WorldWideScience

Sample records for care lessons learned

  1. Pediatric Care Coordination: Lessons Learned and Future Priorities.

    Science.gov (United States)

    Cady, Rhonda G; Looman, Wendy S; Lindeke, Linda L; LaPlante, Bonnie; Lundeen, Barbara; Seeley, Amanda; Kautto, Mary E

    2015-09-30

    A fundamental component of the medical home model is care coordination. In Minnesota, this model informed design and implementation of the state's health care home (HCH) model, a key element of statewide healthcare reform legislation. Children with medical complexity (CMC) often require care from multiple specialists and community resources. Coordinating this multi-faceted care within the HCH is challenging. This article describes the need for specialized models of care coordination for CMC. Two models of care coordination for CMC were developed to address this challenge. The TeleFamilies Model of Pediatric Care Coordination uses an advanced practice registered nurse care (APRN) coordinator embedded within an established HCH. The PRoSPer Model of Pediatric Care Coordination uses a registered nurse/social worker care coordinator team embedded within a specialty care system. We describe key findings from implementation of these models, and conclude with lessons learned. Replication of the models is encouraged to increase the evidence base for care coordination for the growing population of children with medical complexities.

  2. Implementation of emergency obstetric care training in Bangladesh: lessons learned.

    Science.gov (United States)

    Islam, Mohammad Tajul; Haque, Yasmin Ali; Waxman, Rachel; Bhuiyan, Abdul Bayes

    2006-05-01

    The Women's Right to Life and Health project aimed to reduce maternal morbidity and mortality in Bangladesh through provision of comprehensive emergency obstetric care (EmOC) in the country's district and sub-district hospitals. Human resources development was one of the project's major activities. This paper describes the project in 2000-2004 and lessons learned. Project documents, the training database, reports and training protocols were reviewed. Medical officers, nurses, facility managers and laboratory technicians received training in the country's eight medical college hospitals, using nationally accepted curricula. A 17-week competency-based training course for teams of medical officers and nurses was introduced in 2003. At baseline in 1999, only three sub-district hospitals were providing comprehensive EmOC and 33 basic EmOC, mostly due to lack of trained staff and necessary equipment. In 2004, 105 of the 120 sub-district hospitals had become functional for EmOC, 70 with comprehensive EmOC and 35 with basic EmOC, while 53 of 59 of the district hospitals were providing comprehensive EmOC compared to 35 in 1999. The scaling up of competency-based training, innovative incentives to retain trained staff, evidence-based protocols to standardise practice and improve quality of care and the continuing involvement of key stakeholders, especially trainers, will all be needed to reach training targets in future.

  3. Lesson Learning at JPL

    Science.gov (United States)

    Oberhettinger, David

    2011-01-01

    A lessons learned system is a hallmark of a mature engineering organization A formal lessons learned process can help assure that valuable lessons get written and published, that they are well-written, and that the essential information is "infused" into institutional practice. Requires high-level institutional commitment, and everyone's participation in gathering, disseminating, and using the lessons

  4. Reporting intellectual capital in health care organizations: specifics, lessons learned, and future research perspectives.

    Science.gov (United States)

    Veltri, Stefania; Bronzetti, Giovanni; Sicoli, Graziella

    2011-01-01

    This article analyzes the concept of intellectual capital (IC) in the health sector sphere by studying the case of a major nonprofit research organization in this sector, which has for some time been publishing IC reports. In the last few years, health care organizations have been the object of great attention in the implementation and transfer of managerial models and tools; however, there is still a lack of attention paid to the strategic management of IC as a fundamental resource for supporting and enhancing performance improvement dynamics. The main aim of this article is to examine the IC reporting model used by the Center of Molecular Medicine (CMM), a Swedish health organization which is an outstanding benchmark in reporting its IC. We also consider the specifics of IC reporting for health organizations, the lessons learned by analyzing CMM's IC reporting, and future perspectives for research.

  5. Regionalized care for time-critical conditions: lessons learned from existing networks.

    Science.gov (United States)

    Carr, Brendan G; Matthew Edwards, J; Martinez, Ricardo

    2010-12-01

    The 2010 Academic Emergency Medicine (AEM) consensus conference "Beyond Regionalization" aimed to place the design of a 21st century emergency care delivery system at the center of emergency medicine's (EM's) health policy research agenda. To examine the lessons learned from existing regional systems, consensus conference organizers convened a panel discussion made up of experts from the fields of acute care surgery, interventional cardiology, acute ischemic stroke, cardiac arrest, critical care medicine, pediatric EM, and medical toxicology. The organizers asked that each member provide insight into the barriers that slowed network creation and the solutions that allowed them to overcome barriers. For ST-segment elevation myocardial infarction (STEMI) management, the American Heart Association's (AHA's) Mission: Lifeline aims to increase compliance with existing guidelines through improvements in the chain of survival, including emergency medical services (EMS) protocols. Increasing use of therapeutic hypothermia post-cardiac arrest through a network of hospitals in Virginia has led to dramatic improvements in outcome. A regionalized network of acute stroke management in Cincinnati was discussed, in addition to the effect of pediatric referral centers on pediatric capabilities of surrounding facilities. The growing importance of telemedicine to a variety of emergencies, including trauma and critical care, was presented. Finally, the importance of establishing a robust reimbursement mechanism was illustrated by the threatened closure of poison control centers nationwide. The panel discussion added valuable insight into the possibilities of maximizing patient outcomes through regionalized systems of emergency care. A primary challenge remaining is for EM to help to integrate the existing and developing disease-based systems of care into a more comprehensive emergency care system.

  6. NASA Engineering Network Lessons Learned

    Data.gov (United States)

    National Aeronautics and Space Administration — The NASA Lessons Learned system provides access to official, reviewed lessons learned from NASA programs and projects. These lessons have been made available to the...

  7. Implementation of an agency to improve chronic kidney disease care in Ontario: lessons learned by the Ontario Renal Network.

    Science.gov (United States)

    Woodward, Graham L; Iverson, Alex; Harvey, Rebecca; Blake, Peter G

    2015-01-01

    In 2009, Ontario's Ministry of Health and Long-Term Care initiated the transfer of oversight and coordination of chronic kidney disease (CKD) care to the Ontario Renal Network (ORN) under the auspices of Cancer Care Ontario (CCO). The aim was to replicate the quality improvement and change management practices used for cancer control within CKD. Much of the ORN's first three years were dedicated to building the infrastructure necessary to bridge the gap between provincial policy and clinical practice. This article explores the accomplishments, challenges and lessons learned over that period. The results, which are applicable to the management of chronic diseases in Ontario, Canada, and internationally, confirm that sustainable change takes time and requires strong leadership, transparency, accountability and communication, supported by a solid foundation of data and evidence.

  8. International academic service learning: lessons learned from students' travel experiences of diverse cultural and health care practices in morocco.

    Science.gov (United States)

    Kaddoura, Mahmoud; Puri, Aditi; Dominick, Christine A

    2014-01-01

    Academic service learning (ASL) is an active teaching-learning approach to engage students in meaningful hands-on activities to serve community-based needs. Nine health professions students from a private college and a private university in the northeastern United States volunteered to participate in an ASL trip to Morocco. The participants were interviewed to reflect on their experiences. This article discusses the lessons learned from students' ASL experiences regarding integrating ASL into educational programs. The authors recommend a paradigm shift in nursing and dental hygiene curricula to appreciate diversity and promote cultural competency, multidisciplinary teamwork, and ethics-based education.

  9. Bundled Payments for Care Improvement: Lessons Learned in the First Year.

    Science.gov (United States)

    Althausen, Peter L; Mead, Lisa

    2016-12-01

    The Bundled Payments for Care Improvement (BPCI) initiative is the latest cost-saving program developed by the Center for Medicare and Medicaid Innovation. This model is intended to create a system for higher quality and more coordinated care at a lower cost to Medicare. It is currently an optional program for physician groups, hospitals and post-acute care providers to benefit financially from improved care models and cost containment measures. Under the initiative, organizations enter into payment arrangements that include financial and performance accountability for episodes of care. Under this initiative, there are certain fraud and abuse waivers in place that allow gainsharing among BPCI organizations and approved providers so long as certain requirements are met. Our practice entered this initiative for total joint arthroplasty episodes of care as well as the hip and femur fracture episode of care. The first year experience demonstrated that a significant learning curve is required. Keys for success include appropriate patient selection for elective surgery, implant pricing control, adherence to preoperative and postoperative protocols, diligent postcare care management, and appropriate choice of metrics to maximize gainsharing potential. Ultimately, the BPCI program has been a successful venture, saving our hospitals over $1.6 million in 2015. In the process, this provided an additional revenue stream for our physicians while decreasing the overall cost of care.

  10. Challenges in interdisciplinary weight management in primary care: lessons learned from the 5As Team study.

    Science.gov (United States)

    Asselin, J; Osunlana, A M; Ogunleye, A A; Sharma, A M; Campbell-Scherer, D

    2016-04-01

    Increasingly, research is directed at advancing methods to address obesity management in primary care. In this paper we describe the role of interdisciplinary collaboration, or lack thereof, in patient weight management within 12 teams in a large primary care network in Alberta, Canada. Qualitative data for the present analysis were derived from the 5As Team (5AsT) trial, a mixed-method randomized control trial of a 6-month participatory, team-based educational intervention aimed at improving the quality and quantity of obesity management encounters in primary care practice. Participants (n = 29) included in this analysis are healthcare providers supporting chronic disease management in 12 family practice clinics randomized to the intervention arm of the 5AsT trial including mental healthcare workers (n = 7), registered dietitians (n = 7), registered nurses or nurse practitioners (n = 15). Participants were part of a 6-month intervention consisting of 12 biweekly learning sessions aimed at increasing provider knowledge and confidence in addressing patient weight management. Qualitative methods included interviews, structured field notes and logs. Four common themes of importance in the ability of healthcare providers to address weight with patients within an interdisciplinary care team emerged, (i) Availability; (ii) Referrals; (iii) Role perception and (iv) Messaging. However, we find that what was key to our participants was not that these issues be uniformly agreed upon by all team members, but rather that communication and clinic relationships support their continued negotiation. Our study shows that firm clinic relationships and deliberate communication strategies are the foundation of interdisciplinary care in weight management. Furthermore, there is a clear need for shared messaging concerning obesity and its treatment between members of interdisciplinary teams.

  11. Implementing Brief Interventions in Health Care: Lessons Learned from the Swedish Risk Drinking Project

    Directory of Open Access Journals (Sweden)

    Per Nilsen

    2011-09-01

    Full Text Available The Risk Drinking Project was a national implementation endeavour in Sweden, carried out from 2004 to 2010, based on a government initiative to give alcohol issues a more prominent place in routine primary, child, maternity and occupational health care. The article describes and analyses the project. Critical factors that were important for the results are identified. The magnitude of the project contributed to its reach and impact in terms of providers’ awareness of the project goals and key messages. The timing of the project was appropriate. The increase in alcohol consumption in Sweden and diminished opportunities for primary prevention strategies since entry to the European Union in 1995 have led to increased expectations for health care providers to become more actively involved in alcohol prevention. This awareness provided favourable conditions for this project. A multifaceted approach was used in the project. Most educational courses were held in workshops and seminars to encourage learning-by-doing. Motivational interviewing was an integral aspect. The concept of risk drinking was promoted in all the activities. Subprojects were tailored to the specific conditions of each respective setting, building on the skills the providers already had to modify existing work practices. Nurses were afforded a key role in the project.

  12. Financial Lessons Learned

    Institute of Scientific and Technical Information of China (English)

    2010-01-01

    @@ As the Wall Street chaos of 2008 swept the globe,China-with little exposure to subprime mortgages-was one of the only calm ports in the growing financial storm.Ifone lesson can be learned from the crisis,it is this: maintain a constant state of financial vigilance against risks even in boom times.China now faces the task of ensuring its financial health as it further opens to the world amid a global financial landscape reshaped by deep recessions.Economists and finance professors discussed these challenges at the Asia-Pacific Economic and Financial Forum recently held in Beijing.Edited excerpts follow:

  13. Financial Lessons Learned

    Institute of Scientific and Technical Information of China (English)

    2010-01-01

    As the Wall Street chaos of 2008 swept the globe,China-with little exposure to subprime mortgages-was one of the only calm ports in the growing financial storm.If one lesson can be learned from the crisis,it is this: maintain a constant state of financial vigilance against risks even in boom times.China now faces the task of ensuring its financial health as it further opens to the world amid a global financial landscape reshaped by deep recessions.Economists and finance professors discussed these challenges at the Asia-Pacific Economic and Financial Forum recently held in Beijing.Edited excerpts follow

  14. Lessons Learned for Decommissioning Planning

    Energy Technology Data Exchange (ETDEWEB)

    Sohn, Wook; Kim, Young-gook; Kim, Hee-keun [Korea Hydro and Nuclear Power Co. LTD, Daejeon (Korea, Republic of)

    2015-10-15

    The purpose of this paper is to introduce the U.S. nuclear industrial's some key lessons learned especially for decommissioning planning based on which well informed decommissioning planning can be carried out. For a successful decommissioning, it is crucial to carry out a well-organized decommissioning planning before the decommissioning starts. This paper discussed four key factors which should be decided or considered carefully during the decommissioning planning period with introduction of related decommissioning lessons learned of U.S. nuclear industry. Those factors which have been discussed in this paper include the end state of a site, the overall decommissioning strategy, the management of the spent fuels, and the spent fuel pool island. Among them, the end state of a site should be decided first as it directs the whole decommissioning processes. Then, decisions on the overall decommissioning strategy (DECON vs. SAFSTOR) and the management of the spent fuels (wet vs. dry) should follow. Finally, the spent fuel pool island should be given due consideration because its implementation will result in much cost saving. Hopefully, the results of this paper would provide useful inputs to performing the decommissioning planing for the Kori unit 1.

  15. St. Louis FUSRAP Lessons Learned

    Energy Technology Data Exchange (ETDEWEB)

    Eberlin, J.; Williams, D.; Mueller, D.

    2003-02-26

    The purpose of this paper is to present lessons learned from fours years' experience conducting Remedial Investigation and Remedial Action activities at the St. Louis Downtown Site (SLDS) under the Formerly Utilized Sites Remedial Action Program (FUSRAP). Many FUSRAP sites are experiencing challenges conducting Remedial Actions within forecasted volume and budget estimates. The St. Louis FUSRAP lessons learned provide insight to options for cost effective remediation at FUSRAP sites. The lessons learned are focused on project planning (budget and schedule), investigation, design, and construction.

  16. Lessons Learned from FUSRAP

    Energy Technology Data Exchange (ETDEWEB)

    Castillo, Darina [U.S. Department of Energy, Office of Legacy Management; Carpenter, Cliff [U.S. Department of Energy, Office of Legacy Management; Miller, Michele [Navarro Research and Engineering

    2016-03-06

    The US DOE Office of Legacy Management (LM) is the long-term steward for 90 sites remediated under numerous regulatory regimes including the Formerly Utilized Sites Remedial Action Program (FUSRAP) sites. In addition, LM holds considerable historical information, gathered in the 1970s, to determine site eligibility for remediation under FUSRAP. To date, 29 FUSRAP sites are in LM’s inventory of sites for long-term surveillance and maintenance (LTS&M), and 25 are with the US Army Corps of Engineers (USACE) for remediation or in the process of being transitioned to LM. It is forecasted that 13 FUSRAP sites will transfer from the USACE to LM over the next 10 years; however, the timing of the transfers is strongly dependent upon federal funding of the ongoing remedial actions. Historically, FUSRAP sites were generally cleaned up for “unrestricted” industrial use or remediated to the “cleanup standards” at that time, and their use remained unchanged. Today, these sites as well as the adjacent properties are now changing or envisioned to have changes in land use, typically from industrial to commercial or residential uses. The implication of land-use change affects DOE’s LTS&M responsibility for the sites under LM stewardship as well as the planning for the additional sites scheduled to transition in time. Coinciding with land-use changes at or near FUSRAP sites is an increased community awareness of these sites. As property development increases near FUSRAP sites, the general public and interested stakeholders regularly inquire about the sufficiency of cleanups that impact their neighborhoods and communities. LM has used this experience to address a series of lessons learned to improve our program management in light of the changing conditions of our sites. We describe these lessons learned as (1) improved stakeholder relations, (2) enhanced LTS&M requirements for the sites, and (3) greater involvement in the transition process.

  17. Critical Issues in Foster Care: Lessons the Children's Ark Learned from Barbara and Nathan

    Science.gov (United States)

    Mann, Janet; Kretchmar, Molly D.; Worsham, Nancy L.

    2008-01-01

    Using an attachment theory framework, this article explores several critical issues in foster care as reflected in the case of Barbara and her 9-month-old son, Nathan. Barbara and Nathan participated in The Children's Ark, an innovative intervention for families in foster care that allowed mothers who had lost custody of their children to live,…

  18. Integrated care services: lessons learned from the deployment of the NEXES project

    Directory of Open Access Journals (Sweden)

    Carme Hernandez

    2015-03-01

    Full Text Available Objectives: To identify barriers to deployment of four articulated Integrated Care Services supported by Information Technologies in three European sites. The four services covered the entire spectrum of severity of illness. The project targeted chronic patients with obstructive pulmonary disease, cardiac failure and/or type II diabetes mellitus.Setting: One health care sector in Spain (Barcelona (n = 11.382; six municipalities in Norway (Trondheim (n = 450; and one hospital in Greece (Athens (n = 388.Method: The four services were: (i Home-based long-term maintenance of rehabilitation effects (n = 337; (ii Enhanced Care for frail patients, n = 1340; (iii Home Hospitalization and Early Discharge (n = 2404; and Support for remote diagnosis (forced spirometry testing in primary care (Support (n = 8139. Both randomized controlled trials and pragmatic study designs were combined. Two technological approaches were compared. The Model for Assessment of Telemedicine applications was adopted.Results: The project demonstrated: (i Sustainability of training effects over time in chronic patients with obstructive pulmonary disease (p < 0.01; (ii Enhanced care and fewer hospitalizations in chronic respiratory patients (p < 0.05; (iii Reduced in-hospital days for all types of patients (p < 0.001 in Home Hospitalization/Early Discharge; and (iv Increased quality of testing (p < 0.01 for patients with respiratory symptoms in Support, with marked differences among sites.Conclusions: The four integrated care services showed high potential to enhance health outcomes with cost-containment. Change management, technological approach and legal issues were major factors modulating the success of the deployment. The project generated a business plan to foster service sustainability and health innovation. Deployment strategies require site-specific adaptations.

  19. Integrated care services: lessons learned from the deployment of the NEXES project

    Directory of Open Access Journals (Sweden)

    Carme Hernandez

    2015-03-01

    Full Text Available Objectives: To identify barriers to deployment of four articulated Integrated Care Services supported by Information Technologies in three European sites. The four services covered the entire spectrum of severity of illness. The project targeted chronic patients with obstructive pulmonary disease, cardiac failure and/or type II diabetes mellitus. Setting: One health care sector in Spain (Barcelona (n = 11.382; six municipalities in Norway (Trondheim (n = 450; and one hospital in Greece (Athens (n = 388. Method: The four services were: (i Home-based long-term maintenance of rehabilitation effects (n = 337; (ii Enhanced Care for frail patients, n = 1340; (iii Home Hospitalization and Early Discharge (n = 2404; and Support for remote diagnosis (forced spirometry testing in primary care (Support (n = 8139. Both randomized controlled trials and pragmatic study designs were combined. Two technological approaches were compared. The Model for Assessment of Telemedicine applications was adopted. Results: The project demonstrated: (i Sustainability of training effects over time in chronic patients with obstructive pulmonary disease (p < 0.01; (ii Enhanced care and fewer hospitalizations in chronic respiratory patients (p < 0.05; (iii Reduced in-hospital days for all types of patients (p < 0.001 in Home Hospitalization/Early Discharge; and (iv Increased quality of testing (p < 0.01 for patients with respiratory symptoms in Support, with marked differences among sites. Conclusions: The four integrated care services showed high potential to enhance health outcomes with cost-containment. Change management, technological approach and legal issues were major factors modulating the success of the deployment. The project generated a business plan to foster service sustainability and health innovation. Deployment strategies require site-specific adaptations.

  20. Building a global health education network for clinical care and research. The benefits and challenges of distance learning tools. Lessons learned from the Hopkins Center for Clinical Global Health Education.

    Science.gov (United States)

    Bollinger, Robert C; McKenzie-White, Jane; Gupta, Amita

    2011-06-01

    Expanding the capacity for clinical care and health research is a global priority and a global challenge. The Johns Hopkins Center for Clinical Global Health Education (CCGHE) was established in 2005 to provide access to high-quality training to health care providers in resource-limited settings. The CCGHE made a strategic decision to develop, use, and evaluate distance learning platforms to achieve its mission. In the initial years of this new program, several lessons have been learned that may be helpful to other programs considering the use of distance learning programs to expand global health clinical and research capacity.

  1. Transforming Health Care Coalitions From Hospitals to Whole of Community: Lessons Learned From Two Large Health Care Organizations.

    Science.gov (United States)

    Cormier, Scott; Wargo, Michael; Winslow, Walter

    2015-12-01

    A health care emergency preparedness coalition (coalition) is a group of health care organizations, public safety agencies, and public health partners that join forces for the common cause of making their communities safer, healthier, and more resilient. Coalitions have been characterized as being focused on hospital systems instead of the health care of the community as a whole. We discuss 2 examples of coalition partners that use a more inclusive approach to planning, response, and recovery. The first is a large health care system spread across 23 states, and the other is a public safety agency in northeast Pennsylvania that took the lead to address the preparedness and response toward a large influx of burn patients and grew to encompass all aspects of community health care.

  2. Environmental Restoration Disposal Facility Lessons Learned

    Energy Technology Data Exchange (ETDEWEB)

    Caulfield, R.

    2012-07-12

    The purpose of lessons learned is to identify insight gained during a project – successes or failures – that can be applied on future projects. Lessons learned can contribute to the overall success of a project by building on approaches that have worked well and avoiding previous mistakes. Below are examples of lessons learned during ERDF’s ARRA-funded expansion project.

  3. Lessons Learned from Exemplary Schools

    Science.gov (United States)

    Schrum, Lynne; Levin, Barbara B.

    2013-01-01

    This article presents lessons learned about successful professional development for promoting technology integration from eight exemplary schools. Through a qualitative investigation into school leaders' and teachers' intentional goals of improving student engagement and achievement, formal, informal, and individual opportunities are described…

  4. Somalia Operations: Lessons Learned

    Science.gov (United States)

    1995-01-01

    are the only other • .o" ’" "- THE OPERATIONAL COwnTEX FI(GUM1, EI Smoall Gulf of Aden DJIEBO U.S. and SomaMa Flelol Sin 12 SOMALIA OPERATIONS: LESSONS...demeanor that sawess q-d let diplomacy and reasuing wMii achiev- more than arogance. anger, disdain. coon. or sarcasm . PmmmeI mut be able to cope pq

  5. Shuttle Lesson Learned - Toxicology

    Science.gov (United States)

    James, John T.

    2010-01-01

    This is a script for a video about toxicology and the space shuttle. The first segment is deals with dust in the space vehicle. The next segment will be about archival samples. Then we'll look at real time on-board analyzers that give us a lot of capability in terms of monitoring for combustion products and the ability to monitor volatile organics on the station. Finally we will look at other issues that are about setting limits and dealing with ground based lessons that pertain to toxicology.

  6. System safety management lessons learned

    Energy Technology Data Exchange (ETDEWEB)

    Piatt, J.A.

    1989-05-01

    The Assistant Secretary of the Army for Research, Development and Acquisition directed the Army Safety Center to provide an audit of the causes of accidents and safety of use restrictions on recently fielded systems by tracking residual hazards back through the acquisition process. The objective was to develop ''lessons learned'' that could be applied to the acquisition process to minimize mishaps in fielded systems. System safety management lessons learned are defined as Army practices or policies, derived from past successes and failures, that are expected to be effective in eliminating or reducing specific systemic causes of residual hazards. They are broadly applicable and supportive of the Army structure and acquisition objectives. 29 refs., 7 figs.

  7. Lessons Learned (Vietnam)

    Science.gov (United States)

    1966-01-01

    bocn zzoc~zived czt orgcnizational level originally designated for eitYher -Ll., 20th lnoer Dattalion (CIA) or the 584th Engineer C~npc~r (LL) n~m~t!e...in standard field ranuals. Several are cited here only to con-firr that a les- son to Le learned is that these techniques and principles are b- asically

  8. Comparisons and lessons learned

    DEFF Research Database (Denmark)

    2012-01-01

    Purpose: To create an overview and evaluation of the achievements of the contributions in this book by identifying, summarising and discussing cross-cutting themes and essential learning points across the former chapters. Methodology: Based on a purposeful reading of all chapters comparisons......: The advancement in new knowledge and understanding that this book provides offers a new state of the art which can give inspiration and guidance for cutting edge FM organisations and professionals as well as for advanced teaching and future research. Research limitations: The chapter is based on the contributions...

  9. Factors enabling and inhibiting facilitator development: lessons learned from Essentials of Care in South Eastern Sydney Local Health District

    Directory of Open Access Journals (Sweden)

    Tamera Watling

    2015-11-01

    . Conclusion: Facilitators need to be enabled to access training, practise their skills and learn from more experienced facilitators. There are parallels between the enablers of progress of the implementation of Essentials of Care and those to promote the development of facilitation capacity. Organisational leaders have a significant role in supporting both; it is critical they ensure there is a team of facilitators to share the workload, that time is allocated for facilitators to be released from clinical duties for development opportunities, and that there is time for teams to engage in programme activities. Implications for practice: •\tFindings suggest a relationship between facilitation capacity, context and the progression of practice development-based work. This evaluation offers practical examples that inform how these elements may be enhanced for the successful pursuit of person-centred healthcare practice •\tManagers and those in leadership positions have a key role in overcoming the contextual factors that inhibit facilitator development and programme implementation •\tOrganisational planning and accountability to manage staffing, ensure optimal workloads and promote practice development work as a priority supports the engagement and motivation of staff to participate in programme activities, and therefore the capacity of teams to progress practice development work and transform culture and practice •\tThe engagement of managers and those in leadership positions to clarify roles and responsibilities and establish agreed mechanisms for support of individuals and teams should precede the implementation of practice development programmes •\tTime is a significant resource in the successful advancement of facilitator development and programmes underpinned by practice development. In healthcare contexts, where staff feel time poor in the presence of the increasing demands of patient care, the pressure of multiple improvement programmes and other professional

  10. Implementing US Department of Energy lessons learned programs. Volume 2

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1995-08-01

    The DOE Lessons Learned Handbook is a two-volume publication developed to supplement the DOE Lessons Learned Standard (DOE-STD-7501-95) with information that will organizations in developing or improving their lessons learned programs. Volume 1 includes greater detail than the Standard in areas such as identification and documentation of lessons learned; it also contains sections on specific processes such as training and performance measurement. Volume 2 (this document) contains examples of program documents developed by existing lessons learned programs as well as communications material, functional categories, transmittal documents, sources of professional and industry lessons learned, and frequently asked questions about the Lessons Learned List Service.

  11. The Changes of Ethical Dilemmas in Palliative Care. A Lesson Learned from Comparison Between 1998 and 2013 in Taiwan.

    Science.gov (United States)

    Chih, An-Hsuan; Su, Peijen; Hu, Wen-Yu; Yao, Chien-An; Cheng, Shao-Yi; Lin, Yen-Chun; Chiu, Tai-Yuan

    2016-01-01

    The current ethical dilemmas met by healthcare professionals were never compared with those 15 years ago when the palliative care system was newly developing in Taiwan. The aim of the study was to investigate the ethical dilemmas met by palliative care physicians and nurses in 2013 and compare the results with the survey in 1998. This cross-sectional study surveyed 213 physicians and nurses recruited from 9 representative palliative care units across Taiwan in 2013. The compared survey in 1998 studied 102 physicians and nurses from the same palliative care units. All participants took a questionnaire to survey the "frequency" and "difficulty" of 20 frequently encountered ethical dilemmas, which were grouped into 4 domains by factor analysis. The "ethical dilemma" scores were calculated and then compared across 15 years by Student's t tests. A general linear model analysis was used to identify significant factors relating to a high average "ethical dilemma" score in each domain. All of the highest-ranking ethical dilemmas in 2013 were related to insufficient resources. Physicians with less clinical experience had a higher average "ethical dilemma" score in clinical management. Physicians with dissatisfaction in providing palliative care were associated a higher average "ethical dilemma" score in communication. Nurses reported higher "ethical dilemma" scores in all items of resource allocation in 2013. Further analysis confirmed that, in 2013, nurses had a higher average "ethical dilemma" score in resource allocation after adjustment for other relating factors. Palliative care nursing staff in Taiwan are more troubled by ethical dilemmas related to insufficient resources than they were 15 years ago. Training of decision making in nurses under the framework of ethical principles and community palliative care programs may improve the problems. To promote the dignity of terminal cancer patients, long-term fundraising plans are recommended for countries in which the

  12. FRMAC-93 lessons learned report

    Energy Technology Data Exchange (ETDEWEB)

    Kerns, K.C. [comp.

    1994-03-01

    FRMAC-93 simulated a radiological accident at the Fort Calhoun nuclear power plant, 25 miles north of Omaha, Nebraska. The exercise involved the state Iowa and Nebraska, NRC as the lead Federal agency, FRMAC (Federal Radiological Monitoring and Assessment Center), and several federal agencies with statutory emergency responsibility. FRMAC-93 was a major 2-day field exercise designed to determine the effectiveness, coordination, and operations of a DOE-managed FRMAC. Other objectives were to ensure that appropriate priorities were established and assistance was provided to the states and the lead Federal agency by FRMAC. Day 1 involved the Fort Calhoun evaluated plume phase exercise. On Day 2, the flow of data, which was slow initially, improved so that confidence of states and other federal responders in FRMAC support capabilities was high. The impact and lessons learned from FRMAC-93 provided the necessary impetus to make organizational and operational changes to the FRMAC program, which were put into effect in the DOE exercise FREMONT at Hanford 3 months later.

  13. Renovating the built environment for dementia care: lessons learned at the Lodge at Broadmead in Victoria, British Columbia.

    Science.gov (United States)

    Gnaedinger, Nancy; Robinson, Janice; Sudbury, Fiona; Dutchak, Merv

    2007-01-01

    Major renovations were carried out in occupied dementia care units at the Lodge at Broadmead, Victoria, British Columbia. A 32-bed lodge was divided into two, requiring the relocation of three sets of doors. Home-like kitchens and living and dining rooms were built and furnished in each unit. A silent resident call system was installed. Nursing stations were moved off the unit. Murals added atmosphere and camouflaged exit doors. The process, while challenging, was successful due to comprehensive planning, careful phasing, the contractor's daily presence, the education of construction workers about residents, constant communication among key people and cooperation of lodge staff. Preliminary results are positive.

  14. Lessons learned from implementing a pilot RCT of transitional care model for individuals with serious mental illness.

    Science.gov (United States)

    Solomon, Phyllis; Hanrahan, Nancy P; Hurford, Matthew; DeCesaris, Marissa; Josey, LaKeetra

    2014-08-01

    We adapted an evidence-based transitional care model for older adults being released from acute care hospitals for patients with serious mental illness and medical co-morbidities being discharged from two psychiatric units of an acute care hospital (TCare) and evaluated implementation issues. An advisory group (AG) of community stakeholders assessed barriers and facilitators of a 90-day T-Care intervention delivered by a psychiatric nurse practitioner (NP) in the context of conducting a pilot randomized controlled trial. Minutes of AG and case narratives by NP of 20 intervention participants were content analyzed. Patients with immediate and pressing physical health problems were most receptive and actively utilized the service. Provider barriers consisted of communication and privacy issues making it difficult to contact patients in mental health facilities. In contrast, the NP was accepted and valued in the physical health arena. Psychosocial needs and relationship issues were demanding, and we recommend a team approach for TCare with the addition of a social worker, peer provider, and consulting psychiatrist for severely mentally ill patients being released from an acute physical health hospitalization.

  15. Logistics Lessons Learned in NASA Space Flight

    Science.gov (United States)

    Evans, William A.; DeWeck, Olivier; Laufer, Deanna; Shull, Sarah

    2006-01-01

    The Vision for Space Exploration sets out a number of goals, involving both strategic and tactical objectives. These include returning the Space Shuttle to flight, completing the International Space Station, and conducting human expeditions to the Moon by 2020. Each of these goals has profound logistics implications. In the consideration of these objectives,a need for a study on NASA logistics lessons learned was recognized. The study endeavors to identify both needs for space exploration and challenges in the development of past logistics architectures, as well as in the design of space systems. This study may also be appropriately applied as guidance in the development of an integrated logistics architecture for future human missions to the Moon and Mars. This report first summarizes current logistics practices for the Space Shuttle Program (SSP) and the International Space Station (ISS) and examines the practices of manifesting, stowage, inventory tracking, waste disposal, and return logistics. The key findings of this examination are that while the current practices do have many positive aspects, there are also several shortcomings. These shortcomings include a high-level of excess complexity, redundancy of information/lack of a common database, and a large human-in-the-loop component. Later sections of this report describe the methodology and results of our work to systematically gather logistics lessons learned from past and current human spaceflight programs as well as validating these lessons through a survey of the opinions of current space logisticians. To consider the perspectives on logistics lessons, we searched several sources within NASA, including organizations with direct and indirect connections with the system flow in mission planning. We utilized crew debriefs, the John Commonsense lessons repository for the JSC Mission Operations Directorate, and the Skylab Lessons Learned. Additionally, we searched the public version of the Lessons Learned

  16. Lessons Learned From a Collaborative to Improve Care for Patients With Diabetes in 17 Community Health Centers, Massachusetts, 2006

    OpenAIRE

    Lemay, Celeste A.; Beagan, Brianne M.; Ferguson, Warren J.; Lee, J.

    2010-01-01

    Introduction In 2006, the Massachusetts League of Community Health Centers convened a collaborative to systematically improve health care delivery for patients with diabetes in 17 community health centers. Our goal was to identify facilitators of and barriers to success reported by teams that participated in this collaborative. Methods The collaborative's activities lasted 13 months. At their conclusion, we interviewed participating team members. We asked about their teams' successes, challen...

  17. Regulatory considerations for prospective patient care registries: lessons learned from the National Neurosurgery Quality and Outcomes Database.

    Science.gov (United States)

    Asher, Anthony L; McGirt, Matthew J; Glassman, Steven D; Groman, Rachel; Resnick, Dan K; Mehrlich, Melissa; Spivey, Elizabeth; McCormick, Paul

    2013-01-01

    Clinical registries have emerged in the current resource-restricted environment of modern medicine as useful and logical mechanisms for providing health care stakeholders with high-quality data related to the safety, effectiveness, and value of specific interventions. Temporal and qualitative requirements for data acquisition in the context of clinical registries have rapidly expanded as clinicians and other stakeholders increasingly recognize the central importance of this information to the intelligent transformation of health care processes. Despite the potential of more robust clinical data collection efforts to advance the science of care, certain aspects of these newer systems, particularly the prospective, longitudinal acquisition of clinical data and direct patient contact, represent areas of structural overlap between emerging quality improvement efforts and traditional models of human subjects research. This overlap has profound implications for the design and implementation of modern clinical registries. In this paper, the authors describe the evolution of clinical registries as important tools for advancing the science of practice, and review the existing federal regulations that apply to these systems.

  18. Lessons learned about ageing and gerontological nursing in South Africa

    Directory of Open Access Journals (Sweden)

    Staja Q. Booker

    2015-02-01

    Full Text Available Background: The unprecedented global growth in older adults merits high-quality gerontological nursing care. As gerontological nursing grows in visibility in developed and developing countries, nurses must possess a broader worldview of ageing with knowledge of physiological, psychosocial, and cultural issues.Purpose: The purpose of this article is to: (1 highlight lessons learned on differences and similarities in ageing and care of older adults in the United States of America (USA and South Africa (SA; and (2 provide recommendations on how to advance gerontological nursingeducation in SA.Methods: A two-week international service-learning project was undertaken by visiting SA and learning about their nursing system and care of older adults. Service-learning is an innovative teaching-learning-service method that provided reflective and hands-on experience of gerontological nursing. This article provides a personal reflection of lessons learned about ageing and gerontological nursing during the service-learning project.Findings: Care of older adults in SA is in many ways different from and similar to that in the USA. Consequently global nurses should recognise those differences and provide culturally appropriate care. This service-learning experience also demonstrated the need for gerontological nursing education in SA. Based on this, recommendations on how to infuse and advance gerontological nursing education in SA are provided.Conclusion: Caring for older adults in a global context requires knowledge and understanding of cultures and their values and practices. With a growing population of diverse older adults, there is a need for incorporation

  19. Very Large System Dynamics Models - Lessons Learned

    Energy Technology Data Exchange (ETDEWEB)

    Jacob J. Jacobson; Leonard Malczynski

    2008-10-01

    This paper provides lessons learned from developing several large system dynamics (SD) models. System dynamics modeling practice emphasize the need to keep models small so that they are manageable and understandable. This practice is generally reasonable and prudent; however, there are times that large SD models are necessary. This paper outlines two large SD projects that were done at two Department of Energy National Laboratories, the Idaho National Laboratory and Sandia National Laboratories. This paper summarizes the models and then discusses some of the valuable lessons learned during these two modeling efforts.

  20. Lessons learned from early criticality accidents

    Energy Technology Data Exchange (ETDEWEB)

    Malenfant, R.E.

    1996-06-01

    Four accidents involving the approach to criticality occurred during the period July, 1945, through May, 1996. These have been described in the format of the OPERATING EXPERIENCE WEEKLY SUMMARY which is distributed by the Office of Nuclear and Facility Safety. Although the lessons learned have been incorporated in standards, codes, and formal procedures during the last fifty years, this is their first presentation in this format. It is particularly appropriate that they be presented in the forum of the Nuclear Criticality Technology Safety Project Workshop closest to the fiftieth anniversary of the last of the four accidents, and that which was most instrumental in demonstrating the need to incorporate lessons learned.

  1. LEARN TO CARE

    Institute of Scientific and Technical Information of China (English)

    1997-01-01

    IN April, the Beijing Education Commission, Beijing Women’s Federation and the China Institute of Family Education jointly decided the theme of China’s family education for 1997: Learn to care and teach good behavior. This theme reminds us of the requirement of young generations in many other countries: Learn to survive, learn to care. It reveals that learning to care about others is not only a problem faced by Chinese children, most of whom grow up as an only child, but is a common problem in children’s education

  2. Library 101: Why, How, and Lessons Learned

    Science.gov (United States)

    Porter, Michael; King, David Lee

    2010-01-01

    This article describes how and why the Library 101 Project was created and the lessons that the developers learned out of this project. The Library 101 is a project that challenges librarians to revise the paradigm of "basic" library services in order to remain relevant in this technology-driven world. It was developed by Michael Porter,…

  3. Monitoring Completed Coastal Projects - Lessons Learned I

    Science.gov (United States)

    1992-06-01

    breakwater at Spud Point Marina, Bodega Harbor, CA was monitored. Lessons learned are: 35. Small transmitted wave heights, even on the order of a few inches...July 1988. Lott, J. W., ’Spud Point Marina Breakwater, California,’ Bodega Bay, Sonoma County, MP CERC-91-5, US Army Engineer Waterways 1991

  4. Commissioning MMS: Challenges and Lessons Learned

    Science.gov (United States)

    Wood, Paul; Gramling, Cheryl; Reiter, Jennifer; Smith, Patrick; Stone, John

    2016-01-01

    This paper discusses commissioning of NASA's Magnetospheric MultiScale (MMS) Mission. The mission includes four identical spacecraft with a large, complex set of instrumentation. The planning for and execution of commissioning for this mission is described. The paper concludes by discussing lessons learned.

  5. Lessons learned from existing biomass power plants

    Energy Technology Data Exchange (ETDEWEB)

    Wiltsee, G.

    2000-02-24

    This report includes summary information on 20 biomass power plants, which represent some of the leaders in the industry. In each category an effort is made to identify plants that illustrate particular points. The project experiences described capture some important lessons learned that lead in the direction of an improved biomass power industry.

  6. Patience, persistence and pragmatism: experiences and lessons learnt from the implementation of clinically integrated teaching and learning of evidence-based health care - a qualitative study.

    Directory of Open Access Journals (Sweden)

    Taryn Young

    Full Text Available Clinically integrated teaching and learning are regarded as the best options for improving evidence-based healthcare (EBHC knowledge, skills and attitudes. To inform implementation of such strategies, we assessed experiences and opinions on lessons learnt of those involved in such programmes.We conducted semi-structured interviews with 24 EBHC programme coordinators from around the world, selected through purposive sampling. Following data transcription, a multidisciplinary group of investigators carried out analysis and data interpretation, using thematic content analysis. Successful implementation of clinically integrated teaching and learning of EBHC takes much time. Student learning needs to start in pre-clinical years with consolidation, application and assessment following in clinical years. Learning is supported through partnerships between various types of staff including the core EBHC team, clinical lecturers and clinicians working in the clinical setting. While full integration of EBHC learning into all clinical rotations is considered necessary, this was not always achieved. Critical success factors were pragmatism and readiness to use opportunities for engagement and including EBHC learning in the curriculum; patience; and a critical mass of the right teachers who have EBHC knowledge and skills and are confident in facilitating learning. Role modelling of EBHC within the clinical setting emerged as an important facilitator. The institutional context exerts an important influence; with faculty buy-in, endorsement by institutional leaders, and an EBHC-friendly culture, together with a supportive community of practice, all acting as key enablers. The most common challenges identified were lack of teaching time within the clinical curriculum, misconceptions about EBHC, resistance of staff, lack of confidence of tutors, lack of time, and negative role modelling.Implementing clinically integrated EBHC curricula requires institutional

  7. Lessons Learned from the NASA Plum Brook Reactor Facility Decommissioning

    Science.gov (United States)

    2010-01-01

    NASA has been conducting decommissioning activities at its PBRF for the last decade. As a result of all this work there have been several lessons learned both good and bad. This paper presents some of the more exportable lessons.

  8. From Lessons Learned Towards Disaster Reduction Measures

    Science.gov (United States)

    Scheer, S.

    2009-04-01

    Efforts have been undertaken over the past years in eliciting and collecting lessons as they could be derived from the outcome of natural disasters management. Lessons are viewed from various perspectives according to • the situation or triggering event which led to the disaster • the local or time-dependent characteristics of this situation and further analysed according to • their benefits • necessary actions to do in order to better implement a lesson. The explicit elicitation of all that information fosters the generation of good practices and the identification of bad practices. Hence the creation of appropriate measures concerning disaster reduction issues could be positively influenced. On the other hand, continuous efforts are undertaken in the field of establishing lists of disaster reduction measures for all major hazards. Those measures comprise both concrete techniques (e.g. a tool or a structure) and advisory techniques (teaching practices or procedural instructions). This paper gives an overview of ways to "produce" disaster reduction measures from lessons learned; moreover it will explain how context-dependent analysis of lessons can potentially lead to alterations of existing disaster reduction measures.

  9. Implementing the European guidelines for cardiovascular disease prevention in the primary care setting in Cyprus: Lessons learned from a health care services study

    Directory of Open Access Journals (Sweden)

    Philalithis Anastasios

    2008-07-01

    Full Text Available Abstract Background Recent guidelines recommend assessment and treatment of the overall risk for cardiovascular disease (CVD through management of multiple risk factors in patients at high absolute risk. The aim of our study was to assess the level of cardiovascular risk in patients with known risk factors for CVD by applying the SCORE risk function and to study the implications of European guidelines on the use of treatment and goal attainment for blood pressure (BP and lipids in the primary care of Cyprus. Methods Retrospective chart review of 1101 randomly selected patients with type 2 diabetes mellitus (DM2, or hypertension or hyperlipidemia in four primary care health centres. The SCORE risk function for high-risk regions was used to calculate 10-year risk of cardiovascular fatal event. Most recent values of BP and lipids were used to assess goal attainment to international standards. Most updated medications lists were used to compare proportions of current with recommended antihypertensive and lipid-lowering drug (LLD users according to European guidelines. Results Implementation of the SCORE risk model labelled overall 39.7% (53.6% of men, 31.3% of women of the study population as high risk individuals (CVD, DM2 or SCORE ≥5%. The SCORE risk chart was not applicable in 563 patients (51.1% due to missing data in the patient records, mostly on smoking habits. The LDL-C goal was achieved in 28.6%, 19.5% and 20.9% of patients with established CVD, DM2 (no CVD and SCORE ≥5%, respectively. BP targets were achieved in 55.4%, 5.6% and 41.9% respectively for the above groups. There was under prescription of antihypertensive drugs, LLD and aspirin for all three high risk groups. Conclusion This study demonstrated suboptimal control and under-treatment of patients with cardiovascular risk factors in the primary care in Cyprus. Improvement of documentation of clinical information in the medical records as well as GPs training for implementation

  10. WHC significant lessons learned 1993--1995

    Energy Technology Data Exchange (ETDEWEB)

    Bickford, J.C.

    1997-12-12

    A lesson learned as defined in DOE-STD-7501-95, Development of DOE Lessons Learned Programs, is: A ``good work practice`` or innovative approach that is captured and shared to promote repeat applications or an adverse work practice or experience that is captured and shared to avoid a recurrence. The key word in both parts of this definition is ``shared``. This document was published to share a wide variety of recent Hanford experiences with other DOE sites. It also provides a valuable tool to be used in new employee and continuing training programs at Hanford facilities and at other DOE locations. This manual is divided into sections to facilitate extracting appropriate subject material when developing training modules. Many of the bulletins could be categorized into more than one section, however, so examination of other related sections is encouraged.

  11. Methodological Learning-by-doing: Challenges, lessons learned and rewards

    Directory of Open Access Journals (Sweden)

    Pernilla Pergert, RN, Ph.D.

    2009-06-01

    Full Text Available The experience of minus mentoring in learning classic grounded theory (CGT is shared by many people over the world. The aim of this article is to share experiences of learning and using CGT. Data for the article included methodological discussions in the author’s thesis and articles, as well as memos. Consequences of learning grounded theory by doing are presented in the form of challenges and lessons learned but also some rewards. Challenges and lessons learned include sampling-confusion, delimiting-disregarding, judging saturation and conceptual language-struggling. Rewards include trusting the method, insider-researcher and expert-resourcing. Presented rewards could be seen as advice and inspiration for novice GT researchers.

  12. Research Data Curation Pilots: Lessons Learned

    Directory of Open Access Journals (Sweden)

    David Minor

    2014-07-01

    Full Text Available In the spring of 2011, the UC San Diego Research Cyberinfrastructure (RCI Implementation Team invited researchers and research teams to participate in a research curation and data management pilot program. This invitation took the form of a campus-wide solicitation. More than two dozen applications were received and, after due deliberation, the RCI Oversight Committee selected five curation-intensive projects. These projects were chosen based on a number of criteria, including how they represented campus research, varieties of topics, researcher engagement, and the various services required. The pilot process began in September 2011, and will be completed in early 2014. Extensive lessons learned from the pilots are being compiled and are being used in the on-going design and implementation of the permanent Research Data Curation Program in the UC San Diego Library. In this paper, we present specific implementation details of these various services, as well as lessons learned. The program focused on many aspects of contemporary scholarship, including data creation and storage, description and metadata creation, citation and publication, and long term preservation and access. Based on the lessons learned in our processes, the Research Data Curation Program will provide a suite of services from which campus users can pick and choose, as necessary. The program will provide support for the data management requirements from national funding agencies.

  13. Dynasting Theory: Lessons in learning grounded theory

    Directory of Open Access Journals (Sweden)

    Johnben Teik-Cheok Loy, MBA, MTS, Ph.D.

    2011-06-01

    Full Text Available This article captures the key learning lessons gleaned from the author’s experience learning and developing a grounded theory for his doctoral dissertation using the classic methodology as conceived by Barney Glaser. The theory was developed through data gathered on founders and successors of Malaysian Chinese family-own businesses. The main concern for Malaysian Chinese family businesses emerged as dynasting . the building, maintaining, and growing the power and resources of the business within the family lineage. The core category emerged as dynasting across cultures, where founders and successors struggle to transition from traditional Chinese to hybrid cultural and modernized forms of family business from one generation to the next. The key learning lessons were categorized under five headings: (a sorting through different versions of grounded theory, (b educating and managing research stakeholders, (c embracing experiential learning, (d discovering the core category: grounded intuition, and (e recognizing limitations and possibilities.Keywords: grounded theory, learning, dynasting, family business, Chinese

  14. Lessons in Developing Distance Learning.

    Science.gov (United States)

    Gant, Lenora Peters

    1996-01-01

    Describes the use of video teletraining (VTT) for distance learning in the Department of Defense. Topics include planning and organizing the VTT facility, staff development, site facilitators, the necessity of protocol, instructional design and development strategies, student involvement and interactivity, and evaluation and assessment. (LRW)

  15. Capacity Building in the Operational Environment: Stories and Lessons Learned

    Science.gov (United States)

    2012-09-01

    2005). Engineering Peace: The Military Role in Postconflict Reconstruction . (Washington DC: United States Institute of Peace). J. P. Marquis, J. D. P...Brigade for allowing access to operations, trainers, and Provincial Reconstruction Teams; MAJ Chuck Burnett for coordinating interviews with Civil...INTRODUCTION 1 LESSONS LEARNED 3 Table 1. Lessons Learned 4 FINAL THOUGHTS 12 PROVINCIAL RECONSTRUCTION TEAMS (PRTs) PRT Story 1

  16. Lessons Learned from Radiation Oncology Clinical Trials

    OpenAIRE

    Liu, Fei-Fei; Okunieff, Paul; Bernhard, Eric J.; Stone, Helen B.; Yoo, Stephen; Coleman, C. Norman; Vikram, Bhadrasain; Brown, Martin; Buatti, John; Guha, Chandan

    2013-01-01

    A Workshop entitled “Lessons Learned from Radiation Oncology Trials” was held on December 7–8th, 2011 in Bethesda, MD, to present and discuss some of the recently conducted Radiation Oncology clinical trials with a focus on those that failed to refute the null hypothesis. The objectives of this Workshop were to summarize and examine the questions that these trials provoked, to assess the quality and limitations of the pre-clinical data that supported the hypotheses underlying these trials, an...

  17. LESSONS LEARNED FROM A RECENT LASER ACCIDENT

    Energy Technology Data Exchange (ETDEWEB)

    Woods, Michael; /SLAC

    2011-01-26

    A graduate student received a laser eye injury from a femtosecond Ti:sapphire laser beam while adjusting a polarizing beam splitter optic. The direct causes for the accident included failure to follow safe alignment practices and failure to wear the required laser eyewear protection. Underlying root causes included inadequate on-the-job training and supervision, inadequate adherence to requirements, and inadequate appreciation for dimly visible beams outside the range of 400-700nm. This paper describes how the accident occurred, discusses causes and lessons learned, and describes corrective actions being taken.

  18. Improving IT Project Portfolio Management: Lessons Learned

    DEFF Research Database (Denmark)

    Pedersen, Keld

    2013-01-01

    The IT PPM improvement process is not well understood, and our knowledge about what makes IT PPM improvement succeed or fail is not well developed. This article presents lessons learned from organizations trying to improve their IT PPM practice. Based on this research IT PPM practitioners are adv...... are advised to respect the limitations for fundamentally changing the way that organizational actors and teams make portfolio decisions, invest in understanding IT PPM decision-making, focus on decision-risks, and balance formalization and professionalization during improvement efforts....

  19. Mobile technology: lessons learned along the way.

    Science.gov (United States)

    Beard, Kenya V; Greenfield, Sue; Morote, Elsa-Sophia; Walter, Richard

    2011-01-01

    Although mobile technology has the potential to promote patient safety by increasing accuracy and efficiency, faculty may find instituting a personal digital assistant (PDA) program overwhelming. In addition, there is a dearth of information on how students are using this technology. The authors discuss the implementation of a PDA program that required all nursing students entering their first clinical rotation to purchase a PDA loaded with nursing software and describe how the students used this technology. Lessons learned along the way are emphasized to help faculty develop, implement, and/or improve their school's PDA/software program.

  20. ICT & Learning in Chilean Schools: Lessons Learned

    Science.gov (United States)

    Sanchez, Jaime; Salinas, Alvaro

    2008-01-01

    By the early nineties a Chilean network on computers and education for public schools had emerged. There were both high expectancies that technology could revolutionize education as well as divergent voices that doubted the real impact of technology on learning. This paper presents an evaluation of the Enlaces network, a national Information and…

  1. Team Learning in SMES: Learning the Lessons

    Science.gov (United States)

    McKeown, Ian

    2012-01-01

    This research identifies and explores the factors that influence team learning in the context of an SME management team. It examines the difficulties the team members face in attempting to share and combine their experiences to co-construct knowledge and understanding of their environment and future opportunities. The paper reveals a connection…

  2. Flight Planning Branch Space Shuttle Lessons Learned

    Science.gov (United States)

    Price, Jennifer B.; Scott, Tracy A.; Hyde, Crystal M.

    2011-01-01

    Planning products and procedures that allow the mission flight control teams and the astronaut crews to plan, train and fly every Space Shuttle mission have been developed by the Flight Planning Branch at the NASA Johnson Space Center. As the Space Shuttle Program ends, lessons learned have been collected from each phase of the successful execution of these Shuttle missions. Specific examples of how roles and responsibilities of console positions that develop the crew and vehicle attitude timelines will be discussed, as well as techniques and methods used to solve complex spacecraft and instrument orientation problems. Additionally, the relationships and procedural hurdles experienced through international collaboration have molded operations. These facets will be explored and related to current and future operations with the International Space Station and future vehicles. Along with these important aspects, the evolution of technology and continual improvement of data transfer tools between the shuttle and ground team has also defined specific lessons used in the improving the control teams effectiveness. Methodologies to communicate and transmit messages, images, and files from Mission Control to the Orbiter evolved over several years. These lessons have been vital in shaping the effectiveness of safe and successful mission planning that have been applied to current mission planning work in addition to being incorporated into future space flight planning. The critical lessons from all aspects of previous plan, train, and fly phases of shuttle flight missions are not only documented in this paper, but are also discussed as how they pertain to changes in process and consideration for future space flight planning.

  3. Lessons learned from dirty diapers.

    Science.gov (United States)

    Gaudet, Amy L

    2002-01-01

    This essay by Amy Gaudet is the winning entry in the annual Humanism in Medicine Essay Contest at LSU School of Medicine in New Orleans. Amy is a second year student and writes about everyday humanism in the context of everyday problems involving two patients and their families--one she had never met and a second much closer to home. The essay contest was initiated in the spring of 2001 by the students in the School of Medicine to inspire fellow students to embrace the humanism displayed around them and to incorporate the humanistic spirit into their daily lives. The top five finalists are recognized at our White Coat Ceremony in July every year. The winning author receives a prize and presents his or her essay at the ceremony, as the keynote speaker. What is humanism? Simply, as described by our students, it is a concern with the needs, well-being, and interests of people. In our profession, humanism can take on many shapes, among them--displaying compassion, empathy, and utmost respect in the delivery of healthcare, serving as a role model by displaying professional behavior and ethical composure, showing sensitivity to diverse ethnic or religious backgrounds, effectively communicating complex medical diagnoses and treatments to patients and in turn, possessing excellent listening skills, caring for a patient's emotional and psychological well-being, possessing a work ethic that earns trust and confidence from all colleagues and patients, and being willing to help others, but also willing to seek help when necessary. These are values that we share as a profession and that we should reflect on as we do our work, day in and day out, in an environment that makes following them more and more difficult and for that reason more and more important.

  4. Ice storm 1998 : lessons learned

    Energy Technology Data Exchange (ETDEWEB)

    McCready, J. [Eastern Ontario Model Forest, Kemptville, ON (Canada)

    2006-07-01

    This paper presented details of a partnership formed in response to the ice storm of 1998, which caused extensive damage to trees in woodlots and urban settings in eastern Ontario and western Quebec. The aim of the Ice Storm Forest Recovery Group was to assist in the recovery of eastern forests, collect information on the extent of the damage to trees as well as contribute to the development of assistance programs for woodlot owners and municipalities. In response to the group's request, an initial aerial survey was conducted by the Ontario Ministry of Natural Resources to map the extent of the damage in eastern Ontario, which was followed by a more scientific survey with the Canadian Forest Service through the development of a flying grid pattern to observe the status of trees, followed by extensive ground checks. Damage was variable, depending on tree species, stand age and composition, management practices, wind direction, topography and ice deposition patterns. A summary of the severity of damage indicated that conifers suffered less than hardwoods. Consultants were hired to prepare news releases and extension notes to the public in order to provide information for the caring of trees. Various educational workshops were held which attracted large numbers of landowners and homeowners. A literature review was undertaken to produce a summary of current published knowledge covering the effects of storms and ice damage to trees and forests. Science efforts were published in a series of papers, and financial assistance programs were then organized by governmental agencies. It was concluded that cooperation between all agencies, groups and levels of government is needed in order to coordinate effective emergency strategies. 7 refs., 1 tab., 1 fig.

  5. 78 FR 64202 - Meeting To Discuss Lessons Learned From Commerce Spectrum Management Advisory Committee Working...

    Science.gov (United States)

    2013-10-28

    ... National Telecommunications and Information Administration Meeting To Discuss Lessons Learned From Commerce... ``lessons learned'' from NTIA's Commerce Spectrum Management Advisory Committee (CSMAC or Committee) Working... meeting, NTIA will facilitate a forum for the CSMAC Working Group participants to discuss lessons...

  6. Microplastics: addressing ecological risk through lessons learned.

    Science.gov (United States)

    Syberg, Kristian; Khan, Farhan R; Selck, Henriette; Palmqvist, Annemette; Banta, Gary T; Daley, Jennifer; Sano, Larissa; Duhaime, Melissa B

    2015-05-01

    Plastic litter is an environmental problem of great concern. Despite the magnitude of the plastic pollution in our water bodies, only limited scientific understanding is available about the risk to the environment, particularly for microplastics. The apparent magnitude of the problem calls for quickly developing sound scientific guidance on the ecological risks of microplastics. The authors suggest that future research into microplastics risks should be guided by lessons learned from the more advanced and better understood areas of (eco) toxicology of engineered nanoparticles and mixture toxicity. Relevant examples of advances in these two fields are provided to help accelerate the scientific learning curve within the relatively unexplored area of microplastics risk assessment. Finally, the authors advocate an expansion of the "vector effect" hypothesis with regard to microplastics risk to help focus research of microplastics environmental risk at different levels of biological and environmental organization.

  7. Space Station Control Moment Gyroscope Lessons Learned

    Science.gov (United States)

    Gurrisi, Charles; Seidel, Raymond; Dickerson, Scott; Didziulis, Stephen; Frantz, Peter; Ferguson, Kevin

    2010-01-01

    Four 4760 Nms (3510 ft-lbf-s) Double Gimbal Control Moment Gyroscopes (DGCMG) with unlimited gimbal freedom about each axis were adopted by the International Space Station (ISS) Program as the non-propulsive solution for continuous attitude control. These CMGs with a life expectancy of approximately 10 years contain a flywheel spinning at 691 rad/s (6600 rpm) and can produce an output torque of 258 Nm (190 ft-lbf)1. One CMG unexpectedly failed after approximately 1.3 years and one developed anomalous behavior after approximately six years. Both units were returned to earth for failure investigation. This paper describes the Space Station Double Gimbal Control Moment Gyroscope design, on-orbit telemetry signatures and a summary of the results of both failure investigations. The lessons learned from these combined sources have lead to improvements in the design that will provide CMGs with greater reliability to assure the success of the Space Station. These lessons learned and design improvements are not only applicable to CMGs but can be applied to spacecraft mechanisms in general.

  8. Creating a simulated Mental Health Ward: lessons learned.

    Science.gov (United States)

    Rossetti, Jeanette; Musker, Kathleen; Smyth, Siobhan; Byrne, Evelyn; Maney, Catherine; Selig, Kristen; Jones-Bendel, Trish

    2014-10-01

    The future of psychiatric-mental health nursing depends on the preparation of nurses who will meet the mental health care needs of society. The current article discusses the development of the "Mental Health Ward," a simulated mental health experience that was offered for the first time to undergraduate baccalaureate nursing students at a Midwestern university in the United States. The Mental Health Ward is an innovative simulated hospital environment that includes the use of standardized patients and role play scenarios, resulting in a full mission simulation whereby students learn various psychiatric diagnoses and practice various pertinent skills, including nursing assessments, admission and discharge processes, medication administration, and therapeutic communication. Lessons learned by faculty and students in formulating the Mental Health Ward are presented.

  9. Lessons Learned in Software Testing A Context-Driven Approach

    CERN Document Server

    Kaner, Cem; Pettichord, Bret

    2008-01-01

    Decades of software testing experience condensed into the most important lessons learned.The world's leading software testing experts lend you their wisdom and years of experience to help you avoid the most common mistakes in testing software. Each lesson is an assertion related to software testing, followed by an explanation or example that shows you the how, when, and why of the testing lesson. More than just tips, tricks, and pitfalls to avoid, Lessons Learned in Software Testing speeds you through the critical testing phase of the software development project without the extensive trial an

  10. Evaluation of interprofessional education: lessons learned through the development and implementation of an interprofessional seminar on team communication for undergraduate health care students in Heidelberg – a project report

    Directory of Open Access Journals (Sweden)

    Berger, Sarah

    2016-04-01

    Full Text Available Introduction: This project report describes the development, “piloting” and evaluation of an interprofessional seminar on team communication bringing together medical students and Interprofessional Health Care B.Sc. students at the Medical Faculty of Heidelberg University, Germany.Project Description: A five-member interprofessional team collaborated together on this project. Kolb’s concept formed the theoretical foundation for the seminar, which explored three interprofessional competency areas: team work, communication and values/ethics. Evaluation for the purposes of quality assurance and future curricula development was conducted using two quantitative measures: Results: The key finding from the standardized course evaluation was that the interprofessional seminars were rated more positively [M=2.11 (1 most positive and 5 most negative, SD=1, n=27] than the monoprofessional seminars [M=2.55, SD=0.98, n=90]. The key finding from the UWE-IP-D survey, comparing pre and post scores of the interprofessional (IP (n=40 and monoprofessional (MP groups (n=34, was that significant positive changes in mean scores for both groups towards communication, teamwork and interprofessional learning occurred. Conclusions: Lessons learnt included: a recognising the benefit of being pragmatic when introducing interprofessional education initiatives, which enabled various logistical and attitudinal barriers to be overcome; b quantitative evaluation of learning outcomes alone could not explain positive responses or potential influences of interprofessional aspects, which highlighted the need for a mixed methods approach, including qualitative methods, to enrich judgment formation on interprofessional educational outcomes.

  11. Ebola: lessons learned and future challenges for Europe.

    Science.gov (United States)

    Quaglio, GianLuca; Goerens, Charles; Putoto, Giovanni; Rübig, Paul; Lafaye, Pierre; Karapiperis, Theodoros; Dario, Claudio; Delaunois, Paul; Zachariah, Rony

    2016-02-01

    The Ebola virus epidemic has topped media and political agendas for months; several countries in west Africa have faced the worst Ebola epidemic in history. At the beginning of the disease outbreak, European Union (EU) policies were notably absent regarding how to respond to the crisis. Although the epidemic is now receding from public view, this crisis has undoubtedly changed the European public perception of Ebola virus disease, which is no longer regarded as a bizarre entity confined in some unknown corner in Africa. Policy makers and researchers in Europe now have an opportunity to consider the lessons learned. In this Personal View, we discuss the EU's response to the Ebola crisis in west Africa. Unfortunately, although ample resources and opportunities for humanitarian and medical action existed, the EU did not use them to promote a rapid and well coordinated response to the Ebola crisis. Lessons learned from this crisis should be used to improve the role of the EU in similar situations in the future, ensuring that European aid can be effectively deployed to set up an improved emergency response system, and supporting the establishment of sustainable health-care services in west Africa.

  12. Considerations for implementing an organizational lessons learned process.

    Energy Technology Data Exchange (ETDEWEB)

    Fosshage, Erik D

    2013-05-01

    This report examines the lessons learned process by a review of the literature in a variety of disciplines, and is intended as a guidepost for organizations that are considering the implementation of their own closed-loop learning process. Lessons learned definitions are provided within the broader context of knowledge management and the framework of a learning organization. Shortcomings of existing practices are summarized in an attempt to identify common pitfalls that can be avoided by organizations with fledgling experiences of their own. Lessons learned are then examined through a dual construct of both process and mechanism, with emphasis on integrating into organizational processes and promoting lesson reuse through data attributes that contribute toward changed behaviors. The report concludes with recommended steps for follow-on efforts.

  13. Social support and child protection: Lessons learned and learning.

    Science.gov (United States)

    Thompson, Ross A

    2015-03-01

    Social support has been a topic of research for nearly 50 years, and its applications to prevention and intervention have grown significantly, including programs advancing child protection. This article summarizes the central conclusions of the 1994 review of research on social support and the prevention of child maltreatment prepared for the U.S. Advisory Board on Child Abuse and Neglect, and surveys advances in the field since its publication. Among the lessons learned twenty years ago are (a) the diversity of the social support needs of at-risk families and their association with child endangerment, (b) the need to supplement the emotionally affirmative aspects of social support with efforts to socialize parenting practices and monitor child well-being, (c) the desirability of integrating formal and informal sources of social support for recipients, and (d) the importance of considering the complex recipient reactions to receiving support from others. The lessons we are now learning derive from research exploring the potential of online communication to enhance social support, the neurobiology of stress and its buffering through social support, and the lessons of evaluation research that are identifying the effective ingredients of social support interventions.

  14. Personal Care in Learning Health Care Systems.

    Science.gov (United States)

    Miller, Franklin G; Kim, Scott Y H

    2015-12-01

    The idea of a "learning health care system"--one that systematically integrates clinical research with medical care--has received considerable attention recently. Some commentators argue that under certain conditions pragmatic comparative effectiveness randomized trials can be conducted ethically within the context of a learning health care system without the informed consent of patients for research participation. In this article, we challenge this perspective and contend that conducting randomized trials of individual treatment options without consent is neither necessary nor desirable to promote and sustain learning health care systems. Our argument draws on the normative conception of personal care developed by Charles Fried in a landmark 1974 book on the ethics of randomized controlled trials.

  15. Pedagogy and second language learning: Lessons learned from Intensive French

    Directory of Open Access Journals (Sweden)

    Joan Netten

    2005-12-01

    Full Text Available Abstract Through research and classroom observation undertaken while conceptualizing and implementing the Intensive French program in Canada, many new insights were gained into the development of communication skills in a classroom situation. Five lessons learned about the development of spontaneous oral communication are presented in this article: the ineffectiveness of core French in primary school; the minimum number of intensive hours necessary to develop spontaneous oral communication; the need to develop implicit competence rather than explicit knowledge; the distinction between accuracy as knowledge and accuracy as skill; and the importance of teaching strategies focusing on language use. These lessons have implications for our understanding of how oral competence in an L2 develops and for the improvement of communicative language pedagogy.

  16. New Horizons Risk Communication Strategy, Planning, Implementation, and Lessons Learned

    Science.gov (United States)

    Dawson, Sandra A.

    2006-01-01

    This paper discusses the risk communication goals, strategy, planning process and product development for the New Horizons mission, including lessons from the Cassini mission that were applied in that effort, and presents lessons learned from the New Horizons effort that could be applicable to future missions.

  17. Japanese Lesson Study Sustaining Teacher Learning in the Classroom Context

    Science.gov (United States)

    Loose, Crystal Corle

    2014-01-01

    The purposes of this action research study were first to explore teacher perceptions of Japanese lesson study as a method of professional development, and second to take teachers through an action research process as they observed the implementation of a literacy lesson in the classroom. Situated Learning Theory, particularly related to teacher…

  18. Improved Lesson Planning with Universal Design for Learning (UDL)

    Science.gov (United States)

    Courey, Susan Joan; Tappe, Phyllis; Siker, Jody; LePage, Pam

    2013-01-01

    Efficient lesson planning with universal design for learning (UDL) enables teachers to more effectively meet students' individual needs. In this study, a comparison of lesson plans by teacher candidates in a teacher preparation program before and after UDL training is presented. After training, teachers (n = 45) incorporated more differentiated…

  19. Evaluation, Knowledge Management, Best Practices, and High Quality Lessons Learned.

    Science.gov (United States)

    Patton, Michael Quinn

    2001-01-01

    Discusses lessons to be learned from evaluation and best practices in evaluation and some ways to bring increased rigor to evaluators' use of those terms. Suggests that "best" practices is a term to avoid, with "better" or "effective" being more realistic, and calls for more specificity when discussing lessons to be…

  20. UAVs for Glacier Mapping: Lessons Learned

    Science.gov (United States)

    McKinnon, T.; McKinnon, K. A.; Anderson, B.

    2014-12-01

    Using two different unmanned aerial vehicles (UAVs) mounted with cameras, we created a digital elevation model (DEM) of the lower 12 km^2 of Tasman Glacier, South Island, New Zealand in March 2014. The project served primarily as a proof-of-concept, and here we discuss the lessons learned, emphasizing the practical, logistical, and flight issues. We tested two different fixed-wing airframes -- a twin-boom tradition and flying wing; two different camera types, both consumer-grade RGB; and various combinations of RC and telemetry radios. We used both commercial and open-source photogrammetry software to create the mosaic and DEM imagery. Some of the most critical UAV-specific issues are: access to a launch/landing site, adequate landing zones, range, airspace contention with manned aircraft, and hardware reliability. While UAVs provide a lower-cost method for photogrammetry access, it also comes with a unique set of challenges.

  1. Beam Steering Mechanism (BSM) Lessons Learned

    Science.gov (United States)

    Blumenstock, Kenneth A.; Cramer, Alexander K.; Gostin, Alan B.; Hakun, Claef F.; Haney, Paul G.; Hinkle, Matthew R.; Lee, Kenneth Y.; Lugo, Carlos F.; Matuszeski, Adam J.; Morell, Armando; Armani, Nerses V.; Bonafede, Joseph; Jackson, Molly I.; Steigner, Peter J.; Stromsdorfer, Juan J.

    2016-01-01

    This paper describes the design, testing, and lessons learned during the development of the Advanced Topographic Laser Altimeter System (ATLAS) Beam Steering Mechanism (BSM). The BSM is a 2 degree-of-freedom tip-tilt mechanism for the purpose of pointing a flat mirror to tightly control the co-alignment of the transmitted laser and the receiver telescope of the ATLAS instrument. High resolution needs of the mission resulted in sub-arcsecond pointing and knowledge requirements, which have been met. Development of methodology to verify performance was a significant effortadvancement. The BSM will fly as part of the Ice, Cloud, and Elevation Satellite 2 Mission (ICESat 2), which is scheduled to be launched in 2017. The ICESat 2 primary mission is to map the earths surface topography for the determination of seasonal changes of ice sheet thickness as well as vegetation canopy thickness.

  2. ATLAS Beam Steering Mechanism (BSM) Lessons Learned

    Science.gov (United States)

    Blumenstock, Kenneth A.; Cramer, Alexander K.; Gosten, Alan B.; Hakun, Claef F.; Haney, Paul G.; Hinkle, Matthew R.; Lee, Kenneth Y.; Lugo, Carlos F.; Matuszeski, Adam J.; Morell, Armando; Armani, Nerses V.; Bonafede, Joseph; Jackson, Molly I.; Steigner, Peter J.; Stromsdorfer, Juan J.

    2016-01-01

    This paper describes the design, testing, and lessons learned during the development of the Advanced Topographic Laser Altimeter System (ATLAS) Beam Steering Mechanism (BSM). The BSM is a 2 degree-of-freedom tip-tilt mechanism for the purpose of pointing a flat mirror to tightly control the co-alignment of the transmitted laser and the receiver telescope of the ATLAS instrument. The high resolution needs of the mission resulted in sub-arcsecond pointing and knowledge requirements, which have been met. Development of the methodology to verify performance required significant effort. The BSM will fly as part of the Ice, Cloud, and Elevation Satellite II Mission (ICESat II), which is scheduled to be launched in 2017. The ICESat II primary mission is to map the Earth's surface topography for the determination of seasonal changes of ice sheet thickness and vegetation canopy thickness to establish long-term trends.

  3. ATLAS Beam Steering Mechanism Lessons Learned

    Science.gov (United States)

    Blumenstock, Kenneth A.; Cramer, Alexander K.; Gostin, Alan B.; Hakun, Claef F.; Haney, Paul G.; Hinkle, Matthew R.; Lee, Kenneth Y.; Lugo, Carlos F.; Matuszeski, Adam J.; Morrell, Armando; Armani, Nerses V.; Bonafede, Joseph; Jackson, Molly I.; Steigner, Peter J.; Stromsdorfer, Juan J.

    2016-01-01

    This paper describes the design, testing, and lessons learned during the development of the Advanced Topographic Laser Altimeter System (ATLAS) Beam Steering Mechanism (BSM). The BSM is a 2 degree-of-freedom tip-tilt mechanism for the purpose of pointing a flat mirror to tightly control the co-alignment of the transmitted laser and the receiver telescope of the ATLAS instrument. The high resolution needs of the mission resulted in sub-arcsecond pointing and knowledge requirements, which have been met. Development of the methodology to verify performance required significant effort. The BSM will fly as part of the Ice, Cloud, and Elevation Satellite II Mission (ICESat II), which is scheduled to be launched in 2017. The ICESat II primary mission is to map the earth's surface topography for the determination of seasonal changes of ice sheet thickness and vegetation canopy thickness to establish long-term trends.

  4. Lessons learned from the 1994 Northridge Earthquake

    Energy Technology Data Exchange (ETDEWEB)

    Eli, M.W.; Sommer, S.C. [Lawrence Livermore National Lab., CA (United States)

    1995-04-01

    Southern California has a history of major earthquakes and also has one of the largest metropolitan areas in the United States. The 1994 Northridge Earthquake challenged the industrial facilities and lifetime infrastructure in the northern Los Angeles (LA) area. Lawrence Livermore National Laboratory (LLNL) sent a team of engineers to conduct an earthquake damage investigation in the Northridge area, on a project funded jointly by the United States Nuclear Regulatory Commission (USNRC) and the United States Department of Energy (USDOE). Many of the structures, systems, and components (SSCs) and lifelines that suffered damage are similar to those found in nuclear power plants and in USDOE facilities. Lessons learned from these experiences can have some applicability at commercial nuclear power plants.

  5. LESSONS LEARNED IN TESTING OF SAFEGUARDS EQUIPMENT.

    Energy Technology Data Exchange (ETDEWEB)

    PEPPER,S.; FARNITANO,M.; CARELLI,J.; HAZELTINE,J.; BAILEY,D.

    2001-10-29

    The International Atomic Energy Agency's (IAEA) Department of Safeguards uses complex instrumentation for the application of safeguards at nuclear facilities around the world. Often, this equipment is developed through cooperation with member state support programs because the Agency's requirements are unique and are not met by commercially available equipment. Before approving an instrument or system for routine inspection use, the IAEA subjects it to a series of tests designed to evaluate its reliability. In 2000, the IAEA began to observe operational failures in digital surveillance systems. In response to the observed failures, the IAEA worked with the equipment designer and manufacturer to determine the cause of failure. An action plan was developed to correct the performance issues and further test the systems to make sure that additional operational issues would not surface later. This paper addresses the steps taken to address operation issues related to digital image surveillance systems and the lessons learned during this process.

  6. Evolutionary fire ecology: lessons learned from pines.

    Science.gov (United States)

    Pausas, Juli G

    2015-05-01

    Macroevolutionary studies of the genus Pinus provide the oldest current evidence of fire as an evolutionary pressure on plants and date back to ca. 125 million years ago (Ma). Microevolutionary studies show that fire traits are variable within and among populations, especially among those subject to different fire regimes. In addition, there is increasing evidence of an inherited genetic basis to variability in fire traits. Added together, pines provide compelling evidence that fire can exert an evolutionary pressure on plants and, thus, shape biodiversity. In addition, evolutionary fire ecology is providing insights to improve the management of pine forests under changing conditions. The lessons learned from pines may guide research on the evolutionary ecology of other taxa.

  7. XML technology planning database : lessons learned

    Science.gov (United States)

    Some, Raphael R.; Neff, Jon M.

    2005-01-01

    A hierarchical Extensible Markup Language(XML) database called XCALIBR (XML Analysis LIBRary) has been developed by Millennium Program to assist in technology investment (ROI) analysis and technology Language Capability the New return on portfolio optimization. The database contains mission requirements and technology capabilities, which are related by use of an XML dictionary. The XML dictionary codifies a standardized taxonomy for space missions, systems, subsystems and technologies. In addition to being used for ROI analysis, the database is being examined for use in project planning, tracking and documentation. During the past year, the database has moved from development into alpha testing. This paper describes the lessons learned during construction and testing of the prototype database and the motivation for moving from an XML taxonomy to a standard XML-based ontology.

  8. Lessons learned using Snodgrass hypospadias repair.

    LENUS (Irish Health Repository)

    O'Connor, K M

    2012-02-03

    BACKGROUND: This is a review of our experience with the Snodgrass technique for distal hypospadias repair and we point to lessons learned in improving results. METHODS: We reviewed all patients who underwent Snodgrass hypospadias repair for distal hypospadias over a four-year period by a single surgeon. Chart review followed by parental telephone interview was used to determine voiding function, cosmesis and complication rate. RESULTS: Thirty children and three adults were identified. Age at surgery ranged from seven months to 39 years. The urinary stream was straight in 94%, and 97% reported a good or satisfactory final cosmetic outcome. One patient (3.3%) developed a urethral fistula and 21% developed meatal stenosis which required general anaesthetic. CONCLUSION: The Snodgrass urethroplasty provides satisfactory cosmetic and functional results. High rates of meatal stenosis initially encountered have improved with modifications to technique which include modified meatoplasty and routine meatal dilatation by the parents.

  9. Chandra data archive operations: lessons learned

    Science.gov (United States)

    McCollough, Michael L.; Rots, Arnold H.; Winkelman, Sherry L.

    2006-06-01

    We present a discussion of the lessons learned from establishing and operating the Chandra Data Archive (CDA). We offer an overview of the archive, what preparations were done before launch, the transition to operations, actual operations, and some of the unexpected developments that had to be addressed in running the archive. From this experience we highlight some of the important issues that need to be addressed in the creation and running of an archive for a major project. Among these are the importance of data format standards; the integration of the archive with the rest of the mission; requirements throughout all phases of the mission; operational requirements; what to expect at launch; the user interfaces; how to anticipate new tasks; and overall importance of team management and organization.

  10. Sellafield Decommissioning Programme - Update and Lessons Learned

    Energy Technology Data Exchange (ETDEWEB)

    Lutwyche, P. R.; Challinor, S. F.

    2003-02-24

    The Sellafield site in North West England has over 240 active facilities covering the full nuclear cycle from fuel manufacture through generation, reprocessing and waste treatment. The Sellafield decommissioning programme was formally initiated in the mid 1980s though several plants had been decommissioned prior to this primarily to create space for other plants. Since the initiation of the programme 7 plants have been completely decommissioned, significant progress has been made in a further 16 and a total of 56 major project phases have been completed. This programme update will explain the decommissioning arrangements and strategies and illustrate the progress made on a number of the plants including the Windscale Pile Chimneys, the first reprocessing plan and plutonium plants. These present a range of different challenges and requiring approaches from fully hands on to fully remote. Some of the key lessons learned will be highlighted.

  11. Blended learning: strengths, challenges, and lessons learned in an interprofessional training program.

    Science.gov (United States)

    Lotrecchiano, G R; McDonald, P L; Lyons, L; Long, T; Zajicek-Farber, M

    2013-11-01

    This field report outlines the goals of providing a blended learning model for an interdisciplinary training program for healthcare professionals who care for children with disabilities. The curriculum blended traditional face-to-face or on-site learning with integrated online interactive instruction. Credit earning and audited graduate level online coursework, community engagement experiences, and on-site training with maternal and child health community engagement opportunities were blended into a cohesive program. The training approach emphasized adult learning principles in different environmental contexts integrating multiple components of the Leadership Education in Neurodevelopmental and Related Disabilities Program. This paper describes the key principles adopted for this blended approach and the accomplishments, challenges, and lessons learned. The discussion offers examples from training content, material gathered through yearly program evaluation, as well as university course evaluations. The lessons learned consider the process and the implications for the role of blended learning in this type of training program with suggestions for future development and adoption by other programs.

  12. Lessons Learned from Mir - A Payload Perspective

    Science.gov (United States)

    Uri, John J.; Nygren, Richard W.; Cardenas, Jeffrey A.

    2003-01-01

    Among the principal objectives of the Phase 1 NASA/Mir program were for the United States to gain experience working with an international partner, to gain working experience in long-duration space flight, and to gain working experience in planning for and executing research on a long-duration space platform. The Phase 1 program was to provide to the US early experience prior to the construction and operation of the International Space Station (Phase 2 and 3). While it can be argued that Mir and ISS are different platforms and that programmatically Phase 1 and ISS are organized differently, it is also clear that many aspects of operating a long-duration research program are platform independent. This can be demonstrated by a review of lessons learned from Skylab, a US space station program of the mid-1970's, many of which were again "learned" on Mir and are being "learned" on ISS. Among these are optimum crew training strategies, on-orbit crew operations, ground support, medical operations and crew psychological support, and safety certification processes

  13. Lessons Learned in Pilot Testing Specialty Consultations to Benefit Individuals with Lower Limb Loss

    Directory of Open Access Journals (Sweden)

    Christine Elnitsky

    2012-12-01

    Full Text Available Telerehabilitation technologies enable the delivery of rehabilitation services from providers to people with disabilities as well as specialty care consultations. This article discusses the barriers experienced when planning and pilot testing a telerehabilitation multi-site specialty consultation for specialists in their medical centers, and the lessons learned. The barriers included integration and participation, coordination across organizational units, and privacy and information security. Lessons learned included the need for collaboration across multiple departments, telerehabilitation equipment back-ups, and anonymous and private communication protocols. Despite delays resulting from coordination at multiple levels of a national organization, we developed a program plan and successfully implemented a pilot test of the southeast region program.  Specialty consultation using telerehabilitation delivery methods requires identifying provider preferences for technological features. Lessons learned could inform development of outpatient telerehabilitation for patients with amputations and studies of patients and providers involved in telerehabilitation.

  14. Lessons learned in pilot testing specialty consultations to benefit individuals with lower limb loss.

    Science.gov (United States)

    Elnitsky, Christine; Latlief, Gail; Gavin-Dreschnack, Deborah; Harris, Melanie; Campbell, Robert

    2012-01-01

    Telerehabilitation technologies enable the delivery of rehabilitation services from providers to people with disabilities as well as specialty care consultations. This article discusses the barriers experienced when planning and pilot testing a telerehabilitation multi-site specialty consultation for specialists in their medical centers, and the lessons learned. The barriers included integration and participation, coordination across organizational units, and privacy and information security. Lessons learned included the need for collaboration across multiple departments, telerehabilitation equipment back-ups, and anonymous and private communication protocols. Despite delays resulting from coordination at multiple levels of a national organization, we developed a program plan and successfully implemented a pilot test of the southeast region program. Specialty consultation using telerehabilitation delivery methods requires identifying provider preferences for technological features. Lessons learned could inform development of outpatient telerehabilitation for patients with amputations and studies of patients and providers involved in telerehabilitation.

  15. Lessons learned from the TMT site testing campaign

    CERN Document Server

    Travouillon, T; Riddle, R L; Schöck, M; Skidmore, A W

    2011-01-01

    After a site testing campaign spanning 5 sites over a period of 5 years, the site selection for the Thirty Meter Telescope (TMT) culminated with the choice of Mauna Kea 13N in Hawaii. During the campaign, a lot practical lessons were learned by our team and these lessons can be shared with current and future site testing campaign done for other observatories. These lessons apply to the preselection of the site, the ground work and operations of the campaign as well as the analysis of the data. We present of selection of such lessons in this paper preceded by a short summary of the TMT site testing activities.

  16. M-learning in a geography lesson

    Science.gov (United States)

    Mirski, Katri

    2014-05-01

    their work in Google Earth where they did a tour of their journey. In the feedback students said that it was a very interesting and an educational practical task. A new opportunity in M-learning is to use QR codes. This means that you don't have to print out worksheets with questions. You can hide question in the code and students can read them with their own devices on site. From the Master's thesis I also developed a tutorial material named "M-learning in a geography lesson" (in Estonian: M-õpe geograafiatunnis), you can see it in the webpage katrimope@wordpress.com. The tutorial received a second place on the Estonian study material contest in 2013. This is only one example on how to use M-learning. In Gustav Adolf Grammar School we use M-learning in lots of different subjects because it's really important in modern school to link new technologies, surrounding environment and learning for the purpose of better obtainment of knowledge.

  17. The lessons learned workshop : comprehensive conservation planning pilot projects

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — Summary of the Lessons Learned Workshop, held i on January 22, 2003 in Lakewood, Colorado. Participants included U.S. Fish and Wildlife and U.S. Geological Survey....

  18. AFRL Solid Propellant Laboratory Explosive Siting and Renovation Lessons Learned

    Science.gov (United States)

    2010-05-19

    Siting and Renovation Lessons Learned 5b. GRANT NUMBER 5c. PROGRAM ELEMENT NUMBER 6. AUTHOR(S) Daniel F . Schwartz (AFRL/RZSP) 5d. PROJECT... Daniel F . Schwartz a. REPORT Unclassified b. ABSTRACT Unclassified c. THIS PAGE Unclassified SAR 35 19b. TELEPHONE NUMBER (include...1 AFRL Solid Propellant Laboratory Explosive Siting and Renovation Lessons Learned Daniel F . Schwartz Air Force Research Laboratory

  19. Implementing a lessons learned process at Sandia National Laboratories

    Energy Technology Data Exchange (ETDEWEB)

    Fosshage, Erik D.; Drewien, Celeste A.; Eras, Kenneth; Hartwig, Ronald Craig; Post, Debra S.; Stoecker, Nora Kathleen

    2016-01-01

    The Lessons Learned Process Improvement Team was tasked to gain an understanding of the existing lessons learned environment within the major programs at Sandia National Laboratories, identify opportunities for improvement in that environment as compared to desired attributes, propose alternative implementations to address existing inefficiencies, perform qualitative evaluations of alternative implementations, and recommend one or more near-term activities for prototyping and/or implementation. This report documents the work and findings of the team.

  20. Health Care Consumerism: Lessons My 401(k) Plan Taught Me.

    Science.gov (United States)

    Steinberg, Allen T

    2015-01-01

    Changes to the U.S. health care system are here. As we think about how individuals will pay for health care--while actively employed and while retired--our experiences with 401(k) plans provide some valuable lessons. In order to support employees in this new health care world--a challenge arguably more daunting than the 401(k) challenge we faced 20 years ago--some very different types of support are needed. Employers should consider providing their employees with the resources to manage health care changes.

  1. Pain management: lessons from palliative care.

    Science.gov (United States)

    Langlois, John P

    2013-01-01

    Reducing suffering and helping patients to control their symptoms are key components of palliative care. This commentary will offer a comprehensive definition of palliative care and will present a case history to illustrate how palliative care can benefit patients with chronic pain.

  2. Introduce Lessons Learn Approach as A Phase in SDLC

    Directory of Open Access Journals (Sweden)

    Radhika D Amlani

    2013-01-01

    Full Text Available To understand what Lessons Learned is we must have to understand what is Lessons? Lessons can be derived from any activity. They are a product of operations, exercises, training, experiments, and day-to-day staff work. During the course of our activities most of us will recognize ways of doing things more easily or efficiently that can be passed on to our colleagues and successors to help them avoid problems and do even better than we did before. The term Lessons Learned is broadly used to describe act of learning from experience to achieve improvements. It is an activity used by people to gain benefit in current activity form past activity experience. The idea of lessons learned in an organization is that through a formal approach to learning, individual and the organization can reduce the risk of repeating mistakes and it would increase the chance of success. This means lessons learned approach will reduce failure risk, and improve operational effectiveness and also increase cost efficiency.

  3. Planning and scheduling lessons learned study, executive summary

    Science.gov (United States)

    Robinson, Toni

    1990-01-01

    The study was performed to document the lessons on planning and scheduling activities for a number of missions and institutional facilities in such a way that they can be applied to future missions; to provide recommendations to both projects and Code 500 that will improve the end-to-end planning and scheduling process; and to identify what, if any, mission characteristics might be related to certain lessons learned. The results are a series of recommendations of both a managerial and technical nature related to the underlying lessons learned.

  4. Lessons Learned from the Advanced Topographic Laser Altimeter System

    Science.gov (United States)

    Garrison, Matt; Patel, Deepak; Bradshaw, Heather; Robinson, Frank; Neuberger, Dave

    2016-01-01

    The ICESat-2 Advanced Topographic Laser Altimeter System (ATLAS) instrument is an upcoming Earth Science mission focusing on the effects of climate change. The flight instrument passed all environmental testing at GSFC (Goddard Space Flight Center) and is now ready to be shipped to the spacecraft vendor for integration and testing. This presentation walks through the lessons learned from design, hardware, analysis and testing perspective. ATLAS lessons learned include general thermal design, analysis, hardware, and testing issues as well as lessons specific to laser systems, two-phase thermal control, and optical assemblies with precision alignment requirements.

  5. The Use of Meaningful Reception Learning in Lesson on Classification

    OpenAIRE

    2013-01-01

    This paper begins with a learning theory of instruction. It describes how Meaningful Reception Learning can be used to teach in classification of items. Meaningful Reception Learning is a learning theory of instruction proposed by Ausubel who believed that learners can learn best when the new material being taught can be anchored into existing cognitive information in the learners. He also proposed the use of advance organizers as representations of the facts of the lesson. ...

  6. VLT/VLTI Second-Generation Instrumentation: Lessons Learned

    Science.gov (United States)

    Gilmozzi, R.; Pasquini, L.; Russell, A.

    2016-12-01

    The five second-generation instruments already delivered for the Very Large Telescope (VLT) represent worthy successors to the first generation of instrumentation development. Despite this success, it is still possible to learn many lessons for the future. A review, preceded by a workshop, on the lessons learned from the second-generation instrumentation for the VLT and VLT Interferometer took place in November 2015, following a previous review twelve years ago on lessons learned from the first-generation instruments. The aim of the workshop was to identify lessons in order to help define/refine good practice and make recommendations for the future. This article briefly reports on the workshop and summarises the findings of the review panel, their recommendations and some of the steps to implement them.

  7. Lessons to be learned from the oldest community psychiatric service in the world: Geel in Belgium

    Science.gov (United States)

    van Bilsen, Henck P. J. G.

    2016-01-01

    This article reviews the family foster care model practised in the small Belgian town of Geel. A historical introduction is followed by a description of a family foster care project in its current form. Issues are raised as to whether the current culture of care pathways, managed care, payment by results and an emphasis on ‘cure’ are conducive to recovery as promoted by the recovery model. Finally, the lessons from Geel are summarised and it is argued that there is much that can be learned from this way of working to support the recovery movement. PMID:27512591

  8. Lessons learned from the science of caring: Extending the reach of psychosocial oncology: The International Psycho-Oncology Society 2016 Sutherland Award Lecture.

    Science.gov (United States)

    Bultz, Barry D

    2017-02-15

    In medicine, referral to a medical oncology specialty is based on recent history, physical examination, pathology, surgery reports, imaging, blood work, and the patient's vital signs. By contrast, referral to a psychosocial specialist has typically been based on the patients expressed request for psychosocial support or the health care team's observation of the patient's limited adjustment or poor coping with the diagnosis, treatment, or end-of-life distress. These observations are usually based on clinical acumen not on metrics. In psychosocial oncology, by committing to the science of caring and relying on the use of standardized tools to screen for distress, the multidisciplinary cancer care team assess, communicate, and intervene on what is measured. That is, health care providers can begin to address the patients' identified concerns. Branding distress as the 6th vital sign and incorporating screening for distress into standard cancer practice can be an effective strategy to challenging the resistance in implementation of psychosocial oncology in cancer care institutions. Accreditation agencies are endorsing the need to assess patient distress and better manage symptoms of distress as part of routine and standardized patient care. While many international organizations and societies support the importance of screening, implementing screening for distress still has a long way to go to be operationalized in many cancer care programs. Screening for distress when implemented does, however, create an opportunity for psychosocial oncology to extend its reach into cancer care programs and institutions.

  9. Challenges to Providing End-of-Life Care to Low-Income Elders with Advanced Chronic Disease: Lessons Learned from a Model Program

    Science.gov (United States)

    Kramer, Betty J.; Auer, Casey

    2005-01-01

    Purpose: This study explored the challenges in providing end-of-life care to low-income elders with multiple comorbid chronic conditions in a fully "integrated" managed care program, and it highlighted essential recommendations. Design and Methods: A case-study design was used that involved an extensive analysis of qualitative data from five focus…

  10. Lessons Learned in Risk Management on NCSX

    Energy Technology Data Exchange (ETDEWEB)

    Neilson, G. H.; Gruber, C. O.; Harris, J. H.; Rej, D. J.; Simmons, R. T.; Strykowsky, R. L.

    2009-07-21

    The National Compact Stellarator Experiment (NCSX) was designed to test physics principles of an innovative stellarator design developed by the Princeton Plasma Physics Laboratory and Oak Ridge National Laboratory. Construction of some of the major components and sub-assemblies was completed, but the estimated cost and schedule for completing the project grew as the technical requirements and risks became better understood, leading to its cancellation in 2008. The project's risks stemmed from its technical challenges, primarily the complex component geometries and tight tolerances that were required. The initial baseline, established in 2004, was supported by a risk management plan and risk-based contingencies, both of which proved to be inadequate. Technical successes were achieved in the construction of challenging components and subassemblies, but cost and schedule growth was experienced. As part of an effort to improve project performance, a new risk management program was devised and implemented in 2007-08. It led to a better understanding of project risks, a sounder basis for contingency estimates, and improved management tools. Although the risks ultimately were unacceptable to the sponsor, valuable lessons in risk management were learned through the experiences with the NCSX project.

  11. Lessons Learned in Risk Management on NCSX

    Energy Technology Data Exchange (ETDEWEB)

    G.H. Neilson, C.O. Gruber, J.H. Harris, D.J. Rej, R.T. Simmons, and R.L. Strykowsky

    2009-02-11

    The National Compact Stellarator Experiment (NCSX) was designed to test physics principles of an innovative stellarator design developed by the Princeton Plasma Physics Laboratory and Oak Ridge National Laboratory. Construction of some of the major components and sub-assemblies was completed, but the estimated cost and schedule for completing the project grew as the technical requirements and risks became better understood, leading to its cancellation in 2008. The project's risks stemmed from its technical challenges, primarily the complex component geometries and tight tolerances that were required. The initial baseline, established in 2004, was supported by a risk management plan and risk-based contingencies, both of which proved to be inadequate. Technical successes were achieved in the construction of challenging components and subassemblies, but cost and schedule growth was experienced. As part of an effort to improve project performance, a new risk management program was devised and implemented in 2007-08. It led to a better understanding of project risks, a sounder basis for contingency estimates, and improved management tools. Although the risks ultimately were unacceptable to the sponsor, valuable lessons in risk management were learned through the experiences with the NCSX project.

  12. Lessons Learned in Risk Management on NCSX

    Energy Technology Data Exchange (ETDEWEB)

    Neilson, G. H. [Princeton Plasma Physics Laboratory, Princeton, NJ; Gruber, C. O. [Princeton Plasma Physics Laboratory, Princeton, NJ; Harris, Jeffrey H [ORNL; Rej, D. J. [Princeton Plasma Physics Laboratory (PPPL); Simmons, R. T. [Princeton Plasma Physics Laboratory, Princeton, NJ; Strykowsky, R. L. [Princeton Plasma Physics Laboratory, Princeton, NJ

    2010-01-01

    The National Compact Stellarator Experiment (NCSX) was designed to test physics principles of an innovative stellarator design developed by Princeton Plasma Physics Laboratory and Oak Ridge National Laboratory. Construction of some of the major components and subassemblies was completed, but the estimated cost and schedule for completing the project grew as the technical requirements and risks became better understood, leading to its cancellation in 2008. The project's risks stemmed from its technical challenges, primarily the complex component geometries and tight tolerances that were required. The initial baseline, which was established in 2004, was supported by a risk management plan and risk-based contingencies, both of which proved to be inadequate. Technical successes were achieved in the construction of challenging components and subassemblies, but cost and schedule growth was experienced. As part of an effort to improve project performance, a new risk management program was devised and implemented in 2007-2008. It led to a better understanding of project risks, a sounder basis for contingency estimates, and improved management tools. Although the risks were ultimately unacceptable to the sponsor, valuable lessons in risk management were learned through the experiences with the NCSX project.

  13. Lessons learned in the IBL project

    CERN Document Server

    Miucci, Antonio; The ATLAS collaboration

    2015-01-01

    The ATLAS experiment is ready to face the Run-2 with improved tracking performance thanks to the installation of a new Pixel layer, also called Insertable B-Layer (IBL). The IBL has been installed in May 2014 being placed at only 3.3 cm radius from the beam axis. The combination of the limited distance from the interaction point and the increase of Luminosity that LHC will face in Run-2 will require to cope both with higher radiation environment and pixel occupancy. A new readout chip has been developed within CMOS 130nm technology with larger area, smaller pixel size and faster readout capability. Dedicated design features in combination with a new composite material were considered and used in order to reduce the material budget of the support structure while keeping the optimal thermo-mechanical performance. Due to the limited radial space about less than 1 cm, the IBL detector was a challenge in terms of design and mechanical integration. An overview of the lessons learned during the IBL project will be p...

  14. CEBAF Upgrade: Cryomodule Performance And Lessons Learned

    Energy Technology Data Exchange (ETDEWEB)

    Drury, Michael A.; Davis, G. Kirk; Hogan, John P.; Hovater, J. Curt; King, Lawrence; Marhauser, Frank; Park, HyeKyoung; Preble, Joe; Reece, Charles E.; Rimmer, Robert A.; Wang, Haipeng; Wiseman, Mark A.

    2014-02-01

    The Thomas Jefferson National Accelerator Facility is currently engaged in the 12 GeV Upgrade Project. The goal of the 12 GeV Upgrade is a doubling of the available beam energy of the Continuous Electron Beam Accelerator Facility (CEBAF) from 6 GeV to 12 GeV. This increase in beam energy will be due in large part to the addition of ten C100 cryomodules plus associated new RF in the CEBAF linacs. The C100 cryomodules are designed to deliver 100 MeV per installed cryomodule. Each C100 cryomodule is built around a string of eight seven-cell, electro-polished, superconducting RF cavities. While an average performance of 100MV per cryomodule is needed to achieve the overall 12 GeV beam energy goal, the actual performance goal for the cryomodules is an average energy gain of 108 MV to provide operational headroom. Cryomodule production started in December 2010. All ten of the C100 cryomodules are installed in the linac tunnels and are on schedule to complete commissioning by September 2013. Performance during Commissioning has ranged from 104 MV to 118 MV. In May, 2012 a test of an early C100 achieved 108 MV with full beam loading. This paper will discuss the performance of the C100 cryomodules along with operational challenges and lessons learned for future designs.

  15. Resource Allocation Planning Helper (RALPH): Lessons learned

    Science.gov (United States)

    Durham, Ralph; Reilly, Norman B.; Springer, Joe B.

    1990-01-01

    The current task of Resource Allocation Process includes the planning and apportionment of JPL's Ground Data System composed of the Deep Space Network and Mission Control and Computing Center facilities. The addition of the data driven, rule based planning system, RALPH, has expanded the planning horizon from 8 weeks to 10 years and has resulted in large labor savings. Use of the system has also resulted in important improvements in science return through enhanced resource utilization. In addition, RALPH has been instrumental in supporting rapid turn around for an increased volume of special what if studies. The status of RALPH is briefly reviewed and important lessons learned from the creation of an highly functional design team are focused on through an evolutionary design and implementation period in which an AI shell was selected, prototyped, and ultimately abandoned, and through the fundamental changes to the very process that spawned the tool kit. Principal topics include proper integration of software tools within the planning environment, transition from prototype to delivered to delivered software, changes in the planning methodology as a result of evolving software capabilities and creation of the ability to develop and process generic requirements to allow planning flexibility.

  16. Valuable lessons-learned in transcriptomics experimentation.

    Science.gov (United States)

    Bruning, Oskar; Rauwerda, Han; Dekker, Rob J; de Leeuw, Wim C; Wackers, Paul F K; Ensink, Wim A; Jonker, Martijs J; Breit, Timo M

    2015-01-01

    We have collected several valuable lessons that will help improve transcriptomics experimentation. These lessons relate to experiment design, execution, and analysis. The cautions, but also the pointers, may help biologists avoid common pitfalls in transcriptomics experimentation and achieve better results with their transcriptome studies.

  17. Microbiological Lessons Learned from the Space Shuttle

    Science.gov (United States)

    Pierson, Duane L.; Ott, C. Mark; Bruce, Rebekah; Castro, Victoria A.; Mehta, Satish K.

    2011-01-01

    functions were found to be altered. Selected microorganisms were found to become more virulent during spaceflight. The increased knowledge gained on the Space Shuttle resulted in further studies of the host-microbe interactions on the ISS to determine if countermeasures were necessary. Lessons learned from the Space Shuttle Program were integrated into the ISS resulting in the safest space habitat to date.

  18. School Planning: Lessons Learned at the Celebration School.

    Science.gov (United States)

    Cohen, Sarah

    1998-01-01

    Discusses the lessons learned from Disney's K-12 Celebration School when trying to apply the latest research on teaching and learning to the school's design. Explores the future of business/school partnering in school planning, and offers expert advice on the school-planning process. (GR)

  19. Applying Universal Design for Learning to Instructional Lesson Planning

    Science.gov (United States)

    McGhie-Richmond, Donna; Sung, Andrew N.

    2013-01-01

    Universal Design for Learning is a framework for developing inclusive instructional lesson plans. The effects of introducing Universal Design for Learning Principles and Guidelines in a university teacher education program with pre-service and practicing teachers were explored in a mixed methods approach. The results indicate that the study…

  20. Teaching Project Management on-line: lessons learned from MOOCs

    Directory of Open Access Journals (Sweden)

    Rita Falcao

    2016-12-01

    Full Text Available Creating a course for teaching project management online in a full online distance-learning environment was a challenge. Working with adult learners from different continents that want to complete a Master degree was an additional challenge. This paper describes how different MOOCs were used to learn about teaching -(meta e-learning. MOOCs provide diverse opportunities for teachers to learn and innovate in e-learning. From the analysis of 5 MOOCs in the broad field of project management we took important lessons on how to structure contents, how to prepare complex assignments and, the most important lesson of all, how to help students to learn. This paper describes our journey of learning from MOOCs how to be better online teachers.

  1. Lessons Learned Designing and Building the Chandra Telescope

    Science.gov (United States)

    Arenberg, Jonathan

    2016-04-01

    This poster offers some of the major lessons learned by key members of the Chandra Telescope team. These lessons are gleaned from our experiences developing, designing, building and testing the telescope and its subsystems, with 15 years of hindsight. Among the topics to be discussed are the early developmental tests, known as VETA-I and VETA-II, requirements derivation, the impact of late requirements and reflection on the conservatism in the design process. This poster offers some opinions on how these lessons can affect future missions.

  2. Lesson Planning. Towards Purposeful Learning and Effective Teaching

    OpenAIRE

    Jones, Jane

    1998-01-01

    My aim is to show that lesson planning is a key feature of effective teaching in that it is evidence of much deeper, reflective activity. This reflection focuses upon issues fundamental to all teaching which includes the aims, the delivery, the learning processes involved and evaluation mechanisms. I take many, but not all, of the important questions and interrógate them, with exemplification and justification. I conclude that lesson planning is a creative process which provides a...

  3. Building a Better Lessons Learned Program - White Paper

    Energy Technology Data Exchange (ETDEWEB)

    Miller, Charles Frederick

    2002-04-01

    Lessons learned are more in vogue today than at any time in our history. You can’t tune into a news broadcast without hearing a reference to the concept – and for good reason. People are finally accepting the idea that they may be able to benefit from the experiences of others. Corporations, government departments, and even the military are actively using lessons learned information to help them to achieve their varied goals. The Department of Energy is one of the government departments that has a Lessons Learned Program and requires its contractors to develop a program of their own. Unfortunately, adequate guidance is not available to enable contractors to design a fully mature program (i.e., a program that will immediately meet their every need) and to ensure that it is implemented such that it will be deemed acceptable during subsequent assessments. The purpose of this paper is to present the reader with information that might help him or her better plan and develop a new or upgraded Lessons Learned Program. The information is based on the actual development and implementation of a “second generation” lessons learned program and is presented as a chronicle of the steps taken to build the rudimentary system and the subsequent events and problems that led to the programs present-day configuration.

  4. Developing cross-sectoral quality assurance for cataract surgery in the statutory quality assurance program of the German health care system: Experiences and lessons learned.

    Science.gov (United States)

    Bramesfeld, Anke; Pauletzki, Jürgen; Behrenz, Lars; Szecsenyi, Joachim; Willms, Gerald; Broge, Björn

    2015-08-01

    Since 2001, statutory external quality assurance (QA) for hospital care has been in place in the German health system. In 2009, the decision was taken to expand it to cross-sectoral procedures. This novel and unprecedented form of national QA aims at (1) making the quality procedures comparable that are provided both in inpatient and outpatient care, (2) following-up outcomes of hospital care after patients' discharge and (3) measuring the quality of complex treatment chains across interfaces. As a pioneer procedure a QA procedure in cataract surgery QA was developed. Using this as an example, challenges of cross-sectoral QA are highlighted. These challenges relate, in particular, to three technical problems: triggering cases for documentation, following-up patients' after hospital discharge, and the burden of documentation in outpatient care. These problems resulted finally in the haltering of the development of the QA procedure. However, the experiences gained with this first development of cross-sectoral QA inspired the reorientation and further development of the field in Germany. Future cross-sectoral QA will rigorously aim at keeping burden of documentation small. It will draw data for QA mainly at three sources: routine data, patient surveys and peer reviews using indicators. Policy implications of this reorientation are discussed.

  5. Flipped Learning, MOOCs and Learning Analytics: Lessons learnt from a Web Map Design course redesign

    Science.gov (United States)

    Treves, R.

    2013-12-01

    Five weeks content of a 12 week course in web map design were converted to 'flipped learning': Lecture sessions were replaced by online short video lectures and multiple choice questions to be completed outside class. Class time was taken up with activities and exercises linked to the online learning. Students use of the online content was carefully tracked and detailed student feedback gathered. The response from students was good, 90% of them completed all the out of class activities and their feedback was very positive. The format has the advantage of being easily repurposed as a MOOC or scaled up in other ways. Lessons learnt from the implementation of the materials and the analysis of the VLE logs will be discussed as will ongoing efforts to reuse the materials in a MOOC.

  6. Coordinating health care: lessons from Norway

    Directory of Open Access Journals (Sweden)

    Trond Tjerbo

    2005-11-01

    Full Text Available Objective: What influences the coordination of care between general practitioners and hospitals? In this paper, general practitioner satisfaction with hospital—GP interaction is revealed, and related to several background variables. Method: A questionnaire was sent to all general practitioners in Norway (3388, asking their opinion on the interaction and coordination of health care in their district. A second questionnaire was sent to all the somatic hospitals in Norway (59 regarding formal routines and structures. The results were analysed using ordinary least squares regression. Results: General practitioners tend to be less satisfied with the coordination of care when their primary hospital is large and cost-effective with a high share of elderly patients. Together with the degree to which the general practitioner is involved in arenas where hospital physicians and general practitioners interact, these factors turned out to be good predictors of general practitioner satisfaction. Implication: To improve coordination between general practitioners and specialists, one should focus upon the structural traits within the hospitals in different regions as well as creating common arenas where the physicians can interact.

  7. Student teachers learning to plan mathematics lessons

    OpenAIRE

    Jones, K.; Smith, K.

    1997-01-01

    Most educational professionals would agree that planning is an essential component of teaching. Such planning, educational texts and reports often stress, must focus on the specifying of clear objectives and a clear lesson structure. As a result, a common framework used to introduce student teachers to the complexities of lesson planning is premised on starting the planning process with specifying objectives. Yet there is considerable evidence that experienced teachers do not plan in this way...

  8. Learning to care, for a healthier tomorrow.

    Science.gov (United States)

    Cohen, J J

    1996-02-01

    Despite the fundamental transformations occurring in health care, academic medicine can maintain, and actually enhance, its value to society. But to do so will require a shared vision of where academic medicine should go. The author offers his own vision, one that includes (1) establishing true partnerships between medical schools and the communities they serve; (2) elevating prevention and health maintenance to equal status with diagnosis and treatment; (3) addressing pressing social problems, such as drug abuse, teenage pregnancy, and domestic violence; (4) assuming a leadership role in containing health care costs; (5) harnessing information technology to develop, disseminate, and implement comprehensive clinical information systems, and to provide the public with reliable medical information; (6) fostering racial, ethnic, and gender parity in medicine; (7) carrying out appropriate downsizing and restructuring of the academic medicine enterprise; (8) addressing forcefully the workforce needs for physicians and medical scientists; (9) improving the education of medical students and residents and fostering the conduct of clinical research by creative use of the integrated academic health care systems that teaching hospitals are becoming; (10) developing regional educational consortia to guide important aspects of medical students' and residents' education; (11) building a learning network so that meaningful cross-talk and dissemination of lessons learned can occur among all segments of the academic medicine community; and (12) creating a permanent planning process to guide academic medicine's future. The author concludes that if academic medicine adheres to its tradition of public service and professionalism, its future can be as glorious as its past.

  9. Lecciones aprendidas en la provisión de medicamentos para la atención primaria de la salud Lessons learned from drug supplies for primary health care

    Directory of Open Access Journals (Sweden)

    Federico Tobar

    2008-01-01

    Full Text Available En las reformas de salud que se llevaron a cabo en América Latina, la provisión de medicamentos no adquirió protagonismo. Cuando fue incluida, se dio prioridad a los medicamentos para internación, así como para enfermedades de baja prevalencia y alto costo. Sin embargo, en los últimos años un conjunto de programas han realizado innovaciones en la gestión de suministros para el primer nivel de atención. Aquí se abordan estas experiencias en América Latina, primero analizándolas a través de cuatro momentos del ciclo de gestión de medicamentos: selección, compra, distribución y utilización. Después, se busca identificar las lecciones aprendidas y las condiciones de un buen sistema de provisión. Las conclusiones destacan experiencias que lograron no sólo disponibilidad a costos bajos, sino también aumentos en la productividad y resolutividad del primer nivel, además de mejoras en la prescripción y el fortalecimiento del funcionamiento en red.Drug supply strategies have not been widely included in Latin American health reform programs. National efforts, when they have included such strategies, have focused on supporting drug availability for inpatient treatment and, in some cases, for ambulatory treatment of low prevalence and high-cost diseases. Nevertheless, some innovative drug supply programs for primary health care have been implemented in many countries. This article reviews and systematizes recent experiences with the supply of drugs in Latin American countries. Firstly, this article analyzes four phases of the cycle for managing drugs: selection, procurement, distribution, and use, and; secondly, it identifies lessons learned and some characteristics of efficient drug supply systems. Conclusions emphasize experiences which have not only achieved supply at low costs, but also have increased the productivity, efficiency, and effectiveness of primary health care, improved prescriptions, and strengthened the network.

  10. Lessons learned from LNG safety research.

    Science.gov (United States)

    Koopman, Ronald P; Ermak, Donald L

    2007-02-20

    During the period from 1977 to 1989, the Lawrence Livermore National Laboratory (LLNL) conducted a liquefied gaseous fuels spill effects program under the sponsorship of the US Department of Energy, Department of Transportation, Gas Research Institute and others. The goal of this program was to develop and validate tools that could be used to predict the effects of a large liquefied gas spill through the execution of large scale field experiments and the development of computer models to make predictions for conditions under which tests could not be performed. Over the course of the program, three series of LNG spill experiments were performed to study cloud formation, dispersion, combustion and rapid phase transition (RPT) explosions. The purpose of this paper is to provide an overview of this program, the lessons learned from 12 years of research as well as some recommendations for the future. The general conclusion from this program is that cold, dense gas related phenomena can dominate the dispersion of a large volume, high release rate spill of LNG especially under low ambient wind speed and stable atmospheric conditions, and therefore, it is necessary to include a detailed and validated description of these phenomena in computer models to adequately predict the consequences of a release. Specific conclusions include: * LNG vapor clouds are lower and wider than trace gas clouds and tend to follow the downhill slope of terrain due to dampened vertical turbulence and gravity flow within the cloud. Under low wind speed, stable atmospheric conditions, a bifurcated, two lobed structure develops. * Navier-Stokes models provide the most complete description of LNG dispersion, while more highly parameterized Lagrangian models were found to be well suited to emergency response applications. * The measured heat flux from LNG vapor cloud burns exceeded levels necessary for third degree burns and were large enough to ignite most flammable materials. * RPTs are of two

  11. Complications of peripherally inserted central venous catheters in neonates: Lesson learned over 2 years in a tertiary care centre in India

    Directory of Open Access Journals (Sweden)

    Amit Singh

    2014-01-01

    Full Text Available Background: The objective of this study was to assess the complications of peripherally inserted central venous catheters (PICC in neonates admitted to neonatal surgical intensive care unit (NSICU. Patients and Methods: Retrospective analysis of 237 neonates admitted to NSICU from January 2010 to December 2011 was done. Results: Mean age at presentation was 5.8 days and mean weight was 1.94 kg. Mean number of attempts was 1.14, mean duration of insertion 8.4 min and mean duration of patency of catheter 3.14 days. Most common site of catheter insertion was upper extremity (basilic followed by cephalic. Overall complications were seen in 47 (23% cases. Infectious complications were seen in 22 (10.7% and non-infectious in 25 (12.2% cases. Significant correlation existed between non-infective complications and insertion site (P = 0.03 and duration of PICC (P = 0.04. Conclusion: Precautions should be taken and position must be confirmed during and after PICC insertion to avoid undue complications.

  12. Lessons Learned About Providing Laptops for All Students

    Science.gov (United States)

    Bonifaz, Alejandra; Zucker, Andrew

    2004-01-01

    As a way of helping states and districts interested in laptop initiatives, the Northeast and the Islands Regional Technology in Education Consortium (NEIRTEC) has reviewed lessons learned to date from many laptop initiatives around the country and has prepared this guide. Drawn from articles and reports about current and past programs (see…

  13. Writing Learning Outcomes for English Language Lessons in Multilingual Schools

    Science.gov (United States)

    Jones, Sally Ann

    2016-01-01

    This article proposes a pedagogic innovation in teacher education by articulating a method for writing learning outcomes for English language lessons in multilingual school contexts. The argument for this approach is founded on curriculum studies; however, the practice also draws specifically on applied psycholinguistic and sociolinguistic…

  14. Lessons Learned from a Tiered Service Delivery Implementation Project

    Science.gov (United States)

    Johnson, Evelyn S.; Pool, Juli L.; Carter, Deborah R.

    2012-01-01

    Tiered models of service delivery for both academics and behavior are being increasingly adopted across the nation, and discussions of how to implement these models effectively and simultaneously are growing. In this article, the authors share some lessons learned from a 2-year implementation project to implement a comprehensive (both academic and…

  15. Keeping Kids Smokefree: Lessons Learned on Community Participation

    Science.gov (United States)

    Charlier, N.; Glover, M.; Robertson, J.

    2009-01-01

    Community participation in program decision-making and implementation is an ideal that community and academic stakeholders aspire to in participatory research. This ideal, however, can be difficult to achieve. We describe lessons learned about community participation from a quasi-experimental trial aimed at reducing the uptake of smoking among…

  16. The Virginia Generalist Initiative: Lessons Learned in a Statewide Consortium.

    Science.gov (United States)

    Morse, R. Michael; Plungas, Gay S.; Duke, Debra; Rollins, Lisa K.; Barnes, H. Verdain; Brinson, Betsy K.; Martindale, James R.; Marsland, David W.

    1999-01-01

    To increase supply of generalist physicians, three state-supported Virginia medical schools formed a partnership with governmental stakeholders in the Generalist Physician Initiative. Lessons learned concerning stakeholder participation in planning, shared philosophical commitment, support for risk-taking, attitudes toward change, and trust are…

  17. Transforming Effective Army Units: Best Practices and Lessons Learned

    Science.gov (United States)

    2013-08-01

    Lessons Learned (CALL), EBSCOhost (e.g., PsycINFO, 5 ERIC, and Military & Government Collection), ARI, Defense Technical Information Center (DTIC...Each session provided two to three challenges for a total of 29 challenges. These were entered into an Excel database and analyzed using descriptive

  18. Learning Style Responses to an Online Soil Erosion Lesson

    Science.gov (United States)

    Mamo, Martha; Kettler, Timothy; Hussman, Dann

    2005-01-01

    Our objective was to evaluate responses from students with different learning styles to the use of computer technology as a supplemental tool in teaching soil erosion concepts. The online lesson utilized photographs, illustrations, animations, and an interactive model that allowed students to manipulate factors influencing soil erosion. Students…

  19. Graph analytics-lessons learned and challenges ahead.

    Science.gov (United States)

    Pak Chung Wong; Chaomei Chen; Gorg, C; Shneiderman, B; Stasko, J; Thomas, J

    2011-01-01

    Lessons learned from developing four graph analytics applications reveal good research practices and grand challenges for future research. The application domains include electric-power-grid analytics, social-network and citation analytics, text and document analytics, and knowledge domain analytics.

  20. Briefing: Lessons learned from failures of flood defences

    NARCIS (Netherlands)

    Jonkman, S.N.; Schweckendiek, T.

    2015-01-01

    Failure of flood defences during extreme events can lead to enormous damage and loss of life. This paper presents lessons learned from investigations of flood events over recent years, including the 2005 flooding in New Orleans, USA, caused by hurricane Katrina. Based on these findings, new developm

  1. Werk geven en nemen lessons learned

    NARCIS (Netherlands)

    Kok, T. de; Smit, A.

    2012-01-01

    “Werk geven en nemen - lessons learned” geeft inzicht in de leerpunten, verworven inzichten en conclusies die zijn voortgekomen uit de opzet, activiteiten en resultaten van BESO in de periode 2010 - 2012. De publicatie is met name bedoeld voor professionals en bestuurders van zowel publieke als priv

  2. Jackie Steals Home. Learning Page Lesson Plan.

    Science.gov (United States)

    Pulda, Arnold

    In this lesson, students draw on their previous studies of American history and culture as they analyze primary sources from "Jackie Robinson and Other Baseball Highlights, 1860s-1960s" in the American Memory collection. A close reading of two documents relating to Jackie Robinson's breaking of the racial barrier in professional baseball…

  3. Twain's "Hannibal." Learning Page Lesson Plan.

    Science.gov (United States)

    Wood, Jan; Thiese, Norma

    Writers are influenced by their environment including family, community, lifestyle, or location. One such writer was Mark Twain. With this lesson plan the learner will become familiar with and analyze life around Mark Twain's hometown, Hannibal, Missouri, during the latter half of the 19th century by using various online and print resources to…

  4. Teaching about Terrorism: Lessons Learned at SWOTT

    Science.gov (United States)

    Miller, Gregory D.

    2009-01-01

    This article discusses some of the challenges and lessons for teaching undergraduate-level courses related to terrorism. The author outlines some of the primary issues that instructors can expect to face, and provides strategies for dealing with several of these challenges. The goal is to relay useful information to those teaching, or planning to…

  5. English lessons contribution to the learning of Spanish spelling rules

    OpenAIRE

    Orlando Alberteris Galván; Viviana Cañizares Hinojosa; Bertha Revilla Sabín

    2015-01-01

    This paper is aimed at describing the findings of a study of English lessons contribution to the learning of Spanish spelling rules by first year Bachelor of Education students. The lexicon under study is mainly made up of cognate words of Latin origin because. The framework presented supports procedures are based on the process of nominations, namely affixation, favoring the learning of spelling rules. A system of tasks was modeled following two phases according to the complexity of the vo...

  6. Investigating health disparities through community-based participatory research: lessons learned from a process evaluation.

    Science.gov (United States)

    Bryan, Valerie; Brye, Willette; Hudson, Kenneth; Dubose, Leevones; Hansberry, Shantisha; Arrieta, Martha

    2014-01-01

    This article describes one university's efforts to partner with a local agency (the "Coalition") within a disadvantaged, predominantly African American neighborhood, to assist them with studying their community's health disparities and health care access. The final, mutually agreed-upon plan used a community-based participatory research approach, wherein university researchers prepared neighborhood volunteers and Coalition members to conduct face-to-face interviews with residents about their health and health care access. Subsequently, the Coalition surveyed 138 residents, and the agency now possesses extensive data about the nature and extent of health problems in their community. Lessons learned from these experiences are offered.

  7. Applying Organizational Learning Research to Accountable Care Organizations.

    Science.gov (United States)

    Nembhard, Ingrid M; Tucker, Anita L

    2016-12-01

    To accomplish the goal of improving quality of care while simultaneously reducing cost, Accountable Care Organizations (ACOs) need to find new and better ways of providing health care to populations of patients. This requires implementing best practices and improving collaboration across the multiple entities involved in care delivery, including patients. In this article, we discuss seven lessons from the organizational learning literature that can help ACOs overcome the inherent challenges of learning how to work together in radically new ways. The lessons involve setting expectations, creating a supportive culture, and structuring the improvement efforts. For example, with regard to setting expectations, framing the changes as learning experiences rather than as implementation projects encourages the teams to utilize helpful activities, such as dry runs and pilot tests. It is also important to create an organizational culture where employees feel safe pointing out improvement opportunities and experimenting with new ways of working. With regard to structure, stable, cross-functional teams provide a powerful building block for effective improvement efforts. The article concludes by outlining opportunities for future research on organizational learning in ACOs.

  8. Lessons learned from the NREL village power program

    Energy Technology Data Exchange (ETDEWEB)

    Taylor, R.W. [National Renewable Energy Lab., Golden, CO (United States)

    1998-09-01

    Renewable energy solutions for village power applications can be economical, functional, and sustainable. Pilot projects are an appropriate step in the development of a commercially viable market for rural renewable energy solutions. Moreover, there are a significant number of rural electrification projects under way that employ various technologies, delivery mechanisms, and financing arrangements. These projects, if properly evaluated, communicated, and their lessons incorporated in future projects and programs, can lead the way to a future that includes a robust opportunity for cost-effective, renewable-based village power systems. This paper summarizes some of NREL`s recent experiences and lessons learned.

  9. The placebo effect revisited: lessons learned to date.

    Science.gov (United States)

    Kirsch, Irving

    2013-04-01

    This article summarizes six lessons that can be learned from over a half century of scientific research on the placebo effect. These lessons are that the placebo response is not the placebo effect, it is meaningless to ask what the magnitude of the placebo effect is, it is easy to be fooled by regression artifacts, expectancy and conditioning are not conflicting processes that can be pitted against each other, some of our questions can be answered by history, and the outcomes of active treatments can be enhanced by attention to placebo components.

  10. Global polio eradication initiative: lessons learned and legacy.

    Science.gov (United States)

    Cochi, Stephen L; Freeman, Andrew; Guirguis, Sherine; Jafari, Hamid; Aylward, Bruce

    2014-11-01

    The world is on the verge of achieving global polio eradication. During >25 years of operations, the Global Polio Eradication Initiative (GPEI) has mobilized and trained millions of volunteers, social mobilizers, and health workers; accessed households untouched by other health initiatives; mapped and brought health interventions to chronically neglected and underserved communities; and established a standardized, real-time global surveillance and response capacity. It is important to document the lessons learned from polio eradication, especially because it is one of the largest ever global health initiatives. The health community has an obligation to ensure that these lessons and the knowledge generated are shared and contribute to real, sustained changes in our approach to global health. We have summarized what we believe are 10 leading lessons learned from the polio eradication initiative. We have the opportunity and obligation to build a better future by applying the lessons learned from GPEI and its infrastructure and unique functions to other global health priorities and initiatives. In so doing, we can extend the global public good gained by ending for all time one of the world's most devastating diseases by also ensuring that these investments provide public health dividends and benefits for years to come.

  11. The Lesson Learned from the failure

    Institute of Scientific and Technical Information of China (English)

    2009-01-01

    I once failed2 in the examination. I failed in the English exam. That was in the fourth year of my primary school. We had started English lesson for a semester3. Now, at the end of the term we were going to have the examination. On the exam day I was anxious because I had not worked hard. I had wasted time away playing and watching TV. When the grades4came out. It was not surprising that I failed.

  12. Refueling Infrastructure for Alternative Fuel Vehicles: Lessons Learned for Hydrogen; Workshop Proceedings

    Energy Technology Data Exchange (ETDEWEB)

    Melaina, M. W.; McQueen, S.; Brinch, J.

    2008-07-01

    DOE sponsored the Refueling Infrastructure for Alternative Fuel Vehicles: Lessons Learned for Hydrogen workshop to understand how lessons from past experiences can inform future efforts to commercialize hydrogen vehicles. This report contains the proceedings from the workshop.

  13. Lessons from England's health care workforce redesign: no quick fixes.

    Science.gov (United States)

    Bohmer, Richard M J; Imison, Candace

    2013-11-01

    In 2000 the English National Health Service (NHS) began a series of workforce redesign initiatives that increased the number of doctors and nurses serving patients, expanded existing staff roles and developed new ones, redistributed health care work, and invested in teamwork. The English workforce redesign experience offers important lessons for US policy makers. Redesigning the health care workforce is not a quick fix to control costs or improve the quality of care. A poorly planned redesign can even result in increased costs and decreased quality. Changes in skill mix and role definitions should be preceded by a detailed analysis and redesign of the work performed by health care professionals. New roles and responsibilities must be clearly defined in advance, and teamwork models that include factors common in successful redesigns such as leadership, shared objectives, and training should be promoted. The focus should be on retraining current staff instead of hiring new workers. Finally, any workforce redesign must overcome opposition from professional bodies, individual practitioners, and regulators. England's experience suggests that progress is possible if workforce redesigns are planned carefully and implemented with skill.

  14. Influences of Multimedia Lesson Contents On Effective Learning

    Directory of Open Access Journals (Sweden)

    Tuncay Yavuz Ozdemir

    2013-11-01

    Full Text Available In the information era that we experience today, there is a rapid change in the methods, techniques and materials used for education and teaching. The usage of information and communication technology-assisted teaching materials are becoming more commonplace. Parallel to these developments, the Ministry of National Education took steps to develop IT substructures of all schools in the country and implemented many projects. The purpose of this study is to determine whether or not the multimedia lesson content used by teachers affect effective learning. This study is a qualitative study, conducted with 45 teachers working in primary schools during the 2011-2012 academic year. According to the study findings, participants believe that using multimedia lesson content during lectures increases student motivation, makes students more curious and interested, and think that using multimedia lesson content has positive effects.

  15. After-Action Reports: Capturing Lessons Learned and Identifying Areas for Improvement. Lessons Learned from School Crises and Emergencies. Volume 2, Issue 1, 2007

    Science.gov (United States)

    US Department of Education, 2007

    2007-01-01

    "Lessons Learned" is a series of publications that are a brief recounting of actual school emergencies and crises. This issue of "Lessons Learned" addresses after-action reports, which are an integral part of the emergency preparedness planning continuum and support effective crisis response. After-action reports have a threefold purpose. They…

  16. Lessons Encountered: Learning from the Long War

    Science.gov (United States)

    2015-09-01

    Young , “Decade of War: Enduring Lessons from a Decade of Operations,” PRISM 4, no. 2 (March 2013); Matthew R. Hover, “The Occupation of Iraq: A Military...States— History —21st century. 2. United States— Military policy— History —21st century. 3. Afghan War, 2001- 4. Iraq War, 2003- 2011. 5. United States...Armed Forces—Operations other than war— History —21st century. 6. United States— History , Military—21st century—Case studies. 7. Strategy. I. Hooker

  17. Medical care reform: lessons from around the world.

    Science.gov (United States)

    Rohrer, J E

    1997-01-01

    Once again the United States is in a ferment of health policy reform. Proposals abound but sage observers remark that national health insurance has been "just around the corner" more than once in the last forty years. This time may be different, however. Proposals from all across the ideological spectrum are converging on the notion of "managed care" which is perhaps best known in its guise as a health maintenance organization (HMO). Other forms of managed care exist but they have neither the history nor the incentives found in traditional HMOs. The discussion on national health insurance (NHI) proposals has focused on financing issues to the virtual exclusion of public health concerns. In this article, the author addresses rural health and public hospitals in the United States; two problems that have been with us for a long time. Then articles examining the Canadian and English medical care systems are reviewed, illustrating some of the weaknesses of these approaches to national medical care. Research studies relating to Europe and the developing nations are next. Once again, these are intended to highlight public health problems found in differing medical care systems. Finally, the author examines utopian views of the United States medical care system of the future: the reform proposal offered by the National Association for Public Health Policy, the experimental policy in Washington State, and a vision of a planned system. The review is intended to draw together the lessons offered by public health policy research in other countries and the United States and apply them to the issue at hand: reforming the United States medical care system.

  18. Safety and Mission Assurance for In-House Design Lessons Learned from Ares I Upper Stage

    Science.gov (United States)

    Anderson, Joel M.

    2011-01-01

    This viewgraph presentation identifies lessons learned in the course of the Ares I Upper Stage design and in-house development effort. The contents include: 1) Constellation Organization; 2) Upper Stage Organization; 3) Presentation Structure; 4) Lesson-Importance of Systems Engineering/Integration; 5) Lesson-Importance of Early S&MA Involvement; 6) Lesson-Importance of Appropriate Staffing Levels; 7) Lesson-Importance S&MA Team Deployment; 8) Lesson-Understanding of S&MA In-Line Engineering versus Assurance; 9) Lesson-Importance of Close Coordination between Supportability and Reliability/Maintainability; 10) Lesson-Importance of Engineering Data Systems; 11) Lesson-Importance of Early Development of Supporting Databases; 12) Lesson-Importance of Coordination with Safety Assessment/Review Panels; 13) Lesson-Implementation of Software Reliability; 14) Lesson-Implementation of S&MA Technical Authority/Chief S&MA Officer; 15) Lesson-Importance of S&MA Evaluation of Project Risks; 16) Lesson-Implementation of Critical Items List and Government Mandatory Inspections; 17) Lesson-Implementation of Critical Items List Mandatory Inspections; 18) Lesson-Implementation of Test Article Safety Analysis; and 19) Lesson-Importance of Procurement Quality.

  19. Summary of Planned Implementation for the HTGR Lessons Learned Applicable to the NGNP

    Energy Technology Data Exchange (ETDEWEB)

    Ian Mckirdy

    2011-09-01

    This document presents a reconciliation of the lessons learned during a 2010 comprehensive evaluation of pertinent lessons learned from past and present high temperature gas-cooled reactors that apply to the Next Generation Nuclear Plant Project along with current and planned activities. The data used are from the latest Idaho National Laboratory research and development plans, the conceptual design report from General Atomics, and the pebble bed reactor technology readiness study from AREVA. Only those lessons related to the structures, systems, and components of the Next Generation Nuclear Plant (NGNP), as documented in the recently updated lessons learned report are addressed. These reconciliations are ordered according to plant area, followed by the affected system, subsystem, or component; lesson learned; and finally an NGNP implementation statement. This report (1) provides cross references to the original lessons learned document, (2) describes the lesson learned, (3) provides the current NGNP implementation status with design data needs associated with the lesson learned, (4) identifies the research and development being performed related to the lesson learned, and (5) summarizes with a status of how the lesson learned has been addressed by the NGNP Project.

  20. LESSONS LEARNED Biosurveillance Mobile App Development Intern Competition (Summer 2013)

    Energy Technology Data Exchange (ETDEWEB)

    Noonan, Christine F.; Henry, Michael J.; Corley, Courtney D.

    2014-01-14

    The purpose of the lessons learned document for the BEOWulf Biosurveillance Mobile App Development Intern Competition is to capture the project’s lessons learned in a formal document for use by other project managers on similar future projects. This document may be used as part of new project planning for similar projects in order to determine what problems occurred and how those problems were handled and may be avoided in the future. Additionally, this document details what went well with the project and why, so that other project managers may capitalize on these actions. Project managers may also use this document to determine who the project team members were in order to solicit feedback for planning their projects in the future. This document will be formally communicated with the organization and will become a part of the organizational assets and archives.

  1. Bringing Research into Educational Practice: Lessons Learned

    Science.gov (United States)

    Hille, Katrin

    2011-01-01

    Bringing research into educational practice is necessary but does not happen automatically. The Transfercenter for Neuroscience and Learning, at the University of Ulm in Germany, is set up to transfer (neuro)scientific knowledge into educational practice. In doing so we have learned why this does not happen automatically, and have tried to make…

  2. Lessons learned during down referral of antiretroviral treatment in Tete, Mozambique

    Directory of Open Access Journals (Sweden)

    Decroo Tom

    2009-05-01

    Full Text Available Abstract As sub-Saharan African countries continue to scale up antiretroviral treatment, there has been an increasing emphasis on moving provision of services from hospital level to the primary health care clinic level. Delivery of antiretroviral treatment at the clinic level increases the number of entry points to care, while the greater proximity of services encourages retention in care. In Tete City, Mozambique, patients on antiretrovirals were rapidly down referred from a provincial hospital to four urban clinics in large numbers without careful planning, resulting in a number of patients being lost to follow-up. We outline some key lessons learned to support down referral, including the need to improve process management, clinic infrastructure, monitoring systems, and patient preparation. Down referral can be avoided by initiating patients' antiretroviral treatment at clinic level from the outset.

  3. Learning in Plants: Lessons from Mimosa pudica

    Directory of Open Access Journals (Sweden)

    Charles Ira Abramson

    2016-03-01

    Full Text Available This article provides an overview of the early Mimosa pudica literature; much of which is in journals not easily accessible to the reader. In contrast to the contemporary plant learning literature which is conducted primarily by plant biologists, this early literature was conducted by comparative psychologists whose goal was to search for the generality of learning phenomena such as habituation, and classical conditioning using experimental designs based on animal conditioning studies. In addition to reviewing the early literature, we hope to encourage collaborations between plant biologists and comparative psychologists by familiarizing the reader with issues in the study of learning faced by those working with animals. These issues include no consistent definition of learning phenomena and an overreliance on the use of cognition. We suggested that greater collaborative efforts be made between plant biologists and comparative psychologists if the study of plant learning is to be fully intergraded into the mainstream behavior theory.

  4. Environmental effects consideration: A case study - Lessons learned

    Science.gov (United States)

    Vaughan, William W.; Anderson, B. J.

    1992-01-01

    This paper discusses the importance for serious consideration of environmental effects and associated risks by management early in the development cycle of a facility. A case study on the Space Shuttle provides information with regard to some of the environmental effects issues encountered and the lesson learned. The importance of early management action to enable the acceptance of known environmental risks, or to make program adjustments to avoid their potential consequences, is emphasized.

  5. Global Innovation – Lessons Learned from the Novo Nordisk Case

    Directory of Open Access Journals (Sweden)

    Nina BIRKMOSE

    2011-06-01

    Full Text Available This paper looks at the possibilities of Western multinationals to efficiently and effectively relocate research and development to emerging markets. In order to exemplify the findings, we will use the case of Danish pharmaceutical company Novo Nordisk and their approach to the Chinese market. Thus, the research question of this paper is: Which lessons are to be learned from the case of Novo Nordisk in China?

  6. Winning the Peace: Building a Strategic Level Lessons Learned Program

    Science.gov (United States)

    2007-03-09

    Operations (DPKO). The DPKO Best Practices Unit ( BPU ) “…has begun to generate the sort of timely, mission-analytic reporting that UN Headquarters...operations, and mission contributors have long needed.”15 “The BPU not only provides a repository for lessons learned but also facilitates their...Peacekeeping Operations (DPKO) Best Practices Unit ( BPU ). Also within the UN are the Peace Building Commission (PBC) and the Peacebuilding Support

  7. Mobile clinics in Haiti, part 2: Lessons learned through service.

    Science.gov (United States)

    Haley, Janice M; Cone, Pamela H

    2016-11-01

    Learning from experience is a positive approach when preparing for mobile clinic service in a developing country. Mobile clinics provide healthcare services to people in hard to reach areas around the world, but preparation for their use needs to be done in collaboration with local leaders and healthcare providers. For over 16 years, Azusa Pacific University School of Nursing has sponsored mobile clinics to rural northern Haiti with the aim to provide culturally sensitive healthcare in collaboration with Haitian leaders. Past Haiti mobile clinic experiences have informed the APU-SON approach on best practices in study abroad, service-learning, and mission trips providing healthcare services. Hopefully, lessons learned from these experiences with mobile clinic service-learning opportunities in Haiti will benefit others who seek to plan study abroad service-learning trips for students in healthcare majors who desire to serve the underserved around the world.

  8. Lessons learned -- NREL Village Power Program

    Energy Technology Data Exchange (ETDEWEB)

    Flowers, L.

    1998-07-01

    In 1993, a workshop was convened at the National Renewable Energy Laboratory (NREL) to discuss the issues of applying renewable energy in a sustainable manner to international rural development. One of the summary recommendations was that NREL could assist in the renewable energy for rural electrification effort by developing and supplying six related activities: resource assessment, comparative analysis and modeling, performance monitoring and analysis, pilot project development, internet-based project data, communications, and training. In response to this recommendation, NREL launched its Village Power Program consisting of these activities that cut across NREL technologies and disciplines. Currently NREL is active in 20 countries, with pilot projects in 12 of those countries. At this time the technologies include photovoltaics, wind, biomass, and hybrids. The rural applications include home lighting and communications, water pumping, schools and health posts, battery charging stations, ecotourism, and village systems. These pilot projects are central to the renewable energy village power development through the demonstration of three aspects critical to replication and implementation of the projects on a significant scale. The three aspects are technical functionality, economic competitiveness, and institutional sustainability. It is important to note that the pilot projects from which NREL's experience has been gained were funded and, in many cases, developed by other organizations and agencies. NREL's role has been one of technical assistance or project management or both. The purpose of this paper is to describe the lessons NREL staff has gleaned from their participation in the various pilot projects. The author hopes that these lessons will help the Renewable Energy-Based Rural Electrification (RERE) community in implementing sustainable projects that lead to replication.

  9. Automated Reasoning Across Tactical Stories to Derive Lessons Learned

    Directory of Open Access Journals (Sweden)

    J. Wesley Regian

    2008-06-01

    Full Text Available The Military Analogical Reasoning System (MARS is a performance support system and decision aid for commanders in Tactical Operations Centers. MARS enhances and supports the innate human ability for using stories to reason about tactical goals, plans, situations, and outcomes. The system operates by comparing many instances of stored tactical stories, determining which have analogous situations and lessons learned, and then returning a description of the lessons learned. The description of the lessons learned is at a level of abstraction that can be generalized to an appropriate range of tactical situations. The machine-understandable story representation is based on a military operations data model and associated tactical situation ontology. Thus each story can be thought of, and reasoned about, as an instance of an unfolding tactical situation. The analogical reasoning algorithm is based on Gentner's Structure Mapping Theory. Consider the following two stories. In the first, a U.S. platoon in Viet Nam diverts around a minefield and subsequently comes under ambush from a large hill overlooking their new position. In the second, a U.S. task force in Iraq diverts around a biochemical hazard and subsequently comes under ambush from the roof of an abandoned building. MARS recognizes these stories as analogical, and derives the following abstraction: When enemy-placed obstacles force us into an unplanned route, beware of ambush from elevation or concealment. In this paper we describe the MARS interface, military operations data model, tactical situation ontology, and analogical reasoning algorithm.

  10. Scheduling lessons learned from the Autonomous Power System

    Science.gov (United States)

    Ringer, Mark J.

    1992-01-01

    The Autonomous Power System (APS) project at NASA LeRC is designed to demonstrate the applications of integrated intelligent diagnosis, control, and scheduling techniques to space power distribution systems. The project consists of three elements: the Autonomous Power Expert System (APEX) for Fault Diagnosis, Isolation, and Recovery (FDIR); the Autonomous Intelligent Power Scheduler (AIPS) to efficiently assign activities start times and resources; and power hardware (Brassboard) to emulate a space-based power system. The AIPS scheduler was tested within the APS system. This scheduler is able to efficiently assign available power to the requesting activities and share this information with other software agents within the APS system in order to implement the generated schedule. The AIPS scheduler is also able to cooperatively recover from fault situations by rescheduling the affected loads on the Brassboard in conjunction with the APEX FDIR system. AIPS served as a learning tool and an initial scheduling testbed for the integration of FDIR and automated scheduling systems. Many lessons were learned from the AIPS scheduler and are now being integrated into a new scheduler called SCRAP (Scheduler for Continuous Resource Allocation and Planning). This paper will service three purposes: an overview of the AIPS implementation, lessons learned from the AIPS scheduler, and a brief section on how these lessons are being applied to the new SCRAP scheduler.

  11. Reporting and Charting Residents' Behaviors and Care in an Adult Residential Care Home. Adult Residential Care Home 12, Lesson Plan No. 2.

    Science.gov (United States)

    Basuel, Terry

    Designed as part of a 40-hour course on adult residential care homes (ARCH's), this lesson plan was developed to explain the importance of and correct procedures for charting (i.e., keeping a written record of observations and care of ARCH residents). The objectives of the 50-minute lesson are to enable students to: (1) list reasons why the…

  12. A summary of lessons learned activities conducted at the OECD Halden Reactor Project

    Energy Technology Data Exchange (ETDEWEB)

    Hallbert, B.P. [OECD Halden Reactor Project (Norway)

    1997-02-01

    A series of lessons learned studies have been conducted at the OECD Halden Reactor Project. The purpose of these lessons learned reports are to summarize knowledge and experience gained across a number of research project. This paper presents a summary of main issues addressed in four of these lessons learned projects. These are concerned with software development and quality assurance, software reliability, methods for test and evaluation of developed systems, and the evaluation of system design features.

  13. Effective Contracting: Trends and Lessons-Learned

    Science.gov (United States)

    2011-01-25

    Clinical Social Workers • Marriage and Family Therapists 2011 MHS Conference MEDCOM DHP Contract Spending Labor Category FY05 FY06 FY07 FY 08 FY 09...Care Providing a care experience that is patient and family centered, compassionate, convenient, equitable, safe and always of the highest quality...Physicians – all specialties •Physician Extenders (PAs and NPs) •Locum Tenens Ancillary Services •Nurses • Therapists -OT/PT

  14. Lessons premier hospitals learned about implementing electronic health records.

    Science.gov (United States)

    DeVore, Susan D; Figlioli, Keith

    2010-04-01

    Implementing health information technology (IT) is a major strategic objective for providers. To pinpoint considerations that tie to success, the Premier health care alliance surveyed hospitals to develop an electronic health record best-practices library. Compiled from diverse health care organizations, the library outlines considerations to support "meaningful use" in the areas of computerized physician order entry, medication management, clinical documentation, reporting of measures, privacy, information exchange, management of populations' health, and personal health records. Best practices also uncovered strategies for securing executive leadership, culture change, communication, and support for clinicians. This paper summarizes lessons from the library, providing recommendations to speed up health IT implementation.

  15. Lessons learned from case studies of inhalation exposures of workers to radioactive aerosols

    Energy Technology Data Exchange (ETDEWEB)

    Hoover, M.D.; Fencl, A.F.; Newton, G.J. [and others

    1995-12-01

    Various Department of Energy requirements, rules, and orders mandate that lessons learned be identified, evaluated, shared, and incorporated into current practices. The recently issued, nonmandatory DOE standard for Development of DOE Lessons Learned Program states that a DOE-wide lessons learned program will {open_quotes}help to prevent recurrences of negative experiences, highlight best practices, and spotlight innovative ways to solve problems or perform work more safely, efficiently, and cost effectively.{close_quotes} Additional information about the lessons learned program is contained in the recently issued DOE handbook on Implementing U.S. Department of Energy Lessons Learned Programs and in October 1995 DOE SAfety Notice on Lessons Learned Programs. This report summarizes work in progress at ITRI to identify lessons learned for worker exposures to radioactive aerosols, and describes how this work will be incorporated into the DOE lessons learned program, including a new technical guide for measuring, modeling, and mitigating airborne radioactive particles. Follow-on work is focusing on preparation of {open_quotes}lessons learned{close_quotes} training materials for facility designers, managers, health protection professionals, line supervisors, and workers.

  16. The learning teacher in a collaborative lesson study team within the context of mathematics

    NARCIS (Netherlands)

    Goei, Sui Lin; Verhoef, Nellie

    2015-01-01

    This paper summarises results of two studies on teachers’ learning when participating in a collaborative Lesson Study team within the context of mathematics teaching. In study one, Lesson Study was used in the classic way of preparing, designing, executing and reflecting on the research lesson. Teac

  17. Organizational Learning in Health Care Organizations

    Directory of Open Access Journals (Sweden)

    Savithiri Ratnapalan

    2014-02-01

    Full Text Available The process of collective education in an organization that has the capacity to impact an organization’s operations, performance and outcomes is called organizational learning. In health care organizations, patient care is provided through one or more visible and invisible teams. These teams are composed of experts and novices from diverse backgrounds working together to provide coordinated care. The number of teams involved in providing care and the possibility of breakdowns in communication and coordinated care increases in direct proportion to sophisticated technology and treatment strategies of complex disease processes. Safe patient care is facilitated by individual professional learning; inter-professional team learning and system based organizational learning, which encompass modified context specific learning by multiple teams and team members in a health care organization. Organizational learning in health care systems is central to managing the learning requirements in complex interconnected dynamic systems where all have to know common background knowledge along with shared meta-knowledge of roles and responsibilities to execute their assigned functions, communicate and transfer the flow of pertinent information and collectively provide safe patient care. Organizational learning in health care is not a onetime intervention, but a continuing organizational phenomenon that occurs through formal and informal learning which has reciprocal association with organizational change. As such, organizational changes elicit organizational learning and organizational learning implements new knowledge and practices to create organizational changes.

  18. Secondary Teacher Candidates' Lesson Planning Learning

    Science.gov (United States)

    Santoyo, Christina; Zhang, Shaoan

    2016-01-01

    Teacher candidates (TCs) use clinical experiences to enact concepts taught in their university courses; therefore field experiences may be the most important component of teacher preparation (Hammerness et al., 2005). TCs require support and guidance as they learn to adapt curriculum materials for effective use in the classroom (Davis, 2006). They…

  19. Lessons Learned from One-to-One

    Science.gov (United States)

    McLester, Susan

    2011-01-01

    When in 2002 Maine launched its pioneering Maine Learning Technology Initiative (MLTI) that equipped every one of the state's 30,000 seventh- and eighth-grade public school students and teachers with their own Apple iBook, all eyes were on the endeavor. As the first statewide one-to-one deployment, MLTI's $37 million education experiment…

  20. Lessons Learned from the Collaborative Writing Process

    Science.gov (United States)

    Bhavsar, Victoria; Ahn, Ruth

    2013-01-01

    We reflect on how to implement the instrumental aspect of collaborative writing in such a way that the developmental aspect of collaborative writing is maximally fostered, based on conditions necessary for socially constructed learning. We discuss four instrumental strategies that bolster mutual ownership of the writing and protect the social…

  1. Lessons learned from the Apple stores.

    Science.gov (United States)

    Pinkney, Henry; Baum, Neil

    2012-01-01

    Medical practices have an opportunity to improve the services that they offer their patients. Practices can look at other businesses and industries for examples of outstanding customer service. This article will discuss the services provided by Apple, Inc., and how medical practices can learn from this industry giant and improve the services that they offer patients.

  2. Education with SDSS Data: Activities and Lessons Learned

    Science.gov (United States)

    Raddick, M. J.

    2006-12-01

    We have been developing and maintaining the SkyServer web site (http://skyserver.sdss.org), which offers the complete dataset of the Sloan Digital Sky Survey to educators, for the past five years. We have developed tools for displaying and searching the data, both as images and measured parameters. We have also developed a set of exercises that use these data to teach science at levels from elementary school through introductory college. In this talk, we will demonstrate the resources we have made available, and we will discuss the lessons we have learned from developing and maintaining these resources. We hope that these lessons will be useful for other education and public outreach programs, and for teachers who want to use data from large astronomy surveys with their students.

  3. The development scale of learning strategies used in piano lesson

    Directory of Open Access Journals (Sweden)

    Özlem Kılınçer

    2013-03-01

    Full Text Available The aim of this study is to develop a valid and reliable measurement tool to designate the learning strategies exploited during the piano lesson by the answers of the students studying at the departments of music education. The sampling group is composed of 372 students of 5 music education departments around Turkey at second, third and fourth grades between 2010 and 2011. The scale which is developed for the study is based on the classification of the learning strategies by Weinstein and Meyer (1986. The phrases in the scale are determined via the essays of the students and screening of the literature. The hypothesis that each item is evaluating the related psychological formation is tested by confirmative factor analysis. The scale is made up of 5 sub-dimensions and 66 items. The factorial weights of items in the scale takes place between 0.452 and 0.802. The reliability coefficient for the scale (Cronbach alpha as a whole was 0.955. The confidence coefficients for sub-scales were determined as 0.940, 0.888, 0.858, 0.884 and 0.867. The results of the study suggests that this scale may help determining and assess the aplication levels of learning strategies exploited during the piano lesson and organizing the teaching and learning environment this direction.

  4. Lessons from the business sector for successful knowledge management in health care: A systematic review

    Directory of Open Access Journals (Sweden)

    Sibbald Shannon

    2011-07-01

    Full Text Available Abstract Background The concept of knowledge management has been prevalent in the business sector for decades. Only recently has knowledge management been receiving attention by the health care sector, in part due to the ever growing amount of information that health care practitioners must handle. It has become essential to develop a way to manage the information coming in to and going out of a health care organization. The purpose of this paper was to summarize previous studies from the business literature that explored specific knowledge management tools, with the aim of extracting lessons that could be applied in the health domain. Methods We searched seven databases using keywords such as "knowledge management", "organizational knowledge", and "business performance". We included articles published between 2000-2009; we excluded non-English articles. Results 83 articles were reviewed and data were extracted to: (1 uncover reasons for initiating knowledge management strategies, (2 identify potential knowledge management strategies/solutions, and (3 describe facilitators and barriers to knowledge management. Conclusions KM strategies include such things as training sessions, communication technologies, process mapping and communities of practice. Common facilitators and barriers to implementing these strategies are discussed in the business literature, but rigorous studies about the effectiveness of such initiatives are lacking. The health care sector is at a pinnacle place, with incredible opportunities to design, implement (and evaluate knowledge management systems. While more research needs to be done on how best to do this in healthcare, the lessons learned from the business sector can provide a foundation on which to build.

  5. Learn a lesson from industry. Future planning.

    Science.gov (United States)

    Bohlmann, R C

    1985-01-01

    The future need not be viewed as gloomy. In fact, competition creates opportunity. The experience of the manufacturing industry during the last sixty years has been a foreshadowing for the healthcare industry. Successful corporations have emerged from the recession knowing exactly who they are, what their market is, and where they are going. The healthcare industry can learn a great deal from these experiences. The author offers seven steps to medical groups that wish to logically relate to their future.

  6. Learning To Serve, Serving To Learn: A View from Higher Education. Integrating Service-Learning into Curriculum: Lessons Learned. Teacher Education Consortium in Service-Learning.

    Science.gov (United States)

    2003

    This collection of papers includes lessons learned from a 3-year collaboration among faculty who had pursued a scholarly inquiry of service-learning, integrated service-learning into their curricula, altered their teaching, forged partnerships with community based organizations, and developed measures and methodologies for assessing results. The…

  7. Solid-State Lighting: Early Lessons Learned on the Way to Market

    Energy Technology Data Exchange (ETDEWEB)

    Sandahl, Linda J.; Cort, Katherine A.; Gordon, Kelly L.

    2013-12-31

    The purpose of this report is to document early challenges and lessons learned in the solid-state lighting (SSL) market development as part of the DOE’s SSL Program efforts to continually evaluate market progress in this area. This report summarizes early actions taken by DOE and others to avoid potential problems anticipated based on lessons learned from the market introduction of compact fluorescent lamps and identifies issues, challenges, and new lessons that have been learned in the early stages of the SSL market introduction. This study identifies and characterizes12 key lessons that have been distilled from DOE SSL program results.

  8. Competencies: from deconstruction to reconstruction and back again, lessons learned.

    Science.gov (United States)

    Leach, David C

    2008-09-01

    I address the potential impact of the Association of Schools of Public Health's development of a competency model for the graduate Master of Public Health. I reflect on the model in relation to the Accreditation Council for Graduate Medical Education's adoption of a competency-based model for medical education. Six lessons learned by the Accreditation Council for Graduate Medical Education that the Association of Schools of Public Health might consider in moving forward are how learning outcomes can be enhanced by using competency models, the effect of competency development processes in "creating a common language" among educators, the benefits and challenges of numerous competencies within a model, the usefulness of the Dreyfus model for progressive competency development, the need for multiple assessment tools used over time, and the value of learning portfolios.

  9. A new approach to managing Lessons Learned in PMBoK process groups: the Ballistic 2.0 Model

    OpenAIRE

    Marcirio Chaves; Cíntia Araújo; Laura Teixeira; Debora Rosa; Irapuan Júnior

    2016-01-01

    In any organization, dealing with lessons learned is a complex issue that involves people, processes and technologies. Although lessons learned processes are already well established in the project management community, the use of modern web technologies to support them is still in its infancy. This paper introduces a new model to manage lessons learned in PMBoK process groups. This model draws upon interdisciplinary literature, which embeds lessons learned processes, shared context and Web 2...

  10. Sustainability, Organizational Learning, and Lessons Learned from Aviation

    Science.gov (United States)

    Pourdehnad, John; Smith, Peter A. C.

    2012-01-01

    Purpose: While the importance of organizational learning for sustainability has been stressed by a number of authors in the literature, the practicalities of how organizational leaders might foster such learning are seldom treated. This paper seeks to demonstrate that there is much that could be learned from the aviation industry about…

  11. Global Online Learning among Asia-Pacific Economies: Lessons Learned.

    Science.gov (United States)

    Treuhaft, Jack D.

    2000-01-01

    Discussion of online learning in a multicultural environment focuses on experiences with the Asian Pacific Economic Cooperation (APEC). Topics include technology problems; differences in learning styles; Web site use; cultural differences, and their influence on learning environments; and language considerations. (LRW)

  12. VLT telescope control software: status, development, and lessons learned

    Science.gov (United States)

    Wirenstrand, Krister

    2003-02-01

    The four 8m VLT telescopes on Paranal are now in full science operation, and they all deliver good results with very small technical downtimes. Of course, many factors are contributing to these results, and also the telescope control software has its share. It has demonstrated to be robust and reliable and also flexible and expandable. In the four years since First Light of the first VLT telescope, this software has been continuously maintained and developed, for improvements on the 8m telescopes but also for use on other telescopes. In addition to the 8m ones, another three telescopes, using applicable parts of the same software, are in operation on Paranal: the 350- mm seeing monitor and two 400-mm siderostats. And the process continues: in the beginning of 2003 the first of three 1.8m Auxiliary Telescopes for the VLT Interferometer will be installed; the control software to 80% being the same as for the 8m telescopes, but with additional devices and control functionality. Another three ESO telescopes on La Silla are also using the same software, as well as two wide field telescopes for Paranal that are now in the design and manufacturing phase. In this development process, and in particular after first installation, we have learned lessons in many areas of software project work. System design and engineering, standardization, tools, testing: these are example areas where there is always room for improvement. Another lesson learned is the importance of the concept of Commissioning, i.e. the work to take the telescope from "integrated" to "working"! What the future of telescope control software will be, that we don't know, but we are working on it! And we try to keep an evolutionary approach, taking advantage of the lessons learned.

  13. Solid-State Lighting. Early Lessons Learned on the Way to Market

    Energy Technology Data Exchange (ETDEWEB)

    Sandahl, L. J.; Cort, K. A.; Gordon, K. L.

    2014-01-01

    Analysis of issues and lessons learned during the early stages of solid-state lighting market introduction in the U.S., which also summarizes early actions taken to avoid potential problems anticipated based on lessons learned from the market introduction of compact fluorescent lamps.

  14. Lessons learned on utilizing the SEI/CMM in the federal government work for others environment

    Energy Technology Data Exchange (ETDEWEB)

    Stewart, A.

    1997-11-01

    This report contains viewgraphs on lessons learned on utilizing the Software Engineering Institute Capability Maturity Model in the federal government work for others environment. These viewgraphs outline: data systems research and development; what is the SEI/CMM; Data Systems Research and Development process improvement approach; accomplishments; and lessons learned.

  15. Generating a Two-Phase Lesson for Guiding Beginners to Learn Basic Dance Movements

    Science.gov (United States)

    Yang, Yang; Leung, Howard; Yue, Lihua; Deng, Liqun

    2013-01-01

    In this paper, an automated lesson generation system for guiding beginners to learn basic dance movements is proposed. It analyzes the dance to generate a two-phase lesson which can provide a suitable cognitive load thus offering an efficient learning experience. In the first phase, the dance is divided into small pieces which are patterns, and…

  16. Lessons Learned from School Crises and Emergencies, Vol. 1, Issue 2, Fall 2006

    Science.gov (United States)

    US Department of Education, 2006

    2006-01-01

    "Lessons Learned" is a series of publications that are a brief recounting of actual school emergencies and crises. School and student names have been changed to protect identities. Information for this publication was gathered through a series of interviews with school stakeholders involved in the actual incident. This "Lessons Learned" issue…

  17. Lessons Learned in Student Venture Creation

    Science.gov (United States)

    Caner, Edward

    The Physics Entrepreneurship Master's Program (PEP) at Case Western Reserve University is now in its 15th year of operation. PEP is a 27 credit-hour Master of Science in Physics, Entrepreneurship Track. The curriculum can be tailored to the needs of each student. Coursework consists of graduate-level classes in science, business, intellectual property law, and innovation. A master's thesis is required that is based on a real-world project in innovation or entrepreneurship within an existing company or startup (possibly the student's). PEP faculty help students connect with mentors, advisors, partners, funding sources and job opportunities. In this talk I will chronicle several pitfalls that we have encountered with our ''real world'' student projects and start-up businesses, several of which met their complete demise despite showing great promise for success. I will discuss how we have learned to avoid most of these pitfalls by taking surprisingly simple actions.

  18. Learning in primary care--a report.

    Science.gov (United States)

    de Villiers, M

    2000-11-01

    A symposium on Learning in Primary Care was held in Cape Town, South Africa, as a pre-conference workshop to the 9th International Ottawa Conference on Medical Education. The aim of this report is to inform medical educationalists of important issues in learning in primary care and to stimulate further debate. Four international speakers gave presentations on their experiences in teaching and learning in primary care. Objective positive outcome measures include acquiring clinical skills equally well in general practice as in hospital, and improved history taking, physical examination and communication skills learning. Students regard the course as an essential requirement for learning and are appreciative of the wider aspect to learning provided by the community, giving a more holistic view of health. A SWOT analysis (strengths, weaknesses, opportunities and threats) of teaching and learning in primary care identified that learning in primary care is of a generalist nature and reality based, but is hampered by a lack of resources. The increased professionalization of teaching in primary care results in better training, cost containment, and improved quality of health care at community level. It is important to focus on turning threats into opportunities. Academic credibility needs to be established by conducting research on learning in primary care and developing the conceptual basis of primary care.

  19. Lessons Learned in Applying Accelerometers to Nuclear Effects Testing

    Directory of Open Access Journals (Sweden)

    Patrick L. Walter

    2008-01-01

    Full Text Available Exoatmospheric nuclear effects, such as those that would be encounter by reentry bodies, provide instantaneous (near zero-duration, impulsive loading of structures. Endoatmospheric nuclear effects possess an impulse that is finite in duration, but whose rise time is still instantaneous. The commonality of these loadings is that they initiate waves propagating through structures, resulting in extremely short duration accelerations to free surfaces where accelerometers are mounted. Over the years, attempts have been made to measure free surface accelerations using ceramic, quartz, and piezoresistive accelerometers. This paper describes the lessons learned, and looks to the future. It also provides a history of shock accelerometer development.

  20. Lessons Learned from Creating a Course Advising Tool

    CERN Document Server

    Mattei, Nicholas; Guerin, Joshua T; Goldsmith, Judy; Mazur, Joan M

    2013-01-01

    We detail some lessons learned while designing and testing a course selection tool for undergraduates at a large state university. Between 2009 - 2011 we conducted two surveys of over 500 students in multiple majors and colleges. These surveys asked students detailed questions about their preferences concerning courses selection, advising, and career paths. We present data from this study which may be helpful for faculty and staff who advise undergraduate students. We find that advising software tools can help both students and human advisors in terms of rote requirement checking and basic course planning, but nothing can replace an in person advising session.

  1. Marketing physical activity: lessons learned from a statewide media campaign.

    Science.gov (United States)

    Peterson, Michael; Abraham, Avron; Waterfield, Allan

    2005-10-01

    Steps taken to create, implement, and initially assess a statewide physical activity social marketing campaign targeted to 18-to 30-year-olds are presented. Included is a summary demonstration of the application of the associative group analysis in formative market research and message development. Initial postcampaign questionnaire (n = 363) results indicated that 39.1% of respondents had seen the television ad, of which 31.2% indicated they intended to be more active, and 62.5% of respondents had been exposed to either the television or outdoor media ads. Lessons learned through the social marketing process including media channel effectiveness, message development and assessment, and marketing firm relationships are provided.

  2. PUREX/UO{sub 3} facilities deactivation lessons learned: History

    Energy Technology Data Exchange (ETDEWEB)

    Gerber, M.S.

    1997-11-25

    In May 1997, a historic deactivation project at the PUREX (Plutonium URanium EXtraction) facility at the Hanford Site in south-central Washington State concluded its activities (Figure ES-1). The project work was finished at $78 million under its original budget of $222.5 million, and 16 months ahead of schedule. Closely watched throughout the US Department of Energy (DOE) complex and by the US Department of Defense for the value of its lessons learned, the PUREX Deactivation Project has become the national model for the safe transition of contaminated facilities to shut down status.

  3. Lessons in bridge damage learned from the Wenchuan earthquake

    Institute of Scientific and Technical Information of China (English)

    W. Phillip Yen; Genda Chen; Mark Yashinski; Youssef Hashash; Curtis Holub; Wang Kehai; GuoXiaodong

    2009-01-01

    A strong earthquake occurred in Wenchuan County, Sichuan Province, China, on May 12, 2008. Shortly after the earthquake, the Turner-Fairbank Highway Research Center of the Federal Highway Administration, in partnership with the Research Institute of Highways, the Ministry of Communication of China, led a reconnaissance team to conduct a post-earthquake bridge performance investigation of the transportation system in the earthquake affected areas. The U.S.transportation system reconnaissance team visited the area during July 20-24, 2008. This paper presents the findings and lessons learned by the team.

  4. Lessons learned from a regional strategy for resource allocation.

    Science.gov (United States)

    Edwards, Janine C; Stapley, Jonathan; Akins, Ralitsa; Silenas, Rasa; Williams, Josie R

    2005-01-01

    Two qualitative case studies focus on the allocation of CDC funds distributed during 2002 for bioterrorism preparedness in two Texas public health regions (each as populous and complex as many states). Lessons learned are presented for public health officials and others who work to build essential public health services and security for our nation. The first lesson is that personal relationships are the cornerstone of preparedness. A major lesson is that a regional strategy to manage funds may be more effective than allocating funds on a per capita basis. One regional director required every local department to complete a strategic plan as a basis for proportional allocation of the funds. Control of communicable diseases was a central component of the planning. Some funds were kept at the regional level to provide epidemiology services, computer software, equipment, and training for the entire region. Confirmation of the value of this regional strategy was expressed by local public health and emergency management officials in a focus group 1 year after the strategy had been implemented. The group members also pointed out the need to streamline the planning process, provide up-to-date computer networks, and receive more than minimal communication. This regional strategy can be viewed from the perspective of adaptive leadership, defined as activities to bring about constructive change, which also can be used to analyze other difficult areas of preparedness.

  5. Lessons Learned From Community-Based Approaches to Sodium Reduction

    Science.gov (United States)

    Kane, Heather; Strazza, Karen; Losby PhD, Jan L.; Lane, Rashon; Mugavero, Kristy; Anater, Andrea S.; Frost, Corey; Margolis, Marjorie; Hersey, James

    2017-01-01

    Purpose This article describes lessons from a Centers for Disease Control and Prevention initiative encompassing sodium reduction interventions in six communities. Design A multiple case study design was used. Setting This evaluation examined data from programs implemented in six communities located in New York (Broome County, Schenectady County, and New York City); California (Los Angeles County and Shasta County); and Kansas (Shawnee County). Subjects Participants (n = 80) included program staff, program directors, state-level staff, and partners. Measures Measures for this evaluation included challenges, facilitators, and lessons learned from implementing sodium reduction strategies. Analysis The project team conducted a document review of program materials and semi structured interviews 12 to 14 months after implementation. The team coded and analyzed data deductively and inductively. Results Five lessons for implementing community-based sodium reduction approaches emerged: (1) build relationships with partners to understand their concerns, (2) involve individuals knowledgeable about specific venues early, (3) incorporate sodium reduction efforts and messaging into broader nutrition efforts, (4) design the program to reduce sodium gradually to take into account consumer preferences and taste transitions, and (5) identify ways to address the cost of lower-sodium products. Conclusion The experiences of the six communities may assist practitioners in planning community-based sodium reduction interventions. Addressing sodium reduction using a community-based approach can foster meaningful change in dietary sodium consumption. PMID:24575726

  6. 77 FR 55232 - Japan Lessons-Learned Project Directorate Interim Staff Guidance JLD-ISG-2012-03; Compliance With...

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    2012-09-07

    ... COMMISSION Japan Lessons-Learned Project Directorate Interim Staff Guidance JLD-ISG-2012-03; Compliance With...: Nuclear Regulatory Commission (NRC). ACTION: Japan Lessons-Learned Project Directorate Interim Staff... Final Japan Lessons-Learned Project Directorate (JLD) Interim Staff Guidance (ISG),...

  7. 78 FR 48201 - Japan Lessons-Learned Project Directorate Interim Staff Guidance JLD-ISG-2013-01; Guidance for...

    Science.gov (United States)

    2013-08-07

    ... COMMISSION Japan Lessons-Learned Project Directorate Interim Staff Guidance JLD-ISG-2013-01; Guidance for... Lessons-Learned Project Directorate Interim Staff Guidance (JLD-ISG), JLD-ISG-2013-01, ``Guidance for... to http://www.nrc.gov/reading-rm/doc-collections/isg/japan-lessons-learned.html and refer to...

  8. 77 FR 55231 - Japan Lessons-Learned Project Directorate Interim Staff Guidance JLD-ISG-2012-02; Compliance With...

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    2012-09-07

    ... COMMISSION Japan Lessons-Learned Project Directorate Interim Staff Guidance JLD-ISG-2012-02; Compliance With...: Nuclear Regulatory Commission (NRC). ACTION: Japan Lessons-Learned Project Directorate interim staff... Final Japan Lessons-Learned Project Directorate Interim Staff Guidance (JLD-ISG),...

  9. Lessons learned from a great master!

    Directory of Open Access Journals (Sweden)

    Wagner Seixas da Silva

    2015-06-01

    Full Text Available Teaching Biochemistry is a huge challenge in the basic cycle of many undergraduate courses. How to convince students that this discipline is important for their academic degree so early in their college journeys? It may be hard to define in words a good teaching strategy for this purpose, but during the 70s'/80's a group of professors accepted this tough task! Professor Leopoldo de Meis paid particular attention to the way of teaching biochemistry. As a very sensitive person, he realized that the secret to a good teaching would be to keep the students motivated with doses of challenge.With this in mind, Prof. de Meis joined a small group of professors and graduate students from the former Department of Medical Biochemistry, now named Institute of Medical Biochemistry Leopoldo de Meis, at the Federal University of Rio de Janeiro, and proposed to use the Discovery learning method in classroom. The idea was to present the contents of the biochemistry course while challenging students to interpret the original data of the major biochemical findings. For this purpose, each biochemistry theme was shown through the experiments that led to the originally obtained conclusions currently present in the textbooks. Thus, students were motivated to ask questions and propose experiments that allow the interpretation of the scientists’ historical results. At first the methodology seemed very novel and difficult, but over the first few minutes the environment became a place for broad scientific discussion, where students enthusiastically participated and developed the ability to draw up the necessary questions to decipher the functioning of metabolic pathways. The parallel between the observed experimental facts and the physiological state of the experimental model used in classic experiments permitted the development of a broad and critical knowledge in the learning of biochemistry.To imagine that the students were motivated to develop the autonomy of

  10. Errors in transfusion medicine: have we learned our lesson?

    Science.gov (United States)

    Fastman, Barbara Rabin; Kaplan, Harold S

    2011-01-01

    The phrase "patient safety" represents freedom from accidental or preventable harm due to events occurring in the healthcare setting. Practitioners aim to reduce, if not prevent, medical errors and adverse outcomes. Yet studies performed from many perspectives show that medical error constitutes a serious worldwide problem. Transfusion medicine, with its interdisciplinary intricacies and the danger of fatal outcomes, serves as an exemplar of lessons learned. Opportunity for error in complex systems is vast, and although errors are traditionally blamed on humans, they are often set up by preexisting factors. Transfusion has inherent hazards such as clinical vulnerabilities (eg, contracting an infectious agent or experiencing a transfusion reaction), but there also exists the possibility of hazards associated with process errors. Sample collection errors, or preanalytic errors, may occur when samples are drawn from donors during blood donation, as well as when drawn from patients prior to transfusion-related testing, and account for approximately one-third of events in transfusion. Errors in the analytic phase of the transfusion chain, slips and errors in the laboratory, comprise close to one-third of patient safety-related transfusion events. As many as 40% of mistransfusions are due to errors in the postanalytic phase: often failures in the final check of the right blood and the right patient at the bedside. Bar-code labels, radiofrequency identification tags, and even palm vein-scanning technology are increasingly being utilized in patient identification. The last phase of transfusion, careful monitoring of the recipient for adverse signs or symptoms, when performed diligently can help prevent or manage a potentially fatal reaction caused by an earlier process error or an unavoidable physiologic condition. Ways in which we can and do deal with potential hazards of transfusion are discussed, including a method of hazard reduction termed inherently safer design

  11. NASA Flight Planning Branch Space Shuttle Lessons Learned

    Science.gov (United States)

    Clevenger, Jennifer D.; Bristol, Douglas J.; Whitney, Gregory R.; Blanton, Mark R.; Reynolds, F. Fisher, III

    2011-01-01

    Planning products and procedures that allowed the mission Flight Control Teams and the Astronaut crews to plan, train and fly every Space Shuttle mission were developed by the Flight Planning Branch at the NASA Johnson Space Center in Houston, Texas. As the Space Shuttle Program came to a close, lessons learned were collected from each phase of the successful execution of these Space Shuttle missions. Specific examples of how roles and responsibilities of console positions that develop the crew and vehicle attitude timelines have been analyzed and will be discussed. Additionally, the relationships and procedural hurdles experienced through international collaboration have molded operations. These facets will be explored and related to current and future operations with the International Space Station and future vehicles. Along with these important aspects, the evolution of technology and continual improvement of data transfer tools between the Space Shuttle and ground team has also defined specific lessons used in improving the control team s effectiveness. Methodologies to communicate and transmit messages, images, and files from the Mission Control Center to the Orbiter evolved over several years. These lessons were vital in shaping the effectiveness of safe and successful mission planning and have been applied to current mission planning work in addition to being incorporated into future space flight planning. The critical lessons from all aspects of previous plan, train, and fly phases of Space Shuttle flight missions are not only documented in this paper, but are also discussed regarding how they pertain to changes in process and consideration for future space flight planning.

  12. The teaching learning collaborative's influence on lesson plans

    Science.gov (United States)

    De La Riva, Yanette

    With a growing population of English Language Learners in our schools, their specialized classroom needs must be addressed. California state testing shows that English Language Learners (ELL) consistently perform below proficiency as compared to other students who are not English Language Learners. Many times, in response to pressure placed by the state testing requirements, administrators and educators focus on English Language development strategies at the cost of other content areas such as science. The Science and English Learning Development Blended Program is a professional development project that combines English Language Development (ELD) strategies within science lesson plans to address the language needs of English Language Learners through science content. The Blended Program was in place for four years in an urban school district in southern California. During its initial year of implementation, a research study focused on the types of changes teachers made to their science lesson plans as a result of their professional development: all of the changes made had to do with English Language Development and not Science. Implications of this study suggest that at the start of the program changes to support science content were not made because the teachers did not have the science knowledge to be comfortable enough to make changes to address the science portion of the lesson. The data analyzed for this study was collected during the Blended Program's third and fourth year of implementation. The findings show changes which reflect the following themes: science concept acquisition, oral language development, and scaffolding instruction. These themes reflect changes . that address both English Language Development and science. The individuals involved with the Blended Program have now had training for ELD and Science content for three or four years. Results suggest that the training not only equipped the teachers with English Language Development strategies

  13. Writing the new playbook for U.S. health care: lessons from Wisconsin.

    Science.gov (United States)

    Toussaint, John

    2009-01-01

    U.S. taxpayers waste far too much money on health care that is merely average or worse. Some health care providers, including ThedaCare, a major Wisconsin health care company, are using the tools of lean manufacturing to eliminate millions of dollars of waste that obstructs the provision of effective medicine. ThedaCare studies care delivery processes to improve care and lower costs. Lessons from lean manufacturing and the Institute for Healthcare Improvement are lowering incidence of preterm births, improving heart attack response rates, and changing the way care is delivered in hospitals to a collaborative, team-based approach.

  14. Managing Diversity In The Midst Of Homogeneity: Lessons Learned In Rural Service Learning

    Directory of Open Access Journals (Sweden)

    Nicholas Holton

    2011-07-01

    Full Text Available Rural areas are known for their homogeneity. Although cultures in different rural areas are often distinct and even unique, the culture within a given rural area is often easily characterized by one skin color, one language, one set of morays, and one mindset toward governmental institutions. Service Learning combines real academic learning in a community service setting. Are some diversity issues pandemic across rural areas?  How do these issues impact Service Learning programs in rural areas and how can even remote places like Alaska benefit from the lessons learned?

  15. English lessons contribution to the learning of Spanish spelling rules

    Directory of Open Access Journals (Sweden)

    Orlando Alberteris Galván

    2015-05-01

    Full Text Available This paper is aimed at describing the findings of a study of English lessons contribution to the learning of Spanish spelling rules by first year Bachelor of Education students. The lexicon under study is mainly made up of cognate words of Latin origin because. The framework presented supports procedures are based on the process of nominations, namely affixation, favoring the learning of spelling rules. A system of tasks was modeled following two phases according to the complexity of the vocabulary and spelling rules used. The findings have contributed to a better understanding of spelling rules and as well as to foster students linguistic competence development both in the mother and target languages.

  16. Cybernetic Service-Learning Course Development: Lessons Learned

    Science.gov (United States)

    Marx, Jonathan I.; Miller, Lee Q.

    2009-01-01

    Although the title of the course, Combating Loneliness among Older People in Contemporary Society, states a clear goal, our service-learning class was shaped by five guiding parameters. By avoiding certain things, we allowed the course to self-organize and evolve into a learning experience beyond the one originally envisioned. This paper…

  17. Design and Evaluation of Two Blended Learning Approaches: Lessons Learned

    Science.gov (United States)

    Cheung, Wing Sum; Hew, Khe Foon

    2011-01-01

    In this paper, we share two blended learning approaches used at the National Institute of Education in Singapore. We have been using these two approaches in the last twelve years in many courses ranging from the diploma to graduate programs. For the first blended learning approach, we integrated one asynchronous communication tool with face to…

  18. MODIS On-Orbit Performance and Lessons Learned

    Science.gov (United States)

    Xiong, Xiaoxiong; Salomonson, Vince

    2011-01-01

    MODIS is a key instrument for the NASA's Earth Observing System (EOS) and has successfully operated for more than 11 and 9 years, respectively, on-board the Terra and Aqua spacecraft. MODIS collects data in 36 spectral bands, covering wavelengths from visible (VIS) to long-wave infrared (LWIR). To date, both Terra and Aqua MODIS have produced an unprecedented amount of data products and significantly contributed to the earth remote sensing studies and applications. MODIS was developed with stringent calibration requirements and was, consequently, designed and built with a set of on-board calibrators (OBC), which include a solar diffuser (SD), a solar diffuser stability monitor (SDSM), a blackbody (BB), and a spectroradiometric calibration assembly (SRCA). This presentation briefly reviews MODIS instrument operation and various calibration and characterization activities, It demonstrates both the instrument and the OBC on-orbit performance and discusses lessons learned, particularly focusing on on-orbit changes in sensor responses, optics degradation, and major challenging issues. As expected, Terra and Aqua MODIS on-orbit performance and lessons learned will continue to benefit the operation and calibration of future sensors, such as NPP/JPSS VIIRS and GOES-R ABI.

  19. LCROSS Lunar Impactor - Lessons Learned from a Small Satellite Mission

    Science.gov (United States)

    Andrews, Daniel R.

    2010-01-01

    The Lunar CRater Observation and Sensing Satellite (LCROSS) launched with the Lunar Reconnaissance Orbiter (LRO) on June 18, 2009. While the science function of the LCROSS mission was to determine the presence of water-ice in a permanently-shadowed crater on the moon, the operational purpose was to be a pioneer for future low-cost, risk-tolerant small satellite NASA missions. Recent strategic changes at the Agency level have only furthered the importance of small satellite missions. NASA Ames Research Center and its industry partner, Northrop-Grumman, initiated this spacecraft project two-years after its co-manifest mission had started, with less than one-fifth the budget. With a $79M total cost cap (including operations and reserves) and 31-months until launch, LCROSS needed a game-changing approach to be successful. At the LCROSS Confirmation Review, the ESMD Associate Administrator asked the Project team to keep a close record of lessons learned through the course of the mission and share their findings with the Agency at the end of the mission. This paper summarizes the Project, the mission, its risk position, and some of the more notable lessons learned.

  20. Psychosocial Rehabilitation: Some Lessons Learned From Natural Disaster in Iran

    Directory of Open Access Journals (Sweden)

    Fardin Alipour

    2016-01-01

    Full Text Available Background: Disasters have adverse impacts on different aspects of human life. Psychosocial Rehabilitation is one of the fields which is usually overshadowed and ignored by physical rehabilitation or its importance does not receive proper attention. This research attempts to study some lessons learned from Psychosocial Rehabilitation based on disaster experiences in Iran. Materials and Methods: This study has a conventional qualitative content analysis design. The participants of study were 15 people with direct experience of earthquake and 12 experts in this field. The study sample was selected by purposeful sampling method and the data were collected by semi-structured interviews. Results: Lack of a suitable system to deliver Psychosocial Rehabilitation, challenge in establishing balance between short-term and long-term social and mental needs, lack of mental and social experts, inefficiency in using social capital and capacities are the most important lessons learned in this field. Conclusion: Lack of awareness of mental and social problems of affected people after disaster is one of the most important barriers in successful and stable rehabilitation. Psychosocial Rehabilitation requires a suitable structure and planning for all stages of disaster management.

  1. Operational Lessons Learned from NASA Analog Missions

    Science.gov (United States)

    Arnold, Larissa S.

    2010-01-01

    National Aeronautics and Space Administration s (NASA) efforts in human space flight are currently focused on the Space Shuttle and International Space Station (ISS) programs, with efforts beginning on the future exploration opportunities. Both the Space Shuttle and ISS programs are important to the development of a capability for human exploration beyond Low Earth Orbit (LEO). The ISS provides extensive research capabilities to determine how the human body reacts to long duration stays in space. Also, the ISS and Shuttle can serve as a limited testbed for equipment or entire systems that may be used on missions to the Moon, Mars, or to a near-Earth asteroid. It has been nearly 35 years since the Apollo astronauts visited the Moon. Future space explorers will have to re-learn how to work and live on planetary surfaces, and how to do that for extended periods of time. Exploration crews will perform a wide assortment of scientific tasks, including material sampling and emplacement of automated instruments. Surface mission operations include the activities of the crew living and working, mission support from the Earth, and the operation of robotic and other remotely commanded equipment on the surface and in planetary orbit. Other surface activities will include the following: exploring areas surrounding a habitat; using rovers to collect rock and soil samples; setting up experiments on the surface to monitor the radiation environment and any seismic or thermal activity; and conducting scientific analyses and experiments inside a habitat laboratory. Of course, the astronauts will also have to spend some of their surface time "doing chores" and maintaining their habitat and other systems. In preparation for future planetary exploration, NASA must design the answers to many operational questions. What will the astronauts do on the surface? How will they accomplish this? What tools will they require for their tasks? How will robots and astronauts work together? What

  2. Lessons from abroad: Rebalancing accountability and pedagogy in the Irish social care sector through the use of effective leadership

    Directory of Open Access Journals (Sweden)

    Jones Cathy

    2016-08-01

    Full Text Available A concern is emerging in Ireland that social care managers and staff are moving too far away from the ‘care’ in social ‘care’ work. In this paper a discussion of the impact of the bureaucratic procedures and regulation within the social work and social care work sectors is presented along with an exploration of leadership approaches. It is argued that certain leadership approaches, in particular pedagogical leadership, could not only help social care managers to negotiate the complex issues they are facing but also facilitate putting the ‘care’ back into social ‘care’ work. Pedagogical leadership is globally supported across a variety of human service disciplines: it facilitates the creation of a learning culture within the workplace where social care managers facilitate conversations with their teams to encourage reflection, critical thinking and contributions to the professional wisdom required for quality service. The purpose of this article is to contribute to the dialogue within leadership practice for social care professionals. This discourse is necessary if lessons are to be learned from past experiences in this country and others about how to balance the need for care, learning and compassion with accountability.

  3. Learning while caring: medicine's epistemology.

    Science.gov (United States)

    Hellman, Samuel

    2014-09-01

    An essential epistemic consideration is the conditional nature of medical knowledge. This uncertainty must be understood when acquiring new knowledge or designing treatments. We must value all sources of information, neither discarding those deemed lower on the current value scale, nor slavishly accepting randomized clinical trials or their meta-analyses as the fount of all knowledge. Generally, the tension between clinical investigation and individual care can be framed in a utilitarian versus deontologic or rights-based philosophy. The utilitarian is clearly appropriate to public health considerations, but what is learned for public health may not necessarily be in the best interest of an individual patient. In utilitarianism, the distribution of goods-in this case, health-is not important; rather, it is the amount of total good gained that is to be maximized. Too often we assume that survival or cure is a sufficient metric, with no similar quantitative measure of other factors. This often leads to the so-called best treatment being not what the patient wants. All personal care requires consideration of both the helpful and harmful consequences of treatment in the context of individual patient comorbidity, preferences, and fears. Knowledge of patients in general is not what is required; rather, it is how to apply the information to the particular patient that is the heart of medical practice. Each patient's episode of illness is the consequence of a unique interaction of that individual with the disease. Good patient care considers the disease and its management in the context of each patient's values.

  4. Selected Lessons Learned in Space Shuttle Orbiter Propulsion and Power Subsystems

    Science.gov (United States)

    Hernandez, Francisco J.; Martinez, Hugo; Ryan, Abigail; Westover, Shayne; Davies, Frank

    2011-01-01

    Over its 30 years of space flight history, plus the nearly 10 years of design, development test and evaluation, the Space Shuttle Orbiter is full of lessons learned in all of its numerous and complex subsystems. In the current paper, only selected lessons learned in the areas of the Orbiter propulsion and power subsystems will be described. The particular Orbiter subsystems include: Auxiliary Power Unit (APU), Hydraulics and Water Spray Boiler (WSB), Mechanical Flight Controls, Main Propulsion System (MPS), Fuel Cells and Power Reactant and Storage Devices (PRSD), Orbital Maneuvering System (OMS), Reaction Control System (RCS), Electrical Power Distribution (EPDC), electrical wiring and pyrotechnics. Given the complexity and extensive history of each of these subsystems, and the limited scope of this paper, it is impossible to include most of the lessons learned; instead the attempt will be to present a selected few or key lessons, in the judgment of the authors. Each subsystem is presented separate, beginning with an overview of the hardware and their function, a short description of a few historical problems and their lessons, followed by a more comprehensive table listing of the major subsystem problems and lessons. These tables serve as a quick reference for lessons learned in each subsystem. In addition, this paper will establish common lessons across subsystems as well as concentrate on those lessons which are deemed to have the highest applicability to future space flight programs.

  5. PUREX/UO3 Facilities deactivation lessons learned history

    Energy Technology Data Exchange (ETDEWEB)

    Gerber, M.S.

    1996-09-19

    accompanied by and were an integral part of sweeping ``culture changes,`` the story of the lessons learned during the PUREX Deactivation Project are worth recounting. Foremost among the lessons is recognizing the benefits of ``right to left`` project planning. A deactivation project must start by identifying its end points, then make every task, budget, and organizational decision based on reaching those end points. Along with this key lesson is the knowledge that project planning and scheduling should be tied directly to costing, and the project status should be checked often (more often than needed to meet mandated reporting requirements) to reflect real-time work. People working on a successful project should never be guessing about its schedule or living with a paper schedule that does not represent the actual state of work. Other salient lessons were learned in the PUREX/UO3 Deactivation Project that support these guiding principles. They include recognizing the value of independent review, teamwork, and reengineering concepts; the need and value of cooperation between the DOE, its contractors, regulators, and stakeholders; and the essential nature of early and ongoing communication. Managing a successful project also requires being willing to take a fresh look at safety requirements and to apply them in a streamlined and sensible manner to deactivating facilities; draw on the enormous value of resident knowledge acquired by people over years and sometimes decades of working in old plants; and recognize the value of bringing in outside expertise for certain specialized tasks.This approach makes possible discovering the savings that can come when many creative options are pursued persistently and the wisdom of leaving some decisions to the future. The essential job of a deactivation project is to place a facility in a safe, stable, low-maintenance mode, for an interim period. Specific end points are identified to recognize and document this state. Keeping the limited

  6. A Proposal to Manage Lessons Learned in Projects: Web 2.0 Technologies to Promote Innovation

    Directory of Open Access Journals (Sweden)

    Marcirio Silveira Chaves

    2014-06-01

    Full Text Available The web 2.0 is transforming the project management in organizations by improving communication and collaboration. The new generation of web-based collaborative tools provides much better experience than the traditional software package allowing document sharing, integrated task tracking, enforcing team processes and agile planning. Despite of the indubitable benefits brought by web 2.0, the use of these technologies to promote knowledge management remains unexplored. For many project managers to obtain and integrate information from different tools of previous similar projects in global organizations remains a challenge. This theoretical paper presents a proposal that suggests an innovation in the knowledge management area applying web 2.0 technologies. The main goal is to provide an integrated vision of a set of technologies that could be used by organizations in order to promote better management of lessons learned. The proposal includes the lessons learned processes (e.g. capture, share and dissemination, the process-based (e.g. project review and after action review and documentation-based (e.g. micro article and learning histories methods. Results show how web 2.0 technologies can help project managers and team project to cope with the main lessons learned processes and methods to learn from experience. Moreover, recommendations are made for the effective use of web 2.0 components promoting innovation and supporting lessons learned management in projects.Keywords: Project management; Lessons learned processes; lessons learned methods; project learning; web 2.0 technologies; innovation.

  7. An Analysis of Student-centered Lesson Planning In English Language Teaching and Learning

    Institute of Scientific and Technical Information of China (English)

    陈荣燕

    2009-01-01

    @@ Chapter I Introduction "Pmpor lesson planning is essential for both novice and experienced tethers"(A course in English language teaching,2000:24).In the lesson planning.teachers determine what techniques,activities and materials will be used in the class beforehand.The question discussed in this essay is that who iS centered in the lesson planning in English language teaching.In the traditional English teaching classroom.teacher is the center of teaching and learning.

  8. Planning to Serve: Using Backwards Planning to Design Service-Learning Lesson Plans in the Preservice Curriculum

    Science.gov (United States)

    Stiler, Gary

    2009-01-01

    The author describes how the Understanding by Design (backwards planning) lesson plan format was used by his preservice K-12 students to develop service-learning lesson plans. Preservice teachers in a multicultural education course were given an assignment to develop service-learning lesson plans using the Understanding by Design planning process.…

  9. Lesson Study-Building Communities of Learning Among Pre-Service Science Teachers

    Science.gov (United States)

    Hamzeh, Fouada

    Lesson Study is a widely used pedagogical approach that has been used for decades in its country of origin, Japan. It is a teacher-led form of professional development that involves the collaborative efforts of teachers in co-planning and observing the teaching of a lesson within a unit for evidence that the teaching practices used help the learning process (Lewis, 2002a). The purpose of this research was to investigate if Lesson Study enables pre-service teachers to improve their own teaching in the area of science inquiry-based approaches. Also explored are the self-efficacy beliefs of one group of science pre-service teachers related to their experiences in Lesson Study. The research investigated four questions: 1) Does Lesson Study influence teacher preparation for inquiry-based instruction? 2) Does Lesson Study improve teacher efficacy? 3) Does Lesson Study impact teachers' aspiration to collaborate with colleagues? 4) What are the attitudes and perceptions of pre-service teachers to the Lesson Study idea in Science? The 12 participants completed two pre- and post-study surveys: STEBI- B, Science Teaching Efficacy Belief Instrument (Enochs & Riggs, 1990) and ASTQ, Attitude towards Science Teaching. Data sources included student teaching lesson observations, lesson debriefing notes and focus group interviews. Results from the STEBI-B show that all participants measured an increase in efficacy throughout the study. This study added to the body of research on teaching learning communities, professional development programs and teacher empowerment.

  10. Multi-unit Operations in Non-Nuclear Systems: Lessons Learned for Small Modular Reactors

    Energy Technology Data Exchange (ETDEWEB)

    OHara J. M.; Higgins, J.; DAgostino, A.

    2012-01-17

    The nuclear-power community has reached the stage of proposing advanced reactor designs to support power generation for decades to come. Small modular reactors (SMRs) are one approach to meet these energy needs. While the power output of individual reactor modules is relatively small, they can be grouped to produce reactor sites with different outputs. Also, they can be designed to generate hydrogen, or to process heat. Many characteristics of SMRs are quite different from those of current plants and may be operated quite differently. One difference is that multiple units may be operated by a single crew (or a single operator) from one control room. The U.S. Nuclear Regulatory Commission (NRC) is examining the human factors engineering (HFE) aspects of SMRs to support licensing reviews. While we reviewed information on SMR designs to obtain information, the designs are not completed and all of the design and operational information is not yet available. Nor is there information on multi-unit operations as envisioned for SMRs available in operating experience. Thus, to gain a better understanding of multi-unit operations we sought the lesson learned from non-nuclear systems that have experience in multi-unit operations, specifically refineries, unmanned aerial vehicles and tele-intensive care units. In this paper we report the lessons learned from these systems and the implications for SMRs.

  11. Lessons Learned the Hard Way but Learned Well

    Science.gov (United States)

    Dirksen, Debra J.

    2014-01-01

    The author spins a tale of how she learned classroom management largely by trial and error and by making a commitment to never give up on her students. Classroom management done well provides the signposts that give students direction and enables them to reach their destination as learners and human beings. Classroom management is one of the most…

  12. Lessons Learned from the Puerto Rico Battery Energy Storage System

    Energy Technology Data Exchange (ETDEWEB)

    BOYES, JOHN D.; DE ANA, MINDI FARBER; TORRES, WENCESLANO

    1999-09-01

    The Puerto Rico Electric Power Authority (PREPA) installed a distributed battery energy storage system in 1994 at a substation near San Juan, Puerto Rico. It was patterned after two other large energy storage systems operated by electric utilities in California and Germany. The U.S. Department of Energy (DOE) Energy Storage Systems Program at Sandia National Laboratories has followed the progress of all stages of the project since its inception. It directly supported the critical battery room cooling system design by conducting laboratory thermal testing of a scale model of the battery under simulated operating conditions. The Puerto Rico facility is at present the largest operating battery storage system in the world and is successfully providing frequency control, voltage regulation, and spinning reserve to the Caribbean island. The system further proved its usefulness to the PREPA network in the fall of 1998 in the aftermath of Hurricane Georges. The owner-operator, PREPA, and the architect/engineer, vendors, and contractors learned many valuable lessons during all phases of project development and operation. In documenting these lessons, this report will help PREPA and other utilities in planning to build large energy storage systems.

  13. Preventing a Vocabulary Lag: What Lessons Are Learned from Research

    Science.gov (United States)

    Sinatra, Richard; Zygouris-Coe, Vicky; Dasinger, Sheryl B.

    2012-01-01

    This article discusses why early and sustained vocabulary development is important for listening and reading comprehension development and presents findings from 8 studies implemented with children of mostly low socioeconomic status in settings from day care to first grade. Program interventions were based on learning new vocabulary developed out…

  14. The Lessons of Experience; How Strategic Leaders in the United States Army Develop and Their Lessons Learned

    Science.gov (United States)

    1997-04-12

    Staff of the Army has indicated that a "Revolution in Military Affairs" will not occur until we first have a "Revolution in Military Logistics " with...are provided based on these lessons learned to meet the leadership requirements for the Revolution in Military Logistics .

  15. Lessons Learned from Web-Enhanced Teaching in Landscape Architecture Studios

    Science.gov (United States)

    Li, Ming-Han

    2007-01-01

    The purpose of this article was to summarize lessons learned from implementing web-enhanced teaching in landscape architecture studio courses. The lessons are documented as challenges and opportunities based on a two-year assessment study of web-enhanced landscape architecture construction studios. This article will help landscape architecture…

  16. Psychometric Analysis of a 5E Learning Cycle Lesson Plan Assessment Instrument

    Science.gov (United States)

    Goldston, M. Jenice; Day, Jeanelle Bland; Sundberg, Cheryl; Dantzler, John

    2010-01-01

    The purpose of this paper is to describe the procedures and the analysis of an instrument designed to measure preservice teachers' ability to develop appropriate 5E learning cycle lesson plans. The 5E "inquiry lesson plan" (ILP) rubric is comprised of 12 items with a scoring range of zero to four points per item. Content validity was…

  17. Professional Learning through the Collaborative Design of Problem-Solving Lessons

    Science.gov (United States)

    Wake, Geoff; Swan, Malcolm; Foster, Colin

    2016-01-01

    This article analyses lesson study as a mode of professional learning, focused on the development of mathematical problem solving processes, using the lens of cultural-historical activity theory. In particular, we draw attention to two activity systems, the classroom system and the lesson-study system, and the importance of making artefacts…

  18. Psychometric Analysis of a 5E Learning Cycle Lesson Plan Assessment Instrument

    Science.gov (United States)

    Goldston, M. Jenice; Day, Jeanelle Bland; Sundberg, Cheryl; Dantzler, John

    2010-01-01

    The purpose of this paper is to describe the procedures and the analysis of an instrument designed to measure preservice teachers' ability to develop appropriate 5E learning cycle lesson plans. The 5E "inquiry lesson plan" (ILP) rubric is comprised of 12 items with a scoring range of zero to four points per item. Content validity was determined…

  19. Lessons learned on probabilistic methodology for precursor analyses

    Energy Technology Data Exchange (ETDEWEB)

    Babst, Siegfried [Gesellschaft fuer Anlagen- und Reaktorsicherheit (GRS) gGmbH, Berlin (Germany); Wielenberg, Andreas; Gaenssmantel, Gerhard [Gesellschaft fuer Anlagen- und Reaktorsicherheit (GRS) gGmbH, Garching (Germany)

    2016-11-15

    Based on its experience in precursor assessment of operating experience from German NPP and related international activities in the field, GRS has identified areas for enhancing probabilistic methodology. These are related to improving the completeness of PSA models, to insufficiencies in probabilistic assessment approaches, and to enhancements of precursor assessment methods. Three examples from the recent practice in precursor assessments illustrating relevant methodological insights are provided and discussed in more detail. Our experience reinforces the importance of having full scope, current PSA models up to Level 2 PSA and including hazard scenarios for precursor analysis. Our lessons learned include that PSA models should be regularly updated regarding CCF data and inclusion of newly discovered CCF mechanisms or groups. Moreover, precursor classification schemes should be extended to degradations and unavailabilities of the containment function. Finally, PSA and precursor assessments should put more emphasis on the consideration of passive provisions for safety, e. g. by sensitivity cases.

  20. Pollution prevention program for new projects -- Lessons learned

    Energy Technology Data Exchange (ETDEWEB)

    Lum, J. [Dept. of Energy, Washington, DC (United States)

    1993-03-01

    The purpose of this presentation is to relay the experience of the Office of New Production Reactors (NP) in developing and implementing its pollution prevention program. NP was established to plan, design, and construct a new safe and environmentally acceptable nuclear reactor capacity necessary to provide an assured supply of tritium to maintain the nation`s long-term deterrent capability. The Program offered the Department of Energy an opportunity to demonstrate its commitment to environmental protection via minimization of environmental releases; new design offers the best opportunity for pollution prevention. The NP pollution prevention program was never fully implemented because NP`s tritium production design activity was recovery terminated. The information in this paper represented lessons learned from the last three years of NP operation.

  1. Lessons Learned From Developing Reactor Pressure Vessel Steel Embrittlement Database

    Energy Technology Data Exchange (ETDEWEB)

    Wang, Jy-An John [ORNL

    2010-08-01

    Materials behaviors caused by neutron irradiation under fission and/or fusion environments can be little understood without practical examination. Easily accessible material information system with large material database using effective computers is necessary for design of nuclear materials and analyses or simulations of the phenomena. The developed Embrittlement Data Base (EDB) at ORNL is this comprehensive collection of data. EDB database contains power reactor pressure vessel surveillance data, the material test reactor data, foreign reactor data (through bilateral agreements authorized by NRC), and the fracture toughness data. The lessons learned from building EDB program and the associated database management activity regarding Material Database Design Methodology, Architecture and the Embedded QA Protocol are described in this report. The development of IAEA International Database on Reactor Pressure Vessel Materials (IDRPVM) and the comparison of EDB database and IAEA IDRPVM database are provided in the report. The recommended database QA protocol and database infrastructure are also stated in the report.

  2. Development of a public health reporting data warehouse: lessons learned.

    Science.gov (United States)

    Rizi, Seyed Ali Mussavi; Roudsari, Abdul

    2013-01-01

    Data warehouse projects are perceived to be risky and prone to failure due to many organizational and technical challenges. However, often iterative and lengthy processes of implementation of data warehouses at an enterprise level provide an opportunity for formative evaluation of these solutions. This paper describes lessons learned from successful development and implementation of the first phase of an enterprise data warehouse to support public health surveillance at British Columbia Centre for Disease Control. Iterative and prototyping approach to development, overcoming technical challenges of extraction and integration of data from large scale clinical and ancillary systems, a novel approach to record linkage, flexible and reusable modeling of clinical data, and securing senior management support at the right time were the main factors that contributed to the success of the data warehousing project.

  3. Food security in China: lessons learned and future expectations

    Science.gov (United States)

    Cui, X.

    2011-12-01

    Population expansion and rapid economic development have been and will continue placing dramatic pressure on Chinese land resources to provide food, water, and energy. Globalisation and international cooperation makes China land use system inseparable from the rest of the world. In this study, we will first analyze the historic changes of food supply/demand in China during the past by ensemble all the available dataset and information from literature. During the past 60 years, China has been self-fed its own population benefiting from the increase of productivity which helps provide enough food. By analyzing the factors behind of the increase of productivity, it raises quite some concerns with future development. Projections of possible pathways of development will be discussed in this paper. Lessons learn from the past will help study food security in other countries particularly in countries like India or African countries.

  4. Lesson Learned About FPOs from a Customer`s Perspective

    Energy Technology Data Exchange (ETDEWEB)

    Gray, C.J.

    1998-12-31

    Conoco has undertaken three FPSO (Floating Production Storage and Off-loading) projects in the 1990s, Ukpokiti offshore Nigeria, and MacCulloch and Banff in the UK sector of the North Sea. They are different in the technical and commercial solutions they employed. This presentation describes the key features of each project from a commercial and technical perspective and summarizes the good practices and those aspects that could have been improved. The key commercial areas covered include project strategy, contractor selection and leasing issues. The technical areas include facility selection, reservoir characterization, and operations. Lessons learned about Safety Management are also identified. The information about each project is limited to key features only

  5. Lessons learned from CIRFT testing on SNF vibration integrity study

    Energy Technology Data Exchange (ETDEWEB)

    Wang, Jy-An John [Oak Ridge National Lab. (ORNL), Oak Ridge, TN (United States); Wang, Hong [Oak Ridge National Lab. (ORNL), Oak Ridge, TN (United States); Jiang, Hao [Oak Ridge National Lab. (ORNL), Oak Ridge, TN (United States); Bevard, Bruce Balkcom [Oak Ridge National Lab. (ORNL), Oak Ridge, TN (United States); Howard, Rob L. [Oak Ridge National Lab. (ORNL), Oak Ridge, TN (United States); Scaglione, John M. [Oak Ridge National Lab. (ORNL), Oak Ridge, TN (United States)

    2015-01-01

    A cyclic integrated reversible-bending fatigue tester (CIRFT) was developed to support U.S. NRC and DOE Used Fuel Disposition Campaign studies on high burn-up (HBU) spent nuclear fuel (SNF) transportation during normal conditions of transport (NCT). Two devices were developed; the first CIRFT was successfully installed and operated in the ORNL hot-cells in September 2013. Since hot cell testing commenced several HBU SNF samples from both Zr-4 and M5 clads were investigated. The second CIRFT device was developed in February 2014, and has been used to test clad/fuel surrogate rods (stainless steel with alumina pellet inserts). The second CIRFT machine has also been used for sensor development and test sensitivity analyses, as well as loading boundary condition parameter studies. The lessons learned from CIRFT testing will be presented in this paper.

  6. External Police Oversight in Mexico: Experiences, Challenges, and Lessons Learned

    Directory of Open Access Journals (Sweden)

    Rubén Guzmán Sánchez

    2014-11-01

    Full Text Available After nearly 20 years of ‘reformist’ measures, the police in Mexico continues to be an ineffective, unreliable, and ‘far from citizen’ institution. The efforts made so far have faded amongst political interests and agendas; multidimensional frameworks out-dated at both conceptual and interagency levels; short-sighted competition for resources; evaluation and performance monitors that are handicapped by bureaucratic inaction; and weak transparency and accountability that perpetuate the opacity in which the police operate. In this context, the agenda of external police oversight is still at a rudimentary stage. However, there are several initiatives that have managed to push the issue to the frontier of new knowledge and promising practices. This paper outlines the experiences and challenges of—as well as the lessons learned by—the Institute for Security and Democracy (Insyde A.C., one of the most recognised think tanks in Mexico.

  7. Lessons learned from "the skeptical environmentalist": an environmental health perspective.

    Science.gov (United States)

    Bodnar, Agnes; Castorina, Rosemary; Desai, Manish; Duramad, Paurene; Fischer, Susan; Klepeis, Neil; Liang, Song; Mehta, Sumi; Naumoff, Kyra; Noth, Elizabeth M; Schei, Morten; Tian, Linwei; Vork, Kathleen L; Smith, Kirk R

    2004-01-01

    Few books about the environment have generated as much heated debate as Bjørn Lomborg's 'The Skeptical Environmentalist: Measuring the Real State of the World', published by Cambridge University Press in 2001. A flavor of the controversy can be gleaned from a series of reviews and rebuttals published in 'Scientific American' (Rennie 2002). In general, most positive reviews appeared in the popular press (e.g., 'The Economist', 'Washington Post Book Review', 'The Wall Street Journal') and most negative reviews appeared in the scientific press (e.g., 'Science', 'Nature', 'Bioscience'). Although 'The Skeptical Environmentalist' (TSE) addresses a number of environmental health issues, voices from the environmental health community have not been prominent among the participants in this debate. Now that the dust from the initial stampede to praise and condemn the book has settled, we will explore lessons to be learned from TSE and the associated debate from an environmental health perspective.

  8. Radiofrequency ablation of hepatic tumors: lessons learned from 3000 procedures.

    Science.gov (United States)

    Rhim, Hyunchul; Lim, Hyo K; Kim, Young-sum; Choi, Dongil; Lee, Won Jae

    2008-10-01

    Radiofrequency ablation has been accepted as the most popular local ablative therapy for unresectable malignant hepatic tumors. For 9 years from April 1999, we performed 3000 radiofrequency ablation procedures for hepatic tumors in our institution. Our results on the safety (mortality, 0.15%/patient) and therapeutic efficacy (5-year survival rate, 58%) are similar to those of previous studies reported, supporting the growing evidence of a clear survival benefit, excellent results for local tumor control and improved quality of life. The most important lesson learned from our 3000 procedures is that the best planning, safe ablation and complete ablation are key factors for patient outcome. Furthermore, multimodality treatment is the best strategy for recurrent hepatocellular carcinoma encountered after any kind of first-line treatment.

  9. Nuclear Instrumentation and Control Cyber Testbed Considerations – Lessons Learned

    Energy Technology Data Exchange (ETDEWEB)

    Jonathan Gray; Robert Anderson; Julio G. Rodriguez; Cheol-Kwon Lee

    2014-08-01

    Abstract: Identifying and understanding digital instrumentation and control (I&C) cyber vulnerabilities within nuclear power plants and other nuclear facilities, is critical if nation states desire to operate nuclear facilities safely, reliably, and securely. In order to demonstrate objective evidence that cyber vulnerabilities have been adequately identified and mitigated, a testbed representing a facility’s critical nuclear equipment must be replicated. Idaho National Laboratory (INL) has built and operated similar testbeds for common critical infrastructure I&C for over ten years. This experience developing, operating, and maintaining an I&C testbed in support of research identifying cyber vulnerabilities has led the Korean Atomic Energy Research Institute of the Republic of Korea to solicit the experiences of INL to help mitigate problems early in the design, development, operation, and maintenance of a similar testbed. The following information will discuss I&C testbed lessons learned and the impact of these experiences to KAERI.

  10. Cellular plasticity within the pancreas--lessons learned from development.

    Science.gov (United States)

    Puri, Sapna; Hebrok, Matthias

    2010-03-16

    The pancreas has been the subject of intense research due to the debilitating diseases that result from its dysfunction. In this review, we summarize current understanding of the critical tissue interactions and intracellular regulatory events that take place during formation of the pancreas from a small cluster of cells in the foregut domain of the mouse embryo. Importantly, an understanding of principles that govern the development of this organ has equipped us with the means to manipulate both embryonic and differentiated adult cells in the context of regenerative medicine. The emerging area of lineage modulation within the adult pancreas is of particular interest, and this review summarizes recent findings that exemplify how lessons learned from development are being applied to reveal the potential of fully differentiated cells to change fate.

  11. Small grant management in health and behavioral sciences: Lessons learned.

    Science.gov (United States)

    Sakraida, Teresa J; D'Amico, Jessica; Thibault, Erica

    2010-08-01

    This article describes considerations in health and behavioral sciences small grant management and describes lessons learned during post-award implementation. Using the components by W. Sahlman [Sahlman, W. (1997). How to write a great business plan. Harvard Business Review, 75(4), 98-108] as a business framework, a plan was developed that included (a) building relationships with people in the research program and with external parties providing key resources, (b) establishing a perspective of opportunity for research advancement, (c) identifying the larger context of scientific culture and regulatory environment, and (d) anticipating problems with a flexible response and rewarding teamwork. Small grant management included developing a day-to-day system, building a grant/study program development plan, and initiating a marketing plan.

  12. Lessons Learned from PEP-II LLRF and Longitudinal Feedback

    Energy Technology Data Exchange (ETDEWEB)

    Fox, J.D.; Mastorides, T.; Rivetta, C.H.; Van Winkle, D.; /SLAC; Teytelman, D.; /Dimtel, Redwood City

    2010-08-26

    The PEP-II B-Factory collider ended the final phase of operation at nearly twice the design current and 4X the design luminosity. To highlight the evolution from the original conceptual design through to the 1.2E34 final machine we choose one example each from the broadband feedback and from the LLRF system. They illustrate the original design estimation missed some very significant details, and how in the course of PEP-II operation unexpected difficulties led to significant insights and new approaches which allowed higher machine performance. We present valuable 'lessons learned' which are of interest to designers of next generation feedback and impedance controlled LLRF systems.

  13. Community-based interventions for obesity prevention: lessons learned by Australian policy-makers

    Directory of Open Access Journals (Sweden)

    Haby Michelle M

    2012-01-01

    Full Text Available Abstract Background Interest in community-based interventions (CBIs for health promotion is increasing, with a lot of recent activity in the field. This paper aims, from a state government perspective, to examine the experience of funding and managing six obesity prevention CBIs, to identify lessons learned and to consider the implications for future investment. Specifically, we focus on the planning, government support, evaluation, research and workforce development required. Methods The lessons presented in this paper come from analysis of key project documents, the experience of the authors in managing the projects and from feedback obtained from key program stakeholders. Results CBIs require careful management, including sufficient planning time and clear governance structures. Selection of interventions should be based on evidence and tailored to local needs to ensure adequate penetration in the community. Workforce and community capacity must be assessed and addressed when selecting communities. Supporting the health promotion workforce to become adequately skilled and experienced in evaluation and research is also necessary before implementation. Comprehensive evaluation of future projects is challenging on both technical and affordability grounds. Greater emphasis may be needed on process evaluation complemented by organisation-level measures of impact and monitoring of nutrition and physical activity behaviours. Conclusions CBIs offer potential as one of a mix of approaches to obesity prevention. If successful approaches are to be expanded, care must be taken to incorporate lessons from existing and past projects. To do this, government must show strong leadership and work in partnership with the research community and local practitioners.

  14. Lessons Learned about Liquid Metal Reactors from FFTF Experience

    Energy Technology Data Exchange (ETDEWEB)

    Wootan, David W.; Casella, Andrew M.; Omberg, Ronald P.; Burke, Thomas M.; Grandy, Christopher

    2016-09-20

    The Fast Flux Test Facility (FFTF) is the most recent liquid-metal reactor (LMR) to operate in the United States, from 1982 to 1992. FFTF is located on the DOE Hanford Site near Richland, Washington. The 400-MWt sodium-cooled, low-pressure, high-temperature, fast-neutron flux, nuclear fission test reactor was designed specifically to irradiate Liquid Metal Fast Breeder Reactor (LMFBR) fuel and components in prototypical temperature and flux conditions. FFTF played a key role in LMFBR development and testing activities. The reactor provided extensive capability for in-core irradiation testing, including eight core positions that could be used with independent instrumentation for the test specimens. In addition to irradiation testing capabilities, FFTF provided long-term testing and evaluation of plant components and systems for LMFBRs. The FFTF was highly successful and demonstrated outstanding performance during its nearly 10 years of operation. The technology employed in designing and constructing this reactor, as well as information obtained from tests conducted during its operation, can significantly influence the development of new advanced reactor designs in the areas of plant system and component design, component fabrication, fuel design and performance, prototype testing, site construction, and reactor operations. The FFTF complex included the reactor, as well as equipment and structures for heat removal, containment, core component handling and examination, instrumentation and control, and for supplying utilities and other essential services. The FFTF Plant was designed using a “system” concept. All drawings, specifications and other engineering documentation were organized by these systems. Efforts have been made to preserve important lessons learned during the nearly 10 years of reactor operation. A brief summary of Lessons Learned in the following areas will be discussed: Acceptance and Startup Testing of FFTF FFTF Cycle Reports

  15. Human Systems Integration in Practice: Constellation Lessons Learned

    Science.gov (United States)

    Zumbado, Jennifer Rochlis

    2012-01-01

    NASA's Constellation program provided a unique testbed for Human Systems Integration (HSI) as a fundamental element of the Systems Engineering process. Constellation was the first major program to have HSI mandated by NASA's Human Rating document. Proper HSI is critical to the success of any project that relies on humans to function as operators, maintainers, or controllers of a system. HSI improves mission, system and human performance, significantly reduces lifecycle costs, lowers risk and minimizes re-design. Successful HSI begins with sufficient project schedule dedicated to the generation of human systems requirements, but is by no means solely a requirements management process. A top-down systems engineering process that recognizes throughout the organization, human factors as a technical discipline equal to traditional engineering disciplines with authority for the overall system. This partners with a bottoms-up mechanism for human-centered design and technical issue resolution. The Constellation Human Systems Integration Group (HSIG) was a part of the Systems Engineering and Integration (SE&I) organization within the program office, and existed alongside similar groups such as Flight Performance, Environments & Constraints, and Integrated Loads, Structures and Mechanisms. While the HSIG successfully managed, via influence leadership, a down-and-in Community of Practice to facilitate technical integration and issue resolution, it lacked parallel top-down authority to drive integrated design. This presentation will discuss how HSI was applied to Constellation, the lessons learned and best practices it revealed, and recommendations to future NASA program and project managers. This presentation will discuss how Human Systems Integration (HSI) was applied to NASA's Constellation program, the lessons learned and best practices it revealed, and recommendations to future NASA program and project managers on how to accomplish this critical function.

  16. Delivering quality care: what can emergency gynaecology learn from acute obstetrics?

    Science.gov (United States)

    Bika, O H; Edozien, L C

    2014-08-01

    Emergency obstetric care in the UK has been systematically developed over the years to high quality standards. More recently, advances have been made in the organisation and delivery of care for women presenting with acute gynaecological problems, but a lot remains to be done, and emergency gynaecology has a lot to learn from the evolution of its sister special interest area: acute obstetric care. This paper highlights areas such as consultant presence, risk management, patient flow pathways, out-of-hours care, clinical guidelines and protocols, education and training and facilities, where lessons from obstetrics are transferrable to emergency gynaecology.

  17. Reciprocal learning and chronic care model implementation in primary care: results from a new scale of learning in primary care

    Directory of Open Access Journals (Sweden)

    Noël Polly H

    2011-02-01

    Full Text Available Abstract Background Efforts to improve the care of patients with chronic disease in primary care settings have been mixed. Application of a complex adaptive systems framework suggests that this may be because implementation efforts often focus on education or decision support of individual providers, and not on the dynamic system as a whole. We believe that learning among clinic group members is a particularly important attribute of a primary care clinic that has not yet been well-studied in the health care literature, but may be related to the ability of primary care practices to improve the care they deliver. To better understand learning in primary care settings by developing a scale of learning in primary care clinics based on the literature related to learning across disciplines, and to examine the association between scale responses and chronic care model implementation as measured by the Assessment of Chronic Illness Care (ACIC scale. Methods Development of a scale of learning in primary care setting and administration of the learning and ACIC scales to primary care clinic members as part of the baseline assessment in the ABC Intervention Study. All clinic clinicians and staff in forty small primary care clinics in South Texas participated in the survey. Results We developed a twenty-two item learning scale, and identified a five-item subscale measuring the construct of reciprocal learning (Cronbach alpha 0.79. Reciprocal learning was significantly associated with ACIC total and sub-scale scores, even after adjustment for clustering effects. Conclusions Reciprocal learning appears to be an important attribute of learning in primary care clinics, and its presence relates to the degree of chronic care model implementation. Interventions to improve reciprocal learning among clinic members may lead to improved care of patients with chronic disease and may be relevant to improving overall clinic performance.

  18. A Report of At-Scale Distribution of Chlorhexidine Digluconate 7.1% Gel for Newborn Cord Care to 36,404 Newborns in Sokoto State, Nigeria: Initial Lessons Learned.

    Directory of Open Access Journals (Sweden)

    Nosakhare Orobaton

    Full Text Available With an annual estimated 276,000 neonatal deaths, Nigeria has the second highest of any country in the world. Global progress in accelerating neonatal deaths is hinged to scaled-up interventions in Nigeria. We used routine data of chlorhexidine digluconate 7.1% gel utilized by 36,404 newborns delivered by 36,370 mothers, to study lessons associated with at-scale distribution in Sokoto State, North West Nigeria.Under state government leadership, a community-based distribution system overseen by 244 ward development committees and over 3,440 community-based health volunteers and community drug keepers, was activated to deliver two locally stored medicines to women when labor commenced. Newborns and their mothers were tracked through 28 days and 42 days respectively, including verbal autopsy results. 36,404 or 26.3% of expected newborns received the gel from April 2013 to December 2013 throughout all 244 wards in the State. 99.97% of newborns survived past 28 days. There were 124 pre-verified neonatal deaths reported. Upon verification using verbal autopsy procedures, 76 deaths were stillborn and 48 were previously live births. Among the previous 48 live births, the main causes of death were sepsis (40%, asphyxia (29% and prematurity (8%. Underuse of logistics management information by government in procurement decisions and not accounting for differences in LGA population sizes during commodity distribution, severely limited program scalability.Enhancements in the predictable availability and supply of chlorhexidine digluconate 7.1% gel to communities through better, evidence-based logistics management by the state public sector will most likely dramatically increase program scalability. Infections as a cause of mortality in babies delivered in home settings may be much higher than previously conceived. In tandem with high prevalence of stillborn deaths, delivery, interventions designed to increase mothers' timely and regular use of quality

  19. Life-long learning: lessons from a Journal Study Club.

    Science.gov (United States)

    Klausner, Christine P

    2007-01-01

    Evaluation of scientific literature, promoting the delivery of evidence-based care, became the focus of a group of dental hygiene colleagues. The "Journal Study Club" (JSC) was established from this concept. JSC members discuss and evaluate professional issues utilizing research-based literature. Topics include patient care, public health/access to care, technology, modalities of treatment, and professional issues. For each topic, one member serves as a program facilitator researching the scientific literature on an agreed upon topic, chooses appropriate articles, and disseminates the articles to the members to read prior to meeting. Discussion at the study club event follows the format of examining literature content, relevance, significance, evidence accuracy, and application to clinical practice. This process supports dental Hygienists' commitment to life-long learning and the practice of evidence-based care, while providing a valuable venue for continuing dental hygiene competence and professional development.

  20. Planning lessons with learning platforms - problem and prospects for mathematics education

    DEFF Research Database (Denmark)

    Tamborg, Andreas Lindenskov

    2017-01-01

    This paper investigates how mathematics teachers plan lessons with a recently implemented Danish learning platform designed to support teachers in planning lessons in line with a recent objective-oriented curriculum. Drawing on data from observations of and interviews with teachers, three...... mathematics teachers’ joint planning of a lesson in geometry with a learning platform called Meebook is analyzed using the instrumental approach. It is concluded that the interface in Meebook orients the teachers work toward what the students should do rather than what they should learn, although the latter...... is a key intention behind the implementation of the platform. It is also concluded that when the teachers succeed in using learning objectives actively in their planning, the objectives support the teachers in designing lessons that correspond with their intentions. The paper concludes with a discussion...

  1. Organic marketing initiatives and rural development - lessons learned for the organic industry

    DEFF Research Database (Denmark)

    Kristensen, Niels Heine; Kujala, Jouni

    2005-01-01

    Kujala J, Kristensen NH, (2005): Organic marketing initiatives and rural development - lessons learned for the organic industry. Article in "Organic farming for a new millennium - status and future challenges". Published by Nordic Association of Agricultural Scientists (NJF). Swedish University...

  2. Personality disorders in the DSM-5: current status, lessons learned, and future challenges. Introduction.

    Science.gov (United States)

    Widiger, Thomas A; Krueger, Robert F

    2013-10-01

    Provides an introduction to a special section of Personality Disorders: Theory, Research, and Treatment. The purpose of this special section is to provide a discussion of the current status, lessons learned, and future challenges for the classification of personality disorders.

  3. Lessons Learned from Ares I Upper Stage Structures and Thermal Design

    Science.gov (United States)

    Ahmed, Rafiq

    2012-01-01

    The Ares 1 Upper Stage was part of the vehicle intended to succeed the Space Shuttle as the United States manned spaceflight vehicle. Although the Upper Stage project was cancelled, there were many lessons learned that are applicable to future vehicle design. Lessons learned that are briefly detailed in this Technical Memorandum are for specific technical areas such as tank design, common bulkhead design, thrust oscillation, control of flight and slosh loads, purge and hazardous gas system. In addition, lessons learned from a systems engineering and vehicle integration perspective are also included, such as computer aided design and engineering, scheduling, and data management. The need for detailed systems engineering in the early stages of a project is emphasized throughout this report. The intent is that future projects will be able to apply these lessons learned to keep costs down, schedules brief, and deliver products that perform to the expectations of their customers.

  4. From Lessons Learned the Hard Way to Lessons Learned the Harder Way

    Science.gov (United States)

    Schwegler, Andria Foote

    2013-01-01

    My departure from traditional methods of teaching and assessment (i.e., lecture and close-ended exams) was prompted years ago by a "gut feeling" that has morphed into an explicit examination of my teaching practice and students' reactions to it. The scholarly approach and empirical evidence in "Teachers and Learning"…

  5. Effect of near-fault earthquake on bridges: lessons learned from Chi-Chi earthquake

    Institute of Scientific and Technical Information of China (English)

    2002-01-01

    The objective of this paper is to describe the lessons learned and actions that have been taken related to the seismicdesign of bridge structures after the Chi-Chi, Taiwan earthquake. Much variable near-fault ground motion data was collected fromthe rupture of Chelungpu fault during the Chi-Chi earthquake, allowing the seismic response of bridge structures subjected to thesenear-fault ground motions to be carefully examined. To study the near-fault ground motion effect on bridge seismic design codes, atwo-level seismic design of bridge structures was developed and implemented. This design code reflects the near-fault factors in theseismic design forces. Finally, a risk assessment methodology, based on bridge vulnerability, is also developed to assist in decisionsfor reducing seismic risk due to failure of bridges.

  6. Integrated screening for tuberculosis and HIV in tuberculosis contact investigations: lessons learned in North Carolina.

    Science.gov (United States)

    Stout, Jason E; Katrak, Shereen; Goswami, Neela D; Norton, Brianna L; Fortenberry, Ellen R; Foust, Evelyn; Leone, Peter A

    2014-01-01

    Combating the syndemics of tuberculosis (TB) and HIV in the United States will require increasing efficiency as the incidence of TB declines. Fortunately, new tools such as the interferon gamma release assays can be combined with existing strategies such as opt-out HIV testing to facilitate simultaneous, integrated testing for both infections. We describe the lessons learned from our experience with integrated testing for TB and HIV in the setting of TB contact investigations in North Carolina. Integrated testing represents a unique opportunity to leverage TB and HIV program resources to enhance case detection and improve linkages to care. However, joint training in field investigations and diagnostics is critical prior to conducting contact investigations. Furthermore, integrated testing must be tightly coupled to treatment and prevention programs to reduce disease transmission and morbidity from untreated disease in communities.

  7. SRS SLUDGE BATCH QUALIFICATION AND PROCESSING; HISTORICAL PERSPECTIVE AND LESSONS LEARNED

    Energy Technology Data Exchange (ETDEWEB)

    Cercy, M.; Peeler, D.; Stone, M.

    2013-09-25

    This report provides a historical overview and lessons learned associated with the SRS sludge batch (SB) qualification and processing programs. The report covers the framework of the requirements for waste form acceptance, the DWPF Glass Product Control Program (GPCP), waste feed acceptance, examples of how the program complies with the specifications, an overview of the Startup Program, and a summary of continuous improvements and lessons learned. The report includes a bibliography of previous reports and briefings on the topic.

  8. Systems Engineering Lessons Learned from Solar Array Structures and Mechanisms Deployment

    Science.gov (United States)

    Vipavetz, Kevin; Kraft, Thomas

    2013-01-01

    This report has been developed by the National Aeronautics and Space Administration (NASA) Human Exploration and Operations Mission Directorate (HEOMD) Risk Management team in close coordination with the Engineering Directorate at LaRC. This document provides a point-in-time, cumulative, summary of actionable key lessons learned derived from the design project. Lessons learned invariably address challenges and risks and the way in which these areas have been addressed. Accordingly the risk management thread is woven throughout the document.

  9. Implementing the learning health care system.

    NARCIS (Netherlands)

    Verheij, R.; Barten, D.J.; Hek, K.; Nielen, M.; Prins, M.; Zwaanswijk, M.; Bakker, D. de

    2014-01-01

    Background: As computerisation of primary care facilities is rapidly increasing, a wealth of data is created in routinely recorded electronic health records (EHRs). This data can be used to create a true learning health care system, in which routinely available data are processed and analysed in ord

  10. An Overview of MODIS Calibration and Characterization and Lessons Learned

    Science.gov (United States)

    Xiong, Xiaxiong; Wenny, B.; Barnes, W. L.; Salomonson, V. V.

    2009-01-01

    The Moderate Resolution Imaging Spectroradiometer (MODIS) is a key instrument for NASA's EOS missions. Two nearly identical copies have flown on the Terra and Aqua spacecraft for more than 9 years and 6 years since their launch in December 1999 and May 2002, respectively. MODIS observations and associated data products have been widely used by the science community and users worldwide for studies of Earth's system of land, oceans, and atmosphere. MODIS was developed based on the desire of the science community to extend and enhance heritage sensors' data records. It was designed with enhancements made over its heritage sensors in terms of its spectral, spatial, and radiometric characteristics. It is a cross-track scanning radiometer, that uses a two-sided scan mirror, collecting data in 36 spectral bands covering spectral regions of visible (VIS), near-infrared (NIR), short-wave infrared (SWIR), mid-wave infrared (MWIR), and long-wave infrared (LWIR). The VIS, NIR, and SWIR bands (bands 1-19 and 26), which make measurements of daytime surface reflected radiances, are referred to as the reflective solar bands (RSB). The MWIR and LWIR bands (20-25 and 27-36), which measure both the daytime and nighttime scene emissive radiances, are thus referred to as the thermal emissive bands (TEB). In this paper, we provide an overview of MODIS instrument calibration and characterization methodologies, activities, and results from pre-launch to post launch, with emphasis on the lessons learned from its design to on-orbit operation. Currently, both instruments are operated normally and all the on-orbit calibration activities are performed on a regular basis with some at slightly reduced frequencies. The TEB responses have been extremely stable with less than 0.3% change per year. For the RSB, the changes are wavelength and scan angle dependent with the largest changes in the VIS spectral bands. As both Terra and Aqua MODIS continue to operate beyond their prime missions, constant

  11. Polio Crisis in Costa Rica: Lessons Learned and Achievements

    Directory of Open Access Journals (Sweden)

    Gioconda Vargas-Morúa

    2015-05-01

    Full Text Available This presentation shows some of the consequences of the polio crisis in Costa Rica during the 1950’s, in order to preserve certain attitudes of Costa Ricans back then that are worth remembering: simplicity, solidarity and gratefulness. Hand in hand with highly service-oriented men and women, the country overcame the crisis and built one of the most iconic hospitals in Costa Rica: the National Children’s Hospital. It is worth rescuing the lessons learned and applying them to current times. This historical text was created based on the stories told by people who lived during the times of the crisis, on a 1956 notebook, on documents from the National Archive and the National Health and Social Security Library (BINASSS, for its name in Spanish, the Costa Rican Social Security System (CCSS, for its name in Spanish, Dr. Rodolfo Álvaro Murillo, and San Juan de Dios Hospital.  National and international newspapers were also reviewed. The consulted material confirms how the work of Costa Ricans, led by committed and service-oriented individuals, allowed for the construction of the National Children’s Hospital to take place -an institution that has served the Costa Rican people for fifty years. Costa Ricans also succeeded in eradicating polio long before several other countries around the world. The reactions of people in the 1950’s are lessons of solidarity and humanity that should not be forgotten; they should be remembered in order to value team work over individual work and make sure, no matter what our role in society is, to always stand by common well-being, as mid-century Costa Ricans did by overcoming their personal limitations and acting for the benefit of society.

  12. Supply chain management/ Some lessons learned the hard way.

    Science.gov (United States)

    Nuttall, Stephen

    2013-01-01

    This paper will look at some of the experiences, lessons and frustrations experienced in managing supply chains for business continuity. No-one has time to make all the mistakes, nor to learn all the lessons on their own, so it is useful to share experiences. Over the last 25 years, the author has been involved in supply chain management as a contract manager; a programme and project manager; and as a business continuity manager. Although times change, there are some fundamental principles that are absolutely critical in making sure that supply chains do what they are needed to do/ to keep business going. Supply chains are here to stay. Indeed, with today's drive towards outsourcing, best-shoring and contracting out, they are becoming more important every year and this will only continue over time. Moreover, in the highly competitive markets in which all organisations operate, suppliers may well be carrying out operations that not all that long ago would have been considered to be part of core business. Getting the right relationship with the supply chain is more critical than ever before.1 What does this mean to business continuity professionals? They need to think not just about their own BC plans, but about the plans of their suppliers, and even those of their suppliers' suppliers. This may seem obvious, but unlike internal BC plans written by and for an organisation, it must be considered just what a supplier's plans are designed to achieve. What business outcomes will their plans deliver? If they recover their own business, how does that affect the business they serve? Are others' assumptions of how they will react in line with theirs?

  13. Bringing authentic service learning to the classroom: benefits and lessons learned

    Science.gov (United States)

    Chamberlain, Leslie C.

    2016-06-01

    Project-based learning, which has gained significant attention within K-12 education, provides rich hands-on experiences for students. Bringing an element of service to the projects allow students to engage in a local or global community, providing an abundance of benefits to the students’ learning. For example, service projects build confidence, increase motivation, and exercise problem-solving and communication skills in addition to developing a deep understanding of content. I will present lessons I have learned through four years of providing service learning opportunities in my classroom. I share ideas for astronomy projects, tips for connecting and listening to a community, and helpful guidelines to hold students accountable in order to ensure a productive and educational project.

  14. Keep It Simple: A Lesson in Linking Teens to Health Care

    Science.gov (United States)

    Eisler, Alexandra; Avellino, Lia; Chilcoat, Deborah; Schlanger, Karen

    2016-01-01

    The "Keep It Simple" package, which includes a short animated film (available online for streaming or download), a lesson plan, and supporting materials, was designed to be used with adolescents ages 15-19 to empower them to seek sexual and reproductive health care, and emphasize the availability of long-acting reversible contraception…

  15. 77 FR 55230 - Japan Lessons-Learned Project Directorate Interim Staff Guidance JLD-ISG-2012-01; Compliance With...

    Science.gov (United States)

    2012-09-07

    ... COMMISSION Japan Lessons-Learned Project Directorate Interim Staff Guidance JLD-ISG-2012-01; Compliance With...-Learned Project Directorate interim staff guidance; issuance. SUMMARY: The U.S. Nuclear Regulatory Commission (NRC or the Commission) is issuing the Final Japan Lessons-Learned Project Directorate...

  16. Anatomy of Historical Tsunamis: Lessons Learned for Tsunami Warning

    Science.gov (United States)

    Igarashi, Y.; Kong, L.; Yamamoto, M.; McCreery, C. S.

    2011-11-01

    Tsunamis are high-impact disasters that can cause death and destruction locally within a few minutes of their occurrence and across oceans hours, even up to a day, afterward. Efforts to establish tsunami warning systems to protect life and property began in the Pacific after the 1946 Aleutian Islands tsunami caused casualties in Hawaii. Seismic and sea level data were used by a central control center to evaluate tsunamigenic potential and then issue alerts and warnings. The ensuing events of 1952, 1957, and 1960 tested the new system, which continued to expand and evolve from a United States system to an international system in 1965. The Tsunami Warning System in the Pacific (ITSU) steadily improved through the decades as more stations became available in real and near-real time through better communications technology and greater bandwidth. New analysis techniques, coupled with more data of higher quality, resulted in better detection, greater solution accuracy, and more reliable warnings, but limitations still exist in constraining the source and in accurately predicting propagation of the wave from source to shore. Tsunami event data collected over the last two decades through international tsunami science surveys have led to more realistic models for source generation and inundation, and within the warning centers, real-time tsunami wave forecasting will become a reality in the near future. The tsunami warning system is an international cooperative effort amongst countries supported by global and national monitoring networks and dedicated tsunami warning centers; the research community has contributed to the system by advancing and improving its analysis tools. Lessons learned from the earliest tsunamis provided the backbone for the present system, but despite 45 years of experience, the 2004 Indian Ocean tsunami reminded us that tsunamis strike and kill everywhere, not just in the Pacific. Today, a global intergovernmental tsunami warning system is coordinated

  17. Teaching and learning in the international classroom: quality principles and lessons learned from the IntlUni project

    DEFF Research Database (Denmark)

    Lauridsen, Karen M.; Cozart, Stacey Marie

    2015-01-01

    , and expectations about the teaching and learning processes and outcomes. Certainly, many teachers in these settings are meeting the challenges of this diversity, and some are leveraging it to improve student learning and intercultural competence. Nevertheless, the work of IntlUni, an Erasmus Academic Network (2012...... of principles for quality teaching and learning in the international classroom, developed by the network, as well as a number of the important lessons learned...

  18. Recognising Health Care Assistants' Prior Learning through a Caring Ideology

    Science.gov (United States)

    Sandberg, Fredrik

    2010-01-01

    This article critically appraises a process of recognising prior learning (RPL) using analytical tools from Habermas' theory of communicative action. The RPL process is part of an in-service training program for health care assistants where the goal is to become a licensed practical nurse. Data about the RPL process were collected using interviews…

  19. The learning organisation and health care education.

    Science.gov (United States)

    Al-Abri, Rashid K; Al-Hashmi, Intisar S

    2007-12-01

    The 'Learning Organisation' is a concept first described by Peter Senge as an organisation where people continuously learn and enhance their capabilities to create. It consists of five main disciplines: team learning, shared vision, mental models, personal mastery and systems thinking. These disciplines are dynamic and interact with each other. System thinking is the cornerstone of a true learning organisation and is described as the discipline used to implement the disciplines. In a learning organisation, health care education aims to educate its members with up to date knowledge to produce competent and safe personnel, who can promote quality in health care services. In addition, there are some educational concepts and theoretical models, which are of relevance to the learning organisation, and can provide a framework for managerial decisions. The stages required to achieve the principles of a learning organisation will be described in detail. Moreover, in a proper culture which supports the learning organisation, members continuously learn to improve the environment and never remain passive recipients.

  20. Suit Port Aft Bulkhead Mockup Test Results and Lessons Learned

    Science.gov (United States)

    Romig, Barbara A.; Allton, Charles

    2009-01-01

    The Small Pressurized Rover (SPR) is currently being carried as an integral part of the current Lunar Surface Architectures under consideration in the Constellation program. One element of the SPR is the suit port, the means by which the crew performs Extravehicular Activities (EVAs). Two suit port deliverables were produced in fiscal year 2008: an aft bulkhead mockup for functional integrated testing with the 1-G SPR mockup and a functional and pressurizable engineering unit. This paper focuses on the test results and lessons learned on the aft bulkhead mockup. The suit port aft bulkhead mockup was integrated with the mockup of the SPR cabin and chassis. It is located on the aft bulkhead of the SPR cabin structure and includes hatches, a locking mechanism, seals, interior and exterior suit don/doff aids, and exterior platforms to accommodate different crewmember heights. A lightweight mockup of the Mark III suit was tested with the suit port aft bulkhead mockup. There are several limitations to the suit port and mockup suits, and results of the suit port evaluation are presented and interpreted within the context of the limitations.

  1. Project Interface Requirements Process Including Shuttle Lessons Learned

    Science.gov (United States)

    Bauch, Garland T.

    2010-01-01

    Most failures occur at interfaces between organizations and hardware. Processing interface requirements at the start of a project life cycle will reduce the likelihood of costly interface changes/failures later. This can be done by adding Interface Control Documents (ICDs) to the Project top level drawing tree, providing technical direction to the Projects for interface requirements, and by funding the interface requirements function directly from the Project Manager's office. The interface requirements function within the Project Systems Engineering and Integration (SE&I) Office would work in-line with the project element design engineers early in the life cycle to enhance communications and negotiate technical issues between the elements. This function would work as the technical arm of the Project Manager to help ensure that the Project cost, schedule, and risk objectives can be met during the Life Cycle. Some ICD Lessons Learned during the Space Shuttle Program (SSP) Life Cycle will include the use of hardware interface photos in the ICD, progressive life cycle design certification by analysis, test, & operations experience, assigning interface design engineers to Element Interface (EI) and Project technical panels, and linking interface design drawings with project build drawings

  2. The iCub Software Architecture: evolution and lessons learned

    Directory of Open Access Journals (Sweden)

    Lorenzo eNatale

    2016-04-01

    Full Text Available The complexity of humanoid robots is increasing with the availability of new sensors, embedded CPUs and actuators. This wealth of technologies allows researchers to investigate new problems like whole-body force control, multi-modal human-robot interaction and sensory fusion. Under the hood of these robots, the software architecture has an important role: it allows researchers to get access to the robot functionalities focusing primarily on their research problems, it supports code reuse to minimize development and debugging, especially when new hardware becomes available. But more importantly it allows increasing the complexity of the experiments that can be implemented before system integration becomes unmanageable and debugging draws more resources than research itself.In this paper we illustrate the software architecture of the iCub humanoid robot and the software engineering best practices that have emerged driven by the needs of our research community. We describe the latest developments at the level of the middleware supporting interface definition and automatic code generation, logging, ROS compatibility and channel prioritization. We show the robot abstraction layer and how it has been modified to better address the requirements of the users and to support new hardware as it became available. We also describe the testing framework we have recently adopted for developing code using a test driven methodology. We conclude the paper discussing the lessons we have learned during the past eleven years of software development on the iCub humanoid robot.

  3. Social Networking Sites and Addiction: Ten Lessons Learned.

    Science.gov (United States)

    Kuss, Daria J; Griffiths, Mark D

    2017-03-17

    Online social networking sites (SNSs) have gained increasing popularity in the last decade, with individuals engaging in SNSs to connect with others who share similar interests. The perceived need to be online may result in compulsive use of SNSs, which in extreme cases may result in symptoms and consequences traditionally associated with substance-related addictions. In order to present new insights into online social networking and addiction, in this paper, 10 lessons learned concerning online social networking sites and addiction based on the insights derived from recent empirical research will be presented. These are: (i) social networking and social media use are not the same; (ii) social networking is eclectic; (iii) social networking is a way of being; (iv) individuals can become addicted to using social networking sites; (v) Facebook addiction is only one example of SNS addiction; (vi) fear of missing out (FOMO) may be part of SNS addiction; (vii) smartphone addiction may be part of SNS addiction; (viii) nomophobia may be part of SNS addiction; (ix) there are sociodemographic differences in SNS addiction; and (x) there are methodological problems with research to date. These are discussed in turn. Recommendations for research and clinical applications are provided.

  4. Social Networking Sites and Addiction: Ten Lessons Learned

    Directory of Open Access Journals (Sweden)

    Daria J. Kuss

    2017-03-01

    Full Text Available Online social networking sites (SNSs have gained increasing popularity in the last decade, with individuals engaging in SNSs to connect with others who share similar interests. The perceived need to be online may result in compulsive use of SNSs, which in extreme cases may result in symptoms and consequences traditionally associated with substance-related addictions. In order to present new insights into online social networking and addiction, in this paper, 10 lessons learned concerning online social networking sites and addiction based on the insights derived from recent empirical research will be presented. These are: (i social networking and social media use are not the same; (ii social networking is eclectic; (iii social networking is a way of being; (iv individuals can become addicted to using social networking sites; (v Facebook addiction is only one example of SNS addiction; (vi fear of missing out (FOMO may be part of SNS addiction; (vii smartphone addiction may be part of SNS addiction; (viii nomophobia may be part of SNS addiction; (ix there are sociodemographic differences in SNS addiction; and (x there are methodological problems with research to date. These are discussed in turn. Recommendations for research and clinical applications are provided.

  5. Space Stirling Cryocooler Contamination Lessons Learned and Recommended Control Procedures

    Science.gov (United States)

    Glaister, D. S.; Price, K.; Gully, W.; Castles, S.; Reilly, J.

    The most important characteristic of a space cryocooler is its reliability over a lifetime typically in excess of 7 years. While design improvements have reduced the probability of mechanical failure, the risk of internal contamination is still significant and has not been addressed in a consistent approach across the industry. A significant fraction of the endurance test and flight units have experienced some performance degradation related to internal contamination. The purpose of this paper is to describe and assess the contamination issues inside long life, space cryocoolers and to recommend procedures to minimize the probability of encountering contamination related failures and degradation. The paper covers the sources of contamination, the degradation and failure mechanisms, the theoretical and observed cryocooler sensitivity, and the recommended prevention procedures and their impact. We begin with a discussion of the contamination sources, both artificial and intrinsic. Next, the degradation and failure mechanisms are discussed in an attempt to arrive at a contaminant susceptibility, from which we can derive a contamination budget for the machine. This theoretical sensitivity is then compared with the observed sensitivity to illustrate the conservative nature of the assumed scenarios. A number of lessons learned on Raytheon, Ball, Air Force Research Laboratory, and NASA GSFC programs are shared to convey the practical aspects of the contamination problem. Then, the materials and processes required to meet the proposed budget are outlined. An attempt is made to present a survey of processes across industry.

  6. Radioactivity: lessons learned from Chernobyl; Radioactivite: les lecons de Tchernobyl

    Energy Technology Data Exchange (ETDEWEB)

    Hertel, O.; Rouat, S.; Mulot, R.; Chauveau, L.; Khalatbari, A.; Riou-Milliot, S.

    2011-05-15

    A set of articles draws lessons learned from the Chernobyl accident and indicates how they can be applied to the Fukushima accident. Notably, it describes contamination mechanisms and how food, milk, vegetables, water organisms become hazardous. It highlights the influence of the initial contamination concentration. Then, it addresses soil contamination where caesium 137 reveals itself not much mobile and concentrated in surface layers. As far as oceans are concerned, they are said to be able to absorb radioactivity: 60 years of anthropic radioactive releases apparently did not have any obvious negative impact on sea environment. Underground waters are affected with some delay, and radioactive dusts which are present in the atmosphere fall with the rain and may appear again later in case of forest fires as it has been noticed. A brief article presents the French radioactivity detection network. The lack of knowledge on the effect of low doses is also commented. The technological aspect is addressed, with the development of automatic means of intervention. A last article gives an overview of the situation in the Fukushima area, indicates and comments contamination levels

  7. Nuclear power plant Generic Aging Lessons Learned (GALL). Appendix B

    Energy Technology Data Exchange (ETDEWEB)

    Kasza, K.E.; Diercks, D.R.; Holland, J.W.; Choi, S.U. [and others

    1996-12-01

    The purpose of this generic aging lessons learned (GALL) review is to provide a systematic review of plant aging information in order to assess materials and component aging issues related to continued operation and license renewal of operating reactors. Literature on mechanical, structural, and thermal-hydraulic components and systems reviewed consisted of 97 Nuclear Plant Aging Research (NPAR) reports, 23 NRC Generic Letters, 154 Information Notices, 29 Licensee Event Reports (LERs), 4 Bulletins, and 9 Nuclear Management and Resources Council Industry Reports (NUMARC IRs) and literature on electrical components and systems reviewed consisted of 66 NPAR reports, 8 NRC Generic Letters, 111 Information Notices, 53 LERs, 1 Bulletin, and 1 NUMARC IR. More than 550 documents were reviewed. The results of these reviews were systematized using a standardized GALL tabular format and standardized definitions of aging-related degradation mechanisms and effects. The tables are included in volume s 1 and 2 of this report. A computerized data base has also been developed for all review tables and can be used to expedite the search for desired information on structures, components, and relevant aging effects. A survey of the GALL tables reveals that all ongoing significant component aging issues are currently being addressed by the regulatory process. However, the aging of what are termed passive components has been highlighted for continued scrutiny. This report consists of Volume 2, which consists of the GALL literature review tables for the NUMARC Industry Reports reviewed for the report.

  8. Social Networking Sites and Addiction: Ten Lessons Learned

    Science.gov (United States)

    Kuss, Daria J.; Griffiths, Mark D.

    2017-01-01

    Online social networking sites (SNSs) have gained increasing popularity in the last decade, with individuals engaging in SNSs to connect with others who share similar interests. The perceived need to be online may result in compulsive use of SNSs, which in extreme cases may result in symptoms and consequences traditionally associated with substance-related addictions. In order to present new insights into online social networking and addiction, in this paper, 10 lessons learned concerning online social networking sites and addiction based on the insights derived from recent empirical research will be presented. These are: (i) social networking and social media use are not the same; (ii) social networking is eclectic; (iii) social networking is a way of being; (iv) individuals can become addicted to using social networking sites; (v) Facebook addiction is only one example of SNS addiction; (vi) fear of missing out (FOMO) may be part of SNS addiction; (vii) smartphone addiction may be part of SNS addiction; (viii) nomophobia may be part of SNS addiction; (ix) there are sociodemographic differences in SNS addiction; and (x) there are methodological problems with research to date. These are discussed in turn. Recommendations for research and clinical applications are provided. PMID:28304359

  9. SAGE III on ISS Lessons Learned on Thermal Interface Design

    Science.gov (United States)

    Davis, Warren

    2015-01-01

    The Stratospheric Aerosol and Gas Experiment III (SAGE III) instrument - the fifth in a series of instruments developed for monitoring vertical distribution of aerosols, ozone, and other trace gases in the Earth's stratosphere and troposphere - is currently scheduled for delivery to the International Space Station (ISS) via the SpaceX Dragon vehicle in 2016. The Instrument Adapter Module (IAM), one of many SAGE III subsystems, continuously dissipates a considerable amount of thermal energy during mission operations. Although a portion of this energy is transferred via its large radiator surface area, the majority must be conductively transferred to the ExPRESS Payload Adapter (ExPA) to satisfy thermal mitigation requirements. The baseline IAM-ExPA mechanical interface did not afford the thermal conductance necessary to prevent the IAM from overheating in hot on-orbit cases, and high interfacial conductance was difficult to achieve given the large span between mechanical fasteners, less than stringent flatness specifications, and material usage constraints due to strict contamination requirements. This paper will examine the evolution of the IAM-ExPA thermal interface over the course of three design iterations and will include discussion on design challenges, material selection, testing successes and failures, and lessons learned.

  10. Nmag micromagnetic simulation tool - software engineering lessons learned

    CERN Document Server

    Fangohr, Hans; Franchin, Matteo

    2016-01-01

    We review design decisions and their impact for the open source code Nmag from a software engineering in computational science point of view. Key lessons to learn include that the approach of encapsulating the simulation functionality in a library of a general purpose language, here Python, eliminates the need for configuration files, provides greatest flexibility in using the simulation, allows mixing of multiple simulations, pre- and post-processing in the same (Python) file, and allows to benefit from the rich Python ecosystem of scientific packages. The choice of programming language (OCaml) for the computational core did not resonate with the users of the package (who are not computer scientists) and was suboptimal. The choice of Python for the top-level user interface was very well received by users from the science and engineering community. The from-source installation in which key requirements were compiled from a tarball was remarkably robust. In places, the code is a lot more ambitious than necessa...

  11. Warfighter information services: lessons learned in the intelligence domain

    Science.gov (United States)

    Bray, S. E.

    2014-05-01

    A vision was presented in a previous paper of how a common set of services within a framework could be used to provide all the information processing needs of Warfighters. Central to that vision was the concept of a "Virtual Knowledge Base". The paper presents an implementation of these ideas in the intelligence domain. Several innovative technologies were employed in the solution, which are presented and their benefits explained. The project was successful, validating many of the design principles for such a system which had been proposed in earlier work. Many of these principles are discussed in detail, explaining lessons learned. The results showed that it is possible to make vast improvements in the ability to exploit available data, making it discoverable and queryable wherever it is from anywhere within a participating network; and to exploit machine reasoning to make faster and better inferences from available data, enabling human analysts to spend more of their time doing more difficult analytical tasks rather than searching for relevant data. It was also demonstrated that a small number of generic Information Processing services can be combined and configured in a variety of ways (without changing any software code) to create "fact-processing" workflows, in this case to create different intelligence analysis capabilities. It is yet to be demonstrated that the same generic services can be reused to create analytical/situational awareness capabilities for logistics, operations, planning or other military functions but this is considered likely.

  12. MIDAS: Lessons learned from the first spaceborne atomic force microscope

    CERN Document Server

    Bentley, Mark S; Butler, Bart; Gavira, Jose; Jeszenszky, Harald; Mannel, Thurid; Romstedt, Jens; Schmied, Roland; Torkar, Klaus

    2016-01-01

    The Micro-Imaging Dust Analysis System (MIDAS) atomic force microscope (AFM) onboard the Rosetta orbiter was the first such instrument launched into space in 2004. Designed only a few years after the technique was invented, MIDAS is currently orbiting comet 67P Churyumov-Gerasimenko and producing the highest resolution 3D images of cometary dust ever made in situ. After more than a year of continuous operation much experience has been gained with this novel instrument. Coupled with operations of the Flight Spare and advances in terrestrial AFM a set of "lessons learned" has been produced, cumulating in recommendations for future spaceborne atomic force microscopes. The majority of the design could be reused as-is, or with incremental upgrades to include more modern components (e.g. the processor). Key additional recommendations are to incorporate an optical microscope to aid the search for particles and image registration, to include a variety of cantilevers (with different spring constants) and a variety of ...

  13. Geocuration Lessons Learned from the Climate Data Initiative Project

    Science.gov (United States)

    Ramachandran, R.; Bugbee, K.; Tilmes, C.; Privette, A. P.

    2015-12-01

    Curation is traditionally defined as the process of collecting and organizing information around a common subject matter or a topic of interest and typically occurs in museums, art galleries, and libraries. The task of organizing data around specific topics or themes is a vibrant and growing effort in the biological sciences but to date this effort has not been actively pursued in the Earth sciences. This presentation will introduce the concept of geocuration, which we define it as the act of searching, selecting, and synthesizing Earth science data/metadata and information from across disciplines and repositories into a single, cohesive, and useful compendium.We also present the Climate Data Initiative (CDI) project as an exemplar example. The CDI project is a systematic effort to manually curate and share openly available climate data from various federal agencies. CDI is a broad multi-agency effort of the U.S. government and seeks to leverage the extensive existing federal climate-relevant data to stimulate innovation and private-sector entrepreneurship to support national climate-change preparedness. The geocuration process used in CDI project, key lessons learned, and suggestions to improve similar geocuration efforts in the future will be part of this presentation.

  14. Technological learning through international collaboration: Lessons from the field

    Science.gov (United States)

    Wood, Danielle; Weigel, Annalisa

    2013-02-01

    Countries on every continent are making new or renewed commitments to domestic satellite programs. These programs have the potential to address national needs by enhancing access to information, improving infrastructure and providing inspiration to the public. How do countries without local expertise in space technology begin a new satellite program? What is the role of international collaboration in supporting the efforts of a new space fairing country? This paper explores such questions by highlighting outputs from intensive field work in Africa and Asia. Specifically, the study explores case studies of early space activity in these countries to search for lessons about the management of a young space program. The observations from field work are compared to ideas from scholarly literature on technological learning. The findings are organized using principles from systems architecture. The paper presents a model that captures many of the influences and strategic decision areas for a collaborative satellite development project. The paper also highlights the growth of capability among African countries in the area of satellite technology.

  15. Sports genetics moving forward: lessons learned from medical research.

    Science.gov (United States)

    Mattsson, C Mikael; Wheeler, Matthew T; Waggott, Daryl; Caleshu, Colleen; Ashley, Euan A

    2016-03-01

    Sports genetics can take advantage of lessons learned from human disease genetics. By righting past mistakes and increasing scientific rigor, we can magnify the breadth and depth of knowledge in the field. We present an outline of challenges facing sports genetics in the light of experiences from medical research. Sports performance is complex, resulting from a combination of a wide variety of different traits and attributes. Improving sports genetics will foremost require analyses based on detailed phenotyping. To find widely valid, reproducible common variants associated with athletic phenotypes, study sample sizes must be dramatically increased. One paradox is that in order to confirm relevance, replications in specific populations must be undertaken. Family studies of athletes may facilitate the discovery of rare variants with large effects on athletic phenotypes. The complexity of the human genome, combined with the complexity of athletic phenotypes, will require additional metadata and biological validation to identify a comprehensive set of genes involved. Analysis of personal genetic and multiomic profiles contribute to our conceptualization of precision medicine; the same will be the case in precision sports science. In the refinement of sports genetics it is essential to evaluate similarities and differences between sexes and among ethnicities. Sports genetics to date have been hampered by small sample sizes and biased methodology, which can lead to erroneous associations and overestimation of effect sizes. Consequently, currently available genetic tests based on these inherently limited data cannot predict athletic performance with any accuracy.

  16. New architectures support for ALMA common software: lessons learned

    Science.gov (United States)

    Menay, Camilo E.; Zamora, Gabriel A.; Tobar, Rodrigo J.; Avarias, Jorge A.; Dahl-skog, Kevin R.; von Brand, Horst H.; Chiozzi, Gianluca

    2010-07-01

    ALMA Common Software (ACS) is a distributed control framework based on CORBA that provides communication between distributed pieces of software. Because of its size and complexity it provides its own compilation system, a mix of several technologies. The current ACS compilation process depends on specific tools, compilers, code generation, and a strict dependency model induced by the large number of software components. This document presents a summary of several porting and compatibility attempts at using ACS on platforms other than the officially supported one. A porting of ACS to the Microsoft Windows Platform and to the ARM processor architecture were attempted, with different grades of success. Also, support for LINUX-PREEMPT (a set of real-time patches for the Linux kernel) using a new design for real-time services was implemented. These efforts were integrated with the ACS building and compilation system, while others were included in its design. Lessons learned in this process are presented, and a general approach is extracted from them.

  17. NASA Composite Materials Development: Lessons Learned and Future Challenges

    Science.gov (United States)

    Tenney, Darrel R.; Davis, John G., Jr.; Pipes, R. Byron; Johnston, Norman

    2009-01-01

    Composite materials have emerged as the materials of choice for increasing the performance and reducing the weight and cost of military, general aviation, and transport aircraft and space launch vehicles. Major advancements have been made in the ability to design, fabricate, and analyze large complex aerospace structures. The recent efforts by Boeing and Airbus to incorporate composite into primary load carrying structures of large commercial transports and to certify the airworthiness of these structures is evidence of the significant advancements made in understanding and use of these materials in real world aircraft. NASA has been engaged in research on composites since the late 1960 s and has worked to address many development issues with these materials in an effort to ensure safety, improve performance, and improve affordability of air travel for the public good. This research has ranged from synthesis of advanced resin chemistries to development of mathematical analyses tools to reliably predict the response of built-up structures under combined load conditions. The lessons learned from this research are highlighted with specific examples to illustrate the problems encountered and solutions to these problems. Examples include specific technologies related to environmental effects, processing science, fabrication technologies, nondestructive inspection, damage tolerance, micromechanics, structural mechanics, and residual life prediction. The current state of the technology is reviewed and key issues requiring additional research identified. Also, grand challenges to be solved for expanded use of composites in aero structures are identified.

  18. Anthropology and Epidemiology: learning epistemological lessons through a collaborative venture.

    Science.gov (United States)

    Béhague, Dominique Pareja; Gonçalves, Helen; Victora, Cesar Gomes

    2008-01-01

    Collaboration between anthropology and epidemiology has a long and tumultuous history. Based on empirical examples, this paper describes a number of epistemological lessons we have learned through our experience of cross disciplinary collaboration. Although critical of both mainstream epidemiology and medical anthropology, our analysis focuses on the implications of addressing each discipline's main epistemological differences, while addressing the goal of adopting a broader social approach to health improvement. We believe it is important to push the boundaries of research collaborations from the more standard forms of "multidisciplinarity," to the adoption of theoretically imbued "interdisciplinarity." The more we challenge epistemological limitations and modify ways of knowing, the more we will be able to provide in-depth explanations for the emergence of disease-patterns and thus, to problem-solve. In our experience, both institutional support and the adoption of a relativistic attitude are necessary conditions for sustained theoretical interdisciplinarity. Until researchers acknowledge that methodology is merely a human-designed tool to interpret reality, unnecessary methodological hyper-specialization will continue to alienate one field of knowledge from the other.

  19. Towards Global Transdisciplinary Research: Lessons Learned from the Belmont Forum

    Science.gov (United States)

    Paillard, S. J.; Uhle, M. E.; van Jaarsveld, A. S.; Monfray, P.

    2014-12-01

    The Belmont Forum was initiated in 2009 by a sub group of the International Group of Funding Agencies for Global Change Research. The Belmont Challenge embodies the Forum's central goal: to deliver knowledge needed for societies to take action to mitigate and adapt to detrimental environmental change. This is fostered through collaboration among scientists across the globe and by stressing the importance of co-production of knowledge associated with coupled natural and social systems. The Belmont Challenge was clearly aligned with other collective thinking processes within the research community and key knowledge users from intergovernmental bodies. Convergence of these efforts gave rise to the S&T Alliance for Global Sustainability and its initiative - Future Earth. Collaborative Research Actions, consisting primarily of multilateral research calls to address topics relevant to Future Earth, have been the main tool developed to address the Belmont Challenge and some early lessons emerged. First, obstacles faced by the Belmont Forum are similar to those met by scientists collaborating across traditional boundaries. Building shared languages and interests between various disciplines and across global cultures, remains difficult; this results in a persistent underestimation of the transformation required to move knowledge creation towards a truly global inter- and transdisciplinary science. Second, the diversity of organizations, cultures and practices within the Belmont Forum is the main source of its creativity and its challenges. While some convergence is needed to build coherent strategies and work efficiently together, diversity is necessary to design actions suitable for all partners regardless of their national research system and science-policy priorities. Finding the right trade-offs is a learning process that Future Earth is also facing; thus both initiatives are not only linked through funding relations but also through strongly intertwined learning curves.

  20. Evaluation and lessons learned from an undergraduate service learning course providing youth-focused relationship education.

    Science.gov (United States)

    McElwain, Alyssa; Finnegan, Vanessa; Whittaker, Angela; Kerpelman, Jennifer; Adler-Baeder, Francesca; Duke, Adrienne

    2016-10-01

    Adolescent romantic relationships are known to have a significant impact on individual well-being and development. However, few teens experience formal education about the knowledge and skills necessary for building healthy romantic relationships. In response, a statewide relationship education initiative was developed at a large university in a Southeastern state. Undergraduates who enrolled in a service learning course in Human Development and Family Studies partnered with this initiative and implemented a relationship education program targeting high school students. A service learning model is used in this initiative because it offers opportunities for students' professional development and experiential learning. The present article provides a formative and illustrative summative evaluation of the service learning program. Specifically, the primary aims of this paper are to 1) provide an overview of the service learning course components; 2) describe preparation of the service learning students and their implementation of the relationship education program; 3) discuss challenges and lessons learned; and 4) offer initial evidence of effectiveness by showing change in targeted outcomes for the high school student recipients of the relationship education program.

  1. Perceived Advantages of 3D Lessons in Constructive Learning for South African Student Teachers Encountering Learning Barriers

    Science.gov (United States)

    de Jager, Thelma

    2017-01-01

    Research shows that three-dimensional (3D)-animated lessons can contribute to student teachers' effective learning and comprehension, regardless of the learning barriers they experience. Student teachers majoring in the subject Life Sciences in General Subject Didactics viewed 3D images of the heart during lectures. The 3D images employed in the…

  2. Project-Based Learning Using Discussion and Lesson-Learned Methods via Social Media Model for Enhancing Problem Solving Skills

    Science.gov (United States)

    Jewpanich, Chaiwat; Piriyasurawong, Pallop

    2015-01-01

    This research aims to 1) develop the project-based learning using discussion and lesson-learned methods via social media model (PBL-DLL SoMe Model) used for enhancing problem solving skills of undergraduate in education student, and 2) evaluate the PBL-DLL SoMe Model used for enhancing problem solving skills of undergraduate in education student.…

  3. Lessons Learned from Working with High-Ability Students

    Science.gov (United States)

    Pfeiffer, Steven I.

    2013-01-01

    This article discusses three lessons that stand out as particularly poignant in the author's career working with high-ability students. The author recounts personal and professional experiences that influenced his thinking. The three lessons are that identifying high-ability students is not an easy business, the development of talent requires more…

  4. Gemini Observatory base facility operations: systems engineering process and lessons learned

    Science.gov (United States)

    Serio, Andrew; Cordova, Martin; Arriagada, Gustavo; Adamson, Andy; Close, Madeline; Coulson, Dolores; Nitta, Atsuko; Nunez, Arturo

    2016-08-01

    Gemini North Observatory successfully began nighttime remote operations from the Hilo Base Facility control room in November 2015. The implementation of the Gemini North Base Facility Operations (BFO) products was a great learning experience for many of our employees, including the author of this paper, the BFO Systems Engineer. In this paper we focus on the tailored Systems Engineering processes used for the project, the various software tools used in project support, and finally discuss the lessons learned from the Gemini North implementation. This experience and the lessons learned will be used both to aid our implementation of the Gemini South BFO in 2016, and in future technical projects at Gemini Observatory.

  5. Epidemiologic Methods Lessons Learned from Environmental Public Health Disasters: Chernobyl, the World Trade Center, Bhopal, and Graniteville, South Carolina

    Directory of Open Access Journals (Sweden)

    Timothy A. Mousseau

    2012-08-01

    Full Text Available Background: Environmental public health disasters involving hazardous contaminants may have devastating effects. While much is known about their immediate devastation, far less is known about long-term impacts of these disasters. Extensive latent and chronic long-term public health effects may occur. Careful evaluation of contaminant exposures and long-term health outcomes within the constraints imposed by limited financial resources is essential. Methods: Here, we review epidemiologic methods lessons learned from conducting long-term evaluations of four environmental public health disasters involving hazardous contaminants at Chernobyl, the World Trade Center, Bhopal, and Graniteville (South Carolina, USA. Findings: We found several lessons learned which have direct implications for the on-going disaster recovery work following the Fukushima radiation disaster or for future disasters. Interpretation: These lessons should prove useful in understanding and mitigating latent health effects that may result from the nuclear reactor accident in Japan or future environmental public health disasters.

  6. Training Self-Regulated Learning in the Classroom: Development and Evaluation of Learning Materials to Train Self-Regulated Learning during Regular Mathematics Lessons at Primary School

    OpenAIRE

    2012-01-01

    The aim of the intervention based on the self-regulation theory by Zimmerman (2000) was to promote a powerful learning environment for supporting self-regulated learning by using learning materials. In the study, primary school teachers were asked to implement specific learning materials into their regular mathematics lessons in grade four. These learning materials focused on particular (meta)cognitive and motivational components of self-regulated learning and were subdivided into six units, ...

  7. Dynamic Lesson Planning in EFL Reading Classes through a New e-Learning System

    Science.gov (United States)

    Okada, Takeshi; Sakamoto, Yasunobu

    2015-01-01

    This paper illustrates how lesson plans, teaching styles and assessment can be dynamically adapted on a real-time basis during an English as a Foreign Language (EFL) reading classroom session by using a new e-learning system named iBELLEs (interactive Blended English Language Learning Enhancement system). iBELLEs plays a crucial role in filling…

  8. Novice Teachers' Perspectives on Learning in Lesson Rehearsals in Second Language Teacher Preparation

    Science.gov (United States)

    Troyan, Francis John; Peercy, Megan Madigan

    2016-01-01

    Although scholars working in core practices have put forth lesson rehearsals as central to novice teachers' learning and development, there is little work on how novice teachers experience rehearsals. This qualitative research investigated learning opportunities for novice teachers of language learners during rehearsals. The analysis examines two…

  9. Decision Process to Identify Lessons for Transition to a Distributed (or Blended) Learning Instructional Format

    Science.gov (United States)

    2009-09-01

    lessons from the total corpus being considered to identify those most suitable for transition to a distributed learning or a blended learning format...grounded theory. Chicago: Aldine. Linge, D. (Trans., Ed.) (1976). Introduction. In Gadamer, H.-G., Philosophical hermeneutics . Berkeley, CA

  10. Kinesthetic Astronomy: Significant Upgrades to the Sky Time Lesson that Support Student Learning

    Science.gov (United States)

    Morrow, C. A.; Zawaski, M.

    2004-12-01

    This paper will report on a significant upgrade to the first in a series of innovative, experiential lessons we call Kinesthetic Astronomy. The Sky Time lesson reconnects students with the astronomical meaning of the day, year, and seasons. Like all Kinesthetic Astronomy lessons, it teaches basic astronomical concepts through choreographed bodily movements and positions that provide educational sensory experiences. They are intended for sixth graders up through adult learners in both formal and informal educational settings. They emphasize astronomical concepts and phenomenon that people can readily encounter in their "everyday" lives such as time, seasons, and sky motions of the Sun, Moon, stars, and planets. Kinesthetic Astronomy lesson plans are fully aligned with national science education standards, both in content and instructional practice. Our lessons offer a complete learning cycle with written assessment opportunities now embedded throughout the lesson. We have substantially strengthened the written assessment options for the Sky Time lesson to help students translate their kinesthetic and visual learning into the verbal-linguistic and mathematical-logical realms of expression. Field testing with non-science undergraduates, middle school science teachers and students, Junior Girl Scouts, museum education staff, and outdoor educators has been providing evidence that Kinesthetic Astronomy techniques allow learners to achieve a good grasp of concepts that are much more difficult to learn in more conventional ways such as via textbooks or even computer animation. Field testing of the Sky Time lesson has also led us to significant changes from the previous version to support student learning. We will report on the nature of these changes.

  11. Lessons Learned in International Safeguards - Implementation of Safeguards at the Rokkasho Reprocessing Plant

    Energy Technology Data Exchange (ETDEWEB)

    Ehinger, Michael H [ORNL; Johnson, Shirley [Tucker Creek Consulting

    2010-02-01

    The focus of this report is lessons learned at the Rokkasho Reprocessing Plant (RRP). However, the subject of lessons learned for application of international safeguards at reprocessing plants includes a cumulative history of inspections starting at the West Valley (New York, U.S.A.) reprocessing plant in 1969 and proceeding through all of the efforts over the years. The RRP is the latest and most challenging application the International Atomic Energy Agency has faced. In many ways the challenges have remained the same, timely inspection and evaluation with limited inspector resources, with the continuing realization that planning and preparations can never start early enough in the life cycle of a facility. Lessons learned over the years have involved the challenges of using ongoing advances in technology and dealing with facilities with increased throughput and continuous operation. This report will begin with a review of historical developments and lessons learned. This will provide a basis for a discussion of the experiences and lessons learned from the implementation of international safeguards at RRP.

  12. High Temperature Gas-Cooled Reactors Lessons Learned Applicable to the Next Generation Nuclear Plant

    Energy Technology Data Exchange (ETDEWEB)

    J. M. Beck; L. F. Pincock

    2011-04-01

    The purpose of this report is to identify possible issues highlighted by these lessons learned that could apply to the NGNP in reducing technical risks commensurate with the current phase of design. Some of the lessons learned have been applied to the NGNP and documented in the Preconceptual Design Report. These are addressed in the background section of this document and include, for example, the decision to use TRISO fuel rather than BISO fuel used in the Peach Bottom reactor; the use of a reactor pressure vessel rather than prestressed concrete found in Fort St. Vrain; and the use of helium as a primary coolant rather than CO2. Other lessons learned, 68 in total, are documented in Sections 2 through 6 and will be applied, as appropriate, in advancing phases of design. The lessons learned are derived from both negative and positive outcomes from prior HTGR experiences. Lessons learned are grouped according to the plant, areas, systems, subsystems, and components defined in the NGNP Preconceptual Design Report, and subsequent NGNP project documents.

  13. Learning to Learn: towards a Relational and Transformational Model of Learning for Improved Integrated Care Delivery

    Directory of Open Access Journals (Sweden)

    John Diamond

    2013-06-01

    Full Text Available Health and social care systems are implementing fundamental changes to organizational structures and work practices in an effort to achieve integrated care. While some integration initiatives have produced positive outcomes, many have not. We reframe the concept of integration as a learning process fueled by knowledge exchange across diverse professional and organizational communities. We thus focus on the cognitive and social dynamics of learning in complex adaptive systems, and on learning behaviours and conditions that foster collective learning and improved collaboration. We suggest that the capacity to learn how to learn shapes the extent to which diverse professional groups effectively exchange knowledge and self-organize for integrated care delivery.

  14. Continuity in health care: lessons from supply chain management.

    Science.gov (United States)

    Meijboom, Bert R; Bakx, Saskia J W G C; Westert, Gert P

    2010-01-01

    In health care, multidisciplinary collaboration is both indispensable and complicated. We discuss organizational problems that occur in situations where multiple health care providers are required to cooperate for patients with complex needs. Four problem categories, labelled as communication, patient safety, waiting times and integration are distinguished. Then we develop a supply chain perspective on these problems in the sense of discussing remedies according to supply chain management (SCM) literature. This perspective implies a business focus on inter-organizational conditions and requirements necessary for delivering health care and cure across organizational borders. We conclude by presenting some strategic and policy recommendations.

  15. TQM STRATEGIES AND HEALTH CARE DELIVERIES: LESSONS FROM NIGERIA

    Directory of Open Access Journals (Sweden)

    Olawale Ibrahim Olateju

    2007-10-01

    Full Text Available We examine the TQM Strategies and health care delivery in Nigeria, and the various means of measuring service quality. Nigeria continues to suffer outbreaks of various diseases cholera, malaria, cerebrospinal meningitis, measles, yellow fever, Bird flu e.t.c., all these diseases combine to cause high morbidity and mortality in the population. To assess the situation this paper looks at the relevant indicators like Annual Budgets by Government, Individual’s income, the role of Nigerian Medical Association (NMA and various health care agencies vested with the sole responsibility for elaborating standards for products and processes in Health care Delivery.The paper also examines the implication of Government Budget estimates on the Life expectancy of an average Nigerian. The findings necessitated the need for the government to seek support from WHO to assist in strengthening the health care system by advocating and providing technical support to health sector reforms.

  16. Lessons Learned from Deploying an Analytical Task Management Database

    Science.gov (United States)

    O'Neil, Daniel A.; Welch, Clara; Arceneaux, Joshua; Bulgatz, Dennis; Hunt, Mitch; Young, Stephen

    2007-01-01

    Defining requirements, missions, technologies, and concepts for space exploration involves multiple levels of organizations, teams of people with complementary skills, and analytical models and simulations. Analytical activities range from filling a To-Be-Determined (TBD) in a requirement to creating animations and simulations of exploration missions. In a program as large as returning to the Moon, there are hundreds of simultaneous analysis activities. A way to manage and integrate efforts of this magnitude is to deploy a centralized database that provides the capability to define tasks, identify resources, describe products, schedule deliveries, and generate a variety of reports. This paper describes a web-accessible task management system and explains the lessons learned during the development and deployment of the database. Through the database, managers and team leaders can define tasks, establish review schedules, assign teams, link tasks to specific requirements, identify products, and link the task data records to external repositories that contain the products. Data filters and spreadsheet export utilities provide a powerful capability to create custom reports. Import utilities provide a means to populate the database from previously filled form files. Within a four month period, a small team analyzed requirements, developed a prototype, conducted multiple system demonstrations, and deployed a working system supporting hundreds of users across the aeros pace community. Open-source technologies and agile software development techniques, applied by a skilled team enabled this impressive achievement. Topics in the paper cover the web application technologies, agile software development, an overview of the system's functions and features, dealing with increasing scope, and deploying new versions of the system.

  17. DKIST telescope mount factory testing overview and lessons learned

    Science.gov (United States)

    Jeffers, Paul; Trieloff, Todd; Kärcher, Hans; Seubert, Steffen; McBride, William

    2016-07-01

    The Daniel K Inouye Solar Telescope (DKIST) will be the largest solar telescope in the world, and will be able to provide the sharpest views ever taken of the solar surface. The telescope has a 4m aperture primary mirror, however due to the off axis nature of the optical layout, the telescope Mount has proportions similar to an 8 metre class telescope. The Telescope Mount Assembly (TMA) includes both the telescope Mount and the 16m diameter laboratory table or Coudé Rotator. The Coudé Rotator supports the full instrument suite of up to 40 tonnes and has full rotation capabilities similar to the Mount azimuth axis. The TMA has been going through the design, fabrication and assembly process since 2009 with Ingersoll Machine Tool's and this culminated with the Factory Acceptance Testing (FAT). The preparation for the FAT started not long after the Final Design Review was complete and planning continued through the assembly stages. The official Factory Acceptance testing of the Coudé Rotator was conducted during May/Jun 2014 and the Mount in Feb through Apr 2015. This paper provides an overview and discussion of the testing that was carried out. The depth and extent of testing will be described with discussion on what we would do differently next time. Also details of the preparation / process that lead into the testing will be presented. Most importantly the results will be summarized and lessons learned during the testing provided as well as discussion on how this influences the planned site assembly and extent of re-test post assembly.

  18. Breastfeeding social marketing: lessons learned from USDA's "Loving Support" campaign.

    Science.gov (United States)

    Pérez-Escamilla, Rafael

    2012-10-01

    Social marketing involves the application of commercial marketing principles to advance the public good. Social marketing calls for much more than health communications campaigns. It involves four interrelated tasks: audience benefit, target behavior, essence (brand, relevance, positioning), and developing the "4Ps" (product, price, place, promotion) marketing mix. The ongoing U.S. Department of Agriculture "Loving Support Makes Breastfeeding Work" campaign was launched in 1997 based on social marketing principles to increase breastfeeding initiation rates and breastfeeding duration among Special Supplemental Nutrition Program for Women, Infants and Children (WIC) participants. Since then there have been improvements in breastfeeding duration in the country, and the majority of WIC women now initiate breastfeeding. Breastfeeding in public places is still not well accepted by society at large, and any and exclusive breastfeeding durations remain exceedingly low. Lessons learned from "Loving Support" and other campaigns indicate that it is important to design social marketing campaigns to target the influential societal forces (e.g., family and friends, healthcare providers, employers, formula industry, legislators) that affect women's decision and ability to breastfeed for the recommended amount of time. This will require formative research that applies the social-ecological model to different population segments, taking and identifying the right incentives to nudge more women to breastfeed for longer. Any new breastfeeding campaign needs to understand and take into account the information acquisition preferences of the target audiences. The vast majority of WIC women have mobile devices and are accessing social media. The Brazilian experience indicates that making breastfeeding the social norm can be done with a solid social marketing strategy. This is consistent with the recently released "Six Steps to Achieve Breastfeeding Goals for WIC Clinics," which identifies

  19. TANK WASTE RETRIEVAL LESSONS LEARNED AT THE HANFORD SITE

    Energy Technology Data Exchange (ETDEWEB)

    DODD, R.A.

    2006-01-17

    One of the environmental remediation challenges facing the nation is the retrieval and permanent disposal of approximately 90 million gallons of radioactive waste stored in underground tanks at the US Department of Energy (DOE) facilities. The Hanford Site is located in southeastern Washington State and stores roughly 60% of this waste. An estimated 53 million gallons of high-level, transuranic, and low-level radioactive waste is stored underground in 149 single-shell tanks (SSTs) and 28 newer double-shell tanks (DSTs) at the Hanford Site. These SSTs range in size from 55,000 gallons to 1,000,000 gallon capacity. Approximately 30 million gallons of this waste is stored in SSTs. The SSTs were constructed between 1943 and 1964 and all have exceeded the nominal 20-year design life. Sixty-seven SSTs are known or suspected to have leaked an estimated 1,000,000 gallons of waste. The risk of additional SST leakage has been greatly reduced by removing more than 3 million gallons of interstitial liquids and supernatant and transferring the waste to the DST system since 1997 as part of the interim stabilization program. Retrieval of SST saltcake and sludge waste is underway to further reduce risks and stage feed materials for the Hanford Site Waste Treatment Plant. This paper presents lessons learned from retrieval of tank waste at the Hanford Site and discusses how this information is used to optimize retrieval system efficiency, improve overall cost effectiveness of retrieval operations, and ensure that HFFACO requirements are met.

  20. Task-Based Language Learning: Old Approach, New Style. A New Lesson to Learn

    Directory of Open Access Journals (Sweden)

    Rodríguez-Bonces Mónica

    2010-11-01

    Full Text Available This paper provides an overview of Task-Based Language Learning (TBL and its use in the teaching and learning of foreign languages. It begins by defining the concept of TBL, followed by a presentation of its framework and implications, and finally, a lesson plan based on TBL. The article presents an additional stage to be considered when planning a task-based lesson: the one of formal and informal assessment. The rubrics and a self-evaluation format appear as an additional constituent of any task cycle. Este artículo presenta una visión general del aprendizaje basado en tareas y su uso en la enseñanza y el aprendizaje de las lenguas extranjeras. Comenzamos por definir el concepto de aprendizaje basado en tareas, seguido por una presentación de sus fundamentos e implicaciones. Finalmente, presentamos una lección fundamentada en el aprendizaje basado en tareas. El artículo presenta una fase adicional cuando se planea una lección basada en tareas: la relacionada con la evaluación formal e informal. Así mismo, se explica que una parte importante del enfoque por tareas es un componente de evaluación, el cual debe contener rúbricas y un formato de autoevaluación.

  1. Developing a quality and safety curriculum for fellows: lessons learned from a neonatology fellowship program.

    Science.gov (United States)

    Gupta, Munish; Ringer, Steve; Tess, Anjala; Hansen, Anne; Zupancic, John

    2014-01-01

    Formal training in health care quality and safety has become an important component of medical education at all levels, and quality and safety are core concepts within the practice-based learning and system-based practice medical education competencies. Residency and fellowship programs are rapidly attempting to incorporate quality and safety curriculum into their training programs but have encountered numerous challenges and barriers. Many program directors have questioned the feasibility and utility of quality and safety education during this stage of training. In 2010, we adopted a quality and safety educational module in our neonatal fellowship program that sought to provide a robust and practical introduction to quality improvement and patient safety through a combination of didactic and experiential activities. Our module has been successfully integrated into the fellowship program's curriculum and has been beneficial to trainees, faculty, and our clinical services, and our experience suggests that fellowship may be particularly well suited to incorporation of quality and safety training. We describe our module and share tools and lessons learned during our experience; we believe these resources will be useful to other fellowship programs seeking to improve the quality and safety education of their trainees.

  2. Recruitment of Older Adult Patient-Caregiver Dyads for an Online Caregiver Resource Program: Lessons Learned.

    Science.gov (United States)

    Nahm, Eun-Shim; Orwig, Denise; Resnick, Barbara; Magaziner, Jay; Bellantoni, Michele; Sterling, Robert

    2012-01-12

    Hip fracture is a significant health problem for older adults and generally requires surgery followed by intensive rehabilitation. Informal caregivers (CGs) can provide vital assistance to older adults recovering from hip fracture. Caregiving is a dyadic process that affects both CGs and care recipients (CRs). In a feasibility study, we assessed the effects of using a theory-based online hip fracture resource program for CGs on both CGs and CRs. In this article, we discuss our recruitment process and the lessons learned. Participants were recruited from six acute hospitals, and CGs used the online resource program for 8 weeks. A total of 256 hip fracture patients were screened, and 164 CRs were ineligible. CG screening was initiated when CRs were determined to be eligible. Among 41 eligible dyads, 36 dyads were recruited. Several challenges to the recruitment of these dyads for online studies were identified, including a low number of eligible dyads in certain hospitals and difficulty recruiting both the CR and the CG during the short hospital stay. Field nurses often had to make multiple trips to the hospital to meet with both the CR and the CG. Thus, when a subject unit is a dyad recruited from acute settings, the resources required for the recruitment may be more than doubled. These challenges could be successfully alleviated with careful planning, competent field staff members, collaboration with hospital staff members, and efficient field operations.

  3. Learning with and about Advertising in Chemistry Education with a Lesson Plan on Natural Cosmetics--A Case Study

    Science.gov (United States)

    Belova, Nadja; Eilks, Ingo

    2015-01-01

    This paper describes a case study on the chemistry behind natural cosmetics in five chemistry learning groups (grades 7-11, age range 13-17) in a German comprehensive school. The lesson plan intends to promote critical media literacy in the chemistry classroom and specifically emphasizes learning with and about advertising. The lessons of four…

  4. 77 FR 71019 - Japan Lessons-Learned Project Directorate Interim Staff Guidance JLD-ISG-2012-04; Guidance on...

    Science.gov (United States)

    2012-11-28

    ... COMMISSION Japan Lessons-Learned Project Directorate Interim Staff Guidance JLD-ISG-2012-04; Guidance on...: Nuclear Regulatory Commission. ACTION: Japan Lessons-Learned Project Directorate Interim Staff Guidance issuance. SUMMARY: The U.S. Nuclear Regulatory Commission (NRC) is issuing the Final Japan...

  5. Environmental Studies, Section V: Oceanography. Learning Carrel Lesson 6.15: Pollution of the Oceans. Study Guide and Script.

    Science.gov (United States)

    Boyer, Robert; And Others

    This is one of a series of 14 instructional components of a semester-long, environmental earth science course developed for undergraduate students. The course includes lectures, discussion sessions, and individual learning carrel lessons. Presented are the study guide and script for a learning carrel lesson on pollution of the oceans. The slides,…

  6. The role of failure/problems in engineering: A commentary of failures experienced - lessons learned

    Science.gov (United States)

    Ryan, R. S.

    1992-03-01

    The written version of a series of seminars given to several aerospace companies and three NASA centers are presented. The results are lessons learned through a study of the problems experienced in 35 years of engineering. The basic conclusion is that the primary cause of problems has not been mission technologies, as important as technology is, but the neglect of basic principles. Undergirding this is the lack of a systems focus from determining requirements through design, verification, and operations phases. Many of the concepts discussed are fundamental to total quality management (TQM) and can be used to augment this product enhanced philosophy. Fourteen principles are addressed with problems experienced and are used as examples. Included is a discussion of the implication of constraints, poorly defined requirements, and schedules. Design guidelines, lessons learned, and future tasks are listed. Two additional sections are included that deal with personal lessons learned and thoughts on future thrusts (TQM).

  7. The role of failure/problems in engineering: A commentary of failures experienced - lessons learned

    Science.gov (United States)

    Ryan, R. S.

    1992-01-01

    The written version of a series of seminars given to several aerospace companies and three NASA centers are presented. The results are lessons learned through a study of the problems experienced in 35 years of engineering. The basic conclusion is that the primary cause of problems has not been mission technologies, as important as technology is, but the neglect of basic principles. Undergirding this is the lack of a systems focus from determining requirements through design, verification, and operations phases. Many of the concepts discussed are fundamental to total quality management (TQM) and can be used to augment this product enhanced philosophy. Fourteen principles are addressed with problems experienced and are used as examples. Included is a discussion of the implication of constraints, poorly defined requirements, and schedules. Design guidelines, lessons learned, and future tasks are listed. Two additional sections are included that deal with personal lessons learned and thoughts on future thrusts (TQM).

  8. A Planetary Geophysicist Does EPO: Lessons Learned Along the Way

    Science.gov (United States)

    Kiefer, W. S.

    2011-12-01

    My "day job" is numerical modeling of the interiors of the terrestrial planets, but I have also done EPO projects for the last 17 years while at the Lunar and Planetary Institute. These range from single, hour long talks in classrooms or astronomy clubs, to week-long summer workshops for teachers and librarians, and even semester-long programs, along with a number of curriculum development projects. EPO projects are a great way to help develop both the next generation of scientists and, more importantly, of scientifically literate citizens and taxpayers. Here are a few lessons learned along the way in the school of hard knocks. (1) An engaging delivery style is even more important in EPO presentations than it is in college lectures or conference presentations. Emphasize a few key concepts rather than numerous facts, and keep the jargon out. Good analogies can go a long way towards explaining a concept to any age group. I teach the role of size in planetary cooling by first asking students how long it takes to cook food of various sizes (a hamburger, roast beef, turkey). (2) If you will be working with a group of students for more than one class period, classroom friendly activities strengthen the learning process. Such activities do not need to be elaborate - when teaching about the Moon, I sometimes assign students to take their parents outside at night and show them how to find lava flows on the Moon. Teachers usually need to have classroom activities that are aligned to state or national teaching standards. Fortunately, many effective, standards-aligned activities already exist, so you don't need to reinvent the wheel. For a useful listing of planetary science and astronomy activities, see the LPI website www.lpi.usra.edu/education/resources/ (3) Although EPO work can be personally rewarding, it is not always well rewarded in a professional context, and it can be difficult to find the time and financial resources to sustain major projects. We sometimes use a

  9. Characteristics and lessons learned from practice-based research networks (PBRNs in the United States

    Directory of Open Access Journals (Sweden)

    Keller S

    2012-09-01

    Full Text Available Melinda M Davis,1,2 Sara Keller,1 Jennifer E DeVoe,1,3 Deborah J Cohen11Department of Family Medicine, 2Oregon Rural Practice-based Research Network, Oregon Health & Science University, Portland, OR, USA; 3OCHIN Practice-based Research Network, Portland, OR, USAAbstract: Practice-based research networks (PBRNs are organizations that involve practicing clinicians in asking and answering clinically relevant research questions. This review explores the origins, characteristics, funding, and lessons learned through practice-based research in the United States. Primary care PBRNs emerged in the USA in the 1970s. Early studies explored the etiology of common problems encountered in primary care practices (eg, headache, miscarriage, demonstrating the gap between research conducted in controlled specialty settings and real-world practices. Over time, national initiatives and an evolving funding climate have shaped PBRN development, contributing to larger networks, a push for shared electronic health records, and the use of a broad range of research methodologies (eg, observational studies, pragmatic randomized controlled trials, continuous quality improvement, participatory methods. Today, there are over 160 active networks registered with the Agency for Healthcare Research and Quality's PBRN Resource Center that engage primary care clinicians, pharmacists, dentists, and other health care professionals in research and quality-improvement initiatives. PBRNs provide an important laboratory for encouraging collaborative research partnerships between academicians and practices or communities to improve population health, conduct comparative effectiveness and patient-centered outcomes research, and study health policy reform. PBRNs continue to face critical challenges that include: (1 adapting to a changing landscape; (2 recruiting and retaining membership; (3 securing infrastructure support; (4 straddling two worlds (academia and community and managing

  10. Ethical issues in health care institutions. Lesson 2: Ethical considerations in group decision making and groupthink.

    Science.gov (United States)

    Alie, R E

    1991-01-01

    In this second lesson of a five-part WMU/AHRA magazine course on ethics, Dr. Alie tackles an interesting concept--group-think. According to the author, this tendency occurs when cohesive groups lose their ability to critically evaluate alternatives in problem solving. Since groups such as committees or task forces frequently resolve issues and make policy in health care organizations, warning signs of this phenomenon are detailed as well as suggestions to help avoid the problem.

  11. A new approach to managing Lessons Learned in PMBoK process groups: the Ballistic 2.0 Model

    Directory of Open Access Journals (Sweden)

    Marcirio Chaves

    2016-01-01

    Full Text Available In any organization, dealing with lessons learned is a complex issue that involves people, processes and technologies. Although lessons learned processes are already well established in the project management community, the use of modern web technologies to support them is still in its infancy. This paper introduces a new model to manage lessons learned in PMBoK process groups. This model draws upon interdisciplinary literature, which embeds lessons learned processes, shared context and Web 2.0 service models. The model is supported by Web 2.0 technologies and centered in PMBoK process groups to allow a thorough overview of the project. An exploratory focus group was set up to validate the model qualitatively within a constructivist ontology and an interpretive epistemology. The adoption of this model can help academics and practitioners using PMBoK process groups to acquire a better understanding of managing lessons learned in projects.

  12. SOCAP: Lessons learned in applying SIPE-2 to the military operations crisis action planning domain

    Science.gov (United States)

    Desimone, Roberto

    1992-01-01

    This report describes work funded under the DARPA Planning and Scheduling Initiative that led to the development of SOCAP (System for Operations Crisis Action Planning). In particular, it describes lessons learned in applying SIPE-2, the underlying AI planning technology within SOCAP, to the domain of military operations deliberate and crisis action planning. SOCAP was demonstrated at the U.S. Central Command and at the Pentagon in early 1992. A more detailed report about the lessons learned is currently being prepared. This report was presented during one of the panel discussions on 'The Relevance of Scheduling to AI Planning Systems.'

  13. Assault experiences: Lessons learned from mental health nurses in Taiwan.

    Science.gov (United States)

    Yang, Cheng-I; Hsieh, Wen-Po; Lee, Li-Hung; Chen, Shu-Ling

    2016-06-01

    Mental health nurse are frequently subjected to patients' violent and aggressive behaviour. These assault experiences have given rise to mental health nurses' physical and psychological trauma, and negatively impact the quality of patient care. The purpose of the present qualitative study was to understand mental health nurses' experiences of being assaulted, the influences on their patient care, and their perspectives of the effectiveness of in-service, violence-prevention education. Ten mental health nurses from two different inpatient mental health facilities were interviewed using a semistructured interview guide. Thematic analysis of interview data found six themes: (i) violence is unpredictable; (ii) violence is normal; (iii) lasting psychological trauma; (iv) limited support from peers and the administrator; (v) violence prevention requires team cooperation; and (vi) doubting the effectiveness of in-service education on violence prevention. Psychiatric ward administrators should assess nurses' learning and skill needs to determine whether these needs are met by existing in-service training programmes. A culture of safety should also be promoted by building a warm and supportive ward climate for both staff and patients, which would include team cooperation and support for colleagues who suffer a violent incident.

  14. Public private partnerships for emergency obstetric care: Lessons from Maharashtra

    OpenAIRE

    Sarika Chaturvedi; Bharat Randive

    2011-01-01

    Background: The National Rural Health Mission of India advocates public private partnerships (PPPs) to meet its "service guarantee" of Emergency obstetric care (EmOC) provision. The Janani Suraksha Yojana (JSY) has a provision of Rs. 1500 for contracting in obstetric specialists. Objectives: The study aimed to understand the issues in the design and implementation of the PPPs for EmOC under the JSY in Maharashtra and how they affect the availability of EmOC services to women. Materials and Me...

  15. Lessons learned from the NRU vessel leak repair and return to service projects

    Energy Technology Data Exchange (ETDEWEB)

    Heeney, P.; Turcotte, J. [Atomic Energy of Canada Limited, Chalk River, Ontario (Canada)

    2011-07-01

    In May 2009 the National Research Universal (NRU) reactor was shut down due to a small leak detected from the reactor vessel into the annulus surrounding the reactor. What ensued was a challenging, yet successful, 15 month long Repair and Return to Service Outage. This Repair and Return to Service Outage presented many first-of-a-kind challenges that provide learning opportunities which have been incorporated into subsequent planned outages. These lessons learned are invaluable tools to be used in the planning and execution of future outages. Following the repair of the NRU vessel, AECL was required to conduct annual inspections of the vessel wall. These inspections require an annual Extended Outage (up to 4 weeks in length). A planned Extended Outage was conducted in May/June 2011 and provided an opportunity to implement some of the lessons learned during the Repair and Return to Service Outage. Lessons learned from that Extended Outage have been incorporated in the subsequent monthly maintenance outages, with lessons learned sessions being held after each outage to ensure that the execution of outages is constantly improving. (author)

  16. Evaluating learning environments for interprofessional care.

    Science.gov (United States)

    Kvan, Thomas

    2013-09-01

    Many institutions have invested considerably in the provision of student facilities--lecture halls, tutorial rooms and classrooms--spaces we call collectively learning environments. In expending resources on such facilities, we have assumed that we have needed to create this range of spaces for such activities. However, how do we know we have invested wisely in support of learning for interprofessional care? In this article I review the literature to identify evidence in a range of fields, including health care, to consider the issues and difficulties of employing established approaches from practices of evidence-based design. Central in this article is the role of evidence in the assessment of learning environments. In particular, I argue that the evidence must include qualitative dimensions of the learning experience. To address the qualitative outcomes from education, with particular attention to the concerns of interprofessional education, a model is proposed to examine different levels of outcomes. By developing an interpretation of Kirkpatrick's model, four levels are described for the effective evaluation of interprofessional learning environments.

  17. Managing a front-line field hospital in Libya: Description of case mix and lessons learned for future humanitarian emergencies

    Directory of Open Access Journals (Sweden)

    Adam C. Levine

    2012-06-01

    Full Text Available Between June and August 2011, International Medical Corps deployed a field hospital near the front-line of the fighting between government troops and opposition fighters in Western Libya. The field hospital cared for over 1300 combatants and non-combatants from both sides of the conflict during that time period, the vast majority of them presenting with war-related injuries. Over 60% of battle-related injuries were due to shrapnel wounds and blast injuries from exploding small mortars, with smaller percentages due to battle-related motor vehicle accidents, gun shot wounds, burns, and other causes. The most pertinent lessons learned from our experience were the importance of dedicating significant resources to logistics and supply chain management, the rewards garnered from building strong ties with the local community early in the deployment of the field hospital, and the need to pay careful attention to basic principles of humanitarian ethics.

  18. The International Year of Planet Earth: Lessons learned.

    Science.gov (United States)

    de Mulder, E. F.; Janoschek, W. R.

    2007-12-01

    In 2001, the International Union of Geological Sciences (IUGS) developed an initiative to launch an International Year of Planet Earth (IYPE). This was followed up directly by UNESCO's Earth Science Division. As politicians, decision makers, the media and the public at large were chosen as the main targets, obtaining a proclamation by the General Assembly of the United Nations was crucial. Not only did the beauty and usefulness of Geosciences have to be demonstrated, but also the potential of the timely use of Geoscientific knowledge to minimise loss of life and property, e.g. during the Tsunami and Katrina disasters, had to be made crystal clear. Some of the lessons learned during the preparation for the IYPE (2007-2009) may be summarized as follows. - Support from scientific organisations: from the onset very positive, many joining as Founding or Associate Partners. - Individual geoscientists: some were sceptical, many (very) positive. - UN diplomats: the major natural disasters in 2004-2005 helped trigger their support throughout the UN proclamation process; so-called small countries proved to be more open-minded in lodging this initiative in the UN Agenda. - Politicians: Support for UN proclamations must be decided at the Ministerial level. This procedure may consume considerable time and cannot be influenced from outside. - National Committees: UN proclamation strongly stimulated the creation of National Committees for the IYPE; on August 31st they number 48 with a potential to reach 60 or more. Most of the actions planned at national level comprise outreach activities. - Fundraising: Significant funds have already been raised by National IYPE Committees. Fundraising for international events and to bolster the infrastructure of the International Year have proved to be more difficult. - Patrons, Goodwill Ambassadors, and Senior Advisors have proved to be essential in promoting the ambitions of the IYPE and in the vital process of fundraising. - Good examples

  19. Communicating Tsunami Preparedness Through the Lessons Learned by Survivors

    Science.gov (United States)

    Kerlow, I.

    2015-12-01

    Often times science communication is reactive and it minimizes the perceptions of the general public. The Tsunami of New Dreams is a film with the testimonies of survivors of the 2004 Indian Ocean tsunami in Banda Aceh and Aceh Besar in West Sumatra, Indonesia. Production of the film spanned over five years and dozens of interviews, and is based on a unique geographic, demographic and experiential sampling of the local population. This documentary feature film underscores the importance of Earth science and science communication in building sustainable communities. The film is a lesson in survival and sustainability, and it provides a simple but powerful testimony of what to do and what not to do before and during a tsunami. The film also highlights the direct relationship that exists between disaster survival rates and the knowledge of basic Earth science and preparedness facts. We hope that the human stories presented in the film will serve as a strong motivator for general audiences to learn about natural hazards, preparedness, and Earth science. These engaging narratives can touch the minds and hearts of general audiences much faster than technical lectures in a classroom. Some of the testimonies are happy and others are sad, but they all present the wide range of beliefs that influenced the outcomes of the natural disaster. The interviews with survivors are complemented with unique archival footage of the tsunami and unique footage of daily life in Aceh. Hand-drawn illustrations are used to recreate what survivors did immediately after the earthquake, and during the extreme moments when they faced the tsunami waves. Animated visuals, maps and diagrams enhance the understanding of earthquake and tsunami dynamics. The film is a production of the Earth Observatory of Singapore (EOS) in collaboration with the International Center for Aceh and Indian Ocean Studies (ICAIOS) in Banda Aceh, Indonesia. The film is scheduled for release in late 2015. This is a unique

  20. Developing a PLC-friendly state machine model: lessons learned

    Science.gov (United States)

    Pessemier, Wim; Deconinck, Geert; Raskin, Gert; Saey, Philippe; Van Winckel, Hans

    2014-07-01

    Modern Programmable Logic Controllers (PLCs) have become an attractive platform for controlling real-time aspects of astronomical telescopes and instruments due to their increased versatility, performance and standardization. Likewise, vendor-neutral middleware technologies such as OPC Unified Architecture (OPC UA) have recently demonstrated that they can greatly facilitate the integration of these industrial platforms into the overall control system. Many practical questions arise, however, when building multi-tiered control systems that consist of PLCs for low level control, and conventional software and platforms for higher level control. How should the PLC software be structured, so that it can rely on well-known programming paradigms on the one hand, and be mapped to a well-organized OPC UA interface on the other hand? Which programming languages of the IEC 61131-3 standard closely match the problem domains of the abstraction levels within this structure? How can the recent additions to the standard (such as the support for namespaces and object-oriented extensions) facilitate a model based development approach? To what degree can our applications already take advantage of the more advanced parts of the OPC UA standard, such as the high expressiveness of the semantic modeling language that it defines, or the support for events, aggregation of data, automatic discovery, ... ? What are the timing and concurrency problems to be expected for the higher level tiers of the control system due to the cyclic execution of control and communication tasks by the PLCs? We try to answer these questions by demonstrating a semantic state machine model that can readily be implemented using IEC 61131 and OPC UA. One that does not aim to capture all possible states of a system, but rather one that attempts to organize the course-grained structure and behaviour of a system. In this paper we focus on the intricacies of this seemingly simple task, and on the lessons that we

  1. Development practices and lessons learned in developing SimPEG

    Science.gov (United States)

    Cockett, R.; Heagy, L. J.; Kang, S.; Rosenkjaer, G. K.

    2015-12-01

    Inverse modelling provides a mathematical framework for constructing a model of physical property distributions in the subsurface that are consistent with the data collected in geophysical surveys. The geosciences are increasingly moving towards the integration of geological, geophysical, and hydrological information to better characterize the subsurface. This integration must span disciplines and is not only challenging scientifically, but additionally the inconsistencies between conventions often makes implementations complicated, non­ reproducible, or inefficient. SimPEG is an open-source, multi-university effort aimed at providing a generalized framework for solving forward and inverse problems. SimPEG includes finite volume discretizations on structured and unstructured meshes, interfaces to standard numerical solver packages, convex optimization algorithms, model parameterizations, and visualization routines. The SimPEG package (http://simpeg.xyz) supports an ecosystem of forward and inverse modelling applications, including electromagnetics, vadose zone flow, seismic, and potential­ fields, that are all written with a common interface and toolbox. The goal of SimPEG is to support a community of researchers with well-tested, extensible tools, and encourage transparency and reproducibility both of the SimPEG software and the geoscientific research it is applied to. In this presentation, we will share some of the lessons we have learned in designing the modular infrastructure, testing and development practices of SimPEG. We will discuss our use of version control, extensive unit-testing, continuous integration, documentation, issue tracking, and resources that facilitate communication between existing team members and allows new researchers to get involved. These practices have enabled the use of SimPEG in research, industry, and education as well as the ability to support a growing number of dependent repositories and applications. We hope that sharing our

  2. Solar adaptive optics: specificities, lessons learned, and open alternatives

    Science.gov (United States)

    Montilla, I.; Marino, J.; Asensio Ramos, A.; Collados, M.; Montoya, L.; Tallon, M.

    2016-07-01

    the Strehl and the Point Spread Function used in night time adaptive optics but not really suitable to the solar systems, and new control strategies more complex than the ones used in nowadays solar Multi Conjugate Adaptive Optics systems. In this paper we summarize the lessons learned with past and current solar adaptive optics systems and focus on the discussion on the new alternatives to solve present open issues limiting their performance.

  3. Refuah Shlema: a cross-cultural programme for promoting communication and health among Ethiopian immigrants in the primary health care setting in Israel: evidence and lessons learned from over a decade of implementation.

    Science.gov (United States)

    Levin-Zamir, Diane; Keret, Sandra; Yaakovson, Orit; Lev, Boaz; Kay, Calanit; Verber, Giora; Lieberman, Niki

    2011-03-01

    The Refuah Shlema programme was established to reduce health disparities, promote health literacy and health indicators of the Ethiopian immigrant community in Israel, and included: (i) integrating Ethiopian immigrant liaisons in primary care as inter-cultural mediators; (ii) in-service training of clinical staff to increase cultural awareness and sensitivity; and (iii) health education community activities. Qualitative and quantitative evidence showed improvements in: (i) clinic staff–patient relations; (ii) availability and accessibility of health services, and health system navigation without increasing service expenditure; (iii) perception of general well-being; and (iv) self-care practice with regards to chronic conditions. Evidence significantly contributed to sustaining the programme for over 13 years.

  4. Setting up and functioning of an Emergency Medicine Department: Lessons learned from a preliminary study

    Directory of Open Access Journals (Sweden)

    K Asish

    2016-01-01

    Full Text Available Background and Aims: Tertiary care teaching hospitals remain referral centres for victims of trauma and mass casualty. Often specialists from various disciplines manage these crowded casualty areas. These age old casualty areas are being replaced, throughout the country by Emergency Medicine Departments (EMDs, presumed to be better planned to confront a crisis. We aimed to gather basic data contributive in setting up of an EMD at a tertiary care teaching hospital from the lessons learned from functioning existent systems. Methods: This is primarily a questionnaire-based descriptive study at tertiary care referral centres across the country, which was purposively selected.The study models included one from a hospital without designated EMD and the other four from hospitals with established EMDs. Direct observation and focus group meetings with experienced informants at these hospitals contributed to the data. In the absence of a validated hospital preparedness assessment scale, comparison was done with regard to quantitative, qualitative and corroborative parameters using descriptive analysis. Results: The EMDs at best practice models were headed by specialist in Emergency Medicine assisted by organised staff, had protocols for managing mass casualty incident (MCI, separate trauma teams, ergonomic use of infrastructure and public education programmes. In this regard, these hospitals seemed well organised to manage MCIs and disasters. Conclusion: The observation may provide a preliminary data useful in setting up an EMD. In the absence of published Indian literature, this may facilitate further research in this direction. Anaesthesiologists, presently an approved Faculty in Emergency Medicine training can provide creative input with regard to its initial organisation and functioning, thus widening our horizons in a country where there is a severe dearth of trained emergency physicians.

  5. Exporting the Buyers Health Care Action Group purchasing model: lessons from other communities.

    Science.gov (United States)

    Christianson, Jon B; Feldman, Roger

    2005-01-01

    When first implemented in Minneapolis and St. Paul, Minnesota, the Buyers Health Care Action Group's (BHCAG) purchasing approach received considerable attention as an employer-managed, consumer-driven health care model embodying many of the principles of managed competition. First BHCAG and, later, a for-profit management company attempted to export this model to other communities. Their efforts were met with resistance from local hospitals and, in many cases, apathy by employers who were expected to be supportive. This experience underscores several difficulties that appear to be inherent in implementing purchasing models based on competing care systems. It also, once again, suggests caution in drawing lessons from community-level experiments in purchasing health care.

  6. Lessons learnt from a primary care asthma improvement project.

    Science.gov (United States)

    Lenney, Warren; Clayton, Sadie; Gilchrist, Francis J; Price, David; Small, Iain; Smith, Judy; Sutton, Emma J

    2016-01-07

    Asthma is a very common disease that can occur at any age. In the UK and in many other countries it is mainly managed in primary care. The published evidence suggests that the key to improving diagnosis and management lies in better training and education rather than in the discovery of new medications. An asthma improvement project managed through the British Lung Foundation is attempting to do this. The project has three pilot sites: two in England supported by the Department of Health and one in Scotland supported by the Scottish Government. If the project is successful it will be rolled out to other health areas within the UK. The results of this project are not yet available. This article highlights the challenges encountered in setting up the project and may well be applicable to other areas in the UK and to other countries where similar healthcare systems exist. The encountered challenges reflect the complex nature of healthcare systems and electronic data capture in primary care. We discuss the differences between general practices in their ability and willingness to support the project, the training and education of their staff on asthma management, governance issues in relation to information technology systems, and the quality of data capture. Virtually all the challenges have now been overcome, but discussing them should ensure that others become aware of them at an early stage should they wish to undertake similar projects in the future.

  7. Health Communications in Rural America: Lessons Learned from an Arthritis Campaign in Rural Arkansas

    Science.gov (United States)

    Balamurugan, Appathurai; Rivera, Mark; Sutphin, Kim; Campbell, Debbie

    2007-01-01

    Context: Lack of awareness about diseases and associated risk factors could partially account for some rural health disparities. Health communications campaigns can be an effective means of increasing awareness in these areas. Purpose: To review findings and lessons learned from a rural health communications campaign. Methods: The health…

  8. Taking a Second Look at the Role of IEC in Population Programmes: Some Lessons Learned.

    Science.gov (United States)

    Roque, Francisco

    1994-01-01

    Identifies two factors contributing toward the low impact of information, education, and communication (IEC) activities on population programs: (1) inadequate collaboration in IEC planning, management, monitoring, and evaluation; and (2) lack of quality in training and in materials development and production. Presents five lessons learned from…

  9. Lessons Learned from Net Zero Energy Assessments and Renewable Energy Projects at Military Installations

    Energy Technology Data Exchange (ETDEWEB)

    Callahan, M.; Anderson, K.; Booth, S.; Katz, J.; Tetreault, T.

    2011-09-01

    Report highlights the increase in resources, project speed, and scale that is required to achieve the U.S. Department of Defense (DoD) energy efficiency and renewable energy goals and summarizes the net zero energy installation assessment (NZEI) process and the lessons learned from NZEI assessments and large-scale renewable energy projects implementations at DoD installations.

  10. Early Lessons Learned from Extramural School Programs That Offer HPV Vaccine

    Science.gov (United States)

    Hayes, Kim A.; Entzel, Pamela; Berger, Wendy; Caskey, Rachel N.; Shlay, Judith C.; Stubbs, Brenda W.; Smith, Jennifer S.; Brewer, Noel T.

    2013-01-01

    Background: There has been little evaluation of school-located vaccination programs that offer human papillomavirus (HPV) vaccine in US schools without health centers (ie, extramural programs). This article summarizes lessons learned from such programs. Methods: In July to August 2010, 5 programs were identi?ed. Semistructured, in-depth telephone…

  11. Total Quality Management in the Community College: Concept, Application, Implementation--Lessons Learned.

    Science.gov (United States)

    Coady, Sharon; And Others

    Based on the work of the National Alliance of Community and Technical Colleges and the Center on Education and Training for Employment, this document addresses the subject of Total Quality Management (TQM) in the community and technical college by examining the concept, application, and implementation of TQM and the lessons learned. First, "The…

  12. Special nuclear materials cutoff exercise: Issues and lessons learned. Volume 3

    Energy Technology Data Exchange (ETDEWEB)

    Libby, R.A.; Segal, J.E.; Stanbro, W.D.; Davis, C.

    1995-08-01

    This document is appendices D-J for the Special Nuclear Materials Cutoff Exercise: Issues and Lessons Learned. Included are discussions of the US IAEA Treaty, safeguard regulations for nuclear materials, issue sheets for the PUREX process, and the LANL follow up activity for reprocessing nuclear materials.

  13. Lessons for Teachers: What Lower Secondary School Students Tell Us about Learning a Musical Instrument

    Science.gov (United States)

    Lowe, Geoffrey

    2012-01-01

    In this study I set out to investigate why many students drop out from elective instrument programmes, particularly in lower secondary school. I examined the values and beliefs a sample of students in their first year in secondary school attach to learning an instrument, and the impact of the instrument lesson upon these values and beliefs.…

  14. From Stripping Off to Holding Your Guns: Lessons Learned So Far

    Directory of Open Access Journals (Sweden)

    Andra Siibak

    2015-04-01

    Full Text Available This short essay will try to capture some of the lessons social media users have come to learn during the existence of social media era. I will highlight the need to take responsibility of the posts one makes and shares on social media and thus emphasize the importance of one’s critical thinking and digital literacy skills.

  15. A Telepresence Learning Environment for Opera Singing: Distance Lessons Implementations over Internet2

    Science.gov (United States)

    Alpiste Penalba, Francisco; Rojas-Rajs, Teresa; Lorente, Pedro; Iglesias, Francisco; Fernández, Joaquín; Monguet, Josep

    2013-01-01

    The Opera eLearning project developed a solution for opera singing distance lessons at the graduate level, using high bandwidth to deliver a quality audio and video experience that has been evaluated by singing teachers, chorus and orchestra directors, singers and other professional musicians. Prior to finding a technological model that suits the…

  16. Partial Testing Can Potentiate Learning of Tested and Untested Material from Multimedia Lessons

    Science.gov (United States)

    Yue, Carole L.; Soderstrom, Nicholas C.; Bjork, Elizabeth Ligon

    2015-01-01

    Test-potentiated learning occurs when testing renders a subsequent study period more effective than it would have been without an intervening test. We examined whether testing only a subset of material from a multimedia lesson would potentiate the restudy of both tested and untested material. In Experiments 1a and 1b, participants studied a…

  17. Lessons Learned from M.A. Candidates Pursuing National Board Certification.

    Science.gov (United States)

    Unrau, Norman J.

    2003-01-01

    Presents lessons learned by following M.A. candidates who were supported by California State University, Los Angeles, as they pursued National Board for Professional Teaching Standards (NBPTS) certification. Discusses the introduction of NBPTS certification to M.A. candidates, launching certification projects, and what NBPTS certification…

  18. Hydrogen Fuel Cell Analysis: Lessons Learned from Stationary Power Generation Final Report

    Energy Technology Data Exchange (ETDEWEB)

    Scott E. Grasman; John W. Sheffield; Fatih Dogan; Sunggyu Lee; Umit O. Koylu; Angie Rolufs

    2010-04-30

    This study considered opportunities for hydrogen in stationary applications in order to make recommendations related to RD&D strategies that incorporate lessons learned and best practices from relevant national and international stationary power efforts, as well as cost and environmental modeling of pathways. The study analyzed the different strategies utilized in power generation systems and identified the different challenges and opportunities for producing and using hydrogen as an energy carrier. Specific objectives included both a synopsis/critical analysis of lessons learned from previous stationary power programs and recommendations for a strategy for hydrogen infrastructure deployment. This strategy incorporates all hydrogen pathways and a combination of distributed power generating stations, and provides an overview of stationary power markets, benefits of hydrogen-based stationary power systems, and competitive and technological challenges. The motivation for this project was to identify the lessons learned from prior stationary power programs, including the most significant obstacles, how these obstacles have been approached, outcomes of the programs, and how this information can be used by the Hydrogen, Fuel Cells & Infrastructure Technologies Program to meet program objectives primarily related to hydrogen pathway technologies (production, storage, and delivery) and implementation of fuel cell technologies for distributed stationary power. In addition, the lessons learned address environmental and safety concerns, including codes and standards, and education of key stakeholders.

  19. Teaching a Chemistry MOOC with a Virtual Laboratory: Lessons Learned from an Introductory Physical Chemistry Course

    Science.gov (United States)

    O'Malley, Patrick J.; Agger, Jonathan R.; Anderson, Michael W.

    2015-01-01

    An analysis is presented of the experience and lessons learned of running a MOOC in introductory physical chemistry. The course was unique in allowing students to conduct experimental measurements using a virtual laboratory constructed using video and simulations. A breakdown of the student background and motivation for taking the course is…

  20. Local markets for global health technologies: lessons learned from advancing 6 new products.

    Science.gov (United States)

    Matthias, Dipika Mathur; Taylor, Catharine H; Sen, Debjeet; Metzler, Mutsumi

    2014-05-01

    Key components to support local institutional and consumer markets are: supply chain, finance, clinical use, and consumer use. Key lessons learned: (1) Build supply and demand simultaneously. (2) Support a lead organization to drive the introduction process. (3) Plan for scale up from the start. (4) Profitability for the private sector is an absolute.

  1. Lessons learned in applying ecosystem goods and services to community decision making

    Science.gov (United States)

    This report is intended to describe lessons learned from the application of FEGS-based research in a series of PBS conducted by EPA’s Office of Research and Development (ORD) and make this information available and useful for planning future research into local decision sup...

  2. Positive Examples and Lessons Learned from Rural Small Business Adoption of E-Commerce Strategies

    Science.gov (United States)

    Lamie, R. David; Barkley, David L.; Markley, Deborah M.

    2011-01-01

    Rural small businesses struggling against the current of competition from "big box" retailers, weak consumer demand, and on-line shopping options must find strategies that work. Many are finding that adoption of e-commerce strategies is a key to survival, even prosperity. This article highlights the lessons learned from a recent case study…

  3. CoMStOC vs. International Solar Month - Experience gained and lessons learned from SMM campaigns

    Science.gov (United States)

    Schmelz, J. T.

    1991-01-01

    The factors that should be addressed by the organizers of a solar observing campaign are outlined and described. Two recent solar observing campaigns are compared and discussed. Lessons learned from these and other campaigns involving the SMM satellite are analyzed and advice for future campaigns is offered.

  4. Conservation Learning in Wildlife Tourism Settings: Lessons from Research in Zoos and Aquariums

    Science.gov (United States)

    Ballantyne, Roy; Packer, Jan; Hughes, Karen; Dierking, Lynn

    2007-01-01

    Zoos and aquariums have shifted their focus over recent years, taking a much more active role in wildlife conservation and in promoting conservation learning among their visitors. Research in these settings provides a valuable foundation for the emerging field of non-captive wildlife tourism. In particular, valuable lessons regarding the potential…

  5. Learning Trajectories, Lesson Planning, Affordances, and Constraints in the Design and Enactment of Mathematics Teaching

    Science.gov (United States)

    Amador, Julie; Lamberg, Teruni

    2013-01-01

    Recent reform efforts in mathematics education have stimulated a focus on learning trajectories. At the same time, a global increase in high-stakes testing has influenced instructional practices. This study investigated how four fourth grade teachers within a school planned and enacted lessons to understand what mediated their planning and…

  6. Lessons Learned in Regional Sediment Management: The Mobile District Demonstration Program; Technical Program Implementation

    Science.gov (United States)

    2004-05-01

    The goal of the US Army Corps of Engineers Mobile Districts (CESAM) Regional Sediment Management (RSM) technical program was to develop and apply...documents the lessons learned from the RSM technical program implementation by the US Army Corps of Engineers Mobile District, Mobile, AL.

  7. Personal Learning Environment on a Procrustean Bed – Using PLEM in a Secondary-School Lesson

    NARCIS (Netherlands)

    Verpoorten, Dominique; Chatti, Amine; Westera, Wim; Specht, Marcus

    2010-01-01

    Verpoorten, D., Chatti, M., Westera, W., & Specht, M. (2010). Personal Learning Environment on a Procrustean Bed – Using PLEM in a Secondary-School Lesson. In C. A. Shoniregun, & G. A. Akmayeva (Eds.), Proceedings of the London International Conference on Education (LICE-2010) (pp. 197-203). London,

  8. Lessons Learned from Migrating to an Online Electronic Business Management Course

    Science.gov (United States)

    Walstrom, Kent A.

    2014-01-01

    This article describes the lessons learned while migrating an Electronic Business Management course from traditional face-to-face delivery to online delivery across a six and a half year time frame. The course under review teaches students how to develop and construct a working information-based online business using free versions of online…

  9. Empowering Learning with Rich Mathematical Experience: Reflections on a Primary Lesson on Area and Perimeter

    Science.gov (United States)

    Leung, Allen

    2010-01-01

    In this paper, a Hong Kong primary school lesson on area and perimeter is analysed with a perspective to discuss the meaning for students to have rich mathematical experiences and how pre-designed pedagogical tools could enrich mathematics classroom learning environment which promote re-shaping, shaping and even creation of mathematical knowledge.…

  10. The Teachers' Action, 1984-1986: Learning Lessons from History

    Science.gov (United States)

    Rieser, Richard

    2016-01-01

    Thirty years ago teachers in the NUT and NASUWT were involved in a protracted industrial dispute. The outcome of the dispute had huge implications for education policy in the years that followed (most obviously the introduction of the 1987 Education Bill), and has important lessons for teacher unionism today. The author offers a personal…

  11. Figuring Somepin 'bout the Great Depression. Learning Page Lesson Plan.

    Science.gov (United States)

    McElroy, Amy; Pietsch, Chris

    These 10th and 11th grade lessons plans related to the Great Depression and the novel "The Grapes of Wrath" help students to: develop research skills and strategies, such as keyword searches, for finding information; recognize and use the different voices of migrants; and understand the politics of migration and the Great Depression. By…

  12. Affordance, Learning Opportunities, and the Lesson Plan Pro Forma

    Science.gov (United States)

    Anderson, Jason

    2015-01-01

    This article argues that the most commonly used lesson plan pro formas in language teacher education are inappropriately premised on an outcomes-based approach to teaching, one that is in conflict with what we know about how languages are learnt and how experienced teachers teach. It proposes an alternative, affordance-based approach to lesson…

  13. Unintended Learning in Primary School Practical Science Lessons from Polanyi's Perspective of Intellectual Passion

    Science.gov (United States)

    Park, Jisun; Song, Jinwoong; Abrahams, Ian

    2016-03-01

    This study explored, from the perspective of intellectual passion developed by Michael Polanyi, the unintended learning that occurred in primary practical science lessons. We use the term `unintended' learning to distinguish it from `intended' learning that appears in teachers' learning objectives. Data were collected using video and audio recordings of a sample of twenty-four whole class practical science lessons, taught by five teachers, in Korean primary schools with 10- to 12-year-old students. In addition, video and audio recordings were made for each small group of students working together in order to capture their activities and intra-group discourse. Pre-lesson interviews with the teachers were undertaken and audio-recorded to ascertain their intended learning objectives. Selected key vignettes, including unintended learning, were analysed from the perspective of intellectual passion developed by Polanyi. What we found in this study is that unintended learning could occur when students got interested in something in the first place and could maintain their interest. In addition, students could get conceptual knowledge when they tried to connect their experience to their related prior knowledge. It was also found that the processes of intended learning and of unintended learning were different. Intended learning was characterized by having been planned by the teacher who then sought to generate students' interest in it. In contrast, unintended learning originated from students' spontaneous interest and curiosity as a result of unplanned opportunities. Whilst teachers' persuasive passion comes first in the process of intended learning, students' heuristic passion comes first in the process of unintended learning. Based on these findings, we argue that teachers need to be more aware that unintended learning, on the part of individual students, can occur during their lesson and to be able to better use this opportunity so that this unintended learning can be

  14. Application of GM crops in Sub-Saharan Africa: lessons learned from Green Revolution.

    Science.gov (United States)

    Bazuin, Sjoerd; Azadi, Hossein; Witlox, Frank

    2011-01-01

    While the Green Revolution has been successful in some regions like South and East Asia, it could hardly address any achievement in Sub-Saharan Africa (SSA). This paper tries to draw a picture on lessons learned from the failures of this revolution that should be taken into account before implementing the so-called Gene Revolution in the SSA region. After scrutinizing the failures and the pros and cons of GM crops in the region, the paper introduces some potentials for improving the malnutrition situation in SSA through launching a successful GM technology. However, it remains doubtful whether this technology can improve the situation of small-scale farmers as long as they receive no financial support from their national governments. Therefore, before any intervention, the socio-economic and environmental impacts of GM technology need to be carefully addressed in the framework of a series of risk assessment studies. Besides, some sort of multi-stakeholder dialog (from small-scale farmers to consumers) involving public-private sector and non-governmental organizations should be heated up at both national and regional levels with regard to the myths and truths of this technology.

  15. Public perceptions of low-level waste risks -- Lessons learned in Pennsylvania

    Energy Technology Data Exchange (ETDEWEB)

    Dornsife, W.; Serie, P.

    1989-11-01

    People in Pennsylvania are no different than citizens of other eastern states, other states, or any place in the world--they care most deeply about their health, the safety and security of their families, their investments, and their autonomy. How a particular risk is perceived depends on how it is believed to affect those valued possessions. The perception of risk from exposure to the radioactivity contained in low-level radioactive low-level waste disposal facility. The Commonwealth`s program, administered by the Department of Environmental Resources, places high priority on public dialogue on this issue. This paper discusses the Department`s program to develop and promulgate low-level waste regulations, provide a framework for selection of a qualified disposal facility operator, contract with the selected firm, and oversee its activities in siting, licensing, constructing, and operating the facility. This facility will meet the needs of the states of the Appalachian States Compact, including, in addition to Pennsylvania, West Virginia, Maryland, and Delaware. The focus of the paper is on the public information and outreach program accomplished to date, and the lessons learned regarding public perceptions of risk.

  16. Developing novel drugs for systemic lupus erythematosus. Lessons learned from the belimumab trials

    Directory of Open Access Journals (Sweden)

    Cristina Pamfil

    2012-07-01

    Full Text Available Systemic lupus erythematosus is the prototypic autoimmune disease with a broad range of clinical manifestations and a complex pathogenesis. B-cells hold a central role in its pathogenesis, not only as autoantibody producing cells, but also by producing other inflammatory mediators and by presenting autoantigens to autoreactive T cells. BlyS, a soluble ligand of the TNF cytokine family, is a key factor affecting B-cell homeostasis and survival and its blockade ameliorated the disease in animal models and preclinical studies of SLE. Following an unsuccessful phase II trial of belimumab, a monoclonal antibody targeting BlyS, two large phase III studies in patients with mild-to-moderate disease, BLISS-52 and BLISS-76, met their primary endpoints showing better efficacy of the drug over standard of care alone. To this end, development of a novel more sensitive responder index and improvements in study designs were crucial. As a result, belimumab became the first drug to get approval for the treatment of SLE after more than 50 years. In this paper we discuss the rationale, development, indications, lessons learned, pitfalls and challenges for this novel therapy and point-out to additional issues that need to be addressed in the future.http://dx.doi.org/10.7175/rhc.v3i3.206

  17. Applying lessons learned to enhance human performance and reduce human error for ISS operations

    Energy Technology Data Exchange (ETDEWEB)

    Nelson, W.R.

    1998-09-01

    A major component of reliability, safety, and mission success for space missions is ensuring that the humans involved (flight crew, ground crew, mission control, etc.) perform their tasks and functions as required. This includes compliance with training and procedures during normal conditions, and successful compensation when malfunctions or unexpected conditions occur. A very significant issue that affects human performance in space flight is human error. Human errors can invalidate carefully designed equipment and procedures. If certain errors combine with equipment failures or design flaws, mission failure or loss of life can occur. The control of human error during operation of the International Space Station (ISS) will be critical to the overall success of the program. As experience from Mir operations has shown, human performance plays a vital role in the success or failure of long duration space missions. The Department of Energy`s Idaho National Engineering and Environmental Laboratory (INEEL) is developed a systematic approach to enhance human performance and reduce human errors for ISS operations. This approach is based on the systematic identification and evaluation of lessons learned from past space missions such as Mir to enhance the design and operation of ISS. This paper describes previous INEEL research on human error sponsored by NASA and how it can be applied to enhance human reliability for ISS.

  18. Lessons learned in the generation of biomedical research datasets using Semantic Open Data technologies.

    Science.gov (United States)

    Legaz-García, María del Carmen; Miñarro-Giménez, José Antonio; Menárguez-Tortosa, Marcos; Fernández-Breis, Jesualdo Tomás

    2015-01-01

    Biomedical research usually requires combining large volumes of data from multiple heterogeneous sources. Such heterogeneity makes difficult not only the generation of research-oriented dataset but also its exploitation. In recent years, the Open Data paradigm has proposed new ways for making data available in ways that sharing and integration are facilitated. Open Data approaches may pursue the generation of content readable only by humans and by both humans and machines, which are the ones of interest in our work. The Semantic Web provides a natural technological space for data integration and exploitation and offers a range of technologies for generating not only Open Datasets but also Linked Datasets, that is, open datasets linked to other open datasets. According to the Berners-Lee's classification, each open dataset can be given a rating between one and five stars attending to can be given to each dataset. In the last years, we have developed and applied our SWIT tool, which automates the generation of semantic datasets from heterogeneous data sources. SWIT produces four stars datasets, given that fifth one can be obtained by being the dataset linked from external ones. In this paper, we describe how we have applied the tool in two projects related to health care records and orthology data, as well as the major lessons learned from such efforts.

  19. Operational metrics for the ESO Very Large Telescope: lessons learned and future steps

    Science.gov (United States)

    Primas, F.; Marteau, S.; Tacconi-Garman, L. E.; Mainieri, V.; Mysore, S.; Rejkuba, M.; Hilker, M.; Patat, F.; Sterzik, M.; Kaufer, A.; Mieske, S.

    2016-07-01

    When ESO's Very Large Telescope opened its first dome in April 1999 it was the first ground-based facility to offer to the scientific community access to an 8-10m class telescope with both classical and queue observing. The latter was considered to be the most promising way to ensure the observing flexibility necessary to execute the most demanding scientific programmes under the required, usually very well defined, conditions. Since then new instruments have become operational and 1st generation ones replaced, filling the 12 VLT foci and feeding the VLT Interferometer and its four Auxiliary Telescopes. Operating efficiently such a broad range of instruments installed and available every night of the year on four 8-metre telescopes offers many challenges. Although it may appear that little has changed since 1999, the underlying VLT operational model has evolved in order to accommodate different requirements from the user community and features of new instruments. Did it fulfil its original goal and, if so, how well? How did it evolve? What are the lessons learned after more than 15 years of operations? A careful analysis and monitoring of statistics and trends in Phase 1 and Phase 2 has been deployed under the DOME (Dashboard for Operational Metrics at ESO) project. The main goal of DOME is to provide robust metrics that can be followed with time in a user-friendly manner. Here, we summarize the main findings on the handling of service mode observations and present the most recent developments.

  20. ToF-SIMS of tissues: "lessons learned" from mice and women.

    Science.gov (United States)

    Gamble, Lara J; Graham, Daniel J; Bluestein, Blake; Whitehead, Nicholas P; Hockenbery, David; Morrish, Fionnuala; Porter, Peggy

    2015-03-13

    The ability to image cells and tissues with chemical and molecular specificity could greatly expand our understanding of biological processes. The subcellular resolution mass spectral imaging capability of time of flight secondary ion mass spectrometry (ToF-SIMS) has the potential to acquire chemically detailed images. However, the complexities of biological systems combined with the sensitivity of ToF-SIMS require careful planning of experimental methods. Tissue sample preparation methods of formalin fixation followed by paraffin embedding (FFPE) and OCT embedding are compared. Results show that the FFPE can potentially be used as a tissue sample preparation protocol for ToF-SIMS analysis if a cluster ion pre-sputter is used prior to analysis and if nonlipid related tissue features are the features of interest. In contrast, embedding tissue in OCT minimizes contamination and maintains lipid signals. Various data acquisition methodologies and analysis options are discussed and compared using mouse breast and diaphragm muscle tissue. Methodologies for acquiring ToF-SIMS 2D images are highlighted along with applications of multivariate analysis to better identify specific features in a tissue sections when compared to H&E images of serial sections. Identification of tissue features is necessary for researchers to visualize a molecular map that correlates with specific biological features or functions. Finally, lessons learned from sample preparation, data acquisition, and data analysis methods developed using mouse models are applied to a preliminary analysis of human breast tumor tissue sections.

  1. Influencing organisational change in the NHS: lessons learned from workplace wellness initiatives in practice.

    Science.gov (United States)

    Blake, Holly; Lloyd, Scott

    2008-01-01

    This article presents a discussion of the key issues in influencing organisational change in NHS settings, in the development of workplace wellness interventions to improve employee health and wellbeing. To tackle poor public health and associated rising healthcare costs, there must be a focus on the root cause of many preventable diseases - unhealthy lifestyle choices. Workplace wellness initiatives are now an important prevention strategy adopted by socially responsible organisations to target the health and wellbeing of working age adults. Lessons learned from initiatives in secondary care suggest that effective implementation requires change in organisational 'health culture', through a combination of education, behaviour change intervention, needs-based facilities, and services and strategies for developing supportive and health-promoting work environments. Most of all, employers must demonstrate a commitment to health and wellness that is fully integrated with their mission, values and long-term vision, paving the way for sustainable lifestyle changes. Evaluation systems must be in place to measure the impact and outcomes of wellness schemes.

  2. Open Distance Learning for Development: Lessons from Strengthening Research Capacity on Gender, Crisis Prevention, and Recovery

    Directory of Open Access Journals (Sweden)

    Suresh Chandra Babu

    2013-09-01

    Full Text Available This paper documents the experience and lessons from implementing an e-learning program aimed at creating research capacity for gender, crisis prevention, and recovery. It presents a case study of bringing together a multidisciplinary group of women professionals through both online and face-to-face interactions to learn the skills needed to be a successful researcher. It reviews the issues related to distance learning programs with particular reference to the e-learning courses and highlights the constraints and challenges in implementing them. Lessons from the experience for future development of similar courses indicate that participant profiling prior to the course, user friendliness of technology, meeting various learning styles, encouraging and rewarding online exchanges, commitment of course moderators, a variety of learning materials, and mixed approaches to learning are some of the factors that can enhance the success of e-learning programs. The paper concludes that enhancing skills of developing country researchers through e-learning programs can increase learning accessibility to those living and working in remote and conflict ridden areas, and bring together a network of professionals to interact and exchange experiences on common problems and solutions.

  3. Lessons to be learned from an analysis of ammonium nitrate disasters in the last 100 years

    Energy Technology Data Exchange (ETDEWEB)

    Pittman, William; Han, Zhe; Harding, Brian; Rosas, Camilo; Jiang, Jiaojun; Pineda, Alba; Mannan, M. Sam, E-mail: mannan@tamu.edu

    2014-09-15

    Highlights: • Root causes and contributing factors from ammonium nitrate incidents are categorized into 10 lessons. • The lessons learned from the past 100 years of ammonium nitrate incidents can be used to improve design, operation, and maintenance procedures. • Improving organizational memory to help improve safety performance. • Combating and changing organizational cultures. - Abstract: Process safety, as well as the safe storage and transportation of hazardous or reactive chemicals, has been a topic of increasing interest in the last few decades. The increased interest in improving the safety of operations has been driven largely by a series of recent catastrophes that have occurred in the United States and the rest of the world. A continuous review of past incidents and disasters to look for common causes and lessons is an essential component to any process safety and loss prevention program. While analyzing the causes of an accident cannot prevent that accident from occurring, learning from it can help to prevent future incidents. The objective of this article is to review a selection of major incidents involving ammonium nitrate in the last century to identify common causes and lessons that can be gleaned from these incidents in the hopes of preventing future disasters. Ammonium nitrate has been involved in dozens of major incidents in the last century, so a subset of major incidents were chosen for discussion for the sake of brevity. Twelve incidents are reviewed and ten lessons from these incidents are discussed.

  4. Public private partnerships for emergency obstetric care: Lessons from Maharashtra

    Directory of Open Access Journals (Sweden)

    Sarika Chaturvedi

    2011-01-01

    Full Text Available Background: The National Rural Health Mission of India advocates public private partnerships (PPPs to meet its "service guarantee" of Emergency obstetric care (EmOC provision. The Janani Suraksha Yojana (JSY has a provision of Rs. 1500 for contracting in obstetric specialists. Objectives: The study aimed to understand the issues in the design and implementation of the PPPs for EmOC under the JSY in Maharashtra and how they affect the availability of EmOC services to women. Materials and Methods: A cross-sectional study using the rapid assessment approach was conducted in Ahmednagar district of Maharashtra spanning 1-year duration ending in June 2009. Primary data were obtained through interviews with women, providers, and administrators at various levels. Data were analyzed thematically. Results: The PPP scheme for EmOC is restricted to deliveries by Caesarean section. The administrators prefer subsidization of costs for services in private facilities to contracting in. There are no PPPs executed in the study district. This study identifies barriers to women in accessing the benefit and the difficulties faced by administrators in implementing the scheme. Conclusion: The PPPs for EmOC under the JSY have minimally influenced the out-of-pocket payments for EmOC. Infrastructural inadequacies and passive support of the implementers are major barriers to the implementation of contracting-in model of PPPs. Capacities in the public health system are inadequate to design and manage PPPs.

  5. Results of a humanitarian otologic and audiologic project performed outside of the United States: lessons learned from the "Oye, Amigos!" project.

    Science.gov (United States)

    Barrs, D M; Muller, S P; Worrndell, D B; Weidmann, E W

    2000-12-01

    From 1989 to 1993, "Oye, Amigos!" a combined group of hearing health and other medical professionals performed 18 humanitarian medical and audiologic trips to Tepic, Nayarit, Mexico. The group saw 1500 patients, issued over 800 hearing aids, and performed 150 surgeries on 123 patients. Our tympanoplasty success rate, defined as an intact tympanic membrane, was 41% during the first 2 years of the project but increased to 74% during the last 3 years. Two hundred eighteen patients who were candidates for surgery did not return for care. We present the lessons learned from the surgical care and overall management of this project, and present suggestions to improve future projects.

  6. Video observation in HIT development: lessons learned on benefits and challenges

    Directory of Open Access Journals (Sweden)

    Høstgaard Anna

    2012-08-01

    between the health care professionals involved. The most important lessons learned are that a well considered methodology and clear formulated objectives are imperative, in order to stay focused during the data rich analysis phase. Additionally, the video observation technique is primarily recommended for studies of specific clinical work practices within delimited clinical settings. Overall, the video observation technique has proven to be capable of improving our understanding of the interwoven relation between clinical work practice and HIT and to inform us about user requirements and needs for HIT, which is a precondition for the development of more successful HIT systems in the future.

  7. Cognitive and learning sciences in biomedical and health instructional design: A review with lessons for biomedical informatics education.

    Science.gov (United States)

    Patel, Vimla L; Yoskowitz, Nicole A; Arocha, Jose F; Shortliffe, Edward H

    2009-02-01

    Theoretical and methodological advances in the cognitive and learning sciences can greatly inform curriculum and instruction in biomedicine and also educational programs in biomedical informatics. It does so by addressing issues such as the processes related to comprehension of medical information, clinical problem-solving and decision-making, and the role of technology. This paper reviews these theories and methods from the cognitive and learning sciences and their role in addressing current and future needs in designing curricula, largely using illustrative examples drawn from medical education. The lessons of this past work are also applicable, however, to biomedical and health professional curricula in general, and to biomedical informatics training, in particular. We summarize empirical studies conducted over two decades on the role of memory, knowledge organization and reasoning as well as studies of problem-solving and decision-making in medical areas that inform curricular design. The results of this research contribute to the design of more informed curricula based on empirical findings about how people learn and think, and more specifically, how expertise is developed. Similarly, the study of practice can also help to shape theories of human performance, technology-based learning, and scientific and professional collaboration that extend beyond the domain of medicine. Just as biomedical science has revolutionized health care practice, research in the cognitive and learning sciences provides a scientific foundation for education in biomedicine, the health professions, and biomedical informatics.

  8. Preliminary lessons learned from the "Native Navigators and the Cancer Continuum" (NNACC).

    Science.gov (United States)

    Burhansstipanov, Linda; Krebs, Linda U; Watanabe-Galloway, Shinobu; Petereit, Daniel G; Pingatore, Noel L; Eschiti, Valerie

    2012-04-01

    This community-based participatory research (CBPR) study was based on patient navigation (Navigator) among three original sites: Colorado, Michigan, and South Dakota. During 2010, the study added two sites: the Comanche Nation and the Muscogee (Creek) Nation (Oklahoma). The intervention includes 24-h of a Navigator-implemented cancer education program that addresses the full continuum of cancer care. The partners include agreements with up to two local Native American organizations each year, called Memorandum Native Organizations, who have strong relationships with local American Indians. Family fun events are used to initiate the series of workshops and to collect baseline data and also to wrap up and evaluate the series 3 months following the completion of the workshop series. Evaluation data are collected using an audience response system (ARS) and stored using an online evaluation program. Among the lessons learned to date are: the Institutional Review Board processes required both regional and national approvals and took more than 9 months. All of the workshop slides were missing some components and needed refinements. The specifics for the Memorandum Native Organization deliverables needed more details. The ARS required additional training sessions, but once learned the Navigator use the ARS well. Use of the NACR website for a password-protected page to store all NNACC workshop and training materials was easier to manage than use of other online storage programs. The community interest in taking part in the workshops was greater than what was anticipated. All of the Navigators' skills are improving and all are enjoying working with the community.

  9. International Space Station Passive Thermal Control System Analysis, Top Ten Lessons-Learned

    Science.gov (United States)

    Iovine, John

    2011-01-01

    The International Space Station (ISS) has been on-orbit for over 10 years, and there have been numerous technical challenges along the way from design to assembly to on-orbit anomalies and repairs. The Passive Thermal Control System (PTCS) management team has been a key player in successfully dealing with these challenges. The PTCS team performs thermal analysis in support of design and verification, launch and assembly constraints, integration, sustaining engineering, failure response, and model validation. This analysis is a significant body of work and provides a unique opportunity to compile a wealth of real world engineering and analysis knowledge and the corresponding lessons-learned. The analysis lessons encompass the full life cycle of flight hardware from design to on-orbit performance and sustaining engineering. These lessons can provide significant insight for new projects and programs. Key areas to be presented include thermal model fidelity, verification methods, analysis uncertainty, and operations support.

  10. Utilizing Lesson Study in Improving Year 12 Students' Learning and Performance in Mathematics

    Directory of Open Access Journals (Sweden)

    Jessie Siew Yin Chong

    2017-02-01

    Full Text Available This study investigated the use of Lesson Study to improve Year 12 students' performance in conditional probability through Inquiry-Based Learning (IBL lessons. In total, 66 students comprised of three Year 12 classes of similar abilities, and their three respective teachers from a government junior college participated in the study. The instruments used to collect the relevant data in this study were teachers' reflective journals and students' achievement tests. The collected data were then analyzed and interpreted quantitatively using the SPSS. The analysis of the students' pre- and post-tests concluded that as the lesson plans were gradually refined and enhanced, their performance in solving conditional probability questions steadily improved.

  11. Teaching Project Management On-Line: Lessons Learned from MOOCs

    Science.gov (United States)

    Falcao, Rita; Fernandes, Luis

    2016-01-01

    Creating a course for teaching project management online in a full online distance-learning environment was a challenge. Working with adult learners from different continents that want to complete a Master degree was an additional challenge. This paper describes how different MOOCs were used to learn about teaching -(meta) e-learning. MOOCs…

  12. Cell Inquiry: A 5E Learning Cycle Lesson

    Science.gov (United States)

    Wilder, Melinda; Shuttleworth, Phyllis

    2004-01-01

    One dilemma science teachers face every day is balancing the content demands of state and federal testing requirements while providing opportunities for inquiry. Using the 5E learning cycle is a realistic, constructivist way to address this dilemma. The 5E learning cycle leads students through a sequence of learning in which they become engaged in…

  13. Student Learning Styles in Advanced Instrumental Music Lessons

    Science.gov (United States)

    Zhukov, Katie

    2007-01-01

    Despite a large body of research into learning styles from cognitive, personality and activity perspectives, the definition of learning style is still unclear. The assessment instruments commonly in use have methodological problems. The learning styles of conservatorium instrumentalists are scarcely known and are best studied using an…

  14. Lessons from community mental health to drive implementation in health care systems for people with long-term conditions.

    Science.gov (United States)

    Tansella, Michele; Thornicroft, Graham; Lempp, Heidi

    2014-04-30

    This paper aims to identify which lessons learned from the evidence and the experiences accruing from the transformation in mental health services in recent decades may have relevance for the future development of healthcare for people with long-term physical conditions. First, nine principles are discussed which we first identified to guide mental health service organisation, and all of which can be potentially applied to long term care as well (autonomy, continuity, effectiveness, accessibility, comprehensiveness, equity, accountability, co-ordination, and efficiency). Second, we have outlined innovative operational aspects of service user participation, many of which were first initiated and consolidated in the mental health field, and some of which are now also being implemented in long term care (including case management, and crisis plans). We conclude that long term conditions, whether mental or physical, deserve a long-term commitment from the relevant health services, and indeed where continuity and co-ordination are properly funded implemented, this can ensure that the symptomatic course is more stable, quality of life is enhanced, and the clinical outcomes are more favourable. Innovations such as self-management for long-term conditions (intended to promote autonomy and empowerment) need to be subjected to the same level of rigorous scientific scrutiny as any other treatment or service interventions.

  15. Market competition in health care markets in the Netherlands: some lessons for England?

    Science.gov (United States)

    den Exter, André P; Guy, Mary J

    2014-01-01

    This article seeks to establish what lessons might be available to the English health care sector following enactment of the Health and Social Care Act 2012 from the Dutch experience of introducing market competition into health care via a mandatory health insurance scheme implemented by for-profit insurance companies. The existence of the Beveridge NHS model in England, and a Bismarckian insurance system in The Netherlands perhaps suggest that a comparison of the two countries is at best limited, and reinforced by the different Enthoven-inspired competitive models each has adopted. However, we contend that there are positive and negative issues arising from introducing competition into health care-, e.g. concerns about equity and benefits of efficiencies-which go beyond national boundaries and different systems and reflect the global paradigm shift towards the use of market forces in previously non-market areas such as health. The article examines the situation in England following the HSCA 2012 and The Netherlands following the 2006 reforms before analysing two areas of common ground: the focus in both countries on competition on quality (as opposed to price) and integrated care, which is assuming ever greater significance. We suggest that our combined insights (as a health lawyer and competition lawyer respectively) coupled with a comparative approach create a novel contribution to current calls for a wider public debate about the real role of markets in health care over and above simple characterisation as a force for good or bad.

  16. Developing community-based intervention strategies to save newborn lives: lessons learned from formative research in five countries.

    Science.gov (United States)

    2008-12-01

    This paper summarizes lessons learned from formative research conducted in Bangladesh, Ghana, India, Mali and Nepal to inform the development of newborn health interventions, mostly in the context of field trials. Current practices, constraints to the adoption of optimal practices and implications for implementing inventions to improve newborn survival are discussed for: optimal care during pregnancy; skilled care at birth; optimal delivery and newborn care practices; special care of low birth weight babies; and timely and appropriate care seeking for newborn illness. General lessons concerning target audiences and intervention strategy are also drawn. In brief, interventions to reduce neonatal mortality need to start during pregnancy not only to promote birth preparedness and institutional delivery, but also to start the process of change concerning early newborn care practices. Their target audience should not only be pregnant or recently delivered women, but also include the main gatekeepers, particularly traditional birth attendants, grandmothers and other family members. Health providers' opinions also matter as care practices are less likely to change if families receive conflicting messages from different sources. Interventions are more likely to succeed if they are not simply message based, but include problem solving approaches, and a behavior change component to address community norms. Although antenatal care (ANC) is theoretically a good channel for newborn interventions, capitalising on its potential is not straightforward, and will require considerable investment and intervention development in its own right in order to improve ANC counselling, which will need to extend beyond training and tackle the many working day constraints encountered by ANC providers. Removing or subsidising the cost of deliveries may be a necessary action to increase institutional deliveries, but it is unlikely to be sufficient; measures will need to be put in place to ensure

  17. On constant alert: lessons to be learned from Israel's emergency response to mass-casualty terrorism incidents.

    Science.gov (United States)

    Adini, Bruria; Peleg, Kobi

    2013-12-01

    In its short modern history, Israel has had to contend with numerous mass-casualty incidents caused by terrorism. As a result, it has developed practical national preparedness policies for responding to such events. Israel's Supreme Health Authority, a committee of the Ministry of Health, coordinates emergency management nationwide. All emergency personnel, health care providers, and medical facilities operate under national policies designed to ensure a swift and coordinated response to any incident, based on an "all hazards" approach that emphasizes core elements commonly encountered in mass-casualty incidents. Israel's emergency management system includes contingency planning, command and control, centrally coordinated response, cooperation, and capacity building. Although every nation is unique, many of the lessons that Israel has learned may be broadly applicable to preparation for mass-casualty incidents in the United States and other countries.

  18. 77 FR 46127 - Interim Staff Guidance on Changes to the Generic Aging Lessons Learned (GALL) Report Revision 2...

    Science.gov (United States)

    2012-08-02

    ... COMMISSION Interim Staff Guidance on Changes to the Generic Aging Lessons Learned (GALL) Report Revision 2... Learned (GALL) Report,'' and the NRC staff's aging management review procedure and acceptance criteria... learned and to address emergent issues not covered in license renewal guidance documents. In this way,...

  19. Lessons to Exchange: A Comparison of Long-Term Care Between Two Cultures: Uganda and Singapore.

    Science.gov (United States)

    Tam, Wai Jia; Yap, Philip

    2015-12-01

    Today, both the developed and developing world are facing fast-aging populations. Projections show that by 2050, 80% of the world's older persons will live in low and middle-income countries. As developed countries look to institutionalization as one of the means to cope with the challenges of long-term care of seniors, the developing world, with a different cultural, socioeconomic, and environmental context, may yet offer insights that instruct and inspire. By analyzing and comparing the approaches, context, and progress of Singapore and Uganda in coping with frail and dependent seniors, this article provides lessons about what the developing and developed world can offer each other, and in turn, teach us about long-term care of seniors.

  20. Learning from physics education research: Lessons for economics education

    OpenAIRE

    Simkins, Scott P.; Maier, Mark H.

    2008-01-01

    We believe that economists have much to learn from educational research practices and related pedagogical innovations in other disciplines, in particular physics education. In this paper we identify three key features of physics education research that distinguish it from economics education research - (1) the intentional grounding of physics education research in learning science principles, (2) a shared conceptual research framework focused on how students learn physics concepts, and (3) a...

  1. Six Sigma in Health Care: Lessons learned from a Hospital

    NARCIS (Netherlands)

    van den Heuvel, J.; Does, R.J.M.M.; Verver, J.P.S.

    2005-01-01

    Six Sigma is a quality improvement approach aimed at optimising processes while reducing defects and costs. It has been developed and is widely used in industry and recently has been introduced, on a limited scale, in healthcare. In this article, we discuss the results of the implementation of Six S

  2. Improving cardiovascular outcomes among Aboriginal Australians: Lessons from research for primary care

    Directory of Open Access Journals (Sweden)

    Sandra C Thompson

    2016-11-01

    Full Text Available Background: The Aboriginal people of Australia have much poorer health and social indicators and a substantial life expectancy gap compared to other Australians, with premature cardiovascular disease a major contributor to poorer health. This article draws on research undertaken to examine cardiovascular disparities and focuses on ways in which primary care practitioners can contribute to reducing cardiovascular disparities and improving Aboriginal health. Methods: The overall research utilised mixed methods and included data analysis, interviews and group processes which included Aboriginal people, service providers and policymakers. Workshop discussions to identify barriers and what works were recorded by notes and on whiteboards, then distilled and circulated to participants and other stakeholders to refine and validate information. Additional engagement occurred through circulation of draft material and further discussions. This report distils the lessons for primary care practitioners to improve outcomes through management that is attentive to the needs of Aboriginal people. Results: Aspects of primordial, primary and secondary prevention are identified, with practical strategies for intervention summarised. The premature onset and high incidence of Aboriginal cardiovascular disease make prevention imperative and require that primary care practitioners understand and work to address the social underpinnings of poor health. Doctors are well placed to reinforce the importance of healthy lifestyle at all visits to involve the family and to reduce barriers which impede early care seeking. Ensuring better information for Aboriginal patients and better integrated care for patients who frequently have complex needs and multi-morbidities will also improve care outcomes. Conclusion: Primary care practitioners have an important role in improving Aboriginal cardiovascular care outcomes. It is essential that they recognise the special needs of their

  3. Fast, Affordable, Science and Technology Satellite (FASTSAT) Huntsville-01 (HSV-01) Spacecraft Lessons Learned Report

    Science.gov (United States)

    Smith, Timothy A.

    2012-01-01

    The Fast Affordable Science and Technology Satellite (FASTSAT) project is a path finding effort to produce reliable satellite busses for different applications at an unprecedented speed and low cost. The project is designed to be a generational project and the first satellite produced is the Huntsville -01 (HSV-01) spacecraft. The subject of this report is the lessons learned gained during the development, testing, and up to the delivery of the FASTSAT HSV -01 spacecraft. The purpose of this report is to capture the major findings that will greatly benefit the future FASTSAT satellites and perhaps other projects interested in pushing the boundaries for cost and schedule. The FASTSAT HSV -01 primary objectives, success criteria, and team partners are summarized to give a frame of reference to the lessons learned.

  4. Communication of radiation benefits and risks in decision making: some lessons learned.

    Science.gov (United States)

    Locke, Paul A

    2011-11-01

    This paper is focused on summarizing the "lessons learned" from discussions at the 2010 NCRP Annual Meeting on effective communications on the subject of radiation benefits and risks in public exposures. Five main lessons learned are discussed in regard to effective methods of public communication: the use of new social media communication tools such as Facebook and Twitter, emergency situations that require rapid societal and personal messaging, medical radiological procedures where benefits must be described in comparison to long-term health risks of radiation exposures, and information that should be provided to stakeholders in situations such as environmental radionuclide contamination to which members of the public may be exposed. It is concluded that effective communications in which radiation benefits are contrasted with health risks of exposure are an important aspect of making and implementing decisions on employing radiation health protection procedures.

  5. Educating Professional Musicians: Lessons Learned from School Music

    Science.gov (United States)

    Carruthers, Glen

    2008-01-01

    Music in Canadian schools at one time focused on skills development. Building on talent, aptitude, prior learning and physical coordination, students would become better at singing or playing an instrument by studying it at school. Over time, new approaches to music teaching and learning opened the umbrella to a more comprehensive range of…

  6. Goal-Setting Learning Principles: A Lesson From Practitioner

    Directory of Open Access Journals (Sweden)

    Zainudin bin Abu Bakar

    2014-02-01

    Full Text Available One of the prominent theory was the goal-setting theory which was widely been used in educational setting. It is an approach than can enhance the teaching and learning activities in the classroom. This is a report paper about a simple study of the implementation of the goal-setting principle in the classroom. A clinical data of the teaching and learning session was then analysed to address several issues highlighted. It is found that the goal-setting principles if understood clearly by the teachers can enhance the teaching and learning activities. Failed to see the needs of the session will revoke the students learning interest. It is suggested that goal-setting learning principles could become a powerful aid for the teachers in the classroom.

  7. My First 100 Consecutive Microvascular Free Flaps: Pearls and Lessons Learned in First Year of Practice

    OpenAIRE

    Edward I. Chang, MD

    2013-01-01

    Background: Microvascular reconstruction for oncologic defects is a challenging and rewarding endeavor, and successful outcomes are dependent on a multitude of factors. This study represents lessons learned from a personal prospective experience with 100 consecutive free flaps. Methods: All patients’ medical records were reviewed for demographics, operative notes, and complications. Results: Overall 100 flaps were performed in 84 consecutive patients for reconstruction of breast, head a...

  8. Assessing social impacts in a life cycle perspective-Lessons learned

    DEFF Research Database (Denmark)

    Hauschild, Michael Zwicky; Jørgensen, Andreas; Dreyer, Louise Camilla

    2008-01-01

    them make informed decisions about their social impacts throughout the life cycle of their products. The paper presents lessons learned from four years of work with industry on development of a methodology for social Life Cycle Assessment and implementation in the industrial product chain. The Social...... LCA methodology supplements the traditional environment-oriented LCA and the life cycle costing tools in support of sustainability management addressing all three pillars of sustainability: people, planet and profit....

  9. Lessons Learned and Future Goals of the High Lift Prediction Workshops

    Science.gov (United States)

    Rumsey, Christopher L.; Lee-Rausch, Elizabeth; Slotnick, Jeffrey P.

    2016-01-01

    The American Institute of Aeronautics and Astronautics (AIAA) High Lift Prediction Workshop series is described. Two workshops have been held to date. Major conclusions are summarized, and plans for future workshops are outlined. A compilation of lessons learned from the first two workshops is provided. This compilation includes a summary of needs for future high-lift experiments that are intended for computational fluid dynamics (CFD) validation.

  10. EOS MLS Lessons Learned: Design Ideas for Safer and Lower Cost Operations

    Science.gov (United States)

    Miller, Dominick

    2012-01-01

    The Earth Observing System (EOS) Microwave Limb Sounder (MLS) is a complex instrument with a front end computer and 32 subsystem computers. MLS is one of four instruments on NASA's EOS Aura spacecraft With almost 8 years in orbit, MLS has a few lessons learned which can be applied during the design phase of future instruments to effect better longevity, more robust operations and a significant cost benefit during operations phase.

  11. Lessons learned from the Hubble Space Telescope planning and scheduling system implementation and operation

    Science.gov (United States)

    Ruitberg, Edward O.; Ondrus, Paul J.

    1990-01-01

    The major challenge of the NASA Hubble Space Telescope (HST) Ground System has been the implementation of the planning and scheduling system. This paper describes the operational flow of HST from science proposals to the actual execution of science observations on board the HST. The paper provides a collection of lessons learned over the 10 years that have covered the definition, development, test, and initial operation of HST's planning and scheduling system.

  12. A literary approach to tuberculosis: lessons learned from Anton Chekhov, Franz Kafka, and Katherine Mansfield

    Directory of Open Access Journals (Sweden)

    Cristina Vilaplana

    2017-03-01

    Full Text Available Letters by notable writers from the past century can provide valuable information on the times in which they lived. In this article, attention is drawn to the lessons learned from three famous writers who died of tuberculosis: Anton Chekhov, Franz Kafka, and Katherine Mansfield. The characteristics of the course of the disease in the pre-antibiotic era and the importance of addressing mental health in the management of tuberculosis are discussed.

  13. Moving Nursing Program Portfolio Assessment From Midterm to End of Program: Lessons Learned.

    Science.gov (United States)

    Hickey, Kari; Rossetti, Jeanette; Oldenburg, Nancy; Abendroth, Maryann; Uhlken, Connie; Musker, Kathleen; Peters, Bradley; Paramore, Patricia

    2016-11-01

    Portfolio assessment promotes a culture of evidence, evaluates program outcomes, and provides an opportunity to assess the acquisition of knowledge and skills that are not easily assessed by examinations and other traditional assessment methods in nursing curricula. The portfolio program of 1 Midwestern school of nursing recently moved portfolio assessment to the end of program. The process of this change including logistics, rubric development, and lessons learned is highlighted.

  14. A literary approach to tuberculosis: lessons learned from Anton Chekhov, Franz Kafka, and Katherine Mansfield.

    Science.gov (United States)

    Vilaplana, Cristina

    2017-03-01

    Letters by notable writers from the past century can provide valuable information on the times in which they lived. In this article, attention is drawn to the lessons learned from three famous writers who died of tuberculosis: Anton Chekhov, Franz Kafka, and Katherine Mansfield. The characteristics of the course of the disease in the pre-antibiotic era and the importance of addressing mental health in the management of tuberculosis are discussed.

  15. A Review of Selected International Aircraft Spares Pooling Programs: Lessons Learned for F-35 Spares Pooling

    Science.gov (United States)

    2016-01-01

    international military aircraft support program using true spares pooling for which we have any detailed and reliable data, and it is the closest current...for all F77 spares . The remaining non-C-17 unique spares are managed by the Defense Logistics Agency and the Air Force Air Logistics Centers .50...C O R P O R A T I O N Research Report A Review of Selected International Aircraft Spares Pooling Programs Lessons Learned for F-35 Spares Pooling

  16. Lessons Learned in Integration for Sensor-Based Robot Navigation Systems

    OpenAIRE

    Javier Minguez; Luis Montesano; Luis Montano

    2006-01-01

    This paper presents our work of integration during the last years within the context of sensor-based robot navigation systems. In our motion system, as in many others, there are functionalities involved such as modeling, planning or motion control, which have to be integrated within an architecture. This paper addresses this problematic. Furthermore, we also discuss the lessons learned while: (i) designing, testing and validating techniques that implement the functionalities of the navigation...

  17. ISS Solar Array Alpha Rotary Joint (SARJ) Bearing Failure and Recovery: Technical and Project Management Lessons Learned

    Science.gov (United States)

    DellaCorte, Christopher; Krantz, Timothy L.; Dube, Michael J.

    2011-01-01

    The photovoltaic solar panels on the International Space Station (ISS) track the Sun through continuous rotating motion enabled by large bearings on the main truss called solar array alpha rotary joints (SARJs). In late 2007, shortly after installation, the starboard SARJ had become hard to turn and had to be shut down after exceeding drive current safety limits. The port SARJ, of the same design, had been working well for over 2 years. An exhaustive failure investigation ensued that included multiple extravehicular activities to collect information and samples for engineering forensics, detailed structural and thermal analyses, and a careful review of the build records. The ultimate root cause was determined to be kinematic design vulnerability coupled with inadequate lubrication, and manufacturing flaws; this was corroborated through ground tests, metallurgical studies, and modeling. A highly successful recovery plan was developed and implemented that included replacing worn and damaged components in orbit and applying space-compatible grease to improve lubrication. Beyond the technical aspects, however, lie several key programmatic lessons learned. These lessons, such as running ground tests to intentional failure to experimentally verify failure modes, are reviewed and discussed so they can be applied to future projects to avoid such problems.

  18. Crossing the quality chasm: lessons from health care quality improvement efforts in England

    OpenAIRE

    Madhok, Rajan

    2002-01-01

    The second report from the US Institute of Medicine Crossing the Quality Chasm, highlighted the deficiencies in health care quality in the USA, analyzed the contributory factors, and proposed 13 recommendations for improvements. Clearly, the challenges are enormous. Can anything be learned from the experiences of other countries? This article describes the author's experiences of health care quality improvement efforts in the National Health Service in England and their implications for the U...

  19. Outsourced design services lessons learned from LHC civil engineering

    CERN Document Server

    Watson, T

    2003-01-01

    In April 1996 CERN awarded three contracts for the provision of civil engineering design and site supervision services associated with the LHC Project. These three contracts with an average value at signature of 12MCHF were placed using the “two envelope” award system. Eight firms from six member states were integrated into three Joint Ventures. For Projects prior to the LHC, CERN would have carried out the design and supervision using in-house staff. The change to out-sourced services represented a major step for CERN. After seven years, the contracts are now coming to their conclusion. This paper aims to discuss the reasons why these contracts were originally implemented, the lessons than have been learnt over the last seven years and conclusions on how CERN could approach the need for civil engineering design services in the future.

  20. Lessons Learned from an Industry, Government and University Collaboration to Restore Stream Habitats and Mitigate Effects

    Science.gov (United States)

    Jones, Nicholas E.; Scrimgeour, Garry J.; Tonn, William M.

    2017-01-01

    Restoration ecologists conduct both basic and applied research using a diversity of funding and collaborative models. Over the last 17 years we have assessed the effectiveness of a stream compensation project in Canada's north, where an independent university-based research program was a condition of the regulatory approval process. This resulted in a non-traditional university-government-industry partnership. Here we share seven lessons that we learned from our collective experiences with the research partnership and use the Ekati diamond mine as a case study to illustrate and support lessons learned. Our advice includes opinions on the importance of: engaging collaborators early, defining roles and responsibilities, data sharing and standardization, the use of natural streams to set restoration targets, expect setbacks and surprises, treating restoration as an opportunity to experiment, and how to define success. Many of the lessons learned are broadly applicable to those whom embark on research collaborations among industry, universities, and consulting companies within a regulatory framework and may be of particular value to collaborators in early stages of their career.

  1. Identifying different methods for creating knowledge from lessons learned in project oriented organizations

    Directory of Open Access Journals (Sweden)

    Ahmad Norang

    2016-01-01

    Full Text Available Nowadays, the increase in competition has increased the relative importance of innovation for most firms and many managers believe a good innovation must be knowledge oriented. This paper has tried to determine different methods for creating knowledge in project oriented organizations. The study designs a questionnaire in Likert scale and distributes it among 32 experts who were well informed about different methods of knowledge creation and lessons learned. Cronbach alphas for all components of the survey were well above the desirable level. The study has detected 11 methods for knowledge creation and lessons learned. In terms of preliminary assessment, business transactions has received the highest impact while knowledge team has received the highest effect in terms of necessary assessment. The results of this survey have indicated that although there are several methods for detecting knowledge within organizations, in most cases, it is not easy to gain value added knowledge within an organization, quickly. The people who participated in our survey have indicated that organizational commitment, brainstorming, Delphi and storytelling also have played important role for creation of knowledge. The results have also shown that brainstorming, knowledge brokers, map knowledge and work experience were easier to use for knowledge creation and lessons learned compared with other forms of knowledge creation.

  2. Turning points and lessons learned: stressful life events and personality trait development across middle adulthood.

    Science.gov (United States)

    Sutin, Angelina R; Costa, Paul T; Wethington, Elaine; Eaton, William

    2010-09-01

    The present research examined stressful life events and personality development across middle adulthood. Participants (N = 533) related the most stressful event they had experienced within the last 10 years, indicated whether they considered the event to be a turning point and/or lesson learned, and twice completed a comprehensive measure of traits defined by the five-factor model of personality; the stressful event occurred between these two assessments. Descriptions were coded to classify events into broad content domains based on the nature of the event. Prospectively, individuals high in Neuroticism perceived the event as a turning point; extraverts learned a lesson from it. Longitudinally, perceiving the event as a negative turning point was associated with increases in Neuroticism, whereas learning a lesson from the event was associated with increases in Extraversion and Conscientiousness. Characteristics of the events themselves were primarily unrelated to trait change. Across middle adulthood, personality trait change may be more strongly related to how individuals understand the stressful events in their lives rather than simply the occurrence of such events.

  3. Promoting system-level learning from project-level lessons

    Energy Technology Data Exchange (ETDEWEB)

    Jong, Amos A. de, E-mail: amosdejong@gmail.com [Innovation Management, Utrecht (Netherlands); Runhaar, Hens A.C., E-mail: h.a.c.runhaar@uu.nl [Section of Environmental Governance, Utrecht University, Utrecht (Netherlands); Runhaar, Piety R., E-mail: piety.runhaar@wur.nl [Organisational Psychology and Human Resource Development, University of Twente, Enschede (Netherlands); Kolhoff, Arend J., E-mail: Akolhoff@eia.nl [The Netherlands Commission for Environmental Assessment, Utrecht (Netherlands); Driessen, Peter P.J., E-mail: p.driessen@geo.uu.nl [Department of Innovation and Environment Sciences, Utrecht University, Utrecht (Netherlands)

    2012-02-15

    A growing number of low and middle income nations (LMCs) have adopted some sort of system for environmental impact assessment (EIA). However, generally many of these EIA systems are characterised by a low performance in terms of timely information dissemination, monitoring and enforcement after licencing. Donor actors (such as the World Bank) have attempted to contribute to a higher performance of EIA systems in LMCs by intervening at two levels: the project level (e.g. by providing scoping advice or EIS quality review) and the system level (e.g. by advising on EIA legislation or by capacity building). The aims of these interventions are environmental protection in concrete cases and enforcing the institutionalisation of environmental protection, respectively. Learning by actors involved is an important condition for realising these aims. A relatively underexplored form of learning concerns learning at EIA system-level via project level donor interventions. This 'indirect' learning potentially results in system changes that better fit the specific context(s) and hence contribute to higher performances. Our exploratory research in Ghana and the Maldives shows that thus far, 'indirect' learning only occurs incidentally and that donors play a modest role in promoting it. Barriers to indirect learning are related to the institutional context rather than to individual characteristics. Moreover, 'indirect' learning seems to flourish best in large projects where donors achieved a position of influence that they can use to evoke reflection upon system malfunctions. In order to enhance learning at all levels donors should thereby present the outcomes of the intervention elaborately (i.e. discuss the outcomes with a large audience), include practical suggestions about post-EIS activities such as monitoring procedures and enforcement options and stimulate the use of their advisory reports to generate organisational memory and ensure a better

  4. Negative-Pressure Wound Therapy in the Military: Lessons Learned

    Science.gov (United States)

    2011-01-01

    registered nurse anesthetists and anesthesiologists ), perioperative and critical care, physical therapy, and patient-holding capa- bility. The full...combat casualty care: Innovative use of ad- vanced regional anesthesia. Pain Med. 2006;7:330–338. 11. Miller MS, Lowery CA. Negative pressure wound...A spe- cial report on the chitosan-based hemostatic dresing: Expe- rience in current combat operations. J Trauma 2006;60:655– 658. 14. Miller MS

  5. Developing built environment programs in local health departments: lessons learned from a nationwide mentoring program.

    Science.gov (United States)

    Rube, Kate; Veatch, Maggie; Huang, Katy; Sacks, Rachel; Lent, Megan; Goldstein, Gail P; Lee, Karen K

    2014-05-01

    Local health departments (LHDs) have a key role to play in developing built environment policies and programs to encourage physical activity and combat obesity and related chronic diseases. However, information to guide LHDs' effective engagement in this arena is lacking. During 2011-2012, the New York City Department of Health and Mental Hygiene (DOHMH) facilitated a built environment peer mentoring program for 14 LHDs nationwide. Program objectives included supporting LHDs in their efforts to achieve built environment goals, offering examples from DOHMH's built environment work to guide LHDs, and building a healthy built environment learning network. We share lessons learned that can guide LHDs in developing successful healthy built environment agendas.

  6. It's Rather like Learning a Language: Development of talk and conceptual understanding in mechanics lessons

    Science.gov (United States)

    Rincke, Karsten

    2011-01-01

    Although a broad literature exists concerning the development of conceptual understanding of force and other topics within mechanics, little is known about the role and development of students' talk about the subject. The paper presents an in-depth investigation of students' talk whilst being introduced to the concept of force. The main research goal was to investigate and understand how students develop an understanding of the concept of force and how they use and understand the term 'force'. Therefore, we make relation to the research field of students' preconceptions and the field of second language learning. Two classes of students (N = 47) were videotaped during a time period of nine lessons, each transcribed and analysed using a category system. Additional data were obtained via written tasks, logs kept by the students, and tests. The detailed analysis of the talk and the results of the tests indicate that students face difficulties in using the term 'force' scientifically similar to those in a foreign language instruction. Vygotsky already recognised a relationship between learning in science and learning a language. In this paper, important aspects of this relationship are discussed based upon empirical data. We conclude that in some respects it might be useful to make reference to the research related to language learning when thinking about improving science education. In particular, according to Selinker's concept of interlanguage describing language-learning processes within language instruction, the language used by the students during physics lessons can be viewed as a 'scientific interlanguage'.

  7. How to learn and develop from both good and bad lessons- the 2011Tohoku tsunami case -

    Science.gov (United States)

    Sugimoto, Megumi; Okazumi, Toshio

    2013-04-01

    The 2011 Tohoku tsunami revealed Japan has repeated same mistakes in a long tsunami disaster history. After the disaster Japanese remember many old lessons and materials: an oral traditional evacuation method 'Tsunami TENDENKO' which is individual independent quick evacuation, a tsunami historical memorial stone "Don't construct houses below this stone to seaside" in Aneyoshi town Iwate prefecture, Namiwake-shrine naming from the story of protect people from tsunami in Sendai city, and so on. Tohoku area has created various tsunami historical cultures to descendent. Tohoku area had not had a tsunami disaster for 50 years after the 1960 Chilean tsunami. The 2010 Chilean tsunami damaged little fish industry. People gradually lost tsunami disaster awareness. At just the bad time the magnitude (M) 9 scale earthquake attacked Tohoku. It was for our generations an inexperienced scale disaster. People did not make use of the ancestor's lessons to survive. The 2004 Sumatra tsunami attacked just before 7 years ago. The magnitude scale is almost same as M 9 scale. Why didn't Tohoku people and Japanese tsunami experts make use of the lessons? Japanese has a character outside Japan. This lesson shows it is difficult for human being to learn from other countries. As for Three mile island accident case in US, it was same for Japan. To addition to this, there are similar types of living lessons among different hazards. For examples, nuclear power plantations problem occurred both the 2012 Hurricane Sandy in US and the 2011 Tohoku tsunami. Both local people were not informed about the troubles though Oyster creek nuclear power station case in US did not proceed seriously all. Tsunami and Hurricane are different hazard. Each exparts stick to their last. 1. It is difficult for human being to transfer living lessons through next generation over decades. 2. It is difficult for human being to forecast inexperienced events. 3. It is usually underestimated the danger because human being

  8. Proprioception in motor learning: lessons from a deafferented subject.

    Science.gov (United States)

    Yousif, N; Cole, J; Rothwell, J; Diedrichsen, J

    2015-08-01

    Proprioceptive information arises from a variety of channels, including muscle, tendon, and skin afferents. It tells us where our static limbs are in space and how they are moving. It remains unclear however, how these proprioceptive modes contribute to motor learning. Here, we studied a subject (IW) who has lost large myelinated fibres below the neck and found that he was strongly impaired in sensing the static position of his upper limbs, when passively moved to an unseen location. When making reaching movements however, his ability to discriminate in which direction the trajectory had been diverted was unimpaired. This dissociation allowed us to test the involvement of static and dynamic proprioception in motor learning. We found that IW showed a preserved ability to adapt to force fields when visual feedback was present. He was even sensitive to the exact form of the force perturbation, responding appropriately to a velocity- or position-dependent force after a single perturbation. The ability to adapt to force fields was also preserved when visual feedback about the lateral perturbation of the hand was withdrawn. In this experiment, however, he did not exhibit a form of use-dependent learning, which was evident in the control participants as a drift of the intended direction of the reaching movement in the perturbed direction. This suggests that this form of learning may depend on static position sense at the end of the movement. Our results indicate that dynamic and static proprioception play dissociable roles in motor learning.

  9. Providing free maternal health care: ten lessons from an evaluation of the national delivery exemption policy in Ghana

    OpenAIRE

    Witter, Sophie; Adjei, Sam; Armar-Klemesu, Margaret; Graham, Wendy

    2009-01-01

    Background: There is a growing movement, globally and in the Africa region, to reduce financial barriers to health care generally, but with particular emphasis on high priority services and vulnerable groups. Objective: This article reports on the experience of implementing a national policy to exempt women from paying for delivery care in public, mission and private health facilities in Ghana. Design: Using data from a complex evaluation which was carried out in 2005-2006, lessons are drawn ...

  10. Learning from Physics Education Research: Lessons for Economics Education

    CERN Document Server

    Simkins, Scott P

    2008-01-01

    We believe that economists have much to learn from educational research practices and related pedagogical innovations in other disciplines, in particular physics education. In this paper we identify three key features of physics education research that distinguish it from economics education research - (1) the intentional grounding of physics education research in learning science principles, (2) a shared conceptual research framework focused on how students learn physics concepts, and (3) a cumulative process of knowledge-building in the discipline - and describe their influence on new teaching pedagogies, instructional activities, and curricular design in physics education. In addition, we highlight four specific examples of successful pedagogical innovations drawn from physics education - context-rich problems, concept tests, just-in-time teaching, and interactive lecture demonstrations - and illustrate how these practices can be adapted for economic education.

  11. [eLearning service for home palliative care].

    Science.gov (United States)

    Sakuyama, Toshikazu; Komatsu, Kazuhiro; Inoue, Daisuke; Fukushima, Osamu

    2008-12-01

    In order to support the home palliative care learning, we made the eLearning service for home palliative care (beta version) and tried to teach the palliative care to the medical staffs in the community. The various learners (such as nurses, pharmacists and the like) accessed to the online learning and used this eLearning service. After the learners finished eLearning for home palliative care, some questionnaires were distributed to the learners and analyzed by us. The analysis of questionnaires revealed that almost all were satisfied with our eLearning services. Especially the learners were not only interested in using the skills of opioids and the management of pain control, but they had a good cognition for the usage of opioids.

  12. NASA/Mir Phase 1: A Lesson Learned in Long Duration Mission Planning and Operations

    Science.gov (United States)

    Hagopian, Jeff; Maxwell, Theresa; Nahay, Ed

    1998-01-01

    The NASA/Mir Phase I Program is a precursor to the assembly and operations of the International Space Station (ISS). The Phase I Program covers a four-year period and encompasses over ten shuttle flights to the Mir, culminating with the flight of STS-91 in June 1998. The Mir-Orbiting Station (Mir-OS) provides an excellent environment, both onboard and on the ground, for learning and studying the characteristics associated with crew-tended operations on long duration missions. By the end of the Phase I program, NASA astronauts will have accumulated over two years of continuous operations experience working and living onboard the Mir-OS. Ground controllers, working in Russia and at remote sites in the United States, will have gained valuable experience in the generation, maintenance, and coordination of the information and products required to support the long duration crew members onboard the Mir-OS. The experience gained by the crew and ground support personnel in the area of long duration mission operations has resulted in a number of factors that need to be considered in the definition and implementation of the processes and products for the ISS. While there are many areas in which experience has been gained, this paper focuses on the lessons learned regarding the level of detail and flexibility of crew timelines. Provided in this paper is an overview of the characteristics associated with long duration mission timeline development and execution, a summary of applicable lessons learned identified and documented through participation in the NASA/Mir Phase I Program, a detailed discussion of "Gross Timelines" as implementation which addresses the lessons learned. Also discussed are the challenges that must be overcome in getting the ISS program to recognize, evaluate, and learn from the crew and ground controller experience gained through participation in the NASA/Mir Phase I Program.

  13. Measurements and characterization in photovoltaics: Lessons learned for TPV

    Science.gov (United States)

    Kazmerski, Lawrence L.

    1997-03-01

    The NREL measurements and characterization activities, with origins in the late 1970s, have evolved with and within the DOE Photovoltaics Program—specifically to support that effort. These centralized facilities, established for reasons of technical and economical advantages for the program, have included four major functions or approaches: (1) analytical measurement service; (2) standardized evaluations (performance through materials); (3) collaborative research; and, (4) measurement technique development. Each of these are described in terms of their importance and contributions to program and project support. The current facilities and activities are highlighted, and the growth and change of these support efforts are historically delineated. The evolution and contributions of these laboratories to photovoltaics provide some lessons and models for the emerging TPV program. The utility of centralized measurement and characterization functions for technology development is assessed in terms of methods of operation, prioritization and customer satisfaction, program unity and focus, response time, and proprietary data and materials. Specifics relating to materials and measurement standards, centralized data bases, client interactions, program directions, and expectations are cited in terms of both successes and deficiencies for these program-support efforts. The return on investment for estimated in terms of benefits to the program compared to alternative approaches.

  14. Measurements and characterization in photovoltaics: Lessons learned for TPV

    Energy Technology Data Exchange (ETDEWEB)

    Kazmerski, L.L. [National Renewable Energy Laboratory, 1617 Cole Boulevard, Golden, Colorado 80401 (United States)

    1997-03-01

    The NREL measurements and characterization activities, with origins in the late 1970s, have evolved with and within the DOE Photovoltaics Program{emdash}specifically to support that effort. These centralized facilities, established for reasons of technical and economical advantages for the program, have included four major functions or approaches: (1) analytical measurement service; (2) standardized evaluations (performance through materials); (3) collaborative research; and, (4) measurement technique development. Each of these are described in terms of their importance and contributions to program and project support. The current facilities and activities are highlighted, and the growth and change of these support efforts are historically delineated. The evolution and contributions of these laboratories to photovoltaics provide some lessons and models for the emerging TPV program. The utility of centralized measurement and characterization functions for technology development is assessed in terms of methods of operation, prioritization and customer satisfaction, program unity and focus, response time, and proprietary data and materials. Specifics relating to materials and measurement standards, centralized data bases, client interactions, program directions, and expectations are cited in terms of both successes and deficiencies for these program-support efforts. The return on investment for estimated in terms of benefits to the program compared to alternative approaches. {copyright} {ital 1997 American Institute of Physics.}

  15. Goal-Setting Learning Principles: A Lesson From Practitioner

    OpenAIRE

    Zainudin bin Abu Bakar; Lee Mei Yun; NG Siew Keow; Tan Hui Li

    2014-01-01

    One of the prominent theory was the goal-setting theory which was widely been used in educational setting. It is an approach than can enhance the teaching and learning activities in the classroom. This is a report paper about a simple study of the implementation of the goal-setting principle in the classroom. A clinical data of the teaching and learning session was then analysed to address several issues highlighted. It is found that the goal-setting principles if understood clearly by the te...

  16. Lessons learned from the birth and evolution of the EduFinland virtual community for educators

    Directory of Open Access Journals (Sweden)

    Kim Holmberg

    2012-03-01

    Full Text Available Educators around the world are experimenting with the possibilities virtual three dimensional worlds have for education and learning how to use these new environments efficiently. Virtual worlds have the potential to bring some new added value to education and educators can use them to create something that is not possible to do or show in traditional classrooms. Although a lot have been learned about virtual worlds and their potential, a lot more has to be learned before virtual worlds can become an integrated part of education on various levels. The article looks back at the birth and growth of the EduFinland community in the virtual world of Second Life and discusses lessons learned so far during the years of its existence.

  17. Developing a Patient Care Co-ordination Centre in Trafford, England: lessons from the International Foundation for Integrated Care (IFIC/Advancing Quality Alliance integrated care fellowship experience

    Directory of Open Access Journals (Sweden)

    Michael Gregory

    2015-05-01

    Full Text Available The NHS and Social Care in England are facing one of the biggest financial challenges for a generation. Commissioners and providers need to work on collaborative schemes to manage the increasing demand on health and social care within a period of financial constraint. Different forms of care co-ordination have been developed at different levels across the world.In the north-west of England, the Trafford health and social care economy have been working through a competitive dialogue process with industry to develop an innovative and dynamic solution to deliver seamless co-ordination for all patients and service users. The strategy is to develop a new Patient Care Co-ordination Centre, which will be responsible for the delivery of co-ordinated, quality care. The Patient Care Co-ordination Centre will work at clinical, service, functional and community levels across multiple providers covering risk stratification, preventative, elective and unscheduled care.I am the clinical lead for the Patient Care Co-ordination Centre and during my year as an Advancing Quality Alliance Integrated Care Fellow, I have had the opportunity to study examples of care coordination from UK and international sites. The learning from these visits has been assimilated into the design process of the Patient Care Co-ordination Centre.

  18. Fostering Learning in Large Programmes and Portfolios: Emerging Lessons from Climate Change and Sustainable Development

    Directory of Open Access Journals (Sweden)

    Blane Harvey

    2017-02-01

    Full Text Available In fields like climate and development, where the challenges being addressed can be described as “wicked”, learning is key to successful programming. Useful practical and theoretical work is being undertaken to better understand the role of reflexive learning in bringing together different knowledge to address complex problems like climate change. Through a review of practical cases and learning theories commonly used in the areas of resilience, climate change adaptation and environmental management, this article: (i reviews the theories that have shaped approaches to reflexive learning in large, highly-distributed climate change and resilience-building programmes for development; and (ii conducts a comparative learning review of key challenges and lessons emerging from early efforts to promote and integrate reflexive learning processes in programmes of this nature. Using a case study approach, the authors focus on early efforts made in four large, inter-related (or nested programmes to establish, integrate and sustain learning processes and systems. Eight themes emerged from the review and are considered from the perspective of learning programmes as emergent communities of practice. By investigating how these themes play out in the nested programming, the paper contributes to the limited existing body of evidence on learning in large climate change programmes and identifies areas where future efforts might focus.

  19. Information Technologies in Higher Education: Lessons Learned in Industrial Engineering

    Science.gov (United States)

    Delgado-Almonte, Milagros; Andreu, Hernando Bustos; Pedraja-Rejas, Liliana

    2010-01-01

    This article describes a teaching experience in which information and communication technologies were applied in five industrial engineering courses at the Universidad de Tarapaca in Chile. The paper compares the performance and course pass rates of the e-learning platform and portable pocket PC platform with those of the same courses teaching in…

  20. Implementing Comprehensive Guidance Program Evaluation Support: Lessons Learned.

    Science.gov (United States)

    Trevisan, Michael S.; Hubert, Michael

    2001-01-01

    Article shares ideas learned from the challenges of implementing a program evaluation infrastructure for a comprehensive developmental, guidance, and counseling program (CDGC). The benefits of continuous program evaluation for staff and students were evident in this urban school district. Developing support for sustainable program evaluation…

  1. Preliminary Lessons about Supporting Participation and Learning in Inclusive Classrooms

    Science.gov (United States)

    Morningstar, Mary E.; Shogren, Karrie A.; Lee, Hyunjoo; Born, Kiara

    2015-01-01

    This descriptive study examined observational data collected in inclusive classrooms from six schools that were operating schoolwide inclusive policies and practices. Illustrative evidence of classroom practices supporting learning and participation of all students, including students with significant disabilities, adds to an understanding of…

  2. Multiple intelligences and underachievement: lessons from individuals with learning disabilities.

    Science.gov (United States)

    Hearne, D; Stone, S

    1995-01-01

    The field of learning disabilities, like education in the main, is undergoing calls for reform and restructuring, an upheaval brought on in great part by the forces of opposing paradigms--reductionism and constructivism. In reexamining our past, we must begin to address the failures of traditional deficit models and their abysmally low "cure" rate. Several new theories have arisen that challenge traditional practices in both general and special education classrooms. Particularly influential has been the work of Howard Gardner, whose theory of multiple intelligences calls for a restructuring of our schools to accommodate modes of learning and inquiry with something other than deficit approaches. At least some current research in the field of learning disabilities has begun to focus on creativity and nontraditional strengths and talents that have not been well understood or highly valued by the schools. In this article, we briefly summarize the findings in our search for the talents of students labeled learning disabled, evidence of their abilities, implications of these for the schools, and a beginning set of practical recommendations.

  3. The Lessons of Non-Formal Learning for Urban Youth

    Science.gov (United States)

    Thompson, Carol C.

    2012-01-01

    Non-formal learning for urban youth has a long history in the United States; it remains a source of innovation. This essay draws on literature about organizations that use community ties to encourage cognitive development and identity formation. It then describes how one youth organization in Camden, New Jersey uses presentations to the community…

  4. The Cohort Model: Lessons Learned When Principals Collaborate

    Science.gov (United States)

    Umekubo, Lisa A.; Chrispeels, Janet H.; Daly, Alan J.

    2015-01-01

    This study explored a formal structure, the cohort model that a decentralized district put in place over a decade ago. Schools were clustered into cohorts to facilitate professional development for leadership teams for all 44 schools within the district. Drawing upon Senge's components of organizational learning, we used a single case study design…

  5. Lessons about Learning: Comparing Learner Experiences with Language Research

    Science.gov (United States)

    Rowland, Luke

    2011-01-01

    This is an account of how one class of English language learners compared and contrasted their language learning experiences with English language teaching (ELT) research findings during a five-week Intensive Academic Preparation course at an Australian university. It takes as its starting point the fact that learners, unlike teachers and…

  6. Sir William Johnson: Lessons-Learned from an Irregular Warfighter

    Science.gov (United States)

    2011-06-01

    his day did not even attempt to learn it. 52 As an example, the Iroquois word for wine was oneharadesehoengtseragherie, which meant, a liquor made of...military organizer and logistician. Additionally, he experienced his first taste of combatwhile leading a war party against a Canadian village. 65 At

  7. Lessons Learned from Students about Assessment and Instruction

    Science.gov (United States)

    Kitchen, Richard S.; Wilson, Linda Dager

    2004-01-01

    In this article, the authors analyze the alignment between a released fourth-grade task from the 1996 National Assessment of Educational Progress (NAEP) and benchmarks and standards, and discuss whether the task elicits student thinking that matches the quality of the learning goals.

  8. Balancing interests of hospitals and nurse researchers: lessons learned.

    Science.gov (United States)

    Marshall, June; Edmonson, Cole; Gemeinhardt, Gretchen; Hamilton, Patti

    2012-08-01

    While nurse researchers and administrators in health care organizations need to collaborate to understand the variables that affect nursing practice environments and patient care outcomes, there are inherent risks associated with these collaborations that require careful consideration. A team of academic and hospital researchers found that in studying the off-peak (nights and weekends) nursing environment using institutional ethnography, which involved interviews of nurses and administrators, the subject of the research was frequently the hospitals where these individuals worked. Although the individuals who participated in the research consented to be interviewed about their work, it was less clear how and to what extent the anonymity of their organizations could be maintained. The risks and benefits encountered suggest the need for a decision-making process to be undertaken by collaborative research teams. This decision process and analysis can help ensure a fruitful research relationship that protects sensitive concerns of hospital entities while advancing our understanding of nursing practice environments and patient care outcomes. Important strategies include having all leaders and research team members discuss the agendas of all entities and individuals involved, including clearly delineating the roles, responsibilities, and contributions of all parties. In addition, any constraints or expectations of first right of review of publications needs to be negotiated from the outset. Collaborators need to review their agreements throughout the research process to avoid pitfalls that could adversely impact the relationships as well as the dissemination of knowledge gained.

  9. The implementation of discovery learning model based on lesson study to increase student's achievement in colloid

    Science.gov (United States)

    Suyanti, Retno Dwi; Purba, Deby Monika

    2017-03-01

    The objectives of this research are to get the increase student's achievement on the discovery learning model based on lesson study. Beside of that, this research also conducted to know the cognitive aspect. This research was done in three school that are SMA N 3 Medan. Population is all the students in SMA N 11 Medan which taken by purposive random sampling. The research instruments are achievement test instruments that have been validated. The research data analyzed by statistic using Ms Excell. The result data shows that the student's achievement taught by discovery learning model based on Lesson study higher than the student's achievement taught by direct instructional method. It can be seen from the average of gain and also proved with t-test, the normalized gain in experimental class of SMA N 11 is (0.74±0.12) and control class (0.45±0.12), at significant level α = 0.05, Ha is received and Ho is refused where tcount>ttable in SMA N 11 (9.81>1,66). Then get the improvement cognitive aspect from three of school is C2 where SMA N 11 is 0.84(high). Then the observation sheet result of lesson study from SMA N 11 92 % of student working together while 67% less in active using media.

  10. Lessons learned from the Three Mile Island Unit 2 Advisory Panel

    Energy Technology Data Exchange (ETDEWEB)

    Lach, D.; Bolton, P.; Durbin, N. [Battelle Seattle Research Center, WA (United States); Harty, R. [Pacific Northwest Lab., Richland, WA (United States)

    1994-08-01

    In response to public concern about the cleanup of the Three Mile Island, Unit 2 (TMI-2) facility after an accident on March 28, 1979 involving a loss of reactor coolant and subsequent damage to the reactor fuel, twelve citizens were asked to serve on an independent Advisory Panel to consult with the Nuclear Regulatory Commission (NRC) on the decontamination and cleanup of the facility. The panel met 78 times over a period of thirteen years, holding public meetings in the vicinity of TMI-2 and meeting regularly with NRC Commissioners in Washington, DC. This report describes the results of a project designed to identify and describe the lessons learned from the Advisory Panel and place those lessons in the context of what we generally know about citizen advisory groups. A summary of the empirical literature on citizen advisory panels is followed by a brief history of the TMI-2 Advisory Panel. The body of the report contains the analysis of the lessons learned, preliminary conclusions about the effectiveness of the Panel, and implications for the NRC in the use of advisory panels. Data for the report include meeting transcripts and interviews with past and present Panel participants.

  11. Developing children's palliative care in Africa through beacon centres: lessons learnt.

    Science.gov (United States)

    Downing, Julia D; Marston, Joan; Selwyn, Casey; Ross-Gakava, Laura

    2013-02-18

    Much progress has been made in the provision of palliative care across sub-Saharan Africa, however much still remains to be done, particularly in the area of children's palliative care (CPC). The Beacon Centres programme was set up in 2009, aimed at improving access to CPC in South Africa, Uganda and Tanzania through more and better-trained health professionals and CPC clinical services of a high standard. Having identified sites in each country to develop into CPC Beacon Centres, Navigators were identified who would be the 'champions' for CPC in those sites and lead a programme of training, mentorship and support. Five navigators (2 in Uganda and Tanzania and 1 in South Africa) were trained between September and December 2009. Following this they undertook CPC needs assessments at the 3 centres and set up and delivered a six-month CPC training programme, providing mentorship and support to students to enable them to integrate CPC into their workplaces. To date, 188 participants have commenced the six-month course, with 80 having completed it. CPC has been integrated into the activities of the centres and a CPC virtual resource centre set up in South Africa. The achievements from the Beacon project have been great and the work of the navigators immense, but as in all projects it has not been without its challenges. Lessons learnt include issues around: the focus of the project; the length and nature of the training; assessment; accreditation; the choice of navigators; mentoring; administrative support; co-ordination; the choice of project sites; and the integration of CPC into services. The need for CPC is not going to go away and it is therefore important that models of scaling-up are found that are not only practical, feasible, affordable and sustainable, but that focus on the outcome of improved CPC for all those who need it. It is hoped that the lessons shared from the Beacon Project will help in developing and implementing such models.

  12. Are lessons from the education sector applicable to health care reforms? The case of Uganda.

    Science.gov (United States)

    Okuonzi, S A; Birungi, H

    2000-01-01

    The decision by donors to use external aid for poverty alleviation in very low-income countries and the redefinition of development to include human aspects of society have renewed interest in education and health services. The debate about accountability, priorities and value-for-money of social services has intensified. Uganda's universal primary education programme (UPE) has within 2 years of inception achieved 90% enrollment. The programme has been acclaimed as successful. But the health sector that has been implementing primary health care and reforms for two decades is viewed as having failed in its objectives. The paper argues that the education sector has advantages over the health sector in that its programme is simple in concept, and was internally designed involving few actors. The sector received strong political support, already has an extensive infrastructure, receives much more funding and has a straightforward objective. Nevertheless, the health sector has made some achievements in AIDS control, in the prevention and control of epidemics, and in behavioural change. But these achievements will not be noticed if only access and health-status are used to assess the health sector. However, UPE demonstrates that a universal basic health care is possible, given the same level of resources and political commitment. The lesson for the health sector is to implement a priority universal health care programme based on national values and to assess its performance using the objectives of the UPE.

  13. Risk Selection Threatens Quality Of Care For Certain Patients: Lessons From Europe's Health Insurance Exchanges.

    Science.gov (United States)

    van de Ven, Wynand P M M; van Kleef, Richard C; van Vliet, Rene C J A

    2015-10-01

    Experience in European health insurance exchanges indicates that even with the best risk-adjustment formulas, insurers have substantial incentives to engage in risk selection. The potentially most worrisome form of risk selection is skimping on the quality of care for underpriced high-cost patients--that is, patients for whom insurers are compensated at a rate lower than the predicted health care expenses of these patients. In this article we draw lessons for the United States from twenty years of experience with health insurance exchanges in Europe, where risk selection is a serious problem. Mistakes by European legislators and inadequate evaluation criteria for risk selection incentives are discussed, as well as strategies to reduce risk selection and the complex trade-off among selection (through quality skimping), efficiency, and affordability. Recommended improvements to the risk-adjustment process in the United States include considering the adoption of risk adjusters used in Europe, investing in the collection of data, using a permanent form of risk sharing, and replacing the current premium "band" restrictions with more flexible restrictions. Policy makers need to understand the complexities of regulating competitive health insurance markets and to prevent risk selection that threatens the provision of good-quality care for underpriced high-cost patients.

  14. Lessons Learned from a Complex FUSRAP Site - Sylvania Corning FUSRAP Site - 12269

    Energy Technology Data Exchange (ETDEWEB)

    Ewy, Ann; Hays, David [United States Army Corps of Engineers, Kansas City, Missouri, 64106 (United States)

    2012-07-01

    Since its addition to the Formerly Utilized Sites Remedial Action Program (FUSRAP) in 2005, the Sylvania Corning FUSRAP Site (the Site) in Hicksville, New York, has provided challenges and opportunities from which to gain lessons learned for conducting investigation work at a complex multi-contaminant FUSRAP Site. The United States Army Corps of Engineers (USACE) and its contractors conducted a Comprehensive Environmental Response, Compensation and Liability Act (CERCLA) Remedial Investigation (RI) and are currently in the Feasibility Study (FS) phase at the Site. This paper presents the planning, execution, and reporting lessons learned by USACE during the RI/FS. The Site, operated from 1952 to 1967 for the research, development, and fabrication of nuclear elements under the Atomic Energy Commission, and other government and commercial contracts. Previous investigations performed by the New York State Department of Environmental Conservation (NYSDEC) and the current property owner have identified uranium, thorium, nickel, and chlorinated solvents, as Site contaminants [1]. The property owner is currently under two separate voluntary agreements with NYSDEC to investigate and remediate the Site. USACE's work at the site has been independent of this voluntary agreement and has moved on a parallel path with any work the property owner has completed. The project at the Site is complex because of the radiological and chemical concerns in both soils and groundwater, high hydraulically conductive soils, lack of a shallow aquiclude/aquitard, and a principal water table aquifer underlying the site. Contaminants are migrating from the Site and may potentially impact local drinking water supplies (municipal wells). During the RI/FS process the project team has encountered many issues and has thus developed many resolutions. The issues are organized into three categories: Planning and Contracting, Execution, and Reporting. Planning and Contracting lessons learned include

  15. Lessons Learned for Planning and Estimating Operations Support Requirements

    Science.gov (United States)

    Newhouse, Marilyn

    2011-01-01

    Operations (phase E) costs are typically small compared to the spacecraft development and test costs. This, combined with the long lead time for realizing operations costs, can lead projects to focus on hardware development schedules and costs, de-emphasizing estimation of operations support requirements during proposal, early design, and replan cost exercises. The Discovery and New Frontiers (D&NF) programs comprise small, cost-capped missions supporting scientific exploration of the solar system. Even moderate yearly underestimates of the operations costs can present significant LCC impacts for deep space missions with long operational durations, and any LCC growth can directly impact the programs ability to fund new missions. The D&NF Program Office at Marshall Space Flight Center recently studied cost overruns for 7 D&NF missions related to phase C/D development of operational capabilities and phase E mission operations. The goal was to identify the underlying causes for the overruns and develop practical mitigations to assist the D&NF projects in identifying potential operations risks and controlling the associated impacts to operations development and execution costs. The study found that the drivers behind these overruns include overly optimistic assumptions regarding the savings resulting from the use of heritage technology, late development of operations requirements, inadequate planning for sustaining engineering and the special requirements of long duration missions (e.g., knowledge retention and hardware/software refresh), and delayed completion of ground system development work. This presentation summarizes the study and the results, providing a set of lessons NASA can use to improve early estimation and validation of operations costs.

  16. Lessons learned from building the iMED intelligent medical search engine.

    Science.gov (United States)

    Luo, Gang

    2009-01-01

    Searching for medical information on the Web has become highly popular, but it remains a challenging task because searchers are often uncertain about their exact medical situations and unfamiliar with medical terminology. To address this challenge, we have built an intelligent medical Web search engine called iMed. iMed introduces and extends expert system technology into the search engine domain. It uses medical knowledge and an interactive questionnaire to help searchers form queries. This paper reports the lessons we learned from building the iMed system. We believe that many of these lessons can be applied to other medical search engines as well. We systematically discuss important issues in the new field consumer-centric intelligent medical search, including input interface, output interface, search system, medical knowledge base, help system, and testing.

  17. Lessons Learned from ASCI applied to the Fusion Simulation Project (FSP)

    Science.gov (United States)

    Post, Douglass

    2003-10-01

    The magnetic fusion program has proposed a 20M dollar per year project to develop a computational predictive capability for magnetic fusion experiments. The DOE NNSA launched a program in 1996, the Accelerated Strategic Computing Initiative (ASCI) to achieve the same goal for nuclear weapons to allow certification of the stockpile without testing. We present a "lessons learned" analysis of the 3B dollary 7 year ASCI program with the goal of improving the FSP to maximize the likelihood of success. The major lessons from ASCI are: 1. Build on your institution's successful history; 2.Teams are the key element; 3. Sound Software Project Management is essential: 4. Requirements, schedule and resources must be consistent; 5. Practices, not processes, are important; 6. Minimize and mitigate risks; 7. Minimize the computer science research aspect and maximize the physics elements; and 8. Verification and Validation are essential. We map this experience and recommendations into the FSP.

  18. Becoming a global citizen through nursing education: lessons learned in developing evaluation tools.

    Science.gov (United States)

    Chavez, Freida; Bender, Amy; Hardie, Kate; Gastaldo, Denise

    2010-01-01

    While global health practica are being increasingly described in nursing education literature, course evaluation of same receives comparatively less attention. In this article, authors report on an evaluation project, undertaken to rigorously examine the existing evaluation methods for an elective global health practicum with placements in India and northern Canada. Sixteen students were interviewed and course evaluation tools were reviewed. Resulting themes include students' sense of preparedness, the centrality of the student-preceptor relationship, the importance of supported self-reflection, and the usefulness of evaluation methods. Participants viewed existing course evaluation methods as generally useful, therefore requiring only minor adjustments. There were also structural revisions to the preparation, placement, and post-placement phases of the course and broader lessons learned. Lessons include the importance of critical social perspectives and the value of past students revisiting their experiences in such a way as make conscious connections between placement experiences and their current professional practice.

  19. State Support for Clean Energy Deployment: Lessons Learned for Potential Future Policy

    Energy Technology Data Exchange (ETDEWEB)

    Kubert, C.; Sinclair, M.

    2011-04-01

    Proposed federal clean energy initiatives and climate legislation have suggested significant increases to federal funding for clean energy deployment and investment. Many states and utilities have over a decade of experience and spend billions of public dollars every year to support EE/RE deployment through programs that reduce the cost of technologies, provide financing for EE/RE projects, offer technical assistance, and educate market participants. Meanwhile, constraints on public expenditures at all levels of government continue to call upon such programs to demonstrate their value. This report reviews the results of these programs and the specific financial incentives and financing tools used to encourage clean energy investment. Lessons from such programs could be used to inform the future application of EE/RE incentives and financing tools. These lessons learned apply to use of distributed resources and the historical focus of these EE/RE programs.

  20. State Support for Clean Energy Deployment. Lessons Learned for Potential Future Policy

    Energy Technology Data Exchange (ETDEWEB)

    Kubert, Charles [Clean Energy States Alliance, Montpelier, VT (United States); Sinclair, Mark [Clean Energy States Alliance, Montpelier, VT (United States)

    2011-04-01

    Proposed federal clean energy initiatives and climate legislation have suggested significant increases to federal funding for clean energy deployment and investment. Many states and utilities have over a decade of experience and spend billions of public dollars every year to support EE/RE deployment through programs that reduce the cost of technologies, provide financing for EE/RE projects, offer technical assistance, and educate market participants. Meanwhile, constraints on public expenditures at all levels of government continue to call upon such programs to demonstrate their value. This report reviews the results of these programs and the specific financial incentives and financing tools used to encourage clean energy investment. Lessons from such programs could be used to inform the future application of EE/RE incentives and financing tools. These lessons learned apply to use of distributed resources and the historical focus of these EE/RE programs.

  1. School-based nutrition education: lessons learned and new perspectives.

    Science.gov (United States)

    Pérez-Rodrigo, C; Aranceta, J

    2001-02-01

    Nutrition is a major environmental influence on physical and mental growth and development in early life. Food habits during infancy can influence preferences and practices in later life and some evidence suggests fair to moderate tracking of food habits from childhood to adolescence. Studies support that good nutrition contributes to improving the wellbeing of children and their potential learning ability, thus contributing to better school performance. Children and young people who learn healthy eating habits, are encouraged to be physically active, to avoid smoking and to learn to manage stress, have the potential for reduced impact of chronic diseases in adulthood. Nutrition education is a key element to promoting lifelong healthy eating and exercise behaviours and should start from the early stages of life; it should also address the specific nutritional needs associated with pregnancy, including reinforcing breastfeeding. Food habits are complex in nature and multiple conditioning factors interact in their development. Young children do not choose what they eat, but their parents decide and prepare the food for them. During infancy and early childhood the family is a key environment for children to learn and develop food preferences and eating habits. As they grow and start school, teachers, peers and other people at school, together with the media and social leaders, become more important. Progressively children become more independent and start making their own food choices. The peer group is very important for adolescents and has a major influence in developing both food habits and lifestyles. Community trials suggest that nutrition education is an accessible effective tool in health promotion programmes with a focus on the development of healthy eating practices.

  2. Comparing Java and .NET Security: Lessons Learned and Missed

    Science.gov (United States)

    2006-01-01

    since the security manager can be set to null to turn off all access control. .NET’s design does not allow pro- grammers to implement their own...denying permissions to called methods, but pro- grammers must be careful to not allow more permissions when changing stack walk behavior. A Java...program analysis, exploit- ing properties of the physical world for security, and applica- tions of cryptography. He teaches courses on computer science

  3. Challenges and lessons learned in conducting comparative-effectiveness trials.

    Science.gov (United States)

    Herrick, Linda M; Locke, G Richard; Zinsmeister, Alan R; Talley, Nicholas J

    2012-05-01

    The current health-care environment is demanding evidence-based medicine that relies on clinical trials as the basis for decisions. Clinician investigators are more often finding that they are personally responsible for coordinating large, multisite trials. We present strategies for successful implementation and management of multisite clinical trials and knowledge gained through an international, multisite randomized clinical trial. Topics include team composition, regulatory requirements, study organization and governance, communication strategies, recruitment and retention efforts, budget, technology transfer, and publication.

  4. CloudSat Anomaly Recovery and Operational Lessons Learned

    Science.gov (United States)

    2012-01-01

    Earth System Science Pathfinder (ESSP) program, CloudSat’s unique millimeter-wavelength radar provides scientists valuable data on the vertical...at the RSC to speak the same language and carefully coordinate actions, managing and helping mitigate the risk of game -ending commanding errors. 7...Corporation CALIPSO Cloud Aerosol LIDAR & Infrared Pathfinder Satellite Observations CIRA Cooperative Institute for Research in the Atmosphere CNES

  5. Teachers Using Continuous GPS Data to Learn About Earthquakes - Sharing Research Results in the Classroom Through Lesson Study

    Science.gov (United States)

    de Groot, R. M.; McGill, S. F.

    2011-12-01

    This EarthScope-funded project is a collaboration between high school science teachers and their students, undergraduate and graduate students, and faculty from California State University San Bernardino (CSUSB), University of Arizona, and the Southern California Earthquake Center (SCEC). As high school teachers and their students work alongside one another, they are exposed to and contribute to an authentic research process that will lead to publishable results. The scientific goal of this project is to measure plate tectonic movement within the San Bernardino mountain area and the Inland Empire region of Southern California utilizing the Global Positioning System (GPS). Teachers and high school students collected survey-mode GPS data from 11 sites (among a total of 25 sampled by the larger group of participants) during a 5-day campaign from July 14 -19, 2011. The information obtained will be useful for understanding and characterizing seismic hazards in that region of Southern California. To enhance this experience, all of the teachers and their students have been invited to present their results at the SCEC Annual Meeting in September 2011. As part of the classroom implementation phase of the program the teachers are introduced to the Lesson Study approach. Lesson Study is a professional development process where teachers systematically examine their practice with the goal of becoming more effective. This process centers on teachers working collaboratively on a small number of Research Lessons. First, they identify the areas where their students are encountering challenges in learning standards-based content. The challenging areas are identified through results from standardized exams (e.g. California Standards Tests) or other assessment tools. To address areas of difficulty the teachers develop, test, and improve an instructional experience that promotes student learning of that standards-based material. Lesson Study is different from "lesson planning" because

  6. Lessons Learned from Implementing the Patient-Centered Medical Home

    Directory of Open Access Journals (Sweden)

    Ellen P. Green

    2012-01-01

    Full Text Available The Patient-Centered Medical Home (PCMH is a primary care model that provides coordinated and comprehensive care to patients to improve health outcomes. This paper addresses practical issues that arise when transitioning a traditional primary care practice into a PCMH recognized by the National Committee for Quality Assurance (NCQA. Individual organizations' experiences with this transition were gathered at a PCMH workshop in Alexandria, Virginia in June 2010. An analysis of their experiences has been used along with a literature review to reveal common challenges that must be addressed in ways that are responsive to the practice and patients’ needs. These are: NCQA guidance, promoting provider buy-in, leveraging electronic medical records, changing office culture, and realigning workspace in the practice to accommodate services needed to carry out the intent of PCMH. The NCQA provides a set of standards for implementing the PCMH model, but these standards lack many specifics that will be relied on in location situations. While many researchers and providers have made critiques, we see this vagueness as allowing for greater flexibility in how a practice implements PCMH.

  7. International learning on increasing the value and effectiveness of primary care (I LIVE PC) New Zealand.

    Science.gov (United States)

    Goodyear-Smith, Felicity; Gauld, Robin; Cumming, Jacqueline; O'Keefe, Bev; Pert, Harry; McCormack, Paul

    2012-03-01

    New Zealand (NZ) has a central government-driven, tax-funded health system with the state as dominant payer. The NZ experience precedes and endorses the US concept of patient-centered medical homes providing population-based, nonepisodic care supported by network organizations. These networks provide administration, budget holding, incentivized programs, data feedback, peer review, education, human relations, and health information technology support and resources. Key elements include enrolled populations; an interdisciplinary team approach; health information technology interoperability and access between all providers as well as patients; devolution of hospital-based services into the community; intersectorial integration; blended payments (a combination of universal capitated funding, patient copayments, and targeted fee-for-service for specific items); and a balance of clinical, corporate, and community governance. In this article, we discuss reforms to NZ's primary care arrangements over the past 2 decades and reflect on the lessons learned, their relevance to the United States, and issues that remain to be resolved.

  8. Lessons Learned and Unlearned from the 2004 Great Sumatran Tsunami.

    Science.gov (United States)

    Synolakis, C.; Kanoglu, U.

    2014-12-01

    Huppert & Sparks (2006 Phil Trans Math Phys Eng Sci) wrote It is likely that in the future, we will experience several disasters per year that kill more than 10,000 people. The 2011 Great East Japan Earthquake Disaster alone resulted in more than 20,000 casualties. Synolakis & Bernard (2006 Phil Trans Math Phys Eng Sci) concluded that Before the next Sumatra-type tsunami strikes, we must resolve to create a world that can coexist with the tsunami hazard. The 2011 Japan tsunami dramatically showed that we are not there yet. Despite substantial advances after the 2004 Boxing Day tsunami, substantial challenges remain for improving tsunami hazard mitigation. If the tsunami community appeared at first perplexed in the aftermath of the 2004 tsunami, it was not due to the failure of recognized hydrodynamic paradigms, much as certain geophysical ones and scaling laws failed, but at the worst surprise, the lack of preparedness and education. Synolakis et al. (2008 Pure Appl Geophys) presented standards for tsunami modeling; for both warnings and inundation maps (IMs). Although at least one forecasting methodology has gone through extensive testing, and is now officially in use by the warning centers (WCs), standards need urgently to be formalized for warnings. In Europe, several WCs have been established, but none has yet to issue an operational warning for a hazardous event. If it happens, there might be confusion with possibly contradictory/competing warnings. Never again should there be a repeat of the TEPCO analysis for the safety of the Fukushima NPP. This was primarily due to lacks of familiarity with the context of numerical predictions and experience with real tsunami. The accident was the result of a cascade of stupid errors, almost impossible to ignore by anyone in the field (Synolakis, 26.03.2011 The New York Times). Current practices in tsunami studies for US NPPs and for IMs do not provide us with optimism that the Fukushima lessons have been absorbed and that

  9. Standing Classrooms: Research and Lessons Learned from Around the World.

    Science.gov (United States)

    Hinckson, Erica; Salmon, Jo; Benden, Mark; Clemes, Stacey A; Sudholz, Bronwyn; Barber, Sally E; Aminian, Saeideh; Ridgers, Nicola D

    2016-07-01

    Children spend between 50 and 70 % of their time sitting while at school. Independent of physical activity levels, prolonged sitting is associated with poor health outcomes in adulthood. While there is mixed evidence of health associations among children and adolescents, public health guidelines in the USA, UK, Australia and Canada now recommend young people should break up long periods of sitting as frequently as possible. A potentially effective approach for reducing and breaking up sitting throughout the day is changing the classroom environment. This paper presents an overview of a relatively new area of research designed to reduce youth sitting time while at school by changing the classroom environment (n = 13 studies). Environmental changes included placement of height-adjustable or stand-biased standing desks/workstations with stools, chairs, exercise balls, bean bags or mats in the classroom. These 13 published studies suggest that irrespective of the approach, youth sitting time was reduced by between ~44 and 60 min/day and standing time was increased by between 18 and 55 min/day during classroom time at school. Other benefits include increased energy expenditure and the potential for improved management of students' behaviour in the classroom. However, few large trials have been conducted, and there remains little evidence regarding the impact on children's learning and academic achievement. Nevertheless, with an increasing demand placed on schools and teachers regarding students' learning outcomes, strategies that integrate moving throughout the school day and that potentially enhance the learning experience and future health outcomes for young people warrant further exploration.

  10. Peer Review in a Social Policy Course: Lessons Learned

    Directory of Open Access Journals (Sweden)

    Shauna P. Acquavita

    2013-04-01

    Full Text Available Peer review is a tool that provides students with a sense of how their work is perceived by others. Built on refection and feedback, peer review assesses the quality of academic processes and products based on well-understood criteria. Peer review was implemented in a baccalaureate social work policy course to enhance writing and critical thinking skills. Students were surveyed on their experiences and indicated that peer review activities provided beneficial learning exercises. The information gathered suggests methods for future implementation of peer review in social work education.

  11. Hurricane Katrina and the Gulf oil spill: lessons learned.

    Science.gov (United States)

    Osofsky, Howard J; Osofsky, Joy D

    2013-09-01

    Education and training about immediate responses are important for all mental health providers of immediate and continuing services to assist children, adolescents, adults, and families in the aftermath of disasters. To sensitively help with evacuations and return to normalcy, responders must also be trained to understand the culture and traditions of affected communities. It is important to provide knowledge about available resources and to emphasize the need for routines and self-care for both victims and responders in an environment that, with recovery, will reflect a new normal.

  12. Literacy and learning in health care.

    Science.gov (United States)

    Wolf, Michael S; Wilson, Elizabeth A H; Rapp, David N; Waite, Katherine R; Bocchini, Mary V; Davis, Terry C; Rudd, Rima E

    2009-11-01

    The relationship between literacy and health outcomes are well documented in adult medicine, yet specific causal pathways are not entirely clear. Despite an incomplete understanding of the problem, numerous interventions have already been implemented with variable success. Many of those who proposed earlier strategies assumed the problem to originate from reading difficulties only. Given the timely need for more effective interventions, it is of increasing importance to reconsider the meaning of health literacy to advance our conceptual understanding of the problem and how best to respond. One potentially effective approach might involve recognizing the known associations between a larger set of cognitive and psychosocial abilities with functional literacy skills. Here we review the current health literacy definition and literature and draw on relevant research from the fields of education, cognitive science, and psychology. In this framework, a research agenda is proposed that considers an individual's "health-learning capacity," which refers to the broad constellation of cognitive and psychosocial skills from which patients or family members must draw to effectively promote, protect, and manage their own or a child's health. This new, related concept will lead, ideally, to more effective ways of thinking about health literacy interventions, including the design of health-education materials, instructional strategies, and the delivery of health care services to support patients and families across the life span.

  13. After sudden unexpected death in epilepsy: Lessons learned and the road forward.

    Science.gov (United States)

    Donner, Elizabeth J; Waddell, Briony; Osland, Karen; Leach, John P; Duncan, Susan; Nashef, Lina; Picot, Marie Christine

    2016-01-01

    The devastating effects of sudden unexpected death in epilepsy (SUDEP) can be difficult to navigate, even for experienced clinicians. Mounting evidence supports full disclosure of the risks of epilepsy to those affected and their caregivers, and recommendations from regulatory and professional groups encourage the same. Following a death, families are faced with tragedy, guilt, and sometimes anger. Clinicians are often called upon to provide information and support. The development of a comprehensive approach to SUDEP education requires careful consideration of the people living with epilepsy, facts about SUDEP and known risk factors, as well as experiences of families and care providers. In this article, we share the experiences of those working in SUDEP education and epilepsy care, including the voluntary sector. We explore the experience of bereaved families and clinicians, derive lessons from published research, highlight areas where more research is needed, and report on preliminary data from a nationwide study from France.

  14. Inflatable Habitat Health Monitoring: Implementation, Lessons Learned, and Application to Lunar or Martian Habitat Health Monitoring

    Science.gov (United States)

    Rojdev, Kristina; Hong, Todd; Hafermalz, Scott; Hunkins, Robert; Valle, Gerald; Toups, Larry

    2009-01-01

    NASA's exploration mission is to send humans to the Moon and Mars, in which the purpose is to learn how to live and work safely in those harsh environments. A critical aspect of living in an extreme environment is habitation, and within that habitation element there are key systems which monitor the habitation environment to provide a safe and comfortable living and working space for humans. Expandable habitats are one of the options currently being considered due to their potential mass and volume efficiencies. This paper discusses a joint project between the National Science Foundation (NSF), ILC Dover, and NASA in which an expandable habitat was deployed in the extreme environment of Antarctica to better understand the performance and operations over a one-year period. This project was conducted through the Innovative Partnership Program (IPP) where the NSF provided the location at McMurdo Station in Antarctica and support at the location, ILC Dover provided the inflatable habitat, and NASA provided the instrumentation and data system for monitoring the habitat. The outcome of this project provided lessons learned in the implementation of an inflatable habitat and the systems that support that habitat. These lessons learned will be used to improve current habitation capabilities and systems to meet the objectives of exploration missions to the moon and Mars.

  15. Assessing environmental impacts of offshore wind farms: lessons learned and recommendations for the future.

    Science.gov (United States)

    Bailey, Helen; Brookes, Kate L; Thompson, Paul M

    2014-01-01

    Offshore wind power provides a valuable source of renewable energy that can help reduce carbon emissions. Technological advances are allowing higher capacity turbines to be installed and in deeper water, but there is still much that is unknown about the effects on the environment. Here we describe the lessons learned based on the recent literature and our experience with assessing impacts of offshore wind developments on marine mammals and seabirds, and make recommendations for future monitoring and assessment as interest in offshore wind energy grows around the world. The four key lessons learned that we discuss are: 1) Identifying the area over which biological effects may occur to inform baseline data collection and determining the connectivity between key populations and proposed wind energy sites, 2) The need to put impacts into a population level context to determine whether they are biologically significant, 3) Measuring responses to wind farm construction and operation to determine disturbance effects and avoidance responses, and 4) Learn from other industries to inform risk assessments and the effectiveness of mitigation measures. As the number and size of offshore wind developments increases, there will be a growing need to consider the population level consequences and cumulative impacts of these activities on marine species. Strategically targeted data collection and modeling aimed at answering questions for the consenting process will also allow regulators to make decisions based on the best available information, and achieve a balance between climate change targets and environmental legislation.

  16. Developing Pedagogical Content Knowledge: Lessons Learned from Intervention Studies

    Directory of Open Access Journals (Sweden)

    Marie Evens

    2015-01-01

    Full Text Available Pedagogical content knowledge (PCK is generally accepted as positively impacting teaching quality and student learning. Therefore, research on PCK development in (prospective teachers is highly relevant. Based on a search in three databases (ERIC, PsycInfo, and Web of Science, a systematic review is conducted on intervention studies aiming at PCK development. The research questions are threefold: (1 How are the studies designed? (2 How are the interventions designed? and (3 What elements of interventions contribute to PCK development? The results show that most intervention studies are conducted in math and science education and use a qualitative methodology. Reflection, PCK courses, contact with other teachers, and experiences in educational practice are typically part of effective interventions. The review enables the identification of clear guidelines that may strengthen future research on stimulating PCK.

  17. Teaching Bayesian Statistics To Intelligence Analysts: Lessons Learned

    Directory of Open Access Journals (Sweden)

    Hemangni Deshmukh

    2009-01-01

    Full Text Available The Community must develop and integrate into regular use new tools that can assist analysts in filtering and correlating the vast quantities of information that threaten to overwhelm the analytic process…—Commission on the Intelligence Capabilities of the United States.Regarding Weapons of Mass Destruction (The WMD Report1Unlike the other social sciences and, particularly, the physical sciences, where scientists get to choose the questions they wish to answer and experiments are carefully designed to confirm or negate hypotheses, intelligence analysis requires analysts to deal with the demands of decision makers and estimate the intentions of foreign actors, criminals or business competitors in an environment filled with uncertainty and even deliberate deception.

  18. Live donor hepatectomy for liver transplantation in Egypt: Lessons learned

    Directory of Open Access Journals (Sweden)

    Emad Kamel

    2012-01-01

    Full Text Available Purpose: To retrospectively review anesthesia and intensive care management of 145 consented volunteers subjected to right lobe or left hepatectomy between 2003 and 2011. Methods: After local ethics committee approval, anesthetic and intensive care charts, blood transfusion requirements, laboratory data, complications and outcome of donors were analyzed. Results: One hundred and forty-three volunteers successfully tolerated the surgery with no blood transfusion requirements, but with a morbidity rate of (50.1%. The most frequent complication was infection (21.1% (intraabdominal collections, followed by biliary leak (18.2%. Two donors had major complications: one had portal vein thrombosis (PVT treated with vascular stent. This patient recovered fully. The other donor had serious intraoperative bleeding and developed postoperative PVT and liver and renal failure. He died after 12 days despite intensive treatment. He was later reported among a series of fatalities from other centers worldwide. Epidural analgesia was delivered safely (n=90 with no epidural hematoma despite significantly elevated prothrombin time (PT and international normalization ratio (INR postoperatively, reaching the maximum on Day 1 (16.9±2.5 s and 1.4±0.2, P<0.05 when compared with baseline. Hypophosphatemia and hypomagnesemia were frequently encountered. Total Mg and phosphorus blood levels declined significantly to 1.05±0.18 mg/dL on Day 1 and 2.3±0.83 mg/dL on Day 3 postoperatively. Conclusions: Coagulation and electrolytes need to be monitored perioperatively and replaced adequately. PT and INR monitoring postoperatively is still necessary for best timing of epidural catheter removal. Live donor hepatectomy could be performed without blood transfusion. Bile leak and associated infection of abdominal collections requires further effort to better identify biliary leaks and modify the surgical closure of the bile ducts. Donor hepatectomy is definitely not a complication

  19. Lessons learned from past experience with intensive livestock management systems.

    Science.gov (United States)

    Cronin, G M; Rault, J L; Glatz, P C

    2014-04-01

    The main impetus for 'modern' intensive animal production occurred after the Second World War, when Western governments developed policies to increase the availability of cheap, safe food for their populations. Livestock benefit under intensive husbandry by protection from environmental extremes and predators, and better nutritional and health management. Nevertheless, there are costs to the animal, such as impaired social behaviour, limited choice of living environment or pen mates, poor environmental stimulation and behavioural restrictions. The rapid progress in genetic selection of production traits has also, in some cases, adversely affected welfare by creating anatomical and metabolic problems. Above all, the intensively housed animal is heavily reliant on the stockperson and, therefore, inadequate care and husbandry practices by the stockperson may be the largest welfare risk. In a future in which the food supply may be limited as the world's population grows and land availability shrinks, intensive animal production is likely to expand. At the same time, ethical considerations surrounding intensive farming practices may also become more prominent. Novel technologies provide the opportunity to enhance both the productivity and welfare of intensively kept animals. Developing countries are also establishing more intensive commercial systems to meet their growing need for animal protein. Intensive livestock production in such countries has the potential for major expansion, particularly if such developments address the key constraints of poor welfare, inadequate nutrition, poor reproduction, poor housing, and high mortality often seen with traditional systems, and if farmer access to emerging market opportunities is improved. However, as shown by previous experience, inadequate regulation and staff who lack the appropriate training to care for the welfare of intensively housed livestock can be major challenges to overcome.

  20. Lessons Learned from the Node 1 Atmosphere Control and Storage and Water Recovery and Management Subsystem Design

    Science.gov (United States)

    Williams, David E.

    2011-01-01

    Node 1 flew to the International Space Station (ISS) on Flight 2A during December 1998. To date the National Aeronautics and Space Administration (NASA) has learned a lot of lessons from this module based on its history of approximately two years of acceptance testing on the ground and currently its twelve years on-orbit. This paper will provide an overview of the ISS Environmental Control and Life Support (ECLS) design of the Node 1 Atmosphere Control and Storage (ACS) and Water Recovery and Management (WRM) subsystems and it will document some of the lessons that have been learned to date for these subsystems based on problems prelaunch, problems encountered on-orbit, and operational problems/concerns. It is hoped that documenting these lessons learned from ISS will help in preventing them in future Programs.

  1. Lessons Learned From Microkernel Verification — Specification is the New Bottleneck

    Directory of Open Access Journals (Sweden)

    Thorsten Bormer

    2012-11-01

    Full Text Available Software verification tools have become a lot more powerful in recent years. Even verification of large, complex systems is feasible, as demonstrated in the L4.verified and Verisoft XT projects. Still, functional verification of large software systems is rare – for reasons beyond the large scale of verification effort needed due to the size alone. In this paper we report on lessons learned for verification of large software systems based on the experience gained in microkernel verification in the Verisoft XT project. We discuss a number of issues that impede widespread introduction of formal verification in the software life-cycle process.

  2. Lessons Learned in Integration for Sensor-Based Robot Navigation Systems

    Directory of Open Access Journals (Sweden)

    Javier Minguez

    2008-11-01

    Full Text Available This paper presents our work of integration during the last years within the context of sensor-based robot navigation systems. In our motion system, as in many others, there are functionalities involved such as modeling, planning or motion control, which have to be integrated within an architecture. This paper addresses this problematic. Furthermore, we also discuss the lessons learned while: (i designing, testing and validating techniques that implement the functionalities of the navigation system, (ii building the architecture of integration, and (iii using the system on several robots equipped with different sensors in different laboratories.

  3. Reshimming of Tevatron Dipoles; A Process-Quality and Lessons-Learned Perspective

    CERN Document Server

    Blowers, James N; Harding, David J; John, Carson; Robotham, William

    2005-01-01

    Over the last two years corrections have been made for the skew quadrupole moment in 530 of the 774 installed dipoles in the Tevatron. This process of modifying the magnets in situ has inherent risk of degrading the performance of the superconducting accelerator. In order to manage the risk, as well as to ensure the corrections were done consistently, formal quality tools were used to plan and verify the work. The quality tools used to define the process and for quality control are discussed, along with highlights of lessons learned.

  4. Lessons Learned During Instrument Testing for the Thermal Infrared Sensor (TIRS)

    Science.gov (United States)

    Peabody, Hume L.; Otero, Veronica; Neuberger, David

    2013-01-01

    The Themal InfraRed Sensor (TIRS) instrument, set to launch on the Landsat Data Continuity Mission in 2013, features a passively cooled telescope and IR detectors which are actively cooled by a two stage cryocooler. In order to proceed to the instrument level test campaign, at least one full functional test was required, necessitating a thermal vacuum test to sufficiently cool the detectors and demonstrate performance. This was fairly unique in that this test occurred before the Pre Environmental Review, but yielded significant knowledge gains before the planned instrument level test. During the pre-PER test, numerous discrepancies were found between the model and the actual hardware, which were revealed by poor correlation between model predictions and test data. With the inclusion of pseudo-balance points, the test also provided an opportunity to perform a pre-correlation to test data prior to the instrument level test campaign. Various lessons were learned during this test related to modeling and design of both the flight hardware and the Ground Support Equipment and test setup. The lessons learned in the pre-PER test resulted in a better test setup for the nstrument level test and the completion of the final instrument model correlation in a shorter period of time. Upon completion of the correlation, the flight predictions were generated including the full suite of off-nominal cases, including some new cases defined by the spacecraft. For some of these ·new cases, some components now revealed limit exceedances, in particular for a portion of the hardware that could not be tested due to its size and chamber limitations.. Further lessons were learned during the completion of flight predictions. With a correlated detalled instrument model, significant efforts were made to generate a reduced model suitable for observatory level analyses. This proved a major effort both to generate an appropriate network as well as to convert to the final model to the required

  5. Lessons learned from evaluation of the use of the National electronic Library of Infection.

    Science.gov (United States)

    Madle, Gemma; Kostkova, Patty; Mani-Saada, Jane; Roy, Anjana

    2006-06-01

    The National electronic Library of Infection (NeLI: http://www.neli.org.uk) in the UK is a freely available portal to key evidence and guidelines in the infectious disease field. This paper discusses 5 years of evaluation of the pilot library and how this evaluation informed design of the new library website. The importance of combining qualitative and quantitative evaluation is highlighted and the results of web access logs analysis, free text search query analysis and an online user survey are compared. The paper concludes with a discussion of lessons learned for future development and evaluation of this Internet digital library.

  6. Compact Fluorescent Lighting in America: Lessons Learned on the Way to Market

    Energy Technology Data Exchange (ETDEWEB)

    Sandahl, Linda J.; Gilbride, Theresa L.; Ledbetter, Marc R.; Steward, Heidi E.; Calwell, Chris

    2006-05-22

    This report describes the history of compact fluorescent lamps (CFLs) in America. CFLs were introduced in the 1970s; however, it has taken more than 20 years for them to gain widespread recognition in the U.S. residential lighting market. This report reviews the development of CFLs, efforts to increase market acceptance of them, and barriers to that acceptance. Lessons to be learned from this study of CFLs are identified in hopes of assisting future market introduction efforts for other promising energy-efficient technologies. This report was prepared by the Pacific Northwest National Laboratory for the U.S. Department of Energy’s Office of Building Technologies, Emerging Technologies Program.

  7. Crowdfunding Astronomy Outreach Projects: Lessons learned from the UNAWE crowdfunding campaign

    Science.gov (United States)

    Ashton, A. J., Heenatigala, T.; Russo, P.

    2014-12-01

    In recent years, crowdfunding has become a popular method of funding new technology or entertainment products, or artistic projects. The idea is that people or projects ask for many small donations from individuals who support the proposed work, rather than a large amount from a single source. Crowdfunding is usually done via an online portal or platform which handles the financial transactions involved. The Universe Awareness (UNAWE) programme decided to undertake a Kickstarter1 crowdfunding campaign centring on the resource Universe in a Box. In this article we present the lessons learned and best practices from that campaign.

  8. Crowdfunding Astronomy Outreach Projects: Lessons Learned from the UNAWE Crowdfunding Campaign

    CERN Document Server

    Ashton, Abi J; Heenatigala, Thilina

    2014-01-01

    In recent years, crowdfunding has become a popular method of funding new technology or entertainment products, or artistic projects. The idea is that people or projects ask for many small donations from individuals who support the proposed work, rather than a large amount from a single source. Crowdfunding is usually done via an online portal or platform which handles the financial transactions involved. The Universe Awareness (UNAWE) programme decided to undertake a Kickstarter crowdfunding campaign centring on the resource Universe in a Box2. In this article we present the lessons learned and best practices from that campaign.

  9. Complementary use of life cycle assessment and risk assessment for engineered nanomaterials: Lessons learned from chemicals?

    DEFF Research Database (Denmark)

    Grieger, Khara D.; Laurent, Alexis; Miseljic, Mirko

    2013-01-01

    Successful strategies to handle the potential health and environmental risks of engineered nanomaterials (ENM) often rely upon the well-established frameworks of life cycle assessment (LCA) and risk assessment (RA). However, current research and specific guidance on how to actually apply these two...... scientific research efforts have taken into account some key lessons learned from past experiences with chemicals at the same time that many key challenges remain to applying these frameworks to ENM. In that setting, two main proposed approaches to use LCA and RA together for ENM are identified: i) LC...

  10. TMI-2 Lessons Learned Task Force status report and short-term recommendations

    Energy Technology Data Exchange (ETDEWEB)

    1979-07-01

    Review of the Three Mile Island accident by the TMI-2 Lessons Learned Task Force has disclosed a number of actions in the areas of design and analysis and plant operations that the Task Force recommends be required in the short term to provide substantial additional protection which is required for the public health and safety. All nuclear power plants in operation or in various stages of construction or licensing action are affected to varying degrees by the specific recommendations. The Task Force is continuing work in areas of general safety criteria, systems design requirements, nuclear power plant operations, and nuclear power plant licensing.

  11. Apollo CSM Power Generation System Design Considerations, Failure Modes and Lessons Learned

    Science.gov (United States)

    Interbartolo, Michael

    2009-01-01

    The objectives of this slide presentation are to: review the basic design criteria for fuel cells (FC's), review design considerations during developmental phase that affected Block I and Block II vehicles, summarize the conditions that led to the failure of components in the FC's, and state the solution implemented for each failure. It reviews the location of the fuel cells, the fuel cell theory the design criteria going into development phase and coming from the development phase, failures and solutions of Block I and II, and the lessons learned.

  12. High Gain Antenna System Deployment Mechanism Integration, Characterization, and Lessons Learned

    Science.gov (United States)

    Parong, Fil; Russell, Blair; Garcen, Walter; Rose, Chris; Johnson, Chris; Huber, Craig

    2014-01-01

    The integration and deployment testing of the High Gain Antenna System for the Global Precipitation Measurement mission is summarized. The HGAS deployment mechanism is described. The gravity negation system configuration and its influence on vertical, ground-based, deployment tests are presented with test data and model predictions. A focus is made on the late discovery and resolution of a potentially mission degrading deployment interference condition. The interaction of the flight deployment mechanism, gravity negation mechanism, and use of dynamic modeling is described and lessons learned presented.

  13. Report on Lessons Learned from the NP 2010 Early Site Permit Program FINAL REPORT

    Energy Technology Data Exchange (ETDEWEB)

    None

    2008-03-26

    This report provides a summary of lessons learned from the demonstration of the licensing process for three Early Site Permit (ESP) applications supported as part of the Department of Energy’s (DOE) Nuclear Power 2010 (NP 2010) program. The ESP process was established by the Nuclear Regulatory Commission (NRC) to enable completion of the site evaluation component of nuclear power plant licensing under 10 CFR Part 52 before a utility makes a decision to build a plant. Early Site Permits are valid for 10 to 20 years and can be renewed for an additional 10 to 20 years. NRC review of an ESP application addresses site safety issues, environmental protection issues, and plans for coping with emergencies. Successful completion of the ESP process will establish that a site is suitable for possible future construction and operation of a nuclear power plant. Most importantly, an ESP resolves significant site-related safety and environmental issues early in the decision process and helps achieve acceptance by the public. DOE competitively selected Dominion Nuclear Energy North Anna, LLC (Dominion); System Energy Resources, Inc. (an Entergy subsidiary); and Exelon Generation Company, LLC (Exelon) in 2002 to demonstrate the ESP process and provided cost-shared support through the NP 2010 program. Dominion pursued an ESP for the North Anna site in Virginia; System Energy Resources, Inc. pursued an ESP for the Grand Gulf site in Mississippi; and Exelon pursued an ESP for the Clinton site in Illinois. After successfully demonstrating the process, the NRC issued an ESP for Clinton on March 17, 2007; Grand Gulf on April 5, 2007; and North Anna on November 27, 2007. As with all successful projects, there are lessons to be learned from the NP 2010 early site permitting demonstration that can help improve future implementation guidance documents and regulatory review standards. In general, these lessons pertain to the effectiveness of the regulatory process, experience related to

  14. Enhancing Deep Learning: Lessons from the Introduction of Learning Teams in Management Education in France

    Science.gov (United States)

    Borredon, Liz; Deffayet, Sylvie; Baker, Ann C.; Kolb, David

    2011-01-01

    Drawing from the reflective teaching and learning practices recommended in influential publications on learning styles, experiential learning, deep learning, and dialogue, the authors tested the concept of "learning teams" in the framework of a leadership program implemented for the first time in a top French management school…

  15. Engaging primary care physicians in quality improvement: lessons from a payer-provider partnership.

    Science.gov (United States)

    Lemak, Christy Harris; Cohen, Genna R; Erb, Natalie

    2013-01-01

    A health insurer in Michigan, through its Physician Group Incentive Program, engaged providers across the state in a collection of financially incentivized initiatives to transform primary care and improve quality. We investigated physicians' and other program stakeholders' perceptions of the program through semistructured interviews with more than 80 individuals. We found that activities across five areas contributed to successful provider engagement: (1) developing a vision of improving primary care, (2) deliberately fostering practice-practice partnerships, (3) using existing infrastructure, (4) leveraging resources and market share, and (5) managing program trade-offs. Our research highlights effective strategies for engaging primary care physicians in program design and implementation processes and creating learning communities to support quality improvement and practice change.

  16. Long-term monitoring of western aspen--lessons learned.

    Science.gov (United States)

    Strand, E K; Bunting, S C; Starcevich, L A; Nahorniak, M T; Dicus, G; Garrett, L K

    2015-08-01

    Aspen woodland is an important ecosystem in the western United States. Aspen is currently declining in western mountains; stressors include conifer expansion due to fire suppression, drought, disease, heavy wildlife and livestock use, and human development. Forecasting of tree species distributions under future climate scenarios predicts severe losses of western aspen within the next 50 years. As a result, aspen has been selected as one of 14 vital signs for long-term monitoring by the National Park Service Upper Columbia Basin Network. This article describes the development of a monitoring protocol for aspen including inventory mapping, selection of sampling locations, statistical considerations, a method for accounting for spatial dependence, field sampling strategies, and data management. We emphasize the importance of collecting pilot data for use in statistical power analysis and semi-variogram analysis prior to protocol implementation. Given the spatial and temporal variability within aspen stem size classes, we recommend implementing permanent plots that are distributed spatially within and among stands. Because of our careful statistical design, we were able to detect change between sampling periods with desired confidence and power. Engaging a protocol development and implementation team with necessary and complementary knowledge and skills is critical for success. Besides the project leader, we engaged field sampling personnel, GIS specialists, statisticians, and a data management specialist. We underline the importance of frequent communication with park personnel and network coordinators.

  17. Lessons Learned From Newborn Screening for Critical Congenital Heart Defects.

    Science.gov (United States)

    Oster, Matthew E; Aucott, Susan W; Glidewell, Jill; Hackell, Jesse; Kochilas, Lazaros; Martin, Gerard R; Phillippi, Julia; Pinto, Nelangi M; Saarinen, Annamarie; Sontag, Marci; Kemper, Alex R

    2016-05-01

    Newborn screening for critical congenital heart defects (CCHD) was added to the US Recommended Uniform Screening Panel in 2011. Within 4 years, 46 states and the District of Columbia had adopted it into their newborn screening program, leading to CCHD screening being nearly universal in the United States. This rapid adoption occurred while there were still questions about the effectiveness of the recommended screening protocol and barriers to follow-up for infants with a positive screen. In response, the Centers for Disease Control and Prevention partnered with the American Academy of Pediatrics to convene an expert panel between January and September 2015 representing a broad array of primary care, neonatology, pediatric cardiology, nursing, midwifery, public health, and advocacy communities. The panel's goal was to review current practices in newborn screening for CCHD and to identify opportunities for improvement. In this article, we describe the experience of CCHD screening in the United States with regard to: (1) identifying the target lesions for CCHD screening; (2) optimizing the algorithm for screening; (3) determining state-level challenges to implementation and surveillance of CCHD; (4) educating all stakeholders; (5) performing screening using the proper equipment and in a cost-effective manner; and (6) implementing screening in special settings such as the NICU, out-of-hospital settings, and areas of high altitude.

  18. Establishing an implementation network: lessons learned from community-based participatory research

    Directory of Open Access Journals (Sweden)

    Garcia Piedad

    2009-03-01

    Full Text Available Abstract Background Implementation of evidence-based mental health assessment and intervention in community public health practice is a high priority for multiple stakeholders. Academic-community partnerships can assist in the implementation of efficacious treatments in community settings; yet, little is known about the processes by which these collaborations are developed. In this paper, we discuss our application of community-based participatory research (CBPR approach to implementation, and we present six lessons we have learned from the establishment of an academic-community partnership. Methods With older adults with psychosis as a focus, we have developed a partnership between a university research center and a public mental health service system based on CBPR. The long-term goal of the partnership is to collaboratively establish an evidence-based implementation network that is sustainable within the public mental healthcare system. Results In building a sustainable partnership, we found that the following lessons were instrumental: changing attitudes; sharing staff; expecting obstacles and formalizing solutions; monitoring and evaluating; adapting and adjusting; and taking advantage of emerging opportunities. Some of these lessons were previously known principles that were modified as the result of the CBPR process, while some lessons derived directly from the interactive process of forming the partnership. Conclusion The process of forming of academic-public partnerships is challenging and time consuming, yet crucial for the development and implementation of state-of-the-art approaches to assessment and interventions to improve the functioning and quality of life for persons with serious mental illnesses. These partnerships provide necessary organizational support to facilitate the implementation of clinical research findings in community practice benefiting consumers, researchers, and providers.

  19. A blended learning approach to teaching CVAD care and maintenance.

    Science.gov (United States)

    Hainey, Karen; Kelly, Linda J; Green, Audrey

    2017-01-26

    Nurses working within both acute and primary care settings are required to care for and maintain central venous access devices (CVADs). To support these nurses in practice, a higher education institution and local health board developed and delivered CVAD workshops, which were supported by a workbook and competency portfolio. Following positive evaluation of the workshops, an electronic learning (e-learning) package was also introduced to further support this clinical skill in practice. To ascertain whether this blended learning approach to teaching CVAD care and maintenance prepared nurses for practice, the learning package was evaluated through the use of electronic questionnaires. Results highlighted that the introduction of the e-learning package supported nurses' practice, and increased their confidence around correct clinical procedures.

  20. Looking within and beyond the community: lessons learned by researching, theorising and acting to address urban poverty and health.

    Science.gov (United States)

    Hodgetts, Darrin; Chamberlain, Kerry; Tankel, Yadena; Groot, Shiloh

    2014-01-01

    Urban poverty and health inequalities are inextricably intertwined. By working in partnership with service providers and communities to address urban poverty, we can enhance the wellness of people in need. This article reflects on lessons learned from the Family100 project that explores the everyday lives, frustrations and dilemmas faced by 100 families living in poverty in Auckland. Lessons learned support the need to bring the experiences and lived realities of families to the fore in public deliberations about community and societal responses to urban poverty and health inequality.