of an AAL pilot region. In particular, this applies to all activities related to the active involvement of end-users.

  15. Code Sharing and Collaboration: Experiences From the Scientist's Expert Assistant Project and Their Relevance to the Virtual Observatory

    Science.gov (United States)

    Korathkar, Anuradha; Grosvenor, Sandy; Jones, Jeremy; Li, Connie; Mackey, Jennifer; Neher, Ken; Obenschain, Arthur F. (Technical Monitor)

    2001-01-01

    In the Virtual Observatory (VO), software tools will perform the functions that have traditionally been performed by physical observatories and their instruments. These tools will not be adjuncts to VO functionality but will make up the very core of the VO. Consequently, the tradition of observatory and system independent tools serving a small user base is not valid for the VO. For the VO to succeed, we must improve software collaboration and code sharing between projects and groups. A significant goal of the Scientist's Expert Assistant (SEA) project has been promoting effective collaboration and code sharing among groups. During the past three years, the SEA project has been developing prototypes for new observation planning software tools and strategies. Initially funded by the Next Generation Space Telescope, parts of the SEA code have since been adopted by the Space Telescope Science Institute. SEA has also supplied code for the SIRTF (Space Infrared Telescope Facility) planning tools, and the JSky Open Source Java library. The potential benefits of sharing code are clear. The recipient gains functionality for considerably less cost. The provider gains additional developers working with their code. If enough users groups adopt a set of common code and tools, de facto standards can emerge (as demonstrated by the success of the FITS standard). Code sharing also raises a number of challenges related to the management of the code. In this talk, we will review our experiences with SEA--both successes and failures, and offer some lessons learned that might promote further successes in collaboration and re-use.

  16. Quantitative model of New Zealand's energy supply industry

    Energy Technology Data Exchange (ETDEWEB)

    Smith, B. R. [Victoria Univ., Wellington, (New Zealand); Lucas, P. D. [Ministry of Energy Resources (New Zealand)

    1977-10-15

    A mathematical model is presented to assist in an analysis of energy policy options available. The model is based on an engineering orientated description of New Zealand's energy supply and distribution system. The system is cast as a linear program, in which energy demand is satisfied at least cost. The capacities and operating modes of process plant (such as power stations, oil refinery units, and LP-gas extraction plants) are determined by the model, as well as the optimal mix of fuels supplied to the final consumers. Policy analysis with the model enables a wide ranging assessment of the alternatives and uncertainties within a consistent quantitative framework. It is intended that the model be used as a tool to investigate the relative effects of various policy options, rather than to present a definitive plan for satisfying the nation's energy requirements.

  17. Computer network that assists in the planning, execution and evaluation of in-reactor experiments

    International Nuclear Information System (INIS)

    Bauer, T.H.; Froehle, P.H.; August, C.; Baldwin, R.D.; Johanson, E.W.; Kraimer, M.R.; Simms, R.; Klickman, A.E.

    1985-01-01

    For over 20 years complex, in-reactor experiments have been performed at Argonne National Laboratory (ANL) to investigate the performance of nuclear reactor fuel and to support the development of large computer codes that address questions of reactor safety in full-scale plants. Not only are computer codes an important end-product of the research, but computer analysis is also involved intimately at most stages of experiment planning, data reduction, and evaluation. For instance, many experiments are of sufficiently long duration or, if they are of brief duration, occur in such a purposeful sequence that need for speedy availability of on-line data is paramount. This is made possible most efficiently by computer assisted displays and evaluation. A purposeful linking of main-frame, mini, and micro computers has been effected over the past eight years which greatly enhances the speed with which experimental data are reduced to useful forms and applied to the relevant technological issues. This greater efficiency in data management led also to improvements in the planning and execution of subsequent experiments. Raw data from experiments performed at INEL is stored directly on disk and tape with the aid of minicomputers. Either during or shortly after an experiment, data may be transferred, via a direct link, to the Illinois offices of ANL where the data base is stored on a minicomputer system. This Idaho-to-Illinois link has both enhanced experiment performance and allowed rapid dissemination of results

  18. Production, partitioning and stoichiometry of organic matter under variable nutrient supply during mesocosm experiments in the tropical Pacific and Atlantic Ocean

    Directory of Open Access Journals (Sweden)

    J. M. S. Franz

    2012-11-01

    Full Text Available Oxygen-deficient waters in the ocean, generally referred to as oxygen minimum zones (OMZ, are expected to expand as a consequence of global climate change. Poor oxygenation is promoting microbial loss of inorganic nitrogen (N and increasing release of sediment-bound phosphate (P into the water column. These intermediate water masses, nutrient-loaded but with an N deficit relative to the canonical N:P Redfield ratio of 16:1, are transported via coastal upwelling into the euphotic zone. To test the impact of nutrient supply and nutrient stoichiometry on production, partitioning and elemental composition of dissolved (DOC, DON, DOP and particulate (POC, PON, POP organic matter, three nutrient enrichment experiments were conducted with natural microbial communities in shipboard mesocosms, during research cruises in the tropical waters of the southeast Pacific and the northeast Atlantic. Maximum accumulation of POC and PON was observed under high N supply conditions, indicating that primary production was controlled by N availability. The stoichiometry of microbial biomass was unaffected by nutrient N:P supply during exponential growth under nutrient saturation, while it was highly variable under conditions of nutrient limitation and closely correlated to the N:P supply ratio, although PON:POP of accumulated biomass generally exceeded the supply ratio. Microbial N:P composition was constrained by a general lower limit of 5:1. Channelling of assimilated P into DOP appears to be the mechanism responsible for the consistent offset of cellular stoichiometry relative to inorganic nutrient supply and nutrient drawdown, as DOP build-up was observed to intensify under decreasing N:P supply. Low nutrient N:P conditions in coastal upwelling areas overlying O2-deficient waters seem to represent a net source for DOP, which may stimulate growth of diazotrophic phytoplankton. These results demonstrate that microbial nutrient assimilation and

  19. A quantitative metric to identify critical elements within seafood supply networks.

    Directory of Open Access Journals (Sweden)

    Éva E Plagányi

    Full Text Available A theoretical basis is required for comparing key features and critical elements in wild fisheries and aquaculture supply chains under a changing climate. Here we develop a new quantitative metric that is analogous to indices used to analyse food-webs and identify key species. The Supply Chain Index (SCI identifies critical elements as those elements with large throughput rates, as well as greater connectivity. The sum of the scores for a supply chain provides a single metric that roughly captures both the resilience and connectedness of a supply chain. Standardised scores can facilitate cross-comparisons both under current conditions as well as under a changing climate. Identification of key elements along the supply chain may assist in informing adaptation strategies to reduce anticipated future risks posed by climate change. The SCI also provides information on the relative stability of different supply chains based on whether there is a fairly even spread in the individual scores of the top few key elements, compared with a more critical dependence on a few key individual supply chain elements. We use as a case study the Australian southern rock lobster Jasus edwardsii fishery, which is challenged by a number of climate change drivers such as impacts on recruitment and growth due to changes in large-scale and local oceanographic features. The SCI identifies airports, processors and Chinese consumers as the key elements in the lobster supply chain that merit attention to enhance stability and potentially enable growth. We also apply the index to an additional four real-world Australian commercial fishery and two aquaculture industry supply chains to highlight the utility of a systematic method for describing supply chains. Overall, our simple methodological approach to empirically-based supply chain research provides an objective method for comparing the resilience of supply chains and highlighting components that may be critical.

  20. A Quantitative Metric to Identify Critical Elements within Seafood Supply Networks

    Science.gov (United States)

    Plagányi, Éva E.; van Putten, Ingrid; Thébaud, Olivier; Hobday, Alistair J.; Innes, James; Lim-Camacho, Lilly; Norman-López, Ana; Bustamante, Rodrigo H.; Farmery, Anna; Fleming, Aysha; Frusher, Stewart; Green, Bridget; Hoshino, Eriko; Jennings, Sarah; Pecl, Gretta; Pascoe, Sean; Schrobback, Peggy; Thomas, Linda

    2014-01-01

    A theoretical basis is required for comparing key features and critical elements in wild fisheries and aquaculture supply chains under a changing climate. Here we develop a new quantitative metric that is analogous to indices used to analyse food-webs and identify key species. The Supply Chain Index (SCI) identifies critical elements as those elements with large throughput rates, as well as greater connectivity. The sum of the scores for a supply chain provides a single metric that roughly captures both the resilience and connectedness of a supply chain. Standardised scores can facilitate cross-comparisons both under current conditions as well as under a changing climate. Identification of key elements along the supply chain may assist in informing adaptation strategies to reduce anticipated future risks posed by climate change. The SCI also provides information on the relative stability of different supply chains based on whether there is a fairly even spread in the individual scores of the top few key elements, compared with a more critical dependence on a few key individual supply chain elements. We use as a case study the Australian southern rock lobster Jasus edwardsii fishery, which is challenged by a number of climate change drivers such as impacts on recruitment and growth due to changes in large-scale and local oceanographic features. The SCI identifies airports, processors and Chinese consumers as the key elements in the lobster supply chain that merit attention to enhance stability and potentially enable growth. We also apply the index to an additional four real-world Australian commercial fishery and two aquaculture industry supply chains to highlight the utility of a systematic method for describing supply chains. Overall, our simple methodological approach to empirically-based supply chain research provides an objective method for comparing the resilience of supply chains and highlighting components that may be critical. PMID:24633147

  1. A quantitative metric to identify critical elements within seafood supply networks.

    Science.gov (United States)

    Plagányi, Éva E; van Putten, Ingrid; Thébaud, Olivier; Hobday, Alistair J; Innes, James; Lim-Camacho, Lilly; Norman-López, Ana; Bustamante, Rodrigo H; Farmery, Anna; Fleming, Aysha; Frusher, Stewart; Green, Bridget; Hoshino, Eriko; Jennings, Sarah; Pecl, Gretta; Pascoe, Sean; Schrobback, Peggy; Thomas, Linda

    2014-01-01

    A theoretical basis is required for comparing key features and critical elements in wild fisheries and aquaculture supply chains under a changing climate. Here we develop a new quantitative metric that is analogous to indices used to analyse food-webs and identify key species. The Supply Chain Index (SCI) identifies critical elements as those elements with large throughput rates, as well as greater connectivity. The sum of the scores for a supply chain provides a single metric that roughly captures both the resilience and connectedness of a supply chain. Standardised scores can facilitate cross-comparisons both under current conditions as well as under a changing climate. Identification of key elements along the supply chain may assist in informing adaptation strategies to reduce anticipated future risks posed by climate change. The SCI also provides information on the relative stability of different supply chains based on whether there is a fairly even spread in the individual scores of the top few key elements, compared with a more critical dependence on a few key individual supply chain elements. We use as a case study the Australian southern rock lobster Jasus edwardsii fishery, which is challenged by a number of climate change drivers such as impacts on recruitment and growth due to changes in large-scale and local oceanographic features. The SCI identifies airports, processors and Chinese consumers as the key elements in the lobster supply chain that merit attention to enhance stability and potentially enable growth. We also apply the index to an additional four real-world Australian commercial fishery and two aquaculture industry supply chains to highlight the utility of a systematic method for describing supply chains. Overall, our simple methodological approach to empirically-based supply chain research provides an objective method for comparing the resilience of supply chains and highlighting components that may be critical.

  2. Supply chain planning and management method:the fruit purchasing company case

    Directory of Open Access Journals (Sweden)

    Julio Kyosen Nakatani

    2018-06-01

    Full Text Available Abstract On the world stage, Brazil is the third largest world fruit producer. However, purchasing fruit companies are suffering from the effects of fluctuations in production and demand, inefficiency in production and information trade, lack of understanding of the dynamics of supply and reduction in profitability for all members of the fruit production chain. The supply chain management has been touted as one of the ways to reduce this volatility and improve outcomes for all involved with the supply chain. However, results of recent researches do not relate it directly to the fruit industry. To solve this problem, the present research aimed to analyze the planning and management of the supply chain of a fruit purchasing company and identify contributions and improvements to the theories and methods related to supply chain management to propose a method for planning and management the supply chain of fruit purchasing companies. It was conducted a case study from a mango fruit purchasing company using interviews with industry experts to assess the applicability, functionality and usefulness from the managerial point of view of the proposed method. Data analysis was done through the cross analysis of the methods of the supply chain management and the description of the case. The results of the study allowed the development of a method for planning and management the supply chain of fruit purchasing company. With the proposition of this method is expected to contribute with a sequence of steps to assist in planning and management of supply chain managers and specialists from a fruit purchasing company.

  3. Technical assistance efforts at EG and G Idaho, Inc

    Energy Technology Data Exchange (ETDEWEB)

    Engen, I.A.; Toth, W.J.

    1981-01-01

    As part of DOE's geothermal outreach program, EG and G Idaho has been funded since 1977 to provide technical information and assistance to parties interested in the direct applications of geothermal energy. In this time information has been provided to over 1000 requestors and technical assistance and analyses have been supplied to over 250 parties interested in developing geothermal resources. Many of the latter efforts are leading to direct-use projects that use geothermal resources to replace fossil fuels. A few of the more promising projects are discussed.

  4. Trade-offs between Energy Efficiency improvements and additional Renewable Energy supply: A review of international experiences

    DEFF Research Database (Denmark)

    Baldini, Mattia; Klinge Jacobsen, Henrik

    improvements made in the energy saving field. Indeed, less attention has been paid to implement energy efficiency measures in energy systems modeling, which has resulted in scenarios where expedients for a wise use of energy (e.g. energy savings and renewables’ share) are unbalanced and cost......-savings opportunities are missed. The aim of this paper is to review and evaluate international experiences on finding the optimal trade-off between efficiency improvements and additional renewable energy supply. A critical review of each technique, focusing on purposes, methodology and outcomes, is provided along......-makers, informations useful for identify a suitable analysis for investigate on the optimal trade-off between renewables and energy efficiency measures in energy-systems under different objectives....

  5. Robot-assisted radical cystectomy with intracorporeal neobladder diversion: The Karolinska experience.

    Science.gov (United States)

    Collins, Justin W; Sooriakumaran, P; Sanchez-Salas, R; Ahonen, R; Nyberg, T; Wiklund, N P; Hosseini, A

    2014-07-01

    The aim of this report is to describe our surgical technique of totally intracorporeal robotic assisted radical cystectomy (RARC) with neobladder formation. Between December 2003 and March 2013, a total of 147 patients (118 male, 29 female) underwent totally intracorporeal RARC for urinary bladder cancer. We also performed a systematic search of Medline, Embase and PubMed databases using the terms RARC, robotic cystectomy, robot-assisted, totally intracorporeal RARC, intracorporeal neobladder, intracorporeal urinary diversion, oncological outcomes, functional outcomes, and complication rates. The mean age of our patients was 64 years (range 37-87). On surgical pathology 47% had pT1 or less disease, 27% had pT2, 16% had pT3 and 10% had pT4. The mean number of lymph nodes removed was 21 (range 0-60). 24% of patients had lymph node positive dAQ1isease. Positive surgical margins occurred in 6 cases (4%). Mean follow-up was 31 months (range 4-115 months). Two patients (1.4%) died within 90 days of their operation. Using Kaplan-Meier analysis, overall survival and cancer specific survival at 60 months was 68% and 69.6%, respectively. 80 patients (54%) received a continent diversion with totally intracorporeal neobladder formation. In the neobladder subgroup median total operating time was 420 minutes (range 265-760). Daytime continence and satisfactory sexual function or potency at 12 months ranged between 70-90% in both men and women. Our experience with totally intracorporeal RARC demonstrates acceptable oncological and functional outcomes that suggest this is a viable alternative to open radical cystectomy.

  6. Career Patterns of Supply Chain Executives

    DEFF Research Database (Denmark)

    Flöthmann, Christoph; Hoberg, Kai

    2017-01-01

    career patterns for SCEs. They differ in terms of the individuals' previous professional experience, educational background, and the time they needed to arrive in an executive position. By characterizing the backgrounds and career paths of SCEs, we show that supply chain management (SCM) is truly a cross......This exploratory study analyzes the careers of 307 supply chain executives (SCEs). Motivated by career theory, our findings create new knowledge about the educational backgrounds and career paths that lead to SCE positions. Based on an optimal matching analysis, we are able to distinguish among six......-functional profession. Our findings suggest that previous staff responsibility appears to be a more important hiring criterion than extensive SCM experience. While 56% of the executives had prior staff responsibility, only 12% of the cumulated careers were actually spent inside the SCM function....

  7. 44 CFR 206.6 - Donation or loan of Federal equipment and supplies.

    Science.gov (United States)

    2010-10-01

    ... 44 Emergency Management and Assistance 1 2010-10-01 2010-10-01 false Donation or loan of Federal... Donation or loan of Federal equipment and supplies. (a) In any major disaster or emergency, the... governments for use and distribution by them for the purposes of the Stafford Act. (b) A donation or loan may...

  8. Reducing greenhouse gas emissions through operations and supply chain management

    International Nuclear Information System (INIS)

    Plambeck, Erica L.

    2012-01-01

    The experiences of the largest corporation in the world and those of a start-up company show how companies can profitably reduce greenhouse gas emissions in their supply chains. The operations management literature suggests additional opportunities to profitably reduce emissions in existing supply chains, and provides guidance for expanding the capacity of new “zero emission” supply chains. The potential for companies to profitably reduce emissions is substantial but (without effective climate policy) likely insufficient to avert dangerous climate change. - Highlights: ► Describes how firms are profitably reducing greenhouse gas emissions in their supply chains ► Highlights academic literature relevant to supply chain emission reduction

  9. Defining the Synthetic Biology Supply Chain.

    Science.gov (United States)

    Frazar, Sarah L; Hund, Gretchen E; Bonheyo, George T; Diggans, James; Bartholomew, Rachel A; Gehrig, Lindsey; Greaves, Mark

    Several recent articles have described risks posed by synthetic biology and spurred vigorous discussion in the scientific, commercial, and government communities about how to best detect, prevent, regulate, and respond to these risks. The Pacific Northwest National Laboratory's (PNNL) deep experience working with dual-use technologies for the nuclear industry has shown that analysis of supply chains can reveal security vulnerabilities and ways to mitigate security risk without hindering beneficial research and commerce. In this article, a team of experts in synthetic biology, data analytics, and national security describe the overall supply chain surrounding synthetic biology to illustrate new insights about the effectiveness of current regulations, the possible need for different screening approaches, and new technical solutions that could help identify or mitigate risks in the synthetic biology supply chain.

  10. Experimental Investigation on the Material Removal of the Ultrasonic Vibration Assisted Abrasive Water Jet Machining Ceramics

    Directory of Open Access Journals (Sweden)

    Tao Wang

    2017-01-01

    Full Text Available The ultrasonic vibration activated in the abrasive water jet nozzle is used to enhance the capability of the abrasive water jet machinery. The experiment devices of the ultrasonic vibration assisted abrasive water jet are established; they are composed of the ultrasonic vibration producing device, the abrasive supplying device, the abrasive water jet nozzle, the water jet intensifier pump, and so on. And the effect of process parameters such as the vibration amplitude, the system working pressure, the stand-off, and the abrasive diameter on the ceramics material removal is studied. The experimental result indicates that the depth and the volume removal are increased when the ultrasonic vibration is added on abrasive water jet. With the increase of vibration amplitude, the depth and the volume of material removal are also increased. The other parameters of the ultrasonic vibration assisted abrasive water jet also have an important role in the improvement of ceramic material erosion efficiency.

  11. Conducting Sanitary Surveys of Water Supply Systems. Student Workbook.

    Science.gov (United States)

    1976

    This workbook is utilized in connection with a 40-hour course on sanitary surveys of water supply systems for biologists, chemists, and engineers with experience as a water supply evaluator. Practical training is provided in each of the 21 self-contained modules. Each module outlines the purpose, objectives and content for that section. The course…

  12. Understanding Supplier Resistance - Overcoming Obstacles to Supply Innovation

    Directory of Open Access Journals (Sweden)

    New Steve

    2014-11-01

    Full Text Available This paper explores an important but unexplored theme in the development of 'total quality' relationships in the supply chain: why suppliers may exhibit resistance to quality initiatives, and why what seems to customers as cooperation can appear as unwelcome interference or even exploitation to suppliers. This is a question of great relevance to all those seeking to understand current business practice, and also to those seeking to bring about practical improvements in supply chain quality. Too much of the supply chain and quality literature assumes the issue of supplier's compliance with customer initiatives is unproblematic (unable to understand this sentence; experience suggests it is one of the major obstacles in developing the quality-oriented, integrated supply chain.

  13. Arranging for personal assistance services and assistive technology at work. A report of the rehabilitation research and training center on personal assistance services.

    Science.gov (United States)

    Stoddard, Susan; Kraus, Lewis

    2006-01-01

    For an employee with a disability, reasonable accommodation can make the difference in finding work, maintaining employment, and succeeding on the job. Today, employers and employees alike are more aware that appropriate accommodation, including workplace personal assistance services (PAS) as well as assistive technology, improves an employee's ability to succeed. While assistive technology is in widespread use as an accommodation, workplace personal assistance is less understood. The goal of the study was to learn more about how workplace PAS and AT are arranged for in the workplace, and the issues that arise. Structured phone interviews were conducted with 20 workplace PAS users, 21 employers familiar with workplace PAS, and 19 employment organizations. Interview transcripts are the basis for the qualitative analysis of findings. Requirements for personal assistance accommodations focus on task-related needs. Personal care needs at work are not included in the Americans with Disabilities act but may be needed by the employee. Employers and PAS users have developed many creative ways to address PAS need. Organizations can construct an approach that fits the needs, abilities, and constraints of each organization. The interview respondents have identified a number of practices that are succeeding, including establishment of policies for arranging for PAS; centralization of accommodation budgets to remove work unit disincentives; and providing a shared personal assistant for interpreting or for task-related and personal care tasks. A number of important research questions remain. What is the extent of the need for PAS in the workplace? Will an expanded PAS supply increase the employment opportunities for people with disabilities? Will better models of workplace PAS be adopted by employers?

  14. Robot-assisted radical prostatectomy is a safe procedure

    DEFF Research Database (Denmark)

    Thomsen, Frederik Birkebæk; Berg, Kasper Drimer; Hvarness, Helle

    2013-01-01

    We present our departmental experience with robot-assisted radical prostatectomy and describe complications and early results for the first 239 consecutive patients.......We present our departmental experience with robot-assisted radical prostatectomy and describe complications and early results for the first 239 consecutive patients....

  15. Experiences of reduced work hours for nurses and assistant nurses at a surgical department: a qualitative study.

    Science.gov (United States)

    Gyllensten, Kristina; Andersson, Gunnar; Muller, Helena

    2017-01-01

    There is a shortage of registered nurses in the European Union (EU), and job dissatisfaction and perceived high work-family conflict have been identified as causes of nursing staff turnover. Reducing work hours is an organisational intervention that could have a positive effect on nurses' and assistant nurses' job satisfaction, work-life balance, and willingness to stay in the job. An orthopaedic surgery department at a large hospital in Sweden introduced reduced work hours for nurses and assistant nurses in order to improve the working situation. The aim of the study was to investigate the experiences of reduced work hours and no lunch breaks among nurses and assistant nurses at an orthopaedic surgery department at a hospital in Sweden, with a particular focus on recovery and psychosocial working environment. A qualitative design was used in the study. Eleven nurses and assistant nurses working at the particular orthopaedic department took part in the study, and semi-structured interviews were used to collect data. The interviews were analysed by interpretative phenomenological analysis. Four main themes were developed in the analysis of the data: A more sustainable working situation, Improved work-life balance, Consequences of being part of a project, and Improved quality of care. Each theme consisted of subthemes. Overall, reduced work hours appeared to have many, mainly positive, effects for the participants in both work and home life.

  16. Identification of rice supply chain risk to DKI Jakarta through Cipinang primary rice market

    Science.gov (United States)

    Sugiarto, D.; Ariwibowo, A.; Mardianto, I.; Surjasa, D.

    2018-01-01

    This paper identifies several sources of risks in DKI Jakarta rice supply chain that through Cipinang Primary Rice Market (CPRM). Secondary data from several sources were collected and analysed using pareto chart and time series analysis. Based on the pareto analysis, it was known that there was a change in the order of suppliers whereas in 2011, 80% of the supply came only from Cirebon, Karawang and Bandung (West Java Province). While in 2015 the main source of supply changed to Cirebon, Central Java and Karawang. Linear trend equation using decomposition model for Cirebon and Karawang showed trend of decreasing monthly supply while Central Java had a positive trend. Harvest area of wetland paddy in Cirebon and Karawang showed a negative trend in the last 6 years. The data also showed that West Java Province was the province with the largest rice crop area affected by plant organism attack and drought disaster in 2015. DKI Jakarta had several potential supply chain risks from rice supply, drought risk and pests risk where the province of West Java, which previously could become a major supplier began to require supply assistance from other provinces, especially Central Java.

  17. Challenges in setting up a potable water supply system in a United Nations peacekeeping mission: the South Sudan experience.

    Science.gov (United States)

    Hazra, Aniruddha

    2013-01-01

    A United Nations peacekeeping contingent was deployed in the conflict affected areas of South Sudan with inadequate environmental sanitation, lack of clean drinking water and a heightened risk of water-borne diseases. In the immediate post-deployment phase, the contingent-owned water purification system was pressed into service. However, laboratory analyses of processed water revealed its unsuitability for human consumption. A systematic, sanitary survey was conducted to identify the shortcomings in the water supply system's ability to provide potable water. Under field conditions, the 'H2S method' was used to detect faecal contamination of drinking water. The raw water from the only available source, the White Nile River, was highly turbid and contaminated by intestinal and other pathogens due to an unprotected watershed. Water sterilizing powder was not readily available in the local area to replenish the existing stocks that had deteriorated during the long transit period from the troop contributing country. The water pipelines that had been laid along the ground, under water-logged conditions, were prone to microbial recontamination due to leakages in the network. The critical evaluation of the water supply system and necessary modifications in the purification process, based upon locally available options, yielded safe drinking water. Provision of safe drinking water in the mission area requires an in-depth analysis of prevailing conditions and appropriate planning in the pre-deployment phase. The chemicals for water purification should be procured through UN sources via a 'letter of assist' request from the troop contributor. Copyright © 2012 Elsevier GmbH. All rights reserved.

  18. Optimal trade-offs between energy efficiency improvements and additional renewable energy supply: A review of international experiences

    DEFF Research Database (Denmark)

    Baldini, Mattia; Klinge Jacobsen, Henrik

    2016-01-01

    the improvements made in the energy saving field. Indeed, little attention has been paid to implement energy efficiency measures, which has resulted in scenarios where expedients for a wise use of energy (e.g. energy savings and renewables share) are unbalanced. The aim of this paper is to review and evaluate...... international experiences on finding the optimal trade-off between efficiency improvements and additional renewable energy supply. A critical review of each technique, focusing on purposes, methodology and outcomes, is provided along with a review of tools adopted for the analyses. The models are categorized...... trade-off between renewables and energy efficiency measures in energy-systems under different objectives....

  19. Meanings and experiences of assistive technologies in everyday lives of older citizens

    DEFF Research Database (Denmark)

    Dahler, Anne Marie; Maling Rasmussen, Dorte; Andersen, Pernille Tanggaard

    2016-01-01

    . Results: Review of these studies show that older people generally have positive attitudes towards AT, but also that acceptance of technologies is a potentially stressful process where trust towards technologies and other people are of importance. Older people have ambivalent experiences with technology......Purpose: The purpose of this study was to synthesize the available qualitative studies on the meanings of assistive technologies (AT) in elderly people's everyday lives in order to identify central concepts, themes, and findings from existing research. Method: A systematic search of the literature...... was conducted, using predetermined search strategies. Exclusion criteria were, in accordance with the meta-interpretive approach, developed iteratively during the reading of abstracts and articles. Interpretations from the included studies were used as data for thematic analysis and synthesis of findings...

  20. 43 CFR 404.13 - What criteria will Reclamation use to prioritize requests for assistance under the program?

    Science.gov (United States)

    2010-10-01

    ... financial need of the project sponsors for assistance with the planning, design, and construction of a rural...) Whether a rural water supply project helps meet applicable requirements established by law; (f) The extent... effectively addresses water supply problems and needs, either by applying new technology or by employing a...

  1. Application of a thermally assisted mechanical dewatering process to biomass

    Energy Technology Data Exchange (ETDEWEB)

    Mahmoud, A.; Arlabosse, P. [Universite de Toulouse, Mines Albi, CNRS, Campus Jarlard, F-81013 Albi cedex 09 (France); Ecole des Mines Albi, Centre RAPSODEE, Campus Jarlard, F-81013 Albi (France); Fernandez, A. [Universite de Toulouse, INSA, UPS, INP, LISBP, 135 Avenue de Rangueil, F-31400 Toulouse (France); INRA, UMR792 Ingenierie des Systemes Biologiques et des Procedes, CNRS, UMR5504, F-31400 Toulouse (France)

    2011-01-15

    Thermally assisted mechanical dewatering (TAMD) is a new process for energy-efficient liquid/solids separation which enhances conventional-device efficiency. The main idea of this process is to supply a flow of heat in mechanical dewatering processes to favour the reduction of the liquid content. This is not a new idea but the proposed combination, especially the chosen operating conditions (T < 100 C and P < 3000 kPa) constitutes an original approach and a significant energy saving since the liquid is kept in liquid state. Response surface methodology was used to evaluate the effects of the processing parameters of TAMD on the final dry solids content, which is a fundamental dewatering parameter and an excellent indicator of the extent of TAMD. In this study, a two-factor central composite design was used to establish the optimum conditions for the TAMD of alfalfa biomass. Experiments were carried out on a laboratory compression cell. Experiments showed that the dewatering enhancement results only from thermal effects. With a moderate heat supply (T{sub piston} = 80 C), the dry solid content of the press cake can reach 66%, compared to 36% at ambient temperature. A significant regression model, describing changes on final dry solids content with respect to independent variables, was established with determination coefficient, R{sup 2}, greater than 88%. With an energy consumption of less than 150 kWh/m{sup 3}, the use of the TAMD process before a thermal drying process leads to an energy saving of at least 30% on the overall separation chain. (author)

  2. Conference on the security of electricity supply: France-Germany crossed views

    International Nuclear Information System (INIS)

    Caron, Antoine; Kaelble, Laure; Maurer, Christoph; Veyrenc, Thomas; Roques, Fabien; Jacquemart, Yannick; John, Oliver

    2015-01-01

    The French-German office for Renewable energies (OFAEnR), in cooperation with the French transmission system operator - RTE, organised a conference on security of electricity supply in France and in Germany. In the framework of this French-German exchange of experience, about 160 participants exchanged their views on the following topics: the regulatory framework and the legal instruments for ensuring the security of supply, the role of energy transmission system operators, the role of renewable energies in the electricity market and their impact on the security of supplies. This document brings together the available presentations (slides) made during this event: 1 - Security of supply and electricity markets (Antoine Caron); 2 - White Paper on electricity Market Design (Laure Kaelble); 3 - Security of Supply - Concept and Definition: On the Way to a Common Understanding? (Christoph Maurer); 4 - The French capacity market: lessons learnt and way forward (Thomas Veyrenc); 5 - electricity market evolutions: divergencies and compatibilities between French and German models? (Fabien Roques); 6 - Infrastructures and European coordination: action of the French transmission system operator - RTE (Yannick Jacquemart); 7 - Interconnection and Security of Supply - experiences of the German TSO Amprion at the French-German Border (Oliver John)

  3. Integrating medical, assistive, and universally designed products and technologies: assistive technology device classification (ATDC).

    Science.gov (United States)

    Bauer, Stephen; Elsaesser, Linda-Jeanne

    2012-09-01

    ISO26000:2010 International Guidance Standard on Organizational Social Responsibility requires that effective organizational performance recognize social responsibility, including the rights of persons with disabilities (PWD), engage stakeholders and contribute to sustainable development. Millennium Development Goals 2010 notes that the most vulnerable people require special attention, while the World Report on Disability 2011 identifies improved data collection and removal of barriers to rehabilitation as the means to empower PWD. The Assistive Technology Device Classification (ATDC), Assistive Technology Service Method (ATSM) and Matching Person and Technology models provide an evidence-based, standardized, internationally comparable framework to improve data collection and rehabilitation interventions. The ATDC and ATSM encompass and support universal design (UD) principles, and use the language and concepts of the International Classification of Functioning, Disability and Health (ICF). Use ATDC and ICF concepts to differentiate medical, assistive and UD products and technology; relate technology "types" to markets and costs; and support provision of UD products and technologies as sustainable and socially responsible behavior. Supply-side and demand-side incentives are suggested to foster private sector development and commercialization of UD products and technologies. Health and health-related professionals should be knowledgeable of UD principles and interventions.

  4. Minimizing complications of ultrasound-assisted lipoplasty: an initial experience with no related complications.

    Science.gov (United States)

    Tebbetts, J B

    1998-10-01

    Numerous complications and increased operating times were reported with ultrasonically assisted lipoplasty in the first several months after introduction of the technology in the United States. The purpose of this study was to review early reported complications and management regimens, evaluate possible causes of problems, and apply indications and techniques to attempt to minimize complications during an initial experience with this technique beginning in January of 1997. Seven specific indications and modifications of existing techniques were developed and applied to an initial clinical series of 70 consecutive patients who underwent ultrasound-assisted suction lipoplasty between January 10, 1997, and August 1, 1997. Follow-up ranged from 1 to 7 months. No perioperative or postoperative complication occurred in any patient in this series. In this series of ultrasound-assisted lipoplasty cases, application of the following criteria resulted in a series of 70 patients with 1 to 7-month follow-up without complications: (1) selecting patients with well localized fat deposits who were no more than 20 percent above their ideal body weight; (2) infusing a solution of Ringer's Lactate containing 1 cc of 1:1000 epinephrine per 1000 cc into the area of fat removal, stopping infusion when the tissues first become firm, not infusing to marked tissue turgor or skin induration; (3) restricting the level of energy application to a minimum of 1 cm from the undersurface of the dermis; (4) limiting ultrasonic energy application in each area to approximately 1 minute per estimated 100 cc of total aspirate in a wet to superwet environment; (5) not performing ultrasound-assisted lipoplasty in the same area as another procedure that could potentially compromise tissue vascularity; (6) using a Lysonix 2000 generator and 5-mm golf tee tip probe at a power setting of 8 to apply ultrasonic energy to the area of fat removal, ceasing energy application when tissue resistance to the passage

  5. Serviço de assistência especializada (SAE: uma experiência profissional

    Directory of Open Access Journals (Sweden)

    Carla Glenda Souza da Silva

    Full Text Available O trabalho visa a discutir o processo de implantação e operacionalização de um serviço de assistência especializada (SAE, que objetiva vincular o usuário portador do vírus HIV/Aids à equipe multiprofissional através da descrição de experiência profissional. Alcançou-se a implantação e operacionalização do SAE com a implementação de uma política de assistência voltada para o bem-estar, a humanização e a qualidade de vida do usuário. A implantação do serviço permitiu garantir a resolutividade, a eqüidade e a integralidade dos serviços no Município de Cabedelo, bem como a ampliação do processo de descentralização da atenção, conforme orienta a política institucional do SUS no Brasil, mesmo enfrentando dificuldades de ordem política, econômica e estrutural local. A cidade possui uma população de 47.076 habitantes. Há oitenta e seis casos de Aids notificados no período de jun./85 a fev./05. É um Município predominantemente urbano, litorâneo, portuário, é rota de caminhoneiros, possui um ferry boat, e apresenta elevado índice de prostituição.

  6. Coordination of Advertising Free Riding in Hybrid Channel Supply Chain

    Directory of Open Access Journals (Sweden)

    Jin Sha

    2016-01-01

    Full Text Available Advertising is a crucial tool for demand creation and market expansion; enterprises in supply chain use it widely to increase sales and improve profits. But the homogeneity of products sold in hybrid channel supply chain magnifies the positive externalities of advertising and leads to serious free-riding problem. To coordinate the supply chain effectively, firstly, this paper classifies hybrid channel supply chain based on the relationship between members and selects horizontally integrated, vertically integrated, and decentralized hybrid channel supply chains as research objects. Then, a demand function considering the common effect of price and advertising is proposed and coordination schemes for different types of supply chains are designed. Finally, a sensitivity analysis is performed to assess the impact of parameters on coordination using orthogonal experiment.

  7. Proposal for the award of a contract for the supply of the external cryogenic sub-system for the magnets of the ATLAS experiment

    CERN Document Server

    2001-01-01

    This document concerns the award of a contract for the supply, including design, installation, commissioning and testing at CERN of the external cryogenic sub-system for the magnets of the ATLAS experiment. Following a market survey carried out among 28 firms in eight Member States and eight firms in two non-Member States, a call for tenders (IT-2807/EP/ATLAS) was sent on 17 August 2000 to two firms in two Member States. By the closing date, CERN had received tenders from the two firms. The Finance Committee is invited to agree to the negotiation of a contract with LINDE KRYOTECHNIK (CH), the lowest bidder, for the design, supply, installation, commissioning and testing at CERN of the external cryogenic sub-system for the magnets of the ATLAS experiment for a total amount of 6 652 000 Swiss francs, not subject to revision, with options for interconnecting low- and high-pressure warm piping and for spare parts, for an additional amount of 910 170 Swiss francs, not subject to revision, bringing the total amount...

  8. Proposal for the award of a contract for the supply of a supervisory control and data acquisition system for the four LHC experiments

    CERN Document Server

    2000-01-01

    This document concerns the award of a contract for the supply of a Supervisory Control and Data Acquisition (SCADA) system for the control of the four LHC experiments. Following a market survey carried out among 63 firms in thirteen Member States and one firm in Israel, a call for tenders (IT-2814/IT) was sent on 29 May 2000 to two firms and two consortia, each consisting of two firms, in four Member States. By the closing date, CERN had received four tenders from three firms and one consortium in three Member States. The Finance Committee is invited to agree to the negotiation of a contract with ETM (AT), the lowest bidder complying with the specification, for the supply of a Supervisory Control and Data Acquisition (SCADA) system for the control of the four LHC experiments, including consultancy services and training, for a total amount of 407 500 euros (634 000 Swiss francs), not subject to revision, and 10 years? maintenance for a total amount of 308 500 euros (480 000 Swiss francs), subject to annual rev...

  9. Exploration of a radiation hardening stabilized voltage power supply

    International Nuclear Information System (INIS)

    Xie Zeyuan; Xu Xianguo

    2014-01-01

    This paper mainly introduces the design method of radiation hardening stabilized voltage power supply that makes use of commercial radiation resistant electronic devices and the test results of radiation performance of the power supply and devices are presented in detail. The experiment results show that the hardened power supply can normally work until 1000 Gy (Si) total dose and 1 × 10 14 n/cm 2 neutron radiation, and it doesn't latchup at about 1 × l0 9 Gy (Si)/s gamma transient dose rate. (authors)

  10. A Two-Dimensional Weighting Function for a Driver Assistance System

    NARCIS (Netherlands)

    De Winter, J.; Mulder, M.; Van Paassen, M.M.; Abbink, D.A.; Wieringa, P.A.

    2008-01-01

    Driver assistance systems that supply force feedback (FF) on the accelerator commonly use relative distance and velocity with respect to the closest lead vehicle in front of the own vehicle. This 1-D feedback might not accurately represent the situation and can cause unwanted step-shaped changes in

  11. Guide to Effective Business Practices in Buying School Supplies, Instructional Materials, Equipment and Services.

    Science.gov (United States)

    Association of School Business Officials International, Reston, VA.

    This guide to effective business practices is intended to assist schools in establishing general policies and procedures for buying supplies, instructional materials, equipment, and services. Federal, state, and local laws must be considered in addition to the recommendations made in this report. Practical guidelines are given for selecting…

  12. Toward Transformative Learning: An Inquiry into the Work and Subsequent Learning Experiences of Individuals Who Assisted Hurricane Katrina Evacuees

    Science.gov (United States)

    Ficks, David B., II.

    2010-01-01

    The purpose of this multi-case study was to examine in depth the personal and learning experiences of helping professionals and volunteer helpers when challenged to assist adult Hurricane Katrina evacuees and victims in the aftermath of the disaster. The study contributes theoretically, practically and substantively to the adult education field.…

  13. Laser-assisted lead extraction: the European experience.

    Science.gov (United States)

    Kennergren, C; Bucknall, C A; Butter, C; Charles, R; Fuhrer, J; Grosfeld, M; Tavernier, R; Morgado, T B; Mortensen, P; Paul, V; Richter, P; Schwartz, T; Wellens, F

    2007-08-01

    The aim of this study is to investigate the safety and effectiveness of Excimer laser-assisted lead extraction in Europe. The final European multi-centre study experience is presented. The Excimer is a cool cutting laser (50 degrees C) with a wavelength of 308 nm. The energy is emitted from the tip of a flexible sheath and is absorbed by proteins and lipids, 64% of the energy is absorbed at a tissue depth of 0.06 mm. The sheath is positioned over the lead, and the fibrosis surrounding the lead is vaporized while advancing the sheath without damaging other leads. From August 1996 to March 2001, 383 leads (170 atrial, 213 ventricular) in 292 patients (mean age 61.6 years, range 13-96) were extracted at 14 European centres. Mean implantation time was 74 months (3-358). Most frequent indications were pocket infection (26%), non-functional leads (21%), patient morbidity (21%), septicaemia or endocarditis (14%), erosion (5%), and lead interference (8%). Median extraction time was 15 min (1-300). Complete extraction was achieved in 90.9% of the leads and partial extraction in 3.4%. Extraction failed in 5.7% of the leads. Major complications = perforations caused 10/22 (3.4/5.7%) of the failures. Most partially extracted patients were considered clinically successful, as only minor lead parts without clinical significance were left. Femoral non-laser technique was used to remove 8/12 of the non-complication failures. The total complication rate, including five minor complications (1.7%), was 5.1%. No in-hospital mortality occurred. Pacing and implantable cardioverter-defibrillator leads can safely, effectively, and predictably be extracted. Open-heart extractions can be limited to special cases. The results indicate that the traditional policy of abandoning redundant leads, instead of removing them, may be obsolete in many patients.

  14. PV supply chain growing pains

    Energy Technology Data Exchange (ETDEWEB)

    Wilkins, A. [Matrix Energy Inc., Montreal, PQ (Canada)

    2010-11-15

    This article discussed issues involving the supply chain for photovoltaic (PV) equipment that is emerging in Ontario as a result of the Feed-in-Tariff (FIT) program that was launched in late 2009. The rapidly developing PV supply chain may not be taking a sustainable path. The domestic-content requirement is making manufacturers outlay capital to set up manufacturing in Ontario without reliable market data. Only a small number of dealer/installers have any meaningful experience designing and installing grid-tie PV. Until recently, wholesale distributors designed and supplied most grid-tie PV systems in Canada, and solar dealers/installers or electricians or electrical contractors did the installation. Instead of selling directly to dealer/installers, solar manufacturers should develop strong relationships with wholesalers, who have system design experience and product training. This would allow manufacturers to focus on their core strength, reach more customers, and keep lower inventory levels. Wholesale distributors in turn provide dealer/installers with expertise in product and system design, training from a range of manufacturers, marketing and logistics support, and immediate access to inventory. Manufacturers generally lack appropriate accounting, engineering, marketing, and logistics services to deal with a multitude of active accounts, and they are not structured to work with architects and engineers to do complete system design. Partnering with wholesale distributors allows manufacturers to take on the residential and small-scale commercial sectors by building brand awareness and increasing market share and sales across Canada. 2 figs.

  15. PV supply chain growing pains

    International Nuclear Information System (INIS)

    Wilkins, A.

    2010-01-01

    This article discussed issues involving the supply chain for photovoltaic (PV) equipment that is emerging in Ontario as a result of the Feed-in-Tariff (FIT) program that was launched in late 2009. The rapidly developing PV supply chain may not be taking a sustainable path. The domestic-content requirement is making manufacturers outlay capital to set up manufacturing in Ontario without reliable market data. Only a small number of dealer/installers have any meaningful experience designing and installing grid-tie PV. Until recently, wholesale distributors designed and supplied most grid-tie PV systems in Canada, and solar dealers/installers or electricians or electrical contractors did the installation. Instead of selling directly to dealer/installers, solar manufacturers should develop strong relationships with wholesalers, who have system design experience and product training. This would allow manufacturers to focus on their core strength, reach more customers, and keep lower inventory levels. Wholesale distributors in turn provide dealer/installers with expertise in product and system design, training from a range of manufacturers, marketing and logistics support, and immediate access to inventory. Manufacturers generally lack appropriate accounting, engineering, marketing, and logistics services to deal with a multitude of active accounts, and they are not structured to work with architects and engineers to do complete system design. Partnering with wholesale distributors allows manufacturers to take on the residential and small-scale commercial sectors by building brand awareness and increasing market share and sales across Canada. 2 figs.

  16. Challenges of Tagging Goods in Supply Chains and a Cloud Perspective with Focus on Some Transitional Economies

    Directory of Open Access Journals (Sweden)

    Sanja Bauk

    2017-02-01

    Full Text Available This paper considers some of the barriers in implementing the RFID (radio frequency identification technology for identifying, locating, tracking and tracing goods in supply chains, along with a model for adopting cloud services that can mitigate these obstacles in the transitional environment. The analysis is based on the assessments of the implementation impediments, given by the experts in the field of logistics: university professors, assistants and entrepreneurs from three Western Balkan countries (Montenegro, Serbia, and Bosnia and Herzegovina. Since the professionals’ assessments are influenced by their experiences from the transitional economies, which are faced with limited abilities to invest in expensive business information systems, the main hypothesis is that moving the logistics into the cloud may resolve or at least alleviate the considered problems. On the basis of the available secondary literature resources on pros and cons of RFID implementation into supply chains, and the statistical analysis of the consciously completed questionnaires in the survey, the model for adopting cloud services for providing RFID-enabled goods and related activities in the considered economies is proposed at a logical level. The paper also gives some directions for further research work in this domain.

  17. Protection of the MFTF accel power supplies

    International Nuclear Information System (INIS)

    Wilson, J.H.; Wood, J.C.

    1979-01-01

    The MFTF experiment's Sustaining Neutral Beam Power Supply System (SNBPSS) includes twenty-four 95 kV, 80 A accel dc power supplies (ADCPS). Each power supply includes a relatively high-impedance (20 percent) rectifier transformer and a step voltage regulator with a 50-100 percent voltage range. With this combination, the fault current for some postulated faults may be lower than the supply's full load current at maximum voltage. A design has been developed which uses protective relays and current-limiting fuses coordinated to detect phase and ground faults, DC faults, incorrect voltage conditions, rectifier faults, power factor correction capacitor faults, and overloads. This unusual solution ensures fast tripping on potentially destructive high-current faults and long-time delays at lower currents to allow 30 second pulse operation. The ADCPS meets the LLL specification that all major assemblies be self-protecting, that is, able to sustain external faults without damage to minimize damage due to internal faults

  18. Middle school special education teachers' perceptions and use of assistive technology in literacy instruction.

    Science.gov (United States)

    Flanagan, Sara; Bouck, Emily C; Richardson, Jennifer

    2013-01-01

    In this research the authors examined middle school special education teachers' perceptions of assistive technology during literacy instruction with students with high incidence disabilities. A survey explored the use, effectiveness, and factors impacting use or effectiveness of assistive technology for literacy teaching and learning. Results suggested teachers' perceived assistive technology to be an effective tool for literacy, but use it minimally. When assistive technology was used, teachers indicated it was an effective literacy support. Teachers also reported barriers to using assistive technology in literacy including cost, usability, and lack of training/experience. However, factors such as previous successful experiences with assistive technology and assistive technology supporting students' learning encouraged assistive technology use. The consistency of teachers' reports of needing more experience and knowledge in assistive technology to fully use it suggests implications for preservice preparation such as providing additional experiences and information on assistive technology.

  19. Robotic-assisted partial Nephrectomy: initial experience in South America

    Directory of Open Access Journals (Sweden)

    Gustavo C. Lemos

    2011-08-01

    Full Text Available OBJECTIVE:To report the initial outcomes of robotic-assisted partial nephrectomy in a tertiary center in South America. MATERIAL AND METHODS: From 11/2008 to 12/2009, a total of 16 transperitoneal robotic-assisted partial nephrectomies were performed in 15 patients to treat 18 kidney tumors. One patient with bilateral tumor had two procedures, while two patients with two synchronous unilateral tumors had a single operation to remove them. Eleven (73% patients were male and the right kidney was affected in 7 (46% patients. The median patient age and tumor size were 57 years old and 30 mm, respectively. Five (28% tumors were hilar and/or centrally located. RESULTS: The median operative time, warm ischemia time and estimated blood loss was 140 min, 27 min and 120 mL, respectively. Blood transfusion was required in one patient with bilateral tumor, and one additional pyelolithotomy was performed due to a 15mm stone located in the renal pelvis. The histopathology analysis showed 15 (83% malignant tumors, which 10 (67% were clear cell carcinoma. The median hospital stay was 72 hrs and no major complication was observed. CONCLUSION: Robotic-assisted partial nephrectomy is safe and represents a valuable option to perform minimally invasive nephron-sparing surgery.

  20. Assistive Technologies Promoting the Experience of Self for People with Alzheimer’s Disease

    Directory of Open Access Journals (Sweden)

    Andrea Bosco

    2015-08-01

    Full Text Available There is growing evidence on the importance of rehabilitation interventions promoting the persistence of the sense of self in people with Alzheimer's disease (AD or other forms of dementia. Assistive Technologies (AT may contribute to the development of interventions aimed to improve adaptive responses to environmental demands. This, in turns, can promote self-awareness. At the same time AT can manage computer interfaces able to record and reproduce autobiographical multimedia contents that can be very useful during reminiscence tasks carried out during conversations with supportive staff. These tasks could promote the self-concept. Globally the AT can be of great help in setting up rehabilitation and leisure environments promoting the experience of self in people with AD and other dementias.

  1. Operating experience of a portable thermophotovoltaic power supply

    Science.gov (United States)

    Becker, Frederick E.; Doyle, Edward F.; Shukla, Kailash

    1999-03-01

    Two configurations of man-portable thermophotovoltaic (TPV) power supplies based on Thermo Power's supported continuous fiber emitter have been designed, built, and are being tested. The systems use narrow-band, fibrous, ytterbia emitters radiating to bandgap matched silicon photovoltaic arrays with dielectric stack filters for optical energy recovery and recuperators for thermal energy recovery. The systems have been designed for operation with propane and with combustion air preheat temperatures of up to 1250 K. To operate at air preheat temperatures above the auto-ignition temperature of the fuel, a unique fuel delivery system was devised which results in the micromixing and rapid combustion of the fuel and air right in the emitter fibers. This allows the ytterbia emitter fibers to run much hotter (˜2000 K) than any of the surrounding structure.

  2. Nitrogen supply of crops by biological nitrogen fixation. 2

    International Nuclear Information System (INIS)

    Jensen, E.S.; Andersen, A.J.; Soerensen, H.; Thomsen, J.D.

    1985-02-01

    In the present work the contributions from combined N-sources and symbiotic nitrogen fixation to the nitrogen supply of field-grown peas and field beans were evaluated by means of 15 N fertilizer dilution. The effect of N-fertilizer, supplied at sowing and at different stages of plant development, on nitrogen fixation, yield and protein production in peas, was studied in pot experiments. (author)

  3. Equine Assisted Psychotherapy: The Equine Assisted Growth and Learning Association's Model Overview of Equine-Based Modalities

    Science.gov (United States)

    Notgrass, Clayton G.; Pettinelli, J. Douglas

    2015-01-01

    This article describes the Equine Assisted Growth and Learning Association's (EAGALA) experiential model called "Equine Assisted Psychotherapy" (EAP). EAGALA's model is based on the Association for Experiential Education's (AEE) tenets and is focused on the learner's experience with horses. Drawing on the historical use of equines in the…

  4. Decision-Making for Supply Chain Integration Supply Chain Integration

    CERN Document Server

    Lettice, Fiona; Durowoju, Olatunde

    2012-01-01

    Effective supply chain integration, and the tight co-ordination it creates, is an essential pre-requisite for successful supply chain management.  Decision-Making for Supply Chain Integration is a practical reference on recent research in the area of supply chain integration focusing on distributed decision-making problems. Recent applications of various decision-making tools for integrating supply chains are covered including chapters focusing on: •Supplier selection, pricing strategy and inventory decisions in multi-level supply chains, •RFID-enabled distributed decision-making, •Operational risk issues and time-critical decision-making for sensitive logistics nodes, Modelling end to end processes to improve supply chain integration, and •Integrated systems to improve service delivery and optimize resource use. Decision-Making for Supply Chain Integration provides an insight into the tools and methodologies of this field with support from real-life case studies demonstrating successful application ...

  5. Customer-Driven Supply Chains From Glass Pipelines to Open Innovation Networks

    CERN Document Server

    Lyons, Andrew C; Piller, Frank; Poler, Raúl

    2012-01-01

    In recent years, the supply chain has become a key element to the survival and prosperity of organisations in different industry sectors. Organisations dealing in dynamic business environments demand supply chains that support the satisfaction of customer needs. The principles of lean thinking that once permeated standalone organisations have now been transferred to the supply chain, making imperative the development of innovative approaches to supply chain management.    Customer-Driven Supply Chains: From Glass Pipelines to Open Innovation Networks reviews the concept of lean thinking and its relationship to other key initiatives associated with supply chain management. Detailed industrial case studies based on the authors’ experience illustrate the principles behind lean supply chains. Moreover, a series of diagrams are used to illustrate critical concepts and supply chain architectures. Special emphasis is placed on the importance of transferring lean principles from the organisational level to the s...

  6. Supply chain risk management processes for resilience: A study of South African grocery manufacturers

    Directory of Open Access Journals (Sweden)

    Simon Simba

    2017-09-01

    Full Text Available Background: The supply chain risk management (SCRM process is aimed at the implementation of strategies that assist in managing both daily and exceptional risks facing the supply chain through continuous risk assessment to reduce vulnerability and ensure continuity. Purpose: The purpose of the study was to determine whether the SCRM process enables supply chain resilience among grocery manufacturers in South Africa. The fast-moving consumer goods (FMCG-manufacturing industry faces increased risk because of the nature of their products being perishable with a limited shelf life. Method: This study was conducted using a descriptive qualitative research design. Data were collected by means of 12 semi-structured interviews with senior supply chain practitioners within the South African grocery manufacturing industry. Findings: The study found that most firms informally implement SCRM processes of risk identification, assessment, mitigation and monitoring to mitigate disruptions. Furthermore, the findings indicate that the SCRM processes facilitate resilience among grocery manufacturers in South Africa. Conclusion: The managerial implications show that supply chain managers of grocery manufacturers should formalise the SCRM process and develop risk assessment scales to better prioritise risks in order to run a resilient supply chain. The research contributes to the supply chain management field by adding to the scarce literature relating to SCRM as an enabler of supply chain resilience in a South African context.

  7. Supply chain integration: A qualitative exploration of perspectives from plastic manufacturers in Gauteng

    Directory of Open Access Journals (Sweden)

    Yvonne Vermeulen

    2016-05-01

    Full Text Available Background: Supply chain integration was identified as a tool to assist an organisation to survive in a competitive marketplace. It was unclear how plastic manufacturers in Gauteng perceived supply chain integration efforts between themselves and their suppliers. Objectives: This study’s main purpose was to investigate the nature and extent of supply chain integration between 10 plastic manufacturers in Gauteng and their suppliers. The focus was on these manufacturers’ commitment to and perceptions of supplier integration efforts. Method: The study was conducted with plastic manufacturing organisations in Gauteng, over a period of 2 months. A total of 10 participants were engaged through semi-structured interviews. Results: The main findings of the study revealed that commitment and trust were found to be the antecedents of supplier integration and closer collaboration, while customer price pressure and limited available resources served as motivating factors for integration efforts. Conclusion: It is recommended that organisations must revisit integration efforts when new markets are penetrated and top management support must be revisited using a strategic framework. Keywords: Supply chain integration; supply chain commitment; organisational integration; performance; visibility; supplier integration; customer integration; qualitative study; semi-structured interview; basic research.

  8. The United States rheumatology workforce: supply and demand, 2005-2025.

    Science.gov (United States)

    Deal, Chad L; Hooker, Roderick; Harrington, Timothy; Birnbaum, Neal; Hogan, Paul; Bouchery, Ellen; Klein-Gitelman, Marisa; Barr, Walter

    2007-03-01

    To develop and apply a model that allows prediction of current and future supply and demand for rheumatology services in the US. A supply model was developed using the age and sex distribution of current physicians, retirement and mortality rates, the number of fellowship slots and fill rates, and practice patterns of rheumatologists. A Markov projection model was used to project needs in 5-year increments from 2005 to 2025. The number of rheumatologists for adult patients in the US in 2005 is 4,946. Male and female rheumatologists are equally distributed up to age 44; above age 44, men predominate. The percent of women in adult rheumatology is projected to increase from 30.2% in 2005 to 43.6% in 2025. The mean number of visits per rheumatologist per year is 3,758 for male rheumatologists and 2,800 for female rheumatologists. Assuming rheumatology supply and demand are in equilibrium in 2005, the demand for rheumatologists in 2025 is projected to exceed supply by 2,576 adult and 33 pediatric rheumatologists. The primary factors in the excess demand are an aging population which will increase the number of people with rheumatic disorders, growth in the Gross Domestic Product, and flat rheumatology supply due to fixed numbers entering the workforce and to retirements. The productivity of younger rheumatologists and women, who will make up a greater percentage of the future workforce, may also have important effects on supply. Unknown effects that could influence these projections include technology advances, more efficient practice methods, changes in insurance reimbursements, and shifting lifestyles. Current data suggest that the pediatric rheumatology workforce is experiencing a substantial excess of demand versus supply. Based on assessment of supply and demand under current scenarios, the demand for rheumatologists is expected to exceed supply in the coming decades. Strategies for the profession to adapt to this changing health care landscape include increasing

  9. Aplicação da metodologia da assistência a pacientes com Lúpus Eritematoso Sistêmico em pulsoterapia: uma experiência docente

    OpenAIRE

    Reis, Maria Gorette dos; Loureiro, Marisa Dias Rolan; Silva, Maria da Graça da

    2007-01-01

    Este trabalho é um relato de experiência do ensino de Enfermagem Clínica para alunos de graduação, no qual foi utilizada a metodologia de assistência de enfermagem como estratégia de ensino. Aplicada a pessoas adultas, portadoras de Lúpus Eritematoso Sistêmico (LES), em sua maioria mulheres jovens, submetidas a pulsoterapia, uma modalidade terapêutica que, por meio da imunossupressão, reduz o processo inflamatório causado pelos autoanticorpos. Desta forma, a assistência é sistematizada, indiv...

  10. Supply and Demand for Improved Sanitation: Results from Randomized Pricing Experiments in Rural Tanzania.

    Science.gov (United States)

    Peletz, Rachel; Cock-Esteb, Alicea; Ysenburg, Dorothea; Haji, Salim; Khush, Ranjiv; Dupas, Pascaline

    2017-06-20

    Improving access to sanitation is a global public health priority. Sufficient consumer demand is required for sanitation coverage to expand through private provision. To measure consumer demand for hygienic latrine platform products in rural Tanzania, we conducted a randomized, voucher-based real-money sales trial with 1638 households with unimproved latrines. We also evaluated multiple supply chain options to determine the costs of supplying latrine platform products to rural households. For concrete latrine SanPlats, 60% of households were willing to pay US$0.48 and 10% of households were willing to pay US$4.05, yet the average cost of supplying the SanPlat to households was US$7.51. Similarly, for plastic sanitary platforms, willingness-to-pay (WTP) dropped from almost 60% at a price of US$1.43 to 5% at a price of US$12.29, compared to an average supply cost of US$23.28. WTP was not significantly different between villages that had participated in the National Sanitation Campaign and those that had not. Randomized informational interventions, including hygiene data-sharing and peer-based exposure to latrine platform products, had minimal effects on WTP. In conclusion, current household demand for latrine platform products is too low to achieve national goals for improved sanitation coverage through fully commercial distribution.

  11. Virtual Reality Lab Assistant

    Science.gov (United States)

    Saha, Hrishikesh; Palmer, Timothy A.

    1996-01-01

    Virtual Reality Lab Assistant (VRLA) demonstration model is aligned for engineering and material science experiments to be performed by undergraduate and graduate students in the course as a pre-lab simulation experience. This will help students to get a preview of how to use the lab equipment and run experiments without using the lab hardware/software equipment. The quality of the time available for laboratory experiments can be significantly improved through the use of virtual reality technology.

  12. The Brazilian fuel substitution dilemma: Recent experience from an energy supply study

    International Nuclear Information System (INIS)

    Aringhoff, R.

    1984-01-01

    The paper is intended as a basis for discussing strategic supply options and their economic impacts for an advanced developing country. It represents a first brief assessment of an energy systems analysis project which was carried out by the Secretaria de Tecnologia do Ministerio das Minas e Energia and Kernforschungsanlage Juelich between May 1982 and May 1984. In view of the fact that Brazil had to spend 50% of its annual export revenues to import oil in 1980 and taking into account that this import bill of roughly US $10x10 9 affects the balance of payments and foreign debt burden significantly, the Brazilian Ministry of Energy and Mines decided to evaluate the consequences of alternative supply strategies utilizing domestic energy resources with priority. There is a big challenge and opportunity to develop and utilize domestic energy resources, mainly hydropower, coal for thermal uses in industry and biomass for the rural and residential sectors. Supplying the Brazilian energy system in general will not be the problem. The oil substitution dilemma becomes obvious when one looks at the specific requirements of the transport sector. For historical reasons the transport system is nearly totally based on road transport. Around two thirds of the total fuel consumption is swallowed up by this sector. Replacing crude oil means replacing gasoline and diesel. This means producing ethanol from sugar-cane and methanol from hard coal. These alternatives are leading to a significantly higher overall system cost of the energy system. The efforts of the Brazilian Government to replace imported fuel oil and ensure a self-sufficient domestic energy supply of high security were financed until now by a significant public budget deficit. This strategy will run into difficulties in the future, as the latest IMF negotiations show. One way to escape this dilemma can be a careful examination of ways to reconstruct the transport system. (author)

  13. Uniportal video-assisted thoracic surgery course in Mexico-first experience.

    Science.gov (United States)

    Céspedes-Meneses, Erick; Echavarri-Arana, José Manuel; Tort-Martínez, Alejandro; Guzmán-de Alba, Enrique; das Neves-Pereira, Joao Carlos; González-Rivas, Diego

    2016-01-01

    "The First Minimally Invasive Thoracic Surgery Uniportal Course" in Mexico was held from July 13 th to 15 th in Mexico City, at the National Institute of Respiratory Diseases (INER). Thoracic surgeons from around Mexico assisted the course. The special guests were the Spanish doctor Diego González-Rivas and the Brasilian doctor Joao Carlos das Neves-Pereira. The course included live surgery and wet lab. Demonstration of the uniportal video-assisted thoracic surgery (VATS) technique was done. The course was a success and Mexican thoracic surgeons were ready to adopt this technique.

  14. Port supply chain integration : analyzing biofuel supply chains

    NARCIS (Netherlands)

    Stevens, Leonie C. E.; Vis, Iris F. A.

    2016-01-01

    This paper focuses on port supply chain integration to strengthen operational and business performance. We provide a structured and comprehensive method to enable port supply chain integration and demonstrate its applicability to the biofuel supply chain. We define the value proposition, role,

  15. Nurses and nurse assistants' experiences with using a design thinking approach to innovation in a nursing home.

    Science.gov (United States)

    Eines, Trude Fløystad; Vatne, Solfrid

    2018-05-01

    The aim of this study was to evaluate nurses' and nurse assistants' experiences with a design thinking approach to innovation used in a nursing home in Norway. A design thinking approach to innovation that focuses on users' needs can be employed to address many of the challenges facing health care providers in a field facing a growing ageing population, complex diseases and financial shortfalls. This study is based on a thematic analysis of four focus group interviews with nurses and nurse assistants (n = 23). In the initial phase of developing the new service model, which included defining staff roles and responsibilities, participating nurses and nurse assistants felt engaged and motivated by the designers' inclusive and creative methods. However, during the new model's testing phase, they were critical of management's lack of involvement in the model`s implementation and therefore became less motivated about the project. The findings of the study highlight the importance of the designers cooperating with management and staff for the duration of the innovation process. Challenging innovation processes require strong managers who engage with designers, patients, staff and volunteers throughout all phases of an innovation process using a design thinking approach. © 2017 John Wiley & Sons Ltd.

  16. Novel remote electronic medication supply model for opioid-dependent outpatients with polypharmacy--first long-term case study.

    Science.gov (United States)

    Allemann, Samuel S; Dürsteler, Kenneth M; Strasser, Johannes; Vogel, Marc; Stoeckle, Marcel; Hersberger, Kurt E; Arnet, Isabelle

    2017-08-16

    Patients with substance use disorders grow older thanks to effective treatments. Together with a high prevalence of comorbidities, psychological problems, and low social support, these patients are at high risk for medication non-adherence. Established treatment facilities face challenges to accommodate these complex patients within their setting. Electronic medication management aids (e-MMAs) might be appropriate to simultaneously monitor and improve adherence for these patients. We report the first long-term experiences with a novel remote electronic medication supply model for two opioid-dependent patients with HIV. John (beginning dementia, 52 years, 6 tablets daily at 12 am) and Mary (frequent drug holidays, 48 years, 5-6 tablets daily at 8 pm) suffered from disease progression due to non-adherence. We electronically monitored adherence and clinical outcomes during 659 (John) and 953 (Mary) days between July 2013 and April 2016. Both patients retrieved over 90% of the pouches within 75 min of the scheduled time. Technical problems occurred in 4% (John) and 7.2% (Mary) of retrievals, but on-site support was seldom required. Viral loads fell below detection limits during the entire observation period. Continuous medication supply and persistence with treatment of over 1.7 years, timing adherence of more than 90%, and suppressed HIV viral load are first results supporting the feasibility of the novel supply model for patients on opioid-assisted treatment and polypharmacy.

  17. Linking urban consumers and rural farmers in India: A comparison of traditional and modern food supply chains

    OpenAIRE

    Minten, Bart; Reardon, Thomas; Vandeplas, Anneleen

    2009-01-01

    "Food supply chains are being transformed in a number of developing countries due to widespread changes in urban food demand. To better anticipate the impact of this transformation and thus assist in the design of appropriate policies, it is important to understand the changes that are occurring in these supply chains. In a case study of India, we find that overall urban consumption is increasing; the urban food basket is shifting away from staples toward high-value products; and modern marke...

  18. Sediment Supply as a Control on Plant-Morphodynamic Interactions

    Science.gov (United States)

    Manners, R.; Wilcox, A. C.; Kui, L.; Stella, J. C.; Lightbody, A.; Sklar, L. S.

    2014-12-01

    The caliber and quantity of sediment delivered to a channel influences its size and shape, yet we know little about how the sediment supply affects rivers whose geomorphic form is influenced by riparian vegetation. We present results from flume experiments that test the impact of sediment supply on plant-morphodynamic interactions. We introduced two sediment supply conditions to a 28-meter long, sand bedded flume (60 cm wide and 71 cm deep) at the UC-Berkeley Richmond Field Station: equilibrium (balance between sediment transport and supply) and deficit (transport exceeds sediment supply). We conducted ten runs with different riparian seedling configurations (individual plants or patches) and species (tamarisk or cottonwood), and stem and leaf density (0.003-0.47 cm2/cm2), under both sediment supply conditions. Plant species, size, and configuration were important in predicting the topographic adjustments that occurred during our experiments. These influences may be attributed to differences in plant morphology; tamarisk is shrubby while cottonwood is more tree-like, with a single stem and leaves concentrated higher on the plant. The plant-morphodynamic relationship, however, differed for the two sediment supply conditions. During sediment equilibrium, only patches of cottonwood served as sediment sinks compared to an unvegetated bed, but tamarisk patches had no impact on the sediment mass balance. During sediment deficit, in contrast, tamarisk patches accumulated more sediment than unvegetated beds. Stem and leaf density also controlled changes in bed elevation. During equilibrium conditions, increasing the density of cottonwood stems and leaves resulted in greater bed degradation. Conversely, aggradation occurred with increases in the density of tamarisk. For sediment deficit conditions, the relationship between stem and leaf density and the rate of bed change was negative for both species (i.e., higher density resulted in faster rate of scour). The shifting

  19. New Zealand's neurologist workforce: a pragmatic analysis of demand, supply and future projections.

    Science.gov (United States)

    Ranta, Annemarei Anna; Tiwari, Priyesh; Mottershead, John; Abernethy, David; Simpson, Mark; Brickell, Kiri; Lynch, Christopher; Walker, Elizabeth; Frith, Richard

    2015-08-07

    To estimate current and future specialist neurologist demand and supply to assist with health sector planning. Current demand for the neurology workforce in New Zealand was assessed using neuroepidemiological data. To assess current supply, all New Zealand neurology departments were surveyed to determine current workforce and estimate average neurologist productivity. Projections were made based on current neurologists anticipated retirement rates and addition of new neurologists based on current training positions. We explored several models to address the supply-demand gap. The current supply of neurologists in New Zealand is 36 full-time equivalents (FTE), insufficient to meet current demand of 74 FTE. Demand will grow over time and if status quo is maintained the gap will widen. Pressures on healthcare dollars are ever increasing and we cannot expect to address the identified service gap by immediately doubling the number of neurologists. Instead we propose a 12-year strategic approach with investments to enhance service productivity, strengthen collaborative efforts between specialists and general service providers, moderately increase the number of neurologists and neurology training positions, and develop highly skilled non-specialists including trained.

  20. An Optimal Method for Developing Global Supply Chain Management System

    Directory of Open Access Journals (Sweden)

    Hao-Chun Lu

    2013-01-01

    Full Text Available Owing to the transparency in supply chains, enhancing competitiveness of industries becomes a vital factor. Therefore, many developing countries look for a possible method to save costs. In this point of view, this study deals with the complicated liberalization policies in the global supply chain management system and proposes a mathematical model via the flow-control constraints, which are utilized to cope with the bonded warehouses for obtaining maximal profits. Numerical experiments illustrate that the proposed model can be effectively solved to obtain the optimal profits in the global supply chain environment.

  1. Lecture capturing assisted teaching and learning experience

    Science.gov (United States)

    Chen, Li

    2015-03-01

    When it comes to learning, a deep understanding of the material and a broadband of knowledge are equally important. However, provided limited amount of semester time, instructors often find themselves struggling to reach both aspects at the same time and are often forced to make a choice between the two. On one hand, we would like to spend much time to train our students, with demonstrations, step by step guidance and practice, to develop strong critical thinking skills and problem-solving skills. On the other hand, we also would like to cover a wide range of content topics to broaden our students' understanding. In this presentation, we propose a working scheme that may assist to achieve these two goals at the same time without sacrificing either one. With the help of recorded and pre-recorded lectures and other class materials, it allows instructors to spend more class time to focus on developing critical thinking skills and problem-solving skills, and to apply and connect principle knowledge with real life phenomena. It also allows our students to digest the material at a pace they are comfortable with by watching the recorded lectures over and over. Students now have something as a backup to refer to when they have random mistakes and/or missing spots on their notes, and hence take more ownership of their learning. Advanced technology have offered flexibility of how/when the content can be delivered, and have been assisting towards better teaching and learning strategies.

  2. 76 FR 66756 - Notice of Determinations Regarding Eligibility To Apply for Worker Adjustment Assistance and...

    Science.gov (United States)

    2011-10-27

    ... received a certification of eligibility to apply for trade adjustment assistance benefits and such supply...; Coastal Lumber Company, Hacker Valley, WV: September 7, 2010 TA-W-80,422F; Coastal Lumber Company...

  3. Evaluation of negative pressure vacuum-assisted system in acute and chronic wounds closure: our experience.

    Science.gov (United States)

    Chiummariello, S; Guarro, G; Pica, A; Alfano, C

    2012-10-01

    Negative-pressure therapy or vacuum-assisted closure (VAC) has been used in clinical applications since the 1940's and has increased in popularity over the past decade. This dressing technique consists of an open cell foam dressing put into the wound cavity, a vacuum pump produces a negative pressure and an adhesive drape. A controlled sub atmospheric pressure from 75 to 150 mmHg is applied. The vacuum-assisted closure has been applied by many clinicians to chronic wounds in humans; however it cannot be used as a replacement for surgical debridement. The initial treatment for every contaminated wound should be the necrosectomy. The VAC therapy has a complementary function and the range of its indications includes pressure sores, stasis ulcers, chronic wounds such as diabetic foot ulcers, post traumatic and post operative wounds, infected wounds such as necrotizing fasciitis or sternal wounds, soft-tissue injuries, bone exposed injuries, abdominal open wounds and for securing a skin graft. We describe our experience with the VAC dressing used to manage acute and chronic wounds in a series of 135 patients, with excellent results together with satisfaction of the patients.

  4. Designing assisted living technologies ‘in the wild’: preliminary experiences with cultural probe methodology

    Directory of Open Access Journals (Sweden)

    Wherton Joseph

    2012-12-01

    , limited emotional or psychological resources, life events, and acute illness. Discussions between researchers and participants about the materials collected (and sometimes about what had prevented them completing the tasks helped elicit further information relevant to assisted living technology design. The probe materials were particularly helpful when having conversations with non-English speaking participants through an interpreter. Conclusions Cultural probe methods can help build a rich picture of the lives and experiences of older people to facilitate the co-production of assisted living technologies. But their application may be constrained by the participant’s physical, mental and emotional capacity. They are most effective when used as a tool to facilitate communication and development of a deeper understanding of older people’s needs.

  5. Rigor in Qualitative Supply Chain Management Research

    DEFF Research Database (Denmark)

    Goffin, Keith; Raja, Jawwad; Claes, Björn

    2012-01-01

    , reliability, and theoretical saturation. Originality/value – It is the authors' contention that the addition of the repertory grid technique to the toolset of methods used by logistics and supply chain management researchers can only enhance insights and the building of robust theories. Qualitative studies......Purpose – The purpose of this paper is to share the authors' experiences of using the repertory grid technique in two supply chain management studies. The paper aims to demonstrate how the two studies provided insights into how qualitative techniques such as the repertory grid can be made more...... rigorous than in the past, and how results can be generated that are inaccessible using quantitative methods. Design/methodology/approach – This paper presents two studies undertaken using the repertory grid technique to illustrate its application in supply chain management research. Findings – The paper...

  6. Engagement of Students Teaching Assistants

    DEFF Research Database (Denmark)

    Schlichter, Bjarne Rerup; Brandt, Charlotte J.

    2016-01-01

    This paper reports from five years experiences of engaging young student teaching assistants into the continuously development of a course by involving them in research on pedagogical as well as other themes from the course. The purpose of the paper is to pave the road for a more engaged and inte......This paper reports from five years experiences of engaging young student teaching assistants into the continuously development of a course by involving them in research on pedagogical as well as other themes from the course. The purpose of the paper is to pave the road for a more engaged...... are identified accompanied with suggestions for further research....

  7. Solar island electricity supply at Flanitzhuette. Solare Inselstromversorgung Flanitzhuette

    Energy Technology Data Exchange (ETDEWEB)

    Kranz, U. (Bayernwerk AG, Muenchen (Germany))

    1993-01-01

    The aim of this research project is the planning, erection and operation of a permanent electricity supply independent of the grid based on photo-electrics for an isolated hamlet in the Bavarian Forest. Criteria for the development and optimisation of solar electricity supply concepts are to be obtained from practical experience. The investigation and exploitation of energ saving potential and an harmonious integration of the solar plant in the landscape are also important aspects. (orig.)

  8. Less-Conventional Low-Consumption Galvanic Separated MOSFET-IGBT Gate Drive Supply

    Directory of Open Access Journals (Sweden)

    Jean Marie Vianney Bikorimana

    2017-01-01

    Full Text Available A simple half-bridge, galvanic separated power supply which can be short circuit proof is proposed for gate driver local supplies. The supply is made while hacking a common mode type filter as a transformer, as the transformer shows a good insulation, it has a very low parasitic capacitance between primary and secondary coils, and it is cost-effective. Very low standby losses were observed during lab experiments. This makes it compatible with energy efficient drives and solar inverters.

  9. Dual voltage power supply with 48 volt

    Energy Technology Data Exchange (ETDEWEB)

    Froeschl, Joachim; Proebstle, Hartmut; Sirch, Ottmar [BMW Group, Muenchen (Germany)

    2012-11-01

    Automotive electrics/electronics have just reached a period of tremendous change. High voltage systems for Hybrid, Plug-In Hybrid or Battery Electric Vehicles with high power electric motors, high energy accumulators and electric climate compressors will be introduced in order to achieve the challenging targets for CO{sub 2} emissions and energy efficiency and to anticipate the mobility of the future. Additionally, innovations and the continuous increase of functionality for comfort, safety, driver assistance and infotainment systems require more and more electrical power of the vehicle power supply at all. On the one hand side electrified vehicles will certainly achieve a significant market share, on the other hand side they will increase the pressure to conventional vehicles with combustion engines for fuel consumption and CO{sub 2} emissions. These vehicles will be enabled to keep their competitiveness by new functions and the optimization of their electric systems. A dual voltage power supply with 48 Volt and 12 Volt will be one of the key technologies to realize these requirements. The power capability of the existing 12 Volt power supply has reached its limits. Further potentials can only be admitted by the introduction of 48 Volt. For this reason the car manufacturers Audi, BMW, Daimler, Porsche and Volkswagen started very early on this item and developed a common specification of the new voltage range. Now, it is necessary to identify the probable systems at this voltage range and to start the developments. (orig.)

  10. Global analysis of urban surface water supply vulnerability

    International Nuclear Information System (INIS)

    Padowski, Julie C; Gorelick, Steven M

    2014-01-01

    This study presents a global analysis of urban water supply vulnerability in 71 surface-water supplied cities, with populations exceeding 750 000 and lacking source water diversity. Vulnerability represents the failure of an urban supply-basin to simultaneously meet demands from human, environmental and agricultural users. We assess a baseline (2010) condition and a future scenario (2040) that considers increased demand from urban population growth and projected agricultural demand. We do not account for climate change, which can potentially exacerbate or reduce urban supply vulnerability. In 2010, 35% of large cities are vulnerable as they compete with agricultural users. By 2040, without additional measures 45% of cities are vulnerable due to increased agricultural and urban demands. Of the vulnerable cities in 2040, the majority are river-supplied with mean flows so low (1200 liters per person per day, l/p/d) that the cities experience ‘chronic water scarcity’ (1370 l/p/d). Reservoirs supply the majority of cities facing individual future threats, revealing that constructed storage potentially provides tenuous water security. In 2040, of the 32 vulnerable cities, 14 would reduce their vulnerability via reallocating water by reducing environmental flows, and 16 would similarly benefit by transferring water from irrigated agriculture. Approximately half remain vulnerable under either potential remedy. (letter)

  11. 76 FR 66328 - Notice of Determinations Regarding Eligibility To Apply for Worker Adjustment Assistance and...

    Science.gov (United States)

    2011-10-26

    ... received a certification of eligibility to apply for trade adjustment assistance benefits and such supply...-80,422E; Coastal Lumber Company, Hacker Valley, WV: September 7, 2010 TA-W-80,422F; Coastal Lumber...

  12. Study the feasibility of hydrogen assisted renewable power for off-grid communities

    International Nuclear Information System (INIS)

    Wu, S.H.; Fleetwood, M.; Roberston, R.; Nielsen, N.

    2004-01-01

    Most Renewable energy sources lack the controllability and availability of conventional fossil fuel-based energy sources and therefore cannot meet load requirements of a community without a backup or storage system. The advances of hydrogen technologies enable these renewable energy options to supply power to remote communities relying on independent sources of electrical and other energy. The hydrogen assisted renewable power (HARP) concept promises to make renewable energy more practical and mainstream through the use of hydrogen based electrical generation systems. The study herein is the first of a multiphase project to investigate the benefits of HARP as an environmentally friendly replacement for diesel in the supply of electricity to off-grid communities and analyse its feasibility and suitability as a back-up power supply. A small-scale pilot project was selected and this study assesses the major elements of a plant required to integrate electrical generation system, hydrogen storage and hydrogen generation into a renewable energy generation system. Based on the available renewable energy profiles, a simulation model was developed to assist in selecting, integrating, and evaluating various configurations and operational scenarios. This paper describes the components of the proposed HARP system as well as its cost, benefits and opportunities for other applications. (author)

  13. Supply of FDG : production and distribution

    International Nuclear Information System (INIS)

    Pilloy, W.J.; Fallais, A.

    2004-01-01

    Full text: Aim: To review the means of production of PET tracers and the logistIcs of their distribution, with special emphasis on 18 FDG - from an end-user point of view. Material and method: The experience of a satellite center (i.e. without in-house cyclotron) over one year. Results: The following topics are presented: Basic introduction to FDG and its radio-synthesis; properties of cyclotrons and linear accelerators; the economics of buying and running a cyclotron to produce FDG; satellite facilities (availability from radiopharmacies; fraction of FDG in the cost of running a PET center; recent developments in PET cameras, and their implications of FDG supply; diversification in the offer of commercial PET tracers; regulatory issues, and their influence on FDG supply; possible developments in onco-PET, neuro-PET, cardio-PET; generators and full PET Nuclear Medicine. Conclusion: The European experience is not necessarily completely applicable to a large country like South Africa; the question can be raised whether it is advisable to move the patients, the FDG or the camera around the country or its provinces. (author)

  14. Generative Computer Assisted Instruction: An Application of Artificial Intelligence to CAI.

    Science.gov (United States)

    Koffman, Elliot B.

    Frame-oriented computer-assisted instruction (CAI) systems dominate the field, but these mechanized programed texts utilize the computational power of the computer to a minimal degree and are difficult to modify. Newer, generative CAI systems which are supplied with a knowledge of subject matter can generate their own problems and solutions, can…

  15. Recruiting experts for technical assistance rogramme

    International Nuclear Information System (INIS)

    1974-01-01

    One of the objectives of the IAEA is the provision of technical assistance to its Member States to carry out their peaceful nuclear activities more efficiently and safely. This involves looking for and supplying experts, equipment and fellowships. Since 1958 the Agency has provided the services of more than 1800 experts valued at $11.5 million, 4300 fellowships valued at $14.3 million, and equipment worth $10.8 million. The efficiency of the programme can only be increased by a more prompt consideration of proposals forwarded by the Agency, and the continuing co-operation from national Governments and private institutions. The IAEA recruits an average of 200 experts a year to implement its Regular Technical Assistance Programme. These projects are financed by voluntary contributions from Member States, and by the United Nations Development Programme for those projects for which the IAEA is the executing agency

  16. Measuring and Managing Army Supply Chain Risk: A Quantitative Approach by Item Number and Commercial Entity Code

    Science.gov (United States)

    2015-01-01

    Beaver for her insights on the contracting and her assistance coordinating with key stakeholders. Finally, we are indebted to the contributions to the...are cost-effective (Kiser and Cantrell, 2006), avoiding higher production and transportation costs. Figure 2.5 outlines two prevalent supply chain

  17. Assistance dogs provide a useful behavioral model to enrich communicative skills of assistance robots.

    Science.gov (United States)

    Gácsi, Márta; Szakadát, Sára; Miklósi, Adám

    2013-01-01

    These studies are part of a project aiming to reveal relevant aspects of human-dog interactions, which could serve as a model to design successful human-robot interactions. Presently there are no successfully commercialized assistance robots, however, assistance dogs work efficiently as partners for persons with disabilities. In Study 1, we analyzed the cooperation of 32 assistance dog-owner dyads performing a carrying task. We revealed typical behavior sequences and also differences depending on the dyads' experiences and on whether the owner was a wheelchair user. In Study 2, we investigated dogs' responses to unforeseen difficulties during a retrieving task in two contexts. Dogs displayed specific communicative and displacement behaviors, and a strong commitment to execute the insoluble task. Questionnaire data from Study 3 confirmed that these behaviors could successfully attenuate owners' disappointment. Although owners anticipated the technical competence of future assistance robots to be moderate/high, they could not imagine robots as emotional companions, which negatively affected their acceptance ratings of future robotic assistants. We propose that assistance dogs' cooperative behaviors and problem solving strategies should inspire the development of the relevant functions and social behaviors of assistance robots with limited manual and verbal skills.

  18. Adoption of irrigation water policies to guarantee water supply: A choice experiment

    NARCIS (Netherlands)

    Alcon, F.; Tapsuwan, S.; Brouwer, R.; de Miguel, M.D.

    2014-01-01

    More efficient and sustainable use of water is increasingly becoming an urgency in drought prone parts of the world. In particular, in water scarce regions such as the Mediterranean, water supply is expected to become more uncertain because of climate change. Consequently, pro-active policy

  19. Interprofessional Education Perceptions of Dental Assisting and Radiologic Technology Students Following a Live Patient Experience.

    Science.gov (United States)

    Reddington, Amanda R; Egli, Amy J; Schmuck, Heather M

    2018-05-01

    Health professions students are often unaware of other health care providers' roles or professional expertise due to most education taking place within their single profession. This pattern may be even more prevalent for baccalaureate and associate degree programs since most interprofessional education (IPE) occurs in predoctoral programs and, when IPE is incorporated into allied health professions education, it often utilizes simulation instead of live patient experiences. The aim of this study was to determine if radiologic technology and dental assisting students' perceptions changed regarding interprofessional practice and teamwork after an IPE activity with actual patients. The participants were students in the University of Southern Indiana (USI) radiologic technology and dental assisting programs. This mixed-methods pilot study conducted in 2017 collected quantitative and qualitative data from pre and post surveys, the researchers' observations of student interactions during live patient assessment and acquisition of panoramic images, and large-group discussion. Twenty-five of the 26 students who participated in the IPE program completed both pre and post surveys, for a 96% response rate. The results showed significant differences in the participants' perceptions from the pre to post surveys on a wide variety of survey items. Most notable were the positive changes in perceptions related to trust in judgment of others within their profession (p=0.001), relationships with other professions (p=0.002), and thinking highly of other professions (p=0.002). Overall, this study found that incorporating the IPE activity with a live patient into these radiologic technology and dental assisting programs improved the students' perceptions of other allied health professionals. Future research should include more participants to increase sample size and add quantitative data collection.

  20. New developments in employee assistance programs.

    Science.gov (United States)

    White, R K; McDuff, D R; Schwartz, R P; Tiegel, S A; Judge, C P

    1996-04-01

    Employee assistance programs have developed from alcoholism assessment and referral centers to specialized behavioral health programs. Comprehensive employee assistance programs are defined by six major components: identification of problems based on job performance, consultation with supervisors, constructive confrontation, evaluation and referral, liaison with treatment providers, and substance abuse expertise. Other services have been added as enhancements to the basic model and include managed behavioral health activities and professional assistance committees, which provide services for impaired professionals and executives. Recent developments in the field are illustrated through examples from the experience of the employee assistance program at the University of Maryland Medical System in Baltimore.

  1. Teaching supply management by connecting with industry: experiences, trade-offs and challenges

    NARCIS (Netherlands)

    Steenhuis, H.J.; de Bruijn, E.J.

    2005-01-01

    This paper describes an approach to teaching supply chain management that is very much integrated with local industry. More than half of the time, students were interacting with companies in company visits and small projects. The approach has many challenges but is considered useful by industry,

  2. Becoming physics people: Development of integrated physics identity through the Learning Assistant experience

    Science.gov (United States)

    Close, Eleanor W.; Conn, Jessica; Close, Hunter G.

    2016-06-01

    [This paper is part of the Focused Collection on Preparing and Supporting University Physics Educators.] In this study, we analyze the experience of students in the Physics Learning Assistant (LA) program at Texas State University in terms of the existing theoretical frameworks of community of practice and physics identity, and explore the implications suggested by these theories for LA program adoption and adaptation. Regression models from physics identity studies show that the physics identity construct strongly predicts intended choice of a career in physics. The goal of our current project is to understand the details of the impacts of participation in the LA experience on participants' practice and self-concept, in order to identify critical elements of LA program structure that positively influence physics identity and physics career intentions for students. Our analysis suggests that participation in the LA program impacts LAs in ways that support both stronger "physics student" identity and stronger "physics instructor" identity, and that these identities are reconciled into a coherent integrated physics identity. Increased comfort in interactions with peers, near peers, and faculty seems to be an important component of this identity development and reconciliation, suggesting that a focus on supporting community membership is useful for effective program design.

  3. Effect of haptic assistance on learning vehicle reverse parking skills.

    Science.gov (United States)

    Hirokawa, Masakazu; Uesugi, Naohisa; Furugori, Satoru; Kitagawa, Tomoko; Suzuki, Kenji

    2014-01-01

    Compared to conventional visual- and auditory-based assisted driving technologies, haptic modality promises to be more effective and less disturbing assistance to the driver. However, in most previous studies, haptic assistance systems were evaluated from safety and stability viewpoints. Moreover, the effect of haptic assistance on human driving behavior has not been sufficiently discussed. In this paper, we introduce an assisted driving method based on haptic assistance for driver training in reverse parking, which is considered as an uncertain factor in conventional assisted driving systems. The proposed system assists the driver by applying a torque on the steering wheel to guide proper and well-timed steering. To design the appropriate assistance method, we conducted a measurement experiment to determine the qualitative reverse parking driver characteristics. Based on the determined characteristics, we propose a haptic assistance calculation method that utilizes the receding horizon control algorithm. For a simulation environment to assess the proposed assistance method, we also developed a scaled car simulator comprising a 1/10 scaled robot car and an omnidirectional camera. We used the scaled car simulator to conduct comparative experiments on subjects, and observed that the driving skills of the assisted subjects were significantly better than those of the control subjects.

  4. Logistics of long distance FDG supply

    International Nuclear Information System (INIS)

    Chan, J.G.; Young, K.; Tochon-Danguy, H.J.; Rowe, C.C.; Scott, A.M.

    2003-01-01

    Full text: The short half-life of 18 F-FDG (110 mins) presents a logistical problem when transport over long distances is involved. Our facility was presented with such a problem when we were contracted to supply FDG on a regular basis to the Royal Adelaide Hospital over 700 km away. The principal difficulties to be overcome were providing a quick, reliable and efficient transport system, the development of a safe and efficacious transport packaging system, production and supply of sufficient product and the scheduling of the operations of the cyclotron, radiochemistry and radiopharmacy services, so as not to interfere with the existing clinical program of the PET centre. Together with the assistance of Gammasonics, an FDG transport and packaging system was developed which complied with transport regulations and was recyclable. A door-to-door courier system was established which, on average, takes four hours but has occasionally been hampered by the unreliability of the airline service. A schedule for early operation of the cyclotron and radio-chemistry was established to meet with transport schedules. A system of quality control of the FDG was instituted (while the product is in transit) with the QC release results being faxed to the recipient prior to the product's arrival. We have supplied 51 deliveries since mid-September 2000 to the end of February 2001. During this period there have been 6 (11.7%) delayed deliveries of which 2 (3.9%) have been due to cyclotron operational problems and 4 (7.8%) have been due to flight delays beyond our control. There have been no completely failed deliveries. Copyright (2003) The Australian and New Zealand Society of Nuclear Medicine Inc

  5. Supply Chain Connectivity: Enhancing Participation in the Global Supply Chain

    OpenAIRE

    Patalinghug, Epictetus E.

    2015-01-01

    Supply chain connectivity is vital for the efficient flow of trade among APEC economies. This paper reviews the literature and supply chain management, describes the barriers to enhancing participation in global supply chain, analyzes the various measures of supply chain performance, and suggests steps for the Philippines to fully reap the benefits of the global value chain.

  6. Manufacturing Improvement Program for the Oil and Gas Industry Supply Chain and Marketing Cluster

    Energy Technology Data Exchange (ETDEWEB)

    Taylor, Robert [Oklahoma State Univ., Stillwater, OK (United States)

    2016-09-28

    This project supported upgrades for manufacturing companies in the oil and natural gas supply chain in Oklahoma. The goal is to provide assistance that will lead to the improved efficiency advancement of the manufacturing processes currently used by the existing manufacturing clients. The basis for the work is to improve the economic environment for the clients and the communities they serve.

  7. Why do older people oppose physician-assisted dying? A qualitative study.

    Science.gov (United States)

    Malpas, Phillipa J; Wilson, Maria K R; Rae, Nicola; Johnson, Malcolm

    2014-04-01

    Physician-assisted dying at the end of life has become a significant issue of public discussion. While legally available in a number of countries and jurisdictions, it remains controversial and illegal in New Zealand. The study aimed to explore the reasons some healthy older New Zealanders oppose physician-assisted dying in order to inform current debate. Recorded interviews were transcribed and analysed by the authors after some edits had been made by respondents. In all, 11 older participants (over 65 years) who responded to advertisements placed in Grey Power magazines and a University of Auckland email list were interviewed for around 1 h and asked a number of open-ended questions. Four central themes opposing physician-assisted dying were identified from the interviews: one's personal experience with health care and dying and death, religious reasoning and beliefs, slippery slope worries and concern about potential abuses if physician-assisted dying were legalised. An important finding of the study suggests that how some older individuals think about physician-assisted dying is strongly influenced by their past experiences of dying and death. While some participants had witnessed good, well-managed dying and death experiences which confirmed for them the view that physician-assisted dying was unnecessary, those who had witnessed poor dying and death experiences opposed physician-assisted dying on the grounds that such practices could come to be abused by others.

  8. Basis for the power supply reliability study of the 1 MW neutron source

    International Nuclear Information System (INIS)

    McGhee, D.G.; Fathizadeh, M.

    1993-01-01

    The Intense Pulsed Neutron Source (IPNS) upgrade to 1 MW requires new power supply designs. This paper describes the tools and the methodology needed to assess the reliability of the power supplies. Both the design and operation of the power supplies in the synchrotron will be taken into account. To develop a reliability budget, the experiments to be conducted with this accelerator are reviewed, and data is collected on the number and duration of interruptions possible before an experiment is required to start over. Once the budget is established, several accelerators of this type will be examined. The budget is allocated to the different accelerator systems based on their operating experience. The accelerator data is usually in terms of machine availability and system down time. It takes into account mean time to failure (MTTF), time to diagnose, time to repair or replace the failed components, and time to get the machine back online. These estimated times are used as baselines for the design. Even though we are in the early stage of design, available data can be analyzed to estimate the MTTF for the power supplies

  9. Expert systems for analysis and management assistance of nuclear reactor electrical power supplies

    International Nuclear Information System (INIS)

    Evrard, J.M.; Souchet, Y.

    1988-01-01

    Electrical power supplies of nuclear plants are very complex systems. They are studied in many ways: failure consequences, probabilistic risk assessement, failure diagnosis, corrective actions in case of incident ... Knowledge base technology (expert systems) is very suited to solve these problems. A common structural representation can generate specific functional representations; thus we get coherency and easy evolution. This paper shows a two facet methodology: the plant description (both static and dynamic) and reasoning about it. Current applications are developed for pressurized water reactors and gas cooled reactors, using the SPIRAL expert system shell buil at CEA [fr

  10. Magnet power supply system for the ALS storage ring and booster

    International Nuclear Information System (INIS)

    Jackson, L.T.; Luchini, K.; Lutz, I.

    1993-05-01

    The Magnet Power Supply System is described by specification, design, hardware, and operating experience. A unique system for the one Hz, 1.5 GeV Booster, where the wideband QF and QD power supplies track the dipole current to within 0.1% at injection will be detailed. AC distribution system considerations related to inverting the stored energy of the booster magnet back into power grid will be discussed. The rational for linear correctors and individual quad supplies (225 total units) will be placed within the context of the storage-ring requirements

  11. Ultra-long-pulse microwave negative high voltage power supply with fast protection

    International Nuclear Information System (INIS)

    Xu Weihua; Wu Junshuan; Zheng Guanghua; Huang Qiaolin; Yang Chunsheng; Zhou Yuanwei; Chen Yonghao

    1998-01-01

    Two 1.4 MW high voltage power supply (HVPS) modules with 3-5 s pulse duration have been developed for LHCD experiment in the HT-7 tokamak. The power source consists of a pulsed generator and the electric circuit. Duration of the ultra-long-pulse is controlled by switching-on dc relay immediately and switching-off ac contactor after a given time, and the fast protection is executed by a crowbar. Due to the soft starting of the power source, the problem of overvoltage induced by dc relay switching-on has been solved. Each power supply module outputs a rated power (-35 kV, 40 A) on the dummy load. With the klystrons connected as the load of the power supply modules, LHCD experiments have been conducted successfully in the HT-7 tokamak

  12. Motivation of health surveillance assistants in Malawi: A qualitative study.

    Science.gov (United States)

    Chikaphupha, Kingsley R; Kok, Maryse C; Nyirenda, Lot; Namakhoma, Ireen; Theobald, Sally

    2016-06-01

    Motivation of health workers is a critical component of performance and is shaped by multiple factors. This study explored factors that influence motivation of health surveillance assistants (HSAs) in Malawi, with the aim of identifying interventions that can be applied to enhance motivation and performance of HSAs. A qualitative study capturing the perspectives of purposively selected participants was conducted in two districts: Salima and Mchinji. Participants included HSAs, health managers, and various community members. Data were collected through focus group discussions (n = 16) and in-depth interviews (n = 44). The study sample was comprised of 112 women and 65 men. Qualitative data analysis was informed by existing frameworks on factors influencing health worker motivation. Our analysis identified five key themes shaping HSA motivation: salary, accommodation, human resource management, supplies and logistics, and community links. Each of these played out at different levels-individual, family, community, and organisational-with either positive or negative effects. Demotivating factors related primarily to the organisational level, while motivating factors were more often related to individual, family, and community levels. A lack of financial incentives and shortages of basic supplies and materials were key factors demotivating HSAs. Supervision was generally perceived as unsupportive, uncoordinated, and top-down. Most HSAs complained of heavy workload. Many HSAs felt further recognition and support from the Ministry of Health, and the development of a clear career pathway would improve their motivation. Factors shaping motivation of HSAs are complex and multilayered; experiences at one level will impact other levels. Interventions are required to enhance HSA motivation, including strengthening the supervision system, developing career progression pathways, and ensuring clear and transparent incentives. HSAs have unique experiences, and there is need to hear

  13. Food and water supply

    Science.gov (United States)

    Popov, I. G.

    1975-01-01

    Supplying astronauts with adequate food and water on short and long-term space flights is discussed based on experiences gained in space flight. Food consumption, energy requirements, and suitability of the foodstuffs for space flight are among the factors considered. Physicochemical and biological methods of food production and regeneration of water from astronaut metabolic wastes, as well as wastes produced in a closed ecological system, or as a result of technical processes taking place in various spacecraft systems are suggested for long-term space flights.

  14. Alignment of global supply networks based on strategic groups of supply chains

    Directory of Open Access Journals (Sweden)

    Nikos G. Moraitakis

    2017-09-01

    Full Text Available Background: From a supply chain perspective, often big differences exist between global raw material suppliers’ approaches to supply their respective local markets. The progressing complexity of large centrally managed global supply networks and their often-unknown upstream ramifications increase the likelihood of undetected bottlenecks and inefficiencies. It is therefore necessary to develop an approach to strategically master the upstream complexity of such networks from a holistic supply chain perspective in order to align regional competitive priorities and supply chain structures. The objective of this research is hence to develop an approach for the supply-chain-based alignment of complex global supply networks. Method: We review existing literature from the fields of supply chain and network management, strategic sourcing, and strategic management. Based on the literature review and theoretical and practical considerations we deduce a conceptual approach to consider upstream supply chain structures in supply network alignment initiatives. Results: On the basis of these considerations and current empirical literature we transfer strategic group theory to the supply network management context. The proposed approach introduces strategic groups of supply chains as a segmentation criterion for complex global supply networks which enables the network-wide alignment of competitive priorities. Conclusion: Supply-chain-based segmentation of global supply network structures can effectively reduce the complexity, firms face when aiming to strategically align their supply chains on a holistic level. The results of this research are applicable for certain types of global supply networks and can be used for network alignment and strategy development. The approach can furthermore generate insights useable for negotiation support with suppliers.

  15. Make or buy strategy decision making in supply quality chain

    Directory of Open Access Journals (Sweden)

    Seyed Mohammad Seyedhosseini

    2012-04-01

    Full Text Available Minimizing the total cost is absolutely the goal of each supply chain, which is most of the time pursued. In this regards, quality related costs that have significant roles are sometimes neglected. Selecting suppliers, which supply relatively high quality raw materials in a lower cost is considered as a strategic decision. Make or Buy decision can be also noticed in supplier selection process. In this paper, the supply strategy: Make or Buy decision (SS: MOB is studied in order to find which strategy (Make or Buy should be chosen to minimize the total costs of supply chain. Therefore, two separate models are generated for each strategy and several examples are solved for the respective models. Computational experiments show the efficiency of the proposed models for making decision about selecting the best strategy.

  16. 41 CFR 101-26.505-7 - GSA assistance in selection of furniture and furnishings.

    Science.gov (United States)

    2010-07-01

    ... 41 Public Contracts and Property Management 2 2010-07-01 2010-07-01 true GSA assistance in... Management Federal Property Management Regulations System FEDERAL PROPERTY MANAGEMENT REGULATIONS SUPPLY AND..., upon request, furnish agencies with information on the types, styles, finishes, coverings, and colors...

  17. Robot-assisted tubal reanastomosis: Initial experience in a single institution

    Directory of Open Access Journals (Sweden)

    Ahmet Göçmen

    2013-03-01

    Conclusion: Robot-assisted TLR is safe and feasible. This procedure may facilitate minimally invasive treatment for patients who want to regain their fertility without the aid of artificial reproductive techniques.

  18. Water supply

    International Nuclear Information System (INIS)

    Peterson, F.L.

    1986-01-01

    Options and methodologies for the development of fresh water supplies on Bikini Atoll are much the same as those practiced in the rest of the Marshall Islands and for that matter, most atolls in the central Pacific Ocean Basin. That is, rainfall distribution on Bikini produces a distinct wet season, lasting from about May through November, with the remaining months being generally dry. As a result, fresh water from surface catchments tends to be plentiful during the wet season? but is usually scarce during the dry months, and alternative sources such as groundwater must be utilized during this time. On Bikini the problems of fresh water supply are somewhat more difficult than for most Marshall Island atolls because rainfall is only about half the Marshall Island's average. Tus water supply is a critical factor limiting the carrying capacity of Bikini Atoll. To address this problem BARC has undertaken a study of the Bikini Atoll water supply. Te primary objectives of this work are to determine: (1) alternatives available for fresh water supply, 2 the amounts, location and quality of available supplies and 3 optimal development methods. The study planned for one's year duration, has been underway only since the summer of 1985 and is thus not yet fully completed. However, work done to date, which is presented in this report of preliminary findings, provides a reasonably accurate picture of Bikini's fresh water supplies and the various options available for their development. The work remaining to be completed will mainly add refinements to the water supply picture presented in the sections to follow

  19. On the modelling of linear-assisted DC-DC voltage regulators for photovoltaic solar energy systems

    Science.gov (United States)

    Martínez-García, Herminio; García-Vílchez, Encarna

    2017-11-01

    This paper shows the modelling of linear-assisted or hybrid (linear & switching) DC/DC voltage regulators. In this kind of regulators, an auxiliary linear regulator is used, which objective is to cancel the ripple at the output voltage and provide fast responses for load variations. On the other hand, a switching DC/DC converter, connected in parallel with the linear regulator, allows to supply almost the whole output current demanded by the load. The objective of this topology is to take advantage of the suitable regulation characteristics that series linear voltage regulators have, but almost achieving the high efficiency that switching DC/DC converters provide. Linear-assisted DC/DC regulators are feedback systems with potential instability. Therefore, their modelling is mandatory in order to obtain design guidelines and assure stability of the implemented power supply system.

  20. A new technology aimed at re-establishing a global sulphur supply/demand balance

    International Nuclear Information System (INIS)

    Slavens, A.F.; Jorgensen, C.; Ogg, D.

    2009-01-01

    The world's sulphur supply is mainly determined by involuntary production of elemental sulphur during the processing of oil and gas. As a result, sulphur supply is decoupled from demand, resulting in an imbalance between the two. For almost two decades, sulphur supply has exceeded demand, which has raised significant concerns for oil and gas producers such as where to store all of the excess sulphur, and how to transport a low-value commodity to market in an economically attractive fashion. Black and Veatch is involved in the development of a new technology called sulphur to energy process (STEP TM ) which has the potential to assist in balancing global sulphur supply and demand, as well as affording other benefits such as low-emission energy production. This paper presented the potential merits of the STEP as a means to reestablish a global sulphur supply/demand balance for the world trading market. It explored the other potential benefits that may result from the use of this new technology and compared STEP to other technologies and operating schemes that regulate sulphur supply. It was concluded that STEP has the potential to allow the processor to produce elemental sulphur when demand is high, or to provide safe and ecological disposal when demand is low, with the added benefits of energy recovery from the sulphur combustion process, and sour gas reservoir sweetening over time as sulphur dioxide reacts with hydrogen sulphide present in the reservoir. 13 refs., 3 tabs., 22 figs

  1. Control Towers in Supply Chain Management - Past and Future

    Directory of Open Access Journals (Sweden)

    Anna Trzuskawska-Grzesińska

    2017-02-01

    Full Text Available The global economy requires global supply chain management which relies on visibility and responsiveness. Determinants such as: information technology tools, process knowledge, sales and operations planning experiences, etc., enable the formation of theory and practice for the supply chain control tower concept. The goal of the research paper is to identify business examples of different approaches to the supply chain control tower in the past and initiate a discussion on their future. This paper synthesizes past control tower practices and identifies possible future trends. The author performed: literature analysis, three selected companies' case studies and comparative analyses. As the control towers evolve, while supply chains are transforming continuous, update from the market is needed. The research findings showed the selected companies, in the future, perceived control tower's activities as a potential source of revenue not just solely a source of cost and time optimization as well as a source of value added to customer. The researched control towers were built and still they are developed. The business frequently changes and requires control towers to be adjusted, reengineered and adaptive. The researched control towers are needed to keep control over supply chain while it is transforming. There is a differentiation between the supply chain control towers, logistic services control towers and reverse supply chain control towers. An integration mechanism between the control towers would be necessary to assure entire supply chain visibility and orchestration. The research also shows the knowledge gap regarding the control towers in supply chain, specially their possible configurations and future.

  2. Comparison of computer-assisted instruction (CAI) versus traditional textbook methods for training in abdominal examination (Japanese experience).

    Science.gov (United States)

    Qayumi, A K; Kurihara, Y; Imai, M; Pachev, G; Seo, H; Hoshino, Y; Cheifetz, R; Matsuura, K; Momoi, M; Saleem, M; Lara-Guerra, H; Miki, Y; Kariya, Y

    2004-10-01

    This study aimed to compare the effects of computer-assisted, text-based and computer-and-text learning conditions on the performances of 3 groups of medical students in the pre-clinical years of their programme, taking into account their academic achievement to date. A fourth group of students served as a control (no-study) group. Participants were recruited from the pre-clinical years of the training programmes in 2 medical schools in Japan, Jichi Medical School near Tokyo and Kochi Medical School near Osaka. Participants were randomly assigned to 4 learning conditions and tested before and after the study on their knowledge of and skill in performing an abdominal examination, in a multiple-choice test and an objective structured clinical examination (OSCE), respectively. Information about performance in the programme was collected from school records and students were classified as average, good or excellent. Student and faculty evaluations of their experience in the study were explored by means of a short evaluation survey. Compared to the control group, all 3 study groups exhibited significant gains in performance on knowledge and performance measures. For the knowledge measure, the gains of the computer-assisted and computer-assisted plus text-based learning groups were significantly greater than the gains of the text-based learning group. The performances of the 3 groups did not differ on the OSCE measure. Analyses of gains by performance level revealed that high achieving students' learning was independent of study method. Lower achieving students performed better after using computer-based learning methods. The results suggest that computer-assisted learning methods will be of greater help to students who do not find the traditional methods effective. Explorations of the factors behind this are a matter for future research.

  3. An integrated mine development and supply system

    Energy Technology Data Exchange (ETDEWEB)

    Muguira, T. [Brambles Coal Services, Newcastle, NSW (Australia)

    1998-12-31

    In the face of intense global competition and other business pressures on coal miners, ongoing quality initiatives and continuous process improvements are needed to enhance business performance. By viewing a minesite interms of key processes, rather than departments, and employing innovative technologies and better applying organisational resources, there exists enormous potential to achieve reductions in process cost and time. The paper identifies and selects one critical coal mining process, namely the supply system, to think about how productivity improvements might occur and what changes might be employed to enhance overall system performance. While the supply system is one of few processes existing at a minesite, the paper addresses only the supply process, but includes interaction across traditional interdepartmental boundaries. The paper has been prepared for a wide audience and is based on experience and observation at several underground mines however some of the concepts are a result of dreaming in the face of global competition. 3 refs., 1 tab.

  4. A contribution to the energy supply of innovative drive-by-wire vehicle concepts; Beitrag zur Energieversorgung innovativer Drive-by-Wire-Fahrzeugkonzepte

    Energy Technology Data Exchange (ETDEWEB)

    Sieglin, Erik

    2009-07-01

    Due to an increasing number of functions and driver assistance systems, the architecture of modern vehicles ever becomes more complex. This especially results in an increasing expenditure with the integration of new assistance systems. In order to oppose against this trend, one approach is the centralization of data processing. In this case, a drive-by-wire architecture without mechanical relapse level particularly is suitable. The contribution under consideration therefore supplies methods and approaches with which a suitable power supply is specified and realized. Their function can be verified. Apart from the aspects in terms of safety engineering, board specific questions are observed. The explanation of the procedure takes place using a prototypical structure as an example. Additionally, the hardware-in-the-loop-simulator and the processing of the tests are described.

  5. What Can Healthcare Supply Chains Learn from Consumer-Product Supply Chains?

    OpenAIRE

    Schwarz, Leroy B.

    2008-01-01

    A Framework for Thinking About Supply-Chain Management: “The IDIB Portfolio” (Information, Decision-making, Implementation, Buffer system) Describe Supply-Chains for Consumer Products Before “Wal-Mart” Describe Supply-Chains for Consumer Products After “Wal-Mart” Describe Stylized Supply Chain for Healthcare Products

  6. Power supply for nuclear power plant home consumption using inverter sources

    International Nuclear Information System (INIS)

    Stepar, V.; Tvrdik, J.

    1988-01-01

    A description is presented of the system configuration of a nuclear power plant with WWER-440 and WWER-1000 units and of a system of guaranteed power supply for the plant home consumption network for a WWER-440 power plant. The power supply network consists of 6 inverter supplies for safety systems, 4 supplies for nonsystem facilities and of a minimum of three power supplies for facilities outside the units. A diagram is shown and the principle described of the currently used ABP 1500 power supply system of Soviet origin. Using the experience from its operation, a Czechoslovak inverter supply system was designed featuring parallel operation of the inverter units. The principles are given for the design of a power supply system of an output of 75 kVA, the diagram is shown and the principle described. The design allows implementing and using the system without redundancy or in redundant operation of the 2 from 3 type at an installed capacity of 66%, or of the 1 from 2 type at an installed capacity of 50% of the output. The system is undergoing tests that should verify its reliability. (J.B.). 3 figs., 1 tab

  7. Solar assisted conditioning of residences with floor heating and ceiling cooling: review and simulation results

    OpenAIRE

    Egrican, Nilufer; Korkmaz, Adnan

    2015-01-01

    Solar or solar assisted heating and cooling systems are becoming widespread to reduce CO2 emissions. Efficient radiant space heating and cooling systems can be used to decrease the energy bills and improve occupant thermal comfort in buildings. This study uses the TRNSYS program, for the modeling and simulation of solar assisted radiant heating and cooling of a building with the domestic hot water supply, to examine the effects of various parameters on energy consumption. Calculations are per...

  8. A Laboratory Experiment on the Evolution of a Sand Gravel Reach Under a Lack of Sediment Supply

    Science.gov (United States)

    Orru, C.; Chavarrias, V.; Ferrara, V.; Blom, A.

    2014-12-01

    A flume experiment was conducted to examine the evolution of a sand-gravel reach under a lack of sediment supply. The experimental data are used to validate a numerical sand-gravel model. A bed composed of a bi-modal sediment mixture is installed with a uniform slope and an imposed gradual fining pattern. Initially, the sand fraction gradually increases in streamwise direction until the bed is fully composed of sand. The water discharge and downstream water level were constant, and the sediment feed rate was equal to zero. The experiment was dominated by bed load, partial transport, and a subcritical flow regime was imposed. The flow rate was such that only sand was mobile (partial transport), which led to a coarsening over the upstream reach and a gradual reduction of the sediment transport rate during the experiment. New equipment was used to measure the evolution of the grain size distribution of the bed surface during the experiment over the entire flume using image analysis. In the upstream reach we observed a gradual coarsening over time and the formation of an armour layer, which resulted in a more abrupt transition in grain size of the bed surface. Bed degradation increased in streamwise direction. This is due to the initial streamwise increase in the availability of sand in the bed. The different volume fraction content of sand in the bed allowed for the gravel to sink more in the downstream part of the upstream reach. The sand reach suffered from a larger degradation. Finally, we see one reach dominated by sand, small bedforms, and a small bed slope, and a gravel reach dominated by a larger bed slope.

  9. Supply chain management/ Some lessons learned the hard way.

    Science.gov (United States)

    Nuttall, Stephen

    2013-01-01

    This paper will look at some of the experiences, lessons and frustrations experienced in managing supply chains for business continuity. No-one has time to make all the mistakes, nor to learn all the lessons on their own, so it is useful to share experiences. Over the last 25 years, the author has been involved in supply chain management as a contract manager; a programme and project manager; and as a business continuity manager. Although times change, there are some fundamental principles that are absolutely critical in making sure that supply chains do what they are needed to do/ to keep business going. Supply chains are here to stay. Indeed, with today's drive towards outsourcing, best-shoring and contracting out, they are becoming more important every year and this will only continue over time. Moreover, in the highly competitive markets in which all organisations operate, suppliers may well be carrying out operations that not all that long ago would have been considered to be part of core business. Getting the right relationship with the supply chain is more critical than ever before.1 What does this mean to business continuity professionals? They need to think not just about their own BC plans, but about the plans of their suppliers, and even those of their suppliers' suppliers. This may seem obvious, but unlike internal BC plans written by and for an organisation, it must be considered just what a supplier's plans are designed to achieve. What business outcomes will their plans deliver? If they recover their own business, how does that affect the business they serve? Are others' assumptions of how they will react in line with theirs?

  10. The role of supply chain collaboration in supply chain risk mitigation

    OpenAIRE

    Chen, Jie

    2017-01-01

    In the last two decades, supply chain operations have changed drastically. Globalization of the market, shortened product life cycle, global outsourcing and offshoring, and increasing complexity of the supply base has resulted in modern supply chains becoming more vulnerable than ever. There are also more frequent natural or man-made disasters which disrupt the supply chain operations. All these have led to higher exposure of risks of supply chains and the failure to manage the...

  11. Improved change readiness through supply chain competency development

    DEFF Research Database (Denmark)

    Arlbjørn, Jan Stentoft; Haas, Henning de; Caspersen, Rasmus

    2006-01-01

    Purpose – The purpose of this paper is to report on the experiences from a number of two-day courses in fundamentals of supply chain management completed for about 200 employees in a case company. The courses were held in order to increase the organisation's competency level and by this prepare...... to the participants and filled out at the end of each course. The second questionnaire was distributed by e-mail to the participants of the completed courses. Findings – Provides evidence for the possibility to construct and complete a supply chain course that could increase competency level and change readiness...

  12. Pharmacy student decision making in over-the-counter medicine supply: A critical incident study.

    Science.gov (United States)

    McMillan, Sara S; Thangarajah, Thachaayini; Anderson, Claire; Kelly, Fiona

    2017-09-28

    Various factors influence decision making in over-the-counter (OTC) medicine consultations, yet limited studies have focused, in-depth, on the thought process of pharmacy staff. This includes pharmacy students as pharmacists-in-training. To explore the factors that influence pharmacy students' decisions in relation to OTC consultations and choice of OTC medicine/s. Semi-structured interviews using the critical incident technique were undertaken with ten pharmacy students in Australia, who also worked as part-time pharmacy staff. Nine key themes were identified to influence pharmacy student decision making in OTC consultations, including customer response, confidence and scope of practice. Product requests were reported as more challenging due to customer expectations and experiences in other pharmacies, states or countries. Although negative customer response influenced some students to supply medicines in contradiction of evidence, an overarching concern for safety meant that a medicine was only supplied if unlikely to cause harm. Students reported developing confidence in OTC decision making more from real-life practice than university training; greater confidence was identified for inquiries more frequently experienced in the pharmacy. Students perceived that customers had assumptions around support staff, and were happier to talk to students than assistants. This study further identified that OTC decision making is a complex process for pharmacy students. Additional opportunities for experiential learning within this area are suggested, such as work-based placements or in-class activities such as role-plays with simulated patients. Copyright © 2017 Elsevier Inc. All rights reserved.

  13. Political and legal problems of international nuclear supply agreements: the Euratom experience

    International Nuclear Information System (INIS)

    Allen, D.W.

    1983-01-01

    This paper analyses the Chapters in the Euratom Treaty which are relevant to uranium supply agreements and the European Community's powers in international relations as conferred by the Treaty. It also examines the agreements concluded by Euratom with the US, Canada and Australia respectively with emphasis on their nuclear non-proliferation aspects. (NEA) [fr

  14. 76 FR 56819 - Amended Certification Regarding Eligibility To Apply for Worker Adjustment Assistance; The...

    Science.gov (United States)

    2011-09-14

    ... supply of services to India. Accordingly, the Department is amending the certification to include workers... Certification Regarding Eligibility To Apply for Worker Adjustment Assistance; The Travelers Indemnity Company... U.S.C. 2273, the Department of Labor issued a Certification of Eligibility to Apply for Worker...

  15. Design of Supply Chain Networks with Supply Disruptions using Genetic Algorithm

    OpenAIRE

    Taha, Raghda; Abdallah, Khaled; Sadek, Yomma; El-Kharbotly, Amin; Afia, Nahid

    2014-01-01

    The design of supply chain networks subject to disruptions is tackled. A genetic algorithm with the objective of minimizing the design cost and regret cost is developed to achieve a reliable supply chain network. The improvement of supply chain network reliability is measured against the supply chain cost.

  16. International assistance for the implementation of the modernization programme of Kozloduy NPP, units 5 and 6

    International Nuclear Information System (INIS)

    Almarza, J.; Ivanov, A.; Velichkov, V.

    2001-01-01

    The project provides assistance and adequate information to the companies acting as guarantors on the Bulgarian side, i. e. SAEER, Natsionalna Elektricheska Kompania (NEK) and other Bulgarian institutions, in order to control the investment and the Implementation Project progress. In addition, it provides assistance to the KNPP management during the programme implementation, and appropriate training for the key personnel in positions related to the Management, Investment Process and Technical Process (quality of the supplies). (author)

  17. Taking on New Challenges : A Compendium of Good Practices in Rural Water Supply Schemes

    OpenAIRE

    World Bank; India Ministry of Drinking Water and Sanitation

    2016-01-01

    Provision of safe drinking water is a basic necessity and has been a major topic for key political discourses in the country over the last decade. The Government of India has been focusing on safe drinking water since 1972-73 when it introduced the Accelerated Rural Water Supply Program (ARWSP) to assist States and Union Territories to accelerate the coverage of drinking water in the count...

  18. EFEKTIVITAS TEAM ASSISTED INDIVIDUALIZATION UNTUK MENGURANGI PROKRASTINASI AKADEMIK

    Directory of Open Access Journals (Sweden)

    SYAIFUL INDRA

    2015-07-01

    Full Text Available Academic procrastination understood as maladaptive behavior that can hinder academic success. Guidance and counseling implementation is can contribute to reduce the students academic procrastination. The service is can be optimally, the team assisted individualization of learning models combined in class format. This research uses quantitative methods. This type of study design is a Quasi Experiment with the design of the non-equivalent control group. The population are students MTS Negeri Koto Tangah Padang selected by purposive sampling technique. The instrument used to collect data using a scale, then analyzed using Wilcoxson Signed Ranks Test and Kolmogorov-Smirnov 2 Independent the samples. The findings of this research are, differences significant on academic procrastination the experiment group before and after the learning model technique team assisted individualization, There are differences in the control group on academic procrastination before and after the conventional learning model, and there are differences in the experiment group which given learning model technique team assisted individualization and the control group which given information service, learning model team assisted individualization technique can significantly reduce the students academic procrastination, it was can be used for a variety of problems related with learning activities.

  19. AGS Fast spin resonance jump, magnets and power supplies

    International Nuclear Information System (INIS)

    Glenn, J.W.; Huang, H.; Liaw, C. J.; Marneris, I.; Meng, W.; Mi, J. L.; Rosas, P.; Sandberg, J.; Tuozzolo, J.; Zhang, A.

    2009-01-01

    In order to cross more rapidly the 82 weak spin resonances caused by the horizontal tune and the partial snakes, we plan to jump the horizontal tune 82 times during the acceleration of polarized protons. The current in the magnets creating this tune jump will rise in 100 (micro)s, hold flat for about 4 ms and fan to zero in 100 (micro)s. Laminated beam transport quadrupole magnets have been recycled by installing new two turn coils and longitudinal laminated pole tip shims that reduce inductance and power supply current. The power supply uses a high voltage capacitor discharge to raise the magnet current, which is then switched to a low voltage supply, and then the current is switched back to the high voltage capacitor to zero the current. The current in each of the magnet pulses must match the order of magnitude change in proton momentum during the acceleration cycle. The magnet, power supply and operational experience are described

  20. MEASUREMENT FOR ACCEPTANCE OF SUPPLY CHAIN SIMULATOR APPLICATION USING TECHNOLOGY ACCEPTANCE MODEL

    Directory of Open Access Journals (Sweden)

    Mulyati E.

    2018-03-01

    Full Text Available The aim of this research for was to measure the user acceptance of simulator application which was built as a tool for student in learning of supply chain, particularly in bullwhip effect problem. The measurements used for the acceptance of supply chain simulator application in this research was the Technology Acceptance Model from 162 samples which were analyzed with Confirmatory Factor Analysis and Structural Equation Modelling. The result of this research indicated that the user acceptance (shown by customer participation of supply chain simulator was directly influence by perceived usefulness of supply chain simulator application used (positive and significant; the user acceptance of supply chain simulator was indirectly influenced by perceived ease of use in using supply chain simulator application (positive but not significant; the user acceptance of supply chain simulator was indirectly influenced by perceived enjoyment when the supply chain simulator application was used. The research would give a better understanding about a bullwhip effect and better experience for students, which would not be obtained through conventional learning, when the tools were not used.

  1. Assessing Graduate Assistant Teacher Communication Concerns.

    Science.gov (United States)

    Feezel, Jerry D.; Myers, Scott A.

    1997-01-01

    Finds that graduate teaching assistants (GTAs) experience eight interrelated types of communication concern (self, task, impact, role conflict, teaching, area knowledge, procedural knowledge, and time management). Shows that GTA variables of expected duties, prior teaching experience, newness to area, foreign or domestic birth, and age are likely…

  2. Drought and Water Supply. Implications of the Massachusetts Experience for Municipal Planning.

    Science.gov (United States)

    Russell, Clifford S.; And Others

    This book uses the 1962-66 Massachusetts drought data as a base of information to build a planning model of water resources that is of interest to students and professionals involved with water management. Using a demand-supply ratio to measure the relative inadequacy of a given water system, the authors then project demand into the drought period…

  3. Development and Operational Experiences of the JT-60U Tokamak and Power Supplies

    International Nuclear Information System (INIS)

    Hosogane, N.; Ninomiya, H.; Matsukawa, M.; Ando, T.; Neyatani, Y.; Horiike, H.; Sakurai, S.; Masaki, K.; Yamamoto, M.; Kodama, K.; Sasajima, T.; Terakado, T.; Ohmori, S.; Ohmori, Y.; Okano, J.

    2002-01-01

    The design of the JT-60U tokamak, the configuration of the coil power supplies, and the operational experiences gained to date are reviewed. JT-60U is a large tokamak upgraded from the original JT-60 in order to obtain high plasma current, large plasma volume, and highly elongated divertor configurations. All components inside the toroidal magnetic field coils, such as vacuum vessel, poloidal magnetic field coils, divertor, etc., were modified. Various technologies and ideas were introduced to develop these components; for example, a multi-arc double skin wall structure for the vacuum vessel and a functional poloidal magnetic field coil system with taps for obtaining various plasma configurations. Furthermore, boron-carbide coated carbon fiber composite (CFC) tiles were used as divertor tiles to reduce erosion of carbon-base tiles. Later, a semiclosed divertor with pumps, for which cryo-panels originally used for NBI units were converted, was installed in the replacement of the open divertor. These development and operational results provide data for future tokamaks. Major failures experienced in the long operational period of JT-60U, such as water leakage from the toroidal magnetic field coil, fracture of carbon tiles, and breakdown of a filter capacitor, are described. As a maintenance issue for tokamaks using deuterium fueling gas, a method for reducing radiation exposure of in-vessel workers is described

  4. Assistive/Socially Assistive Robotic Platform for Therapy and Recovery: Patient Perspectives

    Directory of Open Access Journals (Sweden)

    Matthew White

    2013-01-01

    Full Text Available Improving adherence to therapy is a critical component of advancing outcomes and reducing the cost of rehabilitation. A robotic platform was previously developed to explore how robotics could be applied to the social dimension of rehabilitation to improve adherence. This paper aims to report on feedback given by end users of the robotic platform as well as the practical applications that socially assistive robotics could have in the daily life activities of a patient. A group of 10 former and current patients interacted with the developed robotic platform during a simulated exercise session before taking an experience-based survey. A portion of these participants later provided verbal feedback as part of a focus group on the potential utility of such a platform. Identified applications included assistance with reaching exercise goals, managing to-do lists, and supporting participation in social and recreational activities. The study participants expressed that the personality characteristics of the robotic system should be adapted to individual preferences and that the assistance provided over time should align with the progress of their recovery. The results from this study are encouraging and will be useful for further development of socially assistive robotics.

  5. Sustainable Federal Fleets: Deploying Electric Vehicles and Electric Vehicle Supply Equipment

    Energy Technology Data Exchange (ETDEWEB)

    2017-01-01

    The U.S. Department of Energy (DOE) Federal Energy Management Program (FEMP) helps federal agencies reduce petroleum consumption and increase alternative fuel use through its resources for Sustainable Federal Fleets. To assist agencies with the transition to plug-in electric vehicles (PEVs), including battery electric vehicles (BEVs) and plug-in hybrid electric vehicles (PHEVs), FEMP offers technical guidance on electric vehicle supply equipment (EVSE) installations and site-specific planning through partnerships with the National Renewable Energy Laboratory's (NREL's) EVSE Tiger Teams.

  6. Contract Coordination in Dual Sourcing Supply Chain under Supply Disruption Risk

    Directory of Open Access Journals (Sweden)

    Tong Shu

    2015-01-01

    Full Text Available This paper explores a coordination model for a three-echelon supply chain including two different manufacturers, one distributer and one retailer via the combined option and back contracts. And one manufacturer provides the high wholesale price with low supply disruption risk and the other is completely the opposite. This differs from the previous supply chain coordination model. Firstly, supply disruption is added to the three-echelon supply chain. Secondly, considering the coordination of the supply chain, we deploy the combined option and back contracts which are seldom used in the previous study. Furthermore, it is interesting that supply disruption risk and buyback factor do not affect the distributor’s order quantity from the manufacturer who has low product price and unreliable operating ability, while the order quantity increases with the rise of option premium and option strike price. The distributor’s order quantity from the manufacturer, which has high product price and reliable operating ability, increases with the rise of supply disruption risk but decreases when the buyback factor, option premium, and option strike price decrease.

  7. An evaluation of the procedures required to ensure consistent material supply in the Eastern Cape automotive industry

    Directory of Open Access Journals (Sweden)

    GS Horn

    2014-07-01

    Full Text Available There is a common perception that logistics practice and supply chain management have not yet reached the required international standards among all the supply chain members in the South African automotive industry. This article is based on a research study that investigated possible reasons for the inconsistent supply of materials in the Eastern Cape automotive industry specifically. Problems identified include the fact that suppliers are not evaluated on a regular basis and do not receive sufficient logistics training, while a commitment and will to development local suppliers is lacking. Recommendations made to the South African automotive industry include the improvement of development programmes to assist local suppliers in becoming world-class suppliers, better logistics training, more regular supplier assessments, as well as improved mutual communication among suppliers and motor vehicle assemblers.

  8. Experiences of undergraduate nursing students in peer assisted learning in clinical practice: a qualitative systematic review.

    Science.gov (United States)

    Carey, Matthew C; Kent, Bridie; Latour, Jos M

    2018-05-01

    The objective of this qualitative systematic review was to identify and synthesize the best available evidence on experiences of peer assisted learning (PAL) among student nurses in clinical practice so as to understand the value of PAL for this population. Peer-assisted learning considers the benefits of peers working in collaboration and supporting each other in professional roles. This approach to facilitate learning is effective within universities, but there is limited exploration within the clinical practice environment. Within the UK, 50% of student nurses' learning is undertaken within clinical practice, providing a large portion of student allocation within these areas, but is unexplored in relation to PAL. Therefore, existing evidence examining PAL in clinical practice needs further exploration for a better understanding of its value to student nurses' learning. The systematic review considered studies that included male and female nursing students aged 18-50 years that explored undergraduate nursing students' experiences of PAL within the clinical practice environment. Studies that utilized designs such as phenomenology, grounded theory, ethnography, action research and feminist research were considered. Other text such as opinion papers and reports were to be considered if no qualitative studies could be located. The review excluded quantitative studies, as well as those addressing PAL outside the nursing profession and students within the nursing profession but not including undergraduate student nurses. This review considered studies that included aspects related to experiences of PAL in the clinical practice setting, as seen by undergraduate nursing students and the researcher. A three-step search strategy was undertaken to find both published and unpublished studies in English from 2003 to 2017 in various databases, and included searching of reference lists within articles selected for appraisal. Each of the included studies were assessed for

  9. Control strategy research of two stage topology for pulsed power supply

    International Nuclear Information System (INIS)

    Shi Chunfeng; Wang Rongkun; Huang Yuzhen; Chen Youxin; Yan Hongbin; Gao Daqing

    2013-01-01

    A kind of pulsed power supply of HIRFL-CSR was introduced, the ripple and the current error of the topological structure of the power in the operation process were analyzed, and two stage topology of pulsed power supply was given. The control strategy was simulated and the experiment was done in digital power platform. The results show that the main circuit structure and control method are feasible. (authors)

  10. Sources of population and family planning assistance.

    Science.gov (United States)

    1983-01-01

    This document assesses the current status of population and family planning assistance throughout the world and provides brief sketches of the available sources including national governments, intergovernmental agencies such as the UNFPA and other UN entities, and nongovernmental funding, technical assistance, or funding and technical assistance organizations. The descriptions of aid-granting organizations describe their purposes, sources of funding, and activities, and give addresses where further information may be sought. At present about $100 million of the US $1 billion spent for family planning in developing countries each year comes from individuals paying for their own supplies and services, over $400 million is spent by national governments on their own programs, and about $450 million comes from developed country governments and private agencies. Over half of external assistance appears to be channeled through international agencies, and only a few countries provide a substantial proportion of aid bilaterally. In the past decade several governments, particularly in Asia, significantly increased the share of program costs they assumed themselves, and the most populous developing countries, China, India, and Indonesia, now contribute most of the funding for their own programs. Although at least 130 countries have provided population aid at some time, most is given by 12 industrialized countries. The US Agency for International Development (USAID) is the largest single donor, but the US share of population assistance has declined to 50% of all assistance in 1981 from 60% in the early 1970s. Governments of Communist bloc countries have made only small contributions to international population assistance. Most governmental asistance is in cash grant form, but loans, grants in kind, and technical assistance are also provided. Private organizations give assistance primarily to other private organizations in developing countries, and have been major innovators in

  11. Supply Chain Management og Supply Chain costing

    DEFF Research Database (Denmark)

    Nielsen, Steen; Mortensen, Ole

    2002-01-01

    Formålet med denne artikel er at belyse de muligheder som ligger i at integrere virksomhedens økonomiske styring med begrebet Supply Chain Management (SCM). Dette søges belyst ved først at beskrive den teoretiske ramme, hvori SCM indgår. Herefter analyseres begrebet Supply Chain Costing (SCC) som...... Århus. Et resultat er, at via begrebet Supply Chain Costing skabes der mulighed for at måle logistikkædens aktiviteter i kr./øre. Anvendelsen af denne information har også strategisk betydning for at kunne vælge kunde og leverandør. Ved hjælp af integrationen skabes der også helt nye mulighed...

  12. Uniportal video assisted thoracoscopic lobectomy: primary experience from an Eastern center.

    Science.gov (United States)

    Feng, Mingxiang; Shen, Yaxing; Wang, Hao; Tan, Lijie; Mao, Xuping; Liu, Yi; Wang, Qun

    2014-12-01

    Uniportal video-assisted thoracoscopic surgery (VATS) lobectomy is an emerging technique for the surgical resection of non-small cell lung cancer (NSCLC). Besides its wide debates on safety and efficacy throughout the world, there were few report on uniportal VATS from the Eastern countries. In this article, we summarized our primary experience on uniportal VATS lobectomy in an Eastern center. From October 2013 till February 2014, 54 consecutive uniportal VATS lobectomy were performed in the Department of Thoracic Surgery, Zhongshan Hospital of Fudan University. Patients' clinical features and operative details were recorded. Post-operatively, the morbidity and mortality were recorded to analyze the safety and efficacy of uniportal VATS lobectomy for NSCLCs. Among the 54 planned uniportal VATS lobectomy, there was one conversion to mini-thoracotomy due to lymph node sticking. Extra ports were required in two patients. The uniportal VATS lobectomy was achieved in 51 out of 54 patients (94.4%). The average operation duration was 122.2±37.5 min (90-160 min). The average volume of estimated blood loss during the operation was 88.8±47.1 mL (50-200 mL). The mean chest tube duration and hospital stay were 3.2±1.9 days and 4.6±2.0 days, respectively. There was no postoperative mortality in this study. Two patients suffered from prolonged air leakage (5 and 7 days), and one atrial fibrillation was observed in this cohort. Based on our primary experience, uniportal VATS lobectomy is a safe and effective procedure for the surgical resection of NSCLCs. The surgical refinements and instrumental improvements would facilitate the technique. Further studies based on larger population are required to determine its benefits towards patients with NSCLCs.

  13. Videocirurgia colorretal com assistência robótica: o próximo passo? Robotic assisted colorrectal surgery

    Directory of Open Access Journals (Sweden)

    Sergio Eduardo Alonso Araujo

    2008-09-01

    Full Text Available O desenvolvimento de técnicas minimamente invasivas é um dos mais importantes avanços da cirurgia colorretal. A assistência robótica integra o arsenal de técnicas em cirurgia minimamente invasiva, e vem sendo aplicado em cirurgia colorretal por um restrito grupo de cirurgiões em alguns centros ao redor do mundo com resultados iniciais que merecem atenção. O objetivo do presente estudo é analisar os resultados do emprego da assistência robótica em videocirurgia colorretal. Dentre as vantagens associadas ao emprego de robôs em videocirurgia colorretal, figuram o incremento na precisão dos movimentos e a visão tridimensional. A experiência clínica é ainda pequena, e advém de uma série de casos e estudos comparativos com a videocirurgia colorretal sem assistência robótica com ainda pequeno número de casos. A dissecção pélvica com incremento da preservação autonômica parece ser a maior vantagem associada à assistência robótica em videocirurgia colorretal. Somente através do treinamento de um número mais representativo de cirurgiões colorretais, bem como com a expansão da experiência clínica será possível prever com maior precisão o papel da assistência robótica em videocirurgia colorretal.The development of minimally invasive surgical techniques represents an important aspect of modern surgical research. Robot-assisted minimally invasive colorectal surgery represents a way of assisting laparoscopic colorectal procedures. Robotic technology overcomes some of these limitations by successfully providing intuitive motion and enhanced precision and accuracy, in an environment that is much more ergonomic. A restrict number of surgeons in specialized centers around the world have been applying robotics. In this review, current evidence about different technologies and its place in colorectal surgery is evaluated. The feasibility of performing robot-assisted colorectal operations has been demonstrated though case

  14. Mobile Assisted Language Learning Experiences

    Science.gov (United States)

    Kim, Daesang; Ruecker, Daniel; Kim, Dong-Joong

    2017-01-01

    The purpose of this study was to investigate the benefits of learning with mobile technology for TESOL students and to explore their perceptions of learning with this type of technology. The study provided valuable insights on how students perceive and adapt to learning with mobile technology for effective learning experiences for both students…

  15. Hands-On Experiences in Deploying Cost-Effective Ambient-Assisted Living Systems.

    Science.gov (United States)

    Dasios, Athanasios; Gavalas, Damianos; Pantziou, Grammati; Konstantopoulos, Charalampos

    2015-06-18

    Older adults' preferences to remain independent in their own homes along with the high costs of nursing home care have motivated the development of Ambient Assisted Living (AAL) technologies which aim at improving the safety, health conditions and wellness of the elderly. This paper reports hands-on experiences in designing, implementing and operating UbiCare, an AAL based prototype system for elderly home care monitoring. The monitoring is based on the recording of environmental parameters like temperature and light intensity as well as micro-level incidents which allows one to infer daily activities like moving, sitting, sleeping, usage of electrical appliances and plumbing components. The prototype is built upon inexpensive, off-the-shelf hardware (e.g., various sensors, Arduino microcontrollers, ZigBee-compatible wireless communication modules) and license-free software, thereby ensuring low system deployment costs. The network comprises nodes placed in a house's main rooms or mounted on furniture, one wearable node, one actuator node and a centralized processing element (coordinator). Upon detecting significant deviations from the ordinary activity patterns of individuals and/or sudden falls, the system issues automated alarms which may be forwarded to authorized caregivers via a variety of communication channels. Furthermore, measured environmental parameters and activity incidents may be monitored through standard web interfaces.

  16. Hands-On Experiences in Deploying Cost-Effective Ambient-Assisted Living Systems

    Directory of Open Access Journals (Sweden)

    Athanasios Dasios

    2015-06-01

    Full Text Available Older adults’ preferences to remain independent in their own homes along with the high costs of nursing home care have motivated the development of Ambient Assisted Living (AAL technologies which aim at improving the safety, health conditions and wellness of the elderly. This paper reports hands-on experiences in designing, implementing and operating UbiCare, an AAL based prototype system for elderly home care monitoring. The monitoring is based on the recording of environmental parameters like temperature and light intensity as well as micro-level incidents which allows one to infer daily activities like moving, sitting, sleeping, usage of electrical appliances and plumbing components. The prototype is built upon inexpensive, off-the-shelf hardware (e.g., various sensors, Arduino microcontrollers, ZigBee-compatible wireless communication modules and license-free software, thereby ensuring low system deployment costs. The network comprises nodes placed in a house’s main rooms or mounted on furniture, one wearable node, one actuator node and a centralized processing element (coordinator. Upon detecting significant deviations from the ordinary activity patterns of individuals and/or sudden falls, the system issues automated alarms which may be forwarded to authorized caregivers via a variety of communication channels. Furthermore, measured environmental parameters and activity incidents may be monitored through standard web interfaces.

  17. Initial experience with hand-assisted laparoscopic donor nephrectomy

    DEFF Research Database (Denmark)

    Wiborg, Majken Højrup; Toft, Anja; Jahn, Henrik

    2017-01-01

    -38 kg/m²) in males. The median intraoperative bleeding was 175 ml. The median warm ischaemia time was 3.2 min (1.5-6.7 min). The median operative time was 230 min (161-360 min). The median hospital stay was 4 days (2-10 days). Thirty donors (28%) had 34 early complications. Six donors (6%) needed...... recipients had a functional transplant after 1 year. CONCLUSION: Hand-assisted donor nephrectomy is a safe procedure. Potential candidates should be advised...

  18. United States-assisted studies on dose reconstruction in the former Soviet Union

    International Nuclear Information System (INIS)

    Anspaugh, L.R.; Bouville, A.

    1995-12-01

    Following the Chernobyl accident, the US and the USSR entered into an agreement to work on the safety of civilian nuclear reactors; one aspect of that work was to study the environmental transport and health effects of radionuclides released by the accident. After the break-up of the USSR separate agreements were established between the US and Ukraine, Belarus, and Russia to continue work on dose reconstruction and epidemiologic studies of health effects from exposure to external radiation and the incorporation of radionuclides. Studies in Belarus and Ukraine related to the Chernobyl accident now emphasize epidemiologic: studies of childhood-thyroid cancer and leukemia, and eye-lens-cataract formation in liquidators. Supporting studies on dose reconstruction emphasize a variety of ecological, physical, and biological techniques. Studies being conducted in Russia currently emphasize health effects in the workers and the population around the Mayak Industrial Association. As this production complex is an analogue of the US Hanford Works, advantage is being taken of the US experience in conducting a similar, recently completed dose-reconstruction study. In all cases the primary work on dose reconstruction is being performed by scientists from the former Soviet Union. US assistance is in the form of expert consultation and participation, exchange visits, provision of supplies and equipment, and other forms of local assistance

  19. Course Evaluation Matters: Improving Students' Learning Experiences with a Peer-Assisted Teaching Programme

    Science.gov (United States)

    Carbone, Angela; Ross, Bella; Phelan, Liam; Lindsay, Katherine; Drew, Steve; Stoney, Sue; Cottman, Caroline

    2015-01-01

    In the rapidly changing global higher education sector, greater attention is being paid to the quality of university teaching. However, academics have traditionally not received formal teacher training. The peer-assisted teaching programme reported on in this paper provides a structured yet flexible approach for peers to assist each other in…

  20. Integrating animals in the classroom: The attitudes and experiences of Australian school teachers toward animal-assisted interventions for children with Autism Spectrum Disorder

    Directory of Open Access Journals (Sweden)

    Bradley P Smith

    2016-02-01

    Full Text Available The introduction of animals into school classrooms has been posited as a beneficial intervention for individuals with Autism Spectrum Disorder (ASD. Whilst evidence that animal-assisted interventions or activities can positively influence classroom behaviour and learning outcomes is emerging, little is known about the experiences and attitudes of those who implement it. We presented a series of open and close-ended questions via an online survey to Australian school teachers working with students on the autistic spectrum. Whether teachers had experienced companion animals in the classroom or not, companion animals were believed to provide a means for improving social skills and engagement within the classroom, as well as decreasing stress, anxiety, and the occurrence of problematic behaviours. Yet, despite an overall positive attitude, and 68% having had animals or pets in their classroom, only 16% of respondents had experience with ‘formal’ animal-assisted interventions. Explanations for why both formal and informal animal-assisted interventions were either not being adopted, or was not currently being considered, included a lack of knowledge, lack of support and resources, reactions of the student in relation to allergies and behaviour, and issues relating to animal welfare. It was also acknowledged that the evidence-base for animal-assisted interventions for students with ASD is currently lacking, and that such interventions were not suitable for all students, or all classroom situations. Moving forward, it is important that the inclusion of companion animals and more formal based animal intervention programs in classrooms be adequately designed and evaluated, because implementing or promoting time consuming and financially costly strategies without the evidence is problematic.

  1. Klystron bias power supplies for Indus-2 synchrotron radiation source

    International Nuclear Information System (INIS)

    Badapanda, M.K.; Hannurkar, P.R.

    2008-01-01

    The functioning of an alternating current (AC) voltage regulator based high voltage direct current (HVDC) power supplies with better input and output performances has been presented in this paper. The authors have incorporated a 3-phase series limiting inductor, along with detuned passive filter in each power supply, to take care of line harmonics and the input power factor (IPF), which is simple, cost effective, reliable and provides input performance matching that of an equivalent active filter. Such arrangement has special significance for controlled HVDC power supplies supplying to fixed load but operated from widely varying input voltages. It achieves line voltage total harmonic distortion (THD) below 4% and IPF better than 0.97, for 415 V - 30% to 415 V + 10% variations in 3-phase input voltages. A properly designed crowbar, along with suitable limiting elements, is incorporated in each power supply and stringent wire survivability tests were carried out to limit klystron fault energy below 10 Joules. Several simulated waveforms and experiment results are also presented. (author)

  2. Design of EAST LHCD high power supply feedback control system based on PLC

    International Nuclear Information System (INIS)

    Hu Huaichuan; Shan Jiafang

    2009-01-01

    Design of EAST LHCD -35kV/5.6MW high power supply feedback control system based on PLC is described. Industrial computer and PLC are used to control high power supply in the system. PID arithmetic is adopted to achieve the feedback control of voltage of high power supply. Operating system is base on real-time operating system of QNX. Good controlling properties and reliable protective properties of the feedback control system are proved by the experiment results. (authors)

  3. The Ventricular Assist Device in the Life of the Child: A Phenomenological Pediatric Study.

    Science.gov (United States)

    van Manen, Michael A

    2017-05-01

    What is it like for a child to live with an artificial heart? The use of some medical therapies in children requires developmental considerations, is associated with psychosocial consequences, and calls for ethical sensitivities. A critical case is the ventricular assist device (VAD), a mechanical pump used to support the functioning of a failing heart. As a pediatric therapy, the device can be used as a temporary solution for poor heart function, a bridge to transplantation or recovery, or as a destination therapy. While the mechanical-technical operation of the VAD is well understood, the clinical-technical aspects of young people living with this device are largely unexplored. Drawing on interviews of school-aged children, the aim of this phenomenological study is to explore how a VAD may structure or condition a child's meaningful experience of their world outside the hospital. The driveline of an implanted VAD is the peripheral attachment, extruding through the skin to connect the controller-power supply. The materiality of the device may be interruptive, restrictive, and disturbing to the psycho-physical being and sense of self-identity of the child as a child. And while a child equipped with a VAD is not necessarily conspicuous among other children, the child may experience the device as an exposing presence, while living with the worry of a caregiver who takes on the role not simply of parent but of watchful health professional. A phenomenological understanding of the VAD should assist parents and caregiving health professionals knowing how to deal with specific issues arising in the life of the VAD child.

  4. The Use of Supply Chains and Supply Chain Management in the ...

    African Journals Online (AJOL)

    Dr Peter Schmitz

    supply chain management to guide the production of maps. Supply chain management can ... Distribution and logistics. Product flow. Information flow and Money. The Firm. Data from supplier(s) ..... In Global Supply Chains: Developing Skills ...

  5. Energy supply. Energieversorgung

    Energy Technology Data Exchange (ETDEWEB)

    Eickhof, N.

    1983-01-01

    This anthology presents nine papers dealing with the following subjects: 1) international and national aspects of energy supply, 2) regional and local energy supply concepts, and 3) issues of district-heat supply. Each of the nine papers was entered separately.

  6. Structure and development of the natural gas supply in Bavaria: chances and risks

    International Nuclear Information System (INIS)

    Bozem, K.

    1994-01-01

    Despite its structural handicap of being a large state, the gas supply in Bavaria has developed very favourabley. Strategies have been worked out for a successful future. What the gas economy needs above all are clear and reliable energy-political framework conditions. Experiments endangering the current security of supply must be dismissed. (orig.) [de

  7. The development of a laterally confined laboratory fan delta under sediment supply reduction

    Science.gov (United States)

    Zhang, Xiaofeng; Wang, Siqiang; Wu, Xi; Xu, Shun; Li, Zhangyong

    2016-03-01

    In previous fan delta experiments, the effect of lateral confinement was generally ignored as these fans were usually unconfined with semiconical geometries. However, in gorge areas, fan development is usually laterally confined by valley walls. This study investigates autogenic processes of fan deltas in a laterally confined experimental tank. The experiment is divided into three phases. The sediment supply is held constant within each phase, so the autogenic processes of the fan are separated from the allogenic forcings. Results indicate that laterally confined fan deltas have higher progradation and aggradation potential, more regular channel braiding, and more even transverse sedimentation than unconfined fans. Besides, responses of fan deltas to sediment supply reduction are investigated in this research. At the initiation of the second and third phases, sediment feed rates are instantaneously reduced so that the allogenic forcings are predominant. Observations show that under sediment supply reduction, channelization on fan deltas are more pronounced and durations of the fluvial cycles are longer. The adjustment of fan morphology becomes slower as the self-regulation capacity of the fan decreases with reduced sediment supply.

  8. Explaining regional variation in home care use by demand and supply variables.

    Science.gov (United States)

    van Noort, Olivier; Schotanus, Fredo; van de Klundert, Joris; Telgen, Jan

    2018-02-01

    In the Netherlands, home care services like district nursing and personal assistance are provided by private service provider organizations and covered by private health insurance companies which bear legal responsibility for purchasing these services. To improve value for money, their procurement increasingly replaces fee-for-service payments with population based budgets. Setting appropriate population budgets requires adaptation to the legitimate needs of the population, whereas historical costs are likely to be influenced by supply factors as well, not all of which are necessarily legitimate. Our purpose is to explain home care costs in terms of demand and supply factors. This allows for adjusting historical cost patterns when setting population based budgets. Using expenses claims of 60 Dutch municipalities, we analyze eight demand variables and five supply variables with a multiple regression model to explain variance in the number of clients per inhabitant, costs per client and costs per inhabitant. Our models explain 69% of variation in the number of clients per inhabitant, 28% of costs per client and 56% of costs per inhabitant using demand factors. Moreover, we find that supply factors explain an additional 17-23% of variation. Predictors of higher utilization are home care organizations that are integrated with intramural nursing homes, higher competition levels among home care organizations and the availability of complementary services. Copyright © 2017. Published by Elsevier B.V.

  9. Ghost peaks observed after atmospheric pressure matrix-assisted laser desorption/ionization experiments may disclose new ionization mechanism of matrix-assisted hypersonic velocity impact ionization.

    Science.gov (United States)

    Moskovets, Eugene

    2015-08-30

    Understanding the mechanisms of matrix-assisted laser desorption/ionization (MALDI) promises improvements in the sensitivity and specificity of many established applications in the field of mass spectrometry. This paper reports a serendipitous observation of a significant ion yield in a post-ionization experiment conducted after the sample had been removed from a standard atmospheric pressure (AP)-MALDI source. This post-ionization is interpreted in terms of collisions of microparticles moving with a hypersonic velocity into a solid surface. Calculations show that the thermal energy released during such collisions is close to that absorbed by the top matrix layer in traditional MALDI. The microparticles, containing both the matrix and analytes, could be detached from a film produced inside the inlet capillary during the sample ablation and accelerated by the flow rushing through the capillary. These observations contribute some new perspective to ion formation in both laser and laser-less matrix-assisted ionization. An AP-MALDI ion source hyphenated with a three-stage high-pressure ion funnel system was utilized for peptide mass analysis. After the laser had been turned off and the MALDI sample removed, ions were detected during a gradual reduction of the background pressure in the first funnel. The constant-rate pressure reduction led to the reproducible appearance of different singly and doubly charged peptide peaks in mass spectra taken a few seconds after the end of the MALDI analysis of a dried-droplet spot. The ion yield as well as the mass range of ions observed with a significant delay after a completion of the primary MALDI analysis depended primarily on the background pressure inside the first funnel. The production of ions in this post-ionization step was exclusively observed during the pressure drop. A lower matrix background and significant increase in relative yield of double-protonated ions are reported. The observations were partially consistent

  10. The professional socialization of the graduate assistant athletic trainer.

    Science.gov (United States)

    Mazerolle, Stephanie M; Eason, Christianne M; Clines, Stephanie; Pitney, William A

    2015-05-01

    The graduate assistant athletic trainer (AT) position often serves as one's first experience working independently as an AT and is also an important aspect of the professional socialization process. The socialization experiences of graduate assistant ATs have yet to be fully explored. To understand the socialization process for graduate assistant ATs during their graduate experience. Qualitative study. We conducted phone interviews with all participants. A total of 25 graduate assistant ATs (20 women, 5 men) studying in 1 of 3 academic tracks: (1) accredited postprofessional athletic training program (n = 8), (2) postprofessional athletic training program (n = 11), or (3) a nonathletic training degree program (n = 6). The average age was 25 ± 5 years, and the median age was 24 years. Participants were certified by the Board of Certification for an average of 2 ± 0.4 years. We analyzed the data using a general inductive approach. Peer review, field notes, and intercoder reliability established trustworthiness. Data saturation guided participant recruitment. The ability to gain clinical independence as a practitioner was an important socialization process. Having the chance to develop a relationship with a mentor, who provided support, guidance, and more of a hierarchical relationship, was an important socializing agent for the graduate assistant AT. Participants used the orientation session as a means to understand the expectations and role of the graduate-assistant position. Academic coursework was a way to achieve better inductance into the role via the opportunity to apply classroom skills during their clinical practice. Socializing the graduate assistant blends formal and informal processes. Transition to practice is a critical aspect of the profession; thus, supporting autonomous practice with directed mentoring can promote professional maturity.

  11. Job satisfaction of nursing assistants.

    Science.gov (United States)

    Lerner, Nancy; Resnick, Barbara; Galik, Elizabeth; Flynn, Linda

    2011-11-01

    This secondary data analysis explored factors influencing job satisfaction in a sample of nursing assistants employed in Maryland skilled nursing facilities. Multiple factors have been shown to affect job satisfaction and turnover in nursing assistants (NAs), but the problem of turnover persists in skilled nursing facility environments affecting quality of care. An existing data set of 556 nursing assistants from 12 Maryland skilled nursing facilities was used. To explore factors found to influence job satisfaction from other studies, a multiple regression analysis was performed. Nine dependent variables previously shown to affect job satisfaction were used. Of these variables, only years of experience (β = .230) and performance of restorative care (β = .095) were found to be positively associated with job satisfaction. Self-esteem (β = -.094) was found to be negatively associated with job satisfaction. Only length of experience and exemplary care as evidenced by the performance of restorative care were associated with job satisfaction. These results mirror results found in other studies. Self-esteem was negatively associated with job satisfaction in this population, a finding needing further study. Copyright © 2011 Wolters Kluwer Health | Lippincott Williams & Wilkins

  12. A COOPERATIVE ASSISTANCE SYSTEM BETWEEN VEHICLES FOR ELDERLY DRIVERS

    Directory of Open Access Journals (Sweden)

    Naohisa HASHIMOTO

    2009-01-01

    Full Text Available This paper proposes a new concept of elderly driver assistance systems, which performs the assistance by cooperative driving between two vehicles, and describes some experiments with elderly drivers. The assistance consists of one vehicle driven by an elderly driver called a guest vehicle and the other driven by a assisting driver called a host vehicle, and the host vehicle assists or escorts the guest vehicle through the inter-vehicle communications. The functions of the systems installed on a single-seat electric vehicle are highly evaluated by subjects of elderly drivers in virtual streets on a test track.

  13. Clinical Engineering: Experiences of assisted professional practices

    International Nuclear Information System (INIS)

    Langone, Luis; Vanetta, Marcos; Vazquez, Marcelo; Rotger, Viviana I; Olivera, Juan Manuel

    2007-01-01

    In the curricula of the Biomedical Engineering career of the Facultad de Ciencias Exactas y TecnologIa of the Universidad Nacional de Tucuman, Argenitna, there are the Assisted Professional Practices. Within this framework, the students have the possibility of performing practices in the clinic Sanatorio 9 de Julio. One of the objectives of these practices is to apply the concepts, methods and procedures studied along the career in the field work under real work conditions. From the point of view of the host institution, the objective is to improve the performance of the different services and areas applying the tools of Biomedical Engineering. The present work shows an example of such practices where an equipment preliminary analysis was made, its use and maintenance corresponding to the surgical unit of the clinic

  14. Comparison of endoscopic-assisted and temporary keratoprosthesis-assisted vitrectomy in combat ocular trauma: experience at a tertiary eye center in Turkey.

    Science.gov (United States)

    Ayyildiz, Onder; Hakan Durukan, Ali

    2018-01-01

    Objective This study was performed to compare the functional and anatomical results of endoscopic-assisted and temporary keratoprosthesis (TKP)-assisted vitrectomy in patients with combat ocular trauma (COT). Methods The medical records of 14 severely injured eyes of 12 patients who underwent endoscopy or TKP implantation in combination with vitreoretinal surgery from 2007 to 2015 were retrospectively evaluated. The patients' ocular history and functional and anatomic anterior and posterior segment results were analyzed. Results Eight eyes (57%) underwent TKP-assisted vitrectomy and six eyes (43%) underwent endoscopic vitrectomy. The most common cause of COT was detonation of improvised explosive devices (72%), and the most common type of injury was an intraocular foreign body (50%). The median time from trauma to surgery and the median surgical time were significantly shorter in the endoscopy than TKP group. The postoperative functional and anatomical results were not significantly different between the two groups. Conclusions TKP-assisted vitrectomy should be performed in eyes requiring extensive bimanual surgery. In such cases, a corneal graft must be preserved for the TKP at the end of the surgery. Endoscopy shortens the surgical time and can reduce the complication rate.

  15. Architectures for Green-Field Supply Chain Integration: Supply Chain Integration Design

    OpenAIRE

    Radanliev, Petar

    2015-01-01

    This paper applied case study research to design architectures for green-field supply chain integration. The integration design is based on a case study of a supply chain integration of 5 companies, operating in different, but supply chain complimenting industry sectors. The case study research is applied to design and validate the architectures in a real world scenario. The supply\\ud chain integration architectures enable the conversion of individual into integrated strategies. The architect...

  16. Pengukuran Kinerja Supply Chain Dengan Pendekatan Supply Chain Operation References (SCOR)

    OpenAIRE

    Rizki Wahyuniardi; Moh. Syarwani; Ryan Anggani

    2017-01-01

    PT. Brodo Ganesha Indonesia is a national company engaged in manufacturing with the production of leather shoes. The company has many stakeholders and it is difficult to manage its supply chain, thereby affecting the effectiveness and efficiency of the company's supply chains. The research was conducted to measure the performance of supply chain by using Supply Chain Operation References (SCOR) approach. The initial hierarchy model of performance measurement is tailored to the company's condi...

  17. [Experience assisting an AIDS-infected homosexual patient and his same-sex partner make a do-not-resuscitate decision].

    Science.gov (United States)

    Wang, Shu-Jang; Lai, Pei-Yu; Liou, Siao-Ying; Ko, Wen-Chien; Ko, Nai-Ying

    2012-10-01

    Family members play an important role in the process of writing advance directives. Homosexual men infected with HIV often wish to authorize their intimate same-sex partner or friends rather than immediate family members to make medical decisions on their behalf. Although same-sex marriage is currently illegal in Taiwan, HIV infected homosexual patients are able to write advance directives appointing their same-sex partner to be their surrogate decision maker for end-of-life medical decisions. This case report describes an experience assisting a homosexual patient with HIV to write his advance directives. The nurse assisted the patient and his partner to make a self-determined decision not to resuscitate. Family conferences held to discuss the patient's decisions regarding resuscitation helped legitimize his partner's primary role in making end-of-life healthcare decisions on his behalf. As an advocate for patient rights, nurses should understand the law as it relates to homosexuality and end-of-life decision making, inform patients on the durable power of autonomy, and help execute their advance directives.

  18. The impact of big data and business analytics on supply chain management

    Directory of Open Access Journals (Sweden)

    Hans W. Ittmann

    2015-05-01

    Objective: This article endeavours to highlight the evolving nature of the supply chain management (SCM environment, to identify how the two major trends (‘big data’ and analytics will impact SCM in future, to show the benefits that can be derived if these trends are embraced and to make recommendations to supply chain managers. Method: The importance of extracting value from the huge amounts of data available in the SCM area is stated. ‘Big data’ and analytics are defined and the impact of these in various SCM applications clearly illustrated. Results: It is shown, through examples, how the SCM area can be impacted by these new trends and developments. In these examples ‘big data’ analytics have already been embraced, used and implemented successfully. Big data is a reality and using analytics to extract value from the data has the potential to make a huge impact. Conclusion: It is strongly recommended that supply chain managers take note of these two trends, since better use of ‘big data’ analytics can ensure that they keep abreast with developments and changes which can assist in enhancing business competitiveness.

  19. Supply chain integration and performance : the moderating effect of supply complexity

    NARCIS (Netherlands)

    Giménez, C.; van der Vaart, T.; van Donk, D.P.

    2012-01-01

    Purpose - The purpose of this paper is to investigate the effectiveness of supply chain integration in different contexts. More specifically, it aims to show that supply chain integration is only effective in buyer-supplier relationships characterised by high supply complexity.

  20. A Multiperiod Supply Chain Network Design Considering Carbon Emissions

    Directory of Open Access Journals (Sweden)

    Yang Peng

    2016-01-01

    Full Text Available This paper introduces a mixed integer linear programming formulation for modeling and solving a multiperiod one-stage supply chain distribution network design problem. The model is aimed to minimize two objectives, the total supply chain cost and the greenhouse gas emissions generated mainly by transportation and warehousing operations. The demand forecast is known for the planning horizon and shortage of demand is allowed at a penalty cost. This scenario must satisfy a minimum service level. Two carbon emission regulatory policies are investigated, the tax or carbon credit and the carbon emission cap. Computational experiments are performed to analyze the trade-offs between the total cost of the supply chain, the carbon emission quantity, and both carbon emission regulatory policies. Results demonstrate that for a certain range the carbon credit price incentivizes the reduction of carbon emissions to the environment. On the other hand, modifying the carbon emission cap inside a certain range could lead to significant reductions of carbon emission while not significantly compromising the total cost of the supply chain.

  1. Pain in Alzheimer's disease : nursing assistants' and patients' evaluations

    NARCIS (Netherlands)

    Scherder, E; van Manen, F

    2005-01-01

    Aim. This paper reports on a study examining the level of agreement between the pain perceptions of nursing assistants, older people without dementia and patients with Alzheimer's dementia. It was hypothesized that nursing assistants would overestimate the pain experience of patients with

  2. The turbulent liquid fuel industry in Zimbabwe: options for resolving the crisis and improving supply to the poor

    International Nuclear Information System (INIS)

    Mashange, Krispen

    2002-01-01

    Towards the end of the last decade, supplies in petroleum fuel have been erratic to the extent that Zimbabwe has at times operated with as low as 40% of normal supplies. These shortages were attributed mainly to foreign exchange shortages and alleged mismanagement and corruption at the National Oil Company of Zimbabwe (NOCZIM). As shortages intensified, problems of product shortage began to unfold, which adversely impacted on the urban poor. The public began to question the industry's policies on the sustainability of the liquid fuel sector policies in Zimbabwe. Of particular concern was policies regarding regulatory mechanisms, pricing, distribution, utilisation of storage facilities, supply routes and NOCZIM management. This paper evaluates the challenges facing the Zimbabwean petroleum sector and presents recommendations that could assist in ensuring a robust and functional national fuel sector. (Author)

  3. Sustainable value creation through new industrial supply chains in apparel and fashion

    Science.gov (United States)

    Pal, R.; Sandberg, E.

    2017-10-01

    This paper explores the inter-organizational value creation, in apparel supply chain context, through circularity and digitalization for sustainability, by gathering evidences from vivid research experiences. It can be highlighted that inter-organizational value creation in both circular- and digital- apparel supply chains largely builds upon a variety of collaborative initiatives, and among a range of included members. Knowledge co-evolvement and business co-development, end-to-end integration and information transfer, and open networks are crucial to such collaborations - making development of new supply chain structures a meta-capability of apparel firms in the changing industrial landscape.

  4. Robot-assisted laparoscopic dismembered pyeloplasty for ureteropelvic junction obstruction: a multi-institutional experience.

    Science.gov (United States)

    Sivaraman, Ananthakrishnan; Leveillee, Raymond J; Patel, Manoj B; Chauhan, Sanket; Bracho, Jorge E; Moore, Charles R; Coelho, Rafael F; Palmer, Kenneth J; Schatloff, Oscar; Bird, Vincent G; Munver, Ravi; Patel, Vipul R

    2012-02-01

    To report a 6-year multi-institutional experience and outcomes with robot-assisted laparoscopic pyeloplasty (RLP) for the repair of ureteropelvic junction obstruction (UPJO). Between June 2002 and October 2008, 168 adult patients from 3 institutions underwent RLP for UPJO. A retrospective analysis of prospectively collected data were performed after institutional review board approval. Diagnosis was by intravenous urogram or computed tomography scan and diuretic renogram. All patients underwent RLP through a 4-port laparoscopic technique. Demographic, preoperative, operative, and postoperative endpoints for primary and secondary repair of UPJO were measured. Success was defined as a T½ of <20 minutes on diuretic renogram and symptom resolution. Pain resolution was assessed by subjective patient reports. Of 168 patients, 147 (87.5%) had primary repairs and 21 (12.5%) had secondary repairs. Of the secondary repairs, 57% had a crossing vessel etiology. Mean operative time was 134.9 minutes, estimated blood loss was 49 mL, and length of stay was 1.5 days. Mean follow-up was 39 months. Overall, 97.6% of patients had a successful outcome, with a 6.6% overall complication rate. To our knowledge, this review represents the largest multi-institutional experience of RLP with intermediate-term follow-up. RLP is a safe, efficacious, and viable option for either primary or secondary repair of UPJO with reproducible outcomes, a high success rate, and a low incidence of complications. Copyright © 2012 Elsevier Inc. All rights reserved.

  5. Robot-assisted general surgery.

    Science.gov (United States)

    Hazey, Jeffrey W; Melvin, W Scott

    2004-06-01

    With the initiation of laparoscopic techniques in general surgery, we have seen a significant expansion of minimally invasive techniques in the last 16 years. More recently, robotic-assisted laparoscopy has moved into the general surgeon's armamentarium to address some of the shortcomings of laparoscopic surgery. AESOP (Computer Motion, Goleta, CA) addressed the issue of visualization as a robotic camera holder. With the introduction of the ZEUS robotic surgical system (Computer Motion), the ability to remotely operate laparoscopic instruments became a reality. US Food and Drug Administration approval in July 2000 of the da Vinci robotic surgical system (Intuitive Surgical, Sunnyvale, CA) further defined the ability of a robotic-assist device to address limitations in laparoscopy. This includes a significant improvement in instrument dexterity, dampening of natural hand tremors, three-dimensional visualization, ergonomics, and camera stability. As experience with robotic technology increased and its applications to advanced laparoscopic procedures have become more understood, more procedures have been performed with robotic assistance. Numerous studies have shown equivalent or improved patient outcomes when robotic-assist devices are used. Initially, robotic-assisted laparoscopic cholecystectomy was deemed safe, and now robotics has been shown to be safe in foregut procedures, including Nissen fundoplication, Heller myotomy, gastric banding procedures, and Roux-en-Y gastric bypass. These techniques have been extrapolated to solid-organ procedures (splenectomy, adrenalectomy, and pancreatic surgery) as well as robotic-assisted laparoscopic colectomy. In this chapter, we review the evolution of robotic technology and its applications in general surgical procedures.

  6. Academic Labor Markets and Assistant Professors' Employment Outcomes

    Science.gov (United States)

    Hargens, Lowell L.

    2012-01-01

    Using data for 638 assistant professors who joined graduate sociology departments between 1975 and 1992, I examine the claim that when the labor market for new doctorates is weak, assistant professors experience less favorable employment outcomes than when that labor market is strong. Surprisingly, I find that those hired during the weak…

  7. Privatization by Other Means: Social Power, Tankers and Techno-Assemblages of Water Supply in Amman, Jordan.

    Science.gov (United States)

    Mustafa, D.

    2016-12-01

    Combined piped and tanker based water supply systems have become a ubiquitous feature of urban waterscapes in the global South. Jordanian water sector, and Amman in particular has been a recipient of considerable international financial and technical assistance over the past decades. The international assistance has coupled with the Jordanian state's own pro-market ideological stance, and its political compulsions to spawn a techno-social assemblage of water supply that represents a hybrid state and commercial water supply system. I present the results of a field study in Amman, Jordan on water tankers and water users to understand the techno-political underpinnings of the hybrid system and its impact on differential access to water. I explore how Actor Network Theory (ANT) based analysis of tankers, suction pumps and piped water system and their materiality may explain differential access to water. But that exploration is inflected by a larger political ecological concern with questions of power and discourses about citizenship and claim making on the state. I find that ANT based focus on water technologies, while ontologically fertile, and epistemologically innovative, is nevertheless politically barren. Much richer political insights are to be gained from structural and post-structurally based investigations of the discursive and material drivers of the techno-social assemblages of water supply. The technologies don't just neutrally impact water access, but seem to almost intentionally favour the powerful over the powerless. Surely the political agency must not reside in inanimate technologies but in the social actors and structures that fashion those technologies, and configure them such to reinforce geographies of power. I call for a renewed focus on social power and how its impact on lived geographies is mediated by technology.

  8. Labor supply functions of working male and female pharmacists: In search of the backward bend.

    Science.gov (United States)

    Carvajal, Manuel J; Deziel, Lisa; Armayor, Graciela M

    2012-01-01

    Previous research has shown that U.S. pharmacists experience negative elasticities along a backward-bending labor supply function. The presence of a backward bend in the labor supply curve may cause a decrease in the amount of work at a time of labor shortage. Therefore, the determinants of pharmacists' labor supply functions should be explored to assess the impact of this backward bend. To determine whether female and male pharmacist work inputs are influenced by the same factors and estimate where the backward bend occurs, if at all, in their labor supply functions. Data were collected using a survey questionnaire mailed to registered pharmacists in South Florida. Labor supply functions were formulated and tested separately for 558 men and 498 women. The wage rate, other household income, human capital stock, job-related preferences, and opinion variables were hypothesized to explain labor supply differentials. Human capital stock variables included professional experience, holding a specialty board certification, and number of children; job-related preference variables included urban-rural location of work site and main role as a practitioner; and opinion variables included stress, autonomy, fairness in the workplace, flexibility, and job security. Men and women responded differently to identical stimuli, and their supply functions were influenced in different ways by the explanatory variables. Both genders exhibited positive labor supply elasticities greater than those reported in other studies. Both genders' backward bend in their labor supply functions occurred several standard deviations to the right of the mean. The backward bend in the labor supply functions of male and female pharmacists is not likely to affect in the near future the labor market's ability to regulate shortages of practitioners via increases in the wage rate. A more thorough understanding of pharmacists' labor supply functions must address gender issues and differences in response to

  9. DIII-D power supply, design, and development

    International Nuclear Information System (INIS)

    Nerem, A.

    1995-02-01

    An overview of the DIII-D power supply system with information details concerning the configuration, power ratings, acquisition costs, and cost scaling relevant to the design of ITER and other tokamaks is presented. The power supplies for the DIII-D tokamak were installed and commissioned during the late 1970's and the beginning of the 1980's. Several upgrades have been implemented during the last two years to solve increasing reliability problems encountered as the equipment aged, to provide enhanced operational flexibilities, and to enable operation at the higher power levels needed to provide experimental data relevant to the ITER and TPX design activities. These upgrades ranged from redesign of the power supply control systems to the replacement of vacuum circuit breakers which had become unreliable in service. A new interlock and protection system has also been implemented using the latest programmable logic controllers (PLC) and computer technology. These upgrades have been highly successful and are described to provide insight to many issues in the specification of high power converters. Power supply models used in the design of the DIII-D Plasma Control System are also described along with model verification test data. These models are being used in the development of a new advanced plasma control system for the DIII-D tokamak. Recent operational experience and results are presented

  10. Pengukuran Kinerja Supply Chain Dengan Pendekatan Supply Chain Operation References (SCOR

    Directory of Open Access Journals (Sweden)

    Rizki Wahyuniardi

    2017-12-01

    Full Text Available PT. Brodo Ganesha Indonesia is a national company engaged in manufacturing with the production of leather shoes. The company has many stakeholders and it is difficult to manage its supply chain, thereby affecting the effectiveness and efficiency of the company's supply chains. The research was conducted to measure the performance of supply chain by using Supply Chain Operation References (SCOR approach. The initial hierarchy model of performance measurement is tailored to the company's condition to measure its supply chain performance, while the normalization of Snorm De Boer serves to equalize the value of the matrix used as the measurement indicator. The level of importance of performance attributes is measured by weighting with subjective questionnaires. Value of performance attribute obtained reliability 19,74, responsiveness 16,91, agility 11,00; and asset management 12.26. The total performance score of 59.90. This value indicates that the performance of the supply chain is in an average position.

  11. Robot-Assisted Middle Pancreatectomy for Elderly Patients: Our Initial Experience

    Science.gov (United States)

    Zhang, Tian; Wang, Xinjing; Huo, Zhen; Wen, Chenlei; Wu, Zhichong; Zhan, Qian; Jin, Jiabin; Cheng, Dongfeng; Chen, Hao; Deng, Xiaxing; Shen, Baiyong; Peng, Chenghong

    2015-01-01

    Background The aim of this study was to evaluate the indications, safety, feasibility, and short- and long-term outcomes for elderly patients who underwent robot-assisted middle pancreatectomies (MPs). Material/Methods Ten patients (≥60 years) underwent robot-assisted middle pancreatectomies from 2012 to 2015. The perioperative data, including tumor size, operating time, rate of postoperative pancreatic fistula (POPF), postoperative morbidity, and other parameters, were analyzed. We collected and analyzed the follow-up information. Results The mean age of patients was 64.30 years (range, 60–73 years). The average tumor size was 2.61 cm. The 10 cases were all benign or low-grade malignant lesions. The mean operating time was 175.00 min. The mean blood loss was 113.00 ml with no blood transfusion needed. Postoperative fistulas developed in 5 patients; there were 2 Grade A fistulas and 3 grade B fistulas. There were 3 patients who underwent postoperative complications, including 2 Grade 1 or 2 complications and 1 Grade 3 complication. No reoperation and postoperative mortality occurred. The mean hospital stay was 19.91 days. After a median follow-up of 23 months, new onset of diabetes mellitus developed in 1 patient and none suffered from deterioration of previously diagnosed diabetes or exocrine insufficiency, and no tumor recurrence happened. Conclusions Robot-assisted middle pancreatectomy was safe and feasible for elderly people. It had low risk of exocrine or endocrine dysfunction and benefited patients’ long-term outcomes. Incidence of POPF was relatively high but we could prevent it from resulting in bad outcomes by scientific perioperative care and systemic treatment. PMID:26395335

  12. Effective food supply chains : generating, modelling and evaluating supply chain scenarios

    NARCIS (Netherlands)

    Vorst, van der J.G.A.J.

    2000-01-01

    Logistical co-ordination in FMCG supply chains

    The overall objectives of the research described in this thesis were to obtain insight into the applicability of the concept Supply Chain Management (SCM) in food supply chains (SCs) from a logistical point of view, and to

  13. The Professional Socialization of the Graduate Assistant Athletic Trainer

    Science.gov (United States)

    Mazerolle, Stephanie M.; Eason, Christianne M.; Clines, Stephanie; Pitney, William A.

    2015-01-01

    Context: The graduate assistant athletic trainer (AT) position often serves as one's first experience working independently as an AT and is also an important aspect of the professional socialization process. The socialization experiences of graduate assistant ATs have yet to be fully explored. Objective: To understand the socialization process for graduate assistant ATs during their graduate experience. Design: Qualitative study. Setting: We conducted phone interviews with all participants. Patients or Other Participants: A total of 25 graduate assistant ATs (20 women, 5 men) studying in 1 of 3 academic tracks: (1) accredited postprofessional athletic training program (n = 8), (2) postprofessional athletic training program (n = 11), or (3) a nonathletic training degree program (n = 6). The average age was 25 ± 5 years, and the median age was 24 years. Participants were certified by the Board of Certification for an average of 2 ± 0.4 years. Data Collection and Analysis: We analyzed the data using a general inductive approach. Peer review, field notes, and intercoder reliability established trustworthiness. Data saturation guided participant recruitment. Results: The ability to gain clinical independence as a practitioner was an important socialization process. Having the chance to develop a relationship with a mentor, who provided support, guidance, and more of a hierarchical relationship, was an important socializing agent for the graduate assistant AT. Participants used the orientation session as a means to understand the expectations and role of the graduate-assistant position. Academic coursework was a way to achieve better inductance into the role via the opportunity to apply classroom skills during their clinical practice. Conclusions: Socializing the graduate assistant blends formal and informal processes. Transition to practice is a critical aspect of the profession; thus, supporting autonomous practice with directed mentoring can promote professional

  14. Italian electricity supply contracts optimization: ECO computer code

    International Nuclear Information System (INIS)

    Napoli, G.; Savelli, D.

    1993-01-01

    The ECO (Electrical Contract Optimization) code written in the Microsoft WINDOWS 3.1 language can be handled with a 286 PC and a minimum of RAM. It consists of four modules, one for the calculation of ENEL (Italian National Electricity Board) tariffs, one for contractual time-of-use tariffs optimization, a table of tariff coefficients, and a module for monthly power consumption calculations based on annual load diagrams. The optimization code was developed by ENEA (Italian Agency for New Technology, Energy and the Environment) to help Italian industrial firms comply with new and complex national electricity supply contractual regulations and tariffs. In addition to helping industrial firms determine optimum contractual arrangements, the code also assists them in optimizing their choice of equipment and production cycles

  15. Work Floor Experiences of Supply Chain Partnering in the Dutch Housing Sector

    OpenAIRE

    Venselaar, M.H.

    2017-01-01

    Introduction and research approach The construction industry is known for its waste of money and materials, low innovative capacities, and low productivity (Cox and Thompson, 1997; Vrijhoef, 2011). One reason is that the relationships between client and contractors is often perceived as a problematic one (Tazelaar en Snijder, 2010; Vrijhoef, 2011). Since decades, attention has been paid to supply chain partnering (SCP) in the construction industry, as a promising strategy to decrease wast...

  16. Power supply of ETL-TPE 2

    International Nuclear Information System (INIS)

    Takeda, Syohei; Sato, Yasuhiro; Kiyama, Satoru; Ikeda, Nagayasu

    1986-01-01

    The ETL-TPE2 experiment is planned to investigate a behavior of high beta plasma with high temperature. A system design of power supply to generate and to confine the plasma is described. Essential features of the design are the following; 1) To obtain a dense plasma with high temperature, two capacitor banks with opposite polarities of 80 kV charging voltage are provided in tandem feed for the toroidal fast field. 2) A high current pulse with long duration is supplied by a power crowbar system and realizes the investigation of the plasma confinement for a longer pulsed magnetic field. A power supply system of the power crowbar is connected with a main circuit in series through a current transformer. The circuit system is operated at high efficiency and high reliability. 3) In the vertical and compensating field circuits, each rise time and peak value of currents can be controlled over a wide range of pre-set programmings corresponding to an experimental condition. 4) A small resistance is connected with a crowbar circuit in a compression pre-heat field circuit. The circuit can be crowbarred at an arbitrary phase. This operation and the effect of additional resistance are favourable to maintain an effective plasma heating and to improve the plasma confinement. (author)

  17. Quality Improvement Policies in a Supply Chain with Stackelberg Games

    Directory of Open Access Journals (Sweden)

    Gang Xie

    2014-01-01

    Full Text Available We first analyze quality and price decisions in a supply chain with two Stackelberg games: Manufacturer’s Stackelberg (MS and Supplier’s Stackelberg (SS. Then, we investigate how equilibrium solutions are influenced by proposed quality improvement policies: coordination and manufacturer’s involvement. Also, we derive the conditions under which the policies can be implemented in both MS and SS strategies. Numerical experiments illustrate the problems and several related issues are discussed. The results suggest that proposed quality improvement policies can realize Pareto improvement for the supply chain performance.

  18. Integral evaluation of energy supply systems at mountain refuges

    Energy Technology Data Exchange (ETDEWEB)

    Aschauer, C. [Univ. of Natural Resources and Applied Life Sciences, Vienna (Austria). Inst. for Chemical and Energy Engineering; Steinbacher, G. [Steinbacher and Steinbacher Civil Engineering Inc. (Austria); Weber, P. [DAV-Deutscher Alpenverein e.V. (Germany). Bundesgeschaeftsstelle; Deubler, Hubert

    2010-07-01

    Most of the mountain refuges scattered over the Alps (more than 1500) are not connected to public infrastructure, requiring decentralized supply and disposal and are therefore called island systems. The increasing number of guests goes along with a higher demand for comport and thus puts pressure on available resources. There are numerous challenges like remoteness, transport, low temperatures, seasonal operation and climate change to be faced. Furthermore, the supply and disposal system of an alpine hut has to merge different interests of the alpine associations, refuge operators, legal authorities and the alpine tourists. Therefore the respective infracstructure has to be managed as an overall-self-contained system. Energy supply is the central issue showing complex interaction with water supply, wastewater treatment and waste disposal. Many problems according to planning, decision-making, construction and operation concerning alpine infrastructure are reported. However detailed information on experiences made in these fields is missing at an international level so far. To correct this lack of data, the German Alpine Association (DAV) initiated the project ''Integral Evaluation of Supply and Disposal Systems of Mountain Refuges, IEVEBS'' in 2006, inviting all stakeholders (Alpine Associations, Legal Authorities, Planners, and Researchers) to participate. Additionally to the final project report which contains a detailed description and evaluation of the supply systems, guidelines will be elaborated in 2010 for planning, implementation and operation, all applicable at an international level. (orig.)

  19. Power Supplies for High Energy Particle Accelerators

    Science.gov (United States)

    Dey, Pranab Kumar

    2016-06-01

    The on-going research and the development projects with Large Hadron Collider at CERN, Geneva, Switzerland has generated enormous enthusiasm and interest amongst all to know about the ultimate findings on `God's Particle'. This paper has made an attempt to unfold the power supply requirements and the methodology adopted to provide the stringent demand of such high energy particle accelerators during the initial stages of the search for the ultimate particles. An attempt has also been made to highlight the present status on the requirement of power supplies in some high energy accelerators with a view that, precautionary measures can be drawn during design and development from earlier experience which will be of help for the proposed third generation synchrotron to be installed in India at a huge cost.

  20. Spatial adjustments of mountain channels to changes in the sediment supply regime

    Science.gov (United States)

    Elgueta, M. A.; Hassan, M. A.; von Flotow, C. M.

    2012-12-01

    Sediment supply is a key controlling factor in bed morphology and sediment mobility. Under a low supply regime, bed structuring develops and reduces sediment mobility. Under high supply, structuring is suppressed and the bed exhibits patchiness. This study examines the spatial response of a mountain stream channel to changes in the sediment supply regime. To achieve this goal, a flume experiment was conducted in the Mountain Channel Hydraulic Experimental Laboratory at the University of British Columbia. An 18 meter long, one meter wide flume, with a slope of three percent was used. Seven continuous runs were conducted. Each of them lasted 40 hours, under constant flow and different sediment supply regimes, which included no feed, constant feed and episodic supply. In each run, bed elevation, bed grain size distribution, flow resistance, sediment mobility and degree of armoring were determined. Flume results were compared to field data from a 600 meter channel reach that exhibits rapid, riffle-pool and step-pool morphology in UBC Malcolm Knapp Research Forest. The study gave the possibility to analyze in detail the spatial adjustment of a mountain channel to changes in the sediment supply regime, including episodic inputs.

  1. Construction and qualification of the Power Supply system of the AMS-02 Tracker detector

    International Nuclear Information System (INIS)

    Menichelli, M.; Accardo, L.; Ambrosi, G.; Battiston, R.; Bizzarri, M.; Blasko, S.; Cosson, D.; Fiori, E.M.; Maris, O.; Papi, A.; Scolieri, G.

    2007-01-01

    The AMS-02 Tracker power supply system, described in this paper, has been designed optimizing noise performances, modularity and efficiency. The power is distributed starting from a 28V line coming from the power distribution system is converted into the needed voltages by means of DC-DC converters, and for bias supply and front-end voltages is post-regulated by means of linear regulators. Components Off The Shelf (COTS) have been extensively used in the construction of this power supply, however various radiation test campaigns have been performed in order to verify the reliability of these components. The power supply architecture developed for the tracker detector has been used as a guideline for the development of the power supplies for the other detectors in the experiment

  2. Speech-language pathology telehealth in rural and remote schools: the experience of school executive and therapy assistants.

    Science.gov (United States)

    Fairweather, Glenn C; Lincoln, Michelle A; Ramsden, Robyn

    2017-01-01

    Difficulties in accessing allied health services, especially in rural and remote areas, appear to be driving the use of telehealth services to children in schools. The objectives of this study were to investigate the experiences and views of school executive staff and therapy assistants regarding the feasibility and acceptability of a speech-language pathology telehealth program for children attending schools in rural and remote New South Wales, Australia. The program, called Come N See, provided therapy interventions remotely via low-bandwidth videoconferencing, with email follow-up. Over a 12-week period, children were offered therapy blocks of six fortnightly sessions, each lasting a maximum of 30 minutes. School executives (n=5) and therapy assistants (n=6) described factors that promoted or threatened the program's feasibility and acceptability, during semistructured interviews. Thematic content analysis with constant comparison was applied to the transcribed interviews to identify relationships in the data. Emergent themes related to (a) unmet speech pathology needs, (b) building relationships, (c) telehealth's advantages, (d) telehealth's disadvantages, (e) anxiety replaced by joy and confidence in growing skills, and (f) supports. School executive staff and therapy assistants verified that the delivery of the school-based telehealth service was feasible and acceptable. However, the participants saw significant opportunities to enhance this acceptability through building into the program stronger working relationships and supports for stakeholders. These findings are important for the future development of allied health telehealth programs that are sustainable as well as effective and fit the needs of all crucial stakeholders. The results have significant implications for speech pathology clinical practice relating to technology, program planning and teamwork within telehealth programs.

  3. Process computers automate CERN power supply installations

    CERN Document Server

    Ullrich, H

    1974-01-01

    Computerized automation systems are being used at CERN, Geneva, to improve the capacity, operational reliability and flexibility of the power supply installations for main ring magnets in the experimental zones of particle accelerators. A detailed account of the technological problem involved is followed in the article by a description of the system configuration, the program system and field experience already gathered in similar schemes. (1 refs).

  4. North American natural gas supply dynamics: A focus on U.S. supply

    International Nuclear Information System (INIS)

    George, R.

    1999-01-01

    This paper discusses US natural gas supply dynamics in the context of the North American gas marketplace. Supply fundamentals are examined, methodology is briefly presented, regional supply outlooks are discussed. Assumptions, drivers and issues are highlighted. The analysis and outlook indicate that the sizeable North American resource base can be economically developed to supply growing US natural gas requirements. The major incremental supply sources are likely to come from deepwater Gulf of Mexico, Rocky Mountain regions, onshore Texas and imports from Canada. Given this outlook, major business and investment opportunities exist for the gas upstream and midstream sectors despite some short-term challenges

  5. A dual V t disturb-free subthreshold SRAM with write-assist and read isolation

    Science.gov (United States)

    Bhatnagar, Vipul; Kumar, Pradeep; Pandey, Neeta; Pandey, Sujata

    2018-02-01

    This paper presents a new dual V t 8T SRAM cell having single bit-line read and write, in addition to Write Assist and Read Isolation (WARI). Also a faster write back scheme is proposed for the half selected cells. A high V t device is used for interrupting the supply to one of the inverters for weakening the feedback loop for assisted write. The proposed cell provides an improved read static noise margin (RSNM) due to the bit-line isolation during the read. Static noise margins for data read (RSNM), write (WSNM), read delay, write delay, data retention voltage (DRV), leakage and average powers have been calculated. The proposed cell was found to operate properly at a supply voltage as small as 0.41 V. A new write back scheme has been suggested for half-selected cells, which uses a single NMOS access device and provides reduced delay, pulse timing hardware requirements and power consumption. The proposed new WARI 8T cell shows better performance in terms of easier write, improved read noise margin, reduced leakage power, and less delay as compared to the existing schemes that have been available so far. It was also observed that with proper adjustment of the cell ratio the supply voltage can further be reduced to 0.2 V.

  6. Performance analysis of supply chains under customer demand information sharing using role play game

    Directory of Open Access Journals (Sweden)

    T. Chinna Pamulety

    2012-04-01

    Full Text Available Supply chain is a network of organizations that work together and performs various business functions such as procurement of raw materials, converting the raw material into semi-finished or finished goods and distributing the same to their ultimate customers. Presence of bullwhip effect in a supply chain is costly and degrades the performance of the supply chain. Reduction in bullwhip effect can improve the efficiency or profitability of a supply chain. The objective of this paper is to know the impact of imperfect Advance Demand Information (ADI sharing on bullwhip effect in a four-stage serial supply chain and to evaluate the supply chain performance by conducting an experiment similar to the beer distribution game. The performance measures used are variance of orders placed by each stage, fill rate, total inventory at each stage and total holding cost of the supply chain. Results show that imperfect ADI improves the performance of the supply chain. The performance of the supply chain is also evaluated under order up to level (R, S policy with safety stock and it is found that the performance of supply chain is better when inventory policy used.

  7. Defence in depth for electric power supplies in Indian nuclear power plants

    International Nuclear Information System (INIS)

    Gupta, S.K.; Srivasista, K.; Solanki, R.B.

    2009-01-01

    The purpose of electric power supply system in a nuclear power plant is to supply and distribute reliable electric power to safety related systems and systems important to safety in various forms, arrangements and combinations of redundancy and diversity in order to perform safety functions required during operational states and design basis events (DBE) such as shutting down the reactor, maintaining the reactor in safe shutdown state, containment isolation and reactor core cooling preventing significant release of radioactive material to the environment. Hence the design basis of electric power supply systems includes identification of DBE that require power supplies, adequacy of redundancy and diversity, environmental conditions to which electric equipment are qualified, identification of loads requiring interrupted and uninterrupted power supplies, time sequence in which emergency loads are to be supplied in case of interruption, provisions for maintaining and testing, consideration for minimum duration capability of emergency power supplies during station blackout etc. Based on operation experience, results of probability safety assessment and certain weaknesses noticed in defence in depth of electric power supply systems, several continuous design improvements have been made in Indian nuclear power plants during operating phase and life extension. Instituting various tests during initial commissioning, subsequent operation and life extension has ensured high standards of performance of electric power supplies. Some of these aspects are highlighted in this paper

  8. Dealing with large-scale supply lines when introducing new regimens.

    Science.gov (United States)

    Malati, Christine; Rosenfeld, Joshua; Mowafy, Sherif; Rittmiller, Trevor; Kuritsky, Joel; Crowley, John

    2017-07-01

    As programs plan the introduction of a new antiretroviral as part of a regimen for HIV treatment, supply chain considerations need to be taken into account. The key to success is balancing the introduction of a new regimen with the phasing out of an old regimen in a manner that does not result in either a shortage or an excess supply of either product while ensuring that patients continue receiving their medications. This necessitates that country programs, donors, and procurement entities possess an appreciation of the global antiretroviral market and understand the dynamics that the manufacturing of new antiretrovirals will have on the transition. Supply, demand, and financial considerations affect the capacity of the supply chain to facilitate a successful antiretroviral transition. Although this commentary draws on United States Agency for International Development experiences under the President's Emergency Plan for AIDS Relief from earlier antiretroviral treatment shifts, the approaches are applicable to other institutions and to future transitions. Three approaches were employed: ensuring the engagement of all key stakeholders in transition planning and execution, including clinicians, advocacy groups, supply chain professionals, ministry, and donors; conducting and updating regularly the national quantification and supply plans for all regimens; and introducing antiretroviral products into programs from regional warehouses based on firm orders. Extensive planning and accounting for supply chain factors is essential to ensuring a smooth transition to a new regimen and to enable the global antiretroviral market to respond adequately.

  9. Performance calculations for battery power supplies as laboratory research tools

    International Nuclear Information System (INIS)

    Scanlon, J.J.; Rolader, G.E.; Jamison, K.A.; Petresky, H.

    1991-01-01

    Electromagnetic Launcher (EML) research at the Air Force Armament Laboratory, Hypervelocity Launcher Branch (AFATL/SAH), Eglin AFB, has focused on developing the technologies required for repetitively launching several kilogram payloads to high velocities. Previous AFATL/SAH experiments have been limited by the available power supply resulting in small muzzle energies on the order of 100's of kJ. In an effort to advance the development of EML's, AFATL/SAH has designed and constructed a battery power supply (BPS) capable of providing several mega-Amperes of current for several seconds. This system consists of six modules each containing 2288 automotive batteries which may be connected in two different series - parallel arrangements. In this paper the authors define the electrical characteristics of the AFATL Battery Power supply at the component level

  10. Supply-Chain Optimization Template

    Science.gov (United States)

    Quiett, William F.; Sealing, Scott L.

    2009-01-01

    The Supply-Chain Optimization Template (SCOT) is an instructional guide for identifying, evaluating, and optimizing (including re-engineering) aerospace- oriented supply chains. The SCOT was derived from the Supply Chain Council s Supply-Chain Operations Reference (SCC SCOR) Model, which is more generic and more oriented toward achieving a competitive advantage in business.

  11. Supply regimes in fisheries

    DEFF Research Database (Denmark)

    Nielsen, Max

    2006-01-01

    Supply in fisheries is traditionally known for its backward bending nature, owing to externalities in production. Such a supply regime, however, exist only for pure open access fisheries. Since most fisheries worldwide are neither pure open access, nor optimally managed, rather between the extremes......, the traditional understanding of supply regimes in fisheries needs modification. This paper identifies through a case study of the East Baltic cod fishery supply regimes in fisheries, taking alternative fisheries management schemes and mesh size limitations into account. An age-structured Beverton-Holt based bio......-economic supply model with mesh sizes is developed. It is found that in the presence of realistic management schemes, the supply curves are close to vertical in the relevant range. Also, the supply curve under open access with mesh size limitations is almost vertical in the relevant range, owing to constant...

  12. Supply Chain Systems Architecture and Engineering Design: Green-field Supply Chain Integration

    OpenAIRE

    Radanliev, P

    2015-01-01

    This paper developed a new theory for supply chain architecture, and engineering design that enables integration of the business and supply chain strategies. The architecture starts with individual supply chain participants and derives insights into the complex and abstract concept of green-field integration design. The paper presented a conceptual system for depicting the interactions between business and supply chain strategy engineering. The system examines the decisions made when engineer...

  13. Microwave-assisted transformations and synthesis of polymer nanocomposites and nanomaterials

    Science.gov (United States)

    The use of emerging MW-assisted chemistry techniques in conjunction with greener reaction media is dramatically reducing chemical waste and reaction times in several organic transformations and material synthesis. This account summarizes our own experience in developing MW-assist...

  14. Outcomes of ventricular assist device implantation in children and young adults: the Melbourne experience.

    Science.gov (United States)

    Shi, William Y; Marasco, Silvana F; Saxena, Pankaj; d'Udekem, Yves; Yong, Matthew S; Mitnovetski, Sergei; Brizard, Christian P; McGiffin, David C; Weintraub, Robert G; Konstantinov, Igor E

    2016-12-01

    We evaluated our experience with ventricular assist device (VAD) implantation in children and young adults. A total of 64 patients underwent VAD implantation in two centres. The mean age was 15 ± 7.2 years. Thirty-five (55%) patients were under 18 years of age. Devices implanted included the Thoratec Paracorporeal in 30 (47%) patients, Berlin Heart EXCOR in 11 (17%) and VentrAssist in 14 (22%). The diagnosis was cardiomyopathy in 53, congenital heart disease in 11, and graft failure in four patients. There were 10 (16%) in-hospital deaths. Mortality was higher in patients <18 years of age (26% compared with 3.4% for those ≥18 years, P = 0.02). The use of extracorporeal membrane oxygenation prior to VAD implantation was associated with higher mortality (P = 0.006). Seventeen (27%) patients experienced stroke. Nine patients (14%) required change of VAD because of thrombosis. Transplantation was performed in 44 patients after a mean of 131 ± 141 days on VAD, 11 patients died without transplantation and three patients currently await transplantation. The VAD was explanted in six patients because of recovery. Overall survival from VAD implantation was 69% and 61% at 5 and 10 years, respectively. The 5-year post-transplant survival for those bridged with VAD support was 91% and was comparable with a cohort of patients who did not receive a pre-transplant VAD. Children requiring pre-transplant VAD support have a higher mortality and morbidity compared with young adults. Survival after heart transplantation those supported with VADs was similar to patients of similar age who did not require pre-transplant support. © 2015 Royal Australasian College of Surgeons.

  15. A Multiobjective Optimization Model in Automotive Supply Chain Networks

    Directory of Open Access Journals (Sweden)

    Abdolhossein Sadrnia

    2013-01-01

    Full Text Available In the new decade, green investment decisions are attracting more interest in design supply chains due to the hidden economic benefits and environmental legislative barriers. In this paper, a supply chain network design problem with both economic and environmental concerns is presented. Therefore, a multiobjective optimization model that captures the trade-off between the total logistics cost and CO2 emissions is proposed. With regard to the complexity of logistic networks, a new multiobjective swarm intelligence algorithm known as a multiobjective Gravitational search algorithm (MOGSA has been implemented for solving the proposed mathematical model. To evaluate the effectiveness of the model, a comprehensive set of numerical experiments is explained. The results obtained show that the proposed model can be applied as an effective tool in strategic planning for optimizing cost and CO2 emissions in an environmentally friendly automotive supply chain.

  16. Integrated supply chain risk management

    OpenAIRE

    Riaan Bredell; Jackie Walters

    2007-01-01

    Integrated supply chain risk management (ISCRM) has become indispensable to the theory and practice of supply chain management. The economic and political realities of the modern world require not only a different approach to supply chain management, but also bold steps to secure supply chain performance and sustainable wealth creation. Integrated supply chain risk management provides supply chain organisations with a level of insight into their supply chains yet to be achieved. If correctly ...

  17. Security of supply in Competitive Electricity Markets. Conference proceedings

    International Nuclear Information System (INIS)

    2005-06-01

    A stable and reliable electricity supply is a fundamental factor in our modern economy and many people think that the deregulated market is a threat to this - or at least, they think that there is a need for a new type of regulation. Others believe that the threat to security of supply comes from short sighted politicians rather than from competitive markets. Regulation in order to increase security of supply is a threat to well functioning competitive markets - not the other way around. To give an overview of different regulatory models and to discuss each model's particular pros and cons, ELFORSK (Swedish Electrical Utilities RandD Company) on behalf of the Swedish electricity industry, the national grid company Svenska Kraftnaet and the Regulating Authority has arranged this two-day Conference. This conference once again gathers people from many different parts of the world to exchange ideas and experiences from their respective area of operations. Our belief is that people from the industry, the governments as well as from the academic world will find these two days a useful opportunity to build new relationships and gain new insights into the topics covered. There are three main topics for the Conference: Experiences from Different Markets; The Value of Security of Supply; Ongoing research projects. The members of the Conference Committee are impressed by the quality of the papers presented at this Conference and we believe that this is a source of knowledge that will influence decisions makers in many countries. (11 papers presented at the conference have been indexed separately. Powerpoint presentations have not been indexed but are available from the Market Design homrpage)

  18. Pickering NGS emergency water supply system emergency start flow simulation and experiment

    Energy Technology Data Exchange (ETDEWEB)

    Davidge, E.; Misra, A. [Ontario Power Generation Inc., Nuclear Safety Analysis & Technology Department, Toronto, Ontario (Canada)

    2012-07-01

    A proposed modification to the OPG Pickering Nuclear Generation Station Emergency Water Supply (EWS) system was analyzed using the Industry Standard Toolset code GOTHIC to determine the acceptability of the proposed system configuration during pump start-up. The new configuration of the system included a vertical dead-ended pipe, initially filled with air. The simulation demonstrated that no significant water hammer effects were predicted and tests performed with the new configuration confirmed the analysis results. (author)

  19. [Artificial muscle and its prospect in application for direct cardiac compression assist].

    Science.gov (United States)

    Dong, Jing; Yang, Ming; Zheng, Zhejun; Yan, Guozheng

    2008-12-01

    Artificial heart is an effective device in solving insufficient native heart supply for heart transplant, and the research and application of novel actuators play an important role in the development of artificial heart. In this paper, artificial muscle is introduced as the actuators of direct cardiac compression assist, and some of its parameters are compared with those of native heart muscle. The open problems are also discussed.

  20. Proposal for the award of a contract for the supply and installation of the cryogenic helium refrigeration system for the CMS experiment

    CERN Document Server

    1999-01-01

    This document concerns the award of a contract for the supply and installation of the cryogenic helium refrigeration system for the CMS Experiment. Following a market survey carried out among 22 firms in seven Member States and seven firms in two non-Member States, a call for tenders (IT-2576/EP/CMS) was sent on 17 February 1999 to two firms in two Member States and one firm in one non-Member State. By the closing date, CERN had received two tenders. The Finance Committee is invited to agree to the negotiation of a contract with AIR LIQUIDE (FR), the lowest bidder, for the supply and installation of a cryogenic helium refrigeration system for an amount of 4 552 500 euros, subject to revision, with an option for one liquid nitrogen dewar and a one-year extension of the warranty period, for an amount of 205 000 euros, subject to revision, bringing the total amount to 4 757 500 euros. At the rate of exchange given in the tender, this amount is equal to 7 612 000 Swiss francs. This procurement will be financed by...

  1. Telerobotic-assisted laparoscopic operation performed at a remote site: initial experience Cirurgia laparoscópica robotizada a distância: experiência inicial

    Directory of Open Access Journals (Sweden)

    Cássio Andreoni

    2004-06-01

    Full Text Available Robotic surgery is an option to laparoscopy that may offer some benefits including the possibility of performing surgery when the surgeon is geographically away from the patient and faster tireless repetitive movements with greater precision. At present, robot-assisted surgery has been done routinely in several institutions around the world, however, to the best of our knowledge, it is the first time such procedure is performed in our academic environment and herein is reported the first telerobotic-assisted laparoscopic cystectomy performed in a domestic pig at our institution using the Zeus®robotic system (Computer Motion, EUA. The procedure was performed using two different operating rooms geographically apart from each other. The assistant was in an operating room that was set with the operating table and the pig as well as with the Zeus® robotic arms. In the other operating room, the surgeon was seated in the control console with a three-dimensional imaging five meters away from the operating table connected with electric cables. The assistant surgeon established the pneumoperitoneum and five trocars were placed in a fan configuration. The surgeon started performing the surgery using three out of the five ports taking control of the laparoscope (voice control and manual control of laparoscopic instruments connected to the robotic arms using the joysticks. The other two ports were used by the assistant for traction and clips placement that was also necessary for exchanging the many laparoscopic instruments connected to the robot. The laparoscopic total cystectomy was successfully performed in 25 minutes with no complications. The truly benefits as well as the cost-effectiveness of the robotic surgery in our environment is yet to be determined after experience acquisition with telerobotic before start performing such procedures routinely in humans. The present report shows the technical feasibility of telerobotic surgery in a developing

  2. Families' experiences with patients who died after assisted suicide: a retrospective interview study in southern Switzerland.

    Science.gov (United States)

    Gamondi, C; Pott, M; Payne, S

    2013-06-01

    In Switzerland, if certain conditions are met, assisted suicide is not prosecuted. International debate suggests that requests for hasten death are often altered by the provision of palliative care. Aims of the study were to explore patients' reasons for choice of assisted suicide and family perceptions of the interactions with health care professionals. This is a qualitative study upon 11 relatives of 8 patients cared for by a palliative care team, deceased of assisted suicide. Pain and symptom burden were not regarded by patients as key reasons to seek assisted suicide: existential distress and fear of loss of control were the determinants. Most patients had made pre-illness decisions to use assisted suicide. A general need for perceived control and fear of dependency were reported as a common characteristic of these patients. Patients held misunderstandings about the nature and purpose of palliative care, and the interviewed indicated that patients did not regard provision of palliative care services as influential in preventing their decision. Assisted suicide was preferred despite provision of palliative care. Better understanding of the importance placed on perceived control and anticipated dependency is needed. Further research is needed to develop appropriate support for patients contemplating assisted suicide.

  3. An innovational application of digital power supply controller on SSRF dynamic power supply

    International Nuclear Information System (INIS)

    Chen Huanguang; Li Rui; Guo Chunlong; Shen Tianjian; Li Deming

    2008-01-01

    Control structure of dynamic power supply using PSI controller in SLS and Diamond is introduced. For designing dynamic power supply using PSI controller in the booster of SSRF, an innovative application of PSI digital power supply controller has been developed. In the commissioning of SSRF, the dynamic power supplies performed perfectly. (authors)

  4. Supply chain reliability modelling

    Directory of Open Access Journals (Sweden)

    Eugen Zaitsev

    2012-03-01

    Full Text Available Background: Today it is virtually impossible to operate alone on the international level in the logistics business. This promotes the establishment and development of new integrated business entities - logistic operators. However, such cooperation within a supply chain creates also many problems related to the supply chain reliability as well as the optimization of the supplies planning. The aim of this paper was to develop and formulate the mathematical model and algorithms to find the optimum plan of supplies by using economic criterion and the model for the probability evaluating of non-failure operation of supply chain. Methods: The mathematical model and algorithms to find the optimum plan of supplies were developed and formulated by using economic criterion and the model for the probability evaluating of non-failure operation of supply chain. Results and conclusions: The problem of ensuring failure-free performance of goods supply channel analyzed in the paper is characteristic of distributed network systems that make active use of business process outsourcing technologies. The complex planning problem occurring in such systems that requires taking into account the consumer's requirements for failure-free performance in terms of supply volumes and correctness can be reduced to a relatively simple linear programming problem through logical analysis of the structures. The sequence of the operations, which should be taken into account during the process of the supply planning with the supplier's functional reliability, was presented.

  5. SELECTION OF HEAT SUPPLY SOURCE FOR MOBILE BUILDING STRUCTURE

    Directory of Open Access Journals (Sweden)

    T. I. Dolgikh

    2014-01-01

    Full Text Available The paper proposes a vortex heat generator with energy transformation of the highest  state  of matter motion  into  the  lowest  one  as  a  heat  supply  source  for a mobile object. Energy transformation coefficient indices close or equal to 1 have been obtained as a result of experiments on efficiency of the vortex heat generator. Such results can be explained with the help of the 2nd Bohr quantum postulate. Standard series of certified VTG heat generators has been proposed for heat supply of the mobile object (field hospital.

  6. Hybrid modeling and empirical analysis of automobile supply chain network

    Science.gov (United States)

    Sun, Jun-yan; Tang, Jian-ming; Fu, Wei-ping; Wu, Bing-ying

    2017-05-01

    Based on the connection mechanism of nodes which automatically select upstream and downstream agents, a simulation model for dynamic evolutionary process of consumer-driven automobile supply chain is established by integrating ABM and discrete modeling in the GIS-based map. Firstly, the rationality is proved by analyzing the consistency of sales and changes in various agent parameters between the simulation model and a real automobile supply chain. Second, through complex network theory, hierarchical structures of the model and relationships of networks at different levels are analyzed to calculate various characteristic parameters such as mean distance, mean clustering coefficients, and degree distributions. By doing so, it verifies that the model is a typical scale-free network and small-world network. Finally, the motion law of this model is analyzed from the perspective of complex self-adaptive systems. The chaotic state of the simulation system is verified, which suggests that this system has typical nonlinear characteristics. This model not only macroscopically illustrates the dynamic evolution of complex networks of automobile supply chain but also microcosmically reflects the business process of each agent. Moreover, the model construction and simulation of the system by means of combining CAS theory and complex networks supplies a novel method for supply chain analysis, as well as theory bases and experience for supply chain analysis of auto companies.

  7. Solar-assisted heat pump system for cost-effective space heating and cooling

    Energy Technology Data Exchange (ETDEWEB)

    Andrews, J W; Kush, E A; Metz, P D

    1978-03-01

    The use of heat pumps for the utilization of solar energy is studied. Two requirements for a cost-effective system are identified: (1) a special heat pump whose coefficient of performance continues to rise with source temperature over the entire range appropriate for solar assist, and (2) a low-cost collection and storage subsystem able to supply solar energy to the heat pump efficiently at low temperatures. Programs leading to the development of these components are discussed. A solar assisted heat pump system using these components is simulated via a computer, and the results of the simulation are used as the basis for a cost comparison of the proposed system with other solar and conventional systems.

  8. More than Just a Break from Treatment: How Substance Use Disorder Patients Experience the Stable Environment in Horse-Assisted Therapy

    Directory of Open Access Journals (Sweden)

    Ann Kern-Godal

    2016-01-01

    Full Text Available Inclusion of horse-assisted therapy (HAT in substance use disorder (SUD treatment is rarely reported. Our previous studies show improved treatment retention and the importance of the patient–horse relationship. This qualitative study used thematic analysis, within a social constructionist framework, to explore how eight patients experienced contextual aspects of HAT's contribution to their SUD treatment. Participants described HAT as a “break from usual treatment”. However, four interrelated aspects of this experience, namely “change of focus”, “activity”, “identity”, and “motivation,” suggest HAT is more than just a break from usual SUD treatment. The stable environment is portrayed as a context where participants could construct a positive self: one which is useful, responsible, and accepted; more fundamentally, a different self from the “patient/self” receiving treatment for a problem. The implications extend well beyond animal-assisted or other adjunct therapies. Their relevance to broader SUD policy and treatment practices warrants further study.

  9. Heavy oil supply economics and supply response to low oil prices

    International Nuclear Information System (INIS)

    Fisher, L.

    1999-01-01

    The dynamics of the heavy oil industry are examined, including prices, market demand, supply and supply costs. Price assumptions are provided for the reference case oil price (west Texas intermediate at Cushing). Supply cost methodology is explained. Capital and operating costs for various heavy oil and synthetic sources are derived from modeling results. The range of supply costs for heavy oil and bitumen from various sources, supply costs in terms of reference case market values and in terms of 1995-1996 average market values for Bow River crude, are derived. The CERI long term supply forecast model is explained. Western Canada upstream oil and gas cash flow and capital expenditures, eastern Canada exploration and expenditures by hydrocarbon type, and Canadian heavy oil and bitumen production based on reference case prices are estimated. Based on these projections the outlook for heavy oil at reference case prices for better than average quality resources is judged to be economic. Lower quality resources will require technology gains for successful commercialization. SAGD is a likely candidate in this respect. Again based on reference prices, production is forecast to decline by 100 Kb/d over the next five years. Diluent supply is considered to be adequate throughout the forecast period. As far as thermal bitumen is concerned, the growth could, in fact, exceed the projection, but if so, more upgrading will be required. 11 figs

  10. Assistência farmacêutica no sistema público de saúde no Brasil Pharmaceutical assistance in the Brazilian public health care system

    Directory of Open Access Journals (Sweden)

    Fabiola Sulpino Vieira

    2010-02-01

    Full Text Available This article deals with the organization of pharmaceutical assistance within the Brazilian Public Unified Health System (Sistema Único de Saúde, SUS by analyzing the progress made so far and the challenges that still must be faced to ensure the right to universal therapeutic and pharmaceutical coverage in Brazil. Among the improvements, the article discusses the National List of Essential Drugs and its role to guide the supply, prescription, and dispensing of drugs within SUS. The structure of federal funding and the existing pharmaceutical programs are described, as well as the responsibilities of the Federal Government, states, and municipalities concerning allocation of financial resources. Despite the progress made, the model of access to SUS drugs has not been successful in securing universal therapeutic assistance. It is essential to consider a type of funding and organization of pharmaceutical assistance that is driven by a notion of regionalization, with financing based on health care flows rather than on the population circumscribed to a given territory. It is also essential to qualify pharmaceutical management by hiring pharmacists and support personnel, professionalizing workers, and setting up facilities with appropriate information systems and equipment.

  11. AC power supply systems

    International Nuclear Information System (INIS)

    Law, H.

    1987-01-01

    An ac power supply system includes a rectifier fed by a normal ac supply, and an inverter connected to the rectifier by a dc link, the inverter being effective to invert the dc output of the receiver at a required frequency to provide an ac output. A dc backup power supply of lower voltage than the normal dc output of the rectifier is connected across the dc link such that the ac output of the rectifier is derived from the backup supply if the voltage of the output of the inverter falls below that of the backup supply. The dc backup power may be derived from a backup ac supply. Use in pumping coolant in nuclear reactor is envisaged. (author)

  12. The Ventricular Assist Device in the Life of the Child: A Phenomenological Pediatric Study

    Science.gov (United States)

    van Manen, Michael A.

    2017-01-01

    What is it like for a child to live with an artificial heart? The use of some medical therapies in children requires developmental considerations, is associated with psychosocial consequences, and calls for ethical sensitivities. A critical case is the ventricular assist device (VAD), a mechanical pump used to support the functioning of a failing heart. As a pediatric therapy, the device can be used as a temporary solution for poor heart function, a bridge to transplantation or recovery, or as a destination therapy. While the mechanical-technical operation of the VAD is well understood, the clinical-technical aspects of young people living with this device are largely unexplored. Drawing on interviews of school-aged children, the aim of this phenomenological study is to explore how a VAD may structure or condition a child’s meaningful experience of their world outside the hospital. The driveline of an implanted VAD is the peripheral attachment, extruding through the skin to connect the controller-power supply. The materiality of the device may be interruptive, restrictive, and disturbing to the psycho-physical being and sense of self-identity of the child as a child. And while a child equipped with a VAD is not necessarily conspicuous among other children, the child may experience the device as an exposing presence, while living with the worry of a caregiver who takes on the role not simply of parent but of watchful health professional. A phenomenological understanding of the VAD should assist parents and caregiving health professionals knowing how to deal with specific issues arising in the life of the VAD child. PMID:28682718

  13. Comparison of series regulated neutral beam accel supplies with shunt regulated accel supplies

    International Nuclear Information System (INIS)

    Baker, W.; Smith, B.H.

    1976-01-01

    This study was undertaken to get a direct comparison between comparable series and shunt regulated power supplies. It is intended that the two supplies will be strictly equivalent with the same safety factors in the design of each type and the cost estimates made on the same basis. The series regulated power supply is simply a scaled up version of the 2XIIB Accel Supplies. Each supply provides 150 kV, 65 ampere, 500 ms pulse output such as will be used on the TFTR sources. The shunt regulated power supply uses high reactance transformers to provide the series impedance for the shunt regulator. The most significant difference in the performance of the two types of power supplies is that the shunt regulated supply has a minimum interrupt period of 16 ms, whereas the series regulated supply can have about 0.5 ms. Even this difference can be eliminated with a commutator circuit such as is being developed in Berkeley for the 150 kV, 20 ampere system. The 16 ms period is probably not a very serious limitation because it still permits up to 31 interrupts per 500 ms pulse. The shunt regulated system appears to be about 37 percent less expensive than the series system

  14. Measuring Labour Supply Responses to Tax Changes by Use of Exogenous Tax Reforms

    DEFF Research Database (Denmark)

    Graversen, Ebbe Krogh

    1996-01-01

    This paper estimates average labour supply responses to tax changes for women in Denmark using the tax reform in 1987 as a natural experiment to identify the responsiveness to tax changes. Both changes in the participation rate and in worki ng hous are considered. A nonparametric difference......-in-difference (DID) estimator and a suitable modified parametric DID estimator are used to estimate the labour supply responses and calculate labour supply elasticities with respect to marg inal tax rates and wage rates net of taxes. Finally, we simulate the effect of the fully implemented Danish 1994/1998 tax...

  15. Design of a predictive control strategy for an automotive electrically-assisted waste heat recovery system with preview

    NARCIS (Netherlands)

    Seretis, M.

    2017-01-01

    This report regards the development of a predictive control strategy for an automotive electrically-assisted Waste Heat Recovery System (eWHR) with preview information. In this system, the energy recovery is decoupled from the energy supply to the engine. For such dynamical systems with energy

  16. Optimal inventory policies with non-stationary supply disruptions and advance supply information

    NARCIS (Netherlands)

    Atasoy, B.; Güllü, R.; Tan, T.

    2012-01-01

    We consider the production/inventory problem of a manufacturer (or a retailer) under non-stationary and stochastic supply availability. Although supply availability is uncertain, the supplier would be able to predict her near future shortages – and hence supply disruption to (some of) her customers

  17. Optimal inventory policies with non-stationary supply disruptions and advance supply information

    NARCIS (Netherlands)

    Atasoy, B.; Güllü, R.; Tan, T.

    2011-01-01

    We consider the production/inventory problem of a manufacturer (or a retailer) under non-stationary and stochastic supply availability. Although supply availability is uncertain, the supplier would be able to predict her near future shortages -and hence supply disruption to (some of) her customers-

  18. Network design and operational modelling for construction green supply chain management

    Directory of Open Access Journals (Sweden)

    Pengfei Zhou Dong Chen

    2013-01-01

    Full Text Available Based on studying organizational structure of Construction Green Supply Chain Management (CGSCM, a mathematical programming model of CGSCM was proposed. The model aimed to maximize the aggregate profits of normalized construction logistics, the reverse logistics and the environmental performance. Numerical experiments show that the proposed approach can improve the aggregate profit effectively. In addition, return ratio, subsidies from governmental organizations, and environmental performance were analyzed for CGSCM performance. Herein, the proper return, subsidy and control strategy could optimize construction green supply chain.

  19. Experiences Providing Medical Assistance during the Sewol Ferry Disaster Using Traditional Korean Medicine

    OpenAIRE

    Kim, Kyeong Han; Jang, Soobin; Lee, Ju Ah; Jang, Bo-Hyoung; Go, Ho-Yeon; Park, Sunju; Jo, Hee-Guen; Lee, Myeong Soo; Ko, Seong-Gyu

    2017-01-01

    Background. This study aimed to investigate medical records using traditional Korean medicine (TKM) in Sewol Ferry disaster in 2014 and further explore the possible role of traditional medicine in disaster situation. Methods. After Sewol Ferry accident, 3 on-site tents for TKM assistance by the Association of Korean Medicine (AKOM) in Jindo area were installed. The AKOM mobilized volunteer TKM doctors and assistants and dispatched each on-site tent in three shifts within 24 hours. Anyone coul...

  20. Public-supply water use and self-supplied industrial water use in Tennessee, 2010

    Science.gov (United States)

    Robinson, John A.

    2018-04-26

    The U.S. Geological Survey (USGS), in cooperation with the Tennessee Department of Environment and Conservation, Division of Water Resources, prepared this report and displayed and analyzed water use by self-supplied industrial and public-supply water systems in Tennessee for 2010. Public-supply water systems in Tennessee provide water for domestic, industrial, and commercial uses and for municipal services. In 2010, 474 public-supply water systems distributed 917 million gallons per day (Mgal/d) of surface water (67 percent, 617 Mgal/d) and groundwater (33 percent, 300 Mgal/d) to a population of 5.7 million in Tennessee. Gross per capita water use in Tennessee during 2010 was 162 gallons per day.Since 1950, water withdrawals by public-supply water systems in Tennessee have increased from 160 Mgal/d to 917 Mgal/d in 2010. Each of the 95 counties in Tennessee was served by at least 1 public-supply water system in 2010. Tennessee public-supply water systems withdraw less groundwater than surface water, and surface-water use has increased at a faster rate than groundwater use. Since 2005, surface-water withdrawals have increased by 26 Mgal/d, and groundwater withdrawals have decreased by 29 Mgal/d, which is the first decrease in groundwater withdrawals since 1950; however, 29 systems reported increased groundwater withdrawals during 2010, and 12 of these 29 systems reported increases of 1 Mgal/d or more. Davidson County had the largest surface-water withdrawal rate (136 Mgal/d) in 2010. The largest groundwater withdrawal rate (151 Mgal/d) by a single public-supply water system was reported by Memphis Light, Gas and Water, which served more than 669,000 people in Shelby County in 2010.Self-supplied industrial water use includes water for such purposes as fabrication, processing, washing, diluting, cooling, or transporting a product; incorporating water into a product; or for sanitation needs in facilities that manufacture various products. Water withdrawals for self-supplied