WorldWideScience

Sample records for care current capabilities

  1. Bubble Radiation Detection: Current and Future Capability

    Energy Technology Data Exchange (ETDEWEB)

    AJ Peurrung; RA Craig

    1999-11-15

    Despite a number of noteworthy achievements in other fields, superheated droplet detectors (SDDs) and bubble chambers (BCs) have not been used for nuclear nonproliferation and arms control. This report examines these two radiation-detection technologies in detail and answers the question of how they can be or should be ''adapted'' for use in national security applications. These technologies involve closely related approaches to radiation detection in which an energetic charged particle deposits sufficient energy to initiate the process of bubble nucleation in a superheated fluid. These detectors offer complete gamma-ray insensitivity when used to detect neutrons. They also provide controllable neutron-energy thresholds and excellent position resolution. SDDs are extraordinarily simple and inexpensive. BCs offer the promise of very high efficiency ({approximately}75%). A notable drawback for both technologies is temperature sensitivity. As a result of this problem, the temperature must be controlled whenever high accuracy is required, or harsh environmental conditions are encountered. The primary findings of this work are listed and briefly summarized below: (1) SDDs are ready to function as electronics-free neutron detectors on demand for arms-control applications. The elimination of electronics at the weapon's location greatly eases the negotiability of radiation-detection technologies in general. (2) As a result of their high efficiency and sharp energy threshold, current BCs are almost ready for use in the development of a next-generation active assay system. Development of an instrument based on appropriately safe materials is warranted. (3) Both kinds of bubble detectors are ready for use whenever very high gamma-ray fields must be confronted. Spent fuel MPC and A is a good example where this need presents itself. (4) Both kinds of bubble detectors have the potential to function as low-cost replacements for conventional neutron

  2. Capability to care and work: when dual roles intersect

    Directory of Open Access Journals (Sweden)

    Barbara Horrell

    2014-07-01

    Full Text Available Ageing in place is a cost-effective policy solution to eldercare that reflects a dominant positive ageing discourse of choice and independence. It satisfies older people's preference to remain at home and be involved in their community, but depends upon the provision of care and support for frail elders, particularly the oldest-old, who require assistance to achieve these goals. The traditional provision of unpaid eldercare by female relatives is changing as women are increasingly working outside the home, and they have to choose between, or manage, dual roles of caregiving and paid work. Negative effects on health, paid employment, and finances are associated with the intersection of eldercare and employment. Solutions involve reducing or relinquishing paid employment, which would have financial, social, physical, and emotional ramifications in the future. However, being able to successfully accommodate both roles provides a sense of satisfaction and fulfilment. To understand the complexity of managing the tension between work and eldercare requires a detailed analysis of unpaid caregivers’ daily lives. This paper presents findings about eldercare provision and paid work, derived from two qualitative studies that used a participatory methodology for an in-depth exploration of caregivers’ health. The participants’ stories demonstrate that rather than reflecting on access to a range of options, caregivers’ choices are constrained, and involve trading work and other capabilities for the capability to care. Providing care for a loved elder was the first priority, followed by paid work. Having the capability to maintain a healthy and balanced life was the caregivers’ lowest priority. Unpaid informal care has benefits for elders, and it is a valued emotional relationship for caregivers; however, future social policy should address the difficulties that caregiving creates in people's lives along with focusing on the benefits that such care

  3. [Current Care Guideline: Eating disorders].

    Science.gov (United States)

    Suokas, Jaana; Alenius, Heidi; Ebeling, Hanna; Haapasalo-Pesu, Kirsi-Maria; Järvi, Leea; Koskinen, Minna; Laukkanen, Eila; Meskanen, Katarina; Morin-Papunen, Laure; Ryöppönen, Anita; Salonen, Ulla; Tossavainen, Päivi; Vuorela, Piia

    2015-01-01

    Early diagnosis with intervention is linked to better outcome. In primary care patients in risk for eating disorder should be screened and actively asked about eating disorder symptoms. Treatment is mainly out-patient care and should first be focused on gaining a normal nutritional status. It is important to involve the patient's family in the treatment. A confidential relationship between health care professionals and the patient is important. The patient's own motivation and readiness for recuperation are essential. Different therapeutic and psychosocial approaches are central in the treatment, as the disorders are psychiatric. Medical treatment may bring additional help in treating binge-eating disorder or bulimia nervosa, but it is seldom of help in treating anorexia nervosa. PMID:26245050

  4. Optimization of the EC Heating and Current Drive Capabilities

    International Nuclear Information System (INIS)

    Full text: A 24 MW CW Electron Cyclotron Heating and Current Drive (EC H&CD) system operating at 170 GHz is to be installed for the ITER tokamak. The ITER EC system will represent a large step forward in the use of microwave systems for plasma heating and current drive applications. Present day systems are operating in relatively short pulses (≤ 10 s) and installed power levels of ≤ 4.5 MW, while the ITER EC system parameters are CW operation and 20 MW injected power. The technical challenge facing the development and installation of the EC system is further complicated due to the harsh ITER in-vessel environment and complicated procurement strategy. The ITER EC international community has confronted these challenges, aiming at integrating the modifications proposed from the 2007 ITER design review and further enhancing the EC system capabilities. These changes have not only simplified the technical design, but have also simplified the procurement interfaces and increased the functional capabilities for plasma heating and current drive applications. The functional improvements include increasing the access of the EC power from ∼ 50% to nearly ∼ 90% of the plasma cross section. In particular the UL has been modified to allow power deposition over the range of ∼ 0.3 ≤ ρΤ ≤ 0.9 compared to previous access of ∼ 0.55 ≤ ρΤ ≤ 0.85 (where ρΤ is the square root of the normalized toroidal flux). This allows the UL to be applicable for a broader access for stabilization of neoclassical tearing modes (NTMs) and sawtooth instability. The EC heating is functionally limited in magnetic field region depending on the resonant harmonic. The heating access in ITER was assumed to be applicable over ∼ 33% of the range from 2.3 T to 5.3 T, regions of fundamental and second harmonics. Recent analysis associated with the EL has demonstrated that the EC system is applicable over a much broader range: ∼ 75% for central heating (ρΤ ≤ 0.5) and ∼ 90% for L

  5. Current status and scientific capabilities of the Rosetta lander payload

    Science.gov (United States)

    Biele, J.; Ulamec, S.; Feuerbacher, B.; Rosenbauer, H.; Mugnuolo, R.; Moura, D.; Bibring, J. P.

    ESA's cornerstone mission "ROSETTA" to comet 46P/Wirtanen will bring a 100 kg Lander (provided by an international European consortium) with a scientific payload of about 27 kg to the surface of the comet's nucleus. After a first scientific sequence it will operate for a considerable fraction of the cometary orbit around the sun (between 3 AU and 2 AU). The Lander is an autonomous spacecraft, powered with solar cells and using the ROSETTA Orbiter as a telemetry relais to Earth. The main scientific objectives are the in-situ investigation of the chemical, elemental, isotopic and mineralogical composition of the comet, study of the physical properties of the surface material, analyze the internal structure of the nucleus, observe temporal variations (day/night cycle, approach to sun), study the relationship between the comet and the interplanetary matter and provide ground reference data for Orbiter instruments. Ten experiments with a number of sub-experiments are foreseen to fulfil these objectives. In this paper we present the current status of the instrumental development and the scientific capabilities of each of the experiments.

  6. The ESA River & Lake System: Current Capabilities and Future Potential

    DEFF Research Database (Denmark)

    Smith, Richard G.; Salloway, Mark; Berry, Philippa A. M.;

    Measuring the earth's river and lake resources using satellite radar altimetry offers a unique global monitoring capability, which complements the detailed measurements made by the steadily decreasing number of in-situ gauges. To exploit this unique remote monitoring capability, a global pilot sc...

  7. Current Capabilities and Development Potential in Surgical Robotics

    OpenAIRE

    Mathias Hoeckelmann; Imre J. Rudas; Paolo Fiorini; Frank Kirchner; Tamas Haidegger

    2015-01-01

    Commercial surgical robots have been in clinical use since the mid-1990s, supporting surgeons in various tasks. In the past decades, many systems emerged as research platforms, and a few entered the global market. This paper summarizes the currently available surgical systems and research directions in the broader field of surgical robotics. The widely deployed teleoperated manipulators aim to enhance human cognitive and physical skills and provide smart tools for surgeons, while image-guided...

  8. Computational fluid dynamics - Current capabilities and directions for the future

    Science.gov (United States)

    Kutler, Paul

    1989-01-01

    Computational fluid dynamics (CFD) has made great strides in the detailed simulation of complex fluid flows, including some of those not before understood. It is now being routinely applied to some rather complicated problems and starting to affect the design cycle of aerospace flight vehicles and their components. It is being used to complement, and is being complemented by, experimental studies. Several examples are presented in the paper to illustrate the current state of the art. Included is a discussion of the barriers to accomplishing the basic objective of numerical simulation. In addition, the directions for the future in the discipline of computational fluid dynamics are addressed.

  9. Current capabilities and future needs for semiconductor ion implantation (invited)

    International Nuclear Information System (INIS)

    For many years the largest commercial application for particle accelerators has been semiconductor ion implantation. These tools differ from other accelerators in many respects. In particular they are automated to a very high degree and, in addition to technical performance requirements their success depends on other key metrics including productivity, availability and cost of ownership. These tools also operate with a large variety of species, four orders of magnitude of energy range and five orders of magnitude of dose range. The ion source is a key component of implanters with its own performance metrics that include beam current, lifetime, and materials cost. In this paper, we describe the primary applications for ion implantation and some of the beam line architectures that are used. We describe the ion source that has evolved for this application. Some key future challenges for implanter ion source development are also discussed.

  10. Current Capabilities and Development Potential in Surgical Robotics

    Directory of Open Access Journals (Sweden)

    Mathias Hoeckelmann

    2015-05-01

    Full Text Available Commercial surgical robots have been in clinical use since the mid-1990s, supporting surgeons in various tasks. In the past decades, many systems emerged as research platforms, and a few entered the global market. This paper summarizes the currently available surgical systems and research directions in the broader field of surgical robotics. The widely deployed teleoperated manipulators aim to enhance human cognitive and physical skills and provide smart tools for surgeons, while image-guided robotics focus on surpassing human limitations by introducing automated targeting and treatment delivery methods. Both concepts are discussed based on prototypes and commercial systems. Through concrete examples the possible future development paths of surgical robots are illustrated. While research efforts are taking different approaches to improve the capacity of such systems, the aim of this survey is to assess their maturity from the commercialization point of view.

  11. Simulating Current and Future Optical Ground Based NEO Surveys Capabilities

    Science.gov (United States)

    Grav, Tommy; Spahr, Tim; Mainzer, Amy

    2015-08-01

    Surveys for near-Earth objects (NEOs) have undergone rapid development over the last decade. The current suite of surveys have discovered more than 12,000 NEOs to date and are now discovering more than 1,000 NEOs per year. More than 90% of NEOs larger than 1 km in diameter have been discovered to date, representing considerable progress by the astronomical community (Mainzer et al. 2011, 2012). In 2005, Congress mandated that NASA should discover 90% of objects larger than 140 meter in diameter in 15 years, i.e. before 2020. We have undertaken a project to perform high-fidelity simulations of a variety of ground-based optical surveys, including present and future facilities, to evaluate the potential of these projects to reach this Congressionally mandated goal. Our survey simulations includes NEO population models based on the orbital element models of Bottke et al. (2002), Grav et al. (2011), and Greenstreet et al. (2013) as well as physical properties derived from recent measurements of diameters and albedos from Mainzer et al. (2011, 2012). The simulations replicates the performance of the existing suite of ground-based projects such as the Catalina Sky Survey and Pan-STARRS and predicts the performance of future large scale ground-based optical surveys.

  12. Emissions Estimation from Satellite Retrievals: a Review of Current Capability

    Science.gov (United States)

    Streets, David; Canty, Timothy; Carmichael, Gregory R.; deFoy, Benjamin; Dickerson, Russell R.; Duncan, Bryan N.; Edwards, David P.; Haynes, John A.; Henze, Daven K.; Houyoux, Marc R.; Jacob, Daniel J.; Krotkov, Nickolay A.; Lamsal, Lok N.; Liu, Yang; Lu, Zifeng; Martin, Randall V.; Pfister, Gabriele G.; Pinder, Robert W.; Salawitch, Ross J.; Wecht, Kevin J.

    2013-01-01

    Since the mid-1990s a new generation of Earth-observing satellites has been able to detect tropospheric air pollution at increasingly high spatial and temporal resolution. Most primary emitted species can be measured by one or more of the instruments. This review article addresses the question of how well we can relate the satellite measurements to quantification of primary emissions and what advances are needed to improve the usability of the measurements by U.S. air quality managers. Built on a comprehensive literature review and comprising input by both satellite experts and emission inventory specialists, the review identifies several targets that seem promising: large point sources of NOx and SO2, species that are difficult to measure by other means (NH3 and CH4, for example), area sources that cannot easily be quantified by traditional bottom-up methods (such as unconventional oil and gas extraction, shipping, biomass burning, and biogenic sources), and the temporal variation of emissions (seasonal, diurnal, episodic). Techniques that enhance the usefulness of current retrievals (data assimilation, oversampling, multi-species retrievals, improved vertical profiles, etc.) are discussed. Finally, we point out the value of having new geostationary satellites like GEO-CAPE and TEMPO over North America that could provide measurements at high spatial (few km) and temporal (hourly) resolution.

  13. Analysis of current driving capability of pentacene TFTs for OLEDs

    Science.gov (United States)

    Ryu, Gi Seong; Byun, Hyun Sook; Xu, Yong Xian; Pyo, Kyung Soo; Choe, Ki Beom; Song, Chung Kun

    2005-01-01

    The flexible display and the application of Roll-To-Roll process is difficult because high temperature process of a-Si;H TFT and poly-Si TFT limited the use of plastic substrate. We proposed AMOLED using Pentacene TFT (OTFT) to fabricate flexible display. The first stage for OTFT application to OLED, we analyzed OTFT as driving device of OLED. The process performed on glass and plastic (PET) substrate that is coated ITO and PVP is used for gate insulator. The field effect mobility of the fabricated OTFT is 0.1~0.3cm2/V"sec and Ion/Ioff current ratio is 103~105. OLED is fabricated with two stories structure of TPD and Alq3, and we can observe the light at 5V by the naked eye. The wavelength of observed lights is 530nm ~550nm. We can confirm the driving of OLED due to OTFT using Test panel and observe OLED control by gate voltage of OTFT. Also, we verify designed structure and process, and make a demonstration fabricating 64 by 64 backplane based on Test panel.

  14. The health capability paradigm and the right to health care in the United States.

    Science.gov (United States)

    Ruger, Jennifer Prah

    2016-08-01

    Against a backdrop of non-ideal political and legal conditions, this article examines the health capability paradigm and how its principles can help determine what aspects of health care might legitimately constitute positive health care rights-and if indeed human rights are even the best approach to equitable health care provision. This article addresses the long American preoccupation with negative rights rather than positive rights in health care. Positive health care rights are an exception to the overall moral range and general thrust of U.S. legal doctrine. Some positive rights to health care have arisen from U.S. Constitutional Eighth Amendment cases and federal and state laws like Medicare, Medicaid, the State Children's Health Insurance Program, the Emergency Medical Treatment and Active Labor Act, and the Patient Protection and Affordable Care Act. Finally, this article discusses some of the difficulties inherent in implementing a positive right to health care in the U.S. PMID:27543139

  15. Simultaneous effect of disabling conditions on primary health care use through a capability approach.

    Science.gov (United States)

    Bussière, Clémence; Sicsic, Jonathan; Pelletier-Fleury, Nathalie

    2016-04-01

    There is evidence of social disparities in the use of primary health services in most European countries, and these disparities particularly affect people with disabilities. Many determinants of disabilities interact to limit access to health care (e.g. impairments, functional limitations, educational level). However, these determinants have typically been examined separately. We adopted a capabilities perspective to define multidimensional disability. Capabilities refer to individuals' real opportunities to achieve possible outcomes. In this context, we aimed to assess disability through latent capabilities (shaped by personal, social and environmental variables) and to simultaneously analyze their effects on primary health care use (GP and nurse care; cervical, breast, and colorectal cancer screenings). We used a structural equation modeling framework, which allowed complete and simultaneous tests of relationships taking into account measurement errors. The data source was the 2008 French Health and Disability Survey (29,931 individuals). Potential disability-related determinants were selected to measure five latent variables: health condition and cognitive, physical, societal, and socioeconomic capabilities. All things being equal, we did not identify any specific barriers to GP care use. We found a lower likelihood of nursing care use among people with lower cognitive capabilities. Unlike usual findings, we did not observe a significant influence of either cognitive or physical capabilities for any type of cancer screening use. However, cancer screening participation was mainly affected by societal and socioeconomic capabilities. Considering the capability approach, which suggests public action oriented toward restoring capabilities of individuals, future programs should seek to increase societal support to compensate for disability. This approach could be helpful in reducing inequalities in health care access. PMID:26945545

  16. Current trends in palliative heart care.

    Science.gov (United States)

    Shi, Rongyun

    2016-02-01

    Palliative care is an alternate therapeutic approach that involves specialised medical care of a patient diagnosed with serious life threatening illness like heart failure (HF). The prime aim of the palliative care is to provide patient with relief from the symptoms, pain, physical stress, and mental stress of the diagnosed disease. The palliative care helps in improving the quality of life for both the patient and the family. Advanced HF is a disease process that carries a high burden of symptoms, suffering, and death. Palliative care can complement traditional care to improve symptom amelioration, patient-caregiver communication, emotional support, and medical decision making. The present review summarized all the available on alternative palliative approaches provided to heart patient by a team of physicians, nurses and other healthcare professionals. PMID:25926080

  17. Health care retail clinics: current perspectives

    OpenAIRE

    Kaissi, Amer

    2016-01-01

    Amer Kaissi Department of Health Care Administration, Trinity University, San Antonio, TX, USA Abstract: Retail clinics represent a major innovation with a radical value proposition in American health care: convenient locations and hours, walk-in care, short waiting times, and transparent pricing. Many organizations, groups, associations, and individual providers affect and are affected by retail clinics. The main winners from the retail clinic trend are insurance companies and third-party p...

  18. Current physiotherapy approaches in intensive care units

    OpenAIRE

    Yurdalan, S. Ufuk

    2011-01-01

    Physiotherapy is a part of the multidisciplinary treatment in different intensive care units. Respiratory, cardiovascular and neuromusculoskeletal- focused physiotherapy programmes and prevention of the respiratory, neuromuscular complications which may be possible, developing the exercise capacity related to inspiratory muscle function in critically patients internalized and postoperative cases in intensive care unit are clinical targets. It is known that physiotherapy initiated early is rel...

  19. Estimating Heat and Mass Transfer Processes in Green Roof Systems: Current Modeling Capabilities and Limitations (Presentation)

    Energy Technology Data Exchange (ETDEWEB)

    Tabares Velasco, P. C.

    2011-04-01

    This presentation discusses estimating heat and mass transfer processes in green roof systems: current modeling capabilities and limitations. Green roofs are 'specialized roofing systems that support vegetation growth on rooftops.'

  20. Assessing organizational readiness for depression care quality improvement: relative commitment and implementation capability

    OpenAIRE

    Rubenstein, Lisa V; Danz, Marjorie S; Crain, A. Lauren; Glasgow, Russell E.; Whitebird, Robin R.; Solberg, Leif I.

    2014-01-01

    Background Depression is a major cause of morbidity and cost in primary care patient populations. Successful depression improvement models, however, are complex. Based on organizational readiness theory, a practice’s commitment to change and its capability to carry out the change are both important predictors of initiating improvement. We empirically explored the links between relative commitment (i.e., the intention to move forward within the following year) and implementation capability. Me...

  1. IT capabilities within the Dutch SME first line health care sector

    OpenAIRE

    Maris, Arjen; Ravesteijn, Pascal; Versendaal, Johan; Smit, Kobus

    2015-01-01

    The complexity of Information Technology (IT) is increasing; so are customer expectations. Consequently it is not easy for especially small and medium enterprises (SMEs) to keep track of all IT-developments, let alone leverage them in business operations with the aim to satisfy increasingly demanding customers. This also holds for the health care sector. This research is focussed on first line health care, and deals with the following research question; ‘which IT capabilities do SMEs within t...

  2. Five-Level Current-Source Inverters With Buck–Boost and Inductive-Current Balancing Capabilities

    DEFF Research Database (Denmark)

    Gao, Feng; Loh, Poh Chiang; Blaabjerg, Frede; Vilathgamuwa, D. Mahinda

    2010-01-01

    This paper presents new five-level current-source inverters (CSIs) with voltage/current buck–boost capability, unlike existing five-level CSIs where only voltage–boost operation is supported. The proposed inverters attain self-inductive-currentbalancing per switching cycle at their dc front ends...... verified in simulation and experimentally using a scaled-down laboratory platform....

  3. Care pathways for dementia: current perspectives

    Directory of Open Access Journals (Sweden)

    Samsi K

    2014-11-01

    Full Text Available Kritika Samsi, Jill ManthorpeSocial Care Workforce Research Unit, King’s College London, London, UKAbstract: Uncertainty appears to typify the experience of living with dementia. With an uncertain illness trajectory and unpredictable levels of deterioration and stability in symptoms, people with a diagnosis of dementia may live with uncertainty and anxiety and find it hard to make plans or decisions for their future. People with memory problems and caregivers seeking a diagnosis of dementia may also potentially find themselves navigating a labyrinth-like maze of services, practitioners, assessments, and memory tests, with limited understanding of test scores and little information about what support is available. In this context of uncertainty, the apparent clarity and certainty of a “dementia care pathway” may be attractive. However, the term “dementia care pathway” has multiple and overlapping meanings, which can potentially give rise to further confusion if these are ill-defined or a false consensus is presumed. This review distinguishes four meanings: 1 a mechanism for the management and containment of uncertainty and confusion, useful for the professional as well as the person with dementia; 2 a manual for sequencing care activities; 3 a guide to consumers, indicating eligibility for care activities, or a guide to self-management for dementia dyads, indicating the appropriateness of care activities; and 4 a manual for “walking with” the person. Examples of these approaches are presented from UK dementia services with illustrations of existing care pathways and associated time points, specifically focusing on: 1 early symptom identification and first service encounters, 2 assessment process, 3 diagnostic disclosure, 4 postdiagnostic support, and 5 appropriate interventions. We review the evidence around these themes, as well as discuss service pathways and referral routes used by some services in England and internationally. We

  4. Access To Medical Health Care And its Current Health Care Policy: Malaysia

    OpenAIRE

    Chong, Chyi Ming

    2005-01-01

    The indications of Malaysia government to remove its subsidize policy in its health care system and privatizing certain hospitals and health care services has inflicted numerous heated debates and discussions among individuals and Non-Governmental Organizations (NGO). The author wishes to contribute some insightful information to the public through her research about Malaysia citizen’s access to medical health care inline with its current health care system and policy. Health care systems of ...

  5. Large-Eddy Simulation: Current Capabilities, Recommended Practices, and Future Research

    Science.gov (United States)

    Georgiadis, Nicholas J.; Rizzetta, Donald P.; Fureby, Christer

    2009-01-01

    This paper presents the results of an activity by the Large Eddy Simulation (LES) Working Group of the AIAA Fluid Dynamics Technical Committee to (1) address the current capabilities of LES, (2) outline recommended practices and key considerations for using LES, and (3) identify future research needs to advance the capabilities and reliability of LES for analysis of turbulent flows. To address the current capabilities and future needs, a survey comprised of eleven questions was posed to LES Working Group members to assemble a broad range of perspectives on important topics related to LES. The responses to these survey questions are summarized with the intent not to be a comprehensive dictate on LES, but rather the perspective of one group on some important issues. A list of recommended practices is also provided, which does not treat all aspects of a LES, but provides guidance on some of the key areas that should be considered.

  6. Capabilities of the ITER Electron Cyclotron Equatorial Launcher for Heating and Current Drive

    Directory of Open Access Journals (Sweden)

    Ramponi G.

    2012-09-01

    Full Text Available The ITER Electron Cyclotron Equatorial Launcher is designed to be one of the heating systems to assist and sustain the development of various ITER plasma scenarios starting with the very first plasma operation. Here the capabilities for Heating and Current Drive of this system are reviewed. In particular, the optimum launching conditions are investigated for two scenarios at burn, comparing toroidal and poloidal steering options. Then, the EC capabilities are investigated for different plasma parameters corresponding to various phases of the ITER plasma discharge, from current ramp-up up to burn, and for a wide range of magnetic field, focusing in particular on the EC potential for heating and for L to H-mode assist. It is found that the EC system can contribute to a wide range of heating scenarios during the ramp-up of the magnetic field, significantly increasing the applicable range as a function of magnetic field.

  7. Current status of neonatal intensive care in India.

    Science.gov (United States)

    Karthik Nagesh, N; Razak, Abdul

    2016-05-01

    Globally, newborn health is now considered as high-level national priority. The current neonatal and infant mortality rate in India is 29 per 1000 live births and 42 per 1000 live births, respectively. The last decade has seen a tremendous growth of neonatal intensive care in India. The proliferation of neonatal intensive care units, as also the infusion of newer technologies with availability of well-trained medical and nursing manpower, has led to good survival and intact outcomes. There is good care available for neonates whose parents can afford the high-end healthcare, but unfortunately, there is a deep divide and the poor rural population is still underserved with lack of even basic newborn care in few areas! There is increasing disparity where the 'well to do' and the 'increasingly affordable middle class' is able to get the most advanced care for their sick neonates. The underserved urban poor and those in rural areas still contribute to the overall high neonatal morbidity and mortality in India. The recent government initiative, the India Newborn Action Plan, is the step in the right direction to bridge this gap. A strong public-private partnership and prioritisation is needed to achieve this goal. This review highlights the current situation of neonatal intensive care in India with a suggested plan for the way forward to achieve better neonatal care. PMID:26944066

  8. Extreme Environment Simulation - Current and New Capabilities to Simulate Venus and Other Planetary Bodies

    Science.gov (United States)

    Kremic, Tibor; Vento, Dan; Lalli, Nick; Palinski, Timothy

    2014-01-01

    Science, technology, and planetary mission communities have a growing interest in components and systems that are capable of working in extreme (high) temperature and pressure conditions. Terrestrial applications range from scientific research, aerospace, defense, automotive systems, energy storage and power distribution, deep mining and others. As the target environments get increasingly extreme, capabilities to develop and test the sensors and systems designed to operate in such environments will be required. An application of particular importance to the planetary science community is the ability for a robotic lander to survive on the Venus surface where pressures are nearly 100 times that of Earth and temperatures approach 500C. The scientific importance and relevance of Venus missions are stated in the current Planetary Decadal Survey. Further, several missions to Venus were proposed in the most recent Discovery call. Despite this interest, the ability to accurately simulate Venus conditions at a scale that can test and validate instruments and spacecraft systems and accurately simulate the Venus atmosphere has been lacking. This paper discusses and compares the capabilities that are known to exist within and outside the United States to simulate the extreme environmental conditions found in terrestrial or planetary surfaces including the Venus atmosphere and surface. The paper then focuses on discussing the recent additional capability found in the NASA Glenn Extreme Environment Rig (GEER). The GEER, located at the NASA Glenn Research Center in Cleveland, Ohio, is designed to simulate not only the temperature and pressure extremes described, but can also accurately reproduce the atmospheric compositions of bodies in the solar system including those with acidic and hazardous elements. GEER capabilities and characteristics are described along with operational considerations relevant to potential users. The paper presents initial operating results and concludes

  9. Spinal pain: current understanding, trends, and the future of care

    Directory of Open Access Journals (Sweden)

    Parkin-Smith GF

    2015-10-01

    Full Text Available Gregory F Parkin-Smith,1 Lyndon G Amorin-Woods,2–4 Stephanie J Davies,5–7 Barrett E Losco,8 Jon Adams9,10 1General Practice, Surgery 82, Busselton, WA, Australia; 2School of Health Professions, Murdoch University, Murdoch, WA, Australia; 3Chiropractors’ Association of Australia, Nedlands, WA, Australia; 4ACORN Project, 5WA Specialist Pain Services, WA, Australia; 6School of Physiotherapy, Curtin University, Bentley, WA, Australia; 7School of Medicine and Pharmacology, University of Western Australia, Crawley, WA, Australia; 8Murdoch University, Murdoch, WA, Australia; 9Faculty of Health, University of Technology Sydney, Ultimo, NSW, Australia; 10Australian Research Centre in Complementary and Integrative Medicine, University of Technology Sydney, Ultimo, NSW, Australia Abstract: This commissioned review paper offers a summary of our current understanding of nonmalignant spinal pain, particularly persistent pain. Spinal pain can be a complex problem, requiring management that addresses both the physical and psychosocial components of the pain experience. We propose a model of care that includes the necessary components of care services that would address the multidimensional nature of spinal pain. Emerging care services that tailor care to the individual person with pain seems to achieve better outcomes and greater consumer satisfaction with care, while most likely containing costs. However, we recommend that any model of care and care framework should be developed on the basis of a multidisciplinary approach to care, with the scaffold being the principles of evidence-based practice. Importantly, we propose that any care services recommended in new models or frameworks be matched with available resources and services – this matching we promote as the fourth principle of evidence-based practice. Ongoing research will be necessary to offer insight into clinical outcomes of complex interventions, while practice-based research would uncover

  10. Speed Control of Brushless Dc Motor Using Current Fed Quasi Z-source Inverter with Regeneration Capability

    OpenAIRE

    A. Santhi Mary Antony; Ramya, D.; J. Sangeetha

    2015-01-01

    Current fed Quasi Z-Source Inverters (qZSI) have the advantages of voltage buck-boost capability, improved reliability, reduced passive component ratings, continuous input current, a common dc rail between source and inverter and unique regeneration capability. This current-fed qZSIs are bidirectional with an additional diode, unlike the voltage-fed ZSI that needs a switch to achieve bidirectional power flow. Since current fed quasi Z Source Inverter has many advantages it can be employed for...

  11. Quantifying the Global Fresh Water Budget: Capabilities from Current and Future Satellite Sensors

    Science.gov (United States)

    Hildebrand, Peter; Zaitchik, Benjamin

    2007-01-01

    The global water cycle is complex and its components are difficult to measure, particularly at the global scales and with the precision needed for assessing climate impacts. Recent advances in satellite observational capabilities, however, are greatly improving our knowledge of the key terms in the fresh water flux budget. Many components of the of the global water budget, e.g. precipitation, atmospheric moisture profiles, soil moisture, snow cover, sea ice are now routinely measured globally using instruments on satellites such as TRMM, AQUA, TERRA, GRACE, and ICESat, as well as on operational satellites. New techniques, many using data assimilation approaches, are providing pathways toward measuring snow water equivalent, evapotranspiration, ground water, ice mass, as well as improving the measurement quality for other components of the global water budget. This paper evaluates these current and developing satellite capabilities to observe the global fresh water budget, then looks forward to evaluate the potential for improvements that may result from future space missions as detailed by the US Decadal Survey, and operational plans. Based on these analyses, and on the goal of improved knowledge of the global fresh water budget under the effects of climate change, we suggest some priorities for the future, based on new approaches that may provide the improved measurements and the analyses needed to understand and observe the potential speed-up of the global water cycle under the effects of climate change.

  12. Review of current capabilities for the measurement of stress, displacement, and in situ deformation modulus

    International Nuclear Information System (INIS)

    Current capabilities for the measurement of stress, displacement, and in situ deformation modulus in rock masses are reviewed as to their accuracy, sensitivity, advantages, and limitations. Consideration is given to both the instruments themselves and the measurement technique. Recommendations concerning adaptation of existing measurement techniques to repository monitoring are also discussed. These recommendations include: (1) development of a modified borehole deformation gage with improved long-term stability and reliability and reduced thermal sensitivity; (2) development of a downhole transducer type of extensometer; (3) development of a rigid inclusion type gage; (4) development of an improved vibrating wire stressmeter with greater accuracy and simplified calibration and installation requirements; and (5) modification of standard rod extensometers to improve their sensitivity

  13. Space Weather - Current Capabilities, Future Requirements, and the Path to Improved Forecasting

    Science.gov (United States)

    Mann, Ian

    2016-07-01

    We present an overview of Space Weather activities and future opportunities including assessments of current status and capabilities, knowledge gaps, and future directions in relation to both observations and modeling. The review includes input from the scientific community including from SCOSTEP scientific discipline representatives (SDRs), COSPAR Main Scientific Organizers (MSOs), and SCOSTEP/VarSITI leaders. The presentation also draws on results from the recent activities related to the production of the COSPAR-ILWS Space Weather Roadmap "Understanding Space Weather to Shield Society" [Schrijver et al., Advances in Space Research 55, 2745 (2015) http://dx.doi.org/10.1016/j.asr.2015.03.023], from the activities related to the United Nations (UN) Committee on the Peaceful Uses of Outer Space (COPUOS) actions in relation to the Long-term Sustainability of Outer Space (LTS), and most recently from the newly formed and ongoing efforts of the UN COPUOS Expert Group on Space Weather.

  14. [Physiotherapeutic care marketing research: current state-of-the art].

    Science.gov (United States)

    Babaskin, D V

    2011-01-01

    Successful introduction of modern technologies into the national health care systems strongly depends on the current pharmaceutical market situation. The present article is focused on the peculiarities of marketing research with special reference to physiotherapeutic services and commodities. Analysis of the structure and sequence of marketing research processes is described along with the methods applied for the purpose including their support by the use of Internet resources and technologies. PMID:21574299

  15. Targeted temperature management: Current evidence and practices in critical care

    Directory of Open Access Journals (Sweden)

    Saurabh Saigal

    2015-01-01

    Full Text Available Targeted temperature management (TTM in today′s modern era, especially in intensive care units represents a promising multifaceted therapy for a variety of conditions. Though hypothermia is being used since Hippocratic era, the renewed interest of late has been since early 21 st century. There have been multiple advancements in this field and varieties of cooling devices are available at present. TTM requires careful titration of its depth, duration and rewarming as it is associated with side-effects. The purpose of this review is to find out the best evidence-based clinical practice criteria of therapeutic hypothermia in critical care settings. TTM is an unique therapeutic modality for salvaging neurological tissue viability in critically ill patients viz. Post-cardiac arrest, traumatic brain injury (TBI, meningitis, acute liver failure and stroke. TTM is standard of care in post-cardiac arrest situations; there has been a lot of controversy of late regarding temperature ranges to be used for the same. In patients with TBI, it reduces intracranial pressure, but has not shown any favorable neurologic outcome. Hypothermia is generally accepted treatment for hypoxic ischemic encephalopathy in newborns. The current available technology to induce and maintain hypothermia allows for precise temperature control. Future studies should focus on optimizing hypothermic treatment to full benefit of our patients and its application in other clinical scenarios.

  16. ADVANCED SIMULATION CAPABILITY FOR ENVIRONMENTAL MANAGEMENT- CURRENT STATUS AND PHASE II DEMONSTRATION RESULTS

    Energy Technology Data Exchange (ETDEWEB)

    Seitz, R.

    2013-02-26

    The U.S. Department of Energy (USDOE) Office of Environmental Management (EM), Office of Soil and Groundwater, is supporting development of the Advanced Simulation Capability for Environmental Management (ASCEM). ASCEM is a state-of-the-art scientific tool and approach for understanding and predicting contaminant fate and transport in natural and engineered systems. The modular and open source high-performance computing tool facilitates integrated approaches to modeling and site characterization that enable robust and standardized assessments of performance and risk for EM cleanup and closure activities. The ASCEM project continues to make significant progress in development of computer software capabilities with an emphasis on integration of capabilities in FY12. Capability development is occurring for both the Platform and Integrated Toolsets and High-Performance Computing (HPC) Multiprocess Simulator. The Platform capabilities provide the user interface and tools for end-to-end model development, starting with definition of the conceptual model, management of data for model input, model calibration and uncertainty analysis, and processing of model output, including visualization. The HPC capabilities target increased functionality of process model representations, toolsets for interaction with Platform, and verification and model confidence testing. The Platform and HPC capabilities are being tested and evaluated for EM applications in a set of demonstrations as part of Site Applications Thrust Area activities. The Phase I demonstration focusing on individual capabilities of the initial toolsets was completed in 2010. The Phase II demonstration completed in 2012 focused on showcasing integrated ASCEM capabilities. For Phase II, the Hanford Site deep vadose zone (BC Cribs) served as an application site for an end-to-end demonstration of capabilities, with emphasis on integration and linkages between the Platform and HPC components. Other demonstrations

  17. Trainers' Attitudes towards Cardiopulmonary Resuscitation, Current Care Guidelines, and Training

    Science.gov (United States)

    Mäkinen, M.; Castrén, M.; Nurmi, J.; Niemi-Murola, L.

    2016-01-01

    Objectives. Studies have shown that healthcare personnel hesitate to perform defibrillation due to individual or organisational attitudes. We aimed to assess trainers' attitudes towards cardiopulmonary resuscitation and defibrillation (CPR-D), Current Care Guidelines, and associated training. Methods. A questionnaire was distributed to CPR trainers attending seminars in Finland (N = 185) focusing on the updated national Current Care Guidelines 2011. The questions were answered using Likert scale (1 = totally disagree, 7 = totally agree). Factor loading of the questionnaire was made using maximum likelihood analysis and varimax rotation. Seven scales were constructed (Hesitation, Nurse's Role, Nontechnical Skill, Usefulness, Restrictions, Personal, and Organisation). Cronbach's alphas were 0.92–0.51. Statistics were Student's t-test, ANOVA, stepwise regression analysis, and Pearson Correlation. Results. The questionnaire was returned by 124/185, 67% CPR trainers, of whom two-thirds felt that their undergraduate training in CPR-D had not been adequate. Satisfaction with undergraduate defibrillation training correlated with the Nontechnical Skills scale (p Nurse's Role (p CPR trainers and some feel uncertain of defibrillation. The train-the-trainers courses and undergraduate medical education should focus more on practical scenarios with defibrillators and nontechnical skills. PMID:27144027

  18. Trainers’ Attitudes towards Cardiopulmonary Resuscitation, Current Care Guidelines, and Training

    Directory of Open Access Journals (Sweden)

    M. Mäkinen

    2016-01-01

    Full Text Available Objectives. Studies have shown that healthcare personnel hesitate to perform defibrillation due to individual or organisational attitudes. We aimed to assess trainers’ attitudes towards cardiopulmonary resuscitation and defibrillation (CPR-D, Current Care Guidelines, and associated training. Methods. A questionnaire was distributed to CPR trainers attending seminars in Finland (N=185 focusing on the updated national Current Care Guidelines 2011. The questions were answered using Likert scale (1 = totally disagree, 7 = totally agree. Factor loading of the questionnaire was made using maximum likelihood analysis and varimax rotation. Seven scales were constructed (Hesitation, Nurse’s Role, Nontechnical Skill, Usefulness, Restrictions, Personal, and Organisation. Cronbach’s alphas were 0.92–0.51. Statistics were Student’s t-test, ANOVA, stepwise regression analysis, and Pearson Correlation. Results. The questionnaire was returned by 124/185, 67% CPR trainers, of whom two-thirds felt that their undergraduate training in CPR-D had not been adequate. Satisfaction with undergraduate defibrillation training correlated with the Nontechnical Skills scale (p<0.01. Participants scoring high on Hesitation scale (p<0.01 were less confident about their Nurse’s Role (p<0.01 and Nontechnical Skills (p<0.01. Conclusion. Quality of undergraduate education affects the work of CPR trainers and some feel uncertain of defibrillation. The train-the-trainers courses and undergraduate medical education should focus more on practical scenarios with defibrillators and nontechnical skills.

  19. Coordination between Fault-Ride-Through Capability and Over-current Protection of DFIG Generators for Wind Farms

    DEFF Research Database (Denmark)

    Bak-Jensen, Birgitte; Kawady, T.A.; Abdel-Rahman, Mansour Hassan

    2010-01-01

    Fault Ride-Through (FRT) capabilities set up according to the grid codes may affect the performance of related protective elements during fault periods. Therefore, in this paper the coordination between the FRT capability and over-current protection of DFIG Wind Generators in MV networks is...... investigated. Simulation test cases using MATLAB-Simulink are implemented on a 365-MW wind farm in AL-Zaafarana, Egypt. The simulation results show the influence of the FRT capability on the protective relaying coordination in wind farms, showing that the FRT may work in situations where is were expected not...

  20. Cutaneous wound healing: Current concepts and advances in wound care

    Directory of Open Access Journals (Sweden)

    Kenneth C Klein

    2014-01-01

    Full Text Available A non-healing wound is defined as showing no measurable signs of healing for at least 30 consecutive treatments with standard wound care. [1] It is a snapshot of a patient′s total health as well as the ongoing battle between noxious factors and the restoration of optimal macro and micro circulation, oxygenation and nutrition. In practice, standard therapies for non-healing cutaneous wounds include application of appropriate dressings, periodic debridement and eliminating causative factors. [2] The vast majority of wounds would heal by such approach with variable degrees of residual morbidity, disability and even mortality. Globally, beyond the above therapies, newer tools of healing are selectively accessible to caregivers, for various logistical or financial reasons. Our review will focus on the use of hyperbaric oxygen therapy (HBOT, as used at our institution (CAMC, and some other modalities that are relatively accessible to patients. HBOT is a relatively safe and technologically simpler way to deliver care worldwide. However, the expense for including HBOT as standard of care for recognized indications per UHMS(Undersea and Hyperbaric Medical Society may vary widely from country to country and payment system. [3] In the USA, CMS (Centers for Medicare and Medicaid Services approved indications for HBOT vary from that of the UHMS for logistical reasons. [1] We shall also briefly look into other newer therapies per current clinical usage and general acceptance by the medical community. Admittedly, there would be other novel tools with variable success in wound healing worldwide, but it would be difficult to include all in this treatise.

  1. Music therapy in cardiac health care: current issues in research.

    Science.gov (United States)

    Hanser, Suzanne B

    2014-01-01

    Music therapy is a service that has become more prevalent as an adjunct to medical practice-as its evidence base expands and music therapists begin to join the cardiology team in every phase of care, from the most serious cases to those maintaining good heart health. Although applications of music medicine, primarily listening to short segments of music, are capable of stabilizing vital signs and managing symptoms in the short-term, music therapy interventions by a qualified practitioner are showing promise in establishing deeper and more lasting impact. On the basis of mind-body approaches, stress/coping models, the neuromatrix theory of pain, and entrainment, music therapy capitalizes on the ability of music to affect the autonomic nervous system. Although only a limited number of randomized controlled trials pinpoint the efficacy of specific music therapy interventions, qualitative research reveals some profound outcomes in certain individuals. A depth of understanding related to the experience of living with a cardiovascular disease can be gained through music therapy approaches such as nonverbal music psychotherapy and guided imagery and music. The multifaceted nature of musical responsiveness contributes to strong individual variability and must be taken into account in the development of research protocols for future music therapy and music medicine interventions. The extant research provides a foundation for exploring the many potential psychosocial, physiological, and spiritual outcomes of a music therapy service for cardiology patients. PMID:23535529

  2. Treating Patients as Persons: A Capabilities Approach to Support Delivery of Person-Centered Care

    OpenAIRE

    Entwistle, Vikki A; Watt, Ian S

    2013-01-01

    Health services internationally struggle to ensure health care is “person-centered” (or similar). In part, this is because there are many interpretations of “person-centered care” (and near synonyms), some of which seem unrealistic for some patients or situations and obscure the intrinsic value of patients’ experiences of health care delivery. The general concern behind calls for person-centered care is an ethical one: Patients should be “treated as persons.” We made novel use of insights fro...

  3. Salvadoran migrants in Australia: an analysis of transnational families’ capability to care across borders

    OpenAIRE

    Merla, Laura

    2012-01-01

    Research on the transnational practices of migrant families has mainly focused on remittances, leaving transnational practices of care under-investigated (Gardner & Grillo 2002). However, recent research on transnational care practices demonstrates that most transnational families exchange not only financial, but also practical, personal, and emotional support (see for instance Baldassar 2007; Baldock 1999, 2000; Baldassar et al. 2007; Zontini & Reynolds 2007). In this paper, I will focus on ...

  4. Transnational caregiving between Australia, Italy and El Salvador: the impact of institutions on the capability to care at a distance

    OpenAIRE

    Merla, Laura; Baldassar, Loretta

    2011-01-01

    This paper applies the capabilities approach to examine transnational family practices and the exchange of care between adult migrant children and their ageing parents living at a distance. An aim of the paper is to raise awareness about the importance of transnational caregiving to migrant well-being. Using qualitative oral history data, we highlight the role of the state in facilitating caregiving across distance between the countries where the parents are living, in this case El Salvador a...

  5. Speed Control of Brushless Dc Motor Using Current Fed Quasi Z-source Inverter with Regeneration Capability

    Directory of Open Access Journals (Sweden)

    A. Santhi Mary Antony

    2015-06-01

    Full Text Available Current fed Quasi Z-Source Inverters (qZSI have the advantages of voltage buck-boost capability, improved reliability, reduced passive component ratings, continuous input current, a common dc rail between source and inverter and unique regeneration capability. This current-fed qZSIs are bidirectional with an additional diode, unlike the voltage-fed ZSI that needs a switch to achieve bidirectional power flow. Since current fed quasi Z Source Inverter has many advantages it can be employed for motor drive applications such as Brushless DC motor (BLDC drive. Therefore this study proposes the use of qZSI for BLDC motor. The simulation results for the same are presented in this study.

  6. Solid state transformer with low-voltage ride-through and current unbalance management capabilities

    OpenAIRE

    Alepuz Menéndez, Salvador; González, Francisco; Martín-Arnedo, Jacinto; Martínez Velasco, Juan Antonio

    2013-01-01

    The solid state transformer is an emerging technology which aims at replacing the conventional lowfrequency power transformer by means of a high-frequency transformer driven by a proper AC/AC power electronics conversion system, at both transformer sides. In comparison with the conventional power transformer, the solid state transformer provides extended and enhanced operating capabilities that can be achieved with an appropriate controller design for the power electronics converters. I...

  7. Correlational and Differential Influence of Historical Cost and Current Cost Profits on the Operating Capabilities of the Firm

    OpenAIRE

    S. A. Effiong; J. O. Udoayang; A. I. Asuquo

    2011-01-01

    The study investigated the correlation and differential influence of historical cost and current cost profits on the operating capabilities of the firm. The financial statements of thirty-one Nigerian Companies were surveyed and adjusted for effects of price changes using the Consumers’ Price Index (CPI). Correlation influence between the historical cost profits on the operating ability of the firm was measured and established on one hand and that of current cost profit on the other han...

  8. Correlational and Differential Influence of Historical Cost and Current Cost Profits on the Operating Capabilities of the Firm

    OpenAIRE

    S. A. Effiong; J. O. Udoayang; A. I. Asuquo

    2011-01-01

    The study investigated the correlation and differential influence of historical cost and current cost profits on the operating capabilities of the firm. The financial statements of thirty-one Nigerian Companies were surveyed and adjusted for effects of price changes using the Consumers¡¯ Price Index (CPI). Correlation influence between the historical cost profits on the operating ability of the firm was measured and established on one hand and that of current cost profit on the other hand. Di...

  9. The Current Crisis in Emergency Care and the Impact on Disaster Preparedness

    Directory of Open Access Journals (Sweden)

    Trainer Marcia

    2008-05-01

    Full Text Available Abstract Background The Homeland Security Act (HSA of 2002 provided for the designation of a critical infrastructure protection program. This ultimately led to the designation of emergency services as a targeted critical infrastructure. In the context of an evolving crisis in hospital-based emergency care, the extent to which federal funding has addressed disaster preparedness will be examined. Discussion After 9/11, federal plans, procedures and benchmarks were mandated to assure a unified, comprehensive disaster response, ranging from local to federal activation of resources. Nevertheless, insufficient federal funding has contributed to a long-standing counter-trend which has eroded emergency medical care. The causes are complex and multifactorial, but they have converged to present a severely overburdened system that regularly exceeds emergency capacity and capabilities. This constant acute overcrowding, felt in communities all across the country, indicates a nation at risk. Federal funding has not sufficiently prioritized the improvements necessary for an emergency care infrastructure that is critical for an all hazards response to disaster and terrorist emergencies. Summary Currently, the nation is unable to meet presidential preparedness mandates for emergency and disaster care. Federal funding strategies must therefore be re-prioritized and targeted in a way that reasonably and consistently follows need.

  10. Current Capabilities, Requirements and a Proposed Strategy for Interdependency Analysis in the UK

    Science.gov (United States)

    Bloomfield, Robin; Chozos, Nick; Salako, Kizito

    The UK government recently commissioned a research study to identify the state-of-the-art in Critical Infrastructure modelling and analysis, and the government/industry requirements for such tools and services. This study (Cetifs) concluded with a strategy aiming to bridge the gaps between the capabilities and requirements, which would establish interdependency analysis as a commercially viable service in the near future. This paper presents the findings of this study that was carried out by CSR, City University London, Adelard LLP, a safety/security consultancy and Cranfield University, defense academy of the UK.

  11. Palliative care in India: Current progress and future needs

    Directory of Open Access Journals (Sweden)

    Divya Khosla

    2012-01-01

    Full Text Available Despite its limited coverage, palliative care has been present in India for about 20 years. Obstacles in the growth of palliative care in India are too many and not only include factors like population density, poverty, geographical diversity, restrictive policies regarding opioid prescription, workforce development at base level, but also limited national palliative care policy and lack of institutional interest in palliative care. Nonetheless we have reasons to be proud in that we have overcome several hurdles and last two decades have seen palpable changes in the mindset of health care providers and policy makers with respect to need of palliative care in India. Systematic and continuous education for medical staff is mandatory, and a major break-through for achieving this purpose would be to increase the number of courses and faculties in palliative medicine at most universities.

  12. The current status of ARAC (Atmospheric Release Advisory Capability) and its application to the Chernobyl event

    Energy Technology Data Exchange (ETDEWEB)

    Gudiksen, P.H.; Sullivan, T.J.; Harvey, T.F.

    1986-10-01

    The Atmospheric Release Advisory Capability (ARAC) project, developed by the Lawrence Livermore National Laboratory (LLNL), provides real-time dose assessments and estimates of the extent of surface contamination that may result from an atmospheric release of radioactivity. It utilizes advanced computer-based data communication and processing systems to acquire the meteorological and source term information needed by the three-dimensional atmospheric dispersion models to derive the consequence assessments. The ARAC responded to the recent Chernobyl reactor accident in the Soviet Union by estimating the source term and the radiation dose distribution due to exposure to the radioactive cloud over Europe and the Northern Hemisphere. This analysis revealed that approximately 50% of the estimated core inventories of I-131 and Cs-137 were released. The estimated committed effective dose equivalent due to inhalation of radioactivty during cloud passage is of the order of 10 mrem within parts of Scandinavia and eastern Europe, while most of the populations within central Europe were exposed to levels ranging from 1 to 10 mrem. The amount of Cs-137 released by the Chernobyl accident far exceeds that released by previous reactor accidents, but is only about 6% of the Cs-137 produced by the atmospheric weapon testing programs. 9 refs., 4 figs., 2 tabs.

  13. The Current State of Health Care for People with Disabilities

    Science.gov (United States)

    Breslin, Mary Lou; Yee, Silvia

    2009-01-01

    The National Council on Disabilities (NCD) undertook this study in 2007 to focus the nation's attention on the health care disparities experienced by people with disabilities, and to provide information and recommendations that can help to eliminate health care inequities for people with disabilities. Among the key findings were that: (1) People…

  14. Developing Low-Conductance Window Frames: Capabilities and Limitations of Current Window Heat Transfer Design Tools

    Energy Technology Data Exchange (ETDEWEB)

    Gustavsen, Arild; Arasteh, Dariush; Jelle, Bjorn Petter; Curcija, Charlie; Kohler, Christian

    2008-09-11

    While window frames typically represent 20-30% of the overall window area, their impact on the total window heat transfer rates may be much larger. This effect is even greater in low-conductance (highly insulating) windows that incorporate very low-conductance glazing. Developing low-conductance window frames requires accurate simulation tools for product research and development. Based on a literature review and an evaluation of current methods of modeling heat transfer through window frames, we conclude that current procedures specified in ISO standards are not sufficiently adequate for accurately evaluating heat transfer through the low-conductance frames. We conclude that the near-term priorities for improving the modeling of heat transfer through low-conductance frames are: (1) Add 2D view-factor radiation to standard modeling and examine the current practice of averaging surface emissivity based on area weighting and the process of making an equivalent rectangular frame cavity. (2) Asses 3D radiation effects in frame cavities and develop recommendation for inclusion into the design fenestration tools. (3) Assess existing correlations for convection in vertical cavities using CFD. (4) Study 2D and 3D natural convection heat transfer in frame cavities for cavities that are proven to be deficient from item 3 above. Recommend improved correlations or full CFD modeling into ISO standards and design fenestration tools, if appropriate. (5) Study 3D hardware short-circuits and propose methods to ensure that these effects are incorporated into ratings. (6) Study the heat transfer effects of ventilated frame cavities and propose updated correlations.

  15. Current Sounding Capability From Satellite Meteorological Observation With Ultraspectral Infrared Instruments

    Science.gov (United States)

    Zhou, Daniel K.; Liu, Xu; Larar, Allen M.

    2008-01-01

    cloud top level are obtained. For both optically thin and thick cloud situations, the cloud top height can be retrieved with relatively high accuracy (i.e., error less than 1 km). Retrievals of atmospheric soundings, surface properties, and cloud microphysical properties with the AIRS and IASI observations are obtained and presented. These retrievals are further inter-compared with those obtained from airborne FTS system, such as the NPOESS Airborne Sounder Testbed? Interferometer (NAST I), dedicated dropsondes, radiosondes, and ground based Raman Lidar. The capabilities of satellite ultra-spectral sounder such as the AIRS and IASI are investigated. These advanced satellite ultraspectral infrared instruments are now playing an important role in satellite meteorological observation for numerical weather prediction.

  16. [Current perspectives on supportive care for lung cancer patients].

    Science.gov (United States)

    Serena, A; Zurkinden, C; Castellani, P; Eicher, M

    2015-05-20

    The fight against cancer comprises not only survival of the disease but also survival with the highest possible quality of life. Thus, supportive care in cancer aims at reducing physical and psycho-emotional symptom burden. Furthermore, supportive care in cancer includes self-management-support for patients and their families/caregivers. Due to high symptom prevalence and poor prognosis, lung cancer patients express more unmet supportive care needs than other patient populations with cancer. Interventions to meet these needs have been developed in the last decade. They involve new models of care that incorporate the role of a lung cancer nurse in comprehensive cancer centers and eHealth-systems to support lung cancer patients and their families/caregivers. PMID:26152086

  17. Postpartum depression on the neonatal intensive care unit: current perspectives

    Directory of Open Access Journals (Sweden)

    Tahirkheli NN

    2014-11-01

    Full Text Available Noor N Tahirkheli,1 Amanda S Cherry,1 Alayna P Tackett,2 Mary Anne McCaffree,3 Stephen R Gillaspy11Section of General and Community Pediatrics, Department of Pediatrics, University of Oklahoma Health Sciences Center, Oklahoma City, OK, USA; 2Department of Psychology, Oklahoma State University, Stillwater, OK, USA; 3Section of Neonatal-Perinatal Medicine, Department of Pediatrics, University of Oklahoma Health Sciences Center, Oklahoma City, OK, USAAbstract: As the most common complication of childbirth affecting 10%–15% of women, postpartum depression (PPD goes vastly undetected and untreated, inflicting long-term consequences on both mother and child. Studies consistently show that mothers of infants in the neonatal intensive care unit (NICU experience PPD at higher rates with more elevated symptomatology than mothers of healthy infants. Although there has been increased awareness regarding the overall prevalence of PPD and recognition of the need for health care providers to address this health issue, there has not been adequate attention to PPD in the context of the NICU. This review will focus on an overview of PPD and psychological morbidities, the prevalence of PPD in mothers of infants admitted to NICU, associated risk factors, potential PPD screening measures, promising intervention programs, the role of NICU health care providers in addressing PPD in the NICU, and suggested future research directions.Keywords: neonatal intensive care unit, postpartum depression, mothers

  18. [Update on Current Care guidelines: ADHD (attention-deficit/hyperactivity disorder, children and adolescents)].

    Science.gov (United States)

    2012-01-01

    The updated Current Care guideline for children and adolescents with ADHD covers both diagnosis and treatment. Psychosocial support is provided when hyperactivity problems arise, even before specific diagnosis. While psychosocial interventions are effective in the treatment of ADHD, the core symptoms are best treated with medication, such as methylphenidate, dexamphetamine, lisdexamphetamine or atomoxetine. Collaboration between families, primary health care services, specialist consultation services and day-care and school professionals is essential within the chain of care. PMID:22486070

  19. Fostering prevention and care delivery services capability on HIV pandemic and Ebola outbreak symbiosis in Africa.

    Science.gov (United States)

    Tambo, Ernest; Yah, Clarence S; Ugwu, Chidiebere E; Olalubi, Oluwasogo A; Wurie, Isatta; Jonhson, Jeannetta K; Ngogang, Jeanne Y

    2016-01-01

    Human immunodeficiency virus (HIV) and the re-emerging Ebola virus disease (EVD) are closely intertwined and remain a persistent public health threat and global challenge. Their origin and rapid transmission and spread have similar boundaries and share overlapping impact characteristics, including related symptoms and other interactions. The controversies and global threat of these viruses require rapid response policy and evidence-based implementation findings. The constraints and dual burden inflicted by Ebola and HIV infections are highly characterized by similar socio-demographics, socio-economic and political factors. EVD has similar effects and burdens to HIV infection. This study seeks to understand EVD in the context of HIV epidemic despite the challenges in developing an effective vaccine against HIV and EVD. Our findings show that early understanding, prevention and treatment of these diseases a global health threat mainly in Africa is important and valuable. The lessons learned so far from HIV and Ebola epidemics are crucial in health programming and execution of rapid response interventions and continued vigilance against EVD before it become another worldwide health menace. Therefore, the current regional West Africa EVD requires strengthening healthcare systems and building preparedness and response capacity. Importantly, appropriate community participation, health education and resilience coupled with deployment of effective novel diagnostic approaches in early warning and surveillance of threats and emerging diseases. Therefore, there is an urgent need to develop novel key strategies are crucial in curbing the constant viral resurgence, persistence transmission dynamics and spread, as well in accelerating Ebola vaccines regimen (immunization) development and national implementation plans in achieving sustained control, and eventual elimination. PMID:26829532

  20. Cutaneous wound healing: Current concepts and advances in wound care

    OpenAIRE

    Kenneth C Klein; Somes Chandra Guha

    2014-01-01

    A non-healing wound is defined as showing no measurable signs of healing for at least 30 consecutive treatments with standard wound care. [1] It is a snapshot of a patient′s total health as well as the ongoing battle between noxious factors and the restoration of optimal macro and micro circulation, oxygenation and nutrition. In practice, standard therapies for non-healing cutaneous wounds include application of appropriate dressings, periodic debridement and eliminating causative factors. [2...

  1. Palliative care for patients with motor neurone disease: current challenges

    OpenAIRE

    Oliver, David

    2016-01-01

    David J Oliver 1Wisdom Hospice, Rochester, 2University of Kent, Canterbury, UK Abstract: Motor neurone disease is a progressive disease, and the patient and his/her family face many challenges during the disease progression, with increasing weakness and multiple losses of function. The provision of care for these patients and their families is equally challenging, anticipating and responding to the person's needs. There are increasing challenges as more is understood about the diseas...

  2. Palliative care for patients with motor neurone disease: current challenges

    OpenAIRE

    Oliver DJ

    2016-01-01

    David J Oliver 1Wisdom Hospice, Rochester, 2University of Kent, Canterbury, UK Abstract: Motor neurone disease is a progressive disease, and the patient and his/her family face many challenges during the disease progression, with increasing weakness and multiple losses of function. The provision of care for these patients and their families is equally challenging, anticipating and responding to the person's needs. There are increasing challenges as more is understood about the disease an...

  3. Drought Predictability and Prediction in a Changing Climate: Assessing Current Predictive Knowledge and Capabilities, User Requirements and Research Priorities

    Science.gov (United States)

    Schubert, Siegfried

    2011-01-01

    Drought is fundamentally the result of an extended period of reduced precipitation lasting anywhere from a few weeks to decades and even longer. As such, addressing drought predictability and prediction in a changing climate requires foremost that we make progress on the ability to predict precipitation anomalies on subseasonal and longer time scales. From the perspective of the users of drought forecasts and information, drought is however most directly viewed through its impacts (e.g., on soil moisture, streamflow, crop yields). As such, the question of the predictability of drought must extend to those quantities as well. In order to make progress on these issues, the WCRP drought information group (DIG), with the support of WCRP, the Catalan Institute of Climate Sciences, the La Caixa Foundation, the National Aeronautics and Space Administration, the National Oceanic and Atmospheric Administration, and the National Science Foundation, has organized a workshop to focus on: 1. User requirements for drought prediction information on sub-seasonal to centennial time scales 2. Current understanding of the mechanisms and predictability of drought on sub-seasonal to centennial time scales 3. Current drought prediction/projection capabilities on sub-seasonal to centennial time scales 4. Advancing regional drought prediction capabilities for variables and scales most relevant to user needs on sub-seasonal to centennial time scales. This introductory talk provides an overview of these goals, and outlines the occurrence and mechanisms of drought world-wide.

  4. THE IDEA IS TO USEMODIS IN CONJUNCTION WITH THE CURRENT LIMITED LANDSAT CAPABILITY, COMMERCIAL SATELLITES, ANDUNMANNED AERIAL VEHICLES (UAV), IN A MULTI-STAGE APPROACH TO MEET EPA INFORMATION NEEDS.REMOTE SENSING OVERVIEW: EPA CAPABILITIES, PRIORITY AGENCY APPLICATIONS, SENSOR/AIRCRAFT CAPABILITIES, COST CONSIDERATIONS, SPECTRAL AND SPATIAL RESOLUTIONS, AND TEMPORAL CONSIDERATIONS

    Science.gov (United States)

    EPA remote sensing capabilities include applied research for priority applications and technology support for operational assistance to clients across the Agency. The idea is to use MODIS in conjunction with the current limited Landsat capability, commercial satellites, and Unma...

  5. An Australian hospital-based student training ward delivering safe, client-centred care while developing students' interprofessional practice capabilities.

    Science.gov (United States)

    Brewer, Margo L; Stewart-Wynne, Edward G

    2013-11-01

    Royal Perth Hospital, in partnership with Curtin University, established the first interprofessional student training ward in Australia, based on best practice from Europe. Evaluation of the student and client experience was undertaken. Feedback from all stakeholders was obtained regularly as a key element of the quality improvement process. An interprofessional practice program was established with six beds within a general medical ward. This provided the setting for 2- to 3-week clinical placements for students from medicine, nursing, physiotherapy, occupational therapy, social work, pharmacy, dietetics and medical imaging. Following an initial trial, the training ward began with 79 students completing a placement. An interprofessional capability framework focused on the delivery of high quality client care and effective teamwork underpins this learning experience. Quantitative outcome data showed not only an improvement in students' attitudes towards interprofessional collaboration but also acquisition of a high level of interprofessional practice capabilities. Qualitative outcome data from students and clients was overwhelmingly positive. Suggestions for improvement were identified. This innovative learning environment facilitated the development of the students' knowledge, skills and attitudes required for interprofessional, client centred collaborative practice. Staff reported a high level of compliance with clinical safety and quality. PMID:24299579

  6. Analysis of American Health Care System with respect to current affairs: Is Universal Health Care a Potential Reality?

    OpenAIRE

    Šotolová, Petra

    2009-01-01

    The main task of the Thesis is to analyze an American health care system, its management and behavior including its pros and cons. To describe and study the system will help to understand its eventual future progress and to answer a basic question "Is Universal Health Care a Potential Reality in U.S.A.?". With a respect to current affairs, as was the comprehensive health care reform signing, it will be possible to think and forecast relevant course of events that might improve consciousness a...

  7. Analysis of Eddy Current Capabilities for the Detection of Outer Diameter Stress Corrosion Cracking in Small Bore Metallic Structures

    Science.gov (United States)

    Wincheski, Buzz; Williams, Phillip; Simpson, John

    2007-01-01

    The use of eddy current techniques for the detection of outer diameter damage in tubing and many complex aerospace structures often requires the use of an inner diameter probe due to a lack of access to the outside of the part. In small bore structures the probe size and orientation are constrained by the inner diameter of the part, complicating the optimization of the inspection technique. Detection of flaws through a significant remaining wall thickness becomes limited not only by the standard depth of penetration, but also geometrical aspects of the probe. Recently, an orthogonal eddy current probe was developed for detection of such flaws in Space Shuttle Primary Reaction Control System (PRCS) Thrusters. In this case, the detection of deeply buried stress corrosion cracking by an inner diameter eddy current probe was sought. Probe optimization was performed based upon the limiting spatial dimensions, flaw orientation, and required detection sensitivity. Analysis of the probe/flaw interaction was performed through the use of finite and boundary element modeling techniques. Experimental data for the flaw detection capabilities, including a probability of detection study, will be presented along with the simulation data. The results of this work have led to the successful deployment of an inspection system for the detection of stress corrosion cracking in Space Shuttle Primary Reaction Control System (PRCS) Thrusters.

  8. An Overview of Current Capabilities and Research Activities in the Airspace Operations Laboratory at NASA Ames Research Center

    Science.gov (United States)

    Prevot, Thomas; Smith, Nancy M.; Palmer, Everett; Callantine, Todd; Lee, Paul; Mercer, Joey; Homola, Jeff; Martin, Lynne; Brasil, Connie; Cabrall, Christopher

    2014-01-01

    The Airspace Operations Laboratory at NASA Ames conducts research to provide a better understanding of roles, responsibilities, and requirements for human operators and automation in future air traffic management (ATM) systems. The research encompasses developing, evaluating, and integrating operational concepts and technologies for near-, mid-, and far-term air traffic operations. Current research threads include efficient arrival operations, function allocation in separation assurance and efficient airspace and trajectory management. The AOL has developed powerful air traffic simulation capabilities, most notably the Multi Aircraft Control System (MACS) that is used for many air traffic control simulations at NASA and its partners in government, academia and industry. Several additional NASA technologies have been integrated with the AOL's primary simulation capabilities where appropriate. Using this environment, large and small-scale system-level evaluations can be conducted to help make near-term improvements and transition NASA technologies to the FAA, such as the technologies developed under NASA's Air Traffic Management Demonstration-1 (ATD-1). The AOL's rapid prototyping and flexible simulation capabilities have proven a highly effective environment to progress the initiation of trajectory-based operations and support the mid-term implementation of NextGen. Fundamental questions about accuracy requirements have been investigated as well as realworld problems on how to improve operations in some of the most complex airspaces in the US. This includes using advanced trajectory-based operations and prototype tools for coordinating arrivals to converging runways at Newark airport and coordinating departures and arrivals in the San Francisco and the New York metro areas. Looking beyond NextGen, the AOL has started exploring hybrid human/automation control strategies as well as highly autonomous operations in the air traffic control domain. Initial results

  9. Current Use of Chelation in American Health Care

    OpenAIRE

    Wax, Paul M.

    2013-01-01

    The National Center for Health Statistics estimates that more than 100,000 Americans receive chelation each year, although far fewer than 1 % of these cases are managed by medical toxicologists. Unfortunately, fatalities have been reported after inappropriate chelation use. There are currently 11 FDA-approved chelators available by prescription although chelation products may also be obtained through compounding pharmacies and directly over the internet. Promotion of chelation training is pro...

  10. Current and future impact of osteoarthritis on health care

    DEFF Research Database (Denmark)

    Turkiewicz, A; Petersson, I F; Björk, J;

    2014-01-01

    specialist outpatient care and hospitalizations. We studied all Skåne region residents aged ≥45 by the end of 2012 (n = 531, 254) and determined the prevalence of doctor-diagnosed OA defined as the proportion of the prevalent population that had received a diagnosis of OA of the knee, hip, hand, or other.......6% (95% confidence interval (CI): 26.5-26.8) (men 22.4%, women 30.5%). The most common locations were knee (13.8%), hip (5.8%) and hand (3.1%). Of the prevalent cases 26.8% had OA in multiple joints. By the year 2032, the proportion of the population aged ≥45 with doctor-diagnosed OA is estimated to...... increase from 26.6% to 29.5% (any location), from 13.8% to 15.7% for the knee and 5.8-6.9% for the hip. CONCLUSION: In 2032, at least an additional 26,000 individuals per 1 million population aged ≥45 years are estimated to have consulted a physician for OA in a peripheral joint compared to 2012. These...

  11. Current trends, figures and challenges in out of home child care: An internationalcomparative analysis

    Directory of Open Access Journals (Sweden)

    Jorge F. del Valle

    2014-03-01

    Full Text Available This article closes the special issue of this journal about an international review of out-of-home child care, principally family foster care and residential care, tough several aspects related to adoption were included as well. Although a comparison on some data about residential and foster care, or kinship and non-kinship care, is carried out, the article tries above all to make a reflection on the implications of several themes that have emerged as more interesting or important. Matters such as the use of residential care and its role in the current child care system, the overrepresentation of ethnic minorities in foster care in several countries, the situation of unaccompanied young people asylum seeking, the use of adoption as a permanent solution, the challenges of the transition to the adulthood from care, the relevance of the professionalization and models based on social pedagogy, the evaluation and planning based on data, and the current financial crisis and its impact on child care systems are some of the remarkable topics that will be reviewed.

  12. Diagnosing the uncertainty and detectability of emission reductions for REDD + under current capabilities: an example for Panama

    Science.gov (United States)

    Pelletier, Johanne; Ramankutty, Navin; Potvin, Catherine

    2011-04-01

    In preparation for the deployment of a new mechanism that could address as much as one fifth of global greenhouse gas emissions by reducing emissions from deforestation and forest degradation (REDD +), important work on methodological issues is still needed to secure the capacity to produce measurable, reportable, and verifiable emissions reductions from REDD + in developing countries. To contribute to this effort, we have diagnosed the main sources of uncertainty in the quantification of emission from deforestation for Panama, one of the first countries to be supported by the Forest Carbon Partnership Facility of the World Bank and by UN-REDD. Performing sensitivity analyses using a land-cover change emissions model, we identified forest carbon stocks and the quality of land-cover maps as the key parameters influencing model uncertainty. The time interval between two land-cover assessments, carbon density in fallow and secondary forest, and the accuracy of land-cover classifications also affect our ability to produce accurate estimates. Further, we used the model to compare emission reductions from five different deforestation reduction scenarios drawn from governmental input. Only the scenario simulating a reduction in deforestation by half succeeds in crossing outside the confidence bounds surrounding the baseline emission obtained from the uncertainty analysis. These results suggest that with current data, real emission reductions in developing countries could be obscured by their associated uncertainties. Ways of addressing the key sources of error are proposed, for developing countries involved in REDD + , for improving the accuracy of their estimates in the future. These new considerations confirm the importance of current efforts to establish forest monitoring systems and enhance capabilities for REDD + in developing countries.

  13. Diagnosing the uncertainty and detectability of emission reductions for REDD + under current capabilities: an example for Panama

    Energy Technology Data Exchange (ETDEWEB)

    Pelletier, Johanne; Potvin, Catherine [Department of Biology and Global Environmental and Climate Change Center, McGill University, 1205 Dr Penfield, Montreal, QC, H3A 1B1 (Canada); Ramankutty, Navin, E-mail: johannepelletier@gmail.com [Department of Geography and Global Environmental and Climate Change Center, McGill University, 805 Sherbrooke Street W., Montreal, QC, H3A 2K6 (Canada)

    2011-04-15

    In preparation for the deployment of a new mechanism that could address as much as one fifth of global greenhouse gas emissions by reducing emissions from deforestation and forest degradation (REDD +), important work on methodological issues is still needed to secure the capacity to produce measurable, reportable, and verifiable emissions reductions from REDD + in developing countries. To contribute to this effort, we have diagnosed the main sources of uncertainty in the quantification of emission from deforestation for Panama, one of the first countries to be supported by the Forest Carbon Partnership Facility of the World Bank and by UN-REDD. Performing sensitivity analyses using a land-cover change emissions model, we identified forest carbon stocks and the quality of land-cover maps as the key parameters influencing model uncertainty. The time interval between two land-cover assessments, carbon density in fallow and secondary forest, and the accuracy of land-cover classifications also affect our ability to produce accurate estimates. Further, we used the model to compare emission reductions from five different deforestation reduction scenarios drawn from governmental input. Only the scenario simulating a reduction in deforestation by half succeeds in crossing outside the confidence bounds surrounding the baseline emission obtained from the uncertainty analysis. These results suggest that with current data, real emission reductions in developing countries could be obscured by their associated uncertainties. Ways of addressing the key sources of error are proposed, for developing countries involved in REDD + , for improving the accuracy of their estimates in the future. These new considerations confirm the importance of current efforts to establish forest monitoring systems and enhance capabilities for REDD + in developing countries.

  14. Diagnosing the uncertainty and detectability of emission reductions for REDD + under current capabilities: an example for Panama

    International Nuclear Information System (INIS)

    In preparation for the deployment of a new mechanism that could address as much as one fifth of global greenhouse gas emissions by reducing emissions from deforestation and forest degradation (REDD +), important work on methodological issues is still needed to secure the capacity to produce measurable, reportable, and verifiable emissions reductions from REDD + in developing countries. To contribute to this effort, we have diagnosed the main sources of uncertainty in the quantification of emission from deforestation for Panama, one of the first countries to be supported by the Forest Carbon Partnership Facility of the World Bank and by UN-REDD. Performing sensitivity analyses using a land-cover change emissions model, we identified forest carbon stocks and the quality of land-cover maps as the key parameters influencing model uncertainty. The time interval between two land-cover assessments, carbon density in fallow and secondary forest, and the accuracy of land-cover classifications also affect our ability to produce accurate estimates. Further, we used the model to compare emission reductions from five different deforestation reduction scenarios drawn from governmental input. Only the scenario simulating a reduction in deforestation by half succeeds in crossing outside the confidence bounds surrounding the baseline emission obtained from the uncertainty analysis. These results suggest that with current data, real emission reductions in developing countries could be obscured by their associated uncertainties. Ways of addressing the key sources of error are proposed, for developing countries involved in REDD + , for improving the accuracy of their estimates in the future. These new considerations confirm the importance of current efforts to establish forest monitoring systems and enhance capabilities for REDD + in developing countries.

  15. Focus group reflections on the current and future state of cognitive assessment tools in geriatric health care

    Directory of Open Access Journals (Sweden)

    Whitehead JC

    2015-06-01

    Full Text Available Jocelyne C Whitehead,1 Sara A Gambino,1 Jeffrey D Richter,2 Jennifer D Ryan1,3,41Rotman Research Institute, Baycrest, 2Independent Human Factors Consultant, Toronto, ON, Canada; 3Department of Psychology, 4Department of Psychiatry, University of Toronto, Toronto, ON, CanadaObjective: This study provides insight into the thoughts and opinions of geriatric health-care professionals toward cognitive assessments and the use of emerging technologies, such as eye-tracking, to supplement current tools.Methods: Two focus group sessions were conducted with nurses and physicians who routinely administer neurocognitive assessments to geriatric populations. Video recordings of the focus group sessions were transcribed and a thematic analysis was performed.Results: Participants reported the need for assessment and diagnostic tools that are accessible and efficient, and that are capable of accommodating the rapid growth in the aging population. The prevalence of more complex ailments experienced by older adults has had repercussions in the quality of care that the clients receive, and has contributed to lengthy wait times and resource shortages. Health-care professionals stated that they are hampered by the disjointed structure of the health-care system and that they would benefit from a more efficient allocation of responsibilities made possible through tools that did not require extensive training or certification. Eyetracking-based cognitive assessments were thought to strongly complement this system, yet it was thought that difficulty would be faced in gaining the support and increased uptake by health-care professionals due to the nonintuitive relationship between eyetracking and cognition.Conclusion: The findings suggest that health-care professionals are receptive to the use of eyetracking technology to assess for cognitive health as it would conserve resources by allowing frontline staff to administer assessments with minimal training

  16. Current issues in providing primary medical care to people with serious mental illness.

    Science.gov (United States)

    Lester, Helen

    2006-01-01

    This article explores some of the current issues in providing primary care for people with serious mental illness. In contrast to many patients in the United States, up to half of patients with serious mental illness in the United Kingdom are seen only by the primary care team. However many General Practitioners feel that the care of this patient group is beyond their remit. In the United Kingdom during the last decade, there have been a variety of policy initiatives, influenced by the generic principle of "partnership working" and the increasing recognition of the importance of patient choice, that have aimed to increase the role of primary care in the delivery of health care to people with serious mental illness. On the ground, these policy imperatives have been realised through different models of shared care and schemes to encourage better communication across the primary/secondary interface. Most recently, and perhaps most effectively, the introduction of a type of performance related pay into primary care may lead to changes to the way in which General Practitioners think and act in terms of their roles and responsibilities with this patient group. Theoretically, therefore the United Kingdom may be entering a new "golden age" of primary care based mental health services for people with serious mental illness, where holistic care, preventive care and health promotion are increasingly seen not as the gold standard, but the norm. PMID:16927575

  17. The Capability of 500kV Circuit Breaker for Interruption of Short Circuit Current with a Large D.C. Component

    Science.gov (United States)

    Kobayashi, Takayuki; Eto, Atsushi; Koshizuka, Tadashi; Nishiwaki, Susumu; Kudo, Kietsu; Matsushita, Kozo; Hosokawa, Osamu

    The time constants of the D.C. component of asymmetrical fault current are trend to increase. It is said that interruption capability of gas circuit breaker degrades at asymmetrical current interruption. This paper shows the investigation of the interruption capability of 550kV one-break SF6 gas circuit breaker at asymmetrical current interruption. Interrupting tests of asymmetrical current with time constant 100ms, 150ms were carried out in high power laboratory. At the interrupting tests, arcing time was changed due to the time constant of the D.C. component. From the interrupting test results, arc energy was calculated. Degradation of the interrupting capability at asymmetrical current interruption was investigated by using measured arc energy.

  18. Current legal initiative to integrated care - effects of outpatient care in hospitals

    International Nuclear Information System (INIS)

    The strict separation of the out-patient and hospital-based health care delivery sectors in Germany leads to deficits in effectiveness and efficiency. Newly introduced legal initiatives to overcome this separation, namely 'Ambulantes Operieren' (Paragraph 115b SGB V), 'Ambulante Behandlung durch Krankenhaeuser' and Disease Management Programs (Paragraphen 116a-b SGB V) are described in detail in this article. Their impact on hospital-based health provision for out-patients is discussed. The aim of a better integration of different sectors with a better quality and a more efficient use of resources seems to be the target of these initiatives. (orig.)

  19. In-vitro diagnostic devices introduction to current point-of-care diagnostic devices

    CERN Document Server

    Cheng, Chao-Min; Chen, Chien-Fu

    2016-01-01

    Addressing the origin, current status, and future development of point-of-care diagnostics, and serving to integrate knowledge and tools from Analytical Chemistry, Bioengineering, Biomaterials, and Nanotechnology, this book focusses on addressing the collective and combined needs of industry and academia (including medical schools) to effectively conduct interdisciplinary research. In addition to summarizing and detailing developed diagnostic devices, this book will attempt to point out the possible future trends of development for point-of-care diagnostics using both scientifically based research and practical engineering needs with the aim to help novices comprehensively understand the development of point-of-care diagnostics. This includes demonstrating several common but critical principles and mechanisms used in point-of-care diagnostics that address practical needs (e.g., disease or healthcare monitoring) using two well-developed examples so far: 1) blood glucose meters (via electrochemistry); and, 2) p...

  20. Current Issues in Assessment in Early Childhood Care and Education in Japan

    Science.gov (United States)

    Kitano, Sachiko

    2011-01-01

    This paper introduces the characteristics of early childhood care and education (ECCE) assessment and identifies current challenges and changes in the assessment of ECCE in Japan. There are differences in assessment between ECCE and elementary school education. Assessment in ECCE is used to focus on making better plans, improving the understanding…

  1. Transformer-based asymmetrical embedded Z-source neutral point clamped inverters with continuous input current and enhanced voltage boost capability

    DEFF Research Database (Denmark)

    Mo, W.; Loh, Poh Chiang; Blaabjerg, Frede

    Z-source Neutral Point Clamped (NPC) inverters were introduced to integrate both the advantages of Z-source inverters and NPC inverters. However, traditional Z-source inverters suffer from high voltage stress and chopping input current. This paper proposes six types transformer-based impedance......-source NPC inverters which have enhanced voltage boost capability and continuous input current by utilizing of transformer and embedded dc source configuration. Experimental results are presented to verify the theory validation....

  2. Powerful leverages and counter-currents in the unborn child spiritual care: a qualitative study.

    Science.gov (United States)

    Heidari, Tooba; Ziaei, Saeideh; Ahmadi, Fazlollah; Mohammadi, Eesa

    2015-01-01

    In different cultures, pregnancy, birth and motherhood are perceived as spiritual events through their miraculous processes and create an ideal context for spiritual enrichment. However, studies on spirituality and birth are at very early stages. The purpose of this study was to understand the facilitators and barriers of the unborn child spiritual care in Iranian women. Twenty-two mothers with live pregnancy experience who were willing and able to share their life stories were selected purposefully in Tehran (Iran) from May 2012 to April 2013. Qualitative content analysis was used to analyze 27 interviews. Active and passive acquisition of information, inner inspirational messages, receiving effective support from the people around as well as modeling of self and significant others created "powerful leverages" to accelerate mother for caring her unborn child. "Counter-currents" in the form of unsuitable physical conditions during pregnancy, poor economic and social conditions, unsuitable psychological and cognitive conditions and finally understanding unsuitable ideological conditions of the self and care giver were identified as barriers. Iranian cultural and religious perspective on the unborn child physical and mental influence from mother has an important role in mother's self-care behaviors during pregnancy. It seems that using interdisciplinary professionals' skills based on understanding facilitators and barriers of mother care of the unborn child can lead to providing comprehensive prenatal care according to mothers' cultural, religious and social context. PMID:25560343

  3. Substrate decoration for improvement of current-carrying capabilities of YBa2Cu3Ox thin films

    DEFF Research Database (Denmark)

    Khoryushin, Alexey; Mozhaev, Peter; Mozhaeva, Julia; Bdikin, Igor K.; Zhao, Yue; Andersen, Niels Hessel; Jacobsen, Claus Schelde; Hansen, Jørn Otto Bindslev

    2013-01-01

    , a template layer of nanoparticles and an uniform ultra-thin layer. Significant improvement of current-carrying capabilities was observed, especially at high external magnetic fields. Structural studies of these films reveal the presence of extended linear defects in the YBCO matrix. The formation of...

  4. Early childhood care and education and equality of opportunity: theoretical and empirical perspectives on current social challenges

    OpenAIRE

    Burger, Kaspar; Stamm, Margrit

    2012-01-01

    Early childhood care and education has become a key issue in social science as well as in politics. Different actors increasingly use early childhood care and education to tackle a variety of societal challenges. This research contributes innovative theoretical and empirical dimension to the field, highlighting that early care and education can promote beneficial child development where informal learning environments do not support the acquisition of important capabilities sufficiently and th...

  5. Educating Medical Laboratory Technologists: Revisiting Our Assumptions in the Current Economic and Health-Care Environment

    Directory of Open Access Journals (Sweden)

    Regina Linder

    2012-08-01

    Full Text Available Health care occupies a distinct niche in an economy struggling to recover from recession. Professions related to the care of patients are thought to be relatively resistant to downturns, and thus become attractive to students typically drawn to more lucrative pursuits. Currently, a higher profile for clinical laboratory technology among college students and those considering career change results in larger and better prepared applicant pools. However, after decades of contraction marked by closing of programs, prospective students encounter an educational system without the capacity or vigor to meet their needs. Here discussed are some principles and proposals to allow universities, partnering with health-care providers, government agencies, and other stakeholders to develop new programs, or reenergize existing ones to serve our students and patients. Principles include academic rigor in biomedical and clinical science, multiple points of entry for students, flexibility in format, cost effectiveness, career ladders and robust partnerships.

  6. Surge current capabilities and isothermal current-voltage characteristics of high-voltage 4H-SiC junction barrier Schottky rectifiers

    Science.gov (United States)

    Palmour, J. W.; Levinshtein, M. E.; Ivanov, P. A.; Zhang, Q. J.

    2015-06-01

    Isothermal forward current-voltage characteristics of high-voltage 4H-SiC junction barrier Schottky rectifiers (JBS) have been studied for the first time. Isothermal characteristics were measured with JBS having a blocking voltage of 1700 V up to a current density j  ≈  4200 A cm-2 in the temperature range 297-460 K. Quasi-isothermal current-voltage characteristics of these devices were studied with injection of minority carriers (holes) up to j  ≈  7200 A cm-2 and ambient temperatures of 297 and 460 K. The isothermal forward current-voltage characteristics make it possible to numerically calculate (for example, by an iteration procedure) the overheating in an arbitrary operation mode.

  7. Help-seeking preferences for psychological distress in primary care:: effect of current mental state

    OpenAIRE

    Walters, K; Buszewicz, M.; Weich, S.; King, M

    2008-01-01

    Background There is much debate over when it is appropriate to intervene medically for psychological distress, and limited evidence on patients' perspectives about a broad range of possible treatment options. It is currently unclear whether preferences may differ for those patients with milder symptoms compared to those experiencing more severe distress.Aim To determine patient preferences for professional, informal, and alternative help for psychological distress in primary care, and the imp...

  8. Leakage Current Optimization Techniques During Test Based on Don't Care Bits Assignment

    Institute of Scientific and Technical Information of China (English)

    Wei Wang; Yu Hu; Yin-He Han; Xiao-Wei Li; You-Sheng Zhang

    2007-01-01

    It is a well-known fact that test power consumption may exceed that during functional operation. Leakage power dissipation caused by leakage current in Complementary Metal-Oxide-Semiconductor (CMOS) circuits during test has become a significant part of the total power dissipation. Hence, it is important to reduce leakage power to prolong battery life in portable systems which employ periodic self-test, to increase test reliability and to reduce test cost. This paper analyzes leakage current and presents a kind of leakage current simulator based on the transistor stacking effect.Using it, we propose techniques based on don't care bits (denoted by Xs) in test vectors to optimize leakage current in integrated circuit (IC) test by genetic algorithm. The techniques identify a set of don't care inputs in given test vectors and reassign specified logic values to the X inputs by the genetic algorithm to get minimum leakage vector (MLV).Experimental results indicate that the techniques can effectually optimize leakage current of combinational circuits and sequential circuits during test while maintaining high fault coverage.

  9. Assessing thermochromatography as a separation method for nuclear forensics. Current capability vis-a-vis forensic requirements

    International Nuclear Information System (INIS)

    Nuclear forensic science has become increasingly important for global nuclear security. However, many current laboratory analysis techniques are based on methods developed without the imperative for timely analysis that underlies the post-detonation forensics mission requirements. Current analysis of actinides, fission products, and fuel-specific materials requires time-consuming chemical separation coupled with nuclear counting or mass spectrometry. High-temperature gas-phase separations have been used in the past for the rapid separation of newly created elements/isotopes and as a basis for chemical classification of that element. We are assessing the utility of this method for rapid separation in the gas-phase to accelerate the separations of radioisotopes germane to post-detonation nuclear forensic investigations. The existing state of the art for thermo chromatographic separations, and its applicability to nuclear forensics, will be reviewed. (author)

  10. A new hybrid cycloconverter with smooth output voltage generation capability and accurate control of the circulating current

    OpenAIRE

    Klumpner, Christian; Xu, Tianning; Clare, Jon

    2006-01-01

    Nowadays, power electronic converters based exclusively on IGBTs deliver excellent load side performance up to megawatt powers in the low voltage range (200-690V) and are steadily gaining performance in the medium voltage range as well. However, the medium and high voltage/high power range remains dominated by converters using naturally commutated thyristors (i.e. cycloconverters, current source inverters), which offer poorer output side performance. This paper proposes a new hybrid arrangeme...

  11. Current ethical issues in HIV/AIDS research and HIV/AIDS care.

    Science.gov (United States)

    Hlongwa, P

    2016-04-01

    HIV/AIDS is a global public health concern with more than 30 million deaths having been reported. Over 70% of the 35 million people with HIV/AIDS live in sub-Saharan Africa. The current available antiretroviral treatments are limited because they do not cure but slow the progression of disease. Therefore, care and treatment for HIV/AIDS and its related research, especially in HIV-preventive vaccine trials, require stringent ethical guidelines because of the vulnerability of the affected individuals as it with all clinical trials. These guidelines should incorporate the basic principles in ethics which include autonomy of individuals, beneficence, non-malfeasance and justice in the care and participation of individuals in research. With at least one in five African adults infected with the disease living in sub-Saharan Africa, this review will discuss the current ethical issues in HIV care and HIV research based on the South African context as well as exploring some of the issues globally. PMID:27109274

  12. Preconception care of women with diabetes: a review of current guideline recommendations

    Directory of Open Access Journals (Sweden)

    Mazza Danielle

    2010-01-01

    Full Text Available Abstract Background The prevalence of type 2 diabetes mellitus (T2DM continues to rise worldwide. More women from developing countries who are in the reproductive age group have diabetes resulting in more pregnancies complicated by T2DM, and placing both mother and foetus at higher risk. Management of these risks is best achieved through comprehensive preconception care and glycaemic control, both prior to, and during pregnancy. The aim of this review was to compare the quality and content of current guidelines concerned with the preconception care of women with diabetes and to develop a summary of recommendations to assist in the management of diabetic women contemplating pregnancy. Methods Relevant clinical guidelines were identified through a search of several databases (MEDLINE, SCOPUS and The Cochrane Library and relevant websites. Five guidelines were identified. Each guideline was assessed for quality using the AGREE instrument. Guideline recommendations were extracted, compared and contrasted. Results All guidelines were assessed as being of high quality and strongly recommended for use in practice. All were consistent in counselling about the risk of congenital malformation related to uncontrolled blood sugar preconceptionally, ensuring adequate contraception until glycaemic control is achieved, use of HBA1C to monitor metabolic control, when to commence insulin and switching from ACE inhibitors to other antihypertensives. Major differences were in the targets recommended for optimal metabolic control and opinion regarding the usage of metformin as an adjunct or alternative treatment before or during pregnancy. Conclusions International guidelines for the care of women with diabetes who are contemplating pregnancy are consistent in their recommendations; however some are more comprehensive than others. Having established current standards for the preconception care of diabetic women, there is now a need to focus on guideline

  13. The Current Landscape of Transitions of Care Practice Models: A Scoping Review.

    Science.gov (United States)

    Rochester-Eyeguokan, Charmaine D; Pincus, Kathleen J; Patel, Roshni S; Reitz, Shirley J

    2016-01-01

    Transitions of care (TOC) are a set of actions to ensure patient coordination and continuity of care as patients transfer between different locations or levels. During transitions associated with chronic or acute illness, vulnerable patients may be placed at risk with fragmented systems compromising their health and safety. In addition, poor care transitions also have an enormous impact on health care spending. The primary objective of this scoping review is to summarize the current landscape of practice models that deliver TOC services in the United States. The secondary objective is to use the information to characterize the current state of best practice models. A search of the PubMed, Embase, Cumulative Index to Nursing and Allied Health Literature, Web of Science, International Pharmaceutical Abstracts, National Center for Biotechnology Information at the U.S. National Library of Medicine, and Cochrane Library databases (January 1, 2000-April 13, 2015) for articles pertaining to TOC models, limited to U.S. studies published in the English language with human subjects, gleaned 1362 articles. An additional 26 articles were added from the gray literature. Articles meeting inclusion criteria underwent a second review and were categorized into four groups: background information, original TOC research articles not evaluating practice model interventions, original TOC research articles describing practice models, and systematic or Cochrane reviews. The reviewers met weekly to discuss the challenges and resolve disagreements regarding literature reviews with consensus before progressing. A total of 188 articles describing TOC practice models met the inclusion criteria. Despite the strengths of several quality TOC models, none satisfied all the components recommended by leading experts. Multimodal interventions by multidisciplinary teams appear to represent a best practice model for TOC to improve patient outcomes and reduce readmissions, but one size does not fit all

  14. Pulmonary (cardio) diagnostic system for combat casualty care capable of extracting embedded characteristics of obstructive or restrictive flow

    Science.gov (United States)

    Allgood, Glenn O.; Treece, Dale A.; Pearce, Fred J.; Bentley, Timothy B.

    2000-08-01

    Walter Reed Army Institute of Research and Oak Ridge National Laboratory have developed a prototype pulmonary diagnostic system capable of extracting signatures from adventitious lung sounds that characterize obstructive and/or restrictive flow. Examples of disorders that have been detailed include emphysema, asthma, pulmonary fibrosis, and pneumothorax. The system is based on the premise that acoustic signals associated with pulmonary disorders can be characterized by a set of embedded signatures unique to the disease. The concept is being extended to include cardio signals correlated with pulmonary data to provide an accurate and timely diagnoses of pulmonary function and distress in critically injured soldiers that will allow medical personnel to anticipate the need for accurate therapeutic intervention as well as monitor soldiers whose injuries may lead to pulmonary compromise later. The basic operation of the diagnostic system is as follows: (1) create an image from the acoustic signature based on higher order statistics, (2) deconstruct the image based on a predefined map, (3) compare the deconstructed image with stored images of pulmonary symptoms, and (4) classify the disorder based on a clustering of known symptoms and provide a statistical measure of confidence. The system has produced conformity between adults and infants and provided effective measures of physiology in the presence of noise.

  15. Myelodysplastic syndromes: aspects of current medical care and economic considerations in Germany.

    Science.gov (United States)

    Gattermann, Norbert; Hofmann, Wolf-Karsten; Meessen, Axel; Schmitz, Stephan; Tsamaloukas, Anton; Vollmer, Tanja; Wedding, Ulrich; Plesnila-Frank, Carlotta; Schramm, Wolfgang; Berger, Karin

    2008-09-01

    Myelodysplastic syndromes (MDS) are a heterogeneous group of diseases mainly affecting older people. The use of an increasing number of therapeutic options depends on a systematic risk stratification of the patients. A high percentage of MDS patients need blood transfusions as supportive care, which influence quality of life and cause a great part of the costs generated by MDS therapy. In this article which is based on a workshop about the burden of MDS held in October 2006 in Munich, MDS is discussed with regard to different aspects: current therapies, transfusion medicine, geriatrics, quality of life, and health economic aspects. PMID:18787357

  16. The direct relationship between output power and current carrying capability of rotor bars in HTS induction/synchronous motor with the use of DI-BSCCO tapes

    Science.gov (United States)

    Nakamura, T.; Nagao, K.; Nishimura, T.; Ogama, Y.; Kawamoto, M.; Okazaki, T.; Ayai, N.; Oyama, H.

    2008-08-01

    We report on the direct relationship between output power and the current carrying capability of a squirrel-cage HTS induction/synchronous motor based on experiment. The secondary windings are fabricated by use of so-called DI-BSCCO tapes, and the conventional (normal conducting) stator, three-phase and four-pole, is utilized. The tests are carried out in liquid nitrogen for two kinds of HTS windings, in which the number of HTS rotor bars is varied. It is directly shown that the output power is proportional to the rotor bars' critical current at 77 K. In other words, the torque can be enlarged by increasing the critical current of the HTS rotor bars.

  17. Patient and citizen participation in German health care--current state and future perspectives.

    Science.gov (United States)

    Loh, Andreas; Simon, Daniela; Bieber, Christiane; Eich, Wolfgang; Härter, Martin

    2007-01-01

    Patient participation within the German healthcare system is described at three different levels: the macro level as active patient influence on the regulation of medical care, the meso level in terms of institutions enhancing patient information and counselling, and the micro level focusing on the actual treatment decision-making process in the medical encounter. The main focus of the present publication is on the health care system-specific influences on patient participation in medical decision-making and on the current state of research and implementation of shared decision-making in Germany. We describe institutions promoting patient involvement, their aims and initiatives as well as recent changes in German legislation. Against the background of German health politics' endorsement of patient participation the German Ministry of Health funded a research consortium with shared decision-making intervention projects in various disease areas. The present state of the intervention projects' results is outlined as well as subsequently funded transfer projects and future perspectives of research grants. Supported by health politics and the utilisation of scientific evidence shared decision-making's transfer into practice is considered to be relevant to the German health care system. PMID:17601177

  18. Current status of quality evaluation of nursing care through director review and reflection from the Nursing Quality Control Centers

    OpenAIRE

    Duan, Xia; Shi, Yan

    2014-01-01

    Background: The quality evaluation of nursing care is a key link in medical quality management. It is important and worth studying for the nursing supervisors to know the disadvantages during the process of quality evaluation of nursing care and then to improve the whole nursing quality. This study was to provide director insight on the current status of quality evaluation of nursing care from Nursing Quality Control Centers (NQCCs). Material and Methods: This qualitative study used a sample ...

  19. Current state of chronic wound care in Kazakhstan: focus on topical treatments

    Directory of Open Access Journals (Sweden)

    Alma Akhmetova

    2015-02-01

    Full Text Available Background — The presence of chronic hard-to-heal wounds significantly affects patients’ quality of life causing pain, discomfort, decrease of mobility and consequently leads to social isolation and depression. This type of wound is more prevalent among older population. It has been estimated that up to 1-2% of the world population have this condition. The treatment of hard-to-heal wounds is expensive and long-term process, and, stresses healthcare systems of every country. Unfortunately, limited information is available about the situation with chronic wounds in Kazakhstan as the statistical data on such patients is not monitored and not registered in this country. Methods — The search was conducted by using available electronic sources, including Google Scholar, PubMed, Web of Sciences, Medline, Wiley Online Library, and Cochrane Library databases as well as hard copy versions of peer-reviewed publications in Russian, Kazakh, and English languages. Results — We have identified and analyzed current situation with wound care in the Republic of Kazakhstan. Research has demonstrated a variety of types of treatments utilized in the country, particularly the treatment of the diabetic foot.It also indicates the lack of statistics on wound care. Conclusions — The review highlights the mechanisms of wound healing process, methods for wound care, and encompasses the information available on wound healing in Republic of Kazakhstan. The article emphasizes the necessity of establishing the systemic monitoring of wound care and formation of electronic database. Apart from that, the importance of developing and manufacturing of domestic novel wound treatments have been also stressed out.

  20. Current perceptions of respite care: experiences of family and informal carers of people with a learning disability.

    Science.gov (United States)

    Mansell, Ian; Wilson, Christine

    2009-12-01

    Access to regular, high-quality respite care has a beneficial impact on a carer's ability to fulfil their caring role, but provision varies widely. The current study aims to report family and informal carers' perceptions of respite care services offered to them by their local authority. A mixed method, triangulated design, yielded both quantitative and qualitative data. Members of a parent/carer federation were sent a questionnaire which included a section on 'respite care'; 151 of 647 responded. Two focus groups were held with 15 carers who had previously completed the questionnaire. The majority of carers reported that their respite needs were not being met. Unmet needs were hampered by the lack of information regarding criteria for access to respite. Discrepancies were evident between professionals and carers on a shared definition of respite care. Carers were unsure of exactly which activities constituted respite care and for whom the service was being provided. PMID:20048347

  1. The History and Current Status of Federal Legislation Pertaining to Day Care Programs.

    Science.gov (United States)

    Searcy, Ellen O.; Ouellet, Ronald

    This report is a brief summary of the history of Federal Day Care provisions through the sixties and an analysis of the child care legislation pending in Congress during 1971. The 92nd Congress, in attempts to answer the growing demands for Federally-sponsored child care, introduced four separate bills dealing with child care financing: HR. 1…

  2. Current trends, figures and challenges in out of home child care: An internationalcomparative analysis

    OpenAIRE

    Del Valle, Jorge F; Amaia Bravo

    2014-01-01

    This article closes the special issue of this journal about an international review of out-of-home child care, principally family foster care and residential care, tough several aspects related to adoption were included as well. Although a comparison on some data about residential and foster care, or kinship and non-kinship care, is carried out, the article tries above all to make a reflection on the implications of several themes that have emerged as more interesting or important. Matters su...

  3. Self-reported interoceptive awareness in primary care patients with past or current low back pain

    Directory of Open Access Journals (Sweden)

    Mehling WE

    2013-05-01

    Full Text Available Wolf E Mehling,1,2 Jennifer Daubenmier,1,3 Cynthia J Price,5 Mike Acree,1 Elizabeth Bartmess,1 Anita L Stewart41Osher Center for Integrative Medicine, 2Department of Family and Community Medicine, 3Department of Medicine, 4School of Nursing, Institute for Health and Aging, University of California, San Francisco, CA, 5School of Nursing, Department of Biobehavioral Nursing and Health Systems, University of Washington, Seattle, WA, USABackground: Mind–body interactions play a major role in the prognosis of chronic pain, and mind–body therapies such as meditation, yoga, Tai Chi, and Feldenkrais presumably provide benefits for pain patients. The Multidimensional Assessment of Interoceptive Awareness (MAIA scales, designed to measure key aspects of mind–body interaction, were developed and validated with individuals practicing mind–body therapies, but have never been used in pain patients.Methods: We administered the MAIA to primary care patients with past or current low back pain and explored differences in the performance of the MAIA scales between this and the original validation sample. We compared scale means, exploratory item cluster and confirmatory factor analyses, scale–scale correlations, and internal-consistency reliability between the two samples and explored correlations with validity measures.Results: Responses were analyzed from 435 patients, of whom 40% reported current pain. Cross-sectional comparison between the two groups showed marked differences in eight aspects of interoceptive awareness. Factor and cluster analyses generally confirmed the conceptual model with its eight dimensions in a pain population. Correlations with validity measures were in the expected direction. Internal-consistency reliability was good for six of eight MAIA scales. We provided specific suggestions for their further development.Conclusion: Self-reported aspects of interoceptive awareness differ between primary care patients with past or current

  4. Chest Pain of Suspected Cardiac Origin: Current Evidence-based Recommendations for Prehospital Care

    Directory of Open Access Journals (Sweden)

    P. Brian Savino

    2015-12-01

    Full Text Available Introduction: In the United States, emergency medical services (EMS protocols vary widely across jurisdictions. We sought to develop evidence-based recommendations for the prehospital evaluation and treatment of chest pain of suspected cardiac origin and to compare these recommendations against the current protocols used by the 33 EMS agencies in the state of California. Methods: We performed a literature review of the current evidence in the prehospital treatment of chest pain and augmented this review with guidelines from various national and international societies to create our evidence-based recommendations. We then compared the chest pain protocols of each of the 33 EMS agencies for consistency with these recommendations. The specific protocol components that we analyzed were use of supplemental oxygen, aspirin, nitrates, opiates, 12-lead electrocardiogram (ECG, ST segment elevation myocardial infarction (STEMI regionalization systems, prehospital fibrinolysis and β-blockers. Results: The protocols varied widely in terms of medication and dosing choices, as well as listed contraindications to treatments. Every agency uses oxygen with 54% recommending titrated dosing. All agencies use aspirin (64% recommending 325mg, 24% recommending 162mg and 15% recommending either, as well as nitroglycerin and opiates (58% choosing morphine. Prehospital 12- Lead ECGs are used in 97% of agencies, and all but one agency has some form of regionalized care for their STEMI patients. No agency is currently employing prehospital fibrinolysis or β-blocker use. Conclusion: Protocols for chest pain of suspected cardiac origin vary widely across California. The evidence-based recommendations that we present for the prehospital diagnosis and treatment of this condition may be useful for EMS medical directors tasked with creating and revising these protocols.

  5. Surveying Consumer Satisfaction to Assess Managed-Care Quality: Current Practices

    OpenAIRE

    Gold, Marsha; Wooldridge, Judith

    1995-01-01

    Growing interest in using consumer satisfaction information to enhance quality of care and promote informed consumer choice has accompanied recent expansions in managed care. This article synthesizes information about consumer satisfaction surveys conducted by managed-care plans, government and other agencies, community groups, and purchasers of care. We discuss survey content, methods, and use of consumer survey information. Differences in the use of consumer surveys preclude one instrument ...

  6. Overcoming Roadblocks: Current and Emerging Reimbursement Strategies for Integrated Mental Health Services in Primary Care

    OpenAIRE

    O’Donnell, Allison N.; Williams, Mark; Kilbourne, Amy M.

    2013-01-01

    The Chronic Care Model (CCM) has been shown to improve medical and psychiatric outcomes for persons with mental disorders in primary care settings, and has been proposed as a model to integrate mental health care in the patient-centered medical home under healthcare reform. However, the CCM has not been widely implemented in primary care settings, primarily because of a lack of a comprehensive reimbursement strategy to compensate providers for day-to-day provision of its core components, incl...

  7. Finite element analysis of ageing reinforced and prestressed concrete structures in nuclear plant - An international review of current capabilities and priorities for future developments

    International Nuclear Information System (INIS)

    Nuclear plants contain a variety of concrete structures whose structural performance is essential to the safety of the plant. There is a requirement to demonstrate the robustness of these structures during normal operating and extreme accident conditions, throughout their life. During this time, the concrete may degrade due to the effects of ageing. This degradation must be accounted for during the assessment of their performance. Finite Element Analysis (FEA) techniques have tremendous potential for providing valuable insight into the behaviour of these aged concrete structures under a range of different loading conditions. Advanced FEA techniques currently enjoy widespread use within the nuclear industry for the non-linear analysis of concrete. Many practitioners within the nuclear industry are at the forefront of the industrial application of these methods. However, in some areas, the programs that are commercially available lag behind the best information available from research. This document is an international review of current capabilities and priorities for future development relating to non-linear finite element analysis of reinforced and prestressed concrete in the nuclear industry in the various member states. Particular attention is paid to the analysis of degraded or ageing structures. This report: 1. Summarises the needs for FEA of aged concrete nuclear structures; 2. Details the existing capabilities, not just in terms of what the software is capable of, but also in terms of the current practices employed by those in industry; 3. Looks at how engineers, within the nuclear industry, working in this field would like to see methods improved, and identifies the factors that are limiting current practice; 4. Summarises ongoing research that may provide beneficial technological advances; 5. Assigns priorities to the different development requests; 6. Selects those developments that are felt to be of greatest benefit to industry and provides a qualitative

  8. Gossiping Capabilities

    DEFF Research Database (Denmark)

    Mogensen, Martin; Frey, Davide; Guerraoui, Rachid;

    nodes dynamically adjust their contribution to gossip dissemination according to their capabilities. Using a continuous, itself gossip-based, approximation of relative capabilities, HEAP dynamically leverages the most capable nodes by (a) increasing their fanouts (while decreasing by the same proportion...... declare a high capability in order to augment their perceived quality without contributing accordingly. We evaluate HEAP in the context of a video streaming application on a 236 PlanetLab nodes testbed. Our results shows that HEAP improves the quality of the streaming by 25% over a standard gossip...

  9. Radiation in pediatric health care: current situation and challenges in the Philippines

    International Nuclear Information System (INIS)

    Radiation exposure to human health has been the topic of much research to date, focusing particularly on children as they are especially vulnerable and have longer life span to develop log term health effects. Taking into account the higher vulnerability of children, prevention of unnecessary radiation exposure is critical in pediatric patients. Issues such as pediatric patient receive a higher dose than necessary has been identified because adult computed tomography (CT) settings are used for children. Assessment of population exposures resulting from medical use of radiation is mainly available in industrialized countries, while in developing countries such as the Philippines, data are scarce. This information is very much scarce in the field of pediatric medical exposures and appropriate national surveys including frequency of pediatric procedures and children doses are still lacking. A broader and more effective participation of the regulatory authorities in such surveys could contribute to children risk assessment. The presentation explains the current situation, approach and challenges in the Philippines in dealing with radiation in pediatric health care. (author)

  10. [The current status, feasibility and difficulties of tele-home care].

    Science.gov (United States)

    Lou, Mei-Ling; Chang, Tsai-Shiu; Yeh, Ming-Chen; Hung, Li-Chen

    2005-02-01

    Tele-home care (THC) is an innovative nursing care mode and has been applied in home care services in European countries and America. It has shown tremendous effects and benefits in disease administration and care costs. In view of increases in medical expenditure, and increases in the aged, chronically diseased population, our government has been actively supporting long-term care networks and has listed THC as an important plan in the nation's development. However, whether this new medical electron technology is applicable to the home-care practice in Taiwan or what will be its impact on the competitive medical care market, have been little discussed. The purpose of this paper, therefore, was to introduce the THC experience from abroad in order to provide a new direction for the nursing staff. In this article, we will introduce and define THC, the equipment it requires, its application, feasibility and difficulties. In preparation for the advent of a scientific and technological 21st century, we hope that nursing staff will be able to consider alternatives to traditional forms of home care and give a try to this revolutionary care mode in order to provide continued care for patients and their families. Furthermore, we hope to encourage experts and scholars in the field of nursing and medical information to invest their effort and intelligence in the study of THC. PMID:15712062

  11. Dynamic Capabilities

    DEFF Research Database (Denmark)

    Grünbaum, Niels Nolsøe; Stenger, Marianne

    2013-01-01

    The findings reveal a positive relationship between dynamic capabilities and innovation performance in the case enterprises, as we would expect. It was, however, not possible to establish a positive relationship between innovation performance and profitability. Nor was there any positive...... relationship between dynamic capabilities and profitability....

  12. Dynamic capabilities

    DEFF Research Database (Denmark)

    Grünbaum, Niels Nolsøe; Stenger, Marianne

    2013-01-01

    The consequences of dynamic capabilities (i.e. innovation performance and profitability) is an under researched area in the growing body of literature on dynamic capabilities and innovation management. This study aims to examine the relationship between dynamic capabilities, innovation performance...... and profitability of small and medium sized manufacturing enterprises operating in volatile environments. A multi-case study design was adopted as research strategy. The findings reveal a positive relationship between dynamic capabilities and innovation performance in the case companies, as we would...... expect. It was, however, not possible to establish a positive relationship between innovation performance and profitability. Nor was there any positive relationship between dynamic capabilities and profitability. The main contribution of this study is a better understanding of the realm of small and...

  13. Report to Congress: Summary Report of the Assessment of Current State Practices in Title XX Funded Day Care Programs.

    Science.gov (United States)

    Administration for Children, Youth, and Families (DHHS), Washington, DC.

    In 1980 the federal government mandated that assistance be given states to conduct systematic assessment of current practices in Title XX funded day care programs and that a summary report of this assessment be provided to Congress. Assessment findings are given in this document. Overall, provider practices exceeded state licensing standards and…

  14. Maternal Discourse, Attachment-Related Risk, and Current Risk Factors: Associations with Maternal Parenting Behavior during Foster Care Visits

    Science.gov (United States)

    Schoppe-Sullivan, Sarah J.; Mangelsdorf, Sarah C.; Haight, Wendy L.; Black, James E.; Sokolowski, Margaret Szewczyk; Giorgio, Grace; Tata, Lakshmi

    2007-01-01

    This study examined relations among mothers' discourse about experiences in their families of origin and with child protective services (CPS), attachment-related and current risk factors, and the quality of mothers' parenting behavior with their young children during supervised visits. Twenty-nine 2- to 6-year-old children in foster care and their…

  15. Mental Health Care in Nepal : Current Situation and Challenges for Development of a District Mental Health Care Plan

    NARCIS (Netherlands)

    Luitel, N.P., Jordans, M.J.D., Adhikari, Al, Upadhaya, N.P., Hanlon, C., Lund, C. & Komproe, I.H.

    2015-01-01

    Background Globally mental health problems are a serious public health concern. Currently four out of five people with severe mental illness in Low and Middle Income Countries (LMIC) receive no effective treatment. There is an urgent need to address this enormous treatment gap. Changing the focus of

  16. Collaborative care regarding major depressed patients: A review of guidelines and current practices.

    Science.gov (United States)

    Van den Broeck, Kris; Remmen, Roy; Vanmeerbeek, Marc; Destoop, Marianne; Dom, Geert

    2016-08-01

    Major Depressive Disorder (MDD) is a severe and common mental disorder. A growing body of evidence suggests that stepped and/or collaborative care treatment models have several advantages for severely depressed patients and caretakers. However, despite the availability of these treatment strategies and guidance initiatives, many depressive patients are solely treated by the general practitioner (GP), and collaborative care is not common. In this paper, we review a selected set of international guidelines to inventory the best strategies for GPs and secondary mental health care providers to collaborate when treating depressed patients. Additionally, we systematically searched the literature, listing potential ways of cooperation, and potentially supporting tools. We conclude that the prevailing guidelines only include few and rather vague directions regarding the cooperation between GPs and specialised mental health practitioners. Inspiring recent studies, however, suggest that relatively little efforts may result in effective collaborative care and a broader implementation of the guidelines in general. PMID:27136418

  17. Health service organization for patients with cerebral infarction: current status and specifics of outpatient medical care

    Directory of Open Access Journals (Sweden)

    Parkhomenko A.A.

    2015-06-01

    Full Text Available Stroke and cerebral infarction in particularly are important medical and social problems. The article describes the historical changes of legal acts regulating medical care for patients with stroke and observes recent researches dealing with the law enforcement in this sphere. Content analysis revealed the lack of correspondence between the legal framework and clinical guidelines for cerebral infarction. Particular attention is paid to the low level of scientific research results concerned with the stroke outpatient medical care.

  18. A current look at the key performance measures considered critical by health care leaders.

    Science.gov (United States)

    Love, Dianne; Revere, Lee; Black, Ken

    2008-01-01

    The increased focus on health care quality is changing the face of performance measures. Traditional measures of financial performance are being complemented by indicators of satisfaction, medical error rates, infection control ,and more. This study surveyed health care executives to determine the performance indicators considered critical for organizational assessment and improvement. The findings suggest financial measures such as operating profit margin, days cash on hand, charity care, net profit margin, bad dept expense, and days in accounts receivable A/R continue to be critical for health care decision makers. These measures are complemented by non-financial indicators such as physician and employee satisfaction, hospital-acquired infection rates, surgical site infection rates, inpatient mortality, infection control outcomes, and medication error rates. The results of this study underscore the notion that health care administrators are concerned about delivering high-quality effective health care in which both customers and providers are satisfied and which is done in a strong financial environment. PMID:18468376

  19. Efectos del Programa Cuidando al Cuidador, en la mejora de la habilidad de cuidado Efeitos do Programa Cuidando o cuidador, na melhora da capacidade de cuidado Effects of the Program Caring for the Caregiver in improving caring capability

    Directory of Open Access Journals (Sweden)

    ORFA NINETH MORALES PADILLA

    2008-12-01

    valor. Na pós-prova ambos os grupos aumentaram o conhecimento e paciência; o último em menor escala. Discussão: o gênero feminino continua assumindo o cuidado de seus familiares, com alto conhecimento e paciência que poderiam estar vinculadas com características sóciodemográficas, e baixo valor porque o instrumento, talvez, a presenta problemas na hora de ser avaliado. Embora na pós-prova o grupo em geral atingiu a pontuação máxima nas duas dimensões descritas com antecedência e pouco fortalecimento do valor, o que argumenta a necessidade de continuar desenvolvendo o Programa Cuidando ao Cuidador e promover a criação de uma nova ferramenta, considerando o produto obtido. Conclusões: o grupo experimental e o de controle conseguiram um bom nível de capacidade de cuidado inicial. Com a execução do programa se observa o incremento em conhecimento e paciência e, em menor grau, na dimensão de valor, é por isso que concluímos que essa é uma área não tão sensível ao tratamento efetuado.Objective of the Study: to evaluate the effectiveness of the Program Caring for the Caregiver to strengthen capabilities with similar groups cared for in Hospital Nacional de Ortopedia y Rehabilitación Dr. Jorge von Ahn,in León,Gua-temala. Methodology: quantitative, quasi-experimental method, with the participation of one sample and one control group. Results: both, experimental and control groups had a high general care capability in the pre-test, except for value. In the post-test, both groups enhanced knowledge and patience, the latter to a lesser extend. Discussion: Women continue assuming the care for their relatives, with a high degree of knowledge and patience which may be associated to social and demographic characteristics and low value, because, probably, the instrument has assessment problems. Although in the post-test the group in general reached a maximum score in the two dimensions previously described and low strengthening of value, which supports

  20. Effects of the Program Caring for the Caregiver in improving caring capability Efectos del Programa Cuidando al Cuidador, en la mejora de la habilidad de cuidado Efeitos do Programa Cuidando o cuidador, na melhora da capacidade de cuidado

    Directory of Open Access Journals (Sweden)

    MORALES PADILLA ORFA NINETH

    2008-12-01

    Full Text Available Objective of the Study: to evaluate the effectiveness of the Program Caring for the Caregiver to strengthen capabilities with similar groups cared for in Hospital Nacional de Ortopedia y Rehabilitación Dr. Jorge von Ahn,in León,Guatemala. Methodology: quantitative, quasi-experimental method, with the participation of one sample and one control group. Results: both, experimental and control groups had a high general care capability in the pre-test, except for value. In the post-test, both groups enhanced knowledge and patience, the latter to a lesser extend. Discussion: Women continue assuming the care for their relatives, with a high degree of knowledge and patience which may be associated to social and demographic characteristics and low value, because, probably, the instrument has assessment problems. Although in the post-test the group in general reached a maximum score in the two dimensions previously described and low strengthening of value, which supports the need to continue developing the Program Caring for the Caregiver and to promote the creation of a new tool, taking into consideration the product obtained. Conclusions: the experimental Group and the control Group obtained a good initial care capability. When executing the program, an increase in knowledge and patience is observed and to a lesser extend in dimension of value, deducing from this that the latter is not really an area sensitive for the treatment carried out.Objetivo del estudio: evaluar la efectividad del Programa Cuidando al Cuidador, para el fortalecimiento de habilidades con grupos similares atendidos en el Hospital Nacional de Ortopedia y Rehabilitación Dr. Jorge von Ahn, de León, Guatemala. Metodología: cuantitativa de tipo cuasi experimental, con participación de un grupo muestra y otro de control. Resultados: tanto el grupo experimental como el de control tuvieron en la preprueba una alta habilidad de cuidado general, exceptuando el

  1. Physician payment 2008 for interventionalists: current state of health care policy.

    Science.gov (United States)

    Manchikanti, Laxmaiah; Giordano, James

    2007-09-01

    Physicians in the United States have been affected by significant changes in the pattern(s) of medical practice evolving over the last several decades. These changes include new measures to 1) curb increasing costs, 2) increase access to patient care, 3) improve quality of healthcare, and 4) pay for prescription drugs. Escalating healthcare costs have focused concerns about the financial solvency of Medicare and this in turn has fostered a renewed interest in the economic basis of interventional pain management practices. The provision and systemization of healthcare in North America and several European countries are difficult enterprises to manage irrespective of whether these provisions and systems are privatized (as in the United States) or nationalized or seminationalized (as in Great Britain, Canada, Australia and France). Consequently, while many management options have been put forth, none seem to be optimally geared toward affording healthcare as a maximized individual and social good, and none have been completely enacted. The current physician fee schedule (released on July 12, 2007) includes a 9.9% cut in payment rate. Since the Medicare program was created in 1965, several methods have been used to determine physicians' rate(s) for each covered service. The sustained growth rate (SGR) system, established in 1998, has evoked negative consequences on physician payment(s). Based on the current Medicare expenditure index, practice expenses are projected to increase by 34.5% from 2002 to 2016, whereas, if actual practice inflation is considered, this increase will be 90%. This is in contrast to projected physician payment cuts that are depicted to be 51%. No doubt, this scenario will be devastating to many practices and the US medical community at large. Resolutions to this problem have been offered by MedPAC, the Government Accountability Office, physician organizations, economists, and various other interested groups. In the past, temporary measures have

  2. ENTREPRENEURIAL CAPABILITIES

    DEFF Research Database (Denmark)

    Rasmussen, Lauge Baungaard; Nielsen, Thorkild

    2003-01-01

    The aim of this article is to analyse entrepreneurship from an action research perspective. What is entrepreneurship about? Which are the fundamental capabilities and processes of entrepreneurship? To answer these questions the article includes a case study of a Danish entrepreneur and his networks...

  3. ENTREPRENEURIAL CAPABILITIES

    DEFF Research Database (Denmark)

    Rasmussen, Lauge Baungaard; Nielsen, Thorkild

    2003-01-01

    The aim of this article is to analyse entrepreneurship from an action research perspective. What is entrepreneurship about? Which are the fundamental capabilities and processes of entrepreneurship? To answer these questions the article includes a case study of a Danish entrepreneur and his networ...

  4. Capability approach

    DEFF Research Database (Denmark)

    Jensen, Niels Rosendal; Kjeldsen, Christian Christrup

    Lærebogen er den første samlede danske præsentation af den af Amartya Sen og Martha Nussbaum udviklede Capability Approach. Bogen indeholder en præsentation og diskussion af Sen og Nussbaums teoretiske platform. I bogen indgår eksempler fra såvel uddannelse/uddannelsespolitik, pædagogik og omsorg....

  5. [Current aspects of war surgery. From the trauma center to precarious medical care].

    Science.gov (United States)

    Houdelette, P

    1997-01-01

    War, said Carl von Clausewitz, is a cameleon. In this century, each armed conflict has proved to be unique, particularly in its medical aspects, with its own features and teaching its won lessons. As recent events show, no conflict is a fact of the past. Medical care delivered to war casualties depend on the circumstances of the war, on the medical resources available, but also on the price that cultures or circumstances place on it. Everything separates these two paradigms; on the one hand the "precious" casualty of western armies whose medical support is organized in a concept (forward medical and surgical care, ultra-rapid medical evacuation) tailored to each case, and as close as possible to the medical care of a civilian trauma patient whose models remains the North-American ballistic wound managed in trauma centers; on the other hand, civilian victims, in large numbers, in poor and disorganized countries, often abandoned to their own fate or sorted by "epidemiological" triage, which guarantees a distribution, as efficient as possible, of limited medical care. In war, advanced medical care and precarious medicine may work side by side according to two logics which do not exclude one another and constantly improve. PMID:9297902

  6. [The role of caregivers in health care. Historical backgrounds and current conflict situations].

    Science.gov (United States)

    Hofmann, I

    2012-09-01

    As a result of recent demographic developments, there has been an increased demand for high-quality health care. Among the various health professions, caregiving represents the largest professional group, numbering approximately 820,000 caregivers. Despite its size, this group is failing to meet basic conditions in line with international standards that secure adequate care. This failing is primarily due to the special path that Germany took regarding healthcare at the end of the nineteenth century and on which it continues to this day. It manifests itself in a heteronomy to which the professional group is permanently subjected by lobbies and policies that view health care from a perspective whose primary aim is to reduce unemployment. The present lack of organization of caregivers has frustrated their political assertiveness; and not least because of this, many caregivers leave the profession early. The profession itself is grappling with its professional identity. The development of expert standards, research into care, ethical reflections, as well as the struggle for common professional training are positive signs in this ongoing debate and are reflected in the positive feedback received from patients. The interdisciplinary dialogue between caregivers and physicians is in need of improvement. The first signs of progress are evident within the framework of health care ethics committees. This dialogue would certainly benefit both the professional group as well as the patients. PMID:22936484

  7. Current experiences and educational preferences of general practitioners and staff caring for people with dementia living in residential facilities

    Directory of Open Access Journals (Sweden)

    Scherer Samuel

    2009-08-01

    Full Text Available Abstract Background Residential care is important for older adults, particularly for those with advanced dementia and their families. Education interventions that achieve sustainable improvement in the care of older adults are critical to quality care. There are few systematic data available regarding the educational needs of Residential Care Facility (RCF staff and General Practitioners (GPs relating to dementia, or the sustainability of educational interventions. We sought to determine participation in dementia education, perceived levels of current knowledge regarding dementia, perceived unmet educational needs, current barriers, facilitators and preferences for dementia education. Methods A mixed methods study design was utilised. A survey was distributed to a convenience sample of general practitioners, and staff in 223 consecutive residential care facilities in Perth, Western Australia. Responses were received from 102 RCF staff working in 10 facilities (out of 33 facilities who agreed to distribute the survey and 202 GPs (19% of metropolitan GPs. Quantitative survey data were summarised descriptively and chi squared statistics were used to analyse the distribution of categorical variables. Qualitative data were collected from general practitioners, staff in residential care facilities and family carers of people with dementia utilizing individual interviews, surveys and focus groups. Qualitative data were analysed thematically. Results Among RCF staff and GPs attending RCF, participation in dementia education was high, and knowledge levels generally perceived as good. The individual experiences and needs of people with dementia and their families were emphasised. Participants identified the need for a person centred philosophy to underpin educational interventions. Limited time was a frequently mentioned barrier, especially in relation to attending dementia care education. Perceived educational needs relating to behaviours of concern

  8. Toward a Public Toxicogenomics Capability for Supporting Predictive Toxicology: Survey of Current Resources and Chemical Indexing of Experiments in GEO and ArrayExpress

    Science.gov (United States)

    A publicly available toxicogenomics capability for supporting predictive toxicology and meta-analysis depends on availability of gene expression data for chemical treatment scenarios, the ability to locate and aggregate such information by chemical, and broad data coverage within...

  9. The current politics of residential care on spot by lightning of the child and adolescent statute

    Directory of Open Access Journals (Sweden)

    Vanessa Rombola Machado

    2011-12-01

    Full Text Available The article come up with presenting the politics of residential care based on the principles established by legislation backed to children and adolescents – The Child and Adolescent Statute – addressing the normative, notably the National Family and Community and Technical Guidelines for care services for children and adolescents, given that such rules that have been incorporated by the politics of attention to childhood and youth with the proposed changes in legislation from 2009 with the called New Adoption Law. It also presents a reflection on the reality of these host institutions, commonly known as shelters. In conclusion reflects about the importance about legal changes.

  10. Current situation of sexual and reproductive health of men deprived of liberty in the Institutional Care Center of San Jose

    OpenAIRE

    Dorita Rivas Fonseca; Adriana Ortiz Obando

    2013-01-01

    The objective of this research was to determine the current status of the issue of sexual and reproductive health ofthe prisoners Institutional Care Center (CAI) of San Jose. It is a descriptive study. Through a strategic samplingdetermined the participation of 102 men. The information was obtained by applying a self-administeredquestionnaire with closed and open questions. As a result relevant to your socio-demographic profile, it appearsthat deprived of their liberty is a very heterogeneous...

  11. Focus group reflections on the current and future state of cognitive assessment tools in geriatric health care

    OpenAIRE

    Whitehead JC; Gambino SA; Richter JD; Ryan JD

    2015-01-01

    Jocelyne C Whitehead,1 Sara A Gambino,1 Jeffrey D Richter,2 Jennifer D Ryan1,3,41Rotman Research Institute, Baycrest, 2Independent Human Factors Consultant, Toronto, ON, Canada; 3Department of Psychology, 4Department of Psychiatry, University of Toronto, Toronto, ON, CanadaObjective: This study provides insight into the thoughts and opinions of geriatric health-care professionals toward cognitive assessments and the use of emerging technologies, such as eye-tracking, to supplement current too...

  12. Current state of information technology use in a US primary care practice-based research network

    Directory of Open Access Journals (Sweden)

    James Andrews

    2004-02-01

    Conclusion While interest in enabling information technologies was high in KAN, adoption was variable, with use of several key technologies reported as low.The results suggest that research in this network that would be dependent on or enhanced by IT might be impeded and, generally, greater attention should be given to enhancing the IT infrastructure in primary care.

  13. CURRENT ECONOMIC AND MEDICAL REFORMS IN THE ROMANIAN HEALTH CARE SYSTEM

    Directory of Open Access Journals (Sweden)

    Dragoi Mihaela Cristina

    2011-12-01

    Full Text Available The issue of health has always been, both in social reality and in academia and research, a sensitive topic considering the relationship each individual has with his own health and the health care system as a public policy. At public opinion levels and not only, health care is the most important sector demanding the outmost attention, considering that individual health is the fundamental prerequisite for well-being, happiness and a satisfying life. The ever present research and practical question is on the optimal financing of the health care system. Any answer to this question is also a political decision, reflecting the social-economic value of health for a particular country. The size of the resource pool and the criteria and methods for resource allocation are the central economic problems for any health system. This paper takes into consideration the limited resources of the national health care system (the rationalization of health services, the common methods of health financing, the specificity of health services market (the health market being highly asymmetric, with health professionals knowing most if not all of the relevant information, such as diagnosis, treatment options and costs and consumers fully dependent on the information provided in each case and the performance of all hospitals in Romania, in order to assess the latest strategic decisions (introduction of co-payment and merging and reconversion of hospitals taken within the Romanian health care system and their social and economic implications. The main finding show that, even though the intention of reforming and transforming the Romanian health care system into a more efficient one is obvious, the lack of economic and demographic analysis may results into greater discrepancies nationwide. This paper is aimed to renew the necessity of joint collaboration between the economic and medical field, since the relationship between health and economic development runs both ways

  14. Dengue: Moving from Current Standard of Care to State-of-the-Art Treatment

    OpenAIRE

    Gan, Victor C

    2014-01-01

    Opinion statement Treatment of dengue remains supportive in the absence of targeted antiviral therapy or approved vaccines. Responsive fluid management is key to preventing progression to shock or other severe manifestations. The dynamic natural history of dengue infection and its influence on hemodynamic homeostasis needs to be carefully considered in the planning of individualized therapy. Though largely self-limiting, the sheer burden of dengue disease on the global population will result ...

  15. The Transformation of China’s Health Care System and Accounting Methods: Current Reforms and Developments

    OpenAIRE

    David Chu; Kolleen Rask

    2000-01-01

    This paper is a case study of China’s recent reforms in hospital accounting. We analyze the Chinese health care system in transition to highlight the changing role and nature of accounting services before and after the recent reforms. Prior to reforms, the accounting system provided data solely for government central planning purposes. Reforms were supposed to decentralize hospital decision making, thus signaling a need for a new accounting system that would provide information to managers an...

  16. The Medical Care Advisory Committee for State Medicaid programs: Current status and trends

    OpenAIRE

    Davidson, Stephen M.; Herold, Terry E.; Simon, Marlene B.

    1984-01-01

    Each State Medicaid program is required by Federal Regulations to have a Medical Care Advisory Committee (MCAC) which includes provider, consumer, and government representatives and which participates in policy development and program administration. Data are presented about the composition of these committees, their structure, the administrative and financial support they receive, and the nature of their activities. It is argued that they can play an important role in policy formulation and ...

  17. Myelodysplastic syndromes: Aspects of current medical care and economic considerations in Germany

    OpenAIRE

    Gattermann, Norbert; Hofmann, Wolf-Karsten; Meeßen, Axel; Schmitz, Stephan; Tsamaloukas, Anton; Vollmer, Tanja; Wedding, Ulrich; Plesnila-Frank, Carlotta; Schramm, Wolfgang; Berger, Karin

    2008-01-01

    Myelodysplastic syndromes (MDS) are a heterogeneous group of diseases mainly affecting older people. The use of an increasing number of therapeutic options depends on a systematic risk stratification of the patients. A high percentage of MDS patients need blood transfusions as supportive care, which influence quality of life and cause a great part of the costs generated by MDS therapy. In this article which is based on a workshop about the burden of MDS held in October 2006 in Munich, MDS is ...

  18. Transitional care in clinical networks for young people with juvenile idiopathic arthritis: current situation and challenges.

    Science.gov (United States)

    Cruikshank, Mary; Foster, Helen E; Stewart, Jane; Davidson, Joyce E; Rapley, Tim

    2016-04-01

    Clinical networks for paediatric and adolescent rheumatology are evolving, and their effect and role in the transition process between paediatric and adult services are unknown. We therefore explored the experiences of those involved to try and understand this further. Health professionals, young people with juvenile idiopathic arthritis and their families were recruited via five national health service paediatric and adolescent rheumatology specialist centres and networks across the UK. Seventy participants took part in focus groups and one-to-one interviews. Data was analysed using coding, memoing and mapping techniques to identify features of transitional services across the sector. Variation and inequities in transitional care exist. Although transition services in networks are evolving, development has lagged behind other areas with network establishment focusing more on access to paediatric rheumatology multidisciplinary teams. Challenges include workforce shortfalls, differences in service priorities, standards and healthcare infrastructures, and managing the legacy of historic encounters. Providing equitable high-quality clinically effective services for transition across the UK has a long way to go. There is a call from within the sector for more protected time, staff and resources to develop transition roles and services, as well as streamlining of local referral pathways between paediatric and adult healthcare services. In addition, there is a need to support professionals in developing their understanding of transitional care in clinical networks, particularly around service design, organisational change and the interpersonal skills required for collaborative working. Key messages • Transitional care in clinical networks requires collaborative working and an effective interface with paediatric and adult rheumatology.• Professional centrism and historic encounters may affect collaborative relationships within clinical networks.• Education

  19. Retention in care and medication adherence: current challenges to antiretroviral therapy success.

    Science.gov (United States)

    Holtzman, Carol W; Brady, Kathleen A; Yehia, Baligh R

    2015-04-01

    Health behaviors such as retention in HIV medical care and adherence to antiretroviral therapy (ART) pose major challenges to reducing new HIV infections, addressing health disparities, and improving health outcomes. Andersen's Behavioral Model of Health Service Use provides a conceptual framework for understanding how patient and environmental factors affect health behaviors and outcomes, which can inform the design of intervention strategies. Factors affecting retention and adherence among persons with HIV include patient predisposing factors (e.g., mental illness, substance abuse), patient-enabling factors (e.g., social support, reminder strategies, medication characteristics, transportation, housing, insurance), and healthcare environment factors (e.g., pharmacy services, clinic experiences, provider characteristics). Evidence-based recommendations for improving retention and adherence include (1) systematic monitoring of clinic attendance and ART adherence; (2) use of peer or paraprofessional navigators to re-engage patients in care and help them remain in care; (3) optimization of ART regimens and pharmaceutical supply chain management systems; (4) provision of reminder devices and tools; (5) general education and counseling; (6) engagement of peer, family, and community support groups; (7) case management; and (8) targeting patients with substance abuse and mental illness. Further research is needed on effective monitoring strategies and interventions that focus on improving retention and adherence, with specific attention to the healthcare environment. PMID:25792300

  20. Geriatric assessment with management in cancer care: Current evidence and potential mechanisms for future research

    Science.gov (United States)

    Magnuson, Allison; Allore, Heather; Cohen, Harvey Jay; Mohile, Supriya G.; Williams, Grant R.; Chapman, Andrew; Extermann, Martine; Olin, Rebecca L.; Targia, Valerie; Mackenzie, Amy; Holmes, Holly M.; Hurria, Arti

    2016-01-01

    Older adults with cancer represent a complex patient population. Geriatric assessment (GA) is recommended to evaluate the medical and supportive care needs of this group. “GA with management” is a term encompassing the resultant medical decisions and interventions implemented in response to vulnerabilities identified on GA. In older, non-cancer patients, GA with management has been shown to improve a variety of outcomes, such as reducing functional decline and health care utilization. However, the role of GA with management in the older adult with cancer is less well established. Rigorous clinical trials of GA with management are necessary to develop an evidence base and support its use in the routine oncology care of older adults. At the recent U-13 conference, “Design and Implementation of Intervention Studies to Improve or Maintain Quality of Survivorship in Older and/or Frail Adults with Cancer,” a session was dedicated to developing research priorities in GA with management. Here we summarize identified knowledge gaps in GA with management studies for older patients with cancer and propose areas for future research. PMID:27197915

  1. Geriatric assessment with management in cancer care: Current evidence and potential mechanisms for future research.

    Science.gov (United States)

    Magnuson, Allison; Allore, Heather; Cohen, Harvey Jay; Mohile, Supriya G; Williams, Grant R; Chapman, Andrew; Extermann, Martine; Olin, Rebecca L; Targia, Valerie; Mackenzie, Amy; Holmes, Holly M; Hurria, Arti

    2016-07-01

    Older adults with cancer represent a complex patient population. Geriatric assessment (GA) is recommended to evaluate the medical and supportive care needs of this group. "GA with management" is a term encompassing the resultant medical decisions and interventions implemented in response to vulnerabilities identified on GA. In older, non-cancer patients, GA with management has been shown to improve a variety of outcomes, such as reducing functional decline and health care utilization. However, the role of GA with management in the older adult with cancer is less well established. Rigorous clinical trials of GA with management are necessary to develop an evidence base and support its use in the routine oncology care of older adults. At the recent U-13 conference, "Design and Implementation of Intervention Studies to Improve or Maintain Quality of Survivorship in Older and/or Frail Adults with Cancer," a session was dedicated to developing research priorities in GA with management. Here we summarize identified knowledge gaps in GA with management studies for older patients with cancer and propose areas for future research. PMID:27197915

  2. Subsurface flow and transport of organic chemicals: an assessment of current modeling capability and priority directions for future research (1987-1995)

    Energy Technology Data Exchange (ETDEWEB)

    Streile, G.P.; Simmons, C.S.

    1986-09-01

    Theoretical and computer modeling capability for assessing the subsurface movement and fate of organic contaminants in groundwater was examined. Hence, this study is particularly concerned with energy-related, organic compounds that could enter a subsurface environment and move as components of a liquid phase separate from groundwater. The migration of organic chemicals that exist in an aqueous dissolved state is certainly a part of this more general scenario. However, modeling of the transport of chemicals in aqueous solution has already been the subject of several reviews. Hence, this study emphasizes the multiphase scenario. This study was initiated to focus on the important physicochemical processes that control the behavior of organic substances in groundwater systems, to evaluate the theory describing these processes, and to search for and evaluate computer codes that implement models that correctly conceptualize the problem situation. This study is not a code inventory, and no effort was made to identify every available code capable of representing a particular process.

  3. An Overview of the Current Status of Talent Care and Talent Support in Hungary

    Directory of Open Access Journals (Sweden)

    Csilla Fuszek

    2014-09-01

    Full Text Available After a short historical introduction, the article provides an overview of the current talent support trends in Hungary. It gives an insight into the legislation, guidelines and institutional system associated with the national talent support strategy, and presents the main NGO initiatives present in the early 21st century, in particular the organisations brought to life by the Hungarian Talent Support Council and their effect on current education policy. At the same time, the article seeks to present the strengths and weaknesses of the national talent support strategy and the Hungarian talent support cooperation model.

  4. The current situation and future scope of radiation emergency medical care network in Nagasaki

    International Nuclear Information System (INIS)

    Under the framework of the International Consortium for Medical Care of Hibakusha and Radiation Life Science (Nagasaki University 21st Century COE Program) and bearing in mind the unique history and responsibility of Nagasaki University, several projects on radiation emergency preparedness are in progress. The critical accident in Tokaimura, Japan in 1999 made us realize that nuclear emergencies happen anywhere radionuclides exist. In fact, nuclear accidents possibly take place in factories, research facilities, hospital and wherever radioactive materials are in transit. Therefore, it is necessary to establish an effective preparedness network system for potential radiation emergency that may occur in Nagasaki and nearby prefectures and to cooperate with other Japanese and worldwide networks. (author)

  5. A national survey of health professionals and volunteers working in voluntary hospice services in the UK. I. Attitudes to current issues affecting hospices and palliative care.

    Science.gov (United States)

    Addington-Hall, Julia M; Karlsen, Saffron

    2005-01-01

    This paper reports results from a national survey in 1999 of voluntary hospice services in the UK. It focuses on volunteer and staff views of the purposes of hospice care, and on current debates within palliative care. Twenty-five hospice services, stratified by region, services provided (inpatient care, day care and/or home care) and number of beds were randomly sampled from amongst 175 voluntary hospices in the UK. Nineteen participated. Seventy per cent of a random sample of professional and voluntary staff within these hospices returned a postal questionnaire. Both volunteers and professionals considered care of the whole person, pain and symptom control, quality of life and dying peacefully to be important aspects of hospice care. Most doctors chose care of the whole person as the most important aspect, and they were more likely to choose this option than other staff. Hospice volunteers were less positive than hospice staff (particularly doctors and nurses) in their attitudes to extending hospice care to noncancer patients (where many volunteers held no strong view), to restricting care to patients with specialist palliative care needs, and less negative about euthanasia. These findings illustrate the importance of including hospice volunteers and the general public, as well as hospice staff, in debates about the future of hospice and palliative care in the UK. Further research is needed into lay and professional views of the role of hospices and palliative care services. PMID:15690867

  6. Current status of multidrug resistant tuberculosis in a tertiary care hospital of East Delhi

    Directory of Open Access Journals (Sweden)

    T Sagar

    2013-01-01

    Full Text Available Background and Objective: Multidrug resistant tuberculosis (MDR-TB is caused by infection due to Mycobacterium tuberculosis which is resistant to both isoniazid (INH and rifampicin (RIF. It is caused by selection of resistant mutant strains due to inadequate treatment and poor compliance. MDR-TB is a major public health problem as the treatment is complicated, cure rates are well below those for drug susceptible tuberculosis and patient remains infectious for months despite receiving the best available therapy. The drug susceptibility pattern of M. tuberculosis is essential for proper control of MDR-TB in every health care setting, hence the study was initiated with the aim of studying the prevalence of MDR-TB in patients attending a tertiary care hospital in east Delhi. Materials and Methods: Five hundred and forty-three pulmonary and extrapulmonary samples from suspected cases of tuberculosis received in the mycobacteriology laboratory from November 2009 through October 2010 were investigated for M. tuberculosis. All the samples were subjected to direct microscopic examination for demonstration of acid fast bacilli followed by culture on Lowenstein-Jensen (LJ medium to isolate M. tuberculosis. Identification was done by conventional biochemical methods. Drug susceptibility of isolated M. tuberculosis strains was done by conventional 1% proportion method followed by sequencing of RIF resistant isolates to detect mutations to confirm resistance. Results and Conclusions: M. tuberculosis was isolated from 75 out of 543 suspected cases of pulmonary/extrapulmonary TB. Three of the total 75 M. tuberculosis isolates (4% showed resistance to any one of the first line drugs. Prevalence of MDR-TB was 1.3%. The sequencing of single MDR strain showed mutations at codons 516, 517, and 518. Amplification of rpoB and sequential analysis of the amplicon is a better way of detection of mutation and the evidence of new mutation in this study indicate that

  7. Current situation of sexual and reproductive health of men deprived of liberty in the Institutional Care Center of San Jose

    Directory of Open Access Journals (Sweden)

    Dorita Rivas Fonseca

    2013-10-01

    Full Text Available The objective of this research was to determine the current status of the issue of sexual and reproductive health ofthe prisoners Institutional Care Center (CAI of San Jose. It is a descriptive study. Through a strategic samplingdetermined the participation of 102 men. The information was obtained by applying a self-administeredquestionnaire with closed and open questions. As a result relevant to your socio-demographic profile, it appearsthat deprived of their liberty is a very heterogeneous group. As regards sexual and reproductive health, the firstconcept they relate to the prevention of disease and the second reproductive aspects, this shows limitations inknowledge on the topics, something that affects the daily life activities and self-care. It is concluded that researchby nurses Gyneco-obstetric in the deprived of liberty is almost null not only in the country but in the world,especially if it comes with the male population. In the case of CAI Prison, health care is not enough for thenumber of inmates who inhabit (overpopulation of almost 50%, this implies a deterioration in health and physicalcondition of these people, as well as sexual and reproductive health

  8. Adoption of standard ERP solution in health care sector: is SAP ERP all-in-one capable to meet specific requirements?

    OpenAIRE

    Kraljic, Adnan; Kraljic, Tarik; Delismajlović, Denis

    2012-01-01

    Objective of this experience report is to address specific issues regarding standard SAP ERP implementation in a medical institution. Target Company is a state owned health care institution from Bosnia and Herzegovina. Report will treat selected issues which could trouble standard SAP ERP implementation trough predefined ERP implementation methodology for SAP ERP. This report presents observations/ remarks based on experience of authors in particular SAP ERP implementation project in health c...

  9. A Current View of Functional Biomaterials for Wound Care, Molecular and Cellular Therapies

    Directory of Open Access Journals (Sweden)

    Francesco Piraino

    2015-01-01

    Full Text Available The intricate process of wound healing involves activation of biological pathways that work in concert to regenerate a tissue microenvironment consisting of cells and external cellular matrix (ECM with enzymes, cytokines, and growth factors. Distinct stages characterize the mammalian response to tissue injury: hemostasis, inflammation, new tissue formation, and tissue remodeling. Hemostasis and inflammation start right after the injury, while the formation of new tissue, along with migration and proliferation of cells within the wound site, occurs during the first week to ten days after the injury. In this review paper, we discuss approaches in tissue engineering and regenerative medicine to address each of these processes through the application of biomaterials, either as support to the native microenvironment or as delivery vehicles for functional hemostatic, antibacterial, or anti-inflammatory agents. Molecular therapies are also discussed with particular attention to drug delivery methods and gene therapies. Finally, cellular treatments are reviewed, and an outlook on the future of drug delivery and wound care biomaterials is provided.

  10. Radiotherapy for pediatric brain tumors: Standard of care, current clinical trials, and new directions

    International Nuclear Information System (INIS)

    Objectives: To review the clinical characteristics of childhood brain tumors, including neurologic signs, neuroimaging and neuropathology. To critically assess indications for therapy relevant to presenting characteristics, age, and disease status. To discuss current management strategies including neurosurgery, radiation therapy, and chemotherapy. To analyze current clinical trials and future directions of clinical research. Brain tumors account for 20% of neoplastic diseases in children. The most common tumors include astrocytoma and malignant gliomas, medulloblastoma and supratentorial PNET's, ependymoma, craniopharyngioma, and intracranial germ cell tumors. Tumor type and clinical course are often correlated with age at presentation and anatomic site. The clinical characteristics and disease extent largely determine the relative merits of available 'standard' and investigational therapeutic approaches. Treatment outcome, including disease control and functional integrity, is dependent upon age at presentation, tumor type, and disease extent. An understanding of the clinical, neuroimaging, and histologic characteristics as they relate to decisions regarding therapy is critical to the radiation oncologist. Appropriate radiation therapy is central to curative therapy for a majority of pediatric brain tumor presentations. Technical advances in neurosurgery provide greater safety for 'gross total resection' in a majority of hemispheric astrocytomas and medulloblastomas. The relative roles of 'standard' radiation therapy and evolving chemotherapy for centrally located astrocytomas (e.g., diencephalic, optic pathway) need to be analyzed in the context of initial and overall disease control, neurotoxicities, and potential modifications in the risk:benefit ratio apparent in the introduction of precision radiation techniques. Modifications in radiation delivery are fundamental to current investigations in medulloblastoma; the rationale for contemporary and projected

  11. Building a clinical leadership community to drive improvement: a multi-case educational study to inform 21st century clinical commissioning, professional capability and patient care.

    Science.gov (United States)

    Lynch, Marion; Verner, Elizabeth

    2013-01-01

    The new NHS requires transformational leadership; people with the knowledge and motivation to make effective change combined with an understanding of the system they work in. The aim of the Practice Leaders' Programme (PLP) is to generate the conditions needed to focus the energy and collaborative creativity required for innovation to enhance leadership skills across the health economy improving patient care. The PLP engaged 60 local leaders from central England in a new approach enabling them to influence others. It has informed educational policy and practice and helped change professional behaviours. Each participant implemented improvements in care and participated in six action learning sets (ALS) and up to six coaching sessions. Evidence of progress, learning and impact was identified in project reports, reflective diaries and evaluations. The ALS brought together key individuals from clinical and management disciplines across a diverse organisation to redesign a system by developing a shared vision for improving the quality of patient care. The links forged, the projects initiated, and the skills cultivated through the PLP produced ongoing benefits and outcomes beyond the course itself. Coaching sessions helped participants focus their efforts to achieve maximum impact and to become resilient in managing service change effectively. The programme has evolved over four years, building on recommendations from external evaluation which identified statistically significant increases in leadership competences. Further enhancement of this programme secured an International Health Improvement Award. Three key findings of positive impact have emerged; personal growth, service improvement, and legacy and sustainability. PMID:23356759

  12. Mental health nurses can increase capability and capacity in primary care by educating practice nurses: an evaluation of an education programme in England.

    Science.gov (United States)

    Hardy, S A; Kingsnorth, R

    2015-05-01

    Most people with a mental health problem in England are cared for by clinicians in primary care who may have had little or no training in this area. Our aim was to develop an accessible education programme which was appropriate to the learning needs of this workforce. A survey of the mental health and well-being training needs and preferred learning methods of practice nurses was undertaken, then a programme of education was developed by a primary care mental health expert. Teaching was delivered by mental health nurses who were trained as educators. Both the practice nurses and mental health nurses felt their clinical practice would improve as a result of being involved in this programme. To sustain the learning, mental health nurses were supported by attending and then leading their own action learning sets. This model of education can be adapted and used by health organizations both nationally and internationally. Research is required to find out whether training practice nurses using this programme has an impact on patients. PMID:25858036

  13. The Uncertainty Reducing Capabilities of Primary Care Physicians' Video Biographies for Choosing a New Doctor: Is a Video Worth More Than Two Hundred Words?

    Science.gov (United States)

    Perrault, Evan K; Silk, Kami J

    2016-12-01

    Choosing a primary care physician for the first time is an important decision, one that health care systems do not make particularly easy for prospective patients to make solely through the limited information provided on their websites. Without knowledge from others, a new patient is likely to have uncertainty about the physician he or she chooses. Three hundred and twenty participants completed an online experiment and were exposed to two biographies of different doctors with different media and either professional or personal information. Predictions generated by media richness theory revealed greater reductions in uncertainty for video biographies than traditional text biographies. Video biographies, and those containing personal information about the physician, were also related to higher levels of anticipated patient satisfaction and care quality. When asked to choose the physicians they would want to visit, participants overwhelmingly chose the physician with whom they perceived the greatest similarity to themselves, as well as the doctor who provided a video biography. Both theoretical and practical implications of this research are discussed. PMID:27054561

  14. Space Logistics: Launch Capabilities

    Science.gov (United States)

    Furnas, Randall B.

    1989-01-01

    The current maximum launch capability for the United States are shown. The predicted Earth-to-orbit requirements for the United States are presented. Contrasting the two indicates the strong National need for a major increase in Earth-to-orbit lift capability. Approximate weights for planned payloads are shown. NASA is studying the following options to meet the need for a new heavy-lift capability by mid to late 1990's: (1) Shuttle-C for near term (include growth versions); and (2) the Advanced Lauching System (ALS) for the long term. The current baseline two-engine Shuttle-C has a 15 x 82 ft payload bay and an expected lift capability of 82,000 lb to Low Earth Orbit. Several options are being considered which have expanded diameter payload bays. A three-engine Shuttle-C with an expected lift of 145,000 lb to LEO is being evaluated as well. The Advanced Launch System (ALS) is a potential joint development between the Air Force and NASA. This program is focused toward long-term launch requirements, specifically beyond the year 2000. The basic approach is to develop a family of vehicles with the same high reliability as the Shuttle system, yet offering a much greater lift capability at a greatly reduced cost (per pound of payload). The ALS unmanned family of vehicles will provide a low end lift capability equivalent to Titan IV, and a high end lift capability greater than the Soviet Energia if requirements for such a high-end vehicle are defined.In conclusion, the planning of the next generation space telescope should not be constrained to the current launch vehicles. New vehicle designs will be driven by the needs of anticipated heavy users.

  15. Meeting Earth Observation Requirements for Global Agricultural Monitoring: An Evaluation of the Revisit Capabilities of Current and Planned Moderate Resolution Optical Earth Observing Missions

    Directory of Open Access Journals (Sweden)

    Alyssa K. Whitcraft

    2015-01-01

    Full Text Available Agriculture is a highly dynamic process in space and time, with many applications requiring data with both a relatively high temporal resolution (at least every 8 days and fine-to-moderate (FTM < 100 m spatial resolution. The relatively infrequent revisit of FTM optical satellite observatories coupled with the impacts of cloud occultation have translated into a barrier for the derivation of agricultural information at the regional-to-global scale. Drawing upon the Group on Earth Observations Global Agricultural Monitoring (GEOGLAM Initiative’s general satellite Earth observation (EO requirements for monitoring of major production areas, Whitcraft et al. (this issue have described where, when, and how frequently satellite data acquisitions are required throughout the agricultural growing season at 0.05°, globally. The majority of areas and times of year require multiple revisits to probabilistically yield a view at least 70%, 80%, 90%, or 95% clear within eight days, something that no present single FTM optical observatory is capable of delivering. As such, there is a great potential to meet these moderate spatial resolution optical data requirements through a multi-space agency/multi-mission constellation approach. This research models the combined revisit capabilities of seven hypothetical constellations made from five satellite sensors—Landsat 7 Enhanced Thematic Mapper (Landsat 7 ETM+, Landsat 8 Operational Land Imager and Thermal Infrared Sensor (Landsat 8 OLI/TIRS, Resourcesat-2 Advanced Wide Field Sensor (Resourcesat-2 AWiFS, Sentinel-2A Multi-Spectral Instrument (MSI, and Sentinel-2B MSI—and compares these capabilities with the revisit frequency requirements for a reasonably cloud-free clear view within eight days throughout the agricultural growing season. Supplementing Landsat 7 and 8 with missions from different space agencies leads to an improved capacity to meet requirements, with Resourcesat-2 providing the largest

  16. Evaluation of state-of-the-art imaging systems for in vivo monitoring of retinal structure in mice: current capabilities and limitations

    Science.gov (United States)

    Zhang, Pengfei; Zam, Azhar; Pugh, Edward N.; Zawadzki, Robert J.

    2014-02-01

    Animal models of human diseases play an important role in studying and advancing our understanding of these conditions, allowing molecular level studies of pathogenesis as well as testing of new therapies. Recently several non-invasive imaging modalities including Fundus Camera, Scanning Laser Ophthalmoscopy (SLO) and Optical Coherence Tomography (OCT) have been successfully applied to monitor changes in the retinas of the living animals in experiments in which a single animal is followed over a portion of its lifespan. Here we evaluate the capabilities and limitations of these three imaging modalities for visualization of specific structures in the mouse eye. Example images acquired from different types of mice are presented. Future directions of development for these instruments and potential advantages of multi-modal imaging systems are discussed as well.

  17. Disinfection and Sterilization in Health Care Facilities: An Overview and Current Issues.

    Science.gov (United States)

    Rutala, William A; Weber, David J

    2016-09-01

    When properly used, disinfection and sterilization can ensure the safe use of invasive and noninvasive medical devices. The method of disinfection and sterilization depends on the intended use of the medical device: critical items (contact sterile tissue) must be sterilized before use; semicritical items (contact mucous membranes or nonintact skin) must be high-level disinfected; and noncritical items (contact intact skin) should receive low-level disinfection. Cleaning should always precede high-level disinfection and sterilization. Current disinfection and sterilization guidelines must be strictly followed. PMID:27515140

  18. Should perioperative immunonutrition for elective surgery be the current standard of care?

    Science.gov (United States)

    Bharadwaj, Shishira; Trivax, Brandon; Tandon, Parul; Alkam, Bilal; Hanouneh, Ibrahim; Steiger, Ezra

    2016-05-01

    Postoperative infectious complications are independently associated with increased hospital length of stay (LOS) and cost and contribute to significant inpatient morbidity. Many strategies such as avoidance of long periods of preoperative fasting, re-establishment of oral feeding as early as possible after surgery, metabolic control and early mobilization have been used to either prevent or reduce the incidence of postoperative infections. Despite these efforts, it remains a big challenge to our current healthcare system to mitigate the cost of postoperative morbidity. Furthermore, preoperative nutritional status has also been implicated as an independent risk factor for postoperative morbidity. Perioperative nutritional support using enteral and parenteral routes has been shown to decrease postoperative morbidity, especially in high-risk patients. Recently, the role of immunonutrition (IMN) in postoperative infectious complications has been studied extensively. These substrates have been found to positively modulate postsurgical immunosuppression and inflammatory responses. They have also been shown to be cost-effective by decreasing both tpostoperative infectious complications and hospital LOS. In this review, we discuss the postoperative positive outcomes associated with the use of perioperative IMN, their cost-effectiveness, current guidelines and future clinical implications. PMID:27081153

  19. Herbal extracts in oral health care - A review of the current scenario and its future needs

    Directory of Open Access Journals (Sweden)

    Byalakere Rudraiah Chandra Shekar

    2015-01-01

    Full Text Available Background: Oral diseases are among the major public health problems and the commonest of chronic diseases that affect mankind. The application of natural products for the control of oral diseases is considered as an interesting alternative to synthetic antimicrobials due to their lower negative impact, and for the effort to overcome primary or secondary resistance to the drug during therapy. Objective: To review the current evidence on the antimicrobial efficacy of 10 plant extracts on dental caries and plaque microorganisms. Materials and Methods: A comprehensive literature search was made by one of the authors for 2 months in PubMed, PubMed Central, MEDLINE, LILACS/BBO, Cochrane database of systematic reviews, SCIENCE DIRECT, and Google scholar databases. The results from the relevant published literatures are discussed. Summary and Conclusion: The extracts of Azadirachta Indica, Ocimum sanctum, Murraya koenigii L., Acacia nilotica, Eucalyptus camaldulensis, Hibiscus sabdariffa, Mangifera indica, Psidium guajava, Rosa indica, and Aloe barbadensis Miller have all been found to inhibit certain dental caries and periodontal pathogens. The current evidence is on individual plant extracts against bacteria involved in either caries or periodontitis. "Herbal shotgun" or "synergistic multitarget effects" are the terms used for the strategy of combining different extracts. The research assessing the antimicrobial efficacy of a combination of these plant extracts against dental caries and periodontal pathogens is the need of the hour, and such research will aid in the development of a novel, innovative method that can simultaneously inhibit two of the most common dental diseases of mankind, besides slowing the development of drug resistance.

  20. Radiotherapeutic management of osseous metastases: A survey of current patterns of care

    International Nuclear Information System (INIS)

    Purpose: Radiotherapy plays a major role in the management of painful osseous metastases. This survey was conducted to study the current approaches to this clinical problem in the radiotherapy community. Methods and Materials: A questionnaire was sent to 2500 members of the American Society for Therapeutic Radiology and Oncology. It consisted of 30 multiple-choice questions regarding four hypothetical clinical scenarios likely to be encountered in daily practice. Questions related to the technique of choice [local field (LF) vs. hemibody radiotherapy (HBI)], the use of systemic radionuclides (SR), fractionation schemes, dose, the integration of modalities, and the follow-up of these patients. The analysis is based on 817 (33%) responses received regarding 3268 cases. Results: Local field is the most common form of therapy. Overall, LF was used, alone or in combination with other forms of therapy, in 54% and 74% of patients, respectively. LF was used more frequently in patients with breast cancer than in patients with prostate cancer (79% vs. 45%; p = 0.0001). Long fractionation schemes were used by 90% of physicians in 96% of cases. Short fractionation schemes were used by 7% of physicians in 4% of cases. This tendency was more pronounced in private practice than in the university or government/multidisciplinary settings (p = 0.008) and in physicians starting their practice before 1982 (p = 0.05). The most common schedule was 30 Gy in 10 fractions, used by 77% of physicians in 64% of cases. HBI was used, alone or in combination with other forms of therapy, in 1% and 2% of patients, respectively. It was used more frequently in patients with prostate cancer than in patients with breast cancer (1.2% vs. 0.1%, respectively; p < 0.0001). SR were used alone or in combination with local-field irradiation in 21% and 40% of cases, respectively. SR were used more frequently in patients with prostate cancer than in those with breast cancer (28% vs. 0.2%, respectively; p < 0

  1. Current situation of health care in India and corporation in emerging economies--what is the way forward?

    Science.gov (United States)

    Surendra, Kumar; Amit, Sengupta; Kumar, Agarwal Vishnu

    2012-01-01

    In this study, we examine the management and operational problems faced by different categories of health care delivery platforms such as corporate hospitals, medium level private hospitals and public hospitals in Mumbai. Some suggestions are made and we believe many of the short falls or limitations that exist in the current set up can be removed and a way forward can be made in alleviating the suffering of vast majority of humankind living in our mega cities. Three major issues emerged as far as a public health system is concerned--that is shifting of trained health manpower from the public system to private or corporate hospitals, severe strain on the public health system's infrastructure and support services compounded by lack of accountability as far as management and governance are concerned. PMID:23342758

  2. Efficacy of misoprostol for the treatment of postpartum hemorrhage: current knowledge and implications for health care planning

    Directory of Open Access Journals (Sweden)

    Prata N

    2016-07-01

    Full Text Available Ndola Prata, Karen Weidert Bixby Center for Population, Health and Sustainability, School of Public Health, University of California at Berkeley, Berkeley, CA, USA Background: A myriad of interventions exist to treat postpartum hemorrhage (PPH, ranging from uterotonics and hemostatics to surgical and aortic compression devices. Nonetheless, PPH remains the leading cause of maternal mortality worldwide. The purpose of this article is to review the available evidence on the efficacy of misoprostol for the treatment of primary PPH and discuss implications for health care planning. Data and methods: Using PubMed, Web of Science, and GoogleScholar, we reviewed the literature on randomized controlled trials of interventions to treat PPH with misoprostol and non-randomized field trials with controls. We discuss the current knowledge and implications for health care planning, especially in resource-poor settings. Results: The treatment of PPH with 800 µg of misoprostol is equivalent to 40 IU of intravenous oxytocin in women who have received oxytocin for the prevention of PPH. The same dose might be an option for the treatment of PPH in women who did not receive oxytocin for the prevention of PPH and do not have access to oxytocin for treatment. Adding misoprostol to standard uterotonics has no additional benefits to women being treated for PPH, but the beneficial adjunctive role of misoprostol to conventional uterotonics is important in reducing intra- and postoperative hemorrhage during cesarean section. Conclusion: Misoprostol is an effective uterotonic agent in the treatment of PPH. Clinical guidelines and treatment protocols should be updated to reflect the current knowledge on the efficacy of misoprostol for the treatment of PPH with 800 µg sublingually. Keywords: PPH treatment, uterotonics, low-resource settings, cesarean section, retained placenta

  3. Exploration Medical Capability

    Science.gov (United States)

    Watkins, Sharmila; Baumann, David; Wu, Jimmy; Barsten, Kristina

    2010-01-01

    Exploration Medical Capability (ExMC) is an element of NASA's Human Research Program (HRP). ExMC's goal is to address the risk of the Inability to Adequately Recognize or Treat an Ill or Injured Crewmember. This poster highlights the approach ExMC has taken to address this goal and our current areas of interest. The Space Medicine Exploration Medical Condition List (SMEMCL) was created to identify medical conditions of concern during exploration missions. The list was derived from space flight medical incidents, the shuttle medical checklist, the International Space Station medical checklist, and expert opinion. The conditions on the list were prioritized according to mission type by a panel comprised of flight surgeons, physician astronauts, engineers, and scientists. From the prioritized list, the ExMC element determined the capabilities needed to address the medical conditions of concern. Where such capabilities were not currently available, a gap was identified. The element s research plan outlines these gaps and the tasks identified to achieve the desired capabilities for exploration missions. This poster is being presented to inform the audience of the gaps and tasks being investigated by ExMC and to encourage discussions of shared interests and possible future collaborations.

  4. Effectiveness of the palliative care ‘Availability, Current issues and Anticipation’ (ACA) communication training programme for general practitioners on patient outcomes: A controlled trial

    Science.gov (United States)

    Blankenstein, Annette H; Schweitzer, Bart PM; Knol, Dirk L; van der Horst, Henriëtte E; Aaronson, Neil K; Deliens, Luc

    2014-01-01

    Background: Although communicating effectively with patients receiving palliative care can be difficult, it may contribute to maintaining or enhancing patients’ quality of life. Little is known about the effect of training general practitioners in palliative care–specific communication. We hypothesized that palliative care patients of general practitioners exposed to the ‘Availability, Current issues and Anticipation’ communication training programme would report better outcomes than patients of control general practitioners. Aim: To evaluate the effectiveness of the Availability, Current issues and Anticipation training programme for general practitioners on patient-reported outcomes. Design: In a controlled trial, general practitioners followed the Availability, Current issues and Anticipation programme or were part of the control group. Patients receiving palliative care of participating general practitioners completed the Palliative Care Outcome Scale, the European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire Core 15 Palliative, the Rest & Peace Scale, the Patient Satisfaction Questionnaire–III and the Availability, Current issues and Anticipation Scale, at baseline and 12 months follow-up. We analysed differences between groups using linear mixed models. Trial registration: ISRCTN56722368. Setting/participants: General practitioners who attended a 2-year Palliative Care Training Course in the Netherlands. Results: Questionnaire data were available for 145 patients (89 in intervention and 56 in control group). We found no significant differences over time between the intervention and control groups in any of the five outcome measures. Ceiling effects were observed for the Rest & Peace Scale, Patient Satisfaction Questionnaire–III and Availability, Current issues and Anticipation Scale. Conclusion: General practitioner participation in the Availability, Current issues and Anticipation training programme did not have

  5. Current Challenges in Home Nutrition Services for Frail Older Adults in Japan—A Qualitative Research Study from the Point of View of Care Managers

    OpenAIRE

    Yoshihisa Hirakawa; Takaya Kimata; Kazumasa Uemura

    2013-01-01

    Preventive care for frail older adults includes providing tailor-made diet information suited to their health conditions. The present study aims to explore the current situation and challenges of home nutrition advice for Japanese frail older adults using qualitative data from a ten-person group discussion among care managers. As the results of our analysis, nine themes were identified: (1) Homebound older adults develop poor eating habits; meals turn into a lonely and unpleasant experience; ...

  6. The Use of Emergency Medication Kits in Community Palliative Care: An Exploratory Survey of Views of Current Practice in Australian Home-Based Palliative Care Services.

    Science.gov (United States)

    Bullen, Tracey; Rosenberg, John P; Smith, Bradley; Maher, Kate

    2015-09-01

    Improving symptom management for palliative care patients has obvious benefits for patients and advantages for the clinicians, as workload demands and work-related stress can be reduced when the emergent symptoms of patients are managed in a timely manner. The use of emergency medication kits (EMKs) can provide such timely symptom relief. The purpose of this study was to conduct a survey of a local service to examine views on medication management before and after the implementation of an EMK and to conduct a nationwide prevalence survey examining the use of EMKs in Australia. Most respondents from community palliative care services indicated that EMKs were not being supplied to palliative care patients but believed such an intervention could improve patient care. PMID:24871345

  7. Nuclear Magnetic Resonance Imaging: Current Capabilities

    OpenAIRE

    Davis, Peter L.; Crooks, Lawrence E.; Margulis, Alexander R.; Kaufman, Leon

    1982-01-01

    Nuclear magnetic resonance imaging can produce tomographic images of the body without ionizing radiation. Images of the head, chest, abdomen, pelvis and extremities have been obtained and normal structures and pathology have been identified. Soft tissue contrast with this method is superior to that with x-ray computerized tomography and its spatial resolution is approaching that of x-ray computerized tomography. In addition, nuclear magnetic resonance imaging enables us to image along the sag...

  8. Current understanding of treatment and management protocol for adult diabetic in-patients at a tertiary care hospital

    International Nuclear Information System (INIS)

    Objective: To assess the current understanding of treatment and management protocols for adult diabetic in-patients at a tertiary care hospital. Methods: This cross-sectional study, conducted at the Civil Hospital Karachi from July to September 2009, involved 450 participants, who were interviewed through a well-structured questionnaire regarding the patient's demography, clinical features, past medical history, type of diabetes mellitus, duration, associated complications, and also involved patient notes for laboratory tests and management. SPSSv15.0 was used for descriptive analysis. Results: The study population of 450 diabetics had 144 (32%) males and 306 (68%) females. Of the total, 435 (96.7%) patients had type 2 diabetes. There were 231 (51%) patients using insulin, 168 (37.3%) oral hypoglycaemic drugs, and 51 (11.3%) using both. Among patients using insulin, regular insulin usage stood at 30% followed by a combination of regular insulin and NPH (26.7%) and NPH alone at 6%. The most popular drug used was metformin (27.3%) and the least used drug was glitazones (4%). In the study population, 73.3% patients controlled their diabetes with diet, and 24.7% with regular exercise. Conclusion: Majority of the study population had type 2 diabetes with a female preponderance. Insulin was prescribed for half the patients. Metformin was the most frequently used oral hypoglycaemic drug. (author)

  9. Atmospheric Release Advisory Capability

    International Nuclear Information System (INIS)

    The Atmospheric Release Advisory Capability (ARAC) project is a Department of Energy (DOE) sponsored real-time emergency response service available for use by both federal and state agencies in case of a potential or actual atmospheric release of nuclear material. The project, initiated in 1972, is currently evolving from the research and development phase to full operation. Plans are underway to expand the existing capability to continuous operation by 1984 and to establish a National ARAC Center (NARAC) by 1988. This report describes the ARAC system, its utilization during the past two years, and plans for its expansion during the next five to six years. An integral part of this expansion is due to a very important and crucial effort sponsored by the Defense Nuclear Agency to extend the ARAC service to approximately 45 Department of Defense (DOD) sites throughout the continental US over the next three years

  10. Current approaches to treatments for schizophrenia spectrum disorders, part II: psychosocial interventions and patient-focused perspectives in psychiatric care

    Directory of Open Access Journals (Sweden)

    Chien WT

    2013-09-01

    functioning, and/or relapse rate. However, the comparative effects between these five approaches have not been well studied; thus, we are not able to clearly understand the superiority of any of these interventions. With the exception of patient relapse, the longer-term (eg, >2 years effects of these approaches on most psychosocial outcomes are not well-established among these patients. Despite the fact that patients' perspectives on treatment and care have been increasingly concerned, not many studies have evaluated the effect of interventions on this perspective, and where they did, the findings were inconclusive. To conclude, current approaches to psychosocial interventions for schizophrenia have their strengths and weaknesses, particularly indicating limited evidence on long-term effects. To improve the longer-term outcomes of people with schizophrenia, future treatment strategies should focus on risk identification, early intervention, person-focused therapy, partnership with family caregivers, and the integration of evidence-based psychosocial interventions into existing services. Keywords: schizophrenia, psychosocial intervention, patient-focused perspectives

  11. Developing new models of shared primary and specialist HIV care in the UK: a survey of current practice.

    Science.gov (United States)

    Hutchinson, Jane; Sutcliffe, Loma J; Williams, Andy J; Estcourt, Claudia S

    2016-07-01

    HIV care in the UK is led by hospital-based specialists with limited general practitioner (GP) involvement. As GPs have expertise in some non-microbial HIV-associated co-morbidities (e.g. cardiovascular disease), and more people are disclosing their HIV status to their GPs, there could be benefits in sharing HIV care. We describe contemporary models of shared HIV care in relevant developed world settings to inform future shared HIV care in the UK. An interview survey of key informants was used to explore experiences and models of shared care, and identify promoting and inhibiting factors. We interviewed ten key informants from six shared care models. There were three broad categories of shared care, with varying degrees of GP involvement. Strong clinical leadership in primary care, good professional relationships and communication, and tailored GP training were facilitators. Barriers included stigma, confidentiality concerns, and low prevalence of HIV outside major conurbations. Contemporary shared HIV care models have emerged organically and seem to work when grounded in good collaboration between a small number of dedicated GPs and specialist units. We propose two models for further study which may only be feasible in high HIV caseload practices. User acceptability, clinical and cost effectiveness must be considered. PMID:26113516

  12. The concept of "intercultural opening": the development of an assessment tool for the appraisal of its current implementation in the mental health care system.

    Science.gov (United States)

    Penka, S; Kluge, U; Vardar, A; Borde, T; Ingleby, D

    2012-06-01

    The German concept of "intercultural opening" is an approach to facilitating migrants' access to the health care system and improving the care they receive. No data exist concerning the current status of the implementation of this approach in Germany, and the concept has never been analysed in practice. To assess the status of "intercultural opening" in the German mental health care system and to further analyse the concept, we developed a tool by combining pre-existing instruments. In order to review the preliminary tool we combined experts' knowledge by carrying out a consensusoriented, expert-based Delphi process with actual practice by piloting the instrument in each type of institution to be assessed. The assessment tool thus developed(1) is the first one to evaluate the current status of "intercultural opening" in the community mental health care system in Germany from a broad perspective. This paper is intended to present the development process of our assessment tool for demonstrating the benefits of this approach and as a model for future studies, as well as to increase transparency in relation to the current German approach to health care structures in dealing with migrants. PMID:22863253

  13. The current state of ethnic and racial disparities in cardiovascular care: lessons from the past and opportunities for the future.

    Science.gov (United States)

    Lewey, Jennifer; Choudhry, Niteesh K

    2014-01-01

    Significant racial/ethnic disparities have been documented in cardiovascular care. Although health care quality is improving for many Americans, differences in clinical outcomes have persisted between racial/ethnic minority patients and non-minorities, even when income, education level, and site of care are taken into consideration. Potential causes of disparities are complex and are related to differences in risk factor prevalence and control, use of evidence-based procedures and medications, and social and environmental factors. Minority patients are more likely to receive care from lower-quality health care providers and institutions and experience more barriers to accessing care. Factors such as stereotyping and bias in medicine are hard to quantify, but likely contribute to differences in treatment. Recent trends suggest that some disparities are decreasing. Opportunities for change and improvement exist for patients, providers, and health care systems. Promising interventions, such as health policy changes, quality improvement programs, and culturally targeted community and clinic-based interventions offer hope that high-quality health care in the USA can be provided to all patients. PMID:25135343

  14. Pain management in trauma patients in (pre)hospital based emergency care: current practice versus new guideline

    NARCIS (Netherlands)

    Scholten, A.C.; Berben, S.A.A.; Westmaas, A.H.; Grunsven, P.M. van; Vaal, E.T. de; Hoogerwerf, N.; Doggen, C.J.; Schoonhoven, L.

    2015-01-01

    INTRODUCTION: Acute pain in trauma patients in emergency care is still undertreated. Early pain treatment is assumed to effectively reduce pain in patients and improve long-term outcomes. In order to improve pain management in the chain of emergency care, a national evidence-based guideline was deve

  15. Pain management in trauma patients in (pre)hospital based emergency care: Current practice versus new guideline

    NARCIS (Netherlands)

    A.C. Scholten (Annemieke); S.A.A. Berben (Sivera); A.H. Westmaas (Alvin H); P.M. van Grunsven (Pierre); E.T. de Vaal; P.P.M. Rood (Pleunie); N. Hoogerwerf (N.); C.J.M. Doggen (Carine); R. van Schoonhoven (Renee)

    2015-01-01

    textabstractIntroduction Acute pain in trauma patients in emergency care is still undertreated. Early pain treatment is assumed to effectively reduce pain in patients and improve long-term outcomes. In order to improve pain management in the chain of emergency care, a national evidence-based guideli

  16. Pain management in trauma patients in (pre)hospital based emergency care: current practice versus new guideline

    NARCIS (Netherlands)

    Scholten, A.C.; Berben, S.A.A.; Westmaas, A.H.; Grunsven, P.M.; Vaal, de E.T.; Rood, Pleunie P.M.; Hoogerwerf, N.; Doggen, C.J.M.; Schoonhoven, L.

    2015-01-01

    Introduction Acute pain in trauma patients in emergency care is still undertreated. Early pain treatment is assumed to effectively reduce pain in patients and improve long-term outcomes. In order to improve pain management in the chain of emergency care, a national evidence-based guideline was devel

  17. TeleWound care – providing remote wound assessment and treatment in the home care setting: current status and future directions

    Directory of Open Access Journals (Sweden)

    Santamaria N

    2013-11-01

    Full Text Available Nick Santamaria,1 Suzanne Kapp2 1University of Melbourne and Melbourne Health, Royal Melbourne Hospital, Melbourne, VIC, Australia; 2Royal District Nursing Service Institute, Melbourne, VIC, Australia Abstract: The use of wound telemedicine systems in the home care environment has been expanding for the last decade. These systems can generally be grouped into two main types: store and forward systems and video conference type systems; additionally, there are also hybrid systems available that include elements of both. Evidence to date suggests that these systems provide significant benefits to patients, clinicians, and to the health care system generally. Reductions in resource use, visit substitution, costs, and high patient and clinician satisfaction have been reported; however, there is a lack of integration with existing health care technology and no clearly defined technical or clinical standards as yet. Similarly, the legalities associated with wound telemedicine and remote consultation remain unclear. As wound telemedicine systems continue to evolve and be deployed in different locations, there remains significant potential to harness their power to benefit patients being treated at home. Keywords: telemedicine, home care, e-health

  18. Group Capability Model

    Science.gov (United States)

    Olejarski, Michael; Appleton, Amy; Deltorchio, Stephen

    2009-01-01

    The Group Capability Model (GCM) is a software tool that allows an organization, from first line management to senior executive, to monitor and track the health (capability) of various groups in performing their contractual obligations. GCM calculates a Group Capability Index (GCI) by comparing actual head counts, certifications, and/or skills within a group. The model can also be used to simulate the effects of employee usage, training, and attrition on the GCI. A universal tool and common method was required due to the high risk of losing skills necessary to complete the Space Shuttle Program and meet the needs of the Constellation Program. During this transition from one space vehicle to another, the uncertainty among the critical skilled workforce is high and attrition has the potential to be unmanageable. GCM allows managers to establish requirements for their group in the form of head counts, certification requirements, or skills requirements. GCM then calculates a Group Capability Index (GCI), where a score of 1 indicates that the group is at the appropriate level; anything less than 1 indicates a potential for improvement. This shows the health of a group, both currently and over time. GCM accepts as input head count, certification needs, critical needs, competency needs, and competency critical needs. In addition, team members are categorized by years of experience, percentage of contribution, ex-members and their skills, availability, function, and in-work requirements. Outputs are several reports, including actual vs. required head count, actual vs. required certificates, CGI change over time (by month), and more. The program stores historical data for summary and historical reporting, which is done via an Excel spreadsheet that is color-coded to show health statistics at a glance. GCM has provided the Shuttle Ground Processing team with a quantifiable, repeatable approach to assessing and managing the skills in their organization. They now have a common

  19. Knee pain and osteoarthritis in older adults: a review of community burden and current use of primary health care

    OpenAIRE

    Peat, G; McCarney, R.; Croft, P

    2001-01-01

    BACKGROUND—Osteoarthritis is the single most common cause of disability in older adults, and most patients with the condition will be managed in the community and primary care.
AIM—To discuss case definition of knee osteoarthritis for primary care and to summarise the burden of the condition in the community and related use of primary health care in the United Kingdom.
DESIGN—Narrative review.
METHOD—A literature search identified studies of incidence and prevalence of knee pain, disability, ...

  20. Community care: the impact of current welfare policies and ideologies on older people in Hertfordshire and Bedfordshire

    OpenAIRE

    Barrett, David

    1992-01-01

    This thesis investigates whether community care policy and service delivery is rhetoric or reality. The social policy and under-pinning ideologies that surround community care are reviewed. Important benchmarks are presented in the form of a chronology and aetiology of The National Health Service and Community Care Act, 1990. An interview schedule was designed from the perspective of older people and was used with a sample of 40 older people, 20 at Luton in an inner-city setting and 20 in Red...

  1. Mobile Test Capabilities

    Data.gov (United States)

    Federal Laboratory Consortium — The Electrical Power Mobile Test capabilities are utilized to conduct electrical power quality testing on aircraft and helicopters. This capability allows that the...

  2. The capability conundrum

    International Nuclear Information System (INIS)

    Full text: AMEC Nuclear recognises that a skilled workforce is essential to the success of its business. In the current global climate, the potential for new build in the UK, new build underway in Europe and across the world and the acceleration of Clean Up programmes, the competition for skilled staff is fierce. So how do companies develop and grow their Capability? What are the issues? There have been several initiatives undertaken in the UK to identify skills gaps. One example is an exercise undertaken by COGENT, the sector skills council for the Nuclear Sector, who undertook a comprehensive forward looking gap analysis for the industry in 2005 and who have now proposed a number of interventions to address the gaps identified, one of which is the creation of a Nuclear Skills Academy a second is the creation of Career Pathways. Some of the gaps identified cover shortages of skills that we face today but, more worryingly for the future, the projected down turn in the numbers of young people studying Science and Engineering subjects, both in schools and Universities and a shortage of apprenticeship places in the UK paints a gloomy picture. Where will our future capability come from? At AMEC Nuclear we recognise that we need to act now to protect our business and ensure we maintain, develop and grow our capability. We are working closely with COGENT to help to develop Career Pathways to encourage young people to the industry and we are delighted to have secured a place on the shadow board of the National Nuclear Skills Academy, an exciting project which will provide a focus for excellence in workforce skills development. Employers in the Nuclear industry have said that they want a Skills Academy that will provide national leadership in training provision and will move employers and employees from their current level of skills to those which will be needed to take these critical industries forward into a sustainable future in the UK. In order for us to assess what we

  3. Practicing radiation oncology in the current health care environment - Part II: Designing a radiation oncology department and setting up a clinical practice program

    International Nuclear Information System (INIS)

    Objective: Identify the business practices necessary to develop a successful radiation oncology department in the current health care environment. Course content will be of interest to new practitioners establishing first time programs or joining existing groups as well as experienced radiation oncologists who are challenged with redesigning programs to be competitive. Course Content: During this session, the following topics will be discussed: 1) Space planning and equipment selection 2) Personnel; creating efficiencies while promoting productivity 3) Professional and Technical Billing; establishing proper fee structures and coding procedures 4) Utilizing benchmarking as a tool to improve operations 5) Information technology in radiation oncology 6) Current and Future Trends: a) Oncology networks b) Reimbursement: managed care and capitation c) Downsizing d) Relative Value Units

  4. Evaluation of Current Literature to Determine the Potential Effects of Radio Frequency Identification on Technology Used in Diabetes Care

    OpenAIRE

    Christe, Barbara

    2009-01-01

    This article examines recently published studies exploring the impact of radio frequency identification (RFID) systems on the technology involved in patient care. The conclusions will be extrapolated to include insulin delivery devices. Background material will also be presented to support examination of the variables involved in electromagnetic fields and potential interference from these RFID systems.

  5. A randomised clinical trial of subgrouping and targeted treatment for low back pain compared with best current care. The STarT Back Trial Study Protocol

    Directory of Open Access Journals (Sweden)

    Vohora Kanchan

    2008-04-01

    Full Text Available Abstract Background Back pain is a major health problem and many sufferers develop persistent symptoms. Detecting relevant subgroups of patients with non-specific low back pain has been highlighted as a priority area for research, as this could enable better secondary prevention through the targeting of prognostic indicators for persistent, disabling symptoms. We plan to conduct a randomised controlled trial to establish whether subgrouping using a novel tool, combined with targeted treatment, is better than best current care at reducing long-term disability from low back pain. Methods/Design We will recruit 800 participants aged 18 years and over with non-specific low back pain from 8–10 GP practices within two Primary Care Trusts in Staffordshire, England. Our primary outcome measures are low back pain disability and catastrophising. Secondary outcomes include back pain intensity, global change, leg pain, fear avoidance, anxiety, depression, illness perceptions, patient satisfaction, overall health status and cost-effectiveness. Data will be collected before randomisation, and 4 and 12 months later. Participants are randomised to receive either newly developed interventions, delivered by trained physiotherapists and targeted according to subgroups defined by tool scores, or best current care. Discussion This paper presents detail on the rationale, design, methods and operational aspects of the trial. Trial registration Current Controlled Trials ISRCTN37113406.

  6. Current approaches to treatments for schizophrenia spectrum disorders, part II: psychosocial interventions and patient-focused perspectives in psychiatric care

    OpenAIRE

    Chien WT; Leung SF; Yeung FKK; WK Wong

    2013-01-01

    Wai Tong Chien, Sau Fong Leung, Frederick KK Yeung, Wai Kit Wong School of Nursing, Faculty of Health and Social Sciences, The Hong Kong Polytechnic University, Hung Hom, Kowloon, Hong Kong Abstract: Schizophrenia is a disabling psychiatric illness associated with disruptions in cognition, emotion, and psychosocial and occupational functioning. Increasing evidence shows that psychosocial interventions for people with schizophrenia, as an adjunct to medications or usual psychiatric care, can r...

  7. Predicting and reducing risk of exacerbations in children with asthma in the primary care setting: current perspectives

    OpenAIRE

    Turner, Steve

    2016-01-01

    Steve Turner Child Health, Royal Aberdeen Children’s Hospital, University of Aberdeen, Aberdeen, UK Abstract: Childhood asthma is a very common condition in western countries and is becoming more prevalent worldwide. Asthma attacks (or exacerbations) affect the quality of life for child and parent, can rarely result in death, and also come at a cost for health care providers and the economy. The aims of this review were to 1) describe the burden of asthma exacerbations, 2) describe ...

  8. Current Status of Infant Mental Health in Day-Care Centres in Japan: An Investigation of Okinawa and Aomori Prefectures

    Science.gov (United States)

    Takizawa, Tohru; Kondo, Tsuyoshi; Tanaka, Osamu; Wake, Norie; Naka, Kuoichi; Todoriki, Hidemi; Ishizu, Hiroshi

    2009-01-01

    Grasping both the extent and the actual situation of psychosomatic disorders, neurotic habits and developmental disorders of infancy and childhood is vital for their prevention and for taking appropriate measures to deal with the current situation. The purpose of this study is to explore the current situation of infant mental health in Japanese…

  9. A pilot survey of the current scope of the practice of South African physiotherapists in the intensive care units

    Directory of Open Access Journals (Sweden)

    H. van Aswegen

    2005-02-01

    Full Text Available Objective: A pilot study was conducted to determine the currentscope of practice of South African physiotherapists working in intensive care units in the government and the private sectors. These findings were compared to the findings from a European survey with regard to the role of the physiotherapist in European intensive care units.Methodology: Ninety questionnaires were distributed nationwide to secondary and tertiary government hospitals as well as to private practitioners involved in cardiopulmonary physiotherapy. The private practitioners included in this survey were listed in the Private Practitioners Association Official Members Directory. Junior and senior physiotherapists working in the intensive care units of their respective hospitals participated in completing the questionnaire. Comparisons between government and private sector data and between the South African survey and the European survey were carried out using the 2test for non-parametric data. A p-value of less than 0.05 was considered to be statistically significant.Results: Fifty-four questionnaires were analyzed and represented 60% of questionnaires sent out. Respondents to the South African survey reported 28% percent of all ICUs had between 9 - 12 beds; 83% physiotherapists indicated the availability of an on-call service during the night and 96% physiotherapists had a weekend physiotherapy service. Ninety-two percent of physiotherapists working in the government sector supervised students compared to 44% of physiotherapists in the private sector. Between 9% and 27% of physiotherapists in government and private hospitalsactively participated in research in ICU. There were no statistically significant differences in the use of respiratory physiotherapy, mobilization and positioning between respondents to the European survey and those of the South African survey respectively.Conclusion: The response rate to this questionnaire was good. It was evident from this pilot

  10. Work, Subjective Well-being and Capabilities

    OpenAIRE

    Suppa, Nicolai

    2014-01-01

    Chapter 2: This chapter explores the link between poverty as capability deprivation and current life satisfaction. Using German panel data, I examine both whether capability deprivation does hurt and whether individuals eventually adapt. To detect capability deprivation I draw on the notion of an inadequate income together with nonconsumption data of specific commodities. Assumptions and conditions rendering this approach valid are scrutinised. The results indicate that capability...

  11. Advanced CLIPS capabilities

    Science.gov (United States)

    Riley, Gary

    1991-01-01

    The C Language Integrated Production System (CLIPS) is a forward chaining rule based language developed by NASA. CLIPS was designed specifically to provide high portability, low cost, and easy integration with external systems. The current release of CLIPS, version 4.3, is being used by over 2500 users throughout the public and private community. The primary addition to the next release of CLIPS, version 5.0, will be the CLIPS Object Oriented Language (COOL). The major capabilities of COOL are: class definition with multiple inheritance and no restrictions on the number, types, or cardinality of slots; message passing which allows procedural code bundled with an object to be executed; and query functions which allow groups of instances to be examined and manipulated. In addition to COOL, numerous other enhancements were added to CLIPS including: generic functions (which allow different pieces of procedural code to be executed depending upon the types or classes of the arguments); integer and double precision data type support; multiple conflict resolution strategies; global variables; logical dependencies; type checking on facts; full ANSI compiler support; and incremental reset for rules.

  12. Problems and the potential direction of reforms for the current individual medical savings accounts in the Chinese health care system.

    Science.gov (United States)

    Kong, Xiangjin; Yang, Yang; Gong, Fuqing; Zhao, Mingjie

    2012-12-01

    Individual health savings accounts are an important part of the current basic medical insurance system for urban workers in China. Since 1998 when the system of personal medical insurance accounts was first implemented, there has been considerable controversy over its function and significance within different social communities. This paper analyzes the main problems in the practical implementation of individual medical insurance accounts and discusses the social and cultural foundations for the establishment of family health savings accounts from the perspective of Chinese Confucian familism. Accordingly, it addresses the direction of the reform and the development of the current system of individual health insurance accounts in China. PMID:23192456

  13. Building Service Provider Capabilities

    DEFF Research Database (Denmark)

    Brandl, Kristin; Jaura, Manya; Ørberg Jensen, Peter D.

    In this paper we study whether and how the interaction between clients and the service providers contributes to the development of capabilities in service provider firms. In situations where such a contribution occurs, we analyze how different types of activities in the production process of the...... process. We find that clients influence the development of human capital capabilities and management capabilities in reciprocally produced services. While in sequential produced services clients influence the development of organizational capital capabilities and management capital capabilities....... services, such as sequential or reciprocal task activities, influence the development of different types of capabilities. We study five cases of offshore-outsourced knowledge-intensive business services that are distinguished according to their reciprocal or sequential task activities in their production...

  14. Developing Alliance Capabilities

    DEFF Research Database (Denmark)

    Heimeriks, Koen H.; Duysters, Geert; Vanhaverbeke, Wim

    This paper assesses the differential performance effects of learning mechanisms on the development of alliance capabilities. Prior research has suggested that different capability levels could be identified in which specific intra-firm learning mechanisms are used to enhance a firm's alliance...... capability. However, empirical testing in this field is scarce and little is known as to what extent different learning mechanisms are indeed useful in advancing a firm's alliance capability. This paper analyzes to what extent intra-firm learning mechanisms help firms develop their alliance capability....... Differential learning may explain in what way firms yield superior returns from their alliances in comparison to competitors. The empirical results show that different learning mechanisms have different performance effects at different stages of the alliance capability development process. The main lesson from...

  15. MOVES’ Visualization Capabilities

    OpenAIRE

    Johnson, Erik

    2012-01-01

    MOVES Research & Education Systems Seminar: Presentation; Session 7: Computer Gaming and Web-Delivered Simulation; Moderator: Perry McDowell; MOVES’ Visualization Capabilities; speaker: Erik Johnson

  16. Integrated Process Capability Analysis

    Institute of Scientific and Technical Information of China (English)

    Chen; H; T; Huang; M; L; Hung; Y; H; Chen; K; S

    2002-01-01

    Process Capability Analysis (PCA) is a powerful too l to assess the ability of a process for manufacturing product that meets specific ations. The larger process capability index implies the higher process yield, a nd the larger process capability index also indicates the lower process expected loss. Chen et al. (2001) has applied indices C pu, C pl, and C pk for evaluating the process capability for a multi-process product wi th smaller-the-better, larger-the-better, and nominal-the-best spec...

  17. Community mental health care in the Asia-Pacific region: using current best-practice models to inform future policy

    OpenAIRE

    Ng, Chee; HERRMAN, HELEN; CHIU, EDMOND; SINGH, BRUCE

    2009-01-01

    The reporting of child sexual abuse (CSA) and physician-patient sexual relationships (PPSR) are currently the focus of professional, legal and media attention in several countries. This paper briefly reviews mental health policies on these issues and reports on a WPA survey of them. While the WPA Madrid Declaration permits breaching confidentiality for mandatory reporting of CSA and clearly prohibits PPSR, it is not known how or to what extent these policies are implemented in WPA Member Soci...

  18. Dynamic Capabilities and Performance

    DEFF Research Database (Denmark)

    Wilden, Ralf; Gudergan, Siegfried P.; Nielsen, Bo Bernhard;

    2013-01-01

    Dynamic capabilities are widely considered to incorporate those processes that enable organizations to sustain superior performance over time. In this paper, we argue theoretically and demonstrate empirically that these effects are contingent on organizational structure and the competitive...... intensity in the market. Results from partial least square structural equation modeling (PLS-SEM) analyses indicate that organic organizational structures facilitate the impact of dynamic capabilities on organizational performance. Furthermore, we find that the performance effects of dynamic capabilities...... are contingent on the competitive intensity faced by firms. Our findings demonstrate the performance effects of internal alignment between organizational structure and dynamic capabilities, as well as the external fit of dynamic capabilities with competitive intensity. We outline the advantages of PLS...

  19. Accelerator and electrodynamics capability review

    Energy Technology Data Exchange (ETDEWEB)

    Jones, Kevin W [Los Alamos National Laboratory

    2010-01-01

    Los Alamos National Laboratory (LANL) uses capability reviews to assess the science, technology and engineering (STE) quality and institutional integration and to advise Laboratory Management on the current and future health of the STE. Capability reviews address the STE integration that LANL uses to meet mission requirements. The Capability Review Committees serve a dual role of providing assessment of the Laboratory's technical contributions and integration towards its missions and providing advice to Laboratory Management. The assessments and advice are documented in reports prepared by the Capability Review Committees that are delivered to the Director and to the Principal Associate Director for Science, Technology and Engineering (PADSTE). Laboratory Management will use this report for STE assessment and planning. LANL has defined fifteen STE capabilities. Electrodynamics and Accelerators is one of the seven STE capabilities that LANL Management (Director, PADSTE, technical Associate Directors) has identified for review in Fiscal Year (FY) 2010. Accelerators and electrodynamics at LANL comprise a blend of large-scale facilities and innovative small-scale research with a growing focus on national security applications. This review is organized into five topical areas: (1) Free Electron Lasers; (2) Linear Accelerator Science and Technology; (3) Advanced Electromagnetics; (4) Next Generation Accelerator Concepts; and (5) National Security Accelerator Applications. The focus is on innovative technology with an emphasis on applications relevant to Laboratory mission. The role of Laboratory Directed Research and Development (LDRD) in support of accelerators/electrodynamics will be discussed. The review provides an opportunity for interaction with early career staff. Program sponsors and customers will provide their input on the value of the accelerator and electrodynamics capability to the Laboratory mission.

  20. Accelerator and Electrodynamics Capability Review

    International Nuclear Information System (INIS)

    Los Alamos National Laboratory (LANL) uses capability reviews to assess the science, technology and engineering (STE) quality and institutional integration and to advise Laboratory Management on the current and future health of the STE. Capability reviews address the STE integration that LANL uses to meet mission requirements. The Capability Review Committees serve a dual role of providing assessment of the Laboratory's technical contributions and integration towards its missions and providing advice to Laboratory Management. The assessments and advice are documented in reports prepared by the Capability Review Committees that are delivered to the Director and to the Principal Associate Director for Science, Technology and Engineering (PADSTE). Laboratory Management will use this report for STE assessment and planning. LANL has defined fifteen STE capabilities. Electrodynamics and Accelerators is one of the seven STE capabilities that LANL Management (Director, PADSTE, technical Associate Directors) has identified for review in Fiscal Year (FY) 2010. Accelerators and electrodynamics at LANL comprise a blend of large-scale facilities and innovative small-scale research with a growing focus on national security applications. This review is organized into five topical areas: (1) Free Electron Lasers; (2) Linear Accelerator Science and Technology; (3) Advanced Electromagnetics; (4) Next Generation Accelerator Concepts; and (5) National Security Accelerator Applications. The focus is on innovative technology with an emphasis on applications relevant to Laboratory mission. The role of Laboratory Directed Research and Development (LDRD) in support of accelerators/electrodynamics will be discussed. The review provides an opportunity for interaction with early career staff. Program sponsors and customers will provide their input on the value of the accelerator and electrodynamics capability to the Laboratory mission.

  1. Business Capabilities Centric Enterprise Architecture

    OpenAIRE

    Barroero, Thiago; Motta, Gianmario; Pignatelli, Giovanni

    2010-01-01

    In the field of Enterprise Architecture, The Open Group Architecture Framework (TOGAF) is a well known framework, that links Business Architecture, Data Architecture, Application Architecture, Technology. A key concept within Business Architecture domain is Business Capabilities, that are delivered by Business Component (BC). A BC is a business unit that encompasses a coherent set of activities, supported by assets including people, processes and technology. Current TOGAF version recognizes t...

  2. Capabilities for innovation

    DEFF Research Database (Denmark)

    Nielsen, Peter; Nielsen, René Nesgaard; Bamberger, Simon Grandjean;

    2012-01-01

    Technological developments combined with increasing levels of competition related to the ongoing globalization imply that firms find themselves in dynamic, changing environments that call for dynamic capabilities. This challenges the internal human and organizational resources of firms in general...... and in particular their ability to develop firm-specific innovative capabilities through employee participation and creation of innovative workplaces. In this article, we argue that national institutional conditions can play an enhancing or hampering role in this. Especially the norms and values...... governing relations between employers and employees are expected to be of vital importance. This article will follow a resource-based perspective on developing dynamic capabilities in order to test the importance of enhancing human and organizational capabilities for innovation in firms. In particular, the...

  3. Education and Innovative Capabilities

    OpenAIRE

    A. Leiponen

    1996-01-01

    This study investigates the role of capabilities, acquired through education and on the job learning, in innovation. It is argued that education enhances learning and innovation because it provides employees with communication and interaction skills, and, more importantly, with abilities to receive, understand and utilize relevant knowledge, and solve problems. These dynamic capabilities are one of the sources of innovation. A dataset of 333 Finnish manufacturing firms is used to estimat...

  4. Management Innovation Capabilities

    DEFF Research Database (Denmark)

    Harder, Mie

    , the paper introduces the concept of management innovation capabilities which refers to the ability of a firm to purposefully create, extend and modify its managerial resource base to address rapidly changing environments. Drawing upon behavioral theory of the firm and the dynamic capabilities......Management innovation is the implementation of a new management practice, process, technique or structure that significantly alters the way the work of management is performed. This paper presents a typology categorizing management innovation along two dimensions; radicalness and complexity. Then...... framework, the paper proposes a model of the foundations of management innovation. Propositions and implications for future research are discussed....

  5. Capability Handbook- offline metrology

    DEFF Research Database (Denmark)

    Islam, Aminul; Marhöfer, David Maximilian; Tosello, Guido;

    This offline metrological capability handbook has been made in relation to HiMicro Task 3.3. The purpose of this document is to assess the metrological capability of the HiMicro partners and to gather the information of all available metrological instruments in the one single document. It provide...... a quick overview of what is possible today by the state of the art, what the HiMicro consortium can do and what metrological requirements we have concerning the HiMicro industrial demonstrators....

  6. Benefits of Managing Organizational Capability

    OpenAIRE

    Toth, Ilona

    2015-01-01

    The purpose of this study was to describe in detail the concepts of capability management and organizational capability. Capability management signifies the full utilization of capabilities in an organization, while organizational capability is the formation of individual capabilities into a larger group of capabilities which add value to organizational performance. There are numerous other elements significant to organizational development which are also related to capability management. Whe...

  7. A comprehensive estimation method for enterprise capability

    Directory of Open Access Journals (Sweden)

    Tetiana Kuzhda

    2015-11-01

    Full Text Available In today’s highly competitive business world, the need for efficient enterprise capability management is greater than ever. As more enterprises begin to compete on a global scale, the effective use of enterprise capability will become imperative for them to improve their business activities. The definition of socio-economic capability of the enterprise has been given and the main components of enterprise capability have been pointed out. The comprehensive method to estimate enterprise capability that takes into account both social and economic components has been offered. The methodical approach concerning integrated estimation of the enterprise capability has been developed. Novelty deals with the inclusion of summary measure of the social component of enterprise capability to define the integrated index of enterprise capability. The practical significance of methodological approach is that the method allows assessing the enterprise capability comprehensively through combining two kinds of estimates – social and economic and converts them into a single integrated indicator. It provides a comprehensive approach to socio-economic estimation of enterprise capability, sets a formal basis for making decisions and helps allocate enterprise resources reasonably. Practical implementation of this method will affect the current condition and trends of the enterprise, help to make forecasts and plans for its development and capability efficient use.

  8. Metrology Measurement Capabilities

    Energy Technology Data Exchange (ETDEWEB)

    Dr. Glen E. Gronniger

    2007-10-02

    This document contains descriptions of Federal Manufacturing & Technologies (FM&T) Metrology capabilities, traceability flow charts, and the measurement uncertainty of each measurement capability. Metrology provides NIST traceable precision measurements or equipment calibration for a wide variety of parameters, ranges, and state-of-the-art uncertainties. Metrology laboratories conform to the requirements of the Department of Energy Development and Production Manual Chapter 13.2, ANSI/ISO/IEC ANSI/ISO/IEC 17025:2005, and ANSI/NCSL Z540-1. FM&T Metrology laboratories are accredited by NVLAP for the parameters, ranges, and uncertainties listed in the specific scope of accreditation under NVLAP Lab code 200108-0. See the Internet at http://ts.nist.gov/Standards/scopes/2001080.pdf. These parameters are summarized. The Honeywell Federal Manufacturing & Technologies (FM&T) Metrology Department has developed measurement technology and calibration capability in four major fields of measurement: (1) Mechanical; (2) Environmental, Gas, Liquid; (3) Electrical (DC, AC, RF/Microwave); and (4) Optical and Radiation. Metrology Engineering provides the expertise to develop measurement capabilities for virtually any type of measurement in the fields listed above. A strong audit function has been developed to provide a means to evaluate the calibration programs of our suppliers and internal calibration organizations. Evaluation includes measurement audits and technical surveys.

  9. Capitalizing on capabilities.

    Science.gov (United States)

    Ulrich, Dave; Smallwood, Norm

    2004-06-01

    By making the most of organizational capabilities--employees' collective skills and fields of expertise--you can dramatically improve your company's market value. Although there is no magic list of proficiencies that every organization needs in order to succeed, the authors identify 11 intangible assets that well-managed companies tend to have: talent, speed, shared mind-set and coherent brand identity, accountability, collaboration, learning, leadership, customer connectivity, strategic unity, innovation, and efficiency. Such companies typically excel in only three of these capabilities while maintaining industry parity in the other areas. Organizations that fall below the norm in any of the 11 are likely candidates for dysfunction and competitive disadvantage. So you can determine how your company fares in these categories (or others, if the generic list doesn't suit your needs), the authors explain how to conduct a "capabilities audit," describing in particular the experiences and findings of two companies that recently performed such audits. In addition to highlighting which intangible assets are most important given the organization's history and strategy, this exercise will gauge how well your company delivers on its capabilities and will guide you in developing an action plan for improvement. A capabilities audit can work for an entire organization, a business unit, or a region--indeed, for any part of a company that has a strategy to generate financial or customer-related results. It enables executives to assess overall company strengths and weaknesses, senior leaders to define strategy, midlevel managers to execute strategy, and frontline leaders to achieve tactical results. In short, it helps turn intangible assets into concrete strengths. PMID:15202293

  10. STRATEGIC AIRLIFT CAPABILITY: FROM THEORY TO PRACTICE

    Directory of Open Access Journals (Sweden)

    Cezar VASILESCU

    2011-01-01

    Full Text Available Strategic airlift remains a critical supporting capability that should be achieved, maintained and improved. This capability ensures the ability to deploy and sustain military forces across possible distant battlefields. The paper analyses the growing strategic airlift capabilities gap between operational needs and current realities, and underlines the need for an enhanced strategic airlift capability to meet current and future NATO alliance needs. By analyzing requirements against the existing/potential solutions, this paper further ponders over options like the organic national capability, partnerships such as the Strategic Airlift Consortium (SAC or leasing aircraft through a venture such as the Strategic Airlift Interim Solution (SALIS. The paper also evaluates the feasibility of applying these solutions to European Union airlift needs.

  11. [Pregnancy contraception (Current Care Guideline)].

    Science.gov (United States)

    Halttunen-Nieminen, Mervi; Piltonen, Terhi; Alenius, Heidi; Apukka, Laura; Kosunen, Elise; Pietilä, Kirsi; Sihvo, Sinikka; Vuorela, Piia; Väänänen, Eija; Yli-Kivistö, Tiina

    2016-01-01

    There are no age limits for the start or use of contraception. Prior gynecological examination or cervical smear is not needed. Condom is the only method that protects from sexually transmitted diseases. An increase in the risk of venous thromboembolism (VTE) is associated only with combined contraceptives. However, the risk is remarkably higher with pregnancy, puerperium or with smoking. The most effective reversible methods are intrauterine devices (IUD) and implants, as these do not depend on daily memory. Natural family planning methods are not reliable, and effective contraception should be easily available for all at all times. PMID:27382829

  12. Current practices of mobilization, analgesia, relaxants and sedation in Indian ICUs: A survey conducted by the Indian Society of Critical Care Medicine

    Directory of Open Access Journals (Sweden)

    Rajesh Chawla

    2014-01-01

    Full Text Available Background and Aim: Use of sedation, analgesia and neuromuscular blocking agents is widely practiced in Intensive Care Units (ICUs. Our aim is to study the current practice patterns related to mobilization, analgesia, relaxants and sedation (MARS to help in standardizing best practices in these areas in the ICU. Materials and Methods: A web-based nationwide survey involving physicians of the Indian Society of Critical Care Medicine (ISCCM and the Indian Society of Anesthesiologists (ISA was carried out. A questionnaire included questions on demographics, assessment scales for delirium, sedation and pain, as also the pharmacological agents and the practice methods. Results: Most ICUs function in a semi-closed model. Midazolam (94.99% and Fentanyl (47.04% were the most common sedative and analgesic agents used, respectively. Vecuronium was the preferred neuromuscular agent. Monitoring of sedation, analgesia and delirium in the ICU. Ramsay′s Sedation Scale (56.1% and Visual Analogue Scale (48.07% were the preferred sedation and pain scales, respectively. CAM (Confusion Assessment Method-ICU was the most preferred method of delirium assessment. Haloperidol was the most commonly used agent for delirium. Majority of the respondents were aware of the benefit of early mobilization, but lack of support staff and safety concerns were the main obstacles to its implementation. Conclusion: The results of the survey suggest that compliance with existing guidelines is low. Benzodiazepines still remain the predominant ICU sedative. The recommended practice of giving analgesia before sedation is almost non-existent. Delirium remains an underrecognized entity. Monitoring of sedation levels, analgesia and delirium is low and validated and recommended scales for the same are rarely used. Although awareness of the benefits of early mobilization are high, the implementation is low.

  13. The UPBEAT nurse-delivered personalized care intervention for people with coronary heart disease who report current chest pain and depression: a randomised controlled pilot study.

    Directory of Open Access Journals (Sweden)

    Elizabeth A Barley

    Full Text Available BACKGROUND: Depression is common in people with coronary heart disease (CHD and associated with worse outcome. This study explored the acceptability and feasibility of procedures for a trial and for an intervention, including its potential costs, to inform a definitive randomized controlled trial (RCT of a nurse-led personalised care intervention for primary care CHD patients with current chest pain and probable depression. METHODS: Multi-centre, outcome assessor-blinded, randomized parallel group study. CHD patients reporting chest pain and scoring 8 or more on the HADS were randomized to personalized care (PC or treatment as usual (TAU for 6 months and followed for 1 year. Primary outcome was acceptability and feasibility of procedures; secondary outcomes included mood, chest pain, functional status, well being and psychological process variables. RESULT: 1001 people from 17 General Practice CHD registers in South London consented to be contacted; out of 126 who were potentially eligible, 81 (35% female, mean age = 65 SD11 years were randomized. PC participants (n = 41 identified wide ranging problems to work on with nurse-case managers. Good acceptability and feasibility was indicated by low attrition (9%, high engagement and minimal nurse time used (mean/SD = 78/19 mins assessment, 125/91 mins telephone follow up. Both groups improved on all outcomes. The largest between group difference was in the proportion no longer reporting chest pain (PC 37% vs TAU 18%; mixed effects model OR 2.21 95% CI 0.69, 7.03. Some evidence was seen that self efficacy (mean scale increase of 2.5 vs 0.9 and illness perceptions (mean scale increase of 7.8 vs 2.5 had improved in PC vs TAU participants at 1 year. PC appeared to be more cost effective up to a QALY threshold of approximately £3,000. CONCLUSIONS: Trial and intervention procedures appeared to be feasible and acceptable. PC allowed patients to work on unaddressed problems and appears cheaper than TAU

  14. Layered Composite Analysis Capability

    Science.gov (United States)

    Narayanaswami, R.; Cole, J. G.

    1985-01-01

    Laminated composite material construction is gaining popularity within industry as an attractive alternative to metallic designs where high strength at reduced weights is of prime consideration. This has necessitated the development of an effective analysis capability for the static, dynamic and buckling analyses of structural components constructed of layered composites. Theoretical and user aspects of layered composite analysis and its incorporation into CSA/NASTRAN are discussed. The availability of stress and strain based failure criteria is described which aids the user in reviewing the voluminous output normally produced in such analyses. Simple strategies to obtain minimum weight designs of composite structures are discussed. Several example problems are presented to demonstrate the accuracy and user convenient features of the capability.

  15. Atmospheric release advisory capability

    International Nuclear Information System (INIS)

    The ARAC system (Atmospheric Release Advisory Capability) is described. The system is a collection of people, computers, computer models, topographic data and meteorological input data that together permits a calculation of, in a quasi-predictive sense, where effluent from an accident will migrate through the atmosphere, where it will be deposited on the ground, and what instantaneous and integrated dose an exposed individual would receive

  16. Management Innovation Capabilities

    OpenAIRE

    Harder, Mie

    2011-01-01

    Management innovation is the implementation of a new management practice, process, technique or structure that significantly alters the way the work of management is performed. This paper presents a typology categorizing management innovation along two dimensions; radicalness and complexity. Then, the paper introduces the concept of management innovation capabilities which refers to the ability of a firm to purposefully create, extend and modify its managerial resource base to add...

  17. Capabilities as causal powers

    OpenAIRE

    Martins, Nuno O.

    2006-01-01

    The author argues that Sen's capability approach is primarily a philosophical under-labouring exercise aimed at elaborating certain central economic categories, and that the philosophical and methodological underpinnings of Sen's approach are radically different from those of contemporary welfare economics and mainstream economic practice. Sen's notion of ‘capabilities’ as the potential functionings to achieve well-being is interpreted here as a specification of the ontological category of ‘c...

  18. Knowledge Management Capabilities Rubrics

    OpenAIRE

    Azizah B.A. Rahman; Sara Hassani

    2011-01-01

    Problem statement: Recently researchers discerned the vitality and importance of Knowledge Management Capabilities (KMC) evaluation in organizations. In fact evaluation of KMC helps to prevent failure in Knowledge Management (KM) projects. Approach: One of the most popular methods in the phase of evaluating KMC is Fuzzy method which evaluates seven attributes of KMC. Fuzzy needs KM experts to give their opinion about these attributes as input data. However in some organizations these experts ...

  19. Enhanced Rescue Lift Capability

    Science.gov (United States)

    Young, Larry A.

    2007-01-01

    The evolving and ever-increasing demands of emergency response and disaster relief support provided by rotorcraft dictate, among other things, the development of enhanced rescue lift capability for these platforms. This preliminary analysis is first-order in nature but provides considerable insight into some of the challenges inherent in trying to effect rescue using a unique form of robotic rescue device deployed and operated from rotary-wing aerial platforms.

  20. Knowing-how to care.

    Science.gov (United States)

    Dall'Agnol, Darlei

    2016-07-01

    This paper advances a new moral epistemology and explores some of its normative and practical, especially bioethical, implications. In the first part, it shows that there is moral knowledge and that it is best understood in terms of knowing-how. Thus, moral knowledge cannot be analysed purely in the traditional terms of knowing-that. The fundamental idea is that one knows-how to act morally only if she is capable of following the right normative standards. In the second part, the paper discusses ways of integrating two expressions of moral knowing-how, namely caring and respecting into a coherent normative theory. It builds up the concept of respectful care as the central ingredient of such a normative theory. Finally, it illustrates how respectful care may transform some of our current clinical bioethical practices. PMID:26933195

  1. Analytical Chemistry Core Capability Assessment - Preliminary Report

    Energy Technology Data Exchange (ETDEWEB)

    Barr, Mary E. [Los Alamos National Laboratory; Farish, Thomas J. [Los Alamos National Laboratory

    2012-05-16

    The concept of 'core capability' can be nebulous one. Even at a fairly specific level, where core capability equals maintaining essential services, it is highly dependent upon the perspective of the requestor. Samples are submitted to analytical services because the requesters do not have the capability to conduct adequate analyses themselves. Some requests are for general chemical information in support of R and D, process control, or process improvement. Many analyses, however, are part of a product certification package and must comply with higher-level customer quality assurance requirements. So which services are essential to that customer - just those for product certification? Does the customer also (indirectly) need services that support process control and improvement? And what is the timeframe? Capability is often expressed in terms of the currently utilized procedures, and most programmatic customers can only plan a few years out, at best. But should core capability consider the long term where new technologies, aging facilities, and personnel replacements must be considered? These questions, and a multitude of others, explain why attempts to gain long-term consensus on the definition of core capability have consistently failed. This preliminary report will not try to define core capability for any specific program or set of programs. Instead, it will try to address the underlying concerns that drive the desire to determine core capability. Essentially, programmatic customers want to be able to call upon analytical chemistry services to provide all the assays they need, and they don't want to pay for analytical chemistry services they don't currently use (or use infrequently). This report will focus on explaining how the current analytical capabilities and methods evolved to serve a variety of needs with a focus on why some analytes have multiple analytical techniques, and what determines the infrastructure for these analyses. This

  2. Analytical Chemistry Core Capability Assessment - Preliminary Report

    International Nuclear Information System (INIS)

    The concept of 'core capability' can be nebulous one. Even at a fairly specific level, where core capability equals maintaining essential services, it is highly dependent upon the perspective of the requestor. Samples are submitted to analytical services because the requesters do not have the capability to conduct adequate analyses themselves. Some requests are for general chemical information in support of R and D, process control, or process improvement. Many analyses, however, are part of a product certification package and must comply with higher-level customer quality assurance requirements. So which services are essential to that customer - just those for product certification? Does the customer also (indirectly) need services that support process control and improvement? And what is the timeframe? Capability is often expressed in terms of the currently utilized procedures, and most programmatic customers can only plan a few years out, at best. But should core capability consider the long term where new technologies, aging facilities, and personnel replacements must be considered? These questions, and a multitude of others, explain why attempts to gain long-term consensus on the definition of core capability have consistently failed. This preliminary report will not try to define core capability for any specific program or set of programs. Instead, it will try to address the underlying concerns that drive the desire to determine core capability. Essentially, programmatic customers want to be able to call upon analytical chemistry services to provide all the assays they need, and they don't want to pay for analytical chemistry services they don't currently use (or use infrequently). This report will focus on explaining how the current analytical capabilities and methods evolved to serve a variety of needs with a focus on why some analytes have multiple analytical techniques, and what determines the infrastructure for these analyses. This information will be

  3. Integrated Analysis Capability Program

    Science.gov (United States)

    Vos, R. G.; Beste, D. L.; Greg, J.; Frisch, H. P.

    1991-01-01

    Integrated Analysis Capability (IAC) software system intended to provide highly effective, interactive analysis tool for integrated design of large structures. Supports needs of engineering analysis groups concerned with interdisciplinary problems. Developed to serve as software interface between computer programs from fields of structures, thermodynamics, controls, and dynamics of systems on one hand and executive software system and data base on other hand to yield highly efficient multi-disciplinary system. Special attention given to such users' requirements as handling data and online assistance with operational features and ability to add new modules of user's choice at future date. Written in FORTRAN 77.

  4. Building Server Capabilities

    DEFF Research Database (Denmark)

    Adeyemi, Oluseyi

    2013-01-01

    Many western companies have moved part of their operations to China in order to take advantage of cheap resources and/or to gain access to a high potential market. Depending on motive, offshore facilities usually start either as “sales-only” of products exported by headquarters or “production......-only”, exporting parts and components back to headquarter for sales in the home country. In the course of time, the role of offshore subsidiaries in a company’s operations network tends to change and, with that, the capabilities, of the subsidiaries. Focusing on Danish subsidiaries in China, the objective of this...

  5. Building server capabilities

    DEFF Research Database (Denmark)

    Adeyemi, Oluseyi

    Many western companies have moved part of their operations to China in order to take advantage of cheap resources and/or to gain access to a high potential market. Depending on motive, offshore facilities usually start either as “sales-only” of products exported by headquarters or “production......-only”, exporting parts and components back to headquarter for sales in the home country. In the course of time, the role of offshore subsidiaries in a company’s operations network tends to change and, with that, the capabilities, of the subsidiaries. Focusing on Danish subsidiaries in China, the objective of this...

  6. Laboratory microfusion capability study

    International Nuclear Information System (INIS)

    The purpose of this study is to elucidate the issues involved in developing a Laboratory Microfusion Capability (LMC) which is the major objective of the Inertial Confinement Fusion (ICF) program within the purview of the Department of Energy's Defense Programs. The study was initiated to support a number of DOE management needs: to provide insight for the evolution of the ICF program; to afford guidance to the ICF laboratories in planning their research and development programs; to inform Congress and others of the details and implications of the LMC; to identify criteria for selection of a concept for the Laboratory Microfusion Facility and to develop a coordinated plan for the realization of an LMC. As originally proposed, the LMC study was divided into two phases. The first phase identifies the purpose and potential utility of the LMC, the regime of its performance parameters, driver independent design issues and requirements, its development goals and requirements, and associated technical, management, staffing, environmental, and other developmental and operational issues. The second phase addresses driver-dependent issues such as specific design, range of performance capabilities, and cost. The study includes four driver options; the neodymium-glass solid state laser, the krypton fluoride excimer gas laser, the light-ion accelerator, and the heavy-ion induction linear accelerator. The results of the Phase II study are described in the present report

  7. Professionals and Public Good Capabilities

    Directory of Open Access Journals (Sweden)

    Melanie Walker

    2015-12-01

    Full Text Available Martha Nussbaum (2011 reminds us that, all over the world people are struggling for a life that is fully human - a life worthy of human dignity. Purely income-based and preference-based evaluations, as Sen (1999 argues, do not adequately capture what it means for each person to have quality of life. There are other things that make life good for a person, including access to publicly provided professional services. The question then is what version of education inflects more towards the intrinsic and transformational possibilities of professional work and contributions to decent societies? This paper suggests that we need a normative approach to professional education and professionalism; it is not the case that any old version will do. We also need normative criteria to move beyond social critique and to overcome a merely defensive attitude and to give a positive definition to the potential achievements of the professions. Moreover universities are connected to society, most especially through the professionals they educate; it is reasonable in our contemporary world to educate professional graduates to be in a position to alleviate inequalities, and to have the knowledge, skills and values to be able to do so. To make this case, we draw on the human capabilities approach of Sen (1999, 2009 and Nussbaum (2000, 2011 to conceptualise professional education for the public good as an ally of the struggles of people living in poverty and experiencing inequalities, expanding the well-being of people to be and to do in ways they have reason to value – to be mobile, cared for, respected, and so on. In particular we are interested in which human capabilities and functionings are most needed for a professional practice and professionalism that can contribute to transformative social change and how professional development is enabled via pedagogical arrangements.

  8. 提高整流装置输出电流能力的研究及试验验证%Study and Experimental Test about the Increasing Output Current Capability of the Rectifier

    Institute of Scientific and Technical Information of China (English)

    王海军; 霍乾涛; 刘国华

    2011-01-01

    :The rectifier is one of the key devices in the excitation system. If the output of the rectifier is improved, the number of the parallel arms will be reduced, and the stability of the power system will be improved.Based on the theory of thermal circuit and the characteristics of excitation system, the thermal resistance was analyzed,and the main factor that block the heat fluid was found by a heavy current test. The test proves that it must choose the heat sink of high efficiency,not choose the SCR with the greater rated current,if the output current of rectifier want to be improved. And it also provides a method of design for the rectifier of the excitation system, and it is important for the engineering design.%晶闸管整流装置是自并励励磁系统的核心装置之一,提高该装置单柜的电流输出能力,可以降低整流装置并联运行的数量,提高励磁系统的稳定性.从晶闸管元件热量流通原理的励磁系统的特点出发,通过数据分析和试验验证得出了影响晶闸管散热的主要因素,并通过试验得到了证实,说明了要提高晶闸管整流装置输出能力,需要选择较好的散热器,而非提高晶闸管元件的额定电流,对于大型机组励磁系统功率柜的设计和器件的选择提供了选择依据,具有重要的指导意义.

  9. PHOBOS physics capabilities

    Energy Technology Data Exchange (ETDEWEB)

    Baker, M.D. [Massachusetts Institute of Technology, Cambridge, MA (United States)

    1995-07-15

    PHOBOS is the name of a detector and of a research program to study systematically the physics of relativistic heavy-ion collisions over a large range of impact parameters and nuclear species. Collisions with a center mass energy of 200 A GeV at RHIC are expected to produce the highest energy densities ever accessible in the laboratory. In this writeup, the authors outline the physics capabilities of the PHOBOS detector and describe the detector design in terms of the general philosophy behind the PHOBOS research program. In order to make the discussion concrete, they then focus on two specific examples of physics measurements that they plan to make at RHIC: dN/d{eta} for charged particles and the mass spectrum from {phi} {yields} K{sup +}K{sup {minus}} decays.

  10. Knowledge Management Capabilities Rubrics

    Directory of Open Access Journals (Sweden)

    Azizah B.A. Rahman

    2011-01-01

    Full Text Available Problem statement: Recently researchers discerned the vitality and importance of Knowledge Management Capabilities (KMC evaluation in organizations. In fact evaluation of KMC helps to prevent failure in Knowledge Management (KM projects. Approach: One of the most popular methods in the phase of evaluating KMC is Fuzzy method which evaluates seven attributes of KMC. Fuzzy needs KM experts to give their opinion about these attributes as input data. However in some organizations these experts are not available. Results: Therefore in this study a rubric matrix is developed as an assessment tool with ordered rank (very high, medium and very low of descriptive characteristics of criteria (seven attributes that organizations wish to evaluate. Conclusion: This rubric is applicable for members of an organization which are not familiar completely with KMC and also will be maintained by analyzing and surveying many different researches.

  11. PHOBICS physics capabilities

    International Nuclear Information System (INIS)

    PHOBOS is the name of a detector and of a research program to study systematically the physics of relativistic heavy-ion collisions over a large range of impact parameters and nuclear species. Collisions with a center of mass energy of 200 A GeV at RHIC are expected to produce the highest energy densities ever accessible in the laboratory. In this writeup, we outline the physics capabilities of the PHOBOS detector and describe the detector design in terms of the general philosophy behind the PHOBOS research program. In order to make the discussion concrete, we then focus on two specific examples of physics measurements that we plan to make at RHIC: dN/dζ for charged particles and the mass spectrum from φ→ K+K- decays

  12. General shape optimization capability

    Science.gov (United States)

    Chargin, Mladen K.; Raasch, Ingo; Bruns, Rudolf; Deuermeyer, Dawson

    1991-01-01

    A method is described for calculating shape sensitivities, within MSC/NASTRAN, in a simple manner without resort to external programs. The method uses natural design variables to define the shape changes in a given structure. Once the shape sensitivities are obtained, the shape optimization process is carried out in a manner similar to property optimization processes. The capability of this method is illustrated by two examples: the shape optimization of a cantilever beam with holes, loaded by a point load at the free end (with the shape of the holes and the thickness of the beam selected as the design variables), and the shape optimization of a connecting rod subjected to several different loading and boundary conditions.

  13. [Nondestructive Evaluation (NDE) Capabilities

    Science.gov (United States)

    Born, Martin

    2010-01-01

    These poster boards display the United Space Alliance's (USA) systems and equipment used for Nondestructive Evaluation. These include: (1) the Robotic Inspection Facility, (2) CAT-Scan and Laminography, (3) Laser Surface Profilometry, (4) Remote Eddy Current, (5) Ultrasonic Phased Array, (7) Infrared Flash Thermography, and (8) Backscatter X-Ray (BSX)

  14. Pediatric Provider's Perspectives on the Transition to Adult Health Care for Youth with Autism Spectrum Disorder: Current Strategies and Promising New Directions

    Science.gov (United States)

    Kuhlthau, Karen A.; Warfield, Marji E.; Hurson, Jill; Delahaye, Jennifer; Crossman, Morgan K.

    2015-01-01

    Few youth with autism spectrum disorder (ASD) nationally report receiving services to help them transition from the pediatric health care system to the adult health care system. For example, only one-fifth (21.1%) of youth with ASD receive any transition planning services. To better understand why the transition from pediatric to adult health care…

  15. The current status of foot self-care knowledge, behaviours, and analysis of influencing factors in patients with type 2 diabetes mellitus in China

    Directory of Open Access Journals (Sweden)

    Rao Li

    2014-09-01

    Conclusions: The status of foot self-care knowledge and behaviours are not optimistic. According to the patients' own characteristics, the theory of knowledge, attitude and practice applies to encouraging patients to go for periodic inspection and education about diabetic complications so as to enhance the knowledge and promote the self-care behaviours.

  16. Holographic Point-of-Care Diagnostic Devices

    OpenAIRE

    Yetisen, Ali Kemal

    2014-01-01

    Developing non-invasive and accurate diagnostics that are easily manufactured, robust and reusable will provide monitoring of high-risk individuals in any clinical or point-of-care environment, particularly in the developing world. There is currently no rapid, low-cost and generic sensor fabrication technique capable of producing narrow-band, uniform, reversible colorimetric readouts with a high-tuneability range. This thesis aims to present a theoretical and experimental basis for the rapid ...

  17. Enhanced ocean observational capability

    Energy Technology Data Exchange (ETDEWEB)

    Volpe, A M; Esser, B K

    2000-01-10

    Coastal oceans are vital to world health and sustenance. Technology that enables new observations has always been the driver of discovery in ocean sciences. In this context, we describe the first at sea deployment and operation of an inductively coupled plasma mass spectrometer (ICPMS) for continuous measurement of trace elements in seawater. The purpose of these experiments was to demonstrate that an ICPMS could be operated in a corrosive and high vibration environment with no degradation in performance. Significant advances occurred this past year due to ship time provided by Scripps Institution of Oceanography (UCSD), as well as that funded through this project. Evaluation at sea involved performance testing and characterization of several real-time seawater analysis modes. We show that mass spectrometers can rapidly, precisely and accurately determine ultratrace metal concentrations in seawater, thus allowing high-resolution mapping of large areas of surface seawater. This analytical capability represents a significant advance toward real-time observation and understanding of water mass chemistry in dynamic coastal environments. In addition, a joint LLNL-SIO workshop was convened to define and design new technologies for ocean observation. Finally, collaborative efforts were initiated with atmospheric scientists at LLNL to identify realistic coastal ocean and river simulation models to support real-time analysis and modeling of hazardous material releases in coastal waterways.

  18. Mobile systems capability plan

    International Nuclear Information System (INIS)

    This plan was prepared to initiate contracting for and deployment of these mobile system services. 102,000 cubic meters of retrievable, contact-handled TRU waste are stored at many sites around the country. Also, an estimated 38,000 cubic meters of TRU waste will be generated in the course of waste inventory workoff and continuing DOE operations. All the defense TRU waste is destined for disposal in WIPP near Carlsbad NM. To ship TRU waste there, sites must first certify that the waste meets WIPP waste acceptance criteria. The waste must be characterized, and if not acceptable, subjected to additional processing, including repackaging. Most sites plan to use existing fixed facilities or open new ones between FY1997-2006 to perform these functions; small-quantity sites lack this capability. An alternative to fixed facilities is the use of mobile systems mounted in trailers or skids, and transported to sites. Mobile systems will be used for all characterization and certification at small sites; large sites can also use them. The Carlsbad Area Office plans to pursue a strategy of privatization of mobile system services, since this offers a number of advantages. To indicate the possible magnitude of the costs of deploying mobile systems, preliminary estimates of equipment, maintenance, and operating costs over a 10-year period were prepared and options for purchase, lease, and privatization through fixed-price contracts considered

  19. Hanford transuranic analytical capability

    International Nuclear Information System (INIS)

    With the current DOE focus on ER/WM programs, an increase in the quantity of waste samples that requires detailed analysis is forecasted. One of the prime areas of growth is the demand for DOE environmental protocol analyses of TRU waste samples. Currently there is no laboratory capacity to support analysis of TRU waste samples in excess of 200 nCi/gm. This study recommends that an interim solution be undertaken to provide these services. By adding two glove boxes in room 11A of 222S the interim waste analytical needs can be met for a period of four to five years or until a front end facility is erected at or near the 222-S facility. The yearly average of samples is projected to be approximately 600 samples. The figure has changed significantly due to budget changes and has been downgraded from 10,000 samples to the 600 level. Until these budget and sample projection changes become firmer, a long term option is not recommended at this time. A revision to this document is recommended by March 1996 to review the long term option and sample projections

  20. Health insurance coverage and use of family planning services among current and former foster youth: implications of the health care reform law.

    Science.gov (United States)

    Dworsky, Amy; Ahrens, Kym; Courtney, Mark

    2013-04-01

    This research uses data from a longitudinal study to examine how two provisions in the Patient Protection and Affordable Care Act could affect health insurance coverage among young women who have aged out of foster care. It also explores how allowing young people to remain in foster care until age twenty-one affects their health insurance coverage, use of family planning services, and information about birth control. We find that young women are more likely to have health insurance if they remain in foster care until their twenty-first birthday and that having health insurance is associated with an increase in the likelihood of receiving family planning services. Our results also suggest that many young women who would otherwise lack health insurance after aging out of foster care will be eligible for Medicaid under the health care reform law. Because having health insurance is associated with use of family planning services, this increase in Medicaid eligibility may result in fewer unintended pregnancies among this high-risk population. PMID:23262773

  1. Facility Interface Capability Assessment (FICA) project report

    International Nuclear Information System (INIS)

    The US Department of Energy's (DOE) Office of Civilian Radioactive Waste Management (OCRWM) is responsible for developing the Civilian Radioactive Waste Management System (CRWMS) to accept spent nuclear fuel from commercial facilities. The objective of the Facility Interface Capability Assessment (FICA) project was to assess the capability of each commercial spent nuclear fuel (SNF) storage facility, at which SNF is stored, to handle various SNF shipping casks. The purpose of this report is to present and analyze the results of the facility assessments completed within the FICA project. During Phase 1, the data items required to complete the facility assessments were identified and the database for the project was created. During Phase 2, visits were made to 122 facilities on 76 sites to collect data and information, the database was updated, and assessments of the cask-handling capabilities at each facility were performed. Each assessment of cask-handling capability contains three parts: the current capability of the facility (planning base); the potential enhanced capability if revisions were made to the facility licensing and/or administrative controls; and the potential enhanced capability if limited physical modifications were made to the facility. The main conclusion derived from the planning base assessments is that the current facility capabilities will not allow handling of any of the FICA Casks at 49 of the 122 facilities evaluated. However, consideration of potential revisions and/or modifications showed that all but one of the 49 facilities could be adapted to handle at least one of the FICA Casks. For this to be possible, facility licensing, administrative controls, and/or physical aspects of the facility would need to be modified

  2. Sandia Laboratories technical capabilities: testing

    International Nuclear Information System (INIS)

    The testing capabilities at Sandia Laboratories are characterized. Selected applications of these capabilities are presented to illustrate the extent to which they can be applied in research and development programs

  3. Questions and current situation of the elders’ nursing care beds allocation in Shanghai%上海市老年护理床位配置现状及问题

    Institute of Scientific and Technical Information of China (English)

    许燕君; 杨颖华; 杨光; 丁汉升; 周萍; 庄悦红; 李明; 郑涛; 王颖

    2014-01-01

    目的:论证上海市老年护理床位的配置现状及存在问题。方法:通过横断面调查获得床位数据,引用卫生统计年鉴、卫生财务年报等资料,通过纵向和横向比较,分析老年护理服务床位数量及构成的合理性。结果:2012年上海市平均每千65岁及以上老年人口的护理床位数为49.3张,与发达国家齐平。老年护理医疗床位平均每千人口床位数仅6.4张,养老床位则为每千人口42.9张。老年医疗护理床位的使用率近90%,而养老床位入住率仅为70%左右。结论:上海市老年护理床位总体上基本满足需求,但医疗护理床位相对匮乏与养老床位相对宽裕并存。增加政府重视和协调、明确老年护理机构功能定位和需方需求评估标准,合理引导分流成为当前解决问题之策。%Objective:To figure out the current situation and existing problems of nursing care beds allocation in Shanghai. Methods:Beds data of skilled care facility were obtained through a cross-sectional survey,some data cited from health statistics yearbook and health financial annual report to analyze if the quantity and composition of nursing care beds were reasonable through vertical and horizontal comparison. Results:The elderly aged 65 years and above owned 49.3 nursing care beds per one thousand elders on average in Shanghai in 2012,the same as that in developed countries. Only 6.4 medical nursing care beds for every thousand elders,and beds for elder daily life care were 42.9. However,the bed utilization rate of the skilled nursing care beds came near to 90%,while only around 70%for daily life care beds. Conclusion:The nursing care beds for the elders in Shanghai have met the requirements on the whole,while the phenomenon of medical nursing beds in shortage and the daily care beds being adequate coexists. Thus,solutions to current problems should be paid more attention and what the government should do is to make sure

  4. Technological Dynamics and Social Capability

    DEFF Research Database (Denmark)

    Fagerberg, Jan; Feldman, Maryann; Srholec, Martin

    2014-01-01

    This article analyzes factors shaping technological capabilities in USA and European countries, and shows that the differences between the two continents in this respect are much smaller than commonly assumed. The analysis demonstrates a tendency toward convergence in technological capabilities for...... the sample as a whole between 1998 and 2008. The results indicate that social capabilities, such as well-developed public knowledge infrastructure, an egalitarian distribution of income, a participatory democracy and prevalence of public safety condition the growth of technological capabilities...

  5. LAMPF II capabilities from an experimenter's viewpoint

    International Nuclear Information System (INIS)

    LAMPF II has been proposed to extend the intensity frontier of nuclear and particle physics from about 1 GeV to 45 GeV. It is reviewed here with emphasis on capabilities of the experimental facilities. Major accelerator features, costs, and the choice of energy and current are also discussed. 5 refs., 16 figs

  6. Primary Health Care -基础医疗卫生服务应该在中国新医改中得到正确理解和全面实施%Primary Health Care,a Concept to Be Fully Understood and Implemented in Current China's Health Care Reform

    Institute of Scientific and Technical Information of China (English)

    徐国平; 王家骥

    2015-01-01

    The English concept " primary health care" (PHC)has been misunderstood and wrongly interpreted in Chinese as" entry level health care" [初级卫生保健]for more than a half century. On the other hand,specialty care was considered " advanced health care" . This misconception of PHC permeated the government and the health care field with many negative consequences for China's vision of health care and development strategy,in areas such as government policy - making, health care financing,infrastructure planning,and health care workforce training. This article elucidates how PHC has been misconstrued and translated into " entry level health Care" in China and why it is a wrong interpretation of the PHC concept from various angles,including the basic English meaning of " primary" and " health care" ,the concept of comprehensive PHC, the global PHC experience,and the harmful consequences of the misconception in China's PHC development and in society at large. China's current new health care reform towards a PHC - centered health system has made significant early achievements,but also faces huge challenges,including the widespread and ingrained misconception of PHC. It is hoped that academic scholars in the health care field,medical professionals,and officials in the government gain clearer insight into the PHC concept and rectify its harmful effects on PHC development in various sectors,and promote advancement of meaningful health care reform applicable to the masses.%英文“primary health care”(PHC)-基础(基本)医疗卫生服务这个概念在中国被错误地理解和翻译成“初级卫生保健”已经有半个多世纪。而专科医疗则被认为是“先进的高级医疗服务”。这种对 PHC 的错误理解渗透到中国政府和医疗卫生各个部门,在国家的医疗卫生服务宗旨和宏观发展战略决策中造成广泛的影响,如政府的卫生政策制定,医疗服务保障制度建立,医

  7. Satellite broadcasting - Capabilities for public service

    Science.gov (United States)

    Marsten, R. B.

    1975-01-01

    Satellite broadcast services to support health-care and educational transmissions must work with small, low-cost terminals in allocated radio-frequency bands. The ATS-6 spacecraft has successfully demonstrated such capability in the bands of non-technical users. It supports interactive television broadcasting to simple, low-cost terminals in a nationwide series of experiments in the delivery of health-care and educational services. ATS-6 achieves this capability with a very large antenna and moderate transmitter power. The coverage limitations inherent in this approach will be overcome by the joint U.S.-Canadian Communications Technology Satellite to be launched in December 1975. The CTS will demonstrate broadcast capability with new, high-power technology in a newly-allocated radio-frequency band. This will make it possible to use smaller antennas, greatly enlarging the area coverage available to the many nontechnical experimenters using CTS for their own needs. A practical application of these technologies is now in development for operational broadcasting services in Japan.

  8. Capability-based computer systems

    CERN Document Server

    Levy, Henry M

    2014-01-01

    Capability-Based Computer Systems focuses on computer programs and their capabilities. The text first elaborates capability- and object-based system concepts, including capability-based systems, object-based approach, and summary. The book then describes early descriptor architectures and explains the Burroughs B5000, Rice University Computer, and Basic Language Machine. The text also focuses on early capability architectures. Dennis and Van Horn's Supervisor; CAL-TSS System; MIT PDP-1 Timesharing System; and Chicago Magic Number Machine are discussed. The book then describes Plessey System 25

  9. LANL capabilities towards bioenergy and biofuels programs

    Energy Technology Data Exchange (ETDEWEB)

    Olivares, Jose A [Los Alamos National Laboratory; Park, Min S [Los Alamos National Laboratory; Unkefer, Clifford J [Los Alamos National Laboratory; Bradbury, Andrew M [Los Alamos National Laboratory; Waldo, Geoffrey S [Los Alamos National Laboratory

    2009-01-01

    LANL invented technology for increasing growth and productivity of photosysnthetic organisms, including algae and higher plants. The technology has been extensively tested at the greenhouse and field scale for crop plants. Initial bioreactor testing of its efficacy on algal growth has shown promising results. It increases algal growth rates even under optimwn nutrient supply and careful pH control with CO{sub 2} continuously available. The technology uses a small organic molecule, applied to the plant surfaces or added to the algal growth medium. CO{sub 2} concentration is necessary to optimize algal production in either ponds or reactors. LANL has successfully designed, built and demonstrated an effective, efficient technology using DOE funding. Such a system would be very valuable for capitalizing on local inexpensive sources of CO{sub 2} for algal production operations. Furthermore, our protein engineering team has a concept to produce highly stable carbonic anhydyrase (CA) enzyme, which could be very useful to assure maximum utilization of the CO{sub 2} supply. Stable CA could be used either imnlobilized on solid supports or engineered into the algal strain. The current technologies for harvesting the algae and obtaining the lipids do not meet the needs for rapid, low cost separations for high volumes of material. LANL has obtained proof of concept for the high volume flowing stream concentration of algae, algal lysis and separation of the lipid, protein and water fractions, using acoustic platforms. This capability is targeted toward developing biosynthetics, chiral syntheses, high throughput protein expression and purification, organic chemistry, recognition ligands, and stable isotopes geared toward Bioenergy applications. Areas of expertise include stable isotope chemistry, biomaterials, polymers, biopolymers, organocatalysis, advanced characterization methods, and chemistry of model compounds. The ultimate realization of the ability to design and

  10. Transforming organizational capabilities in strategizing

    DEFF Research Database (Denmark)

    Jørgensen, Claus; Friis, Ole Uhrskov; Koch, Christian

    2014-01-01

    -term evolvements within the companies. We develop our framework of understanding organizational capabilities drawing on dynamic capability, relational capability and strategy as practice concepts, appreciating the performative aspects of developing new routines. Our two cases are taken from one author’s Ph......Offshored and networked enterprises are becoming an important if not leading organizational form and this development seriously challenges their organizational capabilities. More specifically, over the last years, SMEs have commenced entering these kinds of arrangements. As the organizational...... capabilities of SMEs are limited at the outset, even more emphasis is needed regarding the issues of developing relevant organizational capabilities. This paper aims at investigating how capabilities evolve during an offshoring process of more than 5 years in two Danish SMEs, i.e. not only short- but long...

  11. Autonomy in Space: Current Capabilities and Future Challenge

    OpenAIRE

    Jonsson, Ari; Morris, Robert A.; Pedersen, Liam

    2007-01-01

    This article provides an overview of the nature and role of autonomy for space exploration, with a bias in focus towards describing the relevance of AI technologies. It explores the range of autonomous behavior that is relevant and useful in space exploration and illustrates the range of possible behaviors by presenting four case studies in space-exploration systems, each differing from the others in the degree of autonomy exemplified. Three core requirements are defined for autonomous space ...

  12. Current capabilities and future directions in computational fluid dynamics

    Science.gov (United States)

    1986-01-01

    A summary of significant findings is given, followed by specific recommendations for future directions of emphasis for computational fluid dynamics development. The discussion is organized into three application areas: external aerodynamics, hypersonics, and propulsion - and followed by a turbulence modeling synopsis.

  13. The New MCNP6 Depletion Capability

    Energy Technology Data Exchange (ETDEWEB)

    Fensin, Michael Lorne [Los Alamos National Laboratory; James, Michael R. [Los Alamos National Laboratory; Hendricks, John S. [Los Alamos National Laboratory; Goorley, John T. [Los Alamos National Laboratory

    2012-06-19

    The first MCNP based inline Monte Carlo depletion capability was officially released from the Radiation Safety Information and Computational Center as MCNPX 2.6.0. Both the MCNP5 and MCNPX codes have historically provided a successful combinatorial geometry based, continuous energy, Monte Carlo radiation transport solution for advanced reactor modeling and simulation. However, due to separate development pathways, useful simulation capabilities were dispersed between both codes and not unified in a single technology. MCNP6, the next evolution in the MCNP suite of codes, now combines the capability of both simulation tools, as well as providing new advanced technology, in a single radiation transport code. We describe here the new capabilities of the MCNP6 depletion code dating from the official RSICC release MCNPX 2.6.0, reported previously, to the now current state of MCNP6. NEA/OECD benchmark results are also reported. The MCNP6 depletion capability enhancements beyond MCNPX 2.6.0 reported here include: (1) new performance enhancing parallel architecture that implements both shared and distributed memory constructs; (2) enhanced memory management that maximizes calculation fidelity; and (3) improved burnup physics for better nuclide prediction. MCNP6 depletion enables complete, relatively easy-to-use depletion calculations in a single Monte Carlo code. The enhancements described here help provide a powerful capability as well as dictate a path forward for future development to improve the usefulness of the technology.

  14. Expanding Lookout Capabilities for Architectural Analysis

    Science.gov (United States)

    Shick, B.

    SMC/SYSW/ENY's Lookout tool provides a M&S capability for architectural analysis. It models the contributions of ground and space-based assets in several mission threads and scenarios to quantify overall Space Situational Awareness (SSA) capability. Plotting performance results versus costs enables decision makers to identify and evaluate Best Value families of systems and combinations of architectures. Currently, SMC intends to use Lookout to impact the Fiscal Year 2012 budget programming cycle, the National SSA Initial Capabilities Document (ICD) and Architecture definition effort, planning for programs of record, and AFSPC & SMC leadership. Ultimately, Lookout will enable additional space superiority analysis. Previous Lookout work focused on modeling the metric tracking capabilities of the Space Surveillance Network (detecting and tracking) and proposed concepts to close identified collection shortfalls. SMC/SYSW/ENY leveraged some of the lessons learned in developing and implementing the metric tracking models to expand Lookout to develop an initial characterization capability, including non-resolved space object identification (SOI), imaging, and Foreign Instrumentation and Signals (FIS) Intelligence. Characterization collection phenomenologies added in FY08 and FY09 include mechanical tracking and phased array radars, visible telescopes, and signals collection. Lookout enables evaluating the characterization collections for quantity, quality, and timeliness. Capturing the Tasking, Collection, Processing, Exploitation, and Dissemination processes represent one of the biggest challenges in including characterization capabilities in mission thread and scenario-based analysis. The SMC/SYSW/ENY team met with several representatives of the community and held community-wide Technical Interchange Meetings. Based on feedback from these meetings, SMC created an infrastructure for modeling the tasking processes and scales to relate collection quality to intelligence

  15. A business analytics capability framework

    OpenAIRE

    Ranko Cosic; Graeme Shanks; Sean B Maynard

    2015-01-01

    Business analytics (BA) capabilities can potentially provide value and lead to better organisational performance. This paper develops a holistic, theoretically-grounded and practically relevant business analytics capability framework (BACF) that specifies, defines and ranks the capabilities that constitute an organisational BA initiative. The BACF was developed in two phases. First, an a priori conceptual framework was developed based on the Resource-Based View theory of the firm and a themat...

  16. The Korean strategy and experience in developing nuclear power generation capability

    International Nuclear Information System (INIS)

    The Korean nuclear energy development program and future prospects are discussed. Korea has achieved the substantial level of nuclear power plant localization through Korean Standard Nuclear Power (KSNP) Plant approach. The KSNP approach includes plant standardization, equipment, fuel and service localization and codes and standards development. Korea could develop her own decision making capability as Korea took the total project management responsibility in the KSNP approach. Current Korean nuclear R and D program includes next generation nuclear power plant development and advanced fuel development. The PWR-CANDU symbiosis is carefully considered to improve the nuclear power economy

  17. Current and Future Challenges in Point-of-Care Technologies: A Paradigm-Shift in Affordable Global Healthcare With Personalized and Preventive Medicine.

    Science.gov (United States)

    Dhawan, Atam P; Heetderks, William J; Pavel, Misha; Acharya, Soumyadipta; Akay, Metin; Mairal, Anurag; Wheeler, Bruce; Dacso, Clifford C; Sunder, T; Lovell, Nigel; Gerber, Martin; Shah, Milind; Senthilvel, S G; Wang, May D; Bhargava, Balram

    2015-01-01

    This paper summarizes the panel discussion at the IEEE Engineering in Medicine and Biology Point-of-Care Healthcare Technology Conference (POCHT 2013) held in Bangalore India from Jan 16-18, 2013. Modern medicine has witnessed interdisciplinary technology innovations in healthcare with a continuous growth in life expectancy across the globe. However, there is also a growing global concern on the affordability of rapidly rising healthcare costs. To provide quality healthcare at reasonable costs, there has to be a convergence of preventive, personalized, and precision medicine with the help of technology innovations across the entire spectrum of point-of-care (POC) to critical care at hospitals. The first IEEE EMBS Special Topic POCHT conference held in Bangalore, India provided an international forum with clinicians, healthcare providers, industry experts, innovators, researchers, and students to define clinical needs and technology solutions toward commercialization and translation to clinical applications across different environments and infrastructures. This paper presents a summary of discussions that took place during the keynote presentations, panel discussions, and breakout sessions on needs, challenges, and technology innovations in POC technologies toward improving global healthcare. Also presented is an overview of challenges and trends in developing and developed economies with respect to priority clinical needs, technology innovations in medical devices, translational engineering, information and communication technologies, infrastructure support, and patient and clinician acceptance of POC healthcare technologies. PMID:27170902

  18. Current and Future Challenges in Point-of-Care Technologies: A Paradigm-Shift in Affordable Global Healthcare With Personalized and Preventive Medicine

    Science.gov (United States)

    Heetderks, William J.; Pavel, Misha; Acharya, Soumyadipta; Akay, Metin; Mairal, Anurag; Wheeler, Bruce; Dacso, Clifford C.; Sunder, T.; Lovell, Nigel; Gerber, Martin; Shah, Milind; Senthilvel, S. G.; Wang, May D.; Bhargava, Balram

    2015-01-01

    This paper summarizes the panel discussion at the IEEE Engineering in Medicine and Biology Point-of-Care Healthcare Technology Conference (POCHT 2013) held in Bangalore India from Jan 16–18, 2013. Modern medicine has witnessed interdisciplinary technology innovations in healthcare with a continuous growth in life expectancy across the globe. However, there is also a growing global concern on the affordability of rapidly rising healthcare costs. To provide quality healthcare at reasonable costs, there has to be a convergence of preventive, personalized, and precision medicine with the help of technology innovations across the entire spectrum of point-of-care (POC) to critical care at hospitals. The first IEEE EMBS Special Topic POCHT conference held in Bangalore, India provided an international forum with clinicians, healthcare providers, industry experts, innovators, researchers, and students to define clinical needs and technology solutions toward commercialization and translation to clinical applications across different environments and infrastructures. This paper presents a summary of discussions that took place during the keynote presentations, panel discussions, and breakout sessions on needs, challenges, and technology innovations in POC technologies toward improving global healthcare. Also presented is an overview of challenges and trends in developing and developed economies with respect to priority clinical needs, technology innovations in medical devices, translational engineering, information and communication technologies, infrastructure support, and patient and clinician acceptance of POC healthcare technologies.

  19. Is point of care testing in Irish hospitals ready for the laboratory modernisation process? An audit against the current national Irish guidelines.

    LENUS (Irish Health Repository)

    O'Kelly, R A

    2013-04-11

    BACKGROUND: The Laboratory modernisation process in Ireland will include point of care testing (POCT) as one of its central tenets. However, a previous baseline survey showed that POCT was under-resourced particularly with respect to information technology (IT) and staffing. AIMS: An audit was undertaken to see if POCT services had improved since the publication of National Guidelines and if such services were ready for the major changes in laboratory medicine as envisaged by the Health Service Executive. METHODS: The 15 recommendations of the 2007 Guidelines were used as a template for a questionnaire, which was distributed by the Irish External Quality Assessment Scheme. RESULTS: Thirty-nine of a possible 45 acute hospitals replied. Only a quarter of respondent hospitals had POCT committees, however, allocation of staff to POCT had doubled since the first baseline survey. Poor IT infrastructure, the use of unapproved devices, and low levels of adverse incident reporting were still major issues. CONCLUSIONS: Point of care testing remains under-resourced, despite the roll out of such devices throughout the health service including primary care. The present high standards of laboratory medicine may not be maintained if the quality and cost-effectiveness of POCT is not controlled. Adherence to national Guidelines and adequate resourcing is essential to ensure patient safety.

  20. Research in cardiovascular care

    DEFF Research Database (Denmark)

    Jaarsma, Tiny; Deaton, Christi; Fitzsimmons, Donna;

    2014-01-01

    To deliver optimal patient care, evidence-based care is advocated and research is needed to support health care staff of all disciplines in deciding which options to use in their daily practice. Due to the increasing complexity of cardiac care across the life span of patients combined...... of the body of knowledge that is needed to further improve cardiovascular care. In this paper, knowledge gaps in current research related to cardiovascular patient care are identified, upcoming challenges are explored and recommendations for future research are given....

  1. Current status of management, control, complications and psychosocial aspects of patients with diabetes in India: Results from the DiabCare India 2011 Study

    Directory of Open Access Journals (Sweden)

    Viswanathan Mohan

    2014-01-01

    Full Text Available Objectives: DiabCare India 2011 was a cross-sectional study in patients with diabetes mellitus, undertaken to investigate the relationship between diabetes control, management and complications in a subset of urban Indian diabetes patients treated at referral diabetes care centres in India. Materials and Methods: This was a cross-sectional, multicentre (330 centres survey in 6168 diabetes patients treated at general hospitals, diabetes clinics and referral clinics across India. Patient data, including medical and clinical examination reports during the past year were collected during their routine visit. The patients′ and physicians′ perceptions about diabetes management were recorded using a questionnaire. Results: A total of 6168 subjects with diabetes (95.8% type 2, mean age 51.9 ± 12.4 years and mean duration of diabetes, 6.9 ± 6.4 years were included. Mean HbA1c was 8.9 ± 2.1% and the mean fasting (FPG, post prandial (PPG and random (RBG plasma glucose levels were 148 ± 50 mg/dl 205 ± 66 mg/dl and 193 ± 68mg/dl respectively. Neuropathy was the most common complication (41.4%; other complications were: Foot (32.7%, eye (19.7%, cardiovascular (6.8% and nephropathy (6.2%. The number of diabetic complications increased with mean duration of diabetes. Most (93.2% of the patients were on oral anti-diabetic drugs (OADs and 35.2% were on insulin (±OADs. More than 15% physicians felt that the greatest barrier to insulin therapy from patient′s perspective were pain and fear of using injectable modality; 5.2% felt that the greatest barrier to insulin therapy from physician′s perspective was the treatment cost; 4.8% felt that the major barriers to achieve optimum diabetic care in practice was loss to follow-up followed by lack of counselling (3.9% and treatment compliance (3.6%. Conclusion: DiabCare India 2011 has shown that type 2 diabetes sets in early in Indians and glycaemic control is often sub-optimal in these patients. These

  2. Identifying 21st Century Capabilities

    Science.gov (United States)

    Stevens, Robert

    2012-01-01

    What are the capabilities necessary to meet 21st century challenges? Much of the literature on 21st century skills focuses on skills necessary to meet those challenges associated with future work in a globalised world. The result is a limited characterisation of those capabilities necessary to address 21st century social, health and particularly…

  3. A business analytics capability framework

    Directory of Open Access Journals (Sweden)

    Ranko Cosic

    2015-09-01

    Full Text Available Business analytics (BA capabilities can potentially provide value and lead to better organisational performance. This paper develops a holistic, theoretically-grounded and practically relevant business analytics capability framework (BACF that specifies, defines and ranks the capabilities that constitute an organisational BA initiative. The BACF was developed in two phases. First, an a priori conceptual framework was developed based on the Resource-Based View theory of the firm and a thematic content analysis of the BA literature. Second, the conceptual framework was further developed and refined using a three round Delphi study involving 16 BA experts. Changes from the Delphi study resulted in a refined and confirmed framework including detailed capability definitions, together with a ranking of the capabilities based on importance. The BACF will help academic researchers and industry practitioners to better understand the capabilities that constitute an organisational BA initiative and their relative importance. In future work, the capabilities in the BACF will be operationalised to measure their as-is status, thus enabling organisations to identify key areas of strength and weakness and prioritise future capability improvement efforts.

  4. A Multivariate Process Capability Index

    Institute of Scientific and Technical Information of China (English)

    WANG Shaoxi; JIA Xinzhang; JIAO Huifang; BIAN Yingchao; SONG Ning; ZHAO Luyu; WEN Xin

    2006-01-01

    Process capability indices have been widely used in the manufacturing industry, providing numerical measures on process precision, process accuracy, and process performance. Capability measures for processes with a single characteristic have been investigated extensively. However, capability measures for processes with multiple characteristics are comparatively neglected. In this paper, inspired by the approach and model of process capability index investigated by K.S.Chen et al.(2003) and A.B.Yeh et al.(1998), a note model of multivariate process capability index based on non-conformity is presented. As for this index, the data of each single characteristic don't require satisfying normal distribution, of which its computing is simple and particioners will not fell too theoretical. At last the application analysis is made.

  5. Developing Collaborative Product Development Capabilities

    DEFF Research Database (Denmark)

    Mahnke, Volker; Tran, Yen

    2012-01-01

    Collaborative product development capabilities support a company’s product innovation activities. In the context of the fast fashion sector, this paper examines the development of the product development capabilities (PDC) that align product development capabilities in a dual innovation context......, one, slow paced, where the firm is well established and the other, fast paced, which represents a new competitive arena in which the company competes. To understand the process associated with collaborative capability development, we studied three Scandinavian fashion companies pursuing ‘dual...... innovation strategies’. Our analyses suggest that developing such collaboration capabilities benefits from the search for complementary practices, the combination of learning styles, and the development of weak and strong ties. Results also underscore the crucial importance of co-evolution of multi...

  6. Meeting the milestones. Strategies for including high-value care education in pulmonary and critical care fellowship training.

    Science.gov (United States)

    Courtright, Katherine R; Weinberger, Steven E; Wagner, Jason

    2015-04-01

    Physician decision making is partially responsible for the roughly 30% of U.S. healthcare expenditures that are wasted annually on low-value care. In response to both the widespread public demand for higher-quality care and the cost crisis, payers are transitioning toward value-based payment models whereby physicians are rewarded for high-value, cost-conscious care. Furthermore, to target physicians in training to practice with cost awareness, the Accreditation Council for Graduate Medical Education has created both individual objective milestones and institutional requirements to incorporate quality improvement and cost awareness into fellowship training. Subsequently, some professional medical societies have initiated high-value care educational campaigns, but the overwhelming majority target either medical students or residents in training. Currently, there are few resources available to help guide subspecialty fellowship programs to successfully design durable high-value care curricula. The resource-intensive nature of pulmonary and critical care medicine offers unique opportunities for the specialty to lead in modeling and teaching high-value care. To ensure that fellows graduate with the capability to practice high-value care, we recommend that fellowship programs focus on four major educational domains. These include fostering a value-based culture, providing a robust didactic experience, engaging trainees in process improvement projects, and encouraging scholarship. In doing so, pulmonary and critical care educators can strive to train future physicians who are prepared to provide care that is both high quality and informed by cost awareness. PMID:25714122

  7. Survey on current caring behaviors in nursing students: the influencing factors%实习护生护理关怀行为及影响因素的调查

    Institute of Scientific and Technical Information of China (English)

    单君; 陈宏林; 朱健华

    2011-01-01

    目的 了解实习护生护理关怀行为实施现状及相关影响因素.方法 采用方便抽样方法,使用美国学者Wolf关怀行为量表修改版,对在江苏省某三甲医院实习的150名护生进行调查.结果 实习护生护理关怀行为得分为(80.98±8.92)分.护生的护理关怀行为主要体现在对患者信息保密(3.76±0.49)、懂得注射和滴注(3.69±0.54)、倾听主诉(3.71±0.50)、对患者表示关心(3.63±0.52)、按时治疗和给药(3.61±0.64)方面;但帮助患者成长(2.91±0.77)、让患者参与护理计划制定(2.88±0.91)得分最低.影响实习护生实施护理关怀行为的因素为护理关怀课程的学习及学历(P<0.05,P<0.01).结论 实习护生护理关怀行为得分呈中等偏上水平,并主要侧重于治疗性关怀,对患者的人文关怀尚欠缺.护理教育者应探讨合适的教学方法,开设护理关怀课程并付诸实践,不断提高护生护理关怀意识和行动力.%Objective To evaluate the current caring behaviors in nursing students and to explore the influencing factors.Methods Caring behaviors inventory revised by Wolf was used to investigate 150 nursing students by convenient sampling method.Results The mean score of caring behaviors in nursing studentas was(80.98± 8.92).The caring behaviors of nursing students mainly reflects on "treating patient' s information confidentially" (3.76 ± 0.49), "knowing how to give shots, and intravenous infusion" ( 3.69 ±0.54), "attentively listening to the patient"(3.71 ± 0.50), "showing concern for the patient" (3.63 ± 0.52), "giving patient's treatment and medications on time”(3.61±0.64).However, the scores of "helping the patient grow"(2.91±0.77) and "including the patient in planning his or her care" (2.88±0.91)were the lowest.Studying of nursing care curriculum or not and educational background were considered to be the principal influencing factors in students' practice of caring behaviors(P<0.05, P<0

  8. Measurement capabilities of the Bendix Metrology Organization

    International Nuclear Information System (INIS)

    The purpose of this manual is to communicate the measurement and calibration capabilities of the Metrology Organization of the Bendix Kansas City Division. Included is a listing of the measurement types and ranges available, and the accuracies normally attainable under conditions at the Kansas City Division. Also described are currently used standards and measurement devices. The manual is divided into four major sections, each describing a broad general area of measurement: mechanical; environmental, gas, liquid; electrical; and optical and radiation

  9. Network-Enabled Capability: Modelling and Measurements

    OpenAIRE

    Goergen, David Simon Emile

    2014-01-01

    In public safety many actors work together to achieve a common goal. However, communication among these actors is not always possible. Most use their own communication system and infrastructure, which are not always compatible with other participants’. A goal of this research is to analyse the current situation in terms of the capabilities of the different systems and to propose a solution for the successful interoperability between the different actors in the public safety arena by evaluatin...

  10. The current situation of construction and development of pediatric emergency and critical care system in China%我国儿童急救体系建设现状与发展思考

    Institute of Scientific and Technical Information of China (English)

    陆国平; 任晓旭; 宋国维

    2012-01-01

    通过分析儿童急危重症院前急救、急诊及重症医学科、急救护理、急救培训和急救科研现状,阐述我国儿童急救体系建设存在的问题,提出发展思路和建设建议.%Through analyzing the children's pre-hospital transport,emergency medicine,intensive care medicine,nursing,professional training and research,we reviewed the current status of construction and issues of pediatric emergency and critical care system,then put forward recommendations of its development.

  11. 当前北京医疗卫生改革的重点和措施%The Current Objectives and Measures of Beijing Health Care Reform

    Institute of Scientific and Technical Information of China (English)

    毛羽

    2014-01-01

    Under the context of the new health care reform, Beijing is one of the pilot cities in the national public hospital reform, which has explored the separation of clinic from pharmacy, and medical joint community. Meanwhile, it will focus on optimizing the medical service system in the next step, and introduce the social capital to develop the health service industry. To take the opportunity of collaborative development of Beijing, Tianjin and Hebei, surrounding areas will advance their medical and health care level.%在新医改的大背景下,北京作为国家公立医院改革试点城市之一,在公立医院改革方面做出了以“医药分开”和“医联体”建设为代表的有益探索,下一步继续深化公立医院改革的同时将着力于优化医疗服务体系,引入社会资本,发展健康服务产业。迎合京津冀协同发展契机,带动周边省份医疗水平进步等工作。

  12. Maritime in transit care.

    Science.gov (United States)

    Bott, G; Barnard, J; Prior, K

    2015-01-01

    Operation GRITROCK saw the first operational deployment of the Maritime In Transit Care team from the Role 2 (Enhanced) (R2(E)) Medical Treatment Facility, which is able to provide Damage Control Surgery and the limited holding of patients, situated on board RFA ARGUS. Whilst the Medical Emergency Response Team demonstrated the capability of advanced military Pre-Hospital Emergency Care (PHEC) on Op HERRICK, the need to provide a similar high level of care on contingency operations was recognised. Op GRITROCK allowed for the continued exploration of a maritime capability from an established R2(E) platform whilst providing medical evacuation capability for a significant population at risk distributed over a large Joint Operation Area. Although the patient load during the operation was low, key lessons were learnt and opportunities identified to further develop the newly recognised sub-speciality of PHEC, both medically and logistically, and these will be discussed in this article. PMID:26867404

  13. Broadening Access to Geospatial Capabilities

    OpenAIRE

    Song, Carol

    2014-01-01

    Responding to the need for geospatial tool and data capabilities in HUBzero from various communities, a Purdue team is developing and integrating geospatial capabilities into the HUBzero software. Funded by the National Science Foundation’s Data Infrastructure Building Blocks (DIBBs) initiative, the follow-on program to the DataNet program, the GABBs project is a four-year software development effort aiming at enabling researchers, students and citizens to share geospatial data and tools onli...

  14. The impact of an Intermediate Care Hospital on the chain of care for hospitalized elderly people

    OpenAIRE

    Dahl, Unni Alice

    2016-01-01

    Better care for elderly people with chronic conditions and comprehensive care needs has become a health policy priority in many countries. Elderly patients are particularly vulnerable to discontinuities in care, and are often those most in need of a health care system that is capable of appropriate collaboration and communication across care levels. Various arrangements have been introduced to improve coordination of health care services for these patients. Intermediate care is...

  15. Advance Health Care Directives and “Public Guardian”: The Italian Supreme Court Requests the Status of Current and Not Future Inability

    Directory of Open Access Journals (Sweden)

    Francesco Paolo Busardò

    2014-01-01

    Full Text Available Advance health care decisions animate an intense debate in several European countries, which started more than 20 years ago in the USA and led to the adoption of different rules, based on the diverse legal, sociocultural and philosophical traditions of each society. In Italy, the controversial issue of advance directives and end of life’s rights, in the absence of a clear and comprehensive legislation, has been over time a subject of interest of the Supreme Court. Since 2004 a law introduced the “Public Guardian,” aiming to provide an instrument of assistance to the person lacking in autonomy because of an illness or incapacity. Recently, this critical issue has once again been brought to the interest of the Supreme Court, which passed a judgment trying to clarify the legislative application of the appointment of the Guardian in the field of advance directives.

  16. Kernel CMAC with improved capability.

    Science.gov (United States)

    Horváth, Gábor; Szabó, Tamás

    2007-02-01

    The cerebellar model articulation controller (CMAC) has some attractive features, namely fast learning capability and the possibility of efficient digital hardware implementation. Although CMAC was proposed many years ago, several open questions have been left even for today. The most important ones are about its modeling and generalization capabilities. The limits of its modeling capability were addressed in the literature, and recently, certain questions of its generalization property were also investigated. This paper deals with both the modeling and the generalization properties of CMAC. First, a new interpolation model is introduced. Then, a detailed analysis of the generalization error is given, and an analytical expression of this error for some special cases is presented. It is shown that this generalization error can be rather significant, and a simple regularized training algorithm to reduce this error is proposed. The results related to the modeling capability show that there are differences between the one-dimensional (1-D) and the multidimensional versions of CMAC. This paper discusses the reasons of this difference and suggests a new kernel-based interpretation of CMAC. The kernel interpretation gives a unified framework. Applying this approach, both the 1-D and the multidimensional CMACs can be constructed with similar modeling capability. Finally, this paper shows that the regularized training algorithm can be applied for the kernel interpretations too, which results in a network with significantly improved approximation capabilities. PMID:17278566

  17. Caring as a Managerial Strategy

    Science.gov (United States)

    Kroth, Michael; Keeler, Carolyn

    2009-01-01

    The purpose of this article is to broaden the discourse about caring as a managerial strategy by describing caring from three perspectives: nursing, education, and management. The authors suggest that current organizational models inadequately address the caring connection between manager and employee. Definitions of managerial caring and care…

  18. Current State of Education Support for Newcomer Nurses Involved in End-of-Life Care in General Hospitals : From the Perspective of Enforcement Managers of Newcomer Nursing Staff Training

    OpenAIRE

    NISHIDA, Kayo; SAKASHITA, Emiko; OKAWA, Yuriko; KONISHI, Madoka

    2015-01-01

    The purpose of this study is to survey the current state and reality of the implementation of new nursing staff training (from now on, “new staff training”), tolearn how the staff training directors perceive end-of-life care education for new graduate nurses, and to see how these training programs are implemented. Questionnaireswere sent to 179 facilities requesting one training director for the new nursing staff( hereinafter“ training director”) from each institution to answer anonymouslythe...

  19. [The Development of Long-Term Care Policies and the Impact on Nursing].

    Science.gov (United States)

    Wu, Shiao-Chi; Tsai, Yin-Yin; Yeh, Shin-Ting

    2015-10-01

    The government must reform and enhance current medical and long-term care services in order to respond effectively to societal ageing and labor shortage trends and to ensure sustainable operations. The post-acute care system should be reoriented on the home and community instead of the hospital. The Long Term Care Service Act integrates long-term care services that were previously dispersed amongst different departments, sets up a long-term care development fund, and improves the quality and allocation of long-term care services. Moreover, the Long Term Care Insurance Act will implement a bundle payment system to assist disabled families. The integration of automation and information technology will make long-term care more efficient. Although nurses are more skilled at elderly care and counseling than other community care professionals, nurses generally lack training in business management. Home and community-based services thus require better-trained manpower, opportunities to set care agents, and opportunities to offer flexible caring jobs. Therefore, nurses should strengthen their capabilities in post-acute care, business management, cooperation, and coordination. PMID:26507622

  20. Does Care Matter?

    DEFF Research Database (Denmark)

    Loft, Lisbeth Trille Gylling; Hogan, Dennis P.

    2014-01-01

    The aim of this study is to introduce the concept of care capital and provide an example of its application in the context of child care and maternal employment using the currently most suitable American data. We define care capital as the nexus of available, accessible, and experienced resources...... for care. The American setting is an ideal context to investigate the linkages between child care capital and maternal employment as the patterns of child care use tend to be more diverse compared to other national context. In the presented application of care capital, we examine mothers’ entry to paid...... employment during the first 36 weeks following a birth, and its association with experienced non-parental child care use before labor force entry. Using data from the Early Childhood Longitudinal Survey – Birth Cohort (N = 10,400 mothers), results from discrete-time hazard models show that use of non...

  1. Why Health Matters to Justice: A Capability Theory Perspective

    DEFF Research Database (Denmark)

    Nielsen, Lasse

    2015-01-01

    The capability approach, originated by Amartya Sen is among the most comprehensive and influential accounts of justice that applies to issues of health and health care. However, although health is always presumed as an important capability in Sen’s works, he never manages to fully explain why...... Venkatapuram’s conception of health as the central human meta-capability and, respectively, Norman Daniels’ embrace of the capability metric in his use of Rawls’ principle of fair equality of opportunity. The paper argues that none of these accounts succeed in providing a plausible justification of the value...... of health. Finally, the paper suggests an alternative more complex justification, closely tied to different but central element of the capability view, that captures the core intuitions of both Venkatapuram and Daniels’ accounts but without being vulnerable to the objections raised against each of...

  2. Study of eddy current probes

    Science.gov (United States)

    Workman, Gary L.; Wang, Morgan

    1992-01-01

    The recognition of materials properties still presents a number of problems for nondestructive testing in aerospace systems. This project attempts to utilize current capabilities in eddy current instrumentation, artificial intelligence, and robotics in order to provide insight into defining geometrical aspects of flaws in composite materials which are capable of being evaluated using eddy current inspection techniques.

  3. KNOWLEDGE, ATTITUDE AND PRACTICES REGARDING “THE R OLE OF SPIRITUALITY IN CURRENT MEDICAL PRACTICE AMONGST ME DICAL PROFESSIONALS” IN A TERTIARY CARE HOSPITAL

    Directory of Open Access Journals (Sweden)

    Jain

    2013-01-01

    Full Text Available BSTRACT: INTRODUCTION: Spirituality has been integral part of medicine and h ealth since ancient age. This has been accepted in various devel oped countries as evident by a plethora of published articles. However, the extent of spiritual component in medical practice in India is largely unknown. The present study is a questionnair e based study to assess the extent of knowledge (awareness, attitude and practices among medical professionals at a tertiary care Hospital regarding role of spirituality in management of health and diseases. METHODS: A pre- designed validated list of questionnaire was distri buted among 250 doctors of all specialties at the hospital along with brief introduction on purpos e and scope of the study. The questions were collected back personally after giving sufficie nt time to attempt them. Doctors were evaluated regarding their knowledge, attitude and pr actice about spirituality in medicine using multiple choice question format. RESULTS: The response rate from participants was 80% (200/250. More than 90% participants had a good deal of knowledge of spirituality but unable to distinguish between truly spiritual practices from traditionally followed religious rituals. More than 70% felt that there is relevance of spirit ual practices in health and diseases but pointed out lack of credible scientific data to inco rporate these in health management strategy. There was wide variation among participants regardi ng underlying mechanism/s responsible for spiritual healing. Most of them believed this to be Psychological (90%, Neuroendocrine (70% or Immunology (26% and only (4% attributed it to all these factors. Majority of the participants agreed that spirituality offers maximum h ealth benefits in chronic and incurable diseases. Participants vouched for introduction of spiritual m edicine in medical curriculum to be taught by medical professionals with expertise in spir ituality. They also opined that there is need to involve

  4. Acute and Impaired Wound Healing: Pathophysiology and Current Methods for Drug Delivery, Part 1: Normal and Chronic Wounds: Biology, Causes, and Approaches to Care

    OpenAIRE

    Tatiana N Demidova-Rice; Michael R Hamblin; Herman, Ira M.

    2012-01-01

    This is the first installment of 2 articles that discuss the biology and pathophysiology of wound healing, review the role that growth factors play in this process, and describe current ways of growth factor delivery into the wound bed. Part 1 discusses the latest advances in clinicians’ understanding of the control points that regulate wound healing. Importantly, biological similarities and differences between acute and chronic wounds are considered, including the signaling pathways that ini...

  5. Advancing Test Capabilities at NASA Wind Tunnels

    Science.gov (United States)

    Bell, James

    2015-01-01

    NASA maintains twelve major wind tunnels at three field centers capable of providing flows at 0.1 M 10 and unit Reynolds numbers up to 45106m. The maintenance and enhancement of these facilities is handled through a unified management structure under NASAs Aeronautics and Evaluation and Test Capability (AETC) project. The AETC facilities are; the 11x11 transonic and 9x7 supersonic wind tunnels at NASA Ames; the 10x10 and 8x6 supersonic wind tunnels, 9x15 low speed tunnel, Icing Research Tunnel, and Propulsion Simulator Laboratory, all at NASA Glenn; and the National Transonic Facility, Transonic Dynamics Tunnel, LAL aerothermodynamics laboratory, 8 High Temperature Tunnel, and 14x22 low speed tunnel, all at NASA Langley. This presentation describes the primary AETC facilities and their current capabilities, as well as improvements which are planned over the next five years. These improvements fall into three categories. The first are operations and maintenance improvements designed to increase the efficiency and reliability of the wind tunnels. These include new (possibly composite) fan blades at several facilities, new temperature control systems, and new and much more capable facility data systems. The second category of improvements are facility capability advancements. These include significant improvements to optical access in wind tunnel test sections at Ames, improvements to test section acoustics at Glenn and Langley, the development of a Supercooled Large Droplet capability for icing research, and the development of an icing capability for large engine testing. The final category of improvements consists of test technology enhancements which provide value across multiple facilities. These include projects to increase balance accuracy, provide NIST-traceable calibration characterization for wind tunnels, and to advance optical instruments for Computational Fluid Dynamics (CFD) validation. Taken as a whole, these individual projects provide significant

  6. Sistemas atuais de cuidados e manutenção de lentes de contato Current care and maintenance systems for contact lenses

    Directory of Open Access Journals (Sweden)

    César Lipener

    2008-12-01

    Full Text Available A correta manutenção das lentes de contato é fundamental para se obter sucesso e manter a continuidade de seu uso. É grande o número de pacientes que abandonam o uso de suas lentes por problemas que poderiam ser solucionados com tratamentos relativamente simples ou com uma orientação mais adequada. O mau uso das lentes, associado à má adaptação, contaminação, doenças oculares prévias e fatores ambientais, podem aumentar o número de infecções corneanas através da proliferação de microorganismos. O presente artigo visa apresentar as atualizações em relação aos cuidados e manutenção com as lentes de contato.The proper maintenance of contact lenses is crucial for their success and to maintain the continuity of their use. Many patients abandon the use of their lenses due to problems that could be solved with relatively simple treatments. The misuse of lenses, coupled with poor adjustment, contamination, eye disease and environmental factors may increase the number of corneal infections through the proliferation of microorganisms. This article aims to provide contact lens care and maintenance updates.

  7. NWCF maintenance features and capabilities

    International Nuclear Information System (INIS)

    A New Waste Calcining Facility is being built at the Idaho Chemical Processing Plant to replace the existing Waste Calcining Facility which was built to demonstrate fluidized-bed solidification of highly radioactive liquid wastes. The new facility is being designed to provide a higher waste throughput, more corrosion resistant materials of construction, more effective cleanup of effluent streams, and extensive remote maintenance and equipment replacement capability. The facility will also contain extensive decontamination capability should contact maintenance become necessary. The facility is presently in construction and is scheduled for hot operation in 1980

  8. NASA Biomedical Informatics Capabilities and Needs

    Science.gov (United States)

    Johnson-Throop, Kathy A.

    2009-01-01

    To improve on-orbit clinical capabilities by developing and providing operational support for intelligent, robust, reliable, and secure, enterprise-wide and comprehensive health care and biomedical informatics systems with increasing levels of autonomy, for use on Earth, low Earth orbit & exploration class missions. Biomedical Informatics is an emerging discipline that has been defined as the study, invention, and implementation of structures and algorithms to improve communication, understanding and management of medical information. The end objective of biomedical informatics is the coalescing of data, knowledge, and the tools necessary to apply that data and knowledge in the decision-making process, at the time and place that a decision needs to be made.

  9. Different Points of a Continuum? Cross Sectional Comparison of the Current and Pre-contact Psychosocial Problems among the Different Categories of Adolescents in Institutional Care in Nigeria

    Directory of Open Access Journals (Sweden)

    Atilola Olayinka

    2012-07-01

    provision while in custodial care.

  10. Primary Care: Medicine's Gordian Knot.

    Science.gov (United States)

    Oddone, Eugene Z; Boulware, L Ebony

    2016-01-01

    Primary care is the cornerstone of effective and efficient healthcare systems. Patients prefer a trusted primary care provider to serve as the first contact for all of their healthcare questions, to help them make important health decisions, to help guide them through an expanding amount of medical information and to help coordinate their care with all other providers. Patients also prefer to establish an ongoing, continuous relationship with their primary care provider. However, fewer and fewer physicians are choosing primary care as a career, threatening the foundation of the health system. We explore the central challenges of primary care defined by work-force controversies about who can best deliver primary care. We also explore the current challenging reimbursement model for primary care that often results in fragmenting care for patients and providers. Finally, we explore new models of primary care health delivery that may serve as partial solutions to the current challenges. PMID:26802754

  11. Building server capabilities in China

    DEFF Research Database (Denmark)

    Adeyemi, Oluseyi; Slepniov, Dmitrij; Wæhrens, Brian Vejrum; Boer, Harry

    2012-01-01

    The purpose of this paper is to further our understanding of multinational companies building server capabilities in China. The paper is based on the cases of two western companies with operations in China. The findings highlight a number of common patterns in the 1) managerial challenges related...

  12. Demonstration MTI/SAR capability

    NARCIS (Netherlands)

    Vries, F.P.P. de; Broek, A.C. van den; Otten, M.P.G.; Groot, J.S.; Steeghs, T.P.H.; Dekker, R.J.; Rossum, W.L. van

    2001-01-01

    The aim of this project is to demonstrate to the Dutch armed forces the capability of MTI (Moving Target Indicator) and SAR (Synthetic Aperture Radar). This is done with the Dutch PHARUS sensor. The sensor is used to demonstrate how a phased array antenna can be used as an MTI/SAR sensor combination

  13. Microfoundations of Routines and Capabilities

    DEFF Research Database (Denmark)

    Felin, Tippo; Foss, Nicolai Juul; Heimericks, Koen H.; Madsen, Tammy L.

    2012-01-01

    This article introduces the Special Issue and discusses the microfoundations of routines and capabilities, including why a microfoundations view is needed and how it may inform work on organizational and competitive heterogeneity. Building on extant research, we identify three primary categories ...

  14. Microfoundations of Routines and Capabilities

    DEFF Research Database (Denmark)

    Felin, Teppo; Foss, Nicolai Juul; Heimriks, Koen H.; Madsen, Tammy L.

    We discuss the microfoundations of routines and capabilities, including why a microfoundations view is needed and how it may inform work on organizational and competitive heterogeneity. Building on extant research, we identify three primary categories of micro-level components underlying routines...

  15. Langley's two-dimensional research facilities: Capabilities and plans

    Science.gov (United States)

    Ray, E. J.

    1979-01-01

    The current capabilities and the forthcoming plans for Langley's two-dimensional research facilities are described. The characteristics of the Langley facilities are discussed in terms of Reynolds number, Mach number, and angle-of-attack capabilities. Comments are made with regard to the approaches which have been investigated to alleviate typical problem areas such as wall boundary effects. Because of the need for increased Reynolds number capability at high subsonic speeds, a considerable portion of the paper deals with a description of the 20 by 60 cm two-dimensional test section of the Langley 0.3 meter transonic cryogenic tunnel which is currently in the calibration and shakedown phase.

  16. Current Status of Wound Care in Shanghai Communities:A Qualitative Research%上海市社区创口护理工作开展现状的质性研究

    Institute of Scientific and Technical Information of China (English)

    葛津津; 刘薇群; 杨阳; 奚弘妮; 汤培凤; 陆佳韵

    2015-01-01

    Objective To investigate the current status of wound care in Shanghai communities , in order to provide references for relevant work management and personnel training.Methods In April 2014, using purposive sampling method , we selected 12 community health service centers in Shanghai and enrolled the nursing leader or an outstanding nurse from each center.Focus group interviewing method was employed to collect data , and keywords analysis was conducted to analyze the data.Results At present, the wound care in Shanghai communities is in unfavorable condition.The primary type of wound is pressure sores , the cases of wound are usually in critical condition , and elderly patients take the majority.Household care givers are inadequate in nursing knowledge , and there is a lack of professional wound care givers and specialists.The relevant training is still at an initial stage.The management system of wound care in communities is imperfect.Conclusion Wound care in Shanghai is in high demand , while the relevant human resource is in shortage , and the management system is imperfect.We suggest the personnel training of community wound care should be strengthened and wound care modes fit for different communities should be established.%目的:了解上海市社区创口护理工作开展现状,以为其工作管理和人才培养提供依据。方法于2014年4月,采用立意抽样法,在上海市抽取12家社区卫生服务中心,在每家社区卫生服务中心抽取护理管理者或骨干护士1名,共纳入12名。采用焦点小组访谈法进行资料收集,采用主题词分析法进行资料分析。结果上海市社区创口护理情况较严峻,创口类型以压疮为主,创口损伤程度较严重,以老年患者居多,且家庭照护者创口护理知识相对缺乏;社区专业创口护理师缺乏,专家型人才缺如,教育尚处于初始阶段;社区创口护理管理体系不完善。结论上

  17. 上海市社区创口护理工作开展现状的质性研究%Current Status of Wound Care in Shanghai Communities:A Qualitative Research

    Institute of Scientific and Technical Information of China (English)

    葛津津; 刘薇群; 杨阳; 奚弘妮; 汤培凤; 陆佳韵

    2015-01-01

    Objective To investigate the current status of wound care in Shanghai communities , in order to provide references for relevant work management and personnel training.Methods In April 2014, using purposive sampling method , we selected 12 community health service centers in Shanghai and enrolled the nursing leader or an outstanding nurse from each center.Focus group interviewing method was employed to collect data , and keywords analysis was conducted to analyze the data.Results At present, the wound care in Shanghai communities is in unfavorable condition.The primary type of wound is pressure sores , the cases of wound are usually in critical condition , and elderly patients take the majority.Household care givers are inadequate in nursing knowledge , and there is a lack of professional wound care givers and specialists.The relevant training is still at an initial stage.The management system of wound care in communities is imperfect.Conclusion Wound care in Shanghai is in high demand , while the relevant human resource is in shortage , and the management system is imperfect.We suggest the personnel training of community wound care should be strengthened and wound care modes fit for different communities should be established.%目的:了解上海市社区创口护理工作开展现状,以为其工作管理和人才培养提供依据。方法于2014年4月,采用立意抽样法,在上海市抽取12家社区卫生服务中心,在每家社区卫生服务中心抽取护理管理者或骨干护士1名,共纳入12名。采用焦点小组访谈法进行资料收集,采用主题词分析法进行资料分析。结果上海市社区创口护理情况较严峻,创口类型以压疮为主,创口损伤程度较严重,以老年患者居多,且家庭照护者创口护理知识相对缺乏;社区专业创口护理师缺乏,专家型人才缺如,教育尚处于初始阶段;社区创口护理管理体系不完善。结论上

  18. Synthetic aperture radar capabilities in development

    Energy Technology Data Exchange (ETDEWEB)

    Miller, M. [Lawrence Livermore National Lab., CA (United States)

    1994-11-15

    The Imaging and Detection Program (IDP) within the Laser Program is currently developing an X-band Synthetic Aperture Radar (SAR) to support the Joint US/UK Radar Ocean Imaging Program. The radar system will be mounted in the program`s Airborne Experimental Test-Bed (AETB), where the initial mission is to image ocean surfaces and better understand the physics of low grazing angle backscatter. The Synthetic Aperture Radar presentation will discuss its overall functionality and a brief discussion on the AETB`s capabilities. Vital subsystems including radar, computer, navigation, antenna stabilization, and SAR focusing algorithms will be examined in more detail.

  19. Recent Investments by NASA's National Force Measurement Technology Capability

    Science.gov (United States)

    Commo, Sean A.; Ponder, Jonathan D.

    2016-01-01

    The National Force Measurement Technology Capability (NFMTC) is a nationwide partnership established in 2008 and sponsored by NASA's Aeronautics Evaluation and Test Capabilities (AETC) project to maintain and further develop force measurement capabilities. The NFMTC focuses on force measurement in wind tunnels and provides operational support in addition to conducting balance research. Based on force measurement capability challenges, strategic investments into research tasks are designed to meet the experimental requirements of current and future aerospace research programs and projects. This paper highlights recent and force measurement investments into several areas including recapitalizing the strain-gage balance inventory, developing balance best practices, improving calibration and facility capabilities, and researching potential technologies to advance balance capabilities.

  20. Optimizing Health Care Coalitions: Conceptual Frameworks and a Research Agenda.

    Science.gov (United States)

    Hupert, Nathaniel; Biala, Karen; Holland, Tara; Baehr, Avi; Hasan, Aisha; Harvey, Melissa

    2015-12-01

    The US health care system has maintained an objective of preparedness for natural or manmade catastrophic events as part of its larger charge to deliver health services for the American population. In 2002, support for hospital-based preparedness activities was bolstered by the creation of the National Bioterrorism Hospital Preparedness Program, now called the Hospital Preparedness Program, in the US Department of Health and Human Services. Since 2012, this program has promoted linking health care facilities into health care coalitions that build key preparedness and emergency response capabilities. Recognizing that well-functioning health care coalitions can have a positive impact on the health outcomes of the populations they serve, this article informs efforts to optimize health care coalition activity. We first review the landscape of health care coalitions in the United States. Then, using principles from supply chain management and high-reliability organization theory, we present 2 frameworks extending beyond the Office of the Assistant Secretary for Preparedness and Response's current guidance in a way that may help health care coalition leaders gain conceptual insight into how different enterprises achieve similar ends relevant to emergency response. We conclude with a proposed research agenda to advance understanding of how coalitions can contribute to the day-to-day functioning of health care systems and disaster preparedness. PMID:26545194

  1. Management of neovascular age-related macular degeneration: current state-of-the-art care for optimizing visual outcomes and therapies in development

    Directory of Open Access Journals (Sweden)

    Agarwal A

    2015-06-01

    Full Text Available Aniruddha Agarwal, William R Rhoades, Mostafa Hanout, Mohamed Kamel Soliman, Salman Sarwar, Mohammad Ali Sadiq, Yasir Jamal Sepah, Diana V Do, Quan Dong Nguyen Stanley M Truhlsen Eye Institute, University of Nebraska Medical Center, Omaha, NE, USA Abstract: Contemporary management of neovascular age-related macular degeneration (AMD has evolved significantly over the last few years. The goal of treatment is shifting from merely salvaging vision to maintaining a high quality of life. There have been significant breakthroughs in the identification of viable drug targets and gene therapies. Imaging tools with near-histological precision have enhanced our knowledge about pathophysiological mechanisms that play a role in vision loss due to AMD. Visual, social, and vocational rehabilitation are all important treatment goals. In this review, evidence from landmark clinical trials is summarized to elucidate the optimum modern-day management of neovascular AMD. Therapeutic strategies currently under development, such as gene therapy and personalized medicine, are also described. Keywords: AMD, neovascular AMD, choroidal neovascular membrane, pharmacogenomics, VEGF, low-vision rehabilitation, gene therapy

  2. Human-Centered Design Capability

    Science.gov (United States)

    Fitts, David J.; Howard, Robert

    2009-01-01

    For NASA, human-centered design (HCD) seeks opportunities to mitigate the challenges of living and working in space in order to enhance human productivity and well-being. Direct design participation during the development stage is difficult, however, during project formulation, a HCD approach can lead to better more cost-effective products. HCD can also help a program enter the development stage with a clear vision for product acquisition. HCD tools for clarifying design intent are listed. To infuse HCD into the spaceflight lifecycle the Space and Life Sciences Directorate developed the Habitability Design Center. The Center has collaborated successfully with program and project design teams and with JSC's Engineering Directorate. This presentation discusses HCD capabilities and depicts the Center's design examples and capabilities.

  3. Improving the RPC rate capability

    CERN Document Server

    Aielli, G; Cardarelli, R; Di Ciaccio, A; Di Stante, L; Iuppa, R; Liberti, B; Paolozzi, L; Pastori, E; Santonico, R; Toppi, M

    2016-01-01

    This paper has the purpose to study the rate capability of the Resistive Plate Chamber, RPC, starting from the basic physics of this detector. The effect of different working parameters determining the rate capability is analysed in detail, in order to optimize a new family of RPCs for applications to heavy irradiation environments and in particular to the LHC phase 2. A special emphasis is given to the improvement achievable by minimizing the avalanche charge delivered in the gas. The paper shows experimental results of Cosmic Ray tests, performed to study the avalanche features for different gas gap sizes, with particular attention to the overall delivered charge. For this purpose, the paper studies, in parallel to the prompt electronic signal, also the ionic signal which gives the main contribution to the delivered charge. Whenever possible the test results are interpreted on the base of the RPC detector physics and are intended to extend and reinforce our physical understanding of this detector.

  4. Judgmental Forecasting of Operational Capabilities

    DEFF Research Database (Denmark)

    Hallin, Carina Antonia; Tveterås, Sigbjørn; Andersen, Torben Juul

    This paper explores a new judgmental forecasting indicator, the Employee Sensed Operational Capabilities (ESOC). The purpose of the ESOC is to establish a practical prediction tool that can provide early signals about changes in financial performance by gauging frontline employees’ sensing of...... changes in the firm’s operational capabilities. We present the first stage of the development of ESOC by applying a formative measurement approach to test the index in relation to financial performance and against an organizational commitment scale. We use distributed lag models to test whether the ESOC...... can predict financial performance. Monthly data were collected from frontline employees in three different companies during an 18-month period, and the initial results indicate that the ESOChas predictive power....

  5. Advanced Power System Analysis Capabilities

    Science.gov (United States)

    1997-01-01

    As a continuing effort to assist in the design and characterization of space power systems, the NASA Lewis Research Center's Power and Propulsion Office developed a powerful computerized analysis tool called System Power Analysis for Capability Evaluation (SPACE). This year, SPACE was used extensively in analyzing detailed operational timelines for the International Space Station (ISS) program. SPACE was developed to analyze the performance of space-based photovoltaic power systems such as that being developed for the ISS. It is a highly integrated tool that combines numerous factors in a single analysis, providing a comprehensive assessment of the power system's capability. Factors particularly critical to the ISS include the orientation of the solar arrays toward the Sun and the shadowing of the arrays by other portions of the station.

  6. Organizational Learning Capability: An Example of University Hospital

    Directory of Open Access Journals (Sweden)

    Yasin UZUNTARLA

    2015-06-01

    Full Text Available In health care institutions aiming healthy society by the way protecting and promoting human health, reaching information has a vital importance. This descriptive research purposed an evaluation of organizational learning capability of 396 employees working in Gülhane Military Medical Academy Hospital. A questionnaire including socio-demographic characteristics was used along with Organizational Learning Capability scale designed by Ricardo CHIVA and His Friends. Data acquired was analyzed with SPSS 15.0 program. Participants’ Organizational Learning Capability and its subscales means were assessed in terms of their sociodemographic characteristics. Assessing participants’ answers in terms of 5 subscales which are experimentation, risk taking, interaction with the external environment, dialogue and participatory decision-making; for education level and professional groups, statistical significant differences was found between Organizational Learning Capability and its subscales means.

  7. Prenatal Care

    Science.gov (United States)

    ... am thinking about getting pregnant. How can I take care of myself? You should start taking care of ... What should I do — or not do — to take care of myself and my unborn baby? Follow these ...

  8. Self Care

    Science.gov (United States)

    ... Care Connections Experiences Research Learning Evaluation Print Email Self Care If you are living with a chronic ... help you cope can make a real difference. Self-care techniques are things you can do for ...

  9. Building EOS capability for Malaysia - the options

    Science.gov (United States)

    Subari, M. D.; Hassan, A.

    2014-06-01

    Earth observation satellite (EOS) is currently a major tool to monitor earth dynamics and increase human understanding of earth surface process. Since the early 80s, Malaysia has been using EOS images for various applications, such as weather forecasting, land use mapping, agriculture, environment monitoring and others. Until now, all EOS images were obtained from foreign satellite systems. Realising on the strategic need of having its own capability, Malaysia embarked into EOS development programs in the early 90s. Starting with TiungSAT-1, a micro-satellite carrying small camera, then followed by RazakSAT, a small satellite carrying 2.5 m panchromatic (PAN) medium-aperture-camera, the current satellite program development, the RazakSAT-2, designed to carry a 1.0 m high resolution PAN and 4.0m multi-spectral camera, would become a strategic initiative of the government in developing and accelerating the nation's capability in the area of satellite technology and its application. Would this effort continue until all needs of the remote sensing community being fulfilled by its own EOS? This paper will analyze the intention of the Malaysian government through its National Space Policy and other related policy documents, and proposes some policy options on this. Key factors to be considered are specific data need of the EOS community, data availability and the more subjective political motivations such as national pride.

  10. Enhancing the capability of the research fleet.

    Science.gov (United States)

    Pinkel, R.

    2012-12-01

    While the performance and economics of our vessels and manned platforms are fixed by fundamental principles, their scientific capabilities can be considerably extended through the development of new technology. Potential future systems include multi-beam swath- mapping sonars for 3-D imaging of plankton patchiness, wire-guided profiling velocity sensors for establishing full-ocean-depth velocity profiles, shipboard HF radar (CODAR) for mapping energetic currents, and shipboard Doppler radar for mapping the surface wave spectrum. Research vessel users should have access to undersea gliders and autonomous aircraft as well as the current AUVs. In addition, the use of manned stable platforms in an observatory setting deserves further consideration. As well as providing an ideal mount for meteorological and oceanographic sensors, the platforms can provide electrical power and a "heavy lift" capability for sea floor and water column studies. Concerted community effort will be required to develop these new technologies, not all of which will be commercially viable. A strong academic technology base is necessary.

  11. Design Mechanism as Territorial Strategic Capability

    Directory of Open Access Journals (Sweden)

    Gianita BLEOJU

    2009-01-01

    Full Text Available The current exigencies that a territory must faced in order to its’ optimalpositioning in future regional competition requires the ability to design theappropriate mechanism which better valorize the territory capability. Such aconstruct is vital for territorial sustainable development and supposes thecreation of a specific body of knowledge from distinctive local resourceexploitation and unique value creation and allocation. Territorial mechanismdesign is a typical management decision about identification, ownership andcontrol of specific strategic capabilities and their combination in a distinctiveterritorial portfolio. The most difficult responsibility is to allocate the territorialvalue added which is a source of conflict among territorial components. Ourcurrent paper research covers the basics of two complementary territorialpillars-rural and tourism potential and proves the lack of specific designmechanisms which explain the current diminishing value of Galati Brailaregion. The proposed management system, relying upon territorial controlmechanism, will ensure knowledge sharing process via collaborative learning,with the final role of appropriate territorial attractivity signals, reinforcingidentity as key factor of territorial attractability. Our paper is fully documentedon there years of data analyzing from territorial area of interest. This offers usthe necessary empiric contrasting for our proposed solution.

  12. Expanding capabilities of the debris analysis workstation

    Science.gov (United States)

    Spencer, David B.; Sorge, Marlon E.; Mains, Deanna L.; Shubert, Ann J.; Gerhart, Charlotte M.; Yates, Ken W.; Leake, Michael

    1996-10-01

    Determining the hazards from debris-generating events is a design and safety consideration for a number of space systems, both currently operating and planned. To meet these and other requirements, the United States Air Force (USAF) Phillips Laboratory (PL) Space Debris Research Program has developed a simulation software package called the Debris Analysis Workstation (DAW). This software provides an analysis capability for assessing a wide variety of debris hazards. DAW integrates several component debris analysis models and data visualization tools into a single analysis platform that meets the needs for Department of Defense space debris analysis, and is both user friendly and modular. This allows for studies to be performed expeditiously by analysts who are not debris experts. The current version of DAW includes models for spacecraft breakup, debris orbital lifetime, collision hazard risk assessment, and collision dispersion, as well as a satellite catalog database manager, a drag inclusive propagator, a graphical user interface, and data visualization routines. Together they provide capabilities to conduct several types of analyses, ranging from range safety assessments to satellite constellation risk assessment. Work is progressing to add new capabilities with the incorporation of additional models and improved designs. The existing tools are in their initial integrated form, but the 'glue' that will ultimately bring them together into an integrated system is an object oriented language layer scheduled to be added soon. Other candidate component models under consideration for incorporation include additional orbital propagators, error estimation routines, other dispersion models, and other breakup models. At present, DAW resides on a SUNR workstation, although future versions could be tailored for other platforms, depending on the need.

  13. Developing A/E Capabilities

    International Nuclear Information System (INIS)

    During the last few years, the methods used by EMPRESARIOS AGRUPADOS and INITEC to perform Architect-Engineering work in Spain for nuclear projects has undergone a process of significant change in project management and engineering approaches. Specific practical examples of management techniques and design practices which represent a good record of results will be discussed. They are identified as areas of special interest in developing A/E capabilities for nuclear projects . Command of these areas should produce major payoffs in local participation and contribute to achieving real nuclear engineering capabities in the country. (author)

  14. Developing a dispersant spraying capability

    Energy Technology Data Exchange (ETDEWEB)

    Gill, S.D.

    1979-01-01

    In developing a national dispersant spraying capability, the Canadian Coast Guard (CCG) has undertaken a modification program to enable the conventional offshore spraying gear to be mounted on almost any vessel of convenience. Smaller, more versatile inshore spraying vessels and pumps have been designed and built. With the popularization of concentrated dispersants, the inshore pumping equipment can be used aboard hovercraft for special application situations. A program of acquiring mobile dispersant storage tanks has been undertaken with auxiliary equipment that will facilitate the shipment of dispersants in bulk by air freight. Work also has commenced on extending the dispersant application program to include the CCG fleet of helicopters.

  15. ITER EDA design confinement capability

    Science.gov (United States)

    Uckan, N. A.

    Major device parameters for ITER-EDA and CDA are given in this paper. Ignition capability of the EDA (and CDA) operational scenarios is evaluated using both the 1 1/2-D time-dependent transport simulations and 0-D global models under different confinement ((chi((gradient)(T)(sub e)(sub crit)), empirical global energy confinement scalings, chi(empirical), etc.) assumptions. Results from some of these transport simulations and confinement assessments are summarized in and compared with the ITER CDA results.

  16. ITER EDA design confinement capability

    Energy Technology Data Exchange (ETDEWEB)

    Uckan, N.A.

    1993-06-01

    Major device parameters for ITER-EDA and CDA are given in this paper. Ignition capability of the EDA (and CDA) operational scenarios is evaluated using both the 1-1/2-D time-dependent transport simulations and 0-D global models under different confinement [{chi}({triangledown}T{sub e}){sub crit}, empirical global energy confinement scalings, {chi}(empirical), etc.] assumptions. Results from some of these transport simulations and confinement assessments are summarized in and compared with the ITER CDA reference ignition scenario.

  17. ITER EDA design confinement capability

    Energy Technology Data Exchange (ETDEWEB)

    Uckan, N.A.

    1993-01-01

    Major device parameters for ITER-EDA and CDA are given in this paper. Ignition capability of the EDA (and CDA) operational scenarios is evaluated using both the 1-1/2-D time-dependent transport simulations and 0-D global models under different confinement [[chi]([triangledown]T[sub e])[sub crit], empirical global energy confinement scalings, [chi](empirical), etc.] assumptions. Results from some of these transport simulations and confinement assessments are summarized in and compared with the ITER CDA reference ignition scenario.

  18. Summary of Sandia Laboratories technical capabilities

    Energy Technology Data Exchange (ETDEWEB)

    1977-05-01

    The technical capabilities of Sandia Laboratories are detailed in a series of companion reports. In this summary the use of the capabilities in technical programs is outlined and the capabilities are summarized. 25 figures, 3 tables.

  19. Technological capability at the Brazilian official pharmaceutical laboratories

    Directory of Open Access Journals (Sweden)

    José Vitor Bomtempo Martins

    2008-10-01

    Full Text Available This paper studies the technological capability in the Brazilian Official Pharmaceutical Laboratories [OPL]. The technological capability analysis could contribute to organization strategies and governmental actions in order to improve OPL basic tasks as well to incorporate new ones, particularly concerning the innovation management. Inspired in Figueiredo (2000, 2003a, 2003b and Figueiredo and Ariffin (2003, a framework was drawn and adapted to pharmaceutical industry characteristics and current sanitary and health legislation. The framework allows to map different dimensions of the technological capability (installations, processes, products, equipments, organizational capability and knowledge management and the level attained by OPL (ordinary or innovating capability. OPL show a good development of ordinary capabilities, particularly in Product and Processes. Concerning the other dimensions, OPL are quite diverse. In general, innovating capabilities are not much developed. In the short term, it was identified a dispersion in the capacitating efforts. Considering their present level and the absorption efforts, good perspectives can be found in Installations, Processes and Organizational Capability. A lower level of efforts in Products and Knowledge Management could undermine these capabilities in the future.

  20. Child Care as Welfare Prevention.

    Science.gov (United States)

    Working for Change, 1995

    1995-01-01

    Part of a series from the Child Care Law Center, this issue of "Working for Change" discusses the need for quality, affordable child care as a support for working parents trying to break out of welfare dependency. This report details the current realities of poor parents who struggle to find and pay for child care while they work and those who…

  1. Current enhancement update

    International Nuclear Information System (INIS)

    Net current enhancement to levels in excess of the beam current has been observed in gases at pressures excess of 50 torr. We delineate the regimes where enhancement is observed. The experimental results fall into two very distinct classes; current enhancement at injection where the beam is only slightly displaced and current enhancement clearly associated with the high amplitude hose instability. A careful theoretical and experimental study of the diagnostics revealed no fundamental flaws although there are several complex and unlikely scenarios which could introduce fictitious current enhancement. Theoretical efforts indicate several mechanisms for generating enhancement but none of the theories can account for the detailed observations. 4 references, 4 figures

  2. A Strategic Approach to Medical Care for Exploration Missions

    Science.gov (United States)

    Antonsen, E.; Canga, M.

    2016-01-01

    Exploration missions will present significant new challenges to crew health, including effects of variable gravity environments, limited communication with Earth-based personnel for diagnosis and consultation for medical events, limited resupply, and limited ability for crew return. Providing health care capabilities for exploration class missions will require system trades be performed to identify a minimum set of requirements and crosscutting capabilities which can be used in design of exploration medical systems. Current and future medical data, information, and knowledge must be cataloged and put in formats that facilitate querying and analysis. These data may then be used to inform the medical research and development program through analysis of risk trade studies between medical care capabilities and system constraints such as mass, power, volume, and training. These studies will be used to define a Medical Concept of Operations to facilitate stakeholder discussions on expected medical capability for exploration missions. Medical Capability as a quantifiable variable is proposed as a surrogate risk metric and explored for trade space analysis that can improve communication between the medical and engineering approaches to mission design. The resulting medical system approach selected will inform NASA mission architecture, vehicle, and subsystem design for the next generation of spacecraft.

  3. Health Care Reform and the Primary Care Workforce Bottleneck

    OpenAIRE

    Schwartz, Mark D

    2011-01-01

    To establish and sustain the high-performing health care system envisioned in the Affordable Care Act (ACA), current provisions in the law to strengthen the primary care workforce must be funded, implemented, and tested. However, the United States is heading towards a severe primary care workforce bottleneck due to ballooning demand and vanishing supply. Demand will be fueled by the “silver tsunami” of 80 million Americans retiring over the next 20 years and the expanded insurance coverage fo...

  4. Researching pharmacist managerial capability: philosophical perspectives and paradigms of inquiry.

    Science.gov (United States)

    Woods, Phillip; Gapp, Rod; King, Michelle A

    2015-01-01

    In successful community pharmacy business enterprises suitably responsive actions to meet ever-increasing change require capable pharmacy managers who readily learn and adapt. Capability as a concept is generally understood to be the ability of a manager to identify and act to solve unfamiliar problems in unfamiliar situations. Capability is characterized by adaptability and flexibility. However, different understandings of the concept 'capability' and what it means to be 'capable' are indirect and incomplete. This paper aims to clarify current theories regarding the concept of 'capability' at the level of the individual, and through this to make more explicit what is known about the phenomenon, but more particularly, how we know what we know. The analysis includes the concept of 'competence' because explanations of capability include competence, and the two concepts are not clearly separated in the literature. By probing the epistemological origins of current theory concerning both concepts, the limiting taken for granted assumptions are revealed. Assumptions about context and time, and the psychological theory through which individuals are assumed to perceive, know and learn, are illuminated. The analysis, in connection with the literature, shows how the interpretive philosophic research approach may reveal a different and useful theoretical perspective for explaining capability as a dynamic performance. It is suggested that such a perspective may narrow the gap between the theory of capability and its practice. The interpretive perspective holds potential to reveal how capability, as performed by successful community pharmacy managers, might be further researched and strengthened. This paper supports the challenging suggestion that pharmacy social research needs to rebalance the dominance of purely empirical research by exploring interpretive methodologies to better understand human actions and relations in the context of pharmacy. PMID:25169620

  5. Using health information technology to manage a patient population in accountable care organizations.

    Science.gov (United States)

    Wu, Frances M; Rundall, Thomas G; Shortell, Stephen M; Bloom, Joan R

    2016-06-20

    Purpose - The purpose of this paper is to describe the current landscape of health information technology (HIT) in early accountable care organizations (ACOs), the different strategies ACOs are using to develop HIT-based capabilities, and how ACOs are using these capabilities within their care management processes to advance health outcomes for their patient population. Design/methodology/approach - Mixed methods study pairing data from a cross-sectional National Survey of ACOs with in-depth, semi-structured interviews with leaders from 11 ACOs (both completed in 2013). Findings - Early ACOs vary widely in their electronic health record, data integration, and analytic capabilities. The most common HIT capability was drug-drug and drug-allergy interaction checks, with 53.2 percent of respondents reporting that the ACO possessed the capability to a high degree. Outpatient and inpatient data integration was the least common HIT capability (8.1 percent). In the interviews, ACO leaders commented on different HIT development strategies to gain a more comprehensive picture of patient needs and service utilization. ACOs realize the necessity for robust data analytics, and are exploring a variety of approaches to achieve it. Research limitations/implications - Data are self-reported. The qualitative portion was based on interviews with 11 ACOs, limiting generalizability to the universe of ACOs but allowing for a range of responses. Practical implications - ACOs are challenged with the development of sophisticated HIT infrastructure. They may benefit from targeted assistance and incentives to implement health information exchanges with other providers to promote more coordinated care management for their patient population. Originality/value - Using new empirical data, this study increases understanding of the extent of ACOs' current and developing HIT capabilities to support ongoing care management. PMID:27296880

  6. [Update on current care guidelines. Pain].

    Science.gov (United States)

    Mäntyselkä, Pekka; Haanpää, Maija; Hagelberg, Nora; Helin-Salmivaara, Arja; Kokki, Hannu; Komulainen, Jorma; Pohjolainen, Timo; Saikkonen, Kalle; Salanterä, Sanna

    2016-01-01

    Management of patients suffering from chronic pain is based on long-term therapeutic relationship. The main objectives of the treatment are pain relief, restoration of function and improvement of quality of life. Interventions for treatment and rehabilitation need to be planned in agreement with the patient. Non-pharmaceutical interventions form the basics of the treatment. If medication is needed, it should be tailored to meet the individual needs of the patient according to the etiology and intensity of pain, comorbidities and psychosocial situation. PMID:27244934

  7. [Undate on Current Care Guideline: Parkinson's disease].

    Science.gov (United States)

    2016-01-01

    The treatment of Parkinson's disease may be initiated with dopamine agonist or MAO-B-inhibitor for people under 60-65 years of age. For older patients, the treatment may also be started with levodopa. If there are motor complications, such as on-off-symptoms, apomorphin injections can be beneficial in addition to other medications. In the case of difficult on-off-symptoms and dyskinesias in spite of optimal treatment, deep brain stimulation, duodenal levodopa infusion and apomorphine infusion should be considered. Rehabilitation can improve gait speed and balance, decrease falls and improve speech. However, with advancing disease the results are not maintained if trainino is discontinued. PMID:27044185

  8. REDUCTIONS WITHOUT REGRET: DEFINING THE NEEDED CAPABILITIES

    Energy Technology Data Exchange (ETDEWEB)

    Swegle, J.; Tincher, D.

    2013-09-10

    This is the second of three papers (in addition to an introductory summary) aimed at providing a framework for evaluating future reductions or modifications of the U.S. nuclear force, first by considering previous instances in which nuclear-force capabilities were eliminated; second by looking forward into at least the foreseeable future at the features of global and regional deterrence (recognizing that new weapon systems currently projected will have expected lifetimes stretching beyond our ability to predict the future); and third by providing examples of past or possible undesirable outcomes in the shaping of the future nuclear force, as well as some closing thoughts for the future. This paper begins with a discussion of the current nuclear force and the plans and procurement programs for the modernization of that force. Current weapon systems and warheads were conceived and built decades ago, and procurement programs have begun for the modernization or replacement of major elements of the nuclear force: the heavy bomber, the air-launched cruise missile, the ICBMs, and the ballistic-missile submarines. In addition, the Nuclear Weapons Council has approved a new framework for nuclear-warhead life extension � not fully fleshed out yet � that aims to reduce the current number of nuclear explosives from seven to five, the so-called �3+2� vision. This vision includes three interoperable warheads for both ICBMs and SLBMs (thus eliminating one backup weapon) and two warheads for aircraft delivery (one gravity bomb and one cruise-missile, eliminating a second backup gravity bomb). This paper also includes a discussion of the current and near-term nuclear-deterrence mission, both global and regional, and offers some observations on future of the strategic deterrence mission and the challenges of regional and extended nuclear deterrence.

  9. Capabilities, programs, and economic benefits

    International Nuclear Information System (INIS)

    This document describes the activities and impacts of DOE's Grand Junction Project Office. Included are historical accounts of past programs, brief descriptions of current research and services, and evaluations of the economic effects of the facility on the local community and the state of Colorado. 16 figs., 5 tabs

  10. OVERVIEW OF DEVELOPMENT OF P-CARES: PROBABILISTIC COMPUTER ANALYSIS FOR RAPID EVALUATION OF STRUCTURES

    International Nuclear Information System (INIS)

    Brookhaven National Laboratory (BNL) undertook an effort to revise the CARES (Computer Analysis for Rapid Evaluation of Structures) program under the auspices of the US Nuclear Regulatory Commission (NRC). The CARES program provided the NRC staff a capability to quickly check the validity and/or accuracy of the soil-structure interaction (SSI) models and associated data received from various applicants. The aim of the current revision was to implement various probabilistic simulation algorithms in CARES (referred hereinafter as P-CARES [1]) for performing the probabilistic site response and soil-structure interaction (SSI) analyses. This paper provides an overview of the development process of P-CARES, including the various probabilistic simulation techniques used to incorporate the effect of site soil uncertainties into the seismic site response and SSI analyses and an improved graphical user interface (GUI)

  11. Improving Palliative Cancer Care.

    Science.gov (United States)

    Del Ferraro, Catherine; Ferrell, Betty; Van Zyl, Carin; Freeman, Bonnie; Klein, Linda

    2014-01-01

    Over a decade ago, the Institute of Medicine (IOM) presented Ensuring Quality Cancer Care in the United States, with recommendations for change (IOM, 1999). However, barriers to integrating palliative care (PC) to achieve high-quality care in cancer still remain. As novel therapeutic agents evolve, patients are living longer, and advanced cancer is now considered a chronic illness. In addition to complex symptom concerns, patients and family caregivers are burdened with psychological, social, and spiritual distress. Furthermore, data show that PC continues to be underutilized and inaccessible, and current innovative models of integrating PC into standard cancer care lack uniformity. The aim of this article is to address the existing barriers in implementing PC into our cancer care delivery system and discuss how the oncology advanced practice nurse plays an essential role in providing high-quality cancer care. We also review the IOM recommendations; highlight the work done by the National Consensus Project in promoting quality PC; and discuss a National Cancer Institute-funded program project currently conducted at a National Comprehensive Cancer Center, "Palliative Care for Quality of Life and Symptoms Concerns in Lung Cancer," which serves as a model to promote high-quality care for patients and their families. PMID:26114013

  12. "Uberizing" home care in Ontario.

    Science.gov (United States)

    Wojtak, Anne; Stark, Linda

    2016-07-01

    This article looks at home care in Ontario and its role as a foundation for a sustainable healthcare system in the future. Beginning with the history and evolution of the service delivery model, it examines current challenges and opportunities to unleash the potential of home care within a more integrated model for patient-centred care for the future. An in-depth look at how to better coordinate, integrate, and fund care for patients is highlighted. PMID:27269814

  13. Investigate on current situation of puerperium health care of women from a village of He'nan province%河南省某村妇女产褥期保健现状调查

    Institute of Scientific and Technical Information of China (English)

    伍东红; 渠利霞; 楚银萍; 高金玲; 潘雪

    2013-01-01

    Objective: To understand the current situation of puerperium health care of women from a village of He'nan province. Methods: Questionnaire investigation and individual interview were adopted to survey 57 mothers whose infants ≤2 years in a village of He'nan province. Results: Fifty - one puerperium women didn't eat fruits (89. 5% ) , 36 puerperium women didn't eat vegetables (63. 2% ) , 49 puerperium women didn't wash hair (86. 0% ) , 49 puerperium women didn't go out (89. 0% ) , 50 puerperium women stayed in a airproof environment (87. 7% ) . The educational levels of parturient women was one of influencing factors of self - health attitude. Conclusion: Misunderstandings exist in self-health of rural women during puerperium period, such as unreasonable dietary structure, bad health status, and less exercises; rural medical health care service is not widespread, maternal and child health care knowledge should be popularized to rural area according to specific circumstance to improve maternal - infantile health level.%目的:了解河南省某村妇女产褥期保健现状.方法:运用问卷调查和个别访谈法对河南省某村57名≤2岁婴幼儿的母亲进行调查.结果:产褥期妇女不吃水果51人,占89.5%;不吃蔬菜36人,占63.2%;不洗发49人,占86.0%;不外出活动49人,占89.0%;不通风50人,占87.7%.产妇的文化程度是自我保健态度的影响因素.结论:农村妇女产褥期自我保健存在误区,饮食结构欠合理、卫生状况欠佳、运动较少.农村医疗卫生保健服务尚未普及,应视具体情况,向农村普及妇幼保健知识,提高母婴健康水平.

  14. Assessment of the depletion capability in MPACT

    International Nuclear Information System (INIS)

    The objective of the paper is to develop and demonstrate the depletion capability with pin resolved transport using the MPACT code. The first section of the paper provides a description of the depletion methodology and the algorithm used to solve the depletion equations in MPACT. A separate depletion library for MPACT is used based on the ORIGEN-S library to provide the basic decay constants and fission yields, as well as the 3-group cross-sections which are used for the isotopes not contained in the MPACT multi-group library. The cross sections for the depletion transmutation matrix were collapsed using the transport flux solution in MPACT based on either the 47 group HELIOS library based on ENDF-VI or a 56 group ORNL library based on ENDF-VII. The second section of this paper then describes the numerical verification of the depletion algorithm using two sets of benchmarks. The first is the JAERI LWR lattice benchmark which had participants from most of the lattice depletion codes currently used in the international nuclear community and the second benchmark is based on data from spent fuel of the Takahama-3 reactor. The results show that MPACT is generally in good agreement with the results of the other benchmark participants as well as the experimental data. Finally, a full core 2D model of CASL AMA benchmark was depleted based on the central plane of the Watts Bar reactor core which demonstrates the whole core depletion capability of MPACT. (author)

  15. Advanced test reactor. Testing capabilities and plans

    International Nuclear Information System (INIS)

    The Advanced Test Reactor (ATR), at the Idaho National Laboratory (INL), is one of the world's premier test reactors for providing the capability for studying the effects of intense neutron and gamma radiation on reactor materials and fuels. The physical configuration of the ATR, a 4-leaf clover shape, allows the reactor to be operated at different power levels in the corner 'lobes' to allow for different testing conditions for multiple simultaneous experiments. The combination of high flux (maximum thermal neutron fluxes of 1E15 neutrons per square centimeter per second and maximum fast [E>1.0 MeV] neutron fluxes of 5E14 neutrons per square centimeter per second) and large test volumes (up to 122 cm long and 12.7 cm diameter) provide unique testing opportunities. For future research, some ATR modifications and enhancements are currently planned. In 2007 the US Department of Energy designated the ATR as a National Scientific User Facility (NSUF) to facilitate greater access to the ATR for material testing research by a broader user community. This paper provides more details on some of the ATR capabilities, key design features, experiments, and plants for the NSUF. (author)

  16. Tonopah Test Range capabilities: technical manual

    Energy Technology Data Exchange (ETDEWEB)

    Manhart, R.L.

    1982-11-01

    This manual describes Tonopah Test Range (TTR), defines its testing capabilities, and outlines the steps necessary to schedule tests on the Range. Operated by Sandia National Laboratories, TTR is a major test facility for DOE-funded weapon programs. The Range presents an integrated system for ballistic test vehicle tracking and data acquisition. Multiple radars, optical trackers, telemetry stations, a central computer complex, and combined landline/RF communications systems assure full Range coverage for any type of test. Range operations are conducted by a department within Sandia's Field Engineering Directorate. While the overall Range functions as a complete system, it is operationally divided into the Test Measurements, Instrumentation Development, and Range Operations divisions. The primary function of TTR is to support DOE weapons test activities. Management, however, encourages other Government agencies and their contractors to schedule tests on the Range which can make effective use of its capabilities. Information concerning Range use by organizations outside of DOE is presented. Range instrumentation and support facilities are described in detail. This equipment represents the current state-of-the-art and reflects a continuing commitment by TTR management to field the most effective tracking and data acquisition system available.

  17. The evolution of Western nuclear capabilities

    International Nuclear Information System (INIS)

    This paper reports on the evolution of western nuclear capabilities. Presidents Truman and Eisenhower largely cast the die that determined the role, size, and organization of today's nuclear forces. The milestones were Truman's vast expansion of the nuclear weapons stockpile, followed by a series of seminal decisions by Eisenhower: transfer of peacetime civilian custody of nuclear weapons to the military; creation of a streamlined chain of command and a centrally coordinated war plan for all U.S. strategic forces; and the commitment to develop and deploy land- and submarine-based missiles of intercontinental range. The current U.S. strategic forces have some 11,000 widely dispersed nuclear warheads, of which more than 6,000 are ready for launch within minutes, can be traced back to these initiatives. Naturally, they were not taken in a geopolitical vacuum. Truman and Eisenhower had to contend with the Berlin Blockade in 1948, followed shortly thereafter by the Korean War

  18. Intelsat VII communications capabilities and performance

    Science.gov (United States)

    Abdel-Nabi, T.; Koh, E.; Kennedy, D.

    This paper describes the general characteristics of the Intelsat VII communications payload and analyzes the suitability of its design for digital transmission, for efficient incorporation of small earth stations into the Intelsat network, and for a relatively straightforward transition from the current Intelsat VA/VI configuration. An overview is presented of the comunications performance of the Intelsat VII satellite for the more important Intelsat digital and analog services, and earth stations standards. Specifically, the advantages, in terms of performance and capabilities, of the improved transponder linearity characteristics associated with the C-Band SSPA's and the K(u)-Band linearized TWTA's are addressed. The enhanced ability of this spacecraft to provide bandwidth where required from several possible orbital locations is discussed.

  19. Numerical modeling capabilities to predict repository performance

    Energy Technology Data Exchange (ETDEWEB)

    1979-09-01

    This report presents a summary of current numerical modeling capabilities that are applicable to the design and performance evaluation of underground repositories for the storage of nuclear waste. The report includes codes that are available in-house, within Golder Associates and Lawrence Livermore Laboratories; as well as those that are generally available within the industry and universities. The first listing of programs are in-house codes in the subject areas of hydrology, solute transport, thermal and mechanical stress analysis, and structural geology. The second listing of programs are divided by subject into the following categories: site selection, structural geology, mine structural design, mine ventilation, hydrology, and mine design/construction/operation. These programs are not specifically designed for use in the design and evaluation of an underground repository for nuclear waste; but several or most of them may be so used.

  20. Numerical modeling capabilities to predict repository performance

    International Nuclear Information System (INIS)

    This report presents a summary of current numerical modeling capabilities that are applicable to the design and performance evaluation of underground repositories for the storage of nuclear waste. The report includes codes that are available in-house, within Golder Associates and Lawrence Livermore Laboratories; as well as those that are generally available within the industry and universities. The first listing of programs are in-house codes in the subject areas of hydrology, solute transport, thermal and mechanical stress analysis, and structural geology. The second listing of programs are divided by subject into the following categories: site selection, structural geology, mine structural design, mine ventilation, hydrology, and mine design/construction/operation. These programs are not specifically designed for use in the design and evaluation of an underground repository for nuclear waste; but several or most of them may be so used

  1. Capable of Suicide: A Functional Model of the Acquired Capability Component of the Interpersonal-Psychological Theory of Suicide

    Science.gov (United States)

    Smith, Phillip N.; Cukrowicz, Kelly C.

    2016-01-01

    The current review aims to present a functional model of the acquired capability for suicide; a component of Joiner’s (2005) Interpersonal-Psychological Theory of Suicide. This review is aimed at integrating the points discussed by Joiner into a unified and specific conceptualization of acquired capability. Additionally, we offer some points of elaboration; such as the interaction between specific diatheses with life events, the role of short-term bolstering of the capability for suicide, and how contextual factors moderate the experience of painful and provocative life events; thereby leading to fearlessness and pain insensitivity to the actions and ideas involved in suicide. PMID:20560748

  2. Nondestructive waste assay capability evaluation project

    International Nuclear Information System (INIS)

    For most containerized waste forms, the most common and efficient means to determine the TRU material quantity is the use of nondestructive assay (NDA) techniques. Requirements and quality assurance objectives (QAOs) for NDA techniques employed to characterize TRU waste destined for the Waste Isolation Pilot Plant are delineated in the National TRU Program Transuranic Waste Characterization Quality Assurance Program Plan (QAPP). These QAOs represent minimum performance requirements consisting of allowable measurement parameter ranges such as bias and precision for which compliance must be demonstrated in accordance with the prescriptions of the QAPP. To establish actual capabilities of existing nondestructive waste assay systems relative to the requirements of the QAPP, a mechanism is required to acquire performance data for waste types typical of the DOE inventory and to objectively evaluate such data. In accordance with this need, the DOE mixed waste focus area operating in conjunction with the characterization monitoring and sensor technology crosscut area program has instituted an assay capability evaluation project (CEP). The project is focused on mobile NDA technologies but is applicable to most permanently installed systems operating the same NDA technology. The evaluation project is currently being conducted at the Idaho National Engineering and Environmental Laboratory (INEEL) Radioactive Waste Management Complex (RWMC) using actual Rocky Flats Plant-generated waste forms currently in storage and appropriate matrix/radioactive material surrogates. Six mobile waste assay system technologies are participating in the CEP: (1) segmented gamma scanner; (2) active and passive computed tomography; (3) high-efficiency neutron counter; (4) IQ3-gamma assay system; (5) tomographic gamma scanner; and (6) an imaging passive/active neutron system

  3. Primary care practice-based care management for chronically ill patients (PraCMan: study protocol for a cluster randomized controlled trial [ISRCTN56104508

    Directory of Open Access Journals (Sweden)

    Baldauf Annika

    2011-06-01

    status and severity (PHQ-9, self-management capabilities and clinical parameters. Data collection will be performed at baseline, 12 and 24 months (12 months post-intervention. Discussion Practice-based care management for high risk individuals involving trained HCAs appears to be a promising approach to face the needs of an aging population with increasing care demands. Trial registration Current Controlled Trials ISRCTN56104508

  4. JEM/SMILES observation capability

    Science.gov (United States)

    Kasai, Yasuko J.; Baron, Philippe; Ochiai, Satoshi; Mendrok, Jana; Urban, Joachim; Murtagh, Donal; Moller, Joakim; Manabe, Takeshi; Kikuchi, Kenichi; Nishibori, Toshiyuki

    2009-09-01

    A new generation of sub-millimeter-wave receivers employing sensitive SIS (Superconductor-Insulator- Superconductor) detector technology will provide new opportunities for precise passive remote sensing observation of minor constituents in atmosphere. Superconducting Submillimeter-Wave Limb-Emission Sounder (SMILES) was designed to be onbord the Japanese Experiment Module (JEM) on the International Space Station (ISS) as a collaboration project of National Institute of Information and Communications Technology (NICT) and Japan Aerospace Exploration Agency (JAXA). SMILES scheduled to be launch in September 11, 2009 by the H-II Transfer Vehicle (HTV). Mission Objectives are: i) Space demonstration of superconductive mixer and 4-K mechanical cooler for the submillimeter limb emission sounding, and ii) global observations of atmospheric minor constituents. JEM/SMILES will allow to observe the atmospheric species such as O3, H35Cl, H37 Cl, ClO, BrO, HOCl, HO2, and HNO3, CH3CN, and Ozone isotope species with the precisions in a few to several tens percents from upper troposphere to the mesosphere. We have estimated the observation capabilities of JEM/SMILES. This new technology may allow us to open new issues in atmospheric science.

  5. Solar mechanics thermal response capabilities.

    Energy Technology Data Exchange (ETDEWEB)

    Dobranich, Dean D.

    2009-07-01

    In many applications, the thermal response of structures exposed to solar heat loads is of interest. Solar mechanics governing equations were developed and integrated with the Calore thermal response code via user subroutines to provide this computational simulation capability. Solar heat loads are estimated based on the latitude and day of the year. Vector algebra is used to determine the solar loading on each face of a finite element model based on its orientation relative to the sun as the earth rotates. Atmospheric attenuation is accounted for as the optical path length varies from sunrise to sunset. Both direct and diffuse components of solar flux are calculated. In addition, shadowing of structures by other structures can be accounted for. User subroutines were also developed to provide convective and radiative boundary conditions for the diurnal variations in air temperature and effective sky temperature. These temperature boundary conditions are based on available local weather data and depend on latitude and day of the year, consistent with the solar mechanics formulation. These user subroutines, coupled with the Calore three-dimensional thermal response code, provide a complete package for addressing complex thermal problems involving solar heating. The governing equations are documented in sufficient detail to facilitate implementation into other heat transfer codes. Suggestions for improvements to the approach are offered.

  6. OPSAID improvements and capabilities report.

    Energy Technology Data Exchange (ETDEWEB)

    Halbgewachs, Ronald D.; Chavez, Adrian R.

    2011-08-01

    Process Control System (PCS) and Industrial Control System (ICS) security is critical to our national security. But there are a number of technological, economic, and educational impediments to PCS owners implementing effective security on their systems. Sandia National Laboratories has performed the research and development of the OPSAID (Open PCS Security Architecture for Interoperable Design), a project sponsored by the US Department of Energy Office of Electricity Delivery and Energy Reliability (DOE/OE), to address this issue. OPSAID is an open-source architecture for PCS/ICS security that provides a design basis for vendors to build add-on security devices for legacy systems, while providing a path forward for the development of inherently-secure PCS elements in the future. Using standardized hardware, a proof-of-concept prototype system was also developed. This report describes the improvements and capabilities that have been added to OPSAID since an initial report was released. Testing and validation of this architecture has been conducted in another project, Lemnos Interoperable Security Project, sponsored by DOE/OE and managed by the National Energy Technology Laboratory (NETL).

  7. Taking a Capability Approach to Technology and Its Design: A Philosophical Exploration

    OpenAIRE

    Oosterlaken, E.T.

    2013-01-01

    What people are realistically able to do and be in their lives, their capabilities, are of central moral importance according to the capability approach (CA) of Amartya Sen and Martha Nussbaum. Examples are the capabilities to be healthy or to be part of a community. The CA has become an influential normative framework for reflecting on justice, equality, well-being and development. In the past decades it has been successfully applied to areas such as education and health care. Only quite rec...

  8. Daily Care

    Science.gov (United States)

    ... to Know Online Tools Enhancing Daily Life Daily Plan Activities Communication Food & Eating Music & Art Personal Care Incontinence Bathing ... Tweet Email | Print Create a Daily Routine Daily Plan Activities Communication Food/Eating Get Tips on Personal Care Bathing ...

  9. Hair Care

    Science.gov (United States)

    ... Body Looking and feeling your best Hair care Hair care Short, long, curly, straight, up, down. Hair options can seem endless! Not all of what makes your hair look good comes from the outside, though. Good ...

  10. Continuing Care

    Science.gov (United States)

    ... Care Obesity at Midlife May Speed Alzheimer’s Onset Hello from my mom Easing the Behavior Problems of ... Managers Continuing Care FOR MORE ARTICLES CLICK HERE Hello from my mom Common Estate Planning Errors Alzheimer’s ...

  11. Tracheostomy care

    Science.gov (United States)

    ... this page: //medlineplus.gov/ency/patientinstructions/000076.htm Tracheostomy care To use the sharing features on this ... through your nose and mouth. Caring for Your Tracheostomy Once the hole in your neck is not ...

  12. Availability and utilisation of physician-based pre-hospital critical care support to the NHS ambulance service in England, Wales and Northern Ireland

    OpenAIRE

    Hyde, Philip; Mackenzie, Rod; Ng, Gail; Reid, Cliff; Pearson, Gale

    2011-01-01

    Background Every day throughout the UK, ambulance services seek medical assistance in providing critically ill or injured patients with pre-hospital care. Objective To identify the current availability and utilisation of physician-based pre-hospital critical care capability across England, Wales and Northern Ireland. Design A postal and telephone survey was undertaken between April and December 2009 of all 13 regional NHS ambulance services, 17 air ambulance charities, 34 organisations affili...

  13. Assessment of NASA's Aircraft Noise Prediction Capability

    Science.gov (United States)

    Dahl, Milo D. (Editor)

    2012-01-01

    A goal of NASA s Fundamental Aeronautics Program is the improvement of aircraft noise prediction. This document provides an assessment, conducted from 2006 to 2009, on the current state of the art for aircraft noise prediction by carefully analyzing the results from prediction tools and from the experimental databases to determine errors and uncertainties and compare results to validate the predictions. The error analysis is included for both the predictions and the experimental data and helps identify where improvements are required. This study is restricted to prediction methods and databases developed or sponsored by NASA, although in many cases they represent the current state of the art for industry. The present document begins with an introduction giving a general background for and a discussion on the process of this assessment followed by eight chapters covering topics at both the system and the component levels. The topic areas, each with multiple contributors, are aircraft system noise, engine system noise, airframe noise, fan noise, liner physics, duct acoustics, jet noise, and propulsion airframe aeroacoustics.

  14. Size and transportation capabilities of the existing US cask fleet

    International Nuclear Information System (INIS)

    This study investigates the current spent nuclear fuel cask fleet capability in the United States. In addition, it assesses the degree to which the current fleet would be available, as a contingency, until proposed Office of Civilian Radioactive Waste Management casks become operational. A limited fleet of ten spent fuel transportation casks is found to be readily available for use in Federal waste management efforts over the next decade

  15. Sandia Laboratories technical capabilities: computation systems

    Energy Technology Data Exchange (ETDEWEB)

    1977-12-01

    This report characterizes the computation systems capabilities at Sandia Laboratories. Selected applications of these capabilities are presented to illustrate the extent to which they can be applied in research and development programs. 9 figures.

  16. Sandia Laboratories technical capabilities: engineering analysis

    International Nuclear Information System (INIS)

    This report characterizes the engineering analysis capabilities at Sandia Laboratories. Selected applications of these capabilities are presented to illustrate the extent to which they can be applied in research and development programs

  17. Building capabilities to manage strategic alliances

    OpenAIRE

    SLUYTS, Kim; Matthyssens, Paul; Martens, Rudy; Streukens, Sandra

    2011-01-01

    Recently, academics have attributed a large part of alliance success to a firm's ability to successfully manage its alliances, also called its level of alliance management capability. We contribute to this growing body of literature by (1) verifying the impact of alliance management capability on alliance performance and (2) analyzing the drivers of alliance management capability. We measure this capability through four types of alliance learning processes and study how each of these processe...

  18. A comprehensive estimation method for enterprise capability

    OpenAIRE

    Tetiana Kuzhda; Natalia Kyrych

    2015-01-01

    In today’s highly competitive business world, the need for efficient enterprise capability management is greater than ever. As more enterprises begin to compete on a global scale, the effective use of enterprise capability will become imperative for them to improve their business activities. The definition of socio-economic capability of the enterprise has been given and the main components of enterprise capability have been pointed out. The comprehensive method to estimate enterprise capabil...

  19. DESIGNING AND MEASURING CAPABILITY. A NEW PERSPECTIVE

    Directory of Open Access Journals (Sweden)

    Ovidiu COCENESCU

    2013-01-01

    Full Text Available The concept of capability has long been a topic for debate among planners. The main benefit brought by it is that of ensuring the connection between objectives and necessary financial resources. Thus, capability is a median element within the process of integrated planning. In this context, there are sceptics who consider that capability cannot be measured. However, this article aims at presenting a pattern and a formula for measuring and interpreting the level of capability.

  20. Fuzzy logic and the capability approach

    OpenAIRE

    Tindara Addabbo; Gisella Facchinetti

    2013-01-01

    The definition of well being in Sen's capability approach (Sen, 1985, 1993) implies the evaluation of unobservables in a context of complexity and interaction amongst the different capabilities. The issue of measurement of well being in the capability approach is interested by problems related to the difficulties in observing directly the capabilities (a set of opportunities that the individual can convert into observables functionings) behind the achieved functionings and in the very definit...

  1. Sustainability economics, ontology and the capability approach

    OpenAIRE

    Martins, Nuno O.

    2011-01-01

    Copyright © 2011 Elsevier B.V. All rights reserved. The relationship between sustainability economics and the capability approach has recently been explored. Here I shall discuss this relationship, and argue that a study of the ontology underlying the capability approach can help us to see more clearly the interconnections between sustainability economics and the capability approach. In particular, the interpretations of the capability approach as an ontological exercise, which have recent...

  2. Capability development within the multinational corporation

    OpenAIRE

    Kilpinen, Paula

    2013-01-01

    The operating environment is being shaped by globalization forces, rapid technological change and intensified competition, which call for strategic changes and new capabilities from multinational corporations. Even though the capability-based determinants to firm survival and growth have been recognized, research on capability development has been limited. This study investigates capability dynamics within MNCs and the interactions between strategy and the environments internal and external t...

  3. Dynamic capabilities in small software firms

    OpenAIRE

    Kivelä, Marianne

    2007-01-01

    In this dissertation we study dynamic capabilities in small software firms. Small software firms find themselves in highly complex and turbulent environments that require dynamic capabilities to build, integrate and configure resources. While the literature describes a portfolio of such dynamic capabilities that can help firms to adapt to changing conditions, we could not find many definitions, models and studies on these capabilities suitable with particular focus on small software firms. Fu...

  4. Reframing Inclusive Education: Educational Equality as Capability Equality

    Science.gov (United States)

    Terzi, Lorella

    2014-01-01

    In this paper, I argue that rethinking questions of inclusive education in the light of the value of educational equality--specifically conceived as capability equality, or genuine opportunities to achieve educational functionings--adds some important insights to the current debate on inclusive education. First, it provides a cohesive value…

  5. 7 CFR 281.4 - Determining Indian tribal organization capability.

    Science.gov (United States)

    2010-01-01

    ... used in the certification process will be employed under standards equivalent to current standards for... to the commitment of any Federal funds for administrative costs for that year. FNS shall provide the... 7 Agriculture 4 2010-01-01 2010-01-01 false Determining Indian tribal organization capability....

  6. Selecting Capabilities for Quality of Life Measurement

    Science.gov (United States)

    Robeyns, Ingrid

    2005-01-01

    The capability approach advocates that interpersonal comparisons be made in the space of functionings and capabilities. However, Amartya Sen has not specified which capabilities should be selected as the relevant ones. This has provoked two types of criticism. The stronger critique is Martha Nussbaum's claim that Sen should endorse one specific…

  7. Methodological Individualism and the Organizational Capabilities Approach

    DEFF Research Database (Denmark)

    Felin, Teppo; Foss, Nicolai Juul

    2004-01-01

    science, particularly the debate between methodological individualismand collectivism. We argue that a number of explanatory anomalies as well as the apparentlack of progress in capabilities-based work are partly due to much of capabilities-basedwork being based on collectivist notions that sidestep.......Key words: Organizational capabilities, methodological individualism, philosophy ofsocial science...

  8. Organizational Economics of Capability and Heterogeneity

    DEFF Research Database (Denmark)

    Argyres, Nicholas S.; Felin, Teppo; Foss, Nicolai Juul; Zenger, Todd

    2012-01-01

    economics, and we point to the dominance of a “capabilities first” logic in this relationship. We argue that capabilities considerations are inherently intertwined with questions about organizational boundaries and internal organization, and we use this point to respond to the prevalent capabilities first......For decades, the literatures on firm capabilities and organizational economics have been at odds with each other, specifically relative to explaining organizational boundaries and heterogeneity. We briefly trace the history of the relationship between the capabilities literature and organizational...

  9. Distinctive Dynamic Capabilities for New Business Creation

    DEFF Research Database (Denmark)

    Rosenø, Axel; Enkel, Ellen; Mezger, Florian

    2013-01-01

    This study examines the distinctive dynamic capabilities for new business creation in established companies. We argue that these are very different from those for managing incremental innovation within a company's core business. We also propose that such capabilities are needed in both slow and...... fast-paced industries, and that similarities exist across industries. Hence, the study contributes to dynamic capabilities literature by: 1) identifying the distinctive dynamic capabilities for new business creation; 2) shifting focus away from dynamic capabilities in environments characterised by high...... clock-speed and uncertainty towards considering dynamic capabilities for the purpose of developing new businesses, which also implies a high degree of uncertainty. Based on interviews with 33 companies, we identify distinctive dynamic capabilities for new business creation, find that dynamic...

  10. Exploiting Knowledge Through R&D and Technological Capability: A Dynamic Capabilities Perspective

    OpenAIRE

    Lidija Breznik

    2015-01-01

    The objective of this paper is to explore the notion of dynamic capabilities as a dominant source of competitive advantage, focusing on R&D capability and technological capability and exploitation of knowledge about them. Building on qualitative data from six representative IT firms, the results indicate that firms more strongly committed to deploying R&D capability and technological capability as a dynamic capability hold the potential for a sustained competitive advantage. The paper points ...

  11. Delirium assessment in Intensive Care Unit in one hospital:current practice and perceived barriers%某医院ICU护士谵妄评估现状及障碍因素调查

    Institute of Scientific and Technical Information of China (English)

    李智; 田永明; 李霞; 唐志红; 胡秀英

    2016-01-01

    Objective: To investigate the current practices of delirium assessment and analyze the perceived barriers among ICU nurses, and to provide reference to improve delirium assessment in ICU. Methods: A questionnaire survey was implemented among 256 ICU nurses in one hospital in Sichuan province. Results: 94.9% nurses had the experiences of caring delirium patients in ICU. Preferred methods for assessing delirium included clinical experience (80.5%), delirium assessment tools (14.5%), and psychiatric consultation (5.0%). The top three perceived barriers were dififculties in assessing intubated patients, assessing sedative patients and lack of delirium assessment knowledge. Nurses who assessed by clinical experience, who had never received related educations and who thought they had insufifcient knowledge, had higher scores of barriers. Conclusion: The current practices of ICU delirium assessment were unsatisfying, and the main barriers were lack of skills and knowledge.%目的:调查ICU护士谵妄评估实施现状,分析影响其评估的障碍因素,为促进ICU谵妄评估实践提供参考依据。方法:采用自行设计的问卷对四川省某医院256位ICU护士进行调查。结果:94.9%的护士护理过谵妄患者,80.5%的护士通过临床经验识别谵妄,14.5%通过评估工具,5.0%则是通过精神科医生会诊意见。插管患者评估困难、镇静患者评估困难及认为自己缺乏ICU谵妄评估相关知识是ICU谵妄评估的三大障碍因素。通过临床经验评估谵妄者、未接受过谵妄评估培训者、自评相关知识不能满足临床工作者的障碍因素得分更高,差异有统计学意义。结论:ICU谵妄评估现状尚须改善,护士缺乏谵妄评估相关技能和知识是主要障碍因素。

  12. Nuclear Research and Development Capabilities Needed to Support Future Growth

    International Nuclear Information System (INIS)

    The energy crisis looming before the United States can be resolved only by an approach that integrates a 'portfolio' of options. Nuclear energy, already an important element in the portfolio, should play an even more significant role in the future as the U.S. strives to attain energy independence and reduce carbon emissions. The DOE Office of Nuclear Energy asked Battelle Memorial Institute to obtain input from the commercial power generation industry on industry's vision for nuclear energy over the next 30-50 years. With this input, Battelle was asked to generate a set of research and development capabilities necessary for DOE to support the anticipated growth in nuclear power generation. This presentation, based on the report generated for the Office of Nuclear Energy, identifies the current and future nuclear research and development capabilities required to make this happen. The capabilities support: (1) continued, safe operation of the current fleet of nuclear plants; (2) the availability of a well qualified and trained workforce; (3) demonstration of the next generation nuclear plants; (4) development of a sustainable fuel cycle; (5) advanced technologies for maximizing resource utilization and minimization of waste and (6) advanced modeling and simulation for rapid and reliable development and deployment of new nuclear technologies. In order to assure these capabilities are made available, a Strategic Nuclear Energy Capability Initiative is proposed to provide the required resources during this critical period of time. (authors)

  13. IAC-1.5 - INTEGRATED ANALYSIS CAPABILITY

    Science.gov (United States)

    Vos, R. G.

    1994-01-01

    , object code, etc. The user can define groups of data and relations between them. A full data manipulation and query system operates with the database. The current interface modules comprise five groups: 1) Structural analysis - IAC contains a NASTRAN interface for standalone analysis or certain structural/control/thermal combinations. IAC provides enhanced structural capabilities for normal modes and static deformation analysis via special DMAP sequences. 2) Thermal analysis - IAC supports finite element and finite difference techniques for steady state or transient analysis. There are interfaces for the NASTRAN thermal analyzer, SINDA/SINFLO, and TRASYS II. 3) System dynamics - A DISCOS interface allows full use of this simulation program for either nonlinear time domain analysis or linear frequency domain analysis. 4) Control analysis - Interfaces for the ORACLS, SAMSAN, NBOD2, and INCA programs allow a wide range of control system analyses and synthesis techniques. 5) Graphics - The graphics packages PLOT and MOSAIC are included in IAC. PLOT generates vector displays of tabular data in the form of curves, charts, correlation tables, etc., while MOSAIC generates color raster displays of either tabular of array type data. Either DI3000 or PLOT-10 graphics software is required for full graphics capability. IAC is available by license for a period of 10 years to approved licensees. The licensed program product includes one complete set of supporting documentation. Additional copies of the documentation may be purchased separately. IAC is written in FORTRAN 77 and has been implemented on a DEC VAX series computer operating under VMS. IAC can be executed by multiple concurrent users in batch or interactive mode. The basic central memory requirement is approximately 750KB. IAC includes the executive system, graphics modules, a database, general utilities, and the interfaces to all analysis and controls programs described above. Source code is provided for the control

  14. Effective health care for older people living and dying in care homes: a realist review

    OpenAIRE

    Goodman, Claire; Dening, Tom; Gordon, Adam L.; Davies, Susan L.; Meyer, Julienne; Martin, Finbarr C; Gladman, John R F; Bowman, Clive; Victor, Christina; Handley, Melanie; Gage, Heather; Iliffe, Steve; ZUBAIR, MARIA

    2016-01-01

    Background Care home residents in England have variable access to health care services. There is currently no coherent policy or consensus about the best arrangements to meet these needs. The purpose of this review was to explore the evidence for how different service delivery models for care home residents support and/or improve wellbeing and health-related outcomes in older people living and dying in care homes. Methods We conceptualised models of health care provision to care homes as comp...

  15. Health care supervisors and employee relations success: three C's a day keep the union away.

    Science.gov (United States)

    Bolon, D S

    1995-09-01

    The health care industry is experiencing rapid change and uncertainty. Given the tremendous amount of instability in the industry, many observers are not surprised at the high level of militancy currently being displayed by many health care workers. However, it should not automatically follow that turbulent times will lead to uneasy management-labor relations. Maintaining nonunion status depends largely on the employee relations skills and capabilities of first-line supervisors. The article reviews and discusses three key attributes (communication, consideration, and commitment) that supervisors must display in order to promote employee satisfaction and remain union-free. Practical guidelines and suggestions are provided. PMID:10144616

  16. Enhance End-of-Life Care

    Science.gov (United States)

    ... Home Current Issue Past Issues Enhance End-of-Life Care Past Issues / Spring 2008 Table of Contents ... lead in the efforts to improve end-of-life care for patients and their families. Photo: Corbis ...

  17. Post-Irradiation Capabilities at the Idaho National Laboratory

    International Nuclear Information System (INIS)

    The US Department of Energy (DOE), Office of Nuclear Energy (NE) oversees the efforts to ensure nuclear energy remains a viable option for the United States of America. A significant portion of these efforts are related to post-irradiation examinations (PIE) of highly activated fuel and materials that are subject to the extreme environment inside a nuclear reactor. As the lead national laboratory for nuclear energy, Idaho National Laboratory (INL) has a rich history, experience, workforce, and capabilities for performing PIE. However, new advances in tools and techniques for performing PIE now enable understanding the performance of fuels and materials at the nano-scale and smaller level. Examination at this level is critical since this is the scale at which irradiation damage occurs. The INL is on course to adopt advanced tools and techniques to develop a comprehensive nuclear fuels and materials characterization capability that is unique in the world. Because INL has extensive PIE capabilities currently in place, a strong foundation exist to build upon as new capabilities are implemented and workload increases. In the recent past, INL has adopted significant capability to perform advanced PIE characterization. Looking forward, INL is planning for the addition of two facilities that will be built to meet the stringent demands of advanced tools and techniques for highly activated fuels and materials characterization. Dubbed the Irradiated Materials Characterization Laboratory (IMCL) and advanced post- irradiation examination capability, these facilities are next generation PIE laboratories designed to perform the PIE work that cannot be performed in current DOE facilities. In addition to physical capabilities, INL has recently added two significant contributors to the Advanced Test Reactor-National Scientific User Facility (ATR-NSUF), Oak Ridge National Laboratory and University of California Berkeley. (author)

  18. Post Irradiation Capabilities at the Idaho National Laboratory

    Energy Technology Data Exchange (ETDEWEB)

    J. L. Schulthess; K. E. Rosenberg

    2011-05-01

    The U.S. Department of Energy (DOE), Office of Nuclear Energy (NE) oversees the efforts to ensure nuclear energy remains a viable option for the United States. A significant portion of these efforts are related to post-irradiation examinations (PIE) of highly activated fuel and materials that are subject to the extreme environment inside a nuclear reactor. As the lead national laboratory, Idaho National Laboratory (INL) has a rich history, experience, workforce and capabilities for performing PIE. However, new advances in tools and techniques for performing PIE now enable understanding the performance of fuels and materials at the nano-scale and smaller level. Examination at this level is critical since this is the scale at which irradiation damage occurs. The INL is on course to adopt these advanced tools and techniques to develop a comprehensive nuclear fuels and materials characterization capability that is unique in the world. Because INL has extensive PIE capabilities currently in place, a strong foundation exist to build upon as new capabilities are implemented and work load increases. In the recent past, INL has adopted significant capability to perform advanced PIE characterization. Looking forward, INL is planning for the addition of two facilities that will be built to meet the stringent demands of advanced tools and techniques for highly activated fuels and materials characterization. Dubbed the Irradiated Materials Characterization Laboratory (IMCL) and Advanced Post Irradiation Examination Capability , these facilities are next generation PIE laboratories designed to perform the work of PIE that cannot be performed in current DOE facilities. In addition to physical capabilities, INL has recently added two significant contributors to the Advanced Test Reactor-National Scientific User Facility (ATR-NSUF), Oak Ridge National Laboratory and University of California, Berkeley.

  19. Post Irradiation Capabilities at the Idaho National Laboratory

    International Nuclear Information System (INIS)

    The U.S. Department of Energy (DOE), Office of Nuclear Energy (NE) oversees the efforts to ensure nuclear energy remains a viable option for the United States. A significant portion of these efforts are related to post-irradiation examinations (PIE) of highly activated fuel and materials that are subject to the extreme environment inside a nuclear reactor. As the lead national laboratory, Idaho National Laboratory (INL) has a rich history, experience, workforce and capabilities for performing PIE. However, new advances in tools and techniques for performing PIE now enable understanding the performance of fuels and materials at the nano-scale and smaller level. Examination at this level is critical since this is the scale at which irradiation damage occurs. The INL is on course to adopt these advanced tools and techniques to develop a comprehensive nuclear fuels and materials characterization capability that is unique in the world. Because INL has extensive PIE capabilities currently in place, a strong foundation exist to build upon as new capabilities are implemented and work load increases. In the recent past, INL has adopted significant capability to perform advanced PIE characterization. Looking forward, INL is planning for the addition of two facilities that will be built to meet the stringent demands of advanced tools and techniques for highly activated fuels and materials characterization. Dubbed the Irradiated Materials Characterization Laboratory (IMCL) and Advanced Post Irradiation Examination Capability, these facilities are next generation PIE laboratories designed to perform the work of PIE that cannot be performed in current DOE facilities. In addition to physical capabilities, INL has recently added two significant contributors to the Advanced Test Reactor-National Scientific User Facility (ATR-NSUF), Oak Ridge National Laboratory and University of California, Berkeley.

  20. Capabilities of detection equipment and development needs

    International Nuclear Information System (INIS)

    The most comprehensive recent study on the performance of commercially available monitoring equipment was performed by the Austrian Research Center in close co-operation with the IAEA. This Illicit Trafficking Radiation Detection Assessment Programme (ITRAP) was made possible by the participation of more than 20 international manufacturers of stationary and mobile monitoring equipment. The study also highlighted strong and less strong points of current equipment. Attention was paid to the complete detection and response process, considering the deployment by front-line officers at checkpoints (a field test was undertaken at the Hungarian-Austrian border crossing at Nickelsdorf). Again, practical experience showed possible consequences for the actual implementation of such a monitoring programme. Technically, a number of factors still need to be addressed, first and foremost in the area of handheld radionuclide identifiers, small instruments allowing identification of radionuclides in the field.The paper presents an overview of the results of the ITRAP study in terms of detection capability and deployment considerations, problems encountered and improvement potential, and a discussion centred on improvement potential and development needs regarding the implementation of a monitoring programme. (author)

  1. Summary of NASA Advanced Telescope and Observatory Capability Roadmap

    Science.gov (United States)

    Stahl, H. Philip; Feinberg, Lee

    2007-01-01

    The NASA Advanced Telescope and Observatory (ATO) Capability Roadmap addresses technologies necessary for NASA to enable future space telescopes and observatories operating in all electromagnetic bands, from x-rays to millimeter waves, and including gravity-waves. It lists capability priorities derived from current and developing Space Missions Directorate (SMD) strategic roadmaps. Technology topics include optics; wavefront sensing and control and interferometry; distributed and advanced spacecraft systems; cryogenic and thermal control systems; large precision structure for observatories; and the infrastructure essential to future space telescopes and observatories.

  2. PHISICS multi-group transport neutronic capabilities for RELAP5

    Energy Technology Data Exchange (ETDEWEB)

    Epiney, A.; Rabiti, C.; Alfonsi, A.; Wang, Y.; Cogliati, J.; Strydom, G. [Idaho National Laboratory (INL), 2525 N. Fremont Ave., Idaho Falls, ID 83402 (United States)

    2012-07-01

    PHISICS is a neutronic code system currently under development at INL. Its goal is to provide state of the art simulation capability to reactor designers. This paper reports on the effort of coupling this package to the thermal hydraulic system code RELAP5. This will enable full prismatic core and system modeling and the possibility to model coupled (thermal-hydraulics and neutronics) problems with more options for 3D neutron kinetics, compared to the existing diffusion theory neutron kinetics module in RELAP5 (NESTLE). The paper describes the capabilities of the coupling and illustrates them with a set of sample problems. (authors)

  3. Optical Design Capabilities at Lawrence Livermore National Laboratory

    Energy Technology Data Exchange (ETDEWEB)

    Lawson, J K

    2002-12-30

    Optical design capabilities continue to play the same strong role at Lawrence Livermore National Laboratory (LLNL) that they have played in the past. From defense applications to the solid-state laser programs to the Atomic Vapor Laser Isotope Separation (AVLIS), members of the optical design group played critical roles in producing effective system designs and are actively continuing this tradition. This talk will explain the role optical design plays at LLNL, outline current capabilities and summarize a few activities in which the optical design team has been recently participating.

  4. Heavy Lift Launch Capability with a New Hydrocarbon Engine

    Science.gov (United States)

    Threet, Grady E., Jr.; Holt, James B.; Philips, Alan D.; Garcia, Jessica A.

    2011-01-01

    The Advanced Concepts Office at NASA's George C. Marshall Space Flight Center was tasked to define the thrust requirement of a new liquid oxygen rich staged combustion cycle hydrocarbon engine that could be utilized in a launch vehicle to meet NASA s future heavy lift needs. Launch vehicle concepts were sized using this engine for different heavy lift payload classes. Engine out capabilities for one of the heavy lift configurations were also analyzed for increased reliability that may be desired for high value payloads or crewed missions. The applicability for this engine in vehicle concepts to meet military and commercial class payloads comparable to current ELV capability was also evaluated.

  5. Organizational Fragmentation and Care Quality in the U.S. Health Care System

    OpenAIRE

    Randall D. Cebul; James B. Rebitzer; Taylor, Lowell J.; Mark Votruba

    2008-01-01

    Many goods and services can be readily provided through a series of unconnected transactions, but in health care close coordination over time and within care episodes improves both health outcomes and efficiency. Close coordination is problematic in the US health care system because the financing and delivery of care is distributed across a variety of distinct and often competing entities, each with its own objectives, obligations and capabilities. These fragmented organizational structures l...

  6. Prehospital care in Indonesia

    OpenAIRE

    Pitt, E.; Pusponegoro, A

    2005-01-01

    Current system: Hospitals of varying standards are widespread but have no system of emergency ambulance or patient retrieval. Indonesia's only public emergency ambulance service, 118, is based in five of the biggest cities and is leading the way in paramedic training and prehospital care.

  7. Understanding dynamic capabilities through knowledge management

    DEFF Research Database (Denmark)

    Nielsen, Anders Paarup

    2006-01-01

    In the paper eight knowledge management activities are identified; knowledge creation, acquisition, capture, assembly, sharing, integration, leverage and exploitation. These activities are assembled into the three dynamic capabilities of knowledge development, knowledge (re)combination and...... knowledge use. The dynamic capabilities and the associated knowledge management activities create flows to and from the firm’s stock of knowledge and they support the creation and use of organizational capabilities....

  8. Innovation capabilities and firm labor productivity

    OpenAIRE

    Peeters, Carine; Van Pottelsberghe, Bruno

    2004-01-01

    This study relies on a Cobb-Douglas production function to assess the relationship between the development of innovation capabilities by firms and their labor productivity. Intra-organizational capabilities relate to firms’ corporate culture and work organization, generation of innovative ideas and selection of projects, and innovation funding sources. Inter-organizational capabilities relate to the use of external information from vertical partners, competitors, and consultants, and to R&D p...

  9. Compilation of Sandia Laboratories technical capabilities

    Energy Technology Data Exchange (ETDEWEB)

    Lundergan, C. D.; Mead, P. L. [eds.

    1975-11-01

    This report is a compilation of 17 individual documents that together summarize the technical capabilities of Sandia Laboratories. Each document in this compilation contains details about a specific area of capability. Examples of application of the capability to research and development problems are provided. An eighteenth document summarizes the content of the other seventeen. Each of these documents was issued with a separate report number (SAND 74-0073A through SAND 74-0091, except -0078). (RWR)

  10. Capabilities, social rights and European market integration

    OpenAIRE

    Jude Browne; Simon Deakin; Frank Wilkinson

    2002-01-01

    This paper explores the links between the economic notion of 'capabilities' and the judicial concept of social rights. We begin by revisiting TH Marshall's classic analysis of social rights and their ambiguous relationship to the market. We then examine how far Amartya Sen's Capabilities Approach provides a framework for locating social rights within a market setting. We argue that Sen's non-dogmatic, context-orientated approach to defining the meaning of capabilities offers a viable way forw...

  11. COMPLEMENTARITY OF INFORMATION TECHNOLOGY AND MARKETING CAPABILITIES

    OpenAIRE

    RAUL ALEXANDRU HUȚU

    2015-01-01

    This paper study the relation between information technology and marketing capabilities. The interface between marketing and information technology forms the subject of numerous empirical and conceptual research. The expanding adoption of information technology in marketing implies the knowledge about the e-marketing capabilities development factors and the potential of these capabilities to generate competitive advantage and to improve firm’s performance. The results of recent st...

  12. Compilation of Sandia Laboratories technical capabilities

    International Nuclear Information System (INIS)

    This report is a compilation of 17 individual documents that together summarize the technical capabilities of Sandia Laboratories. Each document in this compilation contains details about a specific area of capability. Examples of application of the capability to research and development problems are provided. An eighteenth document summarizes the content of the other seventeen. Each of these documents was issued with a separate report number (SAND 74-0073A through SAND 74-0091, except -0078)

  13. An Institutional View of Organizational Capabilities

    OpenAIRE

    Reinert do Nascimento, Mauricio; Bandeira-De-Mello, Rodrigo

    2008-01-01

    The literature of organizational capabilities has overlooked the role of values. We present an institutionalist view of the capability phenomenon accounting for the values occurring in three levels: in the action at routine level, at the organization level and at the institutional environment level. The mutual influences among these three levels are needed to analyze capability dynamics in its entirety. Central to our argument is the Weberian notion of social action and rationality, and the c...

  14. Capability Assessment of Indoor Positioning Systems

    OpenAIRE

    Landmark, Andreas Dypvik

    2009-01-01

    Location systems are seen as a promising technology for tracking people and objects to improve efficiency and quality in the healthcare domain. To increase the chances of success when introducing this new technology there are certain operational capabilities that need to be understood. The purpose of this Thesis is to explore how these operational capabilities can be assessed by experiment. The thesis proposes a method for describing the operational capabilities of a location system using a ...

  15. Care for nutrition and development.

    Science.gov (United States)

    Engle, P L; Pelto, G; Bentley, P

    2000-09-01

    Optimal growth and development depend not only on food quality and availability, on access to health care services and a healthy environment but also on the care provided to the child especially during the first few years of life. Care refers to the actions and practices of caregivers on a day to day basis that translate food, heakh care, and water and sanitation supplies into good growth and development of children. It includes behaviours such as feeding, sanitation and hygiene, home health practices, preparing food for children, and providing psychosocial support for development. Families also are responsible for providing care for girls in the family and women. Care requires resources--both skills and capabilities, as well as economic resources. Some resources are easily recognised, such as education of the caregiver, but others are less often seen, including time of the caregiver, motivation of caregiver and male family members, organisational resources such as child care centres, and the caregiver's ability to influence decisions about child care. It must be noted that the poorer the family, the more risks for children in the environment. Therefore, the poorer the environment, the more important a role care has in children's survival, growth and development. Implications for health care providers include assessing the care practices in the home, and resources for care when making recommendations; supporting positive practices already being performed in order to empower the caregiver; checking the understanding and recall of the caregiver; and finally, recognising that all children, regardless of gender, ethnicity, case, economic level, etc, have a right to good nutrition and health care in order to develop to their fullest potential under the Convention for the Rights of the Child, acceded to by India in 1992. PMID:11291785

  16. Supportive Care.

    Science.gov (United States)

    Olsen, Pia Riis; Lorenzo, Rosalía

    2016-01-01

    This chapter takes its point of departure in psychosocial aspects of supportive care in adolescent and young adult cancer care. The purpose is to describe some of the challenges that these young people face following a cancer diagnosis and guide healthcare professionals in how to provide care that improves the quality of life. In most hospitals and healthcare systems, adolescents and young adults are cared for and treated in settings for children or adults. Accordingly, healthcare professionals may lack attention to and knowledge about what characterize young peoples' life situation, their special needs and how to meet them. The topics we include in the chapter are the following: the youth friendly environment, social support and social network, parents, information during a psychosocial crisis event, the use of HEADSS, peer support, fertility, body image and self-esteem, after treatment and future challenges and palliative and end of life care. PMID:27595353

  17. Esourcing capability model for service providers

    CERN Document Server

    Hefley, Keith M Heston and Bill; Hyder, Elaine

    2010-01-01

    The eSourcing Capability Model for Service Providers (eSCM-SP) is the best practices model that supports sourcing organizations successfully manage and reduce their risks and improve their capabilities across the entire sourcing life-cycle. It addresses the critical issues related to IT-enabled sourcing (eSourcing) for both outsourced and in-sourced (shared services) agreements. Each of the Model's 84 Practice is distributed along three easy to follow dimensions: Sourcing Life-cycle, Capability Area, and Capability Level, and have been applied in IT, BPO, and KPO settings.The eSCM-SP has been

  18. Methods of ecological capability evaluation of forest

    International Nuclear Information System (INIS)

    In this research common methods of ecological capability evaluation of forests were reviewed and limitations for performance were analysed. Ecological capability of forests is an index that show site potential in several role of wood production, soil conservation, flood control, biodiversity, conservation and water supply. This index is related to ecological characteristics of land, such as soil, micro climate, elevation, slope and aspect that affect potential of sites. Suitable method of ecological capability evaluation must be chosen according to the objective of forestry. Common methods for ecological capability evaluation include plant and animal diversity, site index curve, soil and land form, inter branches, index plants, leave analyses, analyses regeneration and ecological mapping

  19. Aerodynamics Laboratory Facilities, Equipment, and Capabilities

    Data.gov (United States)

    Federal Laboratory Consortium — The following facilities, equipment, and capabilities are available in the Aerodynamics Laboratory Facilities and Equipment (1) Subsonic, open-jet wind tunnel with...

  20. Developing Technological Capabilities in Agro-Industry

    DEFF Research Database (Denmark)

    Whitfield, Lindsay

    2012-01-01

    Ghanaian exporters developed technological capabilities initially and the incentives and disincentives to building on those capabilities. The article argues that at the heart of the industry's crisis was an inability to further develop technological capabilities. The crisis had systemic features that have......This article examines the emergence and trajectory of a new agro-industry in Ghana, the pineapple export industry, using the technological capabilities approach. It explains the limited expansion of the industry and its declining competitiveness in the face of new competition by looking at how...... broader implications for developing new agro-industries in Ghana as well as other African countries....

  1. Organizational Capabilities of the Entrepreneurial University

    Directory of Open Access Journals (Sweden)

    Lucian Gramescu

    2015-05-01

    Full Text Available Developing entrepreneurial capabilities has become a key competitiveness strategy in business across the world. Overall, organizational capabilities can provide performance improvements by taking an integrated approach to people, infrastructure and processes as means of codifying organizational learning. The paper proposes “organizational capability” as a valuable tool for universities who seek to develop their competitiveness entrepreneurially, especially across the EU, where higher education is no longer a guarantee for employment and alternatives are sorely needed. For this purpose, we explore conceptualizations of organizational capabilities, propose an integrative model and apply it to learn more about the development of capability from practice at Aalto University in Finland.

  2. NASA Space Launch System: A Cornerstone Capability for Exploration

    Science.gov (United States)

    Creech, Stephen D.; Robinson, Kimberly F.

    2014-01-01

    Exploration Coordination Group, which represents 14 of the world's space agencies. In addition, this paper will detail this new rocket's capability to support missions beyond the human exploration roadmap, including robotic precursor missions to other worlds or uniquely high-mass space operation facilities in Earth orbit. As this paper will explain, the SLS Program is currently building a global infrastructure asset that will provide robust space launch capability to deliver sustainable solutions for exploration.

  3. NASA's Space Launch System: A Cornerstone Capability for Exploration

    Science.gov (United States)

    Creech, Stephen D.

    2014-01-01

    by the International Space Exploration Coordination Group, which represents 12 of the world's space agencies. In addition, this paper will detail this new rocket's capability to support missions beyond the human exploration roadmap, including robotic precursor missions to other worlds or uniquely high-mass space operation facilities in Earth orbit. As this paper will explain, the SLS Program is currently building a global infrastructure asset that will provide robust space launch capability to deliver sustainable solutions for exploration.

  4. Do Acquirer Capabilities Affect Acquisition Performance? Examining Strategic and Effectiveness Capabilities in Acquirers

    OpenAIRE

    Mudde, Paul A.; Brush, Thomas

    2006-01-01

    This paper examines acquisition performance from the perspective of acquirer capabilities. It argues that the strategic capabilities underpinning a firm’s competitive strategy can be utilized to create economic value in acquisitions. Acquirers with strong cost leadership capabilities are expected to leverage these capabilities to reduce post-acquisition costs as they integrate acquisition targets. Acquirers with strong differentiation capabilities are expected to utilize their strategic capab...

  5. 军队离休干部医疗保障现状及对策研究%Current situation of and countermeasure for medical care for retired military officers

    Institute of Scientific and Technical Information of China (English)

    陈琳; 郭雨禾; 张凡; 高嵩; 韩宁; 侯晓敏; 毛常学

    2012-01-01

    Objective To find a solution to rational use of funds for health care and to gain a clear idea of the current situation of medical overall planning for retired military officers in China so as to improve the ability of three levels of medi -cal overall planning. Methods By means of literature research , onsite study and statistical analysis , we analyzed the data on medical expenses , out-patient service, hospital service , types of disease, consumption costs , specific diseases fees and constitutional proportion between 2006 and 2010. Results and Conclusion Based on the real situation and existing problems , countermeasures for medical overall planning for retired military officers are proposed .%目的 探索卫生事业费调整后,我军离休干部医疗统筹中干休所经费结余与不足并存等问题的途径和方法,掌握全军离休干部医疗统筹保障现状,提高总部、军区及干休所三级医疗统筹效能,为下一步加强离休干部医疗统筹管理提供依据.方法 采取文献检索、实地调研和数据分析等方法,对2006~2010年全军离休干部干休所卫生事业费,门诊、住院人次、病种、消耗费用情况,大病与特殊项目费用消耗及其构成比的数据进行汇总分析,对干休所、离休干部的基本情况、存在问题进行梳理和归纳.结果 与结论 从离休干部医疗统筹的基本情况、存在问题和对策3个方面,深入研究了具体措施和建议.

  6. Spin current

    CERN Document Server

    Valenzuela, Sergio O; Saitoh, Eiji; Kimura, Takashi

    2012-01-01

    In a new branch of physics and technology called spin-electronics or spintronics, the flow of electrical charge (usual current) as well as the flow of electron spin, the so-called 'spin current', are manipulated and controlled together. This book provides an introduction and guide to the new physics and application of spin current.

  7. Palliative care in home care: perceptions of occupational therapists

    Directory of Open Access Journals (Sweden)

    Séfora Gomez Portela

    2015-03-01

    Full Text Available This research aimed at understanding and reflecting on the perceptions of occupational therapists regarding the implementation of palliative care in home care. This is an exploratory, qualitative study, through semi-structured interviews, conducted in the second semester of 2012 with eight occupational therapists with experience in palliative care in the city of São Paulo. Content analysis identified four themes: characterization and professional trajectory in the field, understanding the concepts of palliative care, home care and palliative care, and occupational therapy and palliative care in home care. The results suggest that the role of the occupational therapist in this field has taken place at different levels of health care, being addressed to people with varying needs. The use of the concept of palliative care by the interviewees exceeds the notion of end of life, following the changes in the epidemiological transition. They understand that professional services follow the trend of national palliative care services with focus on specialized levels, but manifest the importance of its implementation in primary and home care. Among the barriers to practice, they identified the complexity of “being at home “, peculiarities of palliative care with high cost demands, lack of infrastructure and implementation of the current policy. Professional training and scientific roduction in the area were viewed as inadequate, although they identified a call for change. The interviewees recognized palliative care in home care as a strong professional field, but one still requiring study and discussions regarding its limits and conditions of implementation, especially in the Unified Health System.

  8. [Update on current care guidelines. Current care guideline: Acute lower respiratory tract infection in adults].

    Science.gov (United States)

    Honkanen, Pekka; Broas, Markku; Hedman, Jouni; Jartti, Airi; Järvinen, Asko; Koskela, Markku; Meinander, Tuula; Puolijoki, Hannu; Rautakorpi, Ulla; Syrjälä, Hannu

    2015-01-01

    Pneumonia is recognised in patients suffering from acute cough or deteriorated general condition. Patients with acute cough without pneumonia-related symptoms or clinical findings do not benefit from antimicrobial treatment. Those with suspected or confirmed pneumonia are treated with antibiotics, amoxicillin being the first choice. Most patients with pneumonia can be treated at home. Those with severe symptoms are referred to hospital. Patients are always encouraged to contact his/her physician if the symptoms worsen or do not ameliorate within 2-3 days. Patients aged 50 years or older and smokers are controlled by thoracic radiography in 6-8 weeks. PMID:26237912

  9. [Current management of epilepsy].

    Science.gov (United States)

    Mizobuchi, Masahiro

    2013-09-01

    Epilepsy is one of the most common neurological disorders. Global neurological knowledge is essential for differential diagnosis of epileptic syndromes due to the diversity of ictal semiology, causes and syndromes. Neurologists play an important role in planning the medical care for patients with epilepsy, as medication is the most fundamental therapeutic strategy. Some patients with early-onset epilepsy require joint care by pediatric neurologists, those with intractable epilepsy by neurosurgeons, and those with psychological comorbidity by psychiatrists, and neurologists should play a coordinating role. While there is a great need for neurologists to participate in epilepsy care, neurologists in Japan currently do not participate substantially in the epilepsy management system. It is necessary to train more neurologists who can provide epilepsy care and conduct basic and clinical research on epilepsy by providing continuous education on epilepsy for general neurologists as well as pre- and post-graduate medical students. Most of the patients who require long-term treatment experience many medical problems and social handicaps, such as adverse effects of medication, social stigma, educational disadvantages and difficulties in obtaining driver's license. To improve the quality of life of patients with epilepsy, it is desirable to build broad medical-social networks participated by patients, doctors, neurological nurses, psychologists, social workers, school teachers, managers of employment support facilities and care givers. PMID:24018740

  10. A framework for offshore vendor capability development

    Science.gov (United States)

    Yusuf Wibisono, Yogi; Govindaraju, Rajesri; Irianto, Dradjad; Sudirman, Iman

    2016-02-01

    Offshore outsourcing is a common practice conducted by companies, especially in developed countries, by relocating one or more their business processes to other companies abroad, especially in developing countries. This practice grows rapidly owing to the ease of accessing qualified vendors with a lower cost. Vendors in developing countries compete more intensely to acquire offshore projects. Indonesia is still below India, China, Malaysia as main global offshore destinations. Vendor capability is among other factors that contribute to the inability of Indonesian vendor in competing with other companies in the global market. Therefore, it is essential to study how to increase the vendor's capability in Indonesia, in the context of global offshore outsourcing. Previous studies on the vendor's capability mainly focus on capabilities without considering the dynamic of capabilities due to the environmental changes. In order to be able to compete with competitors and maintain the competitive advantage, it is necessary for vendors to develop their capabilities continuously. The purpose of this study is to develop a framework that describes offshore vendor capability development along the client-vendor relationship stages. The framework consists of three main components, i.e. the stages of client-vendor relationship, the success of each stage, and the capabilities of vendor at each stage.

  11. Marketing capabilities: do they matter in INVs?

    OpenAIRE

    Blesa Pérez, Andreu; Ripollés Meliá, María; Monferrer Tirado, Diego

    2010-01-01

    This paper examines the influence that marketing capabilities developed in international new ventures can have on their international performance and international geographical diversification. Rapid entry in foreign markets is also highlighted as a factor contributing to the development of marketing capabilities in international new ventures. The central concept advanced in the paper is that international new ventures generate competitive advantages associated with early internationalisation...

  12. Organizational Capabilities of the Entrepreneurial University

    OpenAIRE

    Lucian Gramescu; Nicolae Bibu

    2015-01-01

    Developing entrepreneurial capabilities has become a key competitiveness strategy in business across the world. Overall, organizational capabilities can provide performance improvements by taking an integrated approach to people, infrastructure and processes as means of codifying organizational learning. The paper proposes “organizational capability” as a valuable tool for universities who seek to develop their competitiveness entrepreneurially, especially across the EU, where hig...

  13. Careful science?

    DEFF Research Database (Denmark)

    Jespersen, Astrid P; Bønnelycke, Julie; Eriksen, Hanne Hellerup

    2014-01-01

    into different exercise groups. In this article we analyse the scientific work of the trial as representing entangled processes of bodywork, where data are extracted and objectified bodies are manipulated and care practices address the emotional, social and mundane aspects of the participants' everyday...... lives. Care practices are an inherent part of producing scientific facts but they are removed from the recognised results of scientific practice and thus from common public health recommendations. However, knowledge about the strategic use of care practices in lifestyle interventions is important for...

  14. Capabilities and Equality of Health II

    DEFF Research Database (Denmark)

    Keiding, Hans

    capability approach to questions of health or equality. In the present paper we extend the notion of rationalizing orderings of capabilities to a dynamical context, in the sense that the utility function is not yet revealed to the individual at the time when the capabilities are ordered. It turns out that......The concept of capabilities, introduced originally by Sen, has inspired many researchers but has not found any simple formal representation which might be instrumental in the construction of a comprehensive theory of equality. In a previous paper (Keiding, 2005), we investigated whether preferences...... over capabilities as sets of functionings can be rationalized by maximization of a suitable utility function over the set of functionings. Such a rationalization turned out to be possible only in cases which must be considered exceptional and which do not allowfor interesting applications of the...

  15. Day Care: A Program in Search of a Policy.

    Science.gov (United States)

    Bikales, Gerda

    This report examines current issues relating to day care and challenges many of the policy assumptions that underlie a major public program of subsidized day care for children. A historical perspective of day care is presented and various types of day care are described. The costs and benefits of day care are examined and the relation of day care…

  16. Eddy current damper

    Science.gov (United States)

    Ellis, R. C.; Fink, R. A.; Rich, R. W.

    1989-01-01

    A high torque capacity eddy current damper used as a rate limiting device for a large solar array deployment mechanism is discussed. The eddy current damper eliminates the problems associated with the outgassing or leaking of damping fluids. It also provides performance advantages such as damping torque rates, which are truly linear with respect to input speed, continuous 360 degree operation in both directions of rotation, wide operating temperature range, and the capability of convenient adjustment of damping rates by the user without disassembly or special tools.

  17. Comprehensive Care

    Science.gov (United States)

    ... Providing emotional support Comprehensive care includes attention to emotional health as well as physical health. Mental health professionals provide support and education, as well as diagnose and treat the depression, ...

  18. Palliative Care

    Science.gov (United States)

    ... Diseases & Conditions Pregnancy & Baby Nutrition & Fitness Emotions & Behavior School & Family Life First Aid & Safety Doctors & Hospitals Q&A ... assess the complex needs of the patient and family, facilitate communication with the care team and within the family, ...

  19. Hospice Care

    Science.gov (United States)

    ... your care. Other team members may include a music therapist, physical therapist, speech therapist or occupational therapist. ... to the Terms and Conditions and Privacy Policy Popular Articles 1 Understanding Blood Pressure Readings 2 Sodium ...

  20. Multidisciplinary Care.

    Science.gov (United States)

    Daly, Megan E; Riess, Jonathan W

    2016-01-01

    Optimal multidisciplinary care of the lung cancer patient at all stages should encompass integration of the key relevant medical specialties, including not only medical, surgical, and radiation oncology, but also pulmonology, interventional and diagnostic radiology, pathology, palliative care, and supportive services such as physical therapy, case management, smoking cessation, and nutrition. Multidisciplinary management starts at staging and tissue diagnosis with pathologic and molecular phenotyping, extends through selection of a treatment modality or modalities, management of treatment and cancer-related symptoms, and to survivorship and end-of-life care. Well-integrated multidisciplinary care may reduce treatment delays, improve cancer-specific outcomes, and enhance quality of life. We address key topics and areas of ongoing investigation in multidisciplinary decision making at each stage of the lung cancer treatment course for early-stage, locally advanced, and metastatic lung cancer patients. PMID:27535399

  1. FPGA SerDes Capability as Switch mode PA Modulator

    OpenAIRE

    Finnerty, Keith; Dooley, John; Farrell, Ronan

    2014-01-01

    This paper demonstrates the ability of current commercially available FPGA hardware to generate radio frequency pulsed modulated signals. This work is carried out to determine the suitability of integrated SerDes devices for use in frequency flexible transmitters capable of modulating switch mode power amplifiers (SMPA's). The paper shows that it is possible to meet spectral mask requirements of -50dBc for WCDMA signals at carrier frequencies in digital dividend from 750MHz to ...

  2. Capability maturity models in engineering companies: case study analysis

    OpenAIRE

    Titov Sergei; Bubnov Gregory; Guseva Maria; Lyalin Alexei; Brikoshina Irina

    2016-01-01

    In the conditions of the current economic downturn engineering companies in Russia and worldwide are searching for new approaches and frameworks to improve their strategic position, increase the efficiency of the internal business processes and enhance the quality of the final products. Capability maturity models are well-known tools used by many foreign engineering companies to assess the productivity of the processes, to elaborate the program of business process improvement and to prioritiz...

  3. Network Communication as a Service-Oriented Capability

    OpenAIRE

    Johnston, William

    2008-01-01

    In widely distributed systems generally, and in science-oriented Grids in particular, software, CPU time, storage, etc., are treated as "services" -- they can be allocated and used with service guarantees that allows them to be integrated into systems that perform complex tasks. Network communication is currently not a service -- it is provided, in general, as a "best effort" capability with no guarantees and only statistical predictability. In order for Grids (and most types of systems with ...

  4. Caring Encounters

    Science.gov (United States)

    Gunn, Alyson

    2012-01-01

    Children with autism may seem to not care about things or have the same range of emotions as those of us who see them and care for them. But they do have empathy and they can be taught how to communicate it, says the author, a teacher of children with autism. We simply need to listen to them, watch them, and be with them in their moment.

  5. Parameters Determination of Oscillatory Impulse Current Waveform

    Science.gov (United States)

    Sato, Shuji; Nishimura, Seisuke; Seki, Shingo

    This paper proposes numerical techniques to distil waveform parameters out of digitally measured data of oscillatory impulse current. The first method, to be used for liner circuit, based on a curve-fitting technique in which a smooth analytical curve is defined to fit the noise-superposed measured data. The waveform parameters are derived from the curve. The algorithm is examined its performance using a measured waveform data which is obtained from a circuit composed of linear elements only. It is not rare when impulse current is measured in a circuit with non-linear element, namely an arrester. After carefully observed behaviours of the circuit current when the non-linear element turns on and off, authors developed two algorithms capable to determine the parameters from the recorded data obtained from a circuit having a ZnO arrester. The developed algorithm processed the waveform data generated by TDG which is to be issued in 2009 as a part of IEC 61083-2. The details of the algorithm are to be demonstrated in the paper.

  6. Observations of group care worker-child interaction in residential youth care: Pedagogical interventions and child behavior

    NARCIS (Netherlands)

    Bastiaanssen, I.L.W.; Delsing, M.J.M.H.; Geijsen, L.; Kroes, G.; Veerman, J.W.; Engels, R.C.M.E.

    2014-01-01

    The work of group care workers in residential youth care is often described as professional parenting. Pedagogical interventions of group care workers influence the quality of care for looked-after children. The aim of the current study was to observe the pedagogical interventions of group care work

  7. CTH reference manual : composite capability and technologies.

    Energy Technology Data Exchange (ETDEWEB)

    Key, Christopher T.; Schumacher, Shane C.

    2009-02-01

    The composite material research and development performed over the last year has greatly enhanced the capabilities of CTH for non-isotropic materials. The enhancements provide the users and developers with greatly enhanced capabilities to address non-isotropic materials and their constitutive model development. The enhancements to CTH are intended to address various composite material applications such as armor systems, rocket motor cases, etc. A new method for inserting non-isotropic materials was developed using Diatom capabilities. This new insertion method makes it possible to add a layering capability to a shock physics hydrocode. This allows users to explicitly model each lamina of a composite without the overhead of modeling each lamina as a separate material to represent a laminate composite. This capability is designed for computational speed and modeling efficiency when studying composite material applications. In addition, the layering capability also allows a user to model interlaminar mechanisms. Finally, non-isotropic coupling methods have been investigated. The coupling methods are specific to shock physics where the Equation of State (EOS) is used with a nonisotropic constitutive model. This capability elastically corrects the EOS pressure (typically isotropic) for deviatoric pressure coupling for non-isotropic materials.

  8. Towards an Organizational Economics of Heterogeneous Capabilities

    DEFF Research Database (Denmark)

    Foss, Nicolai Juul

    The notion of “capability” has long been influential in management research as an approach to address firm-level heterogeneity and heterogeneity in competitive outcomes. I discuss how recent advances in economics may allow for a more rigorous understanding and measurement of capability that take ...... organizational practices into account. However, economists may also learn from work on capabilities in management research.......The notion of “capability” has long been influential in management research as an approach to address firm-level heterogeneity and heterogeneity in competitive outcomes. I discuss how recent advances in economics may allow for a more rigorous understanding and measurement of capability that take...

  9. Photovoltaic Systems Test Facilities: Existing capabilities compilation

    Science.gov (United States)

    Volkmer, K.

    1982-01-01

    A general description of photovoltaic systems test facilities (PV-STFs) operated under the U.S. Department of Energy's photovoltaics program is given. Descriptions of a number of privately operated facilities having test capabilities appropriate to photovoltaic hardware development are given. A summary of specific, representative test capabilities at the system and subsystem level is presented for each listed facility. The range of system and subsystem test capabilities available to serve the needs of both the photovoltaics program and the private sector photovoltaics industry is given.

  10. A Capability Approach for the European Union

    OpenAIRE

    Eiffe, Franz F.

    2008-01-01

    The aim of this paper is to develop a new concept for the EU in order to define and measure poverty no longer on the basis of income1, but on so called capabilities to argue for a capability oriented social policy. The capability approach (CA) was originally developed by Nobel laureate Amartya Sen2 and can be interpreted as critique of the utilitarian tradition of standard economics. In Sen's view, mainstream economic analysis operates on a very narrow base and does not include central inform...

  11. Descriptors of server capabilities in China

    DEFF Research Database (Denmark)

    Adeyemi, Oluseyi; Slepniov, Dmitrij; Wæhrens, Brian Vejrum;

    2013-01-01

    China with the huge market potential it possesses is an important issue for subsidiaries of western multinational companies. The objective of this paper is therefore to strengthen researchers’ and practitioners’ perspectives on what are the descriptors of server capabilities. The descriptors are...... relevant to determine subsidiary roles and as an indication of the capabilities required. These descriptors are identified through extensive literature review and validated by case studies of two Danish multinational companies subsidiaries operating in China. They provided the empirical basis for this...... paper. The characteristics of the subsidiaries were analyzed and the results suggest a number of descriptors of server capabilities....

  12. A systematic method of accountability. Sound policies allow facilities to account for the level of charity care they provide.

    Science.gov (United States)

    Schmitz, H H; Weiss, S J; Melichar, C

    1992-11-01

    Charity care policies can help hospitals accurately determine, define, and account for the level of charity care they provide. This information will help hospitals budget appropriately and measure trends that will ultimately affect the organization's viability. State governments, the federal government, and the Internal Revenue Service are more closely scrutinizing not-for-profit hospitals' tax-exempt status. As a result, the American Institute of Certified Public Accountants (AICPA) has revised its requirement to report on charity care. To meet the AICPA's requirement, healthcare providers must develop their own definition of charity and determine criteria for providing care free or at a reduced rate. Setting policies to support the organization's definition of charity is necessary for the development of internal systems that promote the early identification of individuals seeking healthcare who will be unable to pay for services. Several policy implications may result from the facility's charity care determination process. For example, patients exhibiting extreme hardship might still be eligible to receive charity care even though their income and assets exceed the hospital's income guidelines. An organization planning to develop a charity care policy must first thoroughly assess its current charity care practices and cost accounting capabilities. Obtaining input from all the departments involved in the development of the charity care policy is necessary to make the transition as smooth as possible. PMID:10122079

  13. [Quality of health care].

    Science.gov (United States)

    Medina, J L; De Melo, P C

    2000-01-01

    Quality assurance is a relatively recent concern but already plays a major role in health care management and provision. Quality involves the definition of a comprehensive programme tailored by realistic and effective objectives and norms that include the structured review of procedures (namely clinical audits) and the use of up-to-date protocols. The involvement and motivation of health professionals, together with an adequate internal and external communication strategy, play a key role in the planning and application of these programmes. The use of programmed assessment, based on a solid knowledge of current practice, should have practical implications, optimising procedures in order to improve the quality of care. This commitment towards quality in health care should go far beyond governmental policy and should have clear support from health professionals. PMID:11234496

  14. Comprehensive care of travelers.

    Science.gov (United States)

    Pust, R E; Peate, W F; Cordes, D H

    1986-12-01

    Travel, especially if it is international, often means major changes for the family. Family physicians should assess the epidemiologic risk and psychosocial significance of travel or relocation in light of the family's life-cycle stage and antecedent health. Using core references, which are kept current in partnership with public health agencies, family physicians are able to provide comprehensive immunization, medications, and patient education for all travel risks. Families are given medical record summaries and recommended sources of care at their destination. Eight weeks after their return patients are reassessed for newly acquired illness and helped to integrate the perspectives gained during the travel into the family's future dynamics. Taking advantage of growing travel medicine opportunities, family medicine educators should base the care of travelers and teaching of residents on defined competence priorities. Travelers' health provides a mutually rewarding model of shared care with public health consultants in the community medicine curriculum. PMID:3537200

  15. Critical care in India.

    Science.gov (United States)

    Udwadia, F E; Guntupalli, K K; Vidyasagar, D

    1997-04-01

    India is a vast democracy of nearly one billion people. Before the British rule ended in 1947, the life span of an Indian was a mere 21 years. Within a short span of 50 years, it increased to an impressive 63 years, largely due to public health measures initiated by the government. This created a pool of more than 300 million middle class Indians who could afford the benefits of modern and specialized care when needed. Critical care medicine, as practiced in the West, is still confined to large Metropolitan areas. A large pool of expatriate Indian physicians from all over the world are helping bridge the resource gap between the West and India by transfer of technology and providing appropriate training to physicians and paramedical personnel. This article describes the history and current status of development of critical care medicine in India. PMID:9107510

  16. Current stabilizer

    International Nuclear Information System (INIS)

    A current stabilizer for supplying magnetic lens of β-monochromator at the electron energy up to 1 MeV is described. Stabilization method with use of reference high-stabilized source of direct voltage with switching-in loading (monochromator coil) to circuit of negative feedback of direct-current amplifier with high gain is chosen for stabilization of direct current. The range of current regulation is 0.5 A at available power up to 15 W. Current instability during 10 hour continuous work does not exceed 10-4% that makes it possible to provide instability of electron energy at the monochromator exit using 90Sr+90Y β-nucleide of not more than 10 -4% and number of electrons 2.5x10-4% respectively

  17. Classifying organisational capabilities by their nature and role for technological capability

    OpenAIRE

    Rousseva, R.

    2009-01-01

    Based on critical literature review this research highlights a number of gaps in the existing treatment of technological and organisational capabilities. It has been recognised that organisational capabilities have an important role to play in development of technological capabilities both in latecomer and advanced companies. However, different studies focus on different organisational capabilities and prescribe them different importance. Further, despite the extensive research on organisatio...

  18. Wound Care in Primary Health Care

    OpenAIRE

    Nail Ersoz; Ismail Hakki Ozerhan; Fatih Zor

    2008-01-01

    Wound care starts with occuring of wound. Primary health care wound care important as to affect on quality of healing. It is given information about the types of wounds, brief wound physiopathology and presented the options of wound care to primary health care wound care proffessionals in this article. Wound care must be done in a systematic process by health care professionals. [TAF Prev Med Bull 2008; 7(1.000): 71-74

  19. Wound Care in Primary Health Care

    Directory of Open Access Journals (Sweden)

    Nail Ersoz

    2008-02-01

    Full Text Available Wound care starts with occuring of wound. Primary health care wound care important as to affect on quality of healing. It is given information about the types of wounds, brief wound physiopathology and presented the options of wound care to primary health care wound care proffessionals in this article. Wound care must be done in a systematic process by health care professionals. [TAF Prev Med Bull. 2008; 7(1: 71-74

  20. Wound Care in Primary Health Care

    Directory of Open Access Journals (Sweden)

    Nail Ersoz

    2008-02-01

    Full Text Available Wound care starts with occuring of wound. Primary health care wound care important as to affect on quality of healing. It is given information about the types of wounds, brief wound physiopathology and presented the options of wound care to primary health care wound care proffessionals in this article. Wound care must be done in a systematic process by health care professionals. [TAF Prev Med Bull 2008; 7(1.000: 71-74

  1. Core Technical Capability Laboratory Management System

    Science.gov (United States)

    Shaykhian, Linda; Dugger, Curtis; Griffin, Laurie

    2008-01-01

    The Core Technical Capability Lab - oratory Management System (CTCLMS) consists of dynamically generated Web pages used to access a database containing detailed CTC lab data with the software hosted on a server that allows users to have remote access.

  2. Institutional Change, Strategic Orientation and Dynamic Capabilities

    DEFF Research Database (Denmark)

    Li, Ming Hua

    2012-01-01

    The phenomenon of systematic institutional change in many developing countries can produce enduring transformations in the strategic orientation and organization of domestic firms. Such changes may impact the formation of their dynamic capabilities and adaptive learning which can translate into...... different configurations of firm resources and dynamic capabilities for central and local Chinese SOEs. Specifically, propositions from this framework explore how such unique variations in firm-level attributes may lead to differences in outward foreign investment behavior. Combining insights from several...... research streams including the resource-based view, institutional and organizational theory frameworks, as well as the dynamic capabilities perspective, we suggest that institutional change in China serves a formative role in the development of firm strategic orientation and dynamic capabilities leading to...

  3. Personalized Primary Care for Older People: An evaluation of a multicomponent nurse-led care program

    OpenAIRE

    Bleijenberg, N.

    2013-01-01

    Providing optimal care for the increasing number of frail older people with complex care needs is a major challenge in primary care. The current approach is reactive and does not meet the needs of older patients, resulting in unnecessary loss of daily functioning, suboptimal quality of life and high health care expenditures. In the Utrecht Proactive Frailty Intervention Trial (U-PROFIT, in Dutch:’ Om U’), we designed and evaluated a strategy for proactive patient-centred primary care of frail...

  4. Classifying organisational capabilities by their nature and role for technological capability

    NARCIS (Netherlands)

    Rousseva, R.

    2009-01-01

    Based on critical literature review this research highlights a number of gaps in the existing treatment of technological and organisational capabilities. It has been recognised that organisational capabilities have an important role to play in development of technological capabilities both in lateco

  5. The Impact of IT Capability on Employee Capability, Customer Value, Customer Satisfaction, and Business Performance

    Science.gov (United States)

    Chae, Ho-Chang

    2009-01-01

    This study empirically examines the impact of IT capability on firms' performance and evaluates whether firms' IT capabilities play a role in improving employee capability, customer value, customer satisfaction, and ultimately business performance. The results were based on comparing the business performance of the IT leader companies with that of…

  6. Exploiting Knowledge Through R&D and Technological Capability: A Dynamic Capabilities Perspective

    Directory of Open Access Journals (Sweden)

    Lidija Breznik

    2015-05-01

    Full Text Available The objective of this paper is to explore the notion of dynamic capabilities as a dominant source of competitive advantage, focusing on R&D capability and technological capability and exploitation of knowledge about them. Building on qualitative data from six representative IT firms, the results indicate that firms more strongly committed to deploying R&D capability and technological capability as a dynamic capability hold the potential for a sustained competitive advantage. The paper points out how important it is to understand that simply possessing and developing knowledge as a resource but without exploiting and adapting it in line with dynamic capabilities will not be enough to sustain a competitive advantage. To bolster our study, we provide insights into good practices that underpin R&D capability and technological capability as well as bad practices that represent rigidity in their deployment. Our paper highlights the importance of the dynamic capabilities perspective as a field of study in today's dynamic environment, and exposes the importance of ensuring a continuous commitment to the sense, seize and reconfigure capabilities as part of dynamic capabilities. From a practitioner’s point of view, we believe the results may encourage managers to contemplate and understand how this can be useful in practice.

  7. Adaptive media content architecture regarding users capabilities

    OpenAIRE

    Cuenca Gil, David

    2009-01-01

    Nowadays, it's common that each user has different capabilities and each media content has different requirements. So, in this project will be studied and implement a first approach how to adapt media content stored in repositories to users capabilities. Different kinds of video content will be studied, and how their requirements can be changed with a good subjective quality for the user. Depending on the kind of content, different types of changes could be done in order to decrease the video...

  8. Seeing Market Orientation through a Capabilities Lens

    OpenAIRE

    Foley, Anthony; Fahy, John

    2009-01-01

    Purpose – The purpose of this paper is to examine how conceptualising market orientation within a capabilities framework may assist in developing further understanding of the construct. Design/methodology/approach – Compelling issues in the market orientation literature relating to the nature of the market orientation construct, the relationship of the construct with performance, and identifying antecedents to market orientation are discussed. The capabilities perspective is explored in th...

  9. Development, capabilities and technology : an evaluative framework

    OpenAIRE

    Hatakka, Mathias; Rahul

    2011-01-01

    In this paper we present a framework to be used for evaluation of Information and Communication Technology for Development (ICT4D) projects. The framework is based on Sen´s notion of development as freedom where human capabilities and functionings are seen as key aspects to development. Sen´s capability approach presents an alternative way of seeing and evaluating development (alternative to more traditional ways of measuring development). The approach is based on expanding freedoms, or elimi...

  10. Aging and DNA repair capability. [Review

    Energy Technology Data Exchange (ETDEWEB)

    Tice, R R

    1977-01-01

    A review of the literature on DNA repair processes in relation to aging is presented under the following headings: DNA repair processes; age-related occurrence of unrepaired DNA lesions; DNA repair capability as a function of age; tissue-specific DNA repair capability; acceleration of the aging process by exposure to DNA damaging agents; human genetic syndromes; and longevity and DNA repair processes. (HLW)

  11. Tool for evaluating organizational emergency management capability.

    OpenAIRE

    Ek, Åsa; Borell, Jonas

    2010-01-01

    Crises or emergencies have drawn attention to the need of good emergency management capability in affected organizations or regions. An ongoing subproject in a Swedish multidisciplinary research programme aims at identifying areas or processes that are potentially important to include in the work of developing and improving an organization’s resilience and emergency management capability. This paper presents preliminary findings from interviews conducted to identify such areas or processes an...

  12. Porflow Capabilities, Usage, History, and Testing

    International Nuclear Information System (INIS)

    To support closure of the Savannah River Site High Level Waste tanks, the PORFLOW computer program is being applied to predict long term movement of residual contaminants from the tanks. The PORFLOW program has greater capabilities than simpler programs that have been used previously, and PORFLOW results have been accepted by state and federal regulators throughout the United States. This document briefly discusses the PORFLOW capabilities and presents lists of reports showing PORFLOW's usage history and testing

  13. Capabilities offered by Heavy User Communities

    CERN Document Server

    Shiers, J; Barreiro Megino, F; Campana, S; Girone, M; Santinelli, R

    2010-01-01

    This document describes the capabilities offered by the Heavy User Communities (HUCs) to other communities: This public report illustrates how the functional capabilities being supported by this activity can be re-used by other communities using European Distributed Computing Infrastructures (DCIs). Sufficient technical depth is provided for potential adopters of DCI platforms to make an initial assessment of how they could work with the offered technologies.

  14. Pricing capability development and its antecedents

    OpenAIRE

    Andersson, Linn

    2013-01-01

    Previous studies have convincingly argued that firms’ ability to efficiently utilize their resources is linked to the effectiveness of their routines and resources for pricing. The ability to appropriate value and achieve a more efficient resource utilization relative to competitors through routines and resources for pricing has been named pricing capability. If an effective pricing capability could enable a firm to achieve a more efficient resource utilization and gain a competitive advantag...

  15. Capabilities and The Theory of The Firm

    OpenAIRE

    Nicolai J Foss

    2009-01-01

    The recent decade has witnessed a strong expansion of work on the firm, both from a capabilities perspective and from a contractual perspective. These two bodies of theories are often thought to be fundamentally different, because their domains of applications are different (knowledge-accumulation vs contracts and incentives). However, we need to integrate propositions from capabilities perspectives with ideas about economic organization (markets, hybrids, firms). This is because only a more ...

  16. A Study Of Manufacturing Competitive Capabilities (...)

    OpenAIRE

    Luis Eduardo Solís

    2002-01-01

    (WP07/02 Clave pdf) One important reason behind total quality management implementation failure has been attributed to the poor understanding of the interdependence between quality management practices and competitive capabilities. Despite, ample literature on total quality management (TQM) techniques, no comprehensive and systematic examination of TQM relating to manufacturing competitive capabilities has been conducted. The purpose of this study is to empirically assess the relationship bet...

  17. Nuclear Data Needs and Capabilities for Applications

    CERN Document Server

    Bernstein, Lee; Hurst, Aaron; Kelly, John; Kondev, Filip; McCutchan, Elizabeth; Nesaraja, Caroline; Slaybaugh, Rachel; Sonzogni, Alejandro

    2015-01-01

    The Workshop on Nuclear Data Needs and Capabilities for Applications (NDNCA) was held at Lawrence Berkeley National Laboratory (LBNL) on 27-29 May 2015. The goals of NDNCA were compile nuclear data needs across a wide spectrum of applied nuclear science, and to provide a summary of associated capabilities (accelerators, reactors, spectrometers, etc.) available for required measurements. This document represents the results of the workshop and a compilation of other recent documents assessing nuclear data needs for the above-mentioned applications.

  18. TOWARD DIGITAL DYNAMIC CAPABILITIES - A THEORETICAL EXPLORATION

    Directory of Open Access Journals (Sweden)

    Zhenyu Yang

    2011-06-01

    Full Text Available Internet/Management of Information System study is a burgeoning, cross-disciplinary field in business and technology. Its development always accompanies evolving industry change, so it seems that the best strategy is not to use only existing theories for researching on-going phenomena and future evolution of Internet related issues. Alternatively, theorists in this particular field have a strong tradition of drawing from diverse aspects of social science such as human behavior, economics, strategy, and general management to derive rich discussion to address practitioners’ concerns.New theories are continuously brought into this field, particularly those that dominate in other areas with different contexts. The exposure this contributes to theory in the Information System/Internet context could potentially yield critical insights and provide feedback for further refinement of theories.This paper provides a brief review of the dynamic capability framework then incorporates the latest expansion of IT capabilities. This brings the Enterprise 2.0 system architecture into the discussion of popular management frameworks. Such an extension is expected to generate a more detailed categorization of digital dynamic capabilities. First, the key terminology of digital dynamic capabilities is presented. Second, the importance of organizational and environmental factors is emphasized in dynamic capabilities analysis. Finally, future empirical research with digital dynamic capabilities is considered.

  19. NASA'S Space Launch System Mission Capabilities for Exploration

    Science.gov (United States)

    Creech, Stephen D.; Crumbly, Christopher M.; Robinson, Kimberly F.

    2015-01-01

    Designed to enable human space exploration missions, including eventual landings on Mars, NASA’s Space Launch System (SLS) represents a unique launch capability with a wide range of utilization opportunities, from delivering habitation systems into the lunar vicinity to high-energy transits through the outer solar system. Developed with the goals of safety, affordability and sustainability in mind, SLS is a foundational capability for NASA’s future plans for exploration, along with the Orion crew vehicle and upgraded ground systems at the agency’s Kennedy Space Center. Substantial progress has been made toward the first launch of the initial configuration of SLS, which will be able to deliver more than 70 metric tons of payload into low Earth orbit (LEO), greater mass-to-orbit capability than any contemporary launch vehicle. The vehicle will then be evolved into more powerful configurations, culminating with the capability to deliver more than 130 metric tons to LEO, greater even than the Saturn V rocket that enabled human landings on the moon. SLS will also be able to carry larger payload fairings than any contemporary launch vehicle, and will offer opportunities for co-manifested and secondary payloads. Because of its substantial mass-lift capability, SLS will also offer unrivaled departure energy, enabling mission profiles currently not possible. Early collaboration with science teams planning future decadal-class missions have contributed to a greater understanding of the vehicle’s potential range of utilization. This presentation will discuss the potential opportunities this vehicle poses for the planetary sciences community, relating the vehicle’s evolution to practical implications for mission capture. As this paper will explain, SLS will be a global launch infrastructure asset, employing sustainable solutions and technological innovations to deliver capabilities for space exploration to power human and robotic systems beyond our Moon and in to

  20. PRODUCTION CAPABILITIES EFFICIENCY PREFABRICATION ERECTION OF BUILDINGS

    Directory of Open Access Journals (Sweden)

    SOKOLOV I. A.

    2015-12-01

    Full Text Available Formulation of the problem. the largest reserves of increase of efficiency of building production concluded in the decision of problems of ensuring compliance with the technological properties of space-planning and constructive decisions of buildings organizational and technological conditions of manufacturing processes. Tendencies of development of the society determined the growth in construction, complexity of design rhenium building and makes it necessary to reduce the time of construction of buildings and reduce the cost of construction and installation works. In recent years, the architectural and compositional solutions constructed buildings are increasingly conflict with organizational, technological and technical capacity building organizations. This problem is solved by the improvement and development of new technologies of building production, the use of more modern construction machines and mechanisms. The implementation of the tasks can be solved by creating a space-planning and constructive decisions of buildings corresponding possibilities of building organizations and the creation of fundamentally new technologies. Currently, there is no single comprehensive approach allows to establish the extent to which space-constructive decisions of buildings technological possibilities of building production. Imbalance intentions and capabilities results in a significant increase in financial expenses for the construction of the building. The purpose of the article. It is necessary to propose a method of assessing the level of technological prefabrication construction of buildings, the application of which will provide an opportunity to improve the full process of erection of the building and, as a consequence, increase its efficiency by increasing the extent to which the technological properties of space-planning and constructive decisions of buildings organizational and technological conditions of manufacturing processes, pogruzki

  1. How Social an Animal? The Human Capacity for Caring.

    Science.gov (United States)

    Batson, C. Daniel

    1990-01-01

    Discusses whether humans have a capacity to care about others, or if the target of concern is always oneself. Presents evidence that supports the empathy-altruism hypothesis, suggesting that humans are capable of empathy and caring for another in need. Discusses limits on human capacity for altruistic caring. (JS)

  2. Health care technology assessment

    Science.gov (United States)

    Goodman, Clifford

    1994-12-01

    The role of technology in the cost of health care is a primary issue in current debates concerning national health care reform. The broad scope of studies for understanding technological impacts is known as technology assessment. Technology policy makers can improve their decision making by becoming more aware, and taking greater advantage, of key trends in health care technology assessment (HCTA). HCTA is the systematic evaluation of the properties, impacts, and other attributes of health care technologies, including: technical performance; clinical safety and efficacy/effectiveness; cost-effectiveness and other economic attributes; appropriate circumstances/indications for use; and social, legal, ethical, and political impacts. The main purpose of HCTA is to inform technology-related policy making in health care. Among the important trends in HCTA are: (1) proliferation of HCTA groups in the public and private sectors; (2) higher standards for scientific evidence concerning technologies; (3) methodological development in cost analyses, health-related quality of life measurement, and consolidation of available scientific evidence (e.g., meta-analysis); (4) emphasis on improved data on how well technologies work in routine practice and for traditionally under-represented patient groups; (5) development of priority-setting methods; (6) greater reliance on medical informatics to support and disseminate HCTA findings.

  3. Eddy current inspection of graphite fiber components

    Science.gov (United States)

    Workman, G. L.; Bryson, C. C.

    1990-01-01

    The recognition of defects in materials properties still presents a number of problems for nondestructive testing in aerospace systems. This project attempts to utilize current capabilities in eddy current instrumentation, artificial intelligence, and robotics in order to provide insight into defining geometrical aspects of flaws in composite materials which are capable of being evaluated using eddy current inspection techniques. The unique capabilities of E-probes and horseshoe probes for inspecting probes for inspecting graphite fiber materials were evaluated and appear to hold great promise once the technology development matures. The initial results are described of modeling eddy current interactions with certain flaws in graphite fiber samples.

  4. Materials Capability Review Los Alamos National Laboratory April 29-May 2, 2012

    Energy Technology Data Exchange (ETDEWEB)

    Taylor, Antoinette J [Los Alamos National Laboratory

    2012-04-20

    Los Alamos National Laboratory (LANL) uses Capability Reviews to assess the quality and institutional integration of science, technology and engineering (STE) and to advise Laboratory Management on the current and future health of LANL STE. The capabilities are deliberately chosen to be crosscutting over the Laboratory and therefore will include experimental, theoretical and simulation disciplines from multiple line organizations. Capability Reviews are designed to provide a more holistic view of the STE quality, integration to achieve mission requirements, and mission relevance. The scope of these capabilities necessitate that there will be significant overlap in technical areas covered by capability reviews (e.g., materials research and weapons science and engineering). In addition, LANL staff may be reviewed in different capability reviews because of their varied assignments and expertise. The principal product of the Capability Review is the report that includes the review committee's assessments, recommendations, and recommendations for STE.

  5. Wound Care.

    Science.gov (United States)

    Balsa, Ingrid M; Culp, William T N

    2015-09-01

    Wound care requires an understanding of normal wound healing, causes of delays of wound healing, and the management of wounds. Every wound must be treated as an individual with regard to cause, chronicity, location, and level of microbial contamination, as well as patient factors that affect wound healing. Knowledge of wound care products available and when negative pressure wound therapy and drain placement is appropriate can improve outcomes with wound healing. Inappropriate product use can cause delays in healing. As a wound healing progresses, management of a wound and the bandage material used must evolve. PMID:26022525

  6. First Materials Science Research Facility Rack Capabilities and Design Features

    Science.gov (United States)

    Cobb, S.; Higgins, D.; Kitchens, L.; Curreri, Peter (Technical Monitor)

    2002-01-01

    The first Materials Science Research Rack (MSRR-1) is the primary facility for U.S. sponsored materials science research on the International Space Station. MSRR-1 is contained in an International Standard Payload Rack (ISPR) equipped with the Active Rack Isolation System (ARIS) for the best possible microgravity environment. MSRR-1 will accommodate dual Experiment Modules and provide simultaneous on-orbit processing operations capability. The first Experiment Module for the MSRR-1, the Materials Science Laboratory (MSL), is an international cooperative activity between NASA's Marshall Space Flight Center (MSFC) and the European Space Agency's (ESA) European Space Research and Technology Center (ESTEC). The MSL Experiment Module will accommodate several on-orbit exchangeable experiment-specific Module Inserts which provide distinct thermal processing capabilities. Module Inserts currently planned for the MSL are a Quench Module Insert, Low Gradient Furnace, and a Solidification with Quench Furnace. The second Experiment Module for the MSRR-1 configuration is a commercial device supplied by MSFC's Space Products Development (SPD) Group. Transparent furnace assemblies include capabilities for vapor transport processes and annealing of glass fiber preforms. This Experiment Module is replaceable on-orbit. This paper will describe facility capabilities, schedule to flight and research opportunities.

  7. Key Future Engineering Capabilities for Human Capital Retention

    Science.gov (United States)

    Sivich, Lorrie

    Projected record retirements of Baby Boomer generation engineers have been predicted to result in significant losses of mission-critical knowledge in space, national security, and future scientific ventures vital to high-technology corporations. No comprehensive review or analysis of engineering capabilities has been performed to identify threats related to the specific loss of mission-critical knowledge posed by the increasing retirement of tenured engineers. Archival data from a single diversified Fortune 500 aerospace manufacturing engineering company's engineering career database were analyzed to ascertain whether relationships linking future engineering capabilities, engineering disciplines, and years of engineering experience could be identified to define critical knowledge transfer models. Chi square, logistic, and linear regression analyses were used to map patterns of discipline-specific, mission-critical knowledge using archival data of engineers' perceptions of engineering capabilities, key developmental experiences, and knowledge learned from their engineering careers. The results from the study were used to document key engineering future capabilities. The results were then used to develop a proposed human capital retention plan to address specific key knowledge gaps of younger engineers as veteran engineers retire. The potential for social change from this study involves informing leaders of aerospace engineering corporations on how to build better quality mentoring or succession plans to fill the void of lost knowledge from retiring engineers. This plan can secure mission-critical knowledge for younger engineers for current and future product development and increased global competitiveness in the technology market.

  8. Core Capabilities and Technical Enhancement -- FY-98 Annual Report

    Energy Technology Data Exchange (ETDEWEB)

    Miller, David Lynn

    1999-04-01

    The Core Capability and Technical Enhancement (CC&TE) Program, a part of the Verification, Validation, and Engineering Assessment Program, was implemented to enhance and augment the technical capabilities of the Idaho National Engineering and Environmental Laboratory (INEEL). The purpose for strengthening the technical capabilities of the INEEL is to provide the technical base to serve effectively as the Environmental Management Laboratory for the Office of Environmental Management (EM). An analysis of EM's science and technology needs as well as the technology investments currently being made by EM across the complex was used to formulate a portfolio of research activities designed to address EM's needs without overlapping work being done elsewhere. An additional purpose is to enhance and maintain the technical capabilities and research infrastructure at the INEEL. This is a progress report for fiscal year 1998 for the five CC&TE research investment areas: (a) transport aspects of selective mass transport agents, (b) chemistry of environmental surfaces, (c) materials dynamics, (d) characterization science, and (e) computational simulation of mechanical and chemical systems. In addition to the five purely technical research areas, this report deals with the science and technology foundations element of the CC&TE from the standpoint of program management and complex-wide issues. This report also provides details of ongoing and future work in all six areas.

  9. Core capabilities and technical enhancement, FY-98 annual report

    Energy Technology Data Exchange (ETDEWEB)

    Miller, D.L.

    1999-04-01

    The Core Capability and Technical Enhancement (CCTE) Program, a part of the Verification, Validation, and Engineering Assessment Program, was implemented to enhance and augment the technical capabilities of the Idaho National Engineering and Environmental Laboratory (INEEL). The purpose for strengthening the technical capabilities of the INEEL is to provide the technical base to serve effectively as the Environmental Management Laboratory for the Department of Energy's Office of Environmental Management (EM). An analysis of EM's science and technology needs as well as the technology investments currently being made by EM across the complex was used to formulate a portfolio of research activities designed to address EM's needs without overlapping work being done elsewhere. An additional purpose is to enhance and maintain the technical capabilities and research infrastructure at the INEEL. This is a progress report for fiscal year 1998 for the five CCTE research investment areas: (a) transport aspects of selective mass transport agents, (b) chemistry of environmental surfaces, (c) materials dynamics, (d) characterization science, and (e) computational simulation of mechanical and chemical systems. In addition to the five purely technical research areas, this report deals with the science and technology foundations element of the CCTE from the standpoint of program management and complex-wide issues. This report also provides details of ongoing and future work in all six areas.

  10. Fuel Fabrication Capability Research and Development Plan

    Energy Technology Data Exchange (ETDEWEB)

    Senor, David J.; Burkes, Douglas

    2014-04-17

    The purpose of this document is to provide a comprehensive review of the mission of the Fuel Fabrication Capability (FFC) within the Global Threat Reduction Initiative Convert Program, along with research and development (R&D) needs that have been identified as necessary to ensuring mission success. The design and fabrication of successful nuclear fuels must be closely linked endeavors. Therefore, the overriding motivation behind the FFC R&D program described in this plan is to foster closer integration between fuel design and fabrication to reduce programmatic risk. These motivating factors are all interrelated, and progress addressing one will aid understanding of the others. The FFC R&D needs fall into two principal categories, 1) baseline process optimization, to refine the existing fabrication technologies, and 2) manufacturing process alternatives, to evaluate new fabrication technologies that could provide improvements in quality, repeatability, material utilization, or cost. The FFC R&D Plan examines efforts currently under way in regard to coupon, foil, plate, and fuel element manufacturing, and provides recommendations for a number of R&D topics that are of high priority but not currently funded (i.e., knowledge gaps). The plan ties all FFC R&D efforts into a unified vision that supports the overall Convert Program schedule in general, and the fabrication schedule leading up to the MP-1 and FSP-1 irradiation experiments specifically. The fabrication technology decision gates and down-selection logic and schedules are tied to the schedule for fabricating the MP-1 fuel plates, which will provide the necessary data to make a final fuel fabrication process down-selection. Because of the short turnaround between MP-1 and the follow-on FSP-1 and MP-2 experiments, the suite of specimen types that will be available for MP-1 will be the same as those available for FSP-1 and MP-2. Therefore, the only opportunity to explore parameter space and alternative processing

  11. Childhood socioeconomic position and objectively measured physical capability levels in adulthood

    DEFF Research Database (Denmark)

    Birnie, Kate; Cooper, Rachel; Martin, Richard M;

    2011-01-01

    Grip strength, walking speed, chair rising and standing balance time are objective measures of physical capability that characterise current health and predict survival in older populations. Socioeconomic position (SEP) in childhood may influence the peak level of physical capability achieved in ...

  12. Cleft Lip and Palate Care in Nigeria

    OpenAIRE

    Adeyemi, Tokunbo Abigail

    2016-01-01

    BACKGROUND; The World Health Organisation has recommended the need to standardise cleft care globally. In Europe, the Eurocleft project was a concerted effort to improve on the standards of care for children with cleft lip and palate. Certain recommendations were made that were used to judge the standards of care offered, this eventually led to reorganization of services. Improving on standards of cleft care in Nigeria, would require a starting point, by determining what is currently being of...

  13. On Capability Approach, Poverty and Corruption

    Directory of Open Access Journals (Sweden)

    Daojiu Hu

    2014-04-01

    Full Text Available The core of development is to face up with the challenge of the issue of poverty, which directly is associated with the ultimate goal of social, political and economic development. If the poverty has not been properly handled, development will be inefficient and unsustainable. This paper briefly indicates the main idea of Amartya Sen’s capability approach, then utilizing the approach to analyze poverty and the bottleneck in dealing such issues. It illustrates the inter-relationship of capability, poverty and corruption, and demonstrates that corruption is both the cause and the consequence of poverty and the failure of capability. When there corruption comes, the essential power to alleviate and eliminate poverty such as political accountability, transparency, engagement and openness are all spoiled and even wiped off. Political accountability, transparence, engagement are of great importance to both anti-corruption and poverty and promotion of capability. Economic aid for the poor and needy should be reinforced by fostering and promoting the capability of the poor and needy, so that the purpose of eliminating poverty and corruption could be achieved.

  14. Home Care

    Science.gov (United States)

    ... care is especially useful for persons who need nursing, therapy, or aide services. You may need help if you are dealing with one or more of the following: You have trouble getting around (for example, after a hospital stay or an accident) You have wounds that need to be cleaned, ...

  15. Enacting Care

    Czech Academy of Sciences Publication Activity Database

    Urban, Petr

    2015-01-01

    Roč. 9, č. 2 (2015), s. 216-222. ISSN 1749-6535 R&D Projects: GA ČR(CZ) GPP401/12/P544 Institutional support: RVO:67985955 Keywords : ethics of care * enactivism * autonomy * social institutions * autism * exclusion Subject RIV: AA - Philosophy ; Religion http://dx.doi.org/10.1080/17496535.2015.1022356

  16. Who cares?

    DEFF Research Database (Denmark)

    Petersen, Morten Krogh

    practices. If that is the case, the great challenge is to “come up with ingenious solutions to the problem of how to become interesting enough for practices to care about” (ibid: 72). Through ethnographic fieldwork encounters with Radicand Design Collaboratory, a collaborative product development...

  17. How Stakeholder Sensing and Anticipations Shape the Firm’s Strategic Response Capability

    DEFF Research Database (Denmark)

    Hallin, Carina Antonia; Andersen, Torben Juul; Ooi, Can-Seng

    We outline a strategic response capability framework drawing on cognitive neuroscience to explain stakeholder sensing and anticipations as essential input to environmental analysis. Stakeholders receive stimuli from ongoing interactions with the firm and thereby sense current environmental changes...

  18. The atmospheric release advisory capability (ARAC): A federal emergency response capability

    International Nuclear Information System (INIS)

    The Atmospheric Release Capability (ARAC) is a Department of Energy (DOE)-sponsored emergency-response service set up to provide real-time prediction of the dose levels and the extent of surface contamination resulting from a broad range of possible occurrences (accidents, spills, extortion threats involving nuclear material, reentry of nuclear-powered satellites, and atmospheric nuclear tests) that could involve the release of airborne radioactive material. During the past decade, ARAC has responded to more than 150 real-time situations, including exercises. The most notable responses include the Three Mile Island accident in Pennsylvania, the Titan II missile accident in Arkansas, the reentry of the USSR's COSMOS-954 into the atmosphere over Canada, the accidental release of uranium hexafluoride from the Sequoyah Facility accident in Oklahoma, and, most recently, the Chernobyl reactor accident in the Soviet Union. ARAC currently supports the emergency-preparedness plans at 50 Department of Defense (DOD) and DOE sites within the US and also responds to accidents that happen elsewhere. Our ARAC center serves as the focal point for data acquisition, data analysis and assessments during a response, using a computer-based communication network to acquire real-time weather data from the accident site and the surrounding region, as well as pertinent accident information. Its three-dimensional computer models for atmospheric dispersion, MATHEW and ADPIC, digest all this information and produce the predictions used in accident assessment. 9 refs., 6 figs., 1 tab

  19. Leadership models in health care - a case for servant leadership.

    Science.gov (United States)

    Trastek, Victor F; Hamilton, Neil W; Niles, Emily E

    2014-03-01

    Our current health care system is broken and unsustainable. Patients desire the highest quality care, and it needs to cost less. To regain public trust, the health care system must change and adapt to the current needs of patients. The diverse group of stakeholders in the health care system creates challenges for improving the value of care. Health care providers are in the best position to determine effective ways of improving the value of care. To create change, health care providers must learn how to effectively lead patients, those within health care organizations, and other stakeholders. This article presents servant leadership as the best model for health care organizations because it focuses on the strength of the team, developing trust and serving the needs of patients. As servant leaders, health care providers may be best equipped to make changes in the organization and in the provider-patient relationship to improve the value of care for patients. PMID:24486078

  20. Anatomy of health care reform proposals.

    OpenAIRE

    Soffel, D; Luft, H S

    1993-01-01

    The current proliferation of proposals for health care reform makes it difficult to sort out the differences among plans and the likely outcome of different approaches to reform. The current health care system has two basic features. The first, enrollment and eligibility functions, includes how people get into the system and gain coverage for health care services. We describe 4 models, ranging from an individual, voluntary approach to a universal, tax-based model. The second, the provision of...

  1. A Secured Health Care Application Architecture for Cyber-Physical Systems

    CERN Document Server

    Wang, Jin; Lee, Sungyoung; Shu, Lei; Xia, Feng

    2012-01-01

    Cyber-physical systems (CPS) can be viewed as a new generation of systems with integrated control, communication and computational capabilities. Like the internet transformed how humans interact with one another, cyber-physical systems will transform how people interact with the physical world. Currently, the study of CPS is still in its infancy and there exist many research issues and challenges ranging from electricity power, health care, transportation and smart building etc. In this paper, an introduction of CPeSC3 (cyber physical enhanced secured wireless sensor networks (WSNs) integrated cloud computing for u-life care) architecture and its application to the health care monitoring and decision support systems is given. The proposed CPeSC3 architecture is composed of three main components, namely 1) communication core, 2) computation core, and 3) resource scheduling and management core. Detailed analysis and explanation are given for relevant models such as cloud computing, real time scheduling and secu...

  2. Drift reversal capability in helical systems

    International Nuclear Information System (INIS)

    The maximum-J (J is the second adiabatic invariant) capability, i.e., the drift reversal capability, is examined in quasi-axisymmetric (QAS) stellarators and quasi-poloidally symmetric (QPS) stellarators as a possible mechanism for turbulent transport suppression. Due to the existence of non-axisymmetry of the magnetic field strength in QAS configurations, a local maximum of J is created to cause the drift reversal. The increase of magnetic shear in finite beta equilibria also has favorable effect in realizing the drift reversal. The radial variation of the uniform magnetic field component plays a crucial role for the drift reversal in a QPS configuration. Thus, the drift reversal capability and its external controllability are demonstrated for QAS and QPS stellarators, by which the impact of magnetic configuration on turbulent transport can be studied in experiments. (author)

  3. Capabilitarian Sufficiency: Capabilities and Social Justice

    DEFF Research Database (Denmark)

    Nielsen, Lasse; Axelsen, David Vestergaard

    2016-01-01

    This paper suggests an account of sufficientarianism—i.e. that justice is fulfilled when everyone has enough—laid out within a general framework of the capability approach. In doing so, it seeks to show that sufficiency is especially plausible as an ideal of social justice when constructed around...... key capabilitarian insights such as freedom, pluralism, and attention to empirical interconnections between central capabilities. Correspondingly, we elaborate on how a framework for evaluating social justice would look when constructed in this way and give reasons for why capabilitarians should...... of a social being. In each category, we argue, achieving sufficiency requires different distributional patterns depending on how the capabilities themselves work and interrelate. This argument adds a new dimension to the way capabilitarians think about social justice and changes how we should target...

  4. START Analysis for ESAS Capability Needs Prioritization

    Science.gov (United States)

    Lincoln, William; Mrozinski, Joe; Hua, Hook; Merida, Sofia; Shelton, Kacie; Adumitroaie, Virgil; Weisbin, Charles R.; Derleth, Jason

    2006-01-01

    START is a tool to optimize research and development primarily for NASA missions. It was developed within the Strategic Systems Technology Program Office, a division of the Office of the Chief Technologist at NASA's Jet Propulsion Laboratory. START is capable of quantifying and comparing the risks, costs, and potential returns of technologies that are candidates for funding. START can be enormously helpful both in selecting technologies for development -- within the constraints of budget, schedule, and other resources -- and in monitoring their progress. START's methods are applicable to everything from individual tasks to multiple projects comprising entire programs of investigation. They can address virtually any technology assessment and capability prioritization issue. In this report, START is used to analyze the capability needs using data from NASA's Exploration Systems Architecture Study (ESAS).

  5. ANTECEDENTS OF CUSTOMER RELATIONSHIP MANAGEMENT CAPABILITIES

    Directory of Open Access Journals (Sweden)

    Tuleu Daniela

    2015-07-01

    Full Text Available Customer relationship management, as a process to manage customer relationship initiation, maintenance and termination to maximize the value of the relationship portfolio, is an evolving process. In recent years, the development of interactive technologies (social media have revolutionized the interaction between firms and their customers and between customers. The impact of technology on CRM is improving ways of collecting and processing customer information and transforming communication with customers. In the context of the development of social networks, the introduction of social media applications in customer relationship management activities bring important changes in this area. Thus, managers need to pay attention to the interaction management as an important process of CRM and enhance the customer relationship management capabilities. The study propose a conceptual research model of several antecedents of customer relationship managements capabilities and provide the linkage between this antecedents and CRM capabilities. First, following review of existing research literature related to customer relationship management, there are some conceptual clarification on customer relationship management. Second, are presented the working concepts: the adoption of interactive technologies, customer concept, customer empowerment, customer relationship orientation and customer-centric management system. Then, it is proposed the conceptual model and finally are presented conclusions, managerial implications, limitations and research directions. From a theoretical perspective, this paper highlights the importance of marketing actions at the individual customer level and reveal the impact of adoption by companies of interactive technologies so that organizations have the opportunity to engage in conversations with customers and respond in real time the requirements that they launched the online environment. Nowadays, customers feel empowered and play

  6. First Materials Science Research Rack Capabilities and Design Features

    Science.gov (United States)

    Schaefer, D.; King, R.; Cobb, S.; Whitaker, Ann F. (Technical Monitor)

    2001-01-01

    The first Materials Science Research Rack (MSRR-1) will accommodate dual Experiment Modules (EM's) and provide simultaneous on-orbit processing operations capability. The first international Materials Science Experiment Module for the MSRR-1 is an international cooperative research activity between NASA's Marshall Space Flight Center (MSFC) and the European Space Agency's (ESA) European Space Research and Technology Center. (ESTEC). This International Standard Payload Rack (ISPR) will contain the Materials Science Laboratory (MSL) developed by ESA as an Experiment Module. The MSL Experiment Module will accommodate several on-orbit exchangeable experiment-specific Module Inserts. Module Inserts currently planned are a Quench Module Insert, Low Gradient Furnace, Solidification with Quench Furnace, and Diffusion Module Insert. The second Experiment Module for the MSRR-1 configuration is a commercial device supplied by MSFC's Space Products Department (SPD). It includes capabilities for vapor transport processes and liquid metal sintering. This Experiment Module will be replaced on-orbit with other NASA Materials Science EMs.

  7. Development and use of an integrated analysis capability

    Science.gov (United States)

    Vos, R. G.; Walker, W. J.; Beste, D. L.; Price, G. A.; Young, J. P.; Frisch, H. P.

    1983-01-01

    The paper describes a multi-discipline integrated analysis capability, designed to aid the engineering community in coupling of existing modules and in handling of the associated software and data. This capability consists of an executive program which manages tasks and data, a number of technical modules, graphics and special purpose modules, inter-module data flow interfaces, and associated user documentation. The current implementation provides specific modules and coupled solution paths for the thermal, structures and controls technologies. However, the system has been designed to serve also as a framework into which user groups may incorporate other modules and technologies. Details of the system architecture are discussed, in the context of the major design decisions and the software development and usage experience. The paper provides a brief discussion of some other integrated systems which are available or under development.

  8. NASA ATP Force Measurement Technology Capability Strategic Plan

    Science.gov (United States)

    Rhew, Ray D.

    2008-01-01

    The Aeronautics Test Program (ATP) within the National Aeronautics and Space Administration (NASA) Aeronautics Research Mission Directorate (ARMD) initiated a strategic planning effort to re-vitalize the force measurement capability within NASA. The team responsible for developing the plan included members from three NASA Centers (Langley, Ames and Glenn) as well as members from the Air Force s Arnold Engineering and Development Center (AEDC). After visiting and discussing force measurement needs and current capabilities at each participating facility as well as selected force measurement companies, a strategic plan was developed to guide future NASA investments. This paper will provide the details of the strategic plan and include asset management, organization and technology research and development investment priorities as well as efforts to date.

  9. Combining advanced imaging processing and low cost remote imaging capabilities

    Science.gov (United States)

    Rohrer, Matthew J.; McQuiddy, Brian

    2008-04-01

    Target images are very important for evaluating the situation when Unattended Ground Sensors (UGS) are deployed. These images add a significant amount of information to determine the difference between hostile and non-hostile activities, the number of targets in an area, the difference between animals and people, the movement dynamics of targets, and when specific activities of interest are taking place. The imaging capabilities of UGS systems need to provide only target activity and not images without targets in the field of view. The current UGS remote imaging systems are not optimized for target processing and are not low cost. McQ describes in this paper an architectural and technologic approach for significantly improving the processing of images to provide target information while reducing the cost of the intelligent remote imaging capability.

  10. Capabilities for spent fuel characterization at Argonne National Laboratory

    International Nuclear Information System (INIS)

    Summaries of the status of spent nuclear fuel (SNF) owned by the Department of Energy have highlighted the need to obtain a better understanding of the current physical and chemical condition of the SNF as a foundation for establishing a clear path forward for the fuel's eventual geologic disposal in a long-term repository. To initiate obtaining the required information, DOE has generated an SNF Characterization Plan based on the needs for characterizing the materials stored at the individual major DOE storage sites. The principal focus of the plan is to characterize those fuel attributes that are key to the safe handling, transportation, and storage of the SNF. The drivers for specific attributes are regulatory requirements, resolution of technical issues, or a design need. Argonne National Laboratory's facilities in Illinois and Idaho possess capabilities that can be used to address many of the characterization issues that have been raised. This paper will describe these capabilities

  11. Predicting Mortgage Arrears: An Investigation Into the Predictive Capability of Customer Spending Patterns

    OpenAIRE

    Roche, Jamie

    2014-01-01

    The management of credit risk and mortgage arrears has become a very important area in financial services and banking. This dissertation set out to build a statistical model, which incorporates customer spending habits and the current equity value of a property, capable of predicting arrears. Current literature identifies many themes such as negative equity and unemployment that are common occurring factors in mortgage arrears but a multi-faceted approach was required to build a model capable...

  12. Improved DFIG Capability during Asymmetrical Grid Faults

    DEFF Research Database (Denmark)

    Zhou, Dao; Blaabjerg, Frede

    In the wind power application, different asymmetrical types of the grid fault can be categorized after the Y/d transformer, and the positive and negative components of a single-phase fault, phase-to-phase fault, and two-phase fault can be summarized. Due to the newly introduced negative and even......, the capability of a 2 MW DFIG to ride through asymmetrical grid faults can be estimated at the existing design of the power electronics converter. Finally, a control scheme aimed to improve the DFIG capability is proposed and the simulation results validate its feasibility....

  13. Capabilities of an on-site inspection

    International Nuclear Information System (INIS)

    The technical capabilities of a 10-person radionuclide team operating mobile labs and portable equipment against a nuclear anomaly that could be a contained underground nuclear explosion is described. Surveys, including flight, car-borne, and backpack, help locate an area for investigation, then in situ survey and sample collections can identify isotopic anomalies in concentration, location, and ratio. Where surface radionuclides are not evident, subsurface noble gas (Xe and Ar) collection and mobile lab measurements can detect leakage from even well-contained nuclear tests. The authors will discuss the strategies for using these capabilities and the integration of information from other technical subteams in a 4-week exercise. (author)

  14. Physics capabilities of the DO upgrade detector

    International Nuclear Information System (INIS)

    The D0 detector at Fermilab is being upgraded to meet the demands imposed by high luminosity Tevatron running planned to begin in 1998. The central tracking detectors will be replaced with silicon and scintillating fiber tracking systems inside a solenoidal magnetic field and a preshower detector will be added to aid in electron identification. The design and performance of these systems are described and detailed simulations of the physics capabilities of the upgraded detector are presented. In particular the authors focus on the study of electroweak boson properties and top quark physics and briefly describe the b-physics capabilities

  15. Esourcing capability model for client organizations

    CERN Document Server

    Hefley, Bill

    2010-01-01

    The eSourcing Capability Model for Client Organizations (eSCM-CL) is the best practices model that enables client organizations to appraise and improve their capability to foster the development of more effective relationships and to better manage these relationships. This title helps readers successfully implement a full range of client-organization tasks, ranging from developing the organization's sourcing strategy, planning for sourcing and service provider selection, initiating an agreement with service providers, managing service delivery, and completing the agreement.The eSCM-CL has been

  16. Cloud-based Architecture Capabilities Summary Report

    Energy Technology Data Exchange (ETDEWEB)

    Vang, Leng [Idaho National Lab. (INL), Idaho Falls, ID (United States); Prescott, Steven R [Idaho National Lab. (INL), Idaho Falls, ID (United States); Smith, Curtis [Idaho National Lab. (INL), Idaho Falls, ID (United States)

    2014-09-01

    In collaborating scientific research arena it is important to have an environment where analysts have access to a shared of information documents, software tools and be able to accurately maintain and track historical changes in models. A new cloud-based environment would be accessible remotely from anywhere regardless of computing platforms given that the platform has available of Internet access and proper browser capabilities. Information stored at this environment would be restricted based on user assigned credentials. This report reviews development of a Cloud-based Architecture Capabilities (CAC) as a web portal for PRA tools.

  17. Trends in Microfabrication Capabilities & Device Architectures.

    Energy Technology Data Exchange (ETDEWEB)

    Bauer, Todd [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States); Jones, Adam [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States); Lentine, Anthony L. [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States); Mudrick, John [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States); Okandan, Murat [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States); Rodrigues, Arun F. [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States)

    2015-06-01

    The last two decades have seen an explosion in worldwide R&D, enabling fundamentally new capabilities while at the same time changing the international technology landscape. The advent of technologies for continued miniaturization and electronics feature size reduction, and for architectural innovations, will have many technical, economic, and national security implications. It is important to anticipate possible microelectronics development directions and their implications on US national interests. This report forecasts and assesses trends and directions for several potentially disruptive microfabrication capabilities and device architectures that may emerge in the next 5-10 years.

  18. Competencies, Capabilities and the Neoschumpeterian Tradition

    DEFF Research Database (Denmark)

    Augier, Mie-Sophia; Teece, David J.

    2004-01-01

    In this paper, Mie Augier and David Teece outline the history and development of the ideas underlying an emerging approach within strategic management research: the dynamic capabili-ties framework. The framework was first outlined by Teece and Pisano (1994), and in the pre-sent paper elaborated...... theory of the firm) and Nelson and Winter (an evolutionary theory of economic change). In the dynamic capability framework firms and markets co-evolve. Managers are now allowed to perform distinct strate-gic roles in shaping both firms and their markets, e.g. through asset- selection and orchestra-tion...

  19. Varied control of coordination capabilities of students

    Directory of Open Access Journals (Sweden)

    Sergienko V.N.

    2010-06-01

    Full Text Available The results of testing of coordinating capabilities of students are resulted to differentiation of spatiotemporal parameters. In research took part students in age of 17-20 years. The normative estimations of coordinating capabilities of students are developed. An initial health of students level was determined for 12 ball sigmoid scale. More high exactness and reliability of state information is marked health of students. It reduces a risk level for a health during the decision of practical tasks on physical education.

  20. Organizational capabilities and new market entry processes

    DEFF Research Database (Denmark)

    Nogueira, Leticia Antunes; Andersen, Poul Houman; Drejer, Ina

    This is a conceptual paper that addresses the question of organizational capabilities in the context of firms entering markets that are new to them. The purpose of this work is to outline the theoretical debate on the topic, and propose avenues for empirical investigation.......This is a conceptual paper that addresses the question of organizational capabilities in the context of firms entering markets that are new to them. The purpose of this work is to outline the theoretical debate on the topic, and propose avenues for empirical investigation....