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Sample records for care trec building

  1. Study protocol for the translating research in elder care (TREC: building context – an organizational monitoring program in long-term care project (project one

    Directory of Open Access Journals (Sweden)

    Cummings Greta G

    2009-08-01

    Full Text Available Abstract Background While there is a growing awareness of the importance of organizational context (or the work environment/setting to successful knowledge translation, and successful knowledge translation to better patient, provider (staff, and system outcomes, little empirical evidence supports these assumptions. Further, little is known about the factors that enhance knowledge translation and better outcomes in residential long-term care facilities, where care has been shown to be suboptimal. The project described in this protocol is one of the two main projects of the larger five-year Translating Research in Elder Care (TREC program. Aims The purpose of this project is to establish the magnitude of the effect of organizational context on knowledge translation, and subsequently on resident, staff (unregulated, regulated, and managerial and system outcomes in long-term care facilities in the three Canadian Prairie Provinces (Alberta, Saskatchewan, Manitoba. Methods/Design This study protocol describes the details of a multi-level – including provinces, regions, facilities, units within facilities, and individuals who receive care (residents or work (staff in facilities – and longitudinal (five-year research project. A stratified random sample of 36 residential long-term care facilities (30 urban and 6 rural from the Canadian Prairie Provinces will comprise the sample. Caregivers and care managers within these facilities will be asked to complete the TREC survey – a suite of survey instruments designed to assess organizational context and related factors hypothesized to be important to successful knowledge translation and to achieving better resident, staff, and system outcomes. Facility and unit level data will be collected using standardized data collection forms, and resident outcomes using the Resident Assessment Instrument-Minimum Data Set version 2.0 instrument. A variety of analytic techniques will be employed including descriptive

  2. PolarTREC-Teachers and Researchers Exploring and Collaborating: Innovative Science Education from the Poles to the World

    Science.gov (United States)

    Warnick, W. K.; Warburton, J.; Breen, K.; Wiggins, H. V.; Larson, A.; Behr, S.

    2006-12-01

    PolarTREC-Teachers and Researchers Exploring and Collaborating is a three-year (2007-2009) teacher professional development program celebrating the International Polar Year (IPY) that will advance polar science education by bringing K-12 educators and polar researchers together in hands-on field experiences in the Arctic and Antarctic. PolarTREC builds on the strengths of the existing TREC program in the Arctic, an NSF supported program managed by the Arctic Research Consortium of the US (ARCUS), to embrace a wide range of activities occurring at both poles during and after IPY. PolarTREC will foster the integration of research and education to produce a legacy of long-term teacher-researcher collaborations, improved teacher content knowledge through experiences in scientific inquiry, and broad public interest and engagement in polar science and IPY. PolarTREC will enable thirty-six teachers to spend two to six weeks in the Arctic or Antarctic, working closely with researchers investigating a wide range of IPY science themed topics such as sea-ice dynamics, terrestrial ecology, marine biology, atmospheric chemistry, and long-term climate change. While in the field, teachers and researchers will communicate extensively with their colleagues, communities, and hundreds of students of all ages across the globe, using a variety of tools including satellite phones, online journals, podcasts and interactive "Live from IPY" calls and web-based seminars. The online outreach elements of the project convey these experiences to a broad audience far beyond the classrooms of the PolarTREC teachers. In addition to field research experiences, PolarTREC will support teacher professional development and a sustained community of teachers, scientists, and the public through workshops, Internet seminars, an e-mail listserve, and teacher peer groups. For further information on PolarTREC, contact Wendy Warnick, ARCUS Executive Director at warnick@arcus.org or 907-474-1600 or visit www.arcus.org/trec/

  3. PolarTREC-Teachers and Researchers Exploring and Collaborating: Bringing Polar Research to the Classroom

    Science.gov (United States)

    Warnick, W. K.; Warburton, J.; Breen, K.; Wiggins, H. V.; Larson, A.; Behr, S.

    2006-12-01

    PolarTREC-Teachers and Researchers Exploring and Collaborating is a three-year (2007-2009) teacher professional development program that pairs K-12 teachers with researchers to improve science education through authentic polar research experience. PolarTREC builds on the strengths of the existing TREC program in the Arctic, an NSF supported program managed by the Arctic Research Consortium of the US (ARCUS), to embrace a wider range of research activities in the Arctic and Antarctic. PolarTREC uses a Teacher Research Experience (TRE) model to foster the integration of research and education to produce a legacy of long-term teacher-researcher collaborations, improved teacher content knowledge through experiences in scientific inquiry, and broad public interest and engagement in polar science. PolarTREC will enable thirty-six teachers to spend two to six weeks in the Arctic or Antarctic, working closely with researchers investigating a wide range of topics such as sea-ice dynamics, terrestrial ecology, marine biology, atmospheric chemistry, and long-term climate change. With the help of their host researcher and the research team, teachers will develop the experience and tools necessary to teach science through scientific inquiry and investigation based on real-world experiences. While in the field, teachers and researchers will communicate extensively with their colleagues, communities, and hundreds of students of all ages across the globe, using a variety of tools including satellite phones, online journals, podcasts and interactive "Live from IPY" calls and web-based seminars. The online outreach elements of the project convey these experiences to a broad audience far beyond the classrooms of the PolarTREC teachers. In addition to field research experiences, PolarTREC will support teacher professional development and a sustained community of teachers, scientists, and the public through workshops, Internet seminars, an e-mail listserve, and ongoing teacher

  4. University of glasgow at TREC 2006

    DEFF Research Database (Denmark)

    Lioma, Christina; Macdonald, C.; Plachouras, V.;

    2006-01-01

    new effective and low-cost models, which combine evidence from document structure and capture term dependence and proximity, respectively. Additionally, in the Terabyte track, we improve on our query expansion mechanism on fields, presented in TREC 2005, with a new and more refined technique, which......In TREC 2006, we participate in three tasks of the Terabyte and Enterprise tracks. We continue experiments using Terrier1, our modular and scalable Information Retrieval (IR) platform. Furthering our research into the Divergence From Randomness (DFR) framework of weighting models, we introduce two......-independent evidence, in the form of prior probabilities. In the Enterprise track, we test our new voting model for expert search. Our experiments focus on the need for candidate length normalisation, and on how retrieval performance can be enhanced by applying retrieval techniques to the underlying ranking of...

  5. Building the eye care team

    OpenAIRE

    Thulasiraj Ravilla; Gnanasekaran Chinnathambi

    2014-01-01

    Eye care services are people intensive. They require the right people (competence), in the right numbers (capacity), in the right mix (team) with the right resources and processes (enabling conditions) to ensure effective and sustainable delivery of patient care.

  6. Building effective critical care teams

    OpenAIRE

    Manthous, Constantine; Nembhard, Ingrid M; Hollingshead, Andrea B

    2011-01-01

    Critical care is formulated and delivered by a team. Accordingly, behavioral scientific principles relevant to teams, namely psychological safety, transactive memory and leadership, apply to critical care teams. Two experts in behavioral sciences review the impact of psychological safety, transactive memory and leadership on medical team outcomes. A clinician then applies those principles to two routine critical care paradigms: daily rounds and resuscitations. Since critical care is a team en...

  7. Building effective critical care teams.

    Science.gov (United States)

    Manthous, Constantine; Nembhard, Ingrid M; Hollingshead, Andrea B

    2011-01-01

    Critical care is formulated and delivered by a team. Accordingly, behavioral scientific principles relevant to teams, namely psychological safety, transactive memory and leadership, apply to critical care teams. Two experts in behavioral sciences review the impact of psychological safety, transactive memory and leadership on medical team outcomes. A clinician then applies those principles to two routine critical care paradigms: daily rounds and resuscitations. Since critical care is a team endeavor, methods to maximize teamwork should be learned and mastered by critical care team members, and especially leaders. PMID:21884639

  8. Building the eye care team

    Directory of Open Access Journals (Sweden)

    Thulasiraj Ravilla

    2014-07-01

    Full Text Available Eye care services are people intensive. They require the right people (competence, in the right numbers (capacity, in the right mix (team with the right resources and processes (enabling conditions to ensure effective and sustainable delivery of patient care.

  9. Predicting human age with bloodstains by sjTREC quantification.

    Directory of Open Access Journals (Sweden)

    Xue-ling Ou

    Full Text Available The age-related decline of signal joint T-cell receptor rearrangement excision circles (sjTRECs in human peripheral blood has been demonstrated in our previous study and other reports. Until now, only a few studies on sjTREC detection in bloodstain samples were reported, which were based on a small sample of subjects of a limited age range, although bloodstains are much more frequently encountered in forensic practice. In this present study, we adopted the sensitive Taqman real-time quantitative polymerase chain reaction (qPCR method to perform sjTREC quantification in bloodstains from individuals ranging from 0-86 years old (n = 264. The results revealed that sjTREC contents in human bloodstains were declined in an age-dependent manner (r = -0.8712. The formula of age estimation was Age = -7.1815Y-42.458 ± 9.42 (Y dCt(TBP-sjTREC; 9.42 standard error. Furthermore, we tested for the influence of short- or long- storage time by analyzing fresh and stored bloodstains from the same individuals. Remarkably, no statistically significant difference in sjTREC contents was found between the fresh and old DNA samples over a 4-week of storage time. However, significant loss (0.16-1.93 dCt in sjTREC contents was detected after 1.5 years of storage in 31 samples. Moreover, preliminary sjTREC quantification from up to 20-year-old bloodstains showed that though the sjTREC contents were detectable in all samples and highly correlated with donor age, a time-dependent decrease in the correlation coefficient r was found, suggesting the predicting accuracy of this described assay would be deteriorated in aged samples. Our findings show that sjTREC quantification might be also suitable for age prediction in bloodstains, and future researches into the time-dependent or other potential impacts on sjTREC quantification might allow further improvement of the predicting accuracy.

  10. Two Steps Feature Selection and Neural Network Classification for the TREC-8 Routing

    OpenAIRE

    Stricker, Mathieu; Vichot, Frantz; Dreyfus, Gerard; Wolinski, Francis

    2000-01-01

    For the TREC-8 routing, one specific filter is built for each topic. Each filter is a classifier trained to recognize the documents that are relevant to the topic. When presented with a document, each classifier estimates the probability for the document to be relevant to the topic for which it has been trained. Since the procedure for building a filter is topic-independent, the system is fully automatic. By making use of a sample of documents that have previously been evaluated as relevant o...

  11. Overview of the TREC 2013 Federated Web Search Track

    NARCIS (Netherlands)

    Demeester, Thomas; Trieschnigg, Dolf; Nguyen, Dong; Hiemstra, Djoerd

    2014-01-01

    The TREC Federated Web Search track is intended to promote research related to federated search in a realistic web setting, and hereto provides a large data collection gathered from a series of online search engines. This overview paper discusses the results of the first edition of the track, FedWeb

  12. Overview of the Sixth Text Retrieval Conference (TREC-6).

    Science.gov (United States)

    Voorhees, Ellen M.; Harman, Donna

    2000-01-01

    Provides an overview of the Text Retrieval Conference (TREC), a workshop series designed to encourage research on text retrieval for realistic applications by providing large test collections and uniform scoring procedures. Highlights include routing tasks; Chinese language retrieval; cross-language information retrieval; filtering; high…

  13. The 10 Building Blocks of High-Performing Primary Care

    OpenAIRE

    Bodenheimer, Thomas; Ghorob, Amireh; Willard-Grace, Rachel; Grumbach, Kevin

    2014-01-01

    Our experiences studying exemplar primary care practices, and our work assisting other practices to become more patient centered, led to a formulation of the essential elements of primary care, which we call the 10 building blocks of high-performing primary care. The building blocks include 4 foundational elements—engaged leadership, data-driven improvement, empanelment, and team-based care—that assist the implementation of the other 6 building blocks—patient-team partnership, population mana...

  14. Overview of the TREC 2014 Federated Web Search Track

    OpenAIRE

    Demeester, Thomas; Trieschnigg, Dolf; Nguyen, Dong-Phuong; Zhou, Ke; Hiemstra, Djoerd

    2014-01-01

    The TREC Federated Web Search track facilitates research in topics related to federated web search, by providing a large realistic data collection sampled from a multitude of online search engines. The FedWeb 2013 challenges of Resource Selection and Results Merging challenges are again included in FedWeb 2014, and we additionally introduced the task of vertical selection. Other new aspects are the required link between the Resource Selection and Results Merging, and the importance of diversi...

  15. Overview of the TREC 2013 federated web search track

    OpenAIRE

    DEMEESTER, Thomas; Trieschnigg, Dolf; Nguyen, Dong Van; Hiemstra, Djoerd

    2013-01-01

    The TREC Federated Web Search track is intended to promote research related to federated search in a realistic web setting, and hereto provides a large data collection gathered from a series of online search engines. This overview paper discusses the results of the first edition of the track, FedWeb 2013. The focus was on basic challenges in federated search: (1) resource selection, and (2) results merging. After an overview of the provided data collection and the relevance judgments for the ...

  16. THE TEST OF APPLYING RADAR TREC WIND IN THREE-DIMENSIONAL VARIATIONAL ASSIMILATION

    Institute of Scientific and Technical Information of China (English)

    WAN Qi-lin; XUE Ji-shan; CHEN Zhi-tong; LIU Chun-xia

    2006-01-01

    The application of radar-derived TREC wind to 3DVAR assimilation system of GRAPeS-3DVar developed by Chinese Academy of Meteorological Sciences is introduced. The resulting fundamental feature is estimated when radar TREC wind is assimilated into GRAPeS-3DVar system. It was found that radar TREC wind has better potential of the application in GRAPeS-3DVar system and can effectively improve the analyzed results. Moreover a numerical experiment is performed in which tropical cyclones make landfall and transform;it also showed that the predicted effect can be improved when the radar TREC wind is added into GRAPeS-3DVar system.

  17. Care platforms: a basic building block for care delivery.

    Science.gov (United States)

    Bohmer, Richard M J; Lawrence, David M

    2008-01-01

    Without significant operational reform within the nation's health care delivery organizations, new financing models, payment systems, or structures are unlikely to realize their promise. Adapting insights from high-performing companies in other high-risk, high-cost, science- and technology-based industries, we propose the "care platform" as an organizing framework for internal operations in diversified provider organizations to increase the quality, reliability, and efficiency of care delivery. A care platform organizes "care production" around similar work, rather than organs or specialties; integrates standard and custom care processes; and surrounds them with specifically configured information and business systems. Such organizational designs imply new roles for physicians. PMID:18780920

  18. TREC Based Newborn Screening for Severe Combined Immunodeficiency Disease : A Systematic Review

    NARCIS (Netherlands)

    van der Spek, Jet; Groenwold, Rolf H. H.; van der Burg, Mirjam; van Montfrans, JM

    2015-01-01

    Background Newborn screening (NBS) by quantifying T cell receptor excision circles (TRECs) in neonatal dried blood spots (DBS) enables early diagnosis of severe combined immunodeficiency disease (SCID). In recent years, different screening algorithms for TREC based SCID screening were reported. Purp

  19. Insights into the impact and use of research results in a residential long-term care facility: a case study

    OpenAIRE

    Cranley Lisa A; Birdsell Judy M; Norton Peter G; Morgan Debra G; Estabrooks Carole A

    2012-01-01

    Abstract Background Engaging end-users of research in the process of disseminating findings may increase the relevance of findings and their impact for users. We report findings from a case study that explored how involvement with the Translating Research in Elder Care (TREC) study influenced management and staff at one of 36 TREC facilities. We conducted the study at ‘Restwood’ (pseudonym) nursing home because the Director of Care engaged actively in the study and TREC data showed that this ...

  20. Building collaborative teams in neonatal intensive care.

    Science.gov (United States)

    Brodsky, Dara; Gupta, Munish; Quinn, Mary; Smallcomb, Jane; Mao, Wenyang; Koyama, Nina; May, Virginia; Waldo, Karen; Young, Susan; Pursley, DeWayne M

    2013-05-01

    The complex multidisciplinary nature of neonatal intensive care combined with the numerous hand-offs occurring in this shift-based environment, requires efficient and clear communication and collaboration among staff to provide optimal care. However, the skills required to function as a team are not typically assessed, discussed, or even taught on a regular basis among neonatal personnel. We developed a multidisciplinary, small group, interactive workshop based on Team STEPPS to provide staff with formal teamwork skills, and to introduce new team-based practices; 129 (95%) of the eligible 136 staff were trained. We then compared the results of the pretraining survey (completed by 114 (84%) of staff) with the post-training survey (completed by 104 (81%) of participants) 2 years later. We found an improvement in the overall teamwork score from 7.37 to 8.08 (p=job fulfilment (p=<0.0001), believed that their abilities were being utilised properly (p=0.003), and felt more respected (p=0.0037). 90% of staff found the new practice of team meetings to help increase awareness of unit acuity, and 77% of staff noted that they had asked for help or offered assistance because of information shared during these meetings. In addition to summarising the results of our training programme, this paper also provides practical tools that may be of use in developing team training programmes in other neonatal units. PMID:23396854

  1. Retrospective TREC testing of newborns with Severe Combined Immunodeficiency and other primary immunodeficiency diseases

    Directory of Open Access Journals (Sweden)

    O. Jilkina

    2014-01-01

    Full Text Available In Manitoba, Canada, the overall incidence of Severe Combined Immunodeficiency (SCID is three-fold higher than the national average, with SCID overrepresented in two population groups: Mennonites and First Nations of Northern Cree ancestries. T-cell receptor excision circle (TREC assay is being used increasingly for neonatal screening for SCID in North America. However, the majority of SCID patients in Manitoba are T-cell-positive. Therefore it is likely that the TREC assay will not identify these infants. The goal of this study was to blindly and retrospectively perform TREC analysis in confirmed SCID patients using archived Guthrie cards. Thirteen SCID patients were tested: 5 T-negative SCID (3 with adenosine deaminase deficiency, 1 with CD3δ deficiency, and 1 unclassified and 8 T-positive SCID (5 with zeta chain-associated protein kinase (ZAP70 deficiency and 3 with inhibitor of kappa light polypeptide gene enhancer in B-cells, kinase beta (IKKβ deficiency. As a non-SCID patient group, 5 Primary Immunodeficiency Disease (PID patients were studied: 1 T-negative PID (cartilage-hair hypoplasia and 4 T-positive PID (2 common immune deficiency (CID, 1 Wiskott–Aldrich syndrome, and 1 X-linked lymphoproliferative disease. Both patient groups required hematopoietic stem cell transplantation. In addition, randomly-selected de-identified controls (n = 982 were tested. Results: all T-negative SCID and PID had zero TRECs. Low-TRECs were identified in 2 ZAP70 siblings, 1 CID patient as well as 5 preterm, 1 twin, and 4 de-identified controls. Conclusions: TREC method will identify T-negative SCID and T-negative PID. To identify other SCID babies, newborn screening in Manitoba must include supplemental targeted screening for ethnic-specific mutations.

  2. PolarTREC: Successful Methods and Tools for Attaining Broad Educational Impacts with Interdisciplinary Polar Science

    Science.gov (United States)

    Timm, K. M.; Warburton, J.; Owens, R.; Warnick, W. K.

    2008-12-01

    PolarTREC--Teachers and Researchers Exploring and Collaborating, a program of the Arctic Research Consortium of the U.S. (ARCUS), is a National Science Foundation (NSF)-funded International Polar Year (IPY) project in which K-12 educators participate in hands-on field experiences in the polar regions, working closely with IPY scientists as a pathway to improving science education. Developing long-term teacher- researcher collaborations through PolarTREC ensures up-to-date climate change science content will permeate the K-12 education system long after the IPY. By infusing education with the cutting edge science from the polar regions, PolarTREC has already shown an increase in student and public knowledge of and interest in the polar regions and global climate change. Preliminary evaluations have shown that PolarTREC's program activities have many positive impacts on educators and their ability to teach science concepts and improve their teaching methods. Additionally, K-12 students polled in interest surveys showed significant changes regarding the importance of understanding the polar regions as a person in today's world. Researchers have been overwhelmingly satisfied with PolarTREC and cited several specific strengths, including the program's crucial link between the teachers' field research experiences and their classroom and the extensive training provided to teachers prior to their expedition. This presentation will focus on other successful components of the PolarTREC program and how researchers and organizations might use these tools to reach out to the public for long-term impacts. Best practices include strategies for working with educators and the development of an internet-based platform for teachers and researchers to interact with the public, combining several communication tools such as online journals and forums, real-time Internet seminars, lesson plans, activities, audio, and other educational resources that address a broad range of scientific

  3. PolarTREC-Celebrating the Legacy of the IPY Through Researcher-Educator Partnerships

    Science.gov (United States)

    Timm, K.; Warburton, J.; Larson, A. M.

    2009-12-01

    Polar TREC-Teachers and Researchers Exploring and Collaborating, a three-year (2007-2009) NSF-funded program, has matched over 40 teachers with polar researchers working in multiple scientific disciplines for 2-8 week Teacher Research Experiences (TRE) in the Arctic and Antarctica during the IPY. PolarTREC contributes to the legacy of the IPY through the creation and dissemination of polar education resources, prolonged teacher-researcher relationships, and contributions to scholarly knowledge on the impacts of TRE's. Products developed during PolarTREC are helping to sustain the widespread interest and enthusiasm in the polar regions generated during the IPY. During their expeditions, participating teachers brought science and information about profound changes at the poles to school, community, and professional audiences through web-based communications, journals, discussion forums, multimedia, and live events. PolarTREC teachers constructed nearly 100 classroom lesson plans and activities as products of their experiences. Live events from the field attracted over 11,000 participants, primarily K-12 students. Although the field experience is central to the PolarTREC TRE Model, many participants cite the relationship they built with their teacher/researcher as one of the best outcomes. Through personal communications, presentations at professional conferences, and continued support of each other’s work through classroom visits or joint proposal development, teachers and researchers have maintained the mutually beneficial relationships established during the IPY. Participating scientists gained access to professional educators with expertise in translating research approaches and results into programs. The need for researchers to explain their research and “boil it down to the raw essence” helped many see how their work fits into a bigger picture, often helping them communicate outside their scientific discipline and to diverse public audiences. Teachers, on

  4. Numerical analysis of pulsed local plane-wave generation in a TREC

    OpenAIRE

    Meton, Philippe; Cozza, Andrea; Monsef, Florian; Lambert, Marc; Joly, Jean-Christophe; Bruguière, Pierre

    2012-01-01

    International audience The feasibility of generating arbitrary wavefronts within a time-reversal electromagnetic chamber (TREC) has been demonstrated both theoretically and experimentally. Though originally motivated for EMC tests, the generation of coherent wavefronts within a reverberating cavity has a potential interest in antenna testing, too. In this paper, the generation of locally planar wavefronts is addressed by means of numerical simulations involving a 2D cavity, for a scalar el...

  5. NASA IceBridge and PolarTREC - Education and Outreach Partnership

    Science.gov (United States)

    Bartholow, S.; Warburton, J.; Beck, J.; Woods, J. E.

    2015-12-01

    PolarTREC-Teachers and Researchers Exploring and Collaborating, a teacher professional development program, began with the International Polar Year in 2004 and continues today in the United States. PolarTREC has worked specifically with OIB for 3 years and looking forward to ongoing collaboration. PolarTREC brings U.S. K­12 educators and polar researchers together through an innovative teacher research experience model. Participating teachers spend 3-6 weeks in the field with research teams conducting surveys and collecting data on various aspects of polar science. During their experience, teachers become research team members filling a variety of roles on the team. They also fulfill a unique role of public outreach officer, conducting live presentations about their field site and research as well as journaling, answering questions, and posting photos. Working with OIB has opened up the nature of science for the participating teachers. In developing the long-term relationship with OIB teams, teachers can now share (1) the diversity of training, backgrounds, and interests of OIB scientists, (2) identify the linkages between Greenlandic culture and community and cryospheric science and evidence of climate change, (3) network with Danish and Greenlandic educators on the mission (4) gain access to the full spectrum of a science project - development, implementation, analysis, networking, and dissemination of information. All aspects help these teachers become champions of NASA science and educational leaders in their communities. Evaluation data shows that PolarTREC has clearly achieved it goals with the OIB partnership and suggests that linking teachers and researchers can have the potential to transform the nature of science education. By giving teachers the content knowledge, pedagogical tools, confidence, understanding of science in the broader society, and experiences with scientific inquiry, participating teachers are using authentic scientific research in their

  6. CWI and TU Delft at TREC 2013: Contextual Suggestion, Federated Web Search, KBA, and Web Tracks

    OpenAIRE

    Bellogín Kouki, Alejandro; Gebremeskel, Gebre; He, Jiyin; Lin, Jimmy; Said, Alan; Samar, Thaer; De, Vries; Vuurens, Jeroen

    2014-01-01

    This paper provides an overview of the work done at the Centrum Wiskunde & Informatica (CWI) and Delft University of Technology (TU Delft) for different tracks of TREC 2013. We participated in the Contextual Suggestion Track, the Federated Web Search Track, the Knowledge Base Acceleration (KBA) Track, and the Web Ad-hoc Track. In the Contextual Suggestion track, we focused on filtering the entire ClueWeb12 collection to generate recommendations according to the provided user profiles and cont...

  7. Saving energy for ventilation by careful selection of building materials

    DEFF Research Database (Denmark)

    Wargocki, Pawel; Knudsen, Henrik Nellemose

    2008-01-01

    The main objective of the research project described in this paper was to study the potential of reducing energy used for ventilating buildings by using low-polluting building materials without compromising indoor air quality.......The main objective of the research project described in this paper was to study the potential of reducing energy used for ventilating buildings by using low-polluting building materials without compromising indoor air quality....

  8. Organizational Leadership For Building Effective Health Care Teams

    OpenAIRE

    Taplin, Stephen H.; Foster, Mary K.; Shortell, Stephen M.

    2013-01-01

    The movement toward accountable care organizations and patient-centered medical homes will increase with implementation of the Affordable Care Act (ACA). The ACA will therefore give further impetus to the growing importance of teams in health care. Teams typically involve 2 or more people embedded in a larger social system who differentiate their roles, share common goals, interact with each other, and perform tasks affecting others. Multiple team types fit within this definition, and they al...

  9. Improving Geoscience Education through the PolarTREC Teacher Research Experience Model (Invited)

    Science.gov (United States)

    Warburton, J.; Timm, K.; Larson, A. M.

    2010-12-01

    Teacher Research Experiences (TRE’s) are not new. For more than a decade, the National Science Foundation (NSF) as well as other federal agencies have been funding programs that place teachers with researchers in efforts to invigorate science education by bringing educators and researchers together through hands-on experiences. Many of the TRE’s are successful in providing a hands-on field experience for the teachers and researchers however many of the programs lack the resources to continue the collaborations and support the growing network of teachers that have had these field experiences. In 2007, NSF provided funding for PolarTREC—Teachers and Researchers Exploring and Collaborating, a program of the Arctic Research Consortium of the U.S. (ARCUS). PolarTREC is a TRE where K-12 teachers participate in polar field research, working closely with scientists as a pathway to improving science education. In just three years, it has become a successful TRE. What makes PolarTREC different than other the teacher research experience programs and how can others benefit from what we have learned? During this presentation, we will share data collected through the program evaluation and on how PolarTREC contributes to the discipline of Science, Technology, Engineering, and Mathematics (STEM) education and pedagogy through a model program conceived and organized according to current best practices, such as pre-research training, mentoring, support for classroom transfer, and long-term access to resources and support. Data shows that PolarTREC’s comprehensive program activities have many positive impacts on educators and their ability to teach science concepts and improve their teaching methods. Additionally, K-12 students polled in interest surveys showed significant changes in key areas including amount of time spent in school exploring research activities, importance of understanding science for future work, importance of understanding the polar regions as a person

  10. PolarTREC-Teachers and Researchers Exploring and Collaborating: Science Education from the Poles to the World

    Science.gov (United States)

    Warnick, W. K.; Breen, K.; Warburton, J.; Fischer, K.; Wiggins, H.; Owens, R.; Polly, B.; Wade, B.; Buxbaum, T.

    2007-12-01

    PolarTREC-Teachers and Researchers Exploring and Collaborating is a three-year (2007-2009) teacher professional development program celebrating the International Polar Year (IPY) that advances polar science education by bringing K-12 educators and polar researchers together in hands-on field experiences in the Arctic and Antarctic. Currently in its second year, the program fosters the integration of research and education to produce a legacy of long-term teacher-researcher collaborations, improved teacher content knowledge through experiences in scientific inquiry, and broad public interest and engagement in polar science. Through PolarTREC, over 40 U.S. teachers will spend two to six weeks in the Arctic or Antarctic, working closely with researchers in the field as an integral part of the science team. Research projects focus on a wide range of IPY science themed topics such as sea-ice dynamics, terrestrial ecology, marine biology, atmospheric chemistry, and long-term climate change. While in the field, teachers and researchers will communicate extensively with their colleagues, communities, and hundreds of students of all ages across the globe, using a variety of tools including satellite phones, online journals, podcasts and interactive "Live from IPY" calls and web-based seminars. The online outreach elements of the project convey these experiences to a broad audience far beyond the classrooms of the PolarTREC teachers. In addition to field research experiences, PolarTREC will support teacher professional development and a sustained community of teachers, scientists, and the public through workshops, Internet seminars, an e-mail listserve, and teacher peer groups. To learn more about PolarTREC visit the website at: http://www.polartrec.com or contact info@polartrec.com or 907-474-1600. PolarTREC is funded by NSF and managed by the Arctic Research Consortium of the US (ARCUS).

  11. PolarTREC-Teachers and Researchers Exploring and Collaborating: Science Education from the Poles to the World

    Science.gov (United States)

    Timm, K. M.; Warburton, J.; Owens, R.; Warnick, W. K.

    2008-12-01

    PolarTREC--Teachers and Researchers Exploring and Collaborating, a program of the Arctic Research Consortium of the U.S. (ARCUS), is a National Science Foundation (NSF)--funded International Polar Year (IPY) project in which K-12 educators participate in hands-on field experiences, working closely with IPY scientists as a pathway to improving science education. PolarTREC has developed a successful internet-based platform for teachers and researchers to interact and share their diverse experiences and expertise by creating interdisciplinary educational tools including online journals and forums, real-time Internet seminars, lesson plans, activities, audio, and other educational resources that address a broad range of scientific topics. These highly relevant, adaptable, and accessible resources are available to educators across the globe and have connected thousands of students and citizens to the excitement of polar science. By fostering the integration of research and education and infusing education with the thrill of discovery, PolarTREC will produce a legacy of long-term teacher-researcher collaborations and increased student knowledge of and interest in the polar regions well beyond the IPY time period. Educator and student feedback from preliminary evaluations has shown that PolarTREC's comprehensive program activities have many positive impacts on educators and their ability to teach science concepts and improve their teaching methods. Additionally, K-12 students polled in interest surveys showed significant changes in key areas including amount of time spent in school exploring research activities, importance of understanding science for future work, importance of understanding the polar regions as a person in today's world, as well as increased self-reported knowledge and interest in Science, Technology, Engineering, and Mathematics content areas. PolarTREC provides a tested approach and a clear route for researcher participation in the education community

  12. Terminology extraction from text to build an ontology in surgical intensive care.

    OpenAIRE

    Le Moigno, Sophie; Charlet, Jean; Bourigault, Didier; Degoulet, Patrice; Jaulent, Marie-Christine

    2002-01-01

    In many medical fields, the maintenance of unabiguous terminologies, the comparison and aggregation of different terminologies go through the building of formal specialized clinical terminologies, the ontologies. In this paper, we describe the building of an ontology in the surgical intensive care medical domain. We considered textual reports as the main source of information and a natural language processing tool, the SYNTEX software, is used to build the ontology. We have tested the possibi...

  13. Carolinas HealthCare attends to patients, amenities; builds business.

    Science.gov (United States)

    Rees, T

    2000-01-01

    Carolinas HealthCare System has grown into a nearly two billion dollar entity by focusing on patient needs and amenities in its health care facilities. Growth of the system, the largest in North and South Carolina, is due in large part to Harry A. Nurkin, president and CEO, who started out with a run-down hospital for indigents. With the approval of the hospital board, Nurkin launched a marketing effort that included taking a lesson from the founders of the Holiday Inn hotel chain. He remodeled and developed facilities that are pleasing to patients and visitors, moved patient parking closer to the hospitals' front doors, taught key hospital personnel the basics about marketing, aligned the system with ABA and NFL teams and conducted an aggressive advertising program. PMID:11143133

  14. Building A Health Care Data Warehouse for Cancer Diseases

    Directory of Open Access Journals (Sweden)

    Osama E.Sheta

    2012-11-01

    Full Text Available This paper presents architecture for health care data warehouse specific to cancer diseases which could be used by executive managers, doctors, physicians and other health professionals to support the healthcare process. The data today existing in multi sources with different formats makes it necessary to have some techniques for data integration. Executive managers need access to Information so that decision makers can react in real time to changing needs. Information is one of the most factors to an organization success that executive managers or physicians would need to base their decisions on, during decisionmaking. A health care data warehouse is therefore necessary to integrate the different data sources into a central data repository and analysis this data.

  15. The Internet. Building knowledge & offering integrated solutions to health care.

    Science.gov (United States)

    Russo, H E

    2000-07-01

    Technology is changing the way we do things, including how the health care community provides information and services to the public. Disparate populations, once separated by distance and time, will experience dramatic changes as they become part of a global community. Fundamental changes will continue to occur in the way health information is received, utilized, exchanged and stored. This article explores access to the Internet as well as applications of interactive health technology and the emerging issues surrounding technology use. PMID:11010439

  16. Narrative palliative care: a method for building empathy.

    Science.gov (United States)

    Stanley, Patricia; Hurst, Marsha

    2011-01-01

    We make meaning of illness, suffering, and death through narrative, by telling a story. In this article, the authors explore narrative and palliative care: how, at the end of life, narratives of patients, caregivers, and clinicians serve to connect to those still living, and how through each telling and listening, we honor and validate the experience of suffering. A discussion of narrative competence and the skills of attention, representation, and affiliation is followed by an outline of the format for a narrative medicine workshop and a detailed analysis of an experiential exercise in close reading and reflective writing. PMID:21391077

  17. Customer centered health care: why managed care organizations must capitalize on new technology to build brands and customer loyalty.

    Science.gov (United States)

    Fell, D

    1998-01-01

    Now, more than ever, health care organizations are desperately trying to reach out to customers and establish stronger relationships that will generate increased loyalty and repeat business. As technology, like the Internet and related mediums, allow us to do a better job of managing information and communication, health care executives must invest the time and resources necessary to bring these new advances into the day-to-day operations of their businesses. Those that do will have a head start in building their brand and their customer loyalty. PMID:10181710

  18. Care of the comatose patient: building mutual staff values.

    Science.gov (United States)

    Hofmann, P B; Smoot, F L

    1985-05-01

    Recognizing individuals' value differences is important to the success of health teams that care for comatose patients, since decisions to withhold or withdraw life-support treatment may lead to conflicts among team members. Such conflicts can adversely affect professional and family relationships. For example, health care personnel cannot work together in harmony or help the family effectively if they disagree about treatment decisions. Although institutional procedures for "do not resuscitate" orders, the treatment of incompetent patients, and other complex issues are helpful, they rarely address value conflicts, which inevitably influence a problem's resolution. Staff members therefore must acknowledge and confront differences they have faced. Such reflection enables catharsis as well as reconciliation of unresolved conflict and permits the group to develop guidelines for future situations. A fictional case also may be used to help work groups gain an understanding of the need for community. Ideally, the team members will sharpen their decision-making skills and gain the confidence to make tough choices in an imperfect, unpredictable world. PMID:10271501

  19. Abnormal TREC-Based Newborn Screening Test in a Premature Neonate with Massive Perivillous Fibrin Deposition of the Placenta

    Science.gov (United States)

    Kostadinov, Stefan; Robbins, Karen A.; Hayward, Anthony

    2016-01-01

    Severe combined immunodeficiency (SCID), a primary immunodeficiency arising from variable defects in lymphocyte development and survival, is characterized by significant deficiency of thymus derived (T-) lymphocytes and variable defects in the B-lymphocyte population. Newborn screening for SCID is based on detection of low numbers of T-cell receptor excision circles (TRECs) by real time quantitative PCR (RT-qPCR). This screening allows for early identification of individuals with SCID and other disorders characterized by T-lymphopenia. Higher rates of abnormal screens are commonly seen in premature and critically ill neonates, often representing false positives. It is possible that many abnormal screens seen in these populations are result of conditions that are characterized by systemic inflammation or stress, possibly in the context of stress-induced thymic involution. We present a case of a male infant delivered at 27 weeks, 6 days of gestation, with severe intrauterine growth restriction who had an abnormal TREC screen and a massive perivillous fibrin deposition (MPFD) of the placenta. This association has not been reported previously. We are raising the awareness to the fact that conditions, such as MPFD, that can create adverse intrauterine environment are capable of causing severe stress-induced thymic involution of the fetus which can present with abnormal TREC results on newborn screening.

  20. TREC 2010 legal track: method and results of the ELK collaboration

    Energy Technology Data Exchange (ETDEWEB)

    Spearing, Shelly [Los Alamos National Laboratory; Roman, Jorge [Los Alamos National Laboratory; Mc Kay, Bain [KAYVIUM; Lindquist, Eric [EWA-IIT

    2010-10-25

    The ELK team ([E]WA-IIT, [L]os Alamos National laboratory (LANL), and [K]ayvium Corporation (ELK)) used the legal Track task 302 as an opportunity to compare and integrate advanced semantic-automation strategies. The team members believe that enabling parties to discover, consume, analyze, and make decisions in a noisy and information-overloaded environment requires new tools. Together, as well as independently, they are actively developing these tools and view the TREC exercise as an opportunity to test, compare, and complement tools and approaches. Our collaboration is new to TREC, brought together by a shared interest in document relevance, concept-in-context identification and annotation, and the recognition that words out-of-context do not a match make. The team's intent was to lay the foundation for automating the mining and analysis of large volumes of electronic information by litigants and their lawyers, not only in the context of document discovery, but also to support litigation strategy, motion practice, deposition, trial tactics, etc. The premise was that a Subject Matter Expert- (SME-) built model can be automatically mapped onto various search engines for document retrieval, organization, relevance scoring, analysis and decision support. In the end, we ran nearly a dozen models, mostly, but not exclusively, with Kayvium Corporation's knowledge automation technology. The Sal Database Search Engine we used had a bug in its proximity feature, requiring that we develop a workaround. While the work-around was successful, it left us with insufficient time to converge the models to achieve expected quality. However, with optimized proximity processing in place, we would be able to run the model many more times, and believe repeatable quality would be a matter of working through a few requests to get the approach right. We believe that with more time, the results we would achieve might point towards a new way of processing documents for litigation

  1. New tip functionalization strategies for molecular recognition force spectroscopy and TREC

    International Nuclear Information System (INIS)

    This study was part of the work program in the 'Christian Doppler Laboratory for nanoscopic methods in Biophysics' which started in 2008. State of the art methods in tip functionalization of AFM tips are able to introduce 1 3 functional PEG linkers (and sensor molecules) on the tip apex by various methods. While this number of sensor molecules per tip is most appropriate for force spectroscopy, a ten times higher number of sensor molecules per tip would be desired when using TREC (simultaneous topography and recognition imaging) in a wide range of applications, especially on cells. Considering the multi step procedures for tip functionalization, any of the steps might appear as target for further improvement. From a closer look on our previously published studies [Riener 2003; Kamruzzahahn 2006; Ebner 2007; PhD thesis Wildling 2008], however, it is obvious that the first step (i.e., aminofunctionalization) is the most appropriate target for optimization, for two reasons: (i) All other steps appear to happen with rather high yield anyway under typical working conditions [Ebner 2007], leaving little room for further improvement. (ii) Higher efficiency in the first step (i.e., higher amine group density on the tip apex) which is common to 'all families' of tip functionalization procedures is a simple way to optimize all kinds of tip functionalization procedures at the same time. Optimization of the 'aminofunctionalization' also required a new, fast and unbiased analytical method for estimation of the amine group density on the surface. Therefore, a new fluorescence based assay had to be developed, with a very low detection limit of ∼100 sites/μm2. In this study, the development of the fluorescence assay is described in the first place, its excellent performance being demonstrated with commercial or conventionally prepared test samples of well known amine group density. The second part concerns the successful development of silicon nitride functionalization with

  2. Building a Caring Economy and Society Beyond Capitalism, Socialism, and Other Old Isms

    Directory of Open Access Journals (Sweden)

    Riane Eisler

    2013-05-01

    Full Text Available Old economic approaches are not capable of meeting our economic, environmental, and social challenges. To effectively meet these challenges, we need a perspective that goes beyond the conventional capitalism vs. socialism debate. This paper places economic valua- tions in their social context from the perspective of two new social categories. It describes building blocks for a new paradigm for economics, focusing on new measurements, policies, and practices that support caring for people, starting in early childhood, as well as caring for our natural environment.

  3. Building a Caring Economy and Society Beyond Capitalism, Socialism, and Other Old Isms

    OpenAIRE

    Riane Eisler

    2013-01-01

    Old economic approaches are not capable of meeting our economic, environmental, and social challenges. To effectively meet these challenges, we need a perspective that goes beyond the conventional capitalism vs. socialism debate. This paper places economic valua- tions in their social context from the perspective of two new social categories. It describes building blocks for a new paradigm for economics, focusing on new measurements, policies, and practices that support caring for people, sta...

  4. Teachers, Researchers, and Students Collaborating in Arctic Climate Change Research: The Partnership Between the Svalbard REU and ARCUS PolarTREC programs

    Science.gov (United States)

    Roof, S.; Warburton, J.; Oddo, B.; Kane, M.

    2007-12-01

    Since 2004, the Arctic Research Consortium of the U.S. (ARCUS) "TREC" program (Teachers and Researchers Exploring and Collaborating, now "PolarTREC") has sent four K-12 teachers to Svalbard, Norway to work alongside researchers and undergraduate students conducting climate change research as part of the Svalbard Research Experiences for Undergraduates (REU) Program. The benefits of this scientist/educator/student partnership are many. Researchers benefit from teacher participation as it increases their understanding of student learning and the roles and responsibilities of K-12 teachers. The TREC teacher contributes to the research by making observations, analyzing data, and carrying heavy loads of equipment. In collaborating with K- 12 teachers, undergraduate student participants discover the importance of teamwork in science and the need for effective communication of scientific results to a broad audience. The questions that K-12 teachers ask require the scientists and students in our program to explain their work in terms that non-specialists can understand and appreciate. The K-12 teacher provides a positive career role model and several Svalbard REU undergraduate students have pursued K-12 teaching careers after graduating. TREC teachers benefit from working alongside the researchers and by experiencing the adventures of real scientific research in a remote arctic environment. They return to their schools with a heightened status that allows them to share the excitement and importance of scientific research with their students. Together, all parties contribute to greatly enhance public outreach. With ARCUS logistical support, TREC teachers and researchers do live web conferences from the field, reaching hundreds of students and dozens of school administrators and even local politicians. Teachers maintain web journals, describing the daily activities and progress of the researcher team. Online readers from around the world write in to ask questions, which the

  5. Building consensus on key priorities for rural health care in South Africa using the Delphi technique

    Directory of Open Access Journals (Sweden)

    Marije Versteeg

    2013-01-01

    Full Text Available Background: South Africa is currently undergoing major health system restructuring in an attempt to improve health outcomes and reduce inequities in access. Such inequities exist between private and public health care and within the public health system itself. Experience shows that rural health care can be disadvantaged in policy formulation despite good intentions. The objective of this study was to identify the major challenges and priority interventions for rural health care provision in South Africa thereby contributing to pro-rural health policy dialogue. Methods: The Delphi technique was used to develop consensus on a list of statements that was generated through interviews and literature review. A panel of rural health practitioners and other stakeholders was asked to indicate their level of agreement with these statements and to rank the top challenges in and interventions required for rural health care. Results: Response rates ranged from 83% in the first round (n=44 to 64% in the final round (n=34. The top five priorities were aligned to three of the WHO health system building blocks: human resources for health (HRH, governance, and finance. Specifically, the panel identified a need to focus on recruitment and support of rural health professionals, the employment of managers with sufficient and appropriate skills, a rural-friendly national HRH plan, and equitable funding formulae. Conclusion: Specific policies and strategies are required to address the greatest rural health care challenges and to ensure improved access to quality health care in rural South Africa. In addition, a change in organisational climate and a concerted effort to make a career in rural health appealing to health care workers and adequate funding for rural health care provision are essential.

  6. Effects of different temperatures on the performance of seeds germination of Cecropia pachystachya Trec. (Cecropiaceae

    Directory of Open Access Journals (Sweden)

    Rosemari Pilati

    1999-01-01

    Full Text Available Seed germination of Cecropia pachystachya Trec. was investigated at 25, 30, and 35ºC using fluorescent day lights. Ten replicates each of 200 seeds were used in each thermal treatment. Germitest® paper, CEL-065®, and 11x11x5 cm Gerbox® were also used. The frequencies of radicle protrusions were counted at consecutive two hour intervals. The cumulative frequencies were combined with the distribution of Weibull using the following model: Y = M (1 - exp (-(t/bc. The best performance was achieved with the temperature of 30ºC ( M, 95.29%. Time to achieve 60.23% of seed germination (0.6321 x 95.29% was 99.35 h with a spread of 7.19. All model/data set combinations had close to linear.Com o objetivo de avaliar o desempenho germinativo de sementes de Cecropia pachystachya Trec., sob diferentes níveis de temperatura, foi realizado um experimento com sementes coletadas em fragmentos da Floresta Estacional Semidecidual Submontana e Aluvial, localizados na planície de inundação do alto rio Paraná. As sementes foram submetidas a temperaturas constantes de 25ºC, 30ºC e 35ºC. Luzes fluorescentes do tipo "luz do dia" foram mantidas acesas durante todo o período experimental. Cada tratamento consistiu de 10 repetições de 200 sementes distribuídas de maneira uniforme sobre papel especial de germinação, CEL-065, em caixas de plástico transparente do tipo gerbox medindo 11x11x5 cm. As freqüências germinativas foram avaliadas em intervalos consecutivos de duas horas. As freqüências acumuladas foram combinadas com o seguinte modelo da função de Weibull: Y = M ( 1- exp (-(t/bc. Os resultados indicaram que o melhor desempenho germinativo foi alcançado com a temperatura de 30ºC. A porcentagem máxima de germinação (M foi igual a 95,29%, e o tempo (b para a ocorrência de uma porcentagem de germinação igual a 60,23% (0,6321 x 95,29% foi igual a 99,35 horas. A dispersão das germinações (c durante o tempo de avaliação foi igual a 7

  7. Building integrated care systems: a case study of Bidasoa Integrated Health Organisation

    Directory of Open Access Journals (Sweden)

    Nuria Toro Polanco

    2015-06-01

    Full Text Available Introduction: This paper analyses the implementation of integrated care policies in the Basque Country through the deployment of an Integrated Health Organisation in Bidasoa area during the period 2011–2014. Structural, functional and clinical integration policies have been employed with the aim to deliver integrated and person-centred care for patients, especially for those living with chronic conditions. Methods: This organisational case study used multiple data sources and methods in a pragmatic and reflexive manner to build a picture of the organisational development over a 4-year period. In order to measure the progress of integration three concepts have been measured: (i readiness for chronicity measured with Assessment of Readiness for Chronicity in Healthcare Organisations tool; (ii collaboration between clinicians from different care levels measured with the D'Amour Questionnaire, and (iii overall impact of integration through several indicators based on the Triple Aim Framework. Results: The measurement of organisational readiness for chronicity showed improvements in five of the six areas under evaluation. Similarly the collaboration between professionals of different care levels showed a steady improvement in each of the 10 items. Furthermore, the Triple Aim-based indicators showed a better experience of care in terms of patients’ perceptions of care coordination; a reduction in hospital utilisation, particularly for patients with complex chronic conditions; and cost-containment in terms of per capita expenditure. Conclusion: There is a significant amount of data that shows that Bidasoa Integrated Health Organisation has progressed in terms of delivering integrated care for chronic conditions with a positive impact on several Triple Aim outcomes.

  8. Building integrated care systems: a case study of Bidasoa Integrated Health Organisation

    Directory of Open Access Journals (Sweden)

    Nuria Toro Polanco

    2015-06-01

    Full Text Available Introduction: This paper analyses the implementation of integrated care policies in the Basque Country through the deployment of an Integrated Health Organisation in Bidasoa area during the period 2011–2014. Structural, functional and clinical integration policies have been employed with the aim to deliver integrated and person-centred care for patients, especially for those living with chronic conditions.Methods: This organisational case study used multiple data sources and methods in a pragmatic and reflexive manner to build a picture of the organisational development over a 4-year period. In order to measure the progress of integration three concepts have been measured: (i readiness for chronicity measured with Assessment of Readiness for Chronicity in Healthcare Organisations tool; (ii collaboration between clinicians from different care levels measured with the D'Amour Questionnaire, and (iii overall impact of integration through several indicators based on the Triple Aim Framework.Results: The measurement of organisational readiness for chronicity showed improvements in five of the six areas under evaluation. Similarly the collaboration between professionals of different care levels showed a steady improvement in each of the 10 items. Furthermore, the Triple Aim-based indicators showed a better experience of care in terms of patients’ perceptions of care coordination; a reduction in hospital utilisation, particularly for patients with complex chronic conditions; and cost-containment in terms of per capita expenditure.Conclusion: There is a significant amount of data that shows that Bidasoa Integrated Health Organisation has progressed in terms of delivering integrated care for chronic conditions with a positive impact on several Triple Aim outcomes.

  9. Building

    OpenAIRE

    Seavy, Ryan

    2014-01-01

    Building for concrete is temporary. The building of wood and steel stands against the concrete to give form and then gives way, leaving a trace of its existence behind. Concrete is not a building material. One does not build with concrete. One builds for concrete.

  10. Deficient T Cell Receptor Excision Circles (TRECs) in autosomal recessive hyper IgE syndrome caused by DOCK8 mutation: implications for pathogenesis and potential detection by newborn screening.

    Science.gov (United States)

    Dasouki, Majed; Okonkwo, Kingsley C; Ray, Abhishek; Folmsbeel, Caspian K; Gozales, Diana; Keles, Sevgi; Puck, Jennifer M; Chatila, Talal

    2011-11-01

    Loss of function of DOCK8 is the major cause of autosomal recessive hyper IgE syndrome, a primary immunodeficiency with adaptive and innate immune dysfunction. Patients affected with ARHIES have atopic dermatitis and recurrent, potentially life-threatening viral and bacterial infections. Three consanguineous Pakistani siblings presented with severe atopic dermatitis and superinfection. Direct sequencing of DOCK8 in all three affected siblings demonstrated homozygosity for a deleterious, novel exon 14 frame shift mutation. Current newborn screening for severe combined immunodeficiency syndrome (SCID) and related T cell disorders relies on the quantitation of T Cell Receptor Excision Cells (TRECs) in dried blood spots (DBS). Significantly, both older affected siblings had undetectable TRECs, and TREC copy number was reduced in the youngest sibling. These findings suggest that AR-HIES may be detected by TREC newborn screening, and this diagnosis should be considered in the evaluation of newborns with abnormal TRECs who do not have typical SCID. PMID:21763205

  11. Doubling down: Lessons learned from building a new electronic health record as part of primary care practice redesign.

    Science.gov (United States)

    Schutzbank, Andrew; Fernandopulle, Rushika

    2014-03-01

    Iora Health is a primary care delivery company creating de novo primary care practices with the mission of restoring humanity to health care. To support our very different and evolving model of team-based primary care we realized we needed to build our own electronic health record (EHR). This perspective shares four key lessons from the software development process: the tight relationship between delivery innovation and software development, the benefits of Agile development, the value of having the clinicians at all levels as part of the software development team, and different ways to think about clinical information. PMID:26250083

  12. Building the national health information infrastructure for personal health, health care services, public health, and research

    Directory of Open Access Journals (Sweden)

    Detmer Don E

    2003-01-01

    Full Text Available Abstract Background Improving health in our nation requires strengthening four major domains of the health care system: personal health management, health care delivery, public health, and health-related research. Many avoidable shortcomings in the health sector that result in poor quality are due to inaccessible data, information, and knowledge. A national health information infrastructure (NHII offers the connectivity and knowledge management essential to correct these shortcomings. Better health and a better health system are within our reach. Discussion A national health information infrastructure for the United States should address the needs of personal health management, health care delivery, public health, and research. It should also address relevant global dimensions (e.g., standards for sharing data and knowledge across national boundaries. The public and private sectors will need to collaborate to build a robust national health information infrastructure, essentially a 'paperless' health care system, for the United States. The federal government should assume leadership for assuring a national health information infrastructure as recommended by the National Committee on Vital and Health Statistics and the President's Information Technology Advisory Committee. Progress is needed in the areas of funding, incentives, standards, and continued refinement of a privacy (i.e., confidentiality and security framework to facilitate personal identification for health purposes. Particular attention should be paid to NHII leadership and change management challenges. Summary A national health information infrastructure is a necessary step for improved health in the U.S. It will require a concerted, collaborative effort by both public and private sectors. If you cannot measure it, you cannot improve it. Lord Kelvin

  13. El enojo en madres y padres de hijas adolescentes: propuesta de orientación desde la TREC y la inteligencia emocional / The anger in parents of teenage daughters: propose of guidance since the TREC and emotional intelligence

    Directory of Open Access Journals (Sweden)

    Murillo Aguilar, Osvaldo

    2008-08-01

    Full Text Available Resumen: Este artículo, basado en la tesis de grado denominada “Expresión del Enojo en Madres y Padres de Hijas Adolescentes: Propuesta de Orientación desde el Enfoque de la TREC”, realizada por Jessie Arroyo Zúñiga y Osvaldo Murillo Aguilar, para optar por el grado de licenciatura en Orientación en el año 2008, ofrece desde esta disciplina, una integración entre la teoría de la Inteligencia Emocional y el enfoque de la Terapia Racional Emotivo – Conductual (TREC, para comprender y abordar la expresión del enojo en estas madres y padres de hijas adolescentes. Por ello, como recomendación, se presenta una propuesta de Orientación que pretende fortalecer los vínculos de las madres y padres con sus hijas adolescentes, por medio de un proceso que propicie formas de expresión emocionalmente saludables del enojo, basado en la integración de la teoría de la inteligencia emocional y el enfoque de la TREC. Para la elaboración del presente trabajo se establecieron los siguientes objetivos: 1. Analizar las formas en las que expresan el enojo las madres y los padres de familia del Liceo María Auxiliadora.2. Elaborar estrategias de Orientación dirigidas a madres y padres de hijas adolescentes que promuevan una expresión saludable del enojo. La metodología se estableció bajo la perspectiva cualitativa, que permitió la comprensión de las experiencias de las madres y los padres, sus emociones, pensamientos y conductas. La principal técnica de recolección de información fueron los grupos focales, y se analizó a partir de la organización y codificación de datos, por medio de categorías de análisis.Abstract: This article, based on the thesis entitled "Expression of Anger in Mothers and Fathers of Daughters Teens: proposed of Guidance since the TREC" performed by Jessie Arroyo Zúñiga and Osvaldo Murillo Aguilar, to graduate in Guidance in the 2008; offers from this discipline, an integration between the theory of Emotional

  14. How a Beacon Community Program in New Orleans Helped Create a Better Health Care System By Building Relationships Before Technology

    OpenAIRE

    Khurshid, Anjum; Brown, Lisanne

    2014-01-01

    Introduction: In the aftermath of Hurricane Katrina, much of New Orleans’ healthcare infrastructure was destroyed. Initial federal funding after the storm expanded primary care services and helped set up medical homes for New Orleans’ large uninsured and underinsured population. Following that, the Beacon Community in New Orleans, charged with improving health care through the use of technology, decided the best way to accomplish those goals was to build community partnerships and introduce t...

  15. 3D Sensing Algorithms Towards Building an Intelligent Intensive Care Unit.

    Science.gov (United States)

    Lea, Colin; Facker, James; Hager, Gregory; Taylor, Russell; Saria, Suchi

    2013-01-01

    Intensive Care Units (ICUs) are chaotic places where hundreds of tasks are carried out by many different people. Timely and coordinated execution of these tasks are directly related to quality of patient outcomes. An improved understanding of the current care process can aid in improving quality. Our goal is to build towards a system that automatically catalogs various tasks being performed by the bedside. We propose a set of techniques using computer vision and machine learning to develop a system that passively senses the environment and identifies seven common actions such as documenting, checking up on a patient, and performing a procedure. Preliminary evaluation of our system on 5.5 hours of data from the Pediatric ICU obtains overall task recognition accuracy of 70%. Furthermore, we show how it can be used to summarize and visualize tasks. Our system provides a significant departure from current approaches used for quality improvement. With further improvement, we think that such a system could realistically be deployed in the ICU. PMID:24303253

  16. T-cell Receptor Excision Circles (TREC) in CD4+ and CD8+ T-cell Subpopulations in Atopic Dermatitis and Psoriasis Show Major Differences in the Emission of Recent Thymic Emigrants

    DEFF Research Database (Denmark)

    Just, Helle; Deleuran, Mette; Vestergaard, Christian; Deleuran, Bent; Thestrup-Pedersen, Kristian

    2008-01-01

    We used T-cell receptor excision circles (TREC) to evaluate thymic function in adult patients with atopic dermatitis and psoriasis. We observed that men, but not women, with atopic dermatitis had a significantly faster decline in TREC content with increasing age compared with healthy men. In cont...... indicates that atopic dermatitis patients can have compensatory emissions of thymic emigrants, whereas psoriatic patients do not, thus supporting different thymic function in these two diseases....

  17. Supporting Youth Transitioning out of Foster Care. Issue Brief 2: Financial Literacy and Asset Building Programs. OPRE Report No. 2014-69

    Science.gov (United States)

    Edelstein, Sara; Lowenstein, Christopher

    2014-01-01

    This issue brief is one of three that focus on programs providing services to youth transitioning out of foster care in three common service domains: education, employment, and financial literacy and asset building. This brief highlights why financial literacy and asset building services are important to youth currently or formerly in foster care,…

  18. Building an Integrative Outpatient Care Program for Breast Cancer Patients in Taiwan.

    Science.gov (United States)

    Lin, Yi-Hsien; Shiu, Jing-Huei; Chen, Fang-Pey; Chiu, Jen-Hwey

    2016-09-01

    Background Breast cancer patients may experience various symptoms that affect the quality of life significantly and they seek complementary and alternative medicine (CAM). To meet the needs of patients, we developed an integrative outpatient care program. Methods This program provided CAM consultation and acupuncture for breast cancer patients at Taipei Veterans General Hospital. The outcome measures included Medical Outcomes Study 12-Item Short-Form Health Survey (SF-12) and patient satisfaction questionnaires on the first visit (baseline) and at 6 months. Results Forty-five breast cancer patients were enrolled. All patients completed the study. The median age was 53.3 (±8.3). The symptoms most often experienced during previous cancer treatments were fatigue (35.6%), arthralgia (20%), nausea (6.7%), and insomnia (6.7%). The symptoms most wished to be diminished by the patients were arthralgia (22.2%), insomnia (17.8%), and fatigue (15.6%). Thirty-four patients (75.6%) had sought CAM therapy to reduce these symptoms. Fifteen patients (33.3%) received CAM consultation only and 30 (66.7%) received acupuncture in addition. Sixteen patients completed at least 6 sessions of acupuncture. No serious adverse effect was reported. In the SF-12 Questionnaire on all the patients, physical component summary (PCS) was 49.6 (±5.6) at baseline and 44.9 (±7.6) at 6 months (P = .001); the mental component summary (MCS) was 44.7 (±6.1) at baseline and 52.3 (±9.3) at 6 months (P research to build a model that integrates CAM with conventional medicine in Taiwan. PMID:26453537

  19. We can work it out: Group decision-making builds social identity and enhances the cognitive performance of care residents.

    Science.gov (United States)

    Haslam, Catherine; Alexander Haslam, S; Knight, Craig; Gleibs, Ilka; Ysseldyk, Renate; McCloskey, Lauren-Grace

    2014-02-01

    Group-based interventions have been argued to slow the cognitive decline of older people residing in care by building social identification and thereby increasing motivation and engagement. The present study explored the identity-cognition association further by investigating the impact of a group decision-making intervention on cognition. Thirty-six care home residents were assigned to one of three conditions: an Intervention in which they made decisions about lounge refurbishment as a group, a Comparison condition in which staff made these decisions, or a no-treatment Control. Cognitive function, social identification, home satisfaction, and lounge use were measured before and after the intervention. Participants in the Intervention condition showed significant increases on all measures, and greater improvement than participants in both Comparison and Control conditions. Consistent with social identity theorizing, these findings point to the role of group activity and social identification in promoting cognitive integrity and well-being among care residents. PMID:24387094

  20. Building capacity for quality and safety in critical care: A roundtable discussion from the second international patient safety conference in April 9-11, 2013, Riyadh, Saudi Arabia

    Directory of Open Access Journals (Sweden)

    Yaseen M Arabi

    2013-01-01

    Full Text Available This paper summarizes the roundtable discussion from the Second International Patient Safety Conference held in April 9-11, 2013, Riyadh, Saudi Arabia. The objectives of the roundtable discussion were to: (1 review the conceptual framework for building capacity in quality and safety in critical care. (2 examine examples of leading international experiences in building capacity. (3 review the experience in Saudi Arabia in this area. (4 discuss the role of building capacity in simulation for patient safety in critical care and (5 review the experience in building capacity in an ongoing improvement project for severe sepsis and septic shock.

  1. Building social participation with a support group users: challenges of care qualification in a Psychosocial Care Center (CAPS)

    OpenAIRE

    Vitor Corrêa Detomini; Renata Bellenzani

    2015-01-01

    The literature points out a lack of studies describing practical experiences approaching the role of social participation, even though, the subject Brazilian Health System (SUS) as a principle is valued by theoretical-conceptual works. The lack of studies is especially observed in mental health care services, where the existing studies focus on the users’ management engagement as part of psychosocial rehabilitation. Thus, this article introduces an experience developed in a Center for Psycho-...

  2. Building social participation with a support group users: challenges of care qualification in a Psychosocial Care Center (CAPS

    Directory of Open Access Journals (Sweden)

    Vitor Corrêa Detomini

    2015-09-01

    Full Text Available The literature points out a lack of studies describing practical experiences approaching the role of social participation, even though, the subject Brazilian Health System (SUS as a principle is valued by theoretical-conceptual works. The lack of studies is especially observed in mental health care services, where the existing studies focus on the users’ management engagement as part of psychosocial rehabilitation. Thus, this article introduces an experience developed in a Center for Psycho-Social Attention (CAPS, in the state of Mato Grosso do Sul, aiming to address the issue of social participation in care qualification, in accordance to legislation and technical standards. Thisstudy focused on two types of sources. 1 Internship Final Report of a Psycology Student including 54 sessions of a support group, 2 technical and legal documents concerning the SUS and the National Mental Health Policy and Humanization. The service aspects were analyzed through technical and legislative foundations - focusing the needs and claims on group discussions, classified as structure and process, used to assess the health care quality. Most concerns were listed on normative Ordinances and Regulations. Achieving social participation was not an institutional premise and, among the main difficulties was the medical/outpatient centered model and the representation of “crazy”/”CAPS users” as incapable. It requires: i integration of “clinic” and “politics”; ii intensification of interdisciplinary and psychological care; iii respect the citizenship of mental health users, and, finally, iv that the collective participation spaces do not exhaust themselves. Therefore, the collective participation spaces need practical recommendations in order to improve the structures and work processes and meet the users’ needs.

  3. Building effective service linkages in primary mental health care: a narrative review part 2

    OpenAIRE

    Parker Sharon; Holdsworth Louise; Perkins David; Fuller Jeffrey D; Kelly Brian; Roberts Russell; Martinez Lee; Fragar Lyn

    2011-01-01

    Abstract Background Primary care services have not generally been effective in meeting mental health care needs. There is evidence that collaboration between primary care and specialist mental health services can improve clinical and organisational outcomes. It is not clear however what factors enable or hinder effective collaboration. The objective of this study was to examine the factors that enable effective collaboration between specialist mental health services and primary mental health ...

  4. Building New Teams for Late Life Care: Lessons From LifeCourse.

    Science.gov (United States)

    Schellinger, Sandra; Cain, Cindy L; Shibrowski, Kathleen; Elumba, Deborah; Rosenberg, Erin

    2016-07-01

    This article details team development within a longitudinal cohort study designed to bring team-based, whole person care early in the course of serious illness. The primary innovation of this approach is the use of nonclinically trained care guides who support patients and family members by focusing care around what matters most to patients, linking to resources, collaborating with other providers, and offering continuity through care transitions. By describing the development of this team, we document the kinds of questions others may ask during the process of team creation. PMID:25747670

  5. Embodied Germ Cell at Work: Building an Expansive Concept of Physical Mobility in Home Care

    Science.gov (United States)

    Engestrom, Yrjo; Nummijoki, Jaana; Sannino, Annalisa

    2012-01-01

    This article presents a process of collective formation of a new concept of mobility between home care workers and their elderly clients, who are at risk of losing physical mobility and functional capacity. A new tool called mobility agreement was introduced to facilitate the inclusion of regular mobility exercises in home care visits and in the…

  6. The waterfront windmill project and TREC's windshare model for community-based renewables development

    International Nuclear Information System (INIS)

    Plans have been developed for building two wind turbines on Toronto's waterfront, on the grounds of the exhibition for the project called Waterfront Windmill Project. The electricity generated by each individual turbine, 1,400,000 kilowatt hours per year, could meet the needs of 250 four-person homes. This project represents an emissions-free power generation, and the energy will be distributed to the hydropower grid of the City of Toronto. The requirement for nuclear and coal-generated energy will therefore be reduced while reducing the emissions of carbon dioxide and other greenhouse gases into the atmosphere. The creation of an urban-based community-owned turbine fits well with the policy of the Toronto Renewable Energy Coop, which is committed to working with the marketplace. The lower cost to the consumer of the market deregulation coal generated energy is a concern. figs

  7. DEVELOPMENT OF REAL-TIME MULTIPLEX PCR FOR THE QUANTITATIVE DETERMINATION OF TREC'S AND KREC'S IN WHOLE BLOOD AND IN DRIED BLOOD SPOTS

    Directory of Open Access Journals (Sweden)

    M. A. Gordukova

    2015-01-01

    Full Text Available Primary immunodeficiencies (PID such as severe combined immunodeficiency (SCID and X-linked agammaglobulinemia are characterized by the lack of functional Tand B-cells, respectively. Without early diagnosis and prompt treatment children with PID suffer from severe infectious diseases, leading to their death or disability. Our purpose was developing of simple, inexpensive, high throughput technique based on the quantitative determination of TREC and KREC molecules by real-time PCR, and its validation in a group of children with a verified diagnosis of SCID and X-linked agammaglobulinemia.In this study, we developed and validated multiplex real-time PCR for the TREC’s and KREC’s quantitative analysis. We have shown that linear range of Ct changes depending on the concentrations of targets with a correlation coefficient R2 not worse than 0.98 was observed at concentrations from 109 to 5 × 104 copies per ml. The lowest amount of targets reliably detected in a reaction volume was 10 TREC’s copies, 5 KREC ‘s copies and 5 copies of internal control (IL17RA. We determined the age-depended reference values of TRECs and KRECs in whole blood in 29 boys and 27 girls with normal immunological parameters. The normal cut-offs for TRECs and KRECs were defined in dry blood spots depending on the method of extraction.The proposed method showed 100% diagnostic sensitivity and specificity in the studied group. The method can be proposed as a screening tool for the diagnosis of SCID and X-linked agammaglobulinemia both in whole blood and in the dry blood spots. The further investigation is required with larger number of samples. 

  8. Researcher and Educator Long Term Collaboration with NOAA ESRL Regarding Atmospheric Ozone Changes at the South Pole Through the NSF PolarTREC Program

    Science.gov (United States)

    Bergholz, E. H.; Hofmann, D. J.; Johnson, B. J.

    2009-12-01

    The NOAA/ESRL team at South Pole has been monitoring the development of the annual ozone hole over two decades using balloon-borne and ground based instruments. Collaboration with educators has become an important aspect of NOAA/ESRL to educate the public about ozone loss and ozone hole formation. Researcher Bryan Johnson and educator Elke Bergholz worked together at South Pole in 1998/1999 as part of the NSF teacher outreach program called Teachers Experiencing Antarctica (TEA).It has been almost a decade when they collaborated again concerning the ozone changes at South Pole as part of the International Polar Year (IPY) and the PolarTREC ( http://wwpolartrec.com ) teacher outreach program sponsored by NSF. The TEA and PolarTREC programs selected teachers to travel to polar locations to work with research scientists collecting data and running experiments at various Arctic and Antarctic field sites, including Elke Bergholz working at the South Pole with the NOAA/ESRL team. While in the field, daily contact with classrooms and students around the globe was done through the internet journals, answering emails from students, and webinars. This has been followed up with presentations to schools and the public relating Ms. Bergholz’s experience and new “hands-on” understanding of ozone instruments and ozone depletion over Antarctica, and discussing what changes in the ozone we have seen at South Pole since the first outreach program nearly a decade ago. The lesson plans are available through the PolarTREC website or by contacting Elke Bergholz at ebergholz@unis.org.

  9. Building patient safety in intensive care nursing : Patient safety culture, team performance and simulation-based training

    OpenAIRE

    Ballangrud, Randi

    2013-01-01

    Aim: The overall aim of the thesis was to investigate patient safety culture, team performance and the use of simulation-based team training for building patient safety in intensive care nursing. Methods: Quantitative and qualitative methods were used. In Study I, 220 RNs from ten ICUs responded to a patient safety culture questionnaire analysed with statistics. Studies II-IV were based on an evaluation of a simulation-based team training programme. Studies II-III included 53 RNs from seven I...

  10. Insights into the impact and use of research results in a residential long-term care facility: a case study

    Directory of Open Access Journals (Sweden)

    Cranley Lisa A

    2012-09-01

    Full Text Available Abstract Background Engaging end-users of research in the process of disseminating findings may increase the relevance of findings and their impact for users. We report findings from a case study that explored how involvement with the Translating Research in Elder Care (TREC study influenced management and staff at one of 36 TREC facilities. We conducted the study at ‘Restwood’ (pseudonym nursing home because the Director of Care engaged actively in the study and TREC data showed that this site differed on some areas from other nursing homes in the province. The aims of the case study were two-fold: to gain a better understanding of how frontline staff engage with the research process, and to gain a better understanding of how to share more detailed research results with management. Methods We developed an Expanded Feedback Report for use during this study. In it, we presented survey results that compared Restwood to the best performing site on all variables and participating sites in the province. Data were collected regarding the Expanded Feedback Report through interviews with management. Data from staff were collected through interviews and observation. We used content analysis to derive themes to describe key aspects related to the study aims. Results We observed the importance of understanding organizational routines and the impact of key events in the facility’s environment. We gleaned additional information that validated findings from prior feedback mechanisms within TREC. Another predominant theme was the sense that the opportunity to engage in a research process was reaffirming for staff (particularly healthcare aides—what they did and said mattered, and TREC provided a means of having one’s voice heard. We gained valuable insight from the Director of Care about how to structure and format more detailed findings to assist with interpretation and use of results. Conclusions Four themes emerged regarding staff engagement with

  11. Capacity building model for increased access to quality cardiac care for children in underserved regions

    OpenAIRE

    Bistra Zheleva, MBA; Andreas Tsakistos, MA; Erin Murley, BA; Emily Dale, MPH CHES

    2014-01-01

    Background: Congenital heart anomalies are the most common major birth defect in the world, affecting one in every 120 children, 90% of whom live where medical care is inadequate or unavailable. Increased access to paediatric cardiac care is a priority for most low-income and middle-income countries today. Children's HeartLink is dedicated to increasing access and improving quality at paediatric cardiac centres by use of a collaborative model that fosters sustainable clinical, organisational,...

  12. Building Trust and Relationships Between Patients and Providers: An Essential Complement to Health Literacy in HIV Care.

    Science.gov (United States)

    Dawson-Rose, Carol; Cuca, Yvette P; Webel, Allison R; Solís Báez, Solymar S; Holzemer, William L; Rivero-Méndez, Marta; Sanzero Eller, Lucille; Reid, Paula; Johnson, Mallory O; Kemppainen, Jeanne; Reyes, Darcel; Nokes, Kathleen; Nicholas, Patrice K; Matshediso, Ellah; Mogobe, Keitshokile Dintle; Sabone, Motshedisi B; Ntsayagae, Esther I; Shaibu, Sheila; Corless, Inge B; Wantland, Dean; Lindgren, Teri

    2016-01-01

    Health literacy is important for access to and quality of HIV care. While most models of health literacy acknowledge the importance of the patient-provider relationship to disease management, a more nuanced understanding of this relationship is needed. Thematic analysis from 28 focus groups with HIV-experienced patients (n = 135) and providers (n = 71) identified a long-term and trusting relationship as an essential part of HIV treatment over the continuum of HIV care. We found that trust and relationship building over time were important for patients with HIV as well as for their providers. An expanded definition of health literacy that includes gaining a patient's trust and engaging in a process of health education and information sharing over time could improve HIV care. Expanding clinical perspectives to include trust and the importance of the patient-provider relationship to a shared understanding of health literacy may improve patient experiences and engagement in care. PMID:27080926

  13. Building effective service linkages in primary mental health care: a narrative review part 2

    Directory of Open Access Journals (Sweden)

    Parker Sharon

    2011-03-01

    Full Text Available Abstract Background Primary care services have not generally been effective in meeting mental health care needs. There is evidence that collaboration between primary care and specialist mental health services can improve clinical and organisational outcomes. It is not clear however what factors enable or hinder effective collaboration. The objective of this study was to examine the factors that enable effective collaboration between specialist mental health services and primary mental health care. Methods A narrative and thematic review of English language papers published between 1998 and 2009. An expert reference group helped formulate strategies for policy makers. Studies of descriptive and qualitative design from Australia, New Zealand, UK, Europe, USA and Canada were included. Data were extracted on factors reported as enablers or barriers to development of service linkages. These were tabulated by theme at clinical and organisational levels and the inter-relationship between themes was explored. Results A thematic analysis of 30 papers found the most frequently cited group of factors was "partnership formation", specifically role clarity between health care workers. Other factor groups supporting clinical partnership formation were staff support, clinician attributes, clinic physical features and evaluation and feedback. At the organisational level a supportive institutional environment of leadership and change management was important. The expert reference group then proposed strategies for collaboration that would be seen as important, acceptable and feasible. Because of the variability of study types we did not exclude on quality and findings are weighted by the number of studies. Variability in local service contexts limits the generalisation of findings. Conclusion The findings provide a framework for health planners to develop effective service linkages in primary mental health care. Our expert reference group proposed five areas of

  14. The ELDER expansion project: building cultural competence among long term home care workers.

    Science.gov (United States)

    Lange, Jean W; Mager, Diana R; Andrews, Nancy

    2013-05-01

    This study aimed to improve communication and care provision in five home or long term care settings by raising staff awareness about health beliefs and patterns among varied cultures. Lack of cultural competence is linked to ethnocentric attitudes that can lead to inappropriate communication and ineffective interventions. Understanding the culturally imbedded belief systems of patients and providers is an integral part of effective communication skills that are foundational to optimal team functioning. Participants included five home or long term care agencies in an underserved region of New England. Seventy-four nurses, aids and allied health professionals participated in 10-12 small group interactive sessions. Comparison of pre and post cultural self efficacy scores revealed that participant confidence regarding their knowledge and skills when interacting with other cultures improved interactions with patients and co-workers. Journal exemplars supported the ability of attendees to apply content to the workplace. PMID:23265680

  15. [Caring for healthy aging: building an educational process with rural women].

    Science.gov (United States)

    Portella, M R

    1999-01-01

    This study analyses a proposal of nursing assistance. The project proposed has as its goal the construction of an educational process aiming a healthy aging among rural women. It is important to emphasize that these women's cultural health practices were taken into consideration in this research. The conceptual milestones adopted were drawn from Madeleine Leninger's concept of "cultural care" and Paulo Freire's pedagogical ideas. The educational process being proposed is based on the idea of caring/educating in which the nursing professional and the group share experiences through reflective dialog, and seek cultural health practices that can contribute on a healthy aging. PMID:12138632

  16. A New IL-2RG Gene Mutation in an X-linked SCID Identified through TREC/KREC Screening: a Case Report

    Directory of Open Access Journals (Sweden)

    Maryam Nourizadeh

    2015-10-01

    Full Text Available Severe combined immunodeficiency (SCID represents a rare group of primary immunodeficiency disorders (PIDs, with known or unknown genetic alterations. Here, we report a new interleukin 2 receptor, gamma chain (IL-2RG mutation in an Iranian SCID newborn.The patient was a 6-day old boy with a family history of PID. The child was screened using a molecular-based analysis for the assessment of T cell receptor excision circles (TRECs and kappa-deleting recombination excision circles (KRECs. Moreover, a complete immunological evaluation and gene sequencing was performed.Results showed undetectable TREC but a high level of KREC copy numbers. Flowcytometric data indicated low numbers of T and NK cells, but elevated number of B cells. A novel substitution in IL2RG: c.675 C>A, leading to p.225 Ser>Arg was found. Based on the functional analysis, the mutation is predicted to be damaging. The patient was diagnosed as a T B+ NK X-linked SCID.

  17. The Teen Depression Awareness Project: Building an Evidence Base for Improving Teen Depression Care. Research Highlights

    Science.gov (United States)

    Adamson, David M.

    2010-01-01

    Depression's effects on adolescent functioning and family burden are not well understood; there is also limited understanding of teens' and parents' attitudes and knowledge about depression, how these and other factors influence readiness for treatment, and the barriers to care that teens and their parents encounter. To address these knowledge…

  18. Building a Culture of Inclusion: Disability as Opportunity for Organizational Growth and Improving Patient Care.

    Science.gov (United States)

    Ailey, Sarah H; Brown, Paula; Friese, Tanya R; Dugan, Shelia

    2016-01-01

    Administrators at Rush University Medical Center have made a commitment to diversity, including accommodating disabilities in the workplace and for students. This article explains extensive multilevel accommodations instituted by Rush University Medical Center that promote organizational growth and a healthier work environment and improve patient care. PMID:26641467

  19. Building a high quality medical data architecture for multiple uses in an integrated health care environment

    NARCIS (Netherlands)

    Boterenbrood, Frank; Krediet, Irene; Goossen, William

    2014-01-01

    Objective: The aim was to create a reliable information provisioning system in healthcare for both care and research processes, based on existing data standards and standardized electronic messages. The research question is: How can a Clinical Data Ware House (CDWH) be developed for standardized bas

  20. Building the Diversity Bridge Abroad: The Journey to Implement Cultural Competent Health Care in Lausanne, Switzerland

    Science.gov (United States)

    Casillas, Alejandra; Paroz, Sophie; Dory, Elody; Green, Alexander; Vu, Francis; Bodenmann, Patrick

    2016-01-01

    Introduction: Although the United States has been central in bringing cultural competency into the discussion of high-quality care, health systems all over the world are faced with the effects of global immigration and the widening disparities gap between socioeconomic classes. Lausanne University Hospital is one of five Swiss academic medical…

  1. Building Teams in Primary Care: What Do Nonlicensed Allied Health Workers Want?

    OpenAIRE

    Saba, George W.; Taché, Stephanie; Ward, Lisa; Chen, Ellen H.; Hammer, Hali

    2011-01-01

    Introduction: Nonlicensed allied health workers are becoming increasingly important in collaborative team care, yet we know little about their experiences while filling these roles. To explore their perceptions of working as health coaches in a chronic-disease collaborative team, the teamlet model, we conducted a qualitative study to understand the nature and dynamics of this emerging role.

  2. A chance for change : building an outcome monitoring feedback system for outpatient mental health care

    NARCIS (Netherlands)

    Jong, Kim de

    2012-01-01

    The principal aim of this thesis was to develop an outcome monitoring feedback model for Dutch outpatient mental health care in the Netherlands and to test whether providing feedback to therapists and patients can improve treatment outcomes. Data on patient progress collected in outpatient centers i

  3. Building patient relationships: a smartphone application supporting communication between teenagers with asthma and the RN care coordinator.

    Science.gov (United States)

    Haze, Kimberly A; Lynaugh, Jillian

    2013-06-01

    Smartphone applications used in healthcare are emerging as an adjunct therapy to assist patients in self-management. Often, smartphone technology is not integrated into healthcare delivery and does not build the nurse-patient relationship, an essential mechanism to guide the patient toward health. In a pilot study using smartphones with teenagers with asthma, the application provided a method not only to share health information at the point-of-living, including health assessments, personalized health plans, and disease information, but also to allow text messaging communication between the teenager and his/her RN care coordinator. Twenty-five teenagers piloted the smartphone application and provided feedback about its use. Eighty-five percent of the teenagers responding to the end-of-pilot, semistructured interview indicated a positive change in the nurse-patient relationship. Teenagers perceived that they could ask more questions along with having improved access and quicker response times. The RN care coordinators perceived improved ability to contact teenagers and improved accuracy of assessment data. Although the pilot had several limitations, it demonstrates that smartphone technology and text messaging can further the nurse-patient relationship. For this to occur, nurses need to become involved in the development and integration of technology to focus applications on innovative ways to enhance communication in patient care. PMID:23728445

  4. A chance for change: building an outcome monitoring feedback system for outpatient mental health care

    OpenAIRE

    de Jong, Kim

    2012-01-01

    The principal aim of this thesis was to develop an outcome monitoring feedback model for Dutch outpatient mental health care in the Netherlands and to test whether providing feedback to therapists and patients can improve treatment outcomes. Data on patient progress collected in outpatient centers in the Netherlands were used to predict the functioning of patients at the end of treatment and the rate of change. In addition, two feedback studies were conducted. In the first study the effect of...

  5. NURSES' PROFESSIONAL COMPETENCE COMPONENTS SELF-ASSESSMENT IN BUILDING A POSITIVE HEALTH CARE ENVIRONMENT

    OpenAIRE

    Miķelsone, Madara; Renigere, Ruta; Dreimane, Sandra

    2016-01-01

    Nurses' professional competence consists of several interrelated components, which during interacting of critical thinking, reflection and experience, characterizes the essence of the profession of nurses. Critical thinking applies not only to the educational process, it is an expression the nurses’ responsible and professional action during the health care process. Critical thinking and reflection make up of various specific competence component interactions of nurses professional healthcare...

  6. Building a high quality medical data architecture for multiple uses in an integrated health care environment

    OpenAIRE

    Boterenbrood, Frank; Krediet, Irene; Goossen, William

    2014-01-01

    Objective: The aim was to create a reliable information provisioning system in healthcare for both care and research processes, based on existing data standards and standardized electronic messages. The research question is: How can a Clinical Data Ware House (CDWH) be developed for standardized basic patient data, generic nursing data and data about oncology nursing, allowing management of Electronic Health Record data, electronic data exchange and data analytics? Materials and methods: The ...

  7. A cooperative building up of care security: patient participation to risk management in radiotherapy

    International Nuclear Information System (INIS)

    Based on observations of radiotherapy consultations, interviews of professionals (physicians and operators), of ex-patients and patients under treatment, and on analysis of questionnaires sent to patients, this study aimed at understanding how, and to which levels, participation of patients can optimize risk management. It outlines the major role of therapeutic information and education of patients, but also of health professionals, in order to reach a shared cooperative management of cares. Short communication

  8. Building a culture of health: A new framework and measures for health and health care in America.

    Science.gov (United States)

    Trujillo, Matthew D; Plough, Alonzo

    2016-09-01

    For generations, Americans' health has been unequally influenced by income, education, ethnicity, and geography. Health care systems have operated largely apart from each other and from community life. The definition of health has been the "absence of illness," rather than the recognition that all aspects of our lives should support health. Today, a growing number of communities, regions, and states are working to redefine what it means to get and stay healthy by addressing the multiple determinants of health. The requirements of federal health care reform are changing who has access to care, how care is paid for and delivered, and how patients and providers interact. Coordinated efforts to promote wellness and prevent diseases are proliferating among a diverse set of stakeholders. These developments in health and in society present a window of opportunity for real societal transformation-a chance to catalyze a national movement that demands and supports a widely shared, multifaceted vision for a Culture of Health. To address this challenge, the Robert Wood Johnson Foundation has embarked on a strategic direction to use the tools of a large national philanthropy to catalyze a social movement which we are calling Building a Culture of Health. This article presents the Foundation's new model for a Culture of Health, the trans-disciplinary research that developed a set of metrics that tie to the model, and the community engagement activities undertaken in the development of both the model and metrics. The model and associated metrics and extensive communication, in addition to partnership, and grant funding strategies, represent a culture change strategy being implemented over 20 years. Addressing underlying inequities in health affirming life conditions and improving social cohesion across diverse groups to take action to improve theses condition lay at the heart of this strategy. PMID:27405727

  9. Building laboratory capacity to support HIV care in Nigeria: Harvard/APIN PEPFAR, 2004–2012

    Directory of Open Access Journals (Sweden)

    Donald J. Hamel

    2015-05-01

    Full Text Available Introduction: From 2004–2012, the Harvard/AIDS Prevention Initiative in Nigeria, funded through the US President’s Emergency Plan for AIDS Relief programme, scaled up HIV care and treatment services in Nigeria. We describe the methodologies and collaborative processes developed to improve laboratory capacity significantly in a resource-limited setting. These methods were implemented at 35 clinic and laboratory locations.Methods: Systems were established and modified to optimise numerous laboratory processes. These included strategies for clinic selection and management, equipment and reagent procurement, supply chains, laboratory renovations, equipment maintenance, electronic data management, quality development programmes and trainings.Results: Over the eight-year programme, laboratories supported 160 000 patients receiving HIV care in Nigeria, delivering over 2.5 million test results, including regular viral load quantitation. External quality assurance systems were established for CD4+ cell count enumeration, blood chemistries and viral load monitoring. Laboratory equipment platforms were improved and standardised and use of point-of-care analysers was expanded. Laboratory training workshops supported laboratories toward increasing staff skills and improving overall quality. Participation in a World Health Organisation-led African laboratory quality improvement system resulted in significant gains in quality measures at five laboratories.Conclusions: Targeted implementation of laboratory development processes, during simultaneous scale-up of HIV treatment programmes in a resource-limited setting, can elicit meaningful gains in laboratory quality and capacity. Systems to improve the physical laboratory environment, develop laboratory staff, create improvements to reduce costs and increase quality are available for future health and laboratory strengthening programmes. We hope that the strategies employed may inform and

  10. Building an effective competitive intelligence system for health care service providers.

    Science.gov (United States)

    Festervand, T A; Lumpkin, J R

    1990-01-01

    With the increasing competitiveness of the health care marketplace, the need for information by service providers has increased concomitantly. In response to this need, strategic and competitive intelligence systems have emerged as a vital source of information. This article establishes a basis for the development and operation of a competitive intelligence system. Initially, strategic and competitive intelligence systems are conceptualized, then followed by a discussion of the areas which are candidates for inclusion in the intelligence system. The remainder of the article focuses on system development and operation. Attention also is directed toward information utilization and integration. PMID:10106847

  11. Building Resilience for Palliative Care Clinicians: An Approach to Burnout Prevention Based on Individual Skills and Workplace Factors.

    Science.gov (United States)

    Back, Anthony L; Steinhauser, Karen E; Kamal, Arif H; Jackson, Vicki A

    2016-08-01

    For palliative care (PC) clinicians, the work of caring for patients with serious illness can put their own well-being at risk. What they often do not learn in training, because of the relative paucity of evidence-based programs, are practical ways to mitigate this risk. Because a new study indicates that burnout in PC clinicians is increasing, we sought to design an acceptable, scalable, and testable intervention tailored to the needs of PC clinicians. In this article, we describe our paradigm for approaching clinician resilience, our conceptual model, and curriculum for a workplace resilience intervention for hospital-based PC teams. Our paradigm for approaching resilience is based on upstream, early intervention. Our conceptual model posits that clinician well-being is influenced by personal resources and work demands. Our curriculum for increasing clinician resilience is based on training in eight resilience skills that are useful for common challenges faced by clinicians. To address workplace issues, our intervention also includes material for the team leader and a clinician perception survey of work demands and workplace engagement factors. The intervention will focus on individual skill building and will be evaluated with measures of resilience, coping, and affect. For PC clinicians, resilience skills are likely as important as communication skills and symptom management as foundations of expertise. Future work to strengthen clinician resilience will likely need to address system issues more directly. PMID:26921494

  12. Towards building the oral health care workforce: who are the new dental therapists?

    Science.gov (United States)

    Blue, Christine M; Lopez, Naty

    2011-01-01

    In 2009, Minnesota Governor Pawlenty signed into law a bill approving the creation of a new dental team member: the dental therapist. The intent of this legislation was to address oral health disparities by creating a dental professional who would expand access to dental care in Minnesota. This study aimed to describe the characteristics of the first class of dental therapy students at the University of Minnesota and to ascertain the values and motivations that led them to choose a career in dental therapy. Four surveys were used to create the composite profile of the ten students in this first dental therapy class: 1) the California Critical Thinking Skills Test, 2) the Learning Type Measure, 3) the Attitudes Toward Healthcare Survey, and 4) a values and motivation survey that included demographic data. The results of the surveys revealed interacting influences of the students' background, personal self-concept, and environment leading to a career decision to pursue dental therapy. PMID:21205726

  13. Building the capacity of family day care educators to promote children's social and emotional wellbeing: an exploratory cluster randomised controlled trial

    Directory of Open Access Journals (Sweden)

    Sims Margaret

    2011-11-01

    Full Text Available Abstract Background Childhood mental health problems are highly prevalent, experienced by one in five children living in socioeconomically disadvantaged families. Although childcare settings, including family day care are ideal to promote children's social and emotional wellbeing at a population level in a sustainable way, family day care educators receive limited training in promoting children's mental health. This study is an exploratory wait-list control cluster randomised controlled trial to test the appropriateness, acceptability, cost, and effectiveness of "Thrive," an intervention program to build the capacity of family day care educators to promote children's social and emotional wellbeing. Thrive aims to increase educators' knowledge, confidence and skills in promoting children's social and emotional wellbeing. Methods/Design This study involves one family day care organisation based in a low socioeconomic area of Melbourne. All family day care educators (term used for registered carers who provide care for children for financial reimbursement in the carers own home are eligible to participate in the study. The clusters for randomisation will be the fieldworkers (n = 5 who each supervise 10-15 educators. The intervention group (field workers and educators will participate in a variety of intervention activities over 12 months, including workshops; activity exchanges with other educators; and focused discussion about children's social and emotional wellbeing during field worker visits. The control group will continue with their normal work practice. The intervention will be delivered to the intervention group and then to the control group after a time delay of 15 months post intervention commencement. A baseline survey will be conducted with all consenting educators and field workers (n = ~70 assessing outcomes at the cluster and individual level. The survey will also be administered at one month, six months and 12 months post

  14. Building the capacity of family day care educators to promote children's social and emotional wellbeing: an exploratory cluster randomised controlled trial

    Science.gov (United States)

    2011-01-01

    Background Childhood mental health problems are highly prevalent, experienced by one in five children living in socioeconomically disadvantaged families. Although childcare settings, including family day care are ideal to promote children's social and emotional wellbeing at a population level in a sustainable way, family day care educators receive limited training in promoting children's mental health. This study is an exploratory wait-list control cluster randomised controlled trial to test the appropriateness, acceptability, cost, and effectiveness of "Thrive," an intervention program to build the capacity of family day care educators to promote children's social and emotional wellbeing. Thrive aims to increase educators' knowledge, confidence and skills in promoting children's social and emotional wellbeing. Methods/Design This study involves one family day care organisation based in a low socioeconomic area of Melbourne. All family day care educators (term used for registered carers who provide care for children for financial reimbursement in the carers own home) are eligible to participate in the study. The clusters for randomisation will be the fieldworkers (n = 5) who each supervise 10-15 educators. The intervention group (field workers and educators) will participate in a variety of intervention activities over 12 months, including workshops; activity exchanges with other educators; and focused discussion about children's social and emotional wellbeing during field worker visits. The control group will continue with their normal work practice. The intervention will be delivered to the intervention group and then to the control group after a time delay of 15 months post intervention commencement. A baseline survey will be conducted with all consenting educators and field workers (n = ~70) assessing outcomes at the cluster and individual level. The survey will also be administered at one month, six months and 12 months post-intervention commencement. The

  15. The Global Role of Health Care Delivery Science: Learning from Variation to Build Health Systems that Avoid Waste and Harm

    OpenAIRE

    Mulley, Albert G.

    2013-01-01

    This paper addresses the fourth theme of the Indiana Global Health Research Working Conference, Clinical Effectiveness and Health Systems Research. It explores geographic variation in health care delivery and health outcomes as a source of learning how to achieve better health outcomes at lower cost. It focuses particularly on the relationship between investments made in capacities to deliver different health care services to a population and the value thereby created by that care for individ...

  16. Mental health promotion in the health care setting: collaboration and engagement in the development of a mental health promotion capacity-building initiative.

    Science.gov (United States)

    Horn, Michelle A; Rauscher, Alana B; Ardiles, Paola A; Griffin, Shannon L

    2014-01-01

    Health Compass is an innovative, multiphased project that aims to transform health care practice and shift organizational culture by building the capacity of Provincial Health Services Authority (PHSA) health care providers to further promote the mental health and well-being of patients and families accessing PHSA's health care services. Health Compass was developed within a health promotion framework, which involved collaboration and engagement with stakeholders across all partnering PHSA agencies. This approach led to the development of an educational and training resource that contributes to increased capacity for mental health promotion within the health care setting. Based on interviews with Health Compass' internal Project Team and findings from a Stakeholder Engagement Evaluation Report, this article outlines the participatory approach taken to develop the Health Compass Mental Health Promotion Resource and E-Learning Tool. A number of key facilitators for collaboration and engagement are discussed, which may be particularly applicable to the implementation of a mental health promotion program or initiative within a complex health care setting. PMID:23493801

  17. Building capacity and capabilty at the front line of care – North Zealand Hospital’s Leadership Program

    DEFF Research Database (Denmark)

    von Plessen, Christian; Ulriksen, Inge; Nielsen, Lisbeth

    24.Ulriksen I, Nielsen L, Plessen von C, . International Forum on Quality and Safety in Health Care, London April 2015......24.Ulriksen I, Nielsen L, Plessen von C, . International Forum on Quality and Safety in Health Care, London April 2015...

  18. Capacity building of nurses providing neonatal care in Rio de Janeiro, Brazil: methods for the POINTS of care project to enhance nursing education and reduce adverse neonatal outcomes

    Directory of Open Access Journals (Sweden)

    Darlow Brian A

    2012-03-01

    Full Text Available Abstract Background Increased survival of preterm infants in developing countries has often been accompanied by increased morbidity. A previous study found rates of severe retinopathy of prematurity varied widely between different neonatal units in Rio de Janeiro. Nurses have a key role in the care of high-risk infants but often do not have access to ongoing education programmes. We set out to design a quality improvement project that would provide nurses with the training and tools to decrease neonatal mortality and morbidity. The purpose of this report is to describe the methods and make the teaching package (POINTS of care--six modules addressing Pain control; optimal Oxygenation; Infection control; Nutrition interventions; Temperature control; Supportive care available to others. Methods/Design Six neonatal units, caring for 40% of preterm infants in Rio de Janeiro were invited to participate. In Phase 1 of the study multidisciplinary workshops were held in each neonatal unit to identify the neonatal morbidities of interest and to plan for data collection. In Phase 2 the teaching package was developed and tested. Phase 3 consisted of 12 months data collection utilizing a simple tick-sheet for recording. In Phase 4 (the Intervention all nurses were asked to complete all six modules of the POINTS of care package, which was supplemented by practical demonstrations. Phase 5 consisted of a further 12 months data collection. In Phase 1 it was agreed to include inborn infants with birthweight ≤ 1500 g or gestational age of ≤ 34 weeks. The primary outcome was death before discharge and secondary outcomes included retinopathy of prematurity and bronchopulmonary dysplasia. Assuming 400-450 infants in both pre- and post-intervention periods the study had 80% power at p = Discussion The results of the POINTS of Care intervention will be presented in a separate publication. Trial registration Current Controlled Trials: ISRCTN83110114

  19. Building Learning Health Systems to Accelerate Research and Improve Outcomes of Clinical Care in Low- and Middle-Income Countries

    OpenAIRE

    English, Mike; Irimu, Grace; Agweyu, Ambrose; Gathara, David; Oliwa, Jacquie; Ayieko, Philip; Were, Fred; Paton, Chris; Tunis, Sean; Forrest, Christopher B.

    2016-01-01

    Mike English and colleagues argue that as efforts are made towards achieving universal health coverage it is also important to build capacity to develop regionally relevant evidence to improve healthcare.

  20. Building relationships with physicians. Internal marketing efforts help strengthen organizational bonds at a rural health care clinic.

    Science.gov (United States)

    Peltier, J W; Boyt, T; Westfall, J E

    1997-01-01

    Physician turnover is costly for health care organizations, especially for rural organizations. One approach management can take to reduce turnover is to promote physician loyalty by treating them as an important customer segment. The authors develop an information--oriented framework for generating physician loyalty and illustrate how this framework has helped to eliminate physician turnover at a rural health care clinic. Rural health care organizations must develop a more internal marketing orientation in their approach to establishing strong relationship bonds with physicians. PMID:10173904

  1. Bringing Experience from the Field into the Classroom with the NOAA Teacher at Sea and PolarTREC Teacher Research Experience Programs

    Science.gov (United States)

    Eubanks, E. D.; Kohin, S.; Oberbauer, S.

    2008-12-01

    As a participant of the National Oceanic and Atmospheric Administration (NOAA), Teacher at Sea (2007) and the Arctic Research Consortium of the U.S., PolarTREC (2008) programs, I have had the opportunity to participate in hands-on research with leading scientific researchers from the tropics to the Arctic. These Teacher Researcher Experiences (TRE's) and the resulting relationships that have developed with the scientific community have been an asset to my professional development and have greatly enhanced my students' learning. The opportunity to participate in data collection and hands-on research with a NOAA researcher, Dr. Kohin, helped me bring shark, ocean, and ship science from my expedition onboard the NOAA Ship David Starr Jordan in the Channel Island region into my classroom. The new knowledge, experiences, and resources that I brought back allowed me to create lesson plans and host Shark Month--an activity that involved all 300 students in my school. My students were able to link real data regarding the location of sharks to practical application and still meet state standards. Likewise, the scientist from my PolarTREC expedition, Dr. Oberbauer, is assisting me in a long-term plan to incorporate his data into my classroom curricula. Already, my experiences from Barrow, Alaska, have been shared through webinars with my community and as a keynote speaker to over 600 Palm Beach County science teachers. We are also working together to develop a yearlong curriculum, in which my entire school of 300 students will discover interdisciplinary polar science. Participation in TRE's has been beneficial for my students and my community, but what is the return on the investment for the scientists who invited me to participate in their research? Both scientists have transferred their knowledge out of the laboratory and made a link between their research and a different generation--our future scientists. They become instrumental science leaders in a community of young

  2. Building better systems of care for Aboriginal and Torres Strait Islander people: findings from the Kanyini health systems assessment

    Directory of Open Access Journals (Sweden)

    Peiris David

    2012-10-01

    Full Text Available Abstract Background Australian federal and jurisdictional governments are implementing ambitious policy initiatives intended to improve health care access and outcomes for Aboriginal and Torres Strait Islander people. In this qualitative study we explored Aboriginal Medical Service (AMS staff views on factors needed to improve chronic care systems and assessed their relevance to the new policy environment. Methods Two theories informed the study: (1 ‘candidacy’, which explores “the ways in which people’s eligibility for care is jointly negotiated between individuals and health services”; and (2 kanyini or ‘holding’, a Central Australian philosophy which describes the principle and obligations of nurturing and protecting others. A structured health systems assessment, locally adapted from Chronic Care Model domains, was administered via group interviews with 37 health staff in six AMSs and one government Indigenous-led health service. Data were thematically analysed. Results Staff emphasised AMS health care was different to private general practices. Consistent with kanyini, community governance and leadership, community representation among staff, and commitment to community development were important organisational features to retain and nurture both staff and patients. This was undermined, however, by constant fear of government funding for AMSs being withheld. Staff resourcing, information systems and high-level leadership were perceived to be key drivers of health care quality. On-site specialist services, managed by AMS staff, were considered an enabling strategy to increase specialist access. Candidacy theory suggests the above factors influence whether a service is ‘tractable’ and ‘navigable’ to its users. Staff also described entrenched patient discrimination in hospitals and the need to expend considerable effort to reinstate care. This suggests that Aboriginal and Torres Strait Islander people are still

  3. Relación empírica entre la Terapia Racional Emotivo-Conductual (TREC) de Ellis y la Terapia Cognitiva (TC) de Beck en una muestra costarricense

    OpenAIRE

    Hannia Cabezas Pizarro; Leonor I. Lega

    2006-01-01

    En este estudio se explora una posible relación empírica entre la terapia racional emotivoconductual (TREC) de Ellis y la terapia cognitiva (TC) de Beck, dos de los modelos más conspicuos en el campo de la psicoterapia cognitiva actual. Si bien este modelo utiliza el término cognitivo en forma tal que se encuentra asociado con el afecto, la fisiología y la conducta (Dobson, 1986), sostiene que las perturbaciones emocionales, en esencia, son causadas por el proceso c...

  4. The global role of health care delivery science: learning from variation to build health systems that avoid waste and harm.

    Science.gov (United States)

    Mulley, Albert G

    2013-09-01

    This paper addresses the fourth theme of the Indiana Global Health Research Working Conference, Clinical Effectiveness and Health Systems Research. It explores geographic variation in health care delivery and health outcomes as a source of learning how to achieve better health outcomes at lower cost. It focuses particularly on the relationship between investments made in capacities to deliver different health care services to a population and the value thereby created by that care for individual patients. The framing begins with the dramatic variation in per capita health care expenditures across the nations of the world, which is largely explained by variations in national wealth. The 1978 Declaration of Alma Ata is briefly noted as a response to such inequities with great promise that has not as yet been realized. This failure to realize the promise of Alma Ata grows in significance with the increasing momentum for universal health coverage that is emerging in the current global debate about post-2015 development goals. Drawing upon work done at Dartmouth over more than three decades, the framing then turns to within-country variations in per capita expenditures, utilization of different services, and health outcomes. A case is made for greater attention to the question of value by bringing better information to bear at both the population and individual levels. Specific opportunities to identify and reduce waste in health care, and the harm that is so often associated with it, are identified by learning from outcome variations and practice variations. PMID:23797914

  5. Discipline Policies in Early Childhood Care and Education Programs: Building an Infrastructure for Social and Academic Success

    Science.gov (United States)

    Longstreth, Sascha; Brady, Sharon; Kay, Adam

    2013-01-01

    Research Findings: Preventing challenging behavior in young children is a national priority. The number of young children with behavioral problems is on the rise. Discipline policies can help early childhood programs build an infrastructure that promotes social and academic success. This study sought to document the extent to which existing early…

  6. Early Childhood Care and Education in a Changing World: Building on Village Life in Papua New Guinea

    Science.gov (United States)

    Ikupu, Andrew; Glover, Anne

    2004-01-01

    In Papua New Guinea, the early childhood care and education of young children is largely a parental and community responsibility. Like many other village-based societies, including those found throughout Africa, Asia and the South Pacific, more than 80% of Papua New Guinean children grow up in subsistence farming and fishing tribal villages. In…

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

    Science.gov (United States)

    Lynch, Marion; Verner, Elizabeth

    2013-01-01

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

  8. Proceedings of the AMCP Partnership Forum: NCPDP Electronic Prior Authorization Standards-Building a Managed Care Implementation Plan.

    Science.gov (United States)

    2015-07-01

    Today's manual prior authorization (PA) process is often viewed by providers, payers, pharmacists, and patients as cumbersome, costly, and inefficient. The recent approval by the National Council for Prescription Drug Programs of a standard transaction for electronic prior authorization (e-PA) has paved the way for more rapid and efficient processing of PA requests. On April 23, 2014, the Academy of Managed Care Pharmacy (AMCP) convened a meeting of key stakeholders to explore how to support the process of implementing the new standard transactions for e-PA and to recommend activities and programs that AMCP can promote to speed the adoption of e-PA. This Partnership Forum included individuals from managed care organizations, the pharmaceutical industry, pharmacy benefit managers, electronic prescription hubs or networks, and health information technology vendors. The speakers and panelists recommended that AMCP should develop measurable goals for staged and full implementation of e-PA. To accomplish this, it was recommended that AMCP work to collaborate with organizations representing these stakeholders. Additionally, it was recommended that AMCP develop managed care e-PA implementation and e-PA criteria guides, as well as an e-PA scorecard. PMID:26108378

  9. Front-line worker engagement: greening health care, improving worker and patient health, and building better jobs.

    Science.gov (United States)

    Chenven, Laura; Copeland, Danielle

    2013-01-01

    Frontline workers have a great deal to contribute to improving environmental sustainability of their employers and the health of workers and patients. This article discusses a national project of the Healthcare Career Advancement Program, funded by the U.S. Department of Labor to support green jobs development. Implementation was accomplished through a labor/management collaboration between union locals and 11 employers in four regions throughout the United States. The project developed and implemented a model of training and education for environmental service workers and other frontline health-care workers in hospital settings that supported systems change and built new roles for these workers. It empowered them to contribute to triple bottom line outcomes in support of People (patients, workers, the community), Planet (environmental sustainability and a lower carbon footprint), and Profit (cost savings for the institutions). In the process workers more clearly articulated their important role as a part of the healthcare team and learned how they could contribute to improved patient and worker health and safety. PMID:23896075

  10. Team-building through sailing: effects on health status, job satisfaction and work performance of health care professionals involved in organ and tissue donation.

    Science.gov (United States)

    Ponzin, Diego; Fasolo, Adriano; Vidale, Enrico; Pozzi, Annalaura; Bottignolo, Elisa; Calabrò, Francesco; Rupolo, Giampietro

    2015-01-01

    The aim of this study was to evaluate the effects of a team-building learning project on job satisfaction, psychological wellbeing, and performance of health care workers involved in the process of organ and tissue donation. The project was conducted between June and September 2011 and consisted of two one-day meetings and a one week sailing, involving 20 staff members. GHQ-12, MBI-HSS, and 25 items taken from the Multidimensional Organizational Health Questionnaire (MOHQ) were used to assess health status, burnout, and job satisfaction. Results of the descriptive analyses were expressed as mean ± SD and as counts and percentages; Chi-square test was used to evaluate statistical significance of differences before and after the initiative. 6 (30,0%) participants showed the likelihood to suffering from anxiety and depression (i.e. recognized as 'cases' by the GHQ-12), 3 (15.0%) of them at baseline and 3 (15.0%), different from the previous ones, in the post-intervention. The presence of stress was revealed in 9 (45.0%) and 12 subjects (60.0%) before and after the experience, respectively (6 subjects showed the presence of stress in both circumstances). We documented 4 burnout cases, 3 (15.0%) at baseline and 1 (5.0%) after the experience. Nevertheless, about 80% of the participants showed a high degree ofjob satisfaction, in terms of positive influence of job in the professional satisfaction and of clear satisfaction for the organization, during both evaluation. In respect to 2010, the number of organ donors and that of ocular tissue donors improved of about 16% and 10%, respectively, during the year of the project and in the following year (mean value). We recognize that our team-building project for personnel involved in the stressful and demanding setting of organ and tissue donation, worthwhile and recompensing at the same time, possibly influenced the personal commitment and the quality of job provided. The high level of stress showed by participants should be

  11. 关于“社区化”城市养老建筑空间研究%Research on space of Urban community buildings for old-age care

    Institute of Scientific and Technical Information of China (English)

    石英

    2014-01-01

    To solve the arising problems of construction sites "suburban", we find the new direction what Urban community facilities for old-age care is. Through the investigation of Beijing urban endowment facilities, the writer analysis and expounds influences that the old behavior over their’s living space. The writer want to seek some design methods from the indoor and outdoor space environment of buildings for old-age care had constructed, and the writer expect it can provide Suggestions for the future Urban community buildings for old-age.%针对建设场所“郊区化”所产生的问题,提出养老建筑建设“社区化”的新方向。通过对北京城市养老建筑的实地调查,分析与阐述老年人行为对空间使用的影响。从养老建筑室内外空间环境等方面寻求一些设计手法,并期望对今后社区养老建筑建设提供建议。

  12. 构建长期照护体系是解决养老问题的根本途径%Building Long-Term Care System is the Essential Way to Resolve the Aging Problem

    Institute of Scientific and Technical Information of China (English)

    宋惠平; 陈峥

    2015-01-01

    With the continuous development of an aging population, pension problems especially the disability of the elderly pension problem becomes more prominent. At the same time, families or general pension institutions is difficult to solve the medical care problem of old people; the increasing cost of elderly care and beds makes the hospital operation cost increase. Long-term care service system is the fundamental way for dealing with disability elderly care crisis in the future. In some developed countries, the long-term care and acute medical are combined together; the medical institutions, families and personal are linked together through the case management and social workers. In short, in view of China's aging population trends and China’s population policy, we should establish the countermeasures: people-oriented, comprehensive integration, building long-term care security system including long-term care constituted by medical professionals and the general long-term life care.%随着人口老龄化的不断发展,养老问题尤其是失能老年人的养老问题变得更为突出。与此同时,家庭或一般养老机构难以解决老年人的医疗照护问题;老年人医疗费用、占床日的增加,导致医院运行成本加大。长期照护服务体系是未来应对失能老年人照护危机的根本出路。在一些发达国家,长期照护与急性医疗、急性后期医疗有机整合在一起,通过个案管理和社会工作者把医疗机构与家庭、个人联系在一起。针对中国人口老龄化的趋势和中国特有的人口政策,我们应当建立的对策是:以人为本,全面整合,构建包括由专业医护人员实施的长期医疗护理和一般性长期生活照料在内的长期照护保障体系。

  13. A case study of intuition and design: Building a tool for parents of premature babies and the nursing staff who care for them

    OpenAIRE

    Raami, Asta

    2009-01-01

    The paper presents a research-based study project conveyed by Media Lab Helsinki in 2007–2008. During the process, the design team constructed a unique audiovisual tool that provides emotional support in coping with the challenges of a premature birth. The purpose of the two-hour DVD, with its three separate parts, is to help family, intensive care staff, and other associated health care personnel to better connect with each other and the tiny babies. As the first audiovisual material, which ...

  14. Building the Partners HealthCare Biobank at Partners Personalized Medicine: Informed Consent, Return of Research Results, Recruitment Lessons and Operational Considerations

    Directory of Open Access Journals (Sweden)

    Elizabeth W. Karlson

    2016-01-01

    Full Text Available The Partners HealthCare Biobank is a Partners HealthCare enterprise-wide initiative whose goal is to provide a foundation for the next generation of translational research studies of genotype, environment, gene-environment interaction, biomarker and family history associations with disease phenotypes. The Biobank has leveraged in-person and electronic recruitment methods to enroll >30,000 subjects as of October 2015 at two academic medical centers in Partners HealthCare since launching in 2010. Through a close collaboration with the Partners Human Research Committee, the Biobank has developed a comprehensive informed consent process that addresses key patient concerns, including privacy and the return of research results. Lessons learned include the need for careful consideration of ethical issues, attention to the educational content of electronic media, the importance of patient authentication in electronic informed consent, the need for highly secure IT infrastructure and management of communications and the importance of flexible recruitment modalities and processes dependent on the clinical setting for recruitment.

  15. Building Social Web Applications

    CERN Document Server

    Bell, Gavin

    2009-01-01

    Building a web application that attracts and retains regular visitors is tricky enough, but creating a social application that encourages visitors to interact with one another requires careful planning. This book provides practical solutions to the tough questions you'll face when building an effective community site -- one that makes visitors feel like they've found a new home on the Web. If your company is ready to take part in the social web, this book will help you get started. Whether you're creating a new site from scratch or reworking an existing site, Building Social Web Applications

  16. How to build and evaluate an integrated health care system for chronic patients: study design of a clustered randomised controlled trial in rural China

    Directory of Open Access Journals (Sweden)

    Wenxi Tang

    2015-03-01

    Full Text Available Background: While integrated health care system has been proved an effective way to help improving patient health and system efficiency, the exact behaviour model and motivation approach are not so clear in poor rural areas where health human resources and continuous service provision are urgently needed. To gather solid evidence, we initiated a comprehensive intervention project in Qianjiang District, southwest part of rural China in 2012. And after one-year's pilot, we developed an intervention package of team service, comprehensive pathway and prospective- and performance-based payment system.Methods: To testify the potential influence of payment interventions, we use clustered randomised controlled trial, 60 clusters are grouped into two treatment groups and one control group to compare the time and group differences. Difference-in-differences model and structural equation modelling will be used to analyse the intervention effects and pathway. The outcomes are: quality of care, disease burden, supplier cooperative behaviour and patient utilisation behaviour and system efficiency. Repeated multivariate variance analysis will be used to statistically examine the outcome differences.Discussion: This is the first trial of its kind to prove the effects and efficiency of integrated care. Though we adopted randomised controlled trial to gather the highest rank of evidence, still the fully randomisation was hard to realise in health policy reform experiment. To compensate, the designer should take efforts on control for the potential confounders as much as possible. With this trial, we assume the effects will come from: (1 improvement on the quality of life through risk factors control and lifestyles change on patient's behaviours; (2 improvement on quality of care through continuous care and coordinated supplier behaviours; (3 improvement on the system efficiency through active interaction between suppliers and patients

  17. How to build and evaluate an integrated health care system for chronic patients: study design of a clustered randomised controlled trial in rural China

    Directory of Open Access Journals (Sweden)

    Wenxi Tang

    2015-03-01

    Full Text Available Background: While integrated health care system has been proved an effective way to help improving patient health and system efficiency, the exact behaviour model and motivation approach are not so clear in poor rural areas where health human resources and continuous service provision are urgently needed. To gather solid evidence, we initiated a comprehensive intervention project in Qianjiang District, southwest part of rural China in 2012. And after one-year's pilot, we developed an intervention package of team service, comprehensive pathway and prospective- and performance-based payment system. Methods: To testify the potential influence of payment interventions, we use clustered randomised controlled trial, 60 clusters are grouped into two treatment groups and one control group to compare the time and group differences. Difference-in-differences model and structural equation modelling will be used to analyse the intervention effects and pathway. The outcomes are: quality of care, disease burden, supplier cooperative behaviour and patient utilisation behaviour and system efficiency. Repeated multivariate variance analysis will be used to statistically examine the outcome differences. Discussion: This is the first trial of its kind to prove the effects and efficiency of integrated care. Though we adopted randomised controlled trial to gather the highest rank of evidence, still the fully randomisation was hard to realise in health policy reform experiment. To compensate, the designer should take efforts on control for the potential confounders as much as possible. With this trial, we assume the effects will come from: (1 improvement on the quality of life through risk factors control and lifestyles change on patient's behaviours; (2 improvement on quality of care through continuous care and coordinated supplier behaviours; (3 improvement on the system efficiency through active interaction between suppliers and patients. Conclusion

  18. Developing Integrated Care: Towards a development model for integrated care

    OpenAIRE

    Minkman, Mirella M.N

    2012-01-01

    textabstractThe thesis adresses the phenomenon of integrated care. The implementation of integrated care for patients with a stroke or dementia is studied. Because a generic quality management model for integrated care is lacking, the study works towards building a development model for integrated care. Based on a systematic approach in which a literature study, a delphi study, a concept mapping study and questionnaire research are combined, a development model for integrated care is created....

  19. What Is Best for Esther? Building Improvement Coaching Capacity With and for Users in Health and Social Care--A Case Study.

    Science.gov (United States)

    Vackerberg, Nicoline; Levander, Märta Sund; Thor, Johan

    2016-01-01

    While coaching and customer involvement can enhance the improvement of health and social care, many organizations struggle to develop their improvement capability; it is unclear how best to accomplish this. We examined one attempt at training improvement coaches. The program, set in the Esther Network for integrated care in rural Jönköping County, Sweden, included eight 1-day sessions spanning 7 months in 2011. A senior citizen joined the faculty in all training sessions. Aiming to discern which elements in the program were essential for assuming the role of improvement coach, we used a case-study design with a qualitative approach. Our focus group interviews included 17 informants: 11 coaches, 3 faculty members, and 3 senior citizens. We performed manifest content analysis of the interview data. Creating will, ideas, execution, and sustainability emerged as crucial elements. These elements were promoted by customer focus--embodied by the senior citizen trainer--shared values and a solution-focused approach, by the supportive coach network and by participants' expanded systems understanding. These elements emerged as more important than specific improvement tools and are worth considering also elsewhere when seeking to develop improvement capability in health and social care organizations. PMID:26783868

  20. Developing Integrated Care: Towards a development model for integrated care

    NARCIS (Netherlands)

    M.M.N. Minkman (Mirella)

    2012-01-01

    textabstractThe thesis adresses the phenomenon of integrated care. The implementation of integrated care for patients with a stroke or dementia is studied. Because a generic quality management model for integrated care is lacking, the study works towards building a development model for integrated c

  1. Capacity building for primary health care reform and its effectiveness in Feixi county, Anhui province%安徽省肥西县基层卫生服务能力提升改革及其成效

    Institute of Scientific and Technical Information of China (English)

    金音子; 何莉; 岳大海; 朱炜明; 张鲁豫; 马慧芬; 孟庆跃

    2015-01-01

    Objective:To analyze the implementation and effectiveness of primary health care reform in Feixi county, Anhui province. Methods: This paper uses data analysis of interviews with key insiders, policy documents and archives, as well as institutional questionnaire survey and other methods to collect information, and then it com-bines qualitative and quantitative research to arrive at research findings through cross-analysis and interpretation. Re-sults:From 2010 to 2014, the reform enhanced the capacity of primary health care in four main aspects, including capacity building of primary health care personnel, network construction of primary health care system, improvement of working conditions, and system construction of institutional management. Accordingly, the human capacity of pri-mary health care personnel was improved, their enthusiasm for work increased, their income was raised, the working conditions were improved, the cooperation mechanism for vertical and horizontal health care services was established, and the consultation rate and primary health care utilization in Feixi county increased. Conclusion:Both the“bottom-up” exploration approach and “from point to area” implementation strategy adopted by Feixi county have not only been the core content of primary health care system’s comprehensive reform, but also effectively leveraged the other aspects of the reform. They have played an important role in deepening medical reform and establishing institutional mechanism of health care system.%目的::分析安徽省肥西县基层卫生服务能力提升改革措施及成效,为深化基层医疗卫生服务体系改革提供参考。方法:采用关键知情人访谈、政策文件和档案资料分析以及机构问卷调查等方法收集资料,定性和定量研究结合,通过交叉分析和解释得出研究发现。结果:2010—2014年,肥西县从基层卫生人员能力、卫生服务体系网络建设、工作条件改善、

  2. Pediatric Care Online: A Pediatric Point-of-Care Tool.

    Science.gov (United States)

    Vardell, Emily

    2016-01-01

    Pediatric Care Online is the American Academy of Pediatrics' point-of-care tool designed for health care providers. Pediatric Care Online builds on content from Red Book Online and Pediatric Patient Education and features Quick Reference topic pages for more than 250 pediatric health care topics. The multitude of resources available within Pediatric Care Online will be reviewed in this column, and a sample search will be used to illustrate the type of information available within this point-of-care pediatric resource. PMID:27054536

  3. Tecendo a rede assistencial em saúde mental com a ferramenta matricial Building the mental health care network with the matrix support tool

    Directory of Open Access Journals (Sweden)

    Fernando Sérgio Pereira de Sousa

    2011-12-01

    Full Text Available Objetivou-se analisar o matriciamento como ferramenta articuladora da rede de atenção em saúde mental. Trata-se de uma pesquisa de natureza qualitativa, realizada no Nordeste brasileiro, no período de março a abril de 2010. Utilizaram-se para a coleta das informações a entrevista semiestruturada e a observação sistemática. Como participantes da pesquisa, incluíram-se 47 profissionais de saúde da Estratégia Saúde da Família e dos Centros de Atenção Psicossocial, distribuídos em dois grupos. Os dados foram organizados e analisados pelos pressupostos da análise de conteúdo articulando o teórico com o empírico. Em cumprimento ao exigido, o estudo foi submetido à análise do Comitê de Ética em Pesquisa adequando-se às normas da pesquisa envolvendo seres humanos. Segundo os resultados evidenciaram, o apoio matricial é uma estratégia potente, pois possibilita a construção de um sistema articulado em rede no SUS, não limitado às fronteiras de um dado serviço. Interconectado por uma equipe de referência, que mobiliza diversos atores para lidar com o andamento do caso, o apoio matricial sinaliza os caminhos que viabilizam a conexão de redes de cuidados em saúde mental.This study aimed to analyze the matrix support as an organizer tool of mental health care network. This is a qualitative survey, conducted in Brazilian Northeast, from March to April 2010. Systematic observations and semi-structured interviews were conducted with 47 health professionals from the Family Health Strategy and Psychosocial Care Centers. The collected information was organized and analyzed by content analysis. Pursuant to the requirements, the study was submitted to the Research Ethics Committee for adapting to the standards of research involving human beings. The results showed the matrix support as a powerful strategy since it enables the construction of a linkage in SUS network services, not limited to the borders of a specific service. Also

  4. Reactor building

    International Nuclear Information System (INIS)

    The whole reactor building is accommodated in a shaft and is sealed level with the earth's surface by a building ceiling, which provides protection against penetration due to external effects. The building ceiling is supported on walls of the reactor building, which line the shaft and transfer the vertical components of forces to the foundations. The thickness of the walls is designed to withstand horizontal pressure waves in the floor. The building ceiling has an opening above the reactor, which must be closed by cover plates. Operating equipment for the reactor can be situated above the building ceiling. (orig./HP)

  5. State trends in premiums and deductibles, 2003-2009: how building on the Affordable Care Act will help stem the tide of rising costs and eroding benefits.

    Science.gov (United States)

    Schoen, Cathy; Stremikis, Kristof; How, Sabrina K H; Collins, Sara R

    2010-12-01

    Rapidly rising health insurance costs have strained U.S. families and employers in recent years. This issue brief examines data for all states on changes in private employer premiums and deductibles for 2003 and 2009. The analysis finds that premiums for businesses and their employees increased 41 percent across states from 2003 to 2009, while per-person deductibles jumped 77 percent in large as well as small firms. If these trends continue at the rate prior to enactment of the Affordable Care Act, the average premium for family coverage will rise 79 percent by 2020, to more than $23,000. The authors describe how health reform offers the potential to reduce insurance cost growth while improving value and protection. If reforms succeed in slowing premium growth by 1 percentage point annually in all states, by 2020 employers and families together will save $2,323 annually for family coverage, compared with projected trends. PMID:21125770

  6. Building America

    Energy Technology Data Exchange (ETDEWEB)

    Brad Oberg

    2010-12-31

    IBACOS researched the constructability and viability issues of using high performance windows as one component of a larger approach to building houses that achieve the Building America 70% energy savings target.

  7. Solar building

    OpenAIRE

    Zhang, Luxin

    2014-01-01

    In my thesis I describe the utilization of solar energy and solar energy with building integration. In introduction it is also mentioned how the solar building works, trying to make more people understand and accept the solar building. The thesis introduces different types of solar heat collectors. I compared the difference two operation modes of solar water heating system and created examples of solar water system selection. I also introduced other solar building applications. It is conv...

  8. Building 2000

    International Nuclear Information System (INIS)

    This is the first volume of Building 2000, a pilot project of the Commission's R and D-programme 'Solar Energy Applications to Buildings' with the purpose of encouraging the adoption of solar architecture in large buildings. In this first rich illustrated volume the results of the design studies illustrating passive solar architecture in buildings in the European Community are presented in particular for the building categories as mentioned in the subtitle. In a second volume, a similar series of studies is presented for the building categories: office buildings, public buildings and hotels and holiday complexes. Several Design Support Workshops were organized during the Building 2000 programme during which Building 2000 design teams could directly exchange ideas with the various design advice experts represented at these workshops. In the second part of the Building 2000 final report a summary of a selection of many reports is presented (15 papers), as produced by Design Support experts. Most of the design support activities resulted in changes of the various designs, as have been reported by the design teams in the brochures presented in the first part of this book. It is to be expected that design aids and simulation tools for passive solar options, daylighting concepts, comfort criteria etc., will be utilized more frequently in the future. This will result in a better exchange of information between the actual design practitioners and the European R and D community. This technology transfer will result in buildings with a higher quality with respect to energy and environmental issues

  9. From the description of activities to the identification of risks for clinical management: a proposal of building, merging and sharing knowledge representations of care processes.

    Science.gov (United States)

    Staccini, Pascal; Joubert, Michel; Collomp, Rémy; Quaranta, Jean-François; Fieschi, Marius

    2007-01-01

    Management of clinical processes and hospital activities takes advantage of business process reengineering methodology. It is now recognized that care process modeling must integrate the definition of goals and the assessment of risk. Two kinds of issues have been outlined: 1) the lack of an integrated model to identify and describe processes and their components according to a functional point of view; and 2) an increasing amount of documents that hospital staff members have to create, collect, index and maintain. As initial models focused only on a structural view of activities, we reviewed different sources of standards and norms to extract and classify a set of metadata aimed at describing any activity and its outcomes. The model includes links to structured terminologies to name attributes or value them. An object-oriented information model has been created and implemented to test the relevance and the feasibility of the modeling approach. Conceptually speaking, this model gives opportunity to bridge tacit and explicit knowledge. Practically speaking, limits to generalization remain partly due to the lack of a template processes database. PMID:17911723

  10. Development and Implementation of a Child Welfare Workforce Strategy to Build a Trauma-Informed System of Support for Foster Care.

    Science.gov (United States)

    Kerns, Suzanne E U; Pullmann, Michael D; Negrete, Andrea; Uomoto, Jacqueline A; Berliner, Lucy; Shogren, Dae; Silverman, Ellen; Putnam, Barbara

    2016-05-01

    Effective strategies that increase the extent to which child welfare professionals engage in trauma-informed case planning are needed. This study evaluated two approaches to increase trauma symptom identification and use of screening results to inform case planning. The first study evaluated the impact of training on trauma-informed screening tools for 44 child welfare professionals who screen all children upon placement into foster care. The second study evaluated a two-stage approach to training child welfare workers on case planning for children's mental health. Participants included (a) 71 newly hired child welfare professionals who received a 3-hr training and (b) 55 child welfare professionals who participated in a full-day training. Results from the first study indicate that training effectively increased knowledge and skills in administering screening tools, though there was variability in comfort with screening. In the second study, participants self-reported significant gains in their competency in identifying mental health needs (including traumatic stress) and linking children with evidence-based services. These findings provide preliminary evidence for the viability of this approach to increase the extent to which child welfare professionals are trauma informed, aware of symptoms, and able to link children and youth with effective services designed to meet their specific needs. PMID:26928411

  11. Building 2000

    International Nuclear Information System (INIS)

    This is the second volume of Building 2000, a pilot project of the Commission's R and D-programme 'Solar Energy Applications to Buildings' with the purpose of encouraging the adoption of solar architecture in large buildings. In this second rich illustrated volume the results of the design studies illustrating passive solar architecture in buildings in the European Community are presented in particular for the building categories as mentioned in the subtitle. In the first volume, a similar series of studies is presented for the building categories: schools, laboratories and universities, and sports and educational centres. Several Design Support Workshops were organized during the Building 2000 programme during which Building 2000 design teams could directly exchange ideas with the various design advice experts represented at these workshops. In the second part of the Building 2000 final report a summary of a selection of many reports is presented (11 papers), as produced by Design Support experts. Most of the design support activities resulted in changes of the various designs, as have been reported by the design teams in the brochures presented in the first part of this book. It is to be expected that design aids and simulation tools for passive solar options, daylighting concepts, comfort criteria etc., will be utilized more frequently in the future. This will result in a better exchange of information between the actual design practitioners and the European R and D community. This technology transfer will result in buildings with a higher quality with respect to energy and environmental issues

  12. Be More Involved in Your Health Care: Tips for Patients

    Science.gov (United States)

    ... Task Force Improving Primary Care Practice Health IT Integration Health Care/System Redesign Clinical-Community Linkages Care Coordination Capacity Building Behavioral and Mental Health Self-Management Support Resources Clinical Community Relationships ...

  13. Laboratory Building.

    Energy Technology Data Exchange (ETDEWEB)

    Herrera, Joshua M. [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States)

    2015-03-01

    This report is an analysis of the means of egress and life safety requirements for the laboratory building. The building is located at Sandia National Laboratories (SNL) in Albuquerque, NM. The report includes a prescriptive-based analysis as well as a performance-based analysis. Following the analysis are appendices which contain maps of the laboratory building used throughout the analysis. The top of all the maps is assumed to be north.

  14. Teamwork for eye care

    Directory of Open Access Journals (Sweden)

    M Babar Qureshi

    2014-04-01

    Full Text Available Human resource development (HRD – the development of the people who deliver health care – has been identified as one of the key pillars of eye health delivery. HRD is one of the essential building blocks of the World Health Organization (WHO Global Action Plan: ‘Towards universal eye health’. The importance of HRD is also recognised beyond eye care, as can be seen in the WHO Health Systems approach.

  15. Teamwork for eye care

    OpenAIRE

    M Babar Qureshi

    2014-01-01

    Human resource development (HRD) – the development of the people who deliver health care – has been identified as one of the key pillars of eye health delivery. HRD is one of the essential building blocks of the World Health Organization (WHO) Global Action Plan: ‘Towards universal eye health’. The importance of HRD is also recognised beyond eye care, as can be seen in the WHO Health Systems approach.

  16. Hair care and dyeing.

    Science.gov (United States)

    Draelos, Zoe Diana

    2015-01-01

    Alopecia can be effectively camouflaged or worsened through the use of hair care techniques and dyeing. Proper hair care, involving hair styling and the use of mild shampoos and body-building conditioners, can amplify thinning scalp hair; however, chemical processing, including hair dyeing, permanent waving, and hair straightening, can encourage further hair loss through breakage. Many patients suffering from alopecia attempt to improve their hair through extensive manipulation, which only increases problems. Frequent haircuts to minimize split ends, accompanied by gentle handling of the fragile fibers, is best. This chapter offers the dermatologist insight into hair care recommendations for the alopecia patient. PMID:26370650

  17. Study of the effect of humanistic nursing care model wards in Children Caring Ward School on the nurses' caring ability

    Institute of Scientific and Technical Information of China (English)

    Jiao He; De-Ying Hu; Yi-Lan Liu; Li-Fen Wu; Lian Liu

    2016-01-01

    Objective: To understand the effect of humanistic nursing care model wards in Children Caring Ward School (CCWS) on the nurses' caring ability. Methods: Questionnaire 25 nurses of humanistic nursing care model wards in CCWS using the Nkongho Caring Ability Inventory (CAI) before and after implement the humanistic nursing care model, including reform the systems of nursing care, introduce humanistic care model, implement the humanistic care, to measure the nurses' caring ability. Results: The nurses' caring ability had significantly developed on total, cognition dimension, courage dimension and patience dimension after all measures considered (p Conclusions: The humanistic nursing care model wards in CCWS has a positive effect on the nurses' caring ability, not only to help build great relationships between nurses and patients but also to enhance the patients' satisfaction.

  18. Building Procurement

    DEFF Research Database (Denmark)

    Andersson, Niclas

    2007-01-01

    ‘The procurement of construction work is complex, and a successful outcome frequently elusive’. With this opening phrase of the book, the authors take on the challenging job of explaining the complexity of building procurement. Even though building procurement systems are, and will remain, complex...... despite this excellent book, the knowledge, expertise, well-articulated argument and collection of recent research efforts that are provided by the three authors will help to make project success less elusive. The book constitutes a thorough and comprehensive investigation of building procurement, which......, which gives the book a challenging contribution to the existing body of knowledge....

  19. The inverse care law - is Australian primary care research funding headed this way?

    Science.gov (United States)

    Brett, Tom

    2011-08-01

    Tudor Hart's Inverse Care Law classically described the inequity in medical service access in South Wales. From his primary care perspective, the availability of good medical care varied inversely with the need and the population served. In Australia, future funding for primary care research capacity building appears headed in a similar direction - at least for newly established medical schools. PMID:21814660

  20. Reactor building

    International Nuclear Information System (INIS)

    The present invention concerns a structure of ABWR-type reactor buildings, which can increase the capacity of a spent fuel storage area at a low cost and improved earthquake proofness. In the reactor building, the floor of a spent fuel pool is made flat, and a depth of the pool water satisfying requirement for shielding is ensured. In addition, a depth of pool water is also maintained for a equipment provisionally storing pool for storing spent fuels, and a capacity for a spent fuel storage area is increased by utilizing surplus space of the equipment provisionally storing pool. Since the flattened floor of the spent fuel pool is flushed with the floor of the equipment provisionally storing pool, transfer of horizontal loads applied to the building upon occurrence of earthquakes is made smooth, to improve earthquake proofness of the building. (T.M.)

  1. Building Languages

    Science.gov (United States)

    ... family's native language) is taught as the child's second language through reading, writing, speech, and use of residual ... that parents can use to help their child learn language. There are many types of building blocks, and ...

  2. Prenatal Care

    Science.gov (United States)

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

  3. Self Care

    Science.gov (United States)

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

  4. Building Procurement

    DEFF Research Database (Denmark)

    Andersson, Niclas

    2007-01-01

    ‘The procurement of construction work is complex, and a successful outcome frequently elusive’. With this opening phrase of the book, the authors take on the challenging job of explaining the complexity of building procurement. Even though building procurement systems are, and will remain, complex...... despite this excellent book, the knowledge, expertise, well-articulated argument and collection of recent research efforts that are provided by the three authors will help to make project success less elusive. The book constitutes a thorough and comprehensive investigation of building procurement, which...... evolves from a simple establishment of a contractual relationship to a central and strategic part of construction. The authors relate to cultural, ethical and social and behavioural sciences as the fundamental basis for analysis and understanding of the complexity and dynamics of the procurement system...

  5. Competence Building

    DEFF Research Database (Denmark)

    Borrás, Susana; Edquist, Charles

    The main question that guides this paper is how governments are focusing (and must focus) on competence building (education and training) when designing and implementing innovation policies. With this approach, the paper aims at filling the gap between the existing literature on competences on the...... one hand, and the real world of innovation policy-making on the other, typically not speaking to each other. With this purpose in mind, this paper discusses the role of competences and competence-building in the innovation process from a perspective of innovation systems; it examines how governments...... and public agencies in different countries and different times have actually approached the issue of building, maintaining and using competences in their innovation systems; it examines what are the critical and most important issues at stake from the point of view of innovation policy, looking...

  6. Four Essential Practices for Building Trust

    Science.gov (United States)

    Combs, Julie Peterson; Harris, Sandra; Edmonson, Stacey

    2015-01-01

    The presence of trust can enhance an organization's efforts to fulfill its mission, and the lack of trust can constrict those efforts. The authors offer four essential guidelines to help school leaders communicate in a way that builds trust. Build trust by understanding trust. Trusted leaders demonstrate care, character, and competence in their…

  7. Building Systems: Passing Fad or Basic Tool?

    Science.gov (United States)

    Rezab, Donald

    Building systems can be traced back to a 1516 A.D. project by Leonardo da Vinci and to a variety of prefabrication projects in every succeeding century. When integrated into large and repetitive spatial units through careful design, building systems can produce an architecture of the first order, as evidenced in the award winning design of…

  8. Building Bridges

    DEFF Research Database (Denmark)

    The report Building Bridges adresses the questions why, how and for whom academic audience research has public value, from the different points of view of the four working groups in the COST Action IS0906 Transforming Audiences, Transforming Societies – “New Media Genres, Media Literacy and Trust...... in the Media”, “Audience Interactivity and Participation”, “The Role of Media and ICT Use for Evolving Social Relationships” and “Audience Transformations and Social Integration”. Building Bridges is the result of an ongoing dialogue between the Action and non-academic stakeholders in the field of audience...

  9. Adaptive fuzzy logic control for solar buildings

    OpenAIRE

    El-Deen, M. M. G. Naser

    2002-01-01

    Significant progress has been made on maximising passive solar heating loads through the careful selection of glazing, orientation and internal mass within building spaces. Control of space heating in buildings of this type has become a complex problem. Additionally, and in common with most building control applications, there is a need to develop control solutions that permit simple and transparent set up and commissioning procedures. This work concerns the development and testing of an adap...

  10. 30 Ways to Build Your Center's Enrollment.

    Science.gov (United States)

    Child Care Information Exchange, 1991

    1991-01-01

    The Exchange Panel of 100 Members shares ideas for building enrollment in day care centers. Suggestions include stimulating communication with parents and promoting word-of-mouth referrals, offering visits and child care to prospective clients, sponsoring community activities, and serving as a source of child development expertise. (SH)

  11. Sustainable Buildings

    DEFF Research Database (Denmark)

    Tommerup, Henrik M.; Elle, Morten

    The scientific community agrees that: all countries must drastically and rapidly reduce their CO2 emissions and that energy efficient houses play a decisive role in this. The general attitude at the workshop on Sustainable Buildings was that we face large and serious climate change problems that...

  12. Building capacity for evidence generation, synthesis and implementation to improve the care of mothers and babies in South East Asia: methods and design of the SEA-ORCHID Project using a logical framework approach

    Directory of Open Access Journals (Sweden)

    Short Jacki

    2010-07-01

    Full Text Available Abstract Background Rates of maternal and perinatal mortality remain high in developing countries despite the existence of effective interventions. Efforts to strengthen evidence-based approaches to improve health in these settings are partly hindered by restricted access to the best available evidence, limited training in evidence-based practice and concerns about the relevance of existing evidence. South East Asia - Optimising Reproductive and Child Health in Developing Countries (SEA-ORCHID was a five-year project that aimed to determine whether a multifaceted intervention designed to strengthen the capacity for research synthesis, evidence-based care and knowledge implementation improved clinical practice and led to better health outcomes for mothers and babies. This paper describes the development and design of the SEA-ORCHID intervention plan using a logical framework approach. Methods SEA-ORCHID used a before-and-after design to evaluate the impact of a multifaceted tailored intervention at nine sites across Thailand, Malaysia, Philippines and Indonesia, supported by three centres in Australia. We used a logical framework approach to systematically prepare and summarise the project plan in a clear and logical way. The development and design of the SEA-ORCHID project was based around the three components of a logical framework (problem analysis, project plan and evaluation strategy. Results The SEA-ORCHID logical framework defined the project's goal and purpose (To improve the health of mothers and babies in South East Asia and To improve clinical practice in reproductive health in South East Asia, and outlined a series of project objectives and activities designed to achieve these. The logical framework also established outcome and process measures appropriate to each level of the project plan, and guided project work in each of the participating countries and hospitals. Conclusions Development of a logical framework in the SEA

  13. Team science and critical care.

    Science.gov (United States)

    Manthous, Constantine A; Hollingshead, Andrea B

    2011-07-01

    Because critical care is administered by multidisciplinary teams, it is plausible that behavioral methods to enhance team performance may impact the quality and outcomes of care. This review highlights the social and behavioral scientific principles of team building and briefly reviews four features of teams--leadership, psychological safety, transactive memory, and accountability--that are germane to critical care teams. The article highlights how team principles might be used to improve patient care and navigate hospital hierarchies, and concludes with implications for future educational and scientific efforts. PMID:21471081

  14. Administrative building

    OpenAIRE

    Vokatá, Kateřina

    2015-01-01

    The task of my master´s thesis was to work up a project and a check of a bearing steel construction the multi-storey office building with a garage in Brno. The building is composed of five storey office section and two storey of garage. Ground dimension of administrative part is 38,8m x 35m with distance of pillars 7m,6m and 6,4m. The structural height of floor is 3,5m.Garage is designed with dimensions 36m x 24,8m with structural height of floor 3,5m. Distance of pillars is 5,6m, 6,4m and 7,...

  15. Building economics

    DEFF Research Database (Denmark)

    Pedersen, D.O.(red.)

    Publikationen er på engelsk. Den omfatter alle indlæg på det fjerde internationale symposium om byggeøkonomi, der blev arrangeret af SBI for det internationale byggeforskningsråd CIB. De fem bind omhandler: Methods of Economic Evaluation, Design Optimization, Ressource Utilization, The Building...... Market og Economics and Technological Forecasting in Construction. Et indledende bind bringer statusrapporter for de fem forskningsområder, og det sidste bind sammenfatter debatten på symposiet....

  16. Model Building

    OpenAIRE

    Frampton, Paul H.

    1997-01-01

    In this talk I begin with some general discussion of model building in particle theory, emphasizing the need for motivation and testability. Three illustrative examples are then described. The first is the Left-Right model which provides an explanation for the chirality of quarks and leptons. The second is the 331-model which offers a first step to understanding the three generations of quarks and leptons. Third and last is the SU(15) model which can accommodate the light leptoquarks possibly...

  17. Building Inclusion

    OpenAIRE

    Jeanet Kullberg; Isik Kulu-Glasgow

    2009-01-01

    The social inclusion of immigrants and ethnic minorities is a central issue in many European countries. Governments face challenges in ensuring housing for immigrants, delivering public services, promoting neighbourhood coexistence and addressing residential segregation. The Building Inclusion project, sponsored by the European Commission, enables EU member states to exchange experiences relating to the social inclusion of vulnerable groups. Its special focus is on housing access and housing ...

  18. Continuous Briefing and User Participation in Building Projects

    DEFF Research Database (Denmark)

    Jensen, Per Anker

    2006-01-01

    building is required. A building project is often part of a change process of the organisation that is going to occupy the building, and this change process should be management carefully to reach a successful result. An important aspect of briefing is to manage the par-ticipation of the coming users in...

  19. Government Campuses, Feature class of building footprints of the Rock County Complex. Includes 911 Comm Center, Health Care Center, and Rock Haven., Published in 2005, Rock County Planning, Economic, and Community Development Agency.

    Data.gov (United States)

    NSGIC GIS Inventory (aka Ramona) — This Government Campuses dataset, was produced all or in part from Other information as of 2005. It is described as 'Feature class of building footprints of the...

  20. Health Care Professionals Devise Ways to Get Around Using Electronic Health Record Systems

    Science.gov (United States)

    ... Task Force Improving Primary Care Practice Health IT Integration Health Care/System Redesign Clinical-Community Linkages Care Coordination Capacity Building Behavioral and Mental Health Self-Management Support Resources Clinical Community Relationships ...

  1. Daily Care

    Science.gov (United States)

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

  2. Hair Care

    Science.gov (United States)

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

  3. Continuing Care

    Science.gov (United States)

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

  4. Tracheostomy care

    Science.gov (United States)

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

  5. Does informal care from children to their elderly parents substitute for formal care in Europe?

    Science.gov (United States)

    Bonsang, Eric

    2009-01-01

    This paper analyzes the impact of informal care by adult children on the use of long-term care among the elderly in Europe and the effect of the level of the parent's disability on this relationship. We focus on two types of formal home care that are the most likely to interact with informal care: paid domestic help and nursing care. Using recent European data emerging from the Survey on Health, Ageing and Retirement in Europe (SHARE), we build a two-part utilization model analyzing both the decision to use each type of formal care or not and the amount of formal care received by the elderly. Instrumental variables estimations are used to control for the potential endogeneity existing between formal and informal care. We find endogeneity of informal care in the decision to receive paid domestic help. Estimation results indicate that informal care substitutes for this type of formal home care. However, we find that this substitution effect tends to disappear as the level of disability of the elderly person increases. Finally, informal care is a weak complement to nursing care, independently of the level of disability. These results highlight the heterogeneous effects of informal care on formal care use and suggest that informal care is an effective substitute for long-term care as long as the needs of the elderly are low and require unskilled type of care. Any policy encouraging informal care to decrease long-term care expenditures should take it into account to assess its effectiveness. PMID:18950879

  6. Existing buildings

    DEFF Research Database (Denmark)

    Gram-Hanssen, Kirsten

    2014-01-01

    their homes. These policy measures include building regulations, energy tax and different types of incentives and information dissemination. The conclusion calls for new and innovative policy measures to cope with the realities of renovations of owner-occupied houses and how energy efficiency......This paper deals with the energy consumption of existing owner-occupied detached houses and the question of how they can be energy renovated. Data on the age of the Danish housing stock, and its energy consumption is presented. Research on the potential for energy reductions in the Danish housing...... sector is discussed, and it is shown that there is a huge potential for reductions. It is a well-known problem that even if there are relevant technical means and even if it is economically feasible, the majority of house owners do not energy renovate their homes. This paper intends to address what can...

  7. Integrating Responsive Building Elements in Buildings

    DEFF Research Database (Denmark)

    Haase, Matthias; Amato, Alex; Heiselberg, Per

    2006-01-01

    There is a global need for a more sustainable building development. About 50% of energy is used in buildings indicating that buildings provide a considerable potential for operational energy savings. Studies were conducted with the following objectives: to perform a state-of-the-art review of...... responsive building elements, of integrated building concepts and of environmental performance assessment methods to improve and optimize responsive building elements to develop and optimize new building concepts with integration of responsive building elements, HVAC-systems as well as natural and renewable...... energy strategies to develop guidelines and procedures for estimation of environmental performance of responsive building elements and integrated building concepts This paper introduces the ideas of this collaborative work and discusses its usefulness for Hong Kong and China. Special focus was put on the...

  8. Building energy analysis tool

    Science.gov (United States)

    Brackney, Larry; Parker, Andrew; Long, Nicholas; Metzger, Ian; Dean, Jesse; Lisell, Lars

    2016-04-12

    A building energy analysis system includes a building component library configured to store a plurality of building components, a modeling tool configured to access the building component library and create a building model of a building under analysis using building spatial data and using selected building components of the plurality of building components stored in the building component library, a building analysis engine configured to operate the building model and generate a baseline energy model of the building under analysis and further configured to apply one or more energy conservation measures to the baseline energy model in order to generate one or more corresponding optimized energy models, and a recommendation tool configured to assess the one or more optimized energy models against the baseline energy model and generate recommendations for substitute building components or modifications.

  9. Building a leadership brand.

    Science.gov (United States)

    Ulrich, Dave; Smallwood, Norm

    2007-01-01

    How do some firms produce a pipeline of consistently excellent managers? Instead of concentrating merely on strengthening the skills of individuals, these companies focus on building a broad organizational leadership capability. It's what Ulrich and Smallwood--cofounders of the RBL Group, a leadership development consultancy--call a leadership brand. Organizations with leadership brands take an "outside-in" approach to executive development. They begin with a clear statement of what they want to be known for by customers and then link it with a required set of management skills. The Lexus division of Toyota, for instance, translates its tagline--"The pursuit of perfection"--into an expectation that its leaders excel at managing quality processes. The slogan of Bon Secours Health System is "Good help to those in need." It demands that its managers balance business skills with compassion and caring. The outside-in approach helps firms build a reputation for high-quality leaders whom customers trust to deliver on the company's promises. In examining 150 companies with strong leadership capabilities, the authors found that the organizations follow five strategies. First, make sure managers master the basics of leadership--for example, setting strategy and grooming talent. Second, ensure that leaders internalize customers' high expectations. Third, incorporate customer feedback into evaluations of executives. Fourth, invest in programs that help managers hone the right skills, by tapping customers to participate in such programs. Finally, track the success of efforts to build leadership bench strength over the long-term. The result is outstanding management that persists even when individual executives leave. In fact, companies with the strongest leadership brands often become "leader feeders"--firms that regularly graduate leaders who go on to head other companies. PMID:17642128

  10. Building America

    Energy Technology Data Exchange (ETDEWEB)

    Brad Oberg

    2010-12-31

    Builders generally use a 'spec and purchase' business management system (BMS) when implementing energy efficiency. A BMS is the overall operational and organizational systems and strategies that a builder uses to set up and run its company. This type of BMS treats building performance as a simple technology swap (e.g. a tank water heater to a tankless water heater) and typically compartmentalizes energy efficiency within one or two groups in the organization (e.g. purchasing and construction). While certain tools, such as details, checklists, and scopes of work, can assist builders in managing the quality of the construction of higher performance homes, they do nothing to address the underlying operational strategies and issues related to change management that builders face when they make high performance homes a core part of their mission. To achieve the systems integration necessary for attaining 40% + levels of energy efficiency, while capturing the cost tradeoffs, builders must use a 'systems approach' BMS, rather than a 'spec and purchase' BMS. The following attributes are inherent in a systems approach BMS; they are also generally seen in quality management systems (QMS), such as the National Housing Quality Certification program: Cultural and corporate alignment, Clear intent for quality and performance, Increased collaboration across internal and external teams, Better communication practices and systems, Disciplined approach to quality control, Measurement and verification of performance, Continuous feedback and improvement, and Whole house integrated design and specification.

  11. Is there a role of palliative care in the neonatal intensive care unit in India?

    Directory of Open Access Journals (Sweden)

    Manjiri P Dighe

    2011-01-01

    Full Text Available Recent advances in medical care have improved the survival of newborn babies born with various problems. Despite this death in the neonatal intensive care unit (NICU is an inevitable reality. For babies who are not going to "get better," the health care team still has a duty to alleviate the physical suffering of the baby and to support the family. Palliative care is a multidisciplinary approach to relieve the physical, psycho social, and spiritual suffering of patients and their families. Palliative care provision in the Indian NICU settings is almost nonexistent at present. In this paper we attempt to "build a case" for palliative care in the Indian NICU setting.

  12. Building trust

    International Nuclear Information System (INIS)

    'Activate' is the energy magazine for secondary schools and is part of the Education Programme which is managed on behalf of the British Nuclear Industry Forum by AEA Technology. activate is the flagship communication device between the British Nuclear Industry Forum's Education Programme and secondary schools in the UK. It was developed from a previous publication, Nuclear Bulletin. There is a need for the nuclear industry to build trust with teachers and students in the UK, where for a long time, everything that the industry has said, written or printed has been disregarded by school teachers as propaganda. Over the last few years the industry has put in a great deal of effort to position itself as a provider of educationally sound and socially acceptable information. 'Activate' was an evolution of this idea and there was a hole in the market for a lively, activity and article based magazine that could be used in the classroom. The target audience is principally teachers of science, mathematics and geography, but also includes teachers of art,, English and history with students of between 11 and 18. The results were very positive in that teachers appreciated the colourful and lively nature of activate and they felt that it provided information and opinions in an un biased and non-propagandist way. Their comments about layout, number of activities style of presentation were taken into account and during the summer of 1994 activate was remodelled ready for re launch in September. The feedback so far is good with more teachers signing up every week to receive their own free copy

  13. Building an international network for a primary care research program: reflections on challenges and solutions in the set-up and delivery of a prospective observational study of acute cough in 13 European countries

    Directory of Open Access Journals (Sweden)

    Veen Robert ER

    2011-07-01

    Full Text Available Abstract Background Implementing a primary care clinical research study in several countries can make it possible to recruit sufficient patients in a short period of time that allows important clinical questions to be answered. Large multi-country studies in primary care are unusual and are typically associated with challenges requiring innovative solutions. We conducted a multi-country study and through this paper, we share reflections on the challenges we faced and some of the solutions we developed with a special focus on the study set up, structure and development of Primary Care Networks (PCNs. Method GRACE-01 was a multi-European country, investigator-driven prospective observational study implemented by 14 Primary Care Networks (PCNs within 13 European Countries. General Practitioners (GPs recruited consecutive patients with an acute cough. GPs completed a case report form (CRF and the patient completed a daily symptom diary. After study completion, the coordinating team discussed the phases of the study and identified challenges and solutions that they considered might be interesting and helpful to researchers setting up a comparable study. Results The main challenges fell within three domains as follows: i selecting, setting up and maintaining PCNs; ii designing local context-appropriate data collection tools and efficient data management systems; and iii gaining commitment and trust from all involved and maintaining enthusiasm. The main solutions for each domain were: i appointing key individuals (National Network Facilitator and Coordinator with clearly defined tasks, involving PCNs early in the development of study materials and procedures. ii rigorous back translations of all study materials and the use of information systems to closely monitor each PCNs progress; iii providing strong central leadership with high level commitment to the value of the study, frequent multi-method communication, establishing a coherent ethos

  14. Supportive Care.

    Science.gov (United States)

    Olsen, Pia Riis; Lorenzo, Rosalía

    2016-01-01

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

  15. BUILDING 341 Seismic Evaluation

    Energy Technology Data Exchange (ETDEWEB)

    Halle, J. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States)

    2015-06-15

    The Seismic Evaluation of Building 341 located at Lawrence Livermore National Laboratory in Livermore, California has been completed. The subject building consists of a main building, Increment 1, and two smaller additions; Increments 2 and 3.

  16. A cooperative building up of care security: patient participation to risk management in radiotherapy; Co-construire la securite des soins: la participation des patients a la gestion des risques en radiotherapie

    Energy Technology Data Exchange (ETDEWEB)

    Pernet, A.; Mollo, V. [Laboratoire d' ergonomie, Centre de recherche sur le travail et le developpement, CRTD-EA 4132, 75 - Paris (France); Giraud, P. [Service d' oncologie radiotherapie, Hopital europeen Georges-Pompidou, 75 - Paris (France); Universite Paris Descartes, 75 - Paris (France)

    2010-10-15

    Based on observations of radiotherapy consultations, interviews of professionals (physicians and operators), of ex-patients and patients under treatment, and on analysis of questionnaires sent to patients, this study aimed at understanding how, and to which levels, participation of patients can optimize risk management. It outlines the major role of therapeutic information and education of patients, but also of health professionals, in order to reach a shared cooperative management of cares. Short communication

  17. Danish building typologies

    DEFF Research Database (Denmark)

    Wittchen, Kim Bjarne; Kragh, Jesper

    The objective of TABULA is to develop a harmonised building typology for European countries. Each national building typology will consist of a set of residential model buildings with characteristic energy-related properties (element areas of the thermal building envelope, U-values, supply system...... efficiencies). The model buildings will each represent a specific construction period of the country in question and a specific building size. Furthermore the number of buildings, flats and the overall floor areas will be given, which are represented by the different building types of the national typologies....

  18. Careful science?

    DEFF Research Database (Denmark)

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

    2014-01-01

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

  19. Sustainable Buildings in Interaction

    DEFF Research Database (Denmark)

    Elle, Morten

    developments are going to consist of passive houses. The first sustainable buildings were built by their users, and the user – building interaction still play a decisive role for the performance of the present sustainable buildings. The users have to understand how the building functions. Urban design is...... essential for the possibilities of a sustainable building design: orientation and access to infrastructure are important factor. And the building design is decisive in making the city truly compact: dense in activities. In future, the interaction between the technical infrastructure, the buildings and their......The first attempts to build sustainable buildings in Denmark were typically located on the countryside. The basic idea was to create buildings that were independent of the technical infrastructure. District heating has, however, been the dominating solution to heating in buildings in Denmark, and...

  20. Comprehensive Care

    Science.gov (United States)

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

  1. Palliative Care

    Science.gov (United States)

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

  2. Hospice Care

    Science.gov (United States)

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

  3. Multidisciplinary Care.

    Science.gov (United States)

    Daly, Megan E; Riess, Jonathan W

    2016-01-01

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

  4. Caring Encounters

    Science.gov (United States)

    Gunn, Alyson

    2012-01-01

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

  5. Global Building Physics

    DEFF Research Database (Denmark)

    Rode, Carsten

    2012-01-01

    aspects of the building as defined in building engineering. We live in an international society and building solutions are developed across country borders. Building physics is a global theme. The International Association of Building Physics has global appeal. The keynote lecture and this brief paper......High ambitions are set for the building physics performance of buildings today. No single technology can achieve fulfilment of these ambitions alone. Integrated, multi-facetted solutions and optimization are necessary. A holistic, or “global”, technological perspective is needed, which includes all...

  6. Global building physics

    DEFF Research Database (Denmark)

    Rode, Carsten

    2013-01-01

    aspects of the building as defined in building engineering. We live in an international society and building solutions are developed across country borders. Building physics is a global theme. The International Association of Building Physics has global appeal. This brief article reports the keynote......High ambitions are set for the building physics performance of buildings today. No single technology can achieve fulfilment of these ambitions alone. Integrated, multi-facetted solutions and optimization are necessary. A holistic, or ‘global’, technological perspective is needed, which includes all...

  7. Building the right physician platform.

    Science.gov (United States)

    Pizzo, James J; Sullivan, Luke; Ryan, Debra L

    2015-07-01

    The challenges health systems often face in aligning physicians with organizational cost and quality goals related to the delivery of value-based care differ between employed and independent physicians. With employed physicians, the focus should be on right-sizing the service delivery network and employed medical group, building a sustainable compensation program, enhancing the revenue cycle, increasing use of midlevel providers, and implementing a common technology platform. With independent physicians, the focus should be on understanding available contracting models, participating in shared-savings arrangements, considering alternative payment distribution models, choosing the right metrics, and exploring shared branding options. PMID:26376510

  8. Building Community: It Starts in Your Own Backyard!

    Science.gov (United States)

    Kane, Cindy; Croft, Lucy

    2000-01-01

    Refers to Ernest Boyer' work, Campus Life: In Search of Community, to discuss six principles of building campus community. Boyer's principles guide community building initiatives on a campus-wide level. This paper highlights the six principles, which emphasize the creation of a purposeful, just, open, disciplined, caring, and celebrative…

  9. Does Informal Care from Children to their Elderly Parents Substitute for Formal Care in Europe?

    OpenAIRE

    Eric Bonsang

    2008-01-01

    This paper analyzes the impact of informal care by adult children on the use of long-term care among the elderly in Europe and the effect of the level of the parent’s disability on this relationship. We focus on two types of formal home care that are the most likely to interact with informal care: paid domestic help and nursing care. Using the most recent European data emerging from the Survey on Health, Ageing and Retirement in Europe (SHARE), we build a two-part utilization model analyzing ...

  10. Retrofitting Listed Buildings

    DEFF Research Database (Denmark)

    Rasmussen, Torben Valdbjørn

    2011-01-01

    The paper presents a case study where the energy demand for a listed building constructed in 1900 is reduced. Many older buildings are listed and have restrictions that include the entire building or that include only its exterior. For the building presented, only its exterior facade is listed. The...... the local urban environment and therefore listed. The reduced energy demand, related to individual measures, is estimated and building physics requirements are addressed together with the economic options for evaluating the profitability....

  11. Valuing Equality in Irish Social Care

    Directory of Open Access Journals (Sweden)

    Niall Hanlon

    2009-01-01

    Full Text Available In this article the author critiques Irish social care by presenting an equality perspective on practice. An equality perspective involves developing emancipatory practices, that is, ways of helping that provide egalitarian solutions and outcomes. Although emancipatory values are often contrasted with traditional social care values, the author seeks a pragmatic and integrated approach to emancipatory practices rather than a restatement of traditional dichotomies. Emancipatory practice begins with an appreciation of the nature and relevance of inequalities on the lives of diverse social care users. Building a commitment to equality within social care education and practice is an important step in altering many individual and institutional social care practices by focussing on equality processes and outcomes as central social care objectives. Using a well credited framework that outlines five dimensions of inequality (Baker, Lynch, Cantillon and Walsh, 2004, the author argues that social care educators and practitioners need to debate the issues raised and develop emancipatory practices.

  12. Wound Care in Primary Health Care

    OpenAIRE

    Nail Ersoz; Ismail Hakki Ozerhan; Fatih Zor

    2008-01-01

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

  13. Wound Care in Primary Health Care

    Directory of Open Access Journals (Sweden)

    Nail Ersoz

    2008-02-01

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

  14. Wound Care in Primary Health Care

    Directory of Open Access Journals (Sweden)

    Nail Ersoz

    2008-02-01

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

  15. ANALYSES AND INFLUENCES OF GLAZED BUILDING ENVELOPES

    Directory of Open Access Journals (Sweden)

    Sabina Jordan

    2011-01-01

    Full Text Available The article presents the results of an analytical study of the functioning of glazing at two different yet interacting levels: at the level of the building as a whole, and at that of glazing as a building element. At the building level, analyses were performed on a sample of high-rise business buildings in Slovenia, where the glazing"s share of the building envelope was calculated, and estimates of the proportion of shade provided by external blinds were made. It is shown that, especially in the case of modern buildings with large proportions of glazing and buildings with no shading devices, careful glazing design is needed, together with a sound knowledge of energy performance. In the second part of the article, the energy balance values relating to selected types of glazing are presented, including solar control glazing. The paper demonstrates the need for a holistic energy approach to glazing problems, as well as how different types of glazing can be methodically compared, thus improving the design of sustainability-orientated buildings.

  16. Building Performance Simulation tools for planning of energy efficiency retrofits

    OpenAIRE

    Mondrup, Thomas Fænø; Karlshøj, Jan; Vestergaard, Flemming

    2014-01-01

    Designing energy efficiency retrofits for existing buildings will bring environmental, economic, social, and health benefits. However, selecting specific retrofit strategies is complex and requires careful planning. In this study, we describe a methodology for adopting Building Performance Simulation (BPS) tools as energy and environmentally conscious decision-making aids. The methodology has been developed to screen buildings for potential improvements and to support the development of retro...

  17. Are care workers appropriate mentors for nursing students in residential aged care?

    OpenAIRE

    Annear, Michael; Lea, Emma; Robinson, Andrew

    2014-01-01

    Background The aged care sector is increasingly dominated by a less-qualified workforce at a time of increasing prevalence of complex health concerns, such as dementia. An Australian program to develop teaching aged care facilities is being undertaken to build the sector’s capacity and provide nursing students with positive experiences of engaging with vulnerable clients. This research aimed to examine care staff potential to facilitate nursing student engagement with clinically relevant know...

  18. Retooling for an aging America: building the healthcare workforce. A white paper regarding implementation of recommendation 4.2 of this Institute of Medicine Report of April 14, 2008, that "All licensure, certification and maintenance of certification for healthcare professionals should include demonstration of competence in care of older adults as a criterion.".

    Science.gov (United States)

    2011-08-01

    In Chicago, Illinois, on May 7, 2009, a group of 53 medical educators representing many U.S. certification boards, residency review committees, and medical societies met to review and approve a white paper intended to promote Recommendation 4.2 of the Institute of Medicine report of April 14, 2008, "Retooling for an Aging America: Building the Healthcare Workforce." This recommendation is one of 14 and states: "All licensure, certification and maintenance of certification for healthcare professionals should include demonstration of competence in care of older adults as a criterion." Background information given included the growing numbers of older adults, review of a 15-year initiative by a section of the American Geriatrics Society (AGS) to include geriatric education in all surgical and some related medical specialties, a recent announcement of 26 elder care competencies to be expected of graduating medical students from association of American Medical Colleges (AAMC) affiliated schools, and the American Board of Medical Specialties (ABMS) approach to 'Reinforcing Geriatric Competencies through Licensure and Certification Examinations." Nine points involved in the implementation of this recommendation received discussion, and approaches to realization were presented. In conclusion, this white paper, which those listed as being in attendance approved, proposes hat all ABMS member boards whose diplomates participate in the care of older adults select the floor competencies enumerated by the AAMC that apply to their specialty and add or subtract those completed during their trainees' initial (intern) year and then define those needed in subsequent years of residency and ultimate practice. This would fulfill the requirements of Recommendation 4.2 above. PMID:21797833

  19. The Building of Government Responsibility System of Our Country in Home-based Care Services under the Welfare Pluralism Perspective%福利多元主义视角下我国居家养老服务的政府责任体系构建

    Institute of Scientific and Technical Information of China (English)

    同春芬; 汪连杰

    2015-01-01

    Under the background of the aging population , our country has faced with the huge pressure of pension. Based on the welfare pluralism theory,this paper build a four dimensional framework for responsibility,which treat family,community,country and society,as the main bodies in the Home-based care services. From their own attribute and the social security point of view ,the government as a part of it, should undertake certain responsibility. At present,there are four main types of Home-based care services mode,namely “relying on third party organization”,“marketing operation”,“community dominance”pattern and the dominance of "family" pattern. Different service modes have different government's responsibilities , but there are a lot of advantages and disadvantages. Finally this paper build up the government responsibility in the field of Home-based care services , which including overall responsibility and four policy specific respon-sibilities,there are supervision and management,capital investment and policy implementation of four specific responsibilities.%在人口老龄化的背景下,我国面临着巨大的养老压力。基于福利多元主义理论,本文构建一个以家庭、社区、国家和社会为主体的居家养老的四维责任框架。从自身属性和社会保障的角度来说,政府作为其中的一部分,应该承担相应的责任。目前我国居家养老服务主要存在着四种模式,即“依托第三方组织”模式、“市场化运作”模式、“社区主导”模式和“家庭主导”模式,不同的服务模式,政府的责任的体现也不尽相同。文章最后构建出我国政府在居家养老服务领域的责任体系,主要包括总体责任和政策制定、监督管理、资金投入、政策实施四个具体责任。

  20. The Relevance of the Affordable Care Act for Improving Mental Health Care.

    Science.gov (United States)

    Mechanic, David; Olfson, Mark

    2016-03-28

    Provisions of the Affordable Care Act provide unprecedented opportunities for expanded access to behavioral health care and for redesigning the provision of services. Key to these reforms is establishing mental and substance abuse care as essential coverage, extending Medicaid eligibility and insurance parity, and protecting insurance coverage for persons with preexisting conditions and disabilities. Many provisions, including Accountable Care Organizations, health homes, and other structures, provide incentives for integrating primary care and behavioral health services and coordinating the range of services often required by persons with severe and persistent mental health conditions. Careful research and experience are required to establish the services most appropriate for primary care and effective linkage to specialty mental health services. Research providing guidance on present evidence and uncertainties is reviewed. Success in redesign will follow progress building on collaborative care and other evidence-based practices, reshaping professional incentives and practices, and reinvigorating the behavioral health workforce. PMID:26666969

  1. Importance of Building Code

    Directory of Open Access Journals (Sweden)

    Reshmi Banerjee

    2015-06-01

    Full Text Available A building code, or building control, is a set of rules that specify the minimum standards for constructed objects such as buildings and non building structures. The main purpose of building codes are to protect public health, safety and general welfare as they relate to the construction and occupancy of buildings and structures. The building code becomes law of a particular jurisdiction when formally enacted by the appropriate governmental or private authority. Building codes are generally intended to be applied by architects, engineers, constructors and regulators but are also used for various purposes by safety inspectors, environmental scientists, real estate developers, subcontractors, manufacturers of building products and materials, insurance companies, facility managers, tenants and others.

  2. Sustainable Buildings in Interaction

    DEFF Research Database (Denmark)

    Elle, Morten

    The first attempts to build sustainable buildings in Denmark were typically located on the countryside. The basic idea was to create buildings that were independent of the technical infrastructure. District heating has, however, been the dominating solution to heating in buildings in Denmark, and...... the focus on sustainable building have gradually turned from special houses on the countryside to normally looking houses in the urban fabric, integrated in the technical infrastructure. Some new built urban areas in Denmark will, however, not have to be supplied with district heating – these...... developments are going to consist of passive houses. The first sustainable buildings were built by their users, and the user – building interaction still play a decisive role for the performance of the present sustainable buildings. The users have to understand how the building functions. Urban design is...

  3. Wound Care.

    Science.gov (United States)

    Balsa, Ingrid M; Culp, William T N

    2015-09-01

    Wound care requires an understanding of normal wound healing, causes of delays of wound healing, and the management of wounds. Every wound must be treated as an individual with regard to cause, chronicity, location, and level of microbial contamination, as well as patient factors that affect wound healing. Knowledge of wound care products available and when negative pressure wound therapy and drain placement is appropriate can improve outcomes with wound healing. Inappropriate product use can cause delays in healing. As a wound healing progresses, management of a wound and the bandage material used must evolve. PMID:26022525

  4. 品牌建设视野下本土护肤品牌的发展策略研究%Research on the Development Strategy of the Local Skin-care Brand in the Brand Building Perspective

    Institute of Scientific and Technical Information of China (English)

    陈桃红

    2012-01-01

    Brand building is an important way of brand growing and development.This paper discusses the development strategy of the local brand building: position differentia strategy to create the Chinese herbal medicine brands of national characteristics;inject traditional culture and design brand system well;increase efforts on research and development and innovate product categories and functions;establish the concept of quality and safety and a high-quality image of national brand;promote brand with multi-angle range through online advertising and microblogging;maintain brand equity and innovate the form of brand performance.%品牌建设是品牌培育和发展的重要途径。本文探讨了本土品牌建设的发展策略:差异化定位,打造民族特色的中草药品牌;注入传统文化,精心设计品牌识别系统;加大研发力度,创新产品类别和功能;树立质量安全观念,树立民族品牌高品质形象;借助网络广告和微博营销,多角度全方位进行品牌推广;维护品牌权益,创新品牌表现形式。

  5. Construção de descritores para o processo de educação permanente em atenção básica Building descriptors for the permanent basic care education process

    Directory of Open Access Journals (Sweden)

    Rosita Saupe

    2007-11-01

    Full Text Available Educação permanente e atenção básica fazem parte do sistema de saúde brasileiro desde suas origens. Recentemente estas políticas públicas foram atualizadas, gerando um movimento inovador de construção de conhecimento visando apoiar sua implementação e consolidação. Este estudo, através de uma metodologia quantitativa, procurou evidenciar os principais descritores que devem orientar os processos de educação permanente em atenção básica. O método é originário da Universidade da Carolina do Norte. É desenvolvido em duas etapas. Os dados apresentados neste artigo dizem respeito à primeira etapa, que inclui as seguintes fases: elaboração de um diagrama com todos os componentes a serem avaliados; sua análise por um grupo de especialistas, indicando o que deve ser mantido, retirado ou incluído; avaliação por juízes, utilizando escala Likert de 1 a 5; verificação da concordância entre os juízes. O diagrama foi decomposto em quatro dimensões, procurando responder as seguintes questões: para quem? - audiências ou população alvo; o quê? - módulos de conteúdos e experiências de aprendizagem; para quê? - competências a serem desenvolvidas; e como? - metodologia a ser priorizada. Os resultados evidenciaram a procedência dos descritores propostos e avaliados, constituindo em material que pode contribuir para a tomada de decisão sobre educação permanente em atenção básica.Permanent education and basic care have been part of the Brazilian health system from the beginning. These public policies were recently updated, leading to an innovative knowledge construction movement to support their implementation and consolidation. This study, which used a quantitative approach, attempted to single-out the main descriptors that must guide the permanent basic care education processes. The method originated at the University of North Carolina and is carried out in two stages. The data shown in this article concern the

  6. Applied building physics

    CERN Document Server

    Hens, Hugo S L C

    2012-01-01

    The energy crises of the 1970s, persisting moisture problems, complaints about sick buildings, thermal, visual and olfactory discomfort, and the move towards more sustainability in building construction have pushed Building Physics to the forefront of building innovation. The societal pressure to diminish energy consumption in buildings without impairing usability acted as a trigger to activate the whole notion of performance based design and construction. As with all engineering sciences, Building Physics is oriented towards application, which is why, after a first book on fundamentals this s

  7. Strengthening of primary health care: Key to deliver inclusive health care

    Directory of Open Access Journals (Sweden)

    Rajiv Yeravdekar

    2013-01-01

    Full Text Available Inequity and poverty are the root causes of ill health. Access to quality health services on an affordable and equitable basis in many parts of the country remains an unfulfilled aspiration. Disparity in health care is interpreted as compromise in ′Right to Life.′ It is imperative to define ′essential health care,′ which should be made available to all citizens to facilitate inclusivity in health care. The suggested methods for this include optimal utilization of public resources and increasing public spending on health care. Capacity building through training, especially training of paramedical personnel, is proposed as an essential ingredient, to reduce cost, especially in tertiary care. Another aspect which is considered very important is improvement in delivery system of health care. Increasing the role of ′family physician′ in health care delivery system will improve preventive care and reduce cost of tertiary care. These observations underlie the relevance and role of Primary health care as a key to deliver inclusive health care. The advantages of a primary health care model for health service delivery are greater access to needed services; better quality of care; a greater focus on prevention; early management of health problems; and cumulative improvements in health and lower morbidity as a result of primary health care delivery.

  8. Home Care

    Science.gov (United States)

    ... care is especially useful for persons who need nursing, therapy, or aide services. You may need help if you are dealing with one or more of the following: You have trouble getting around (for example, after a hospital stay or an accident) You have wounds that need to be cleaned, ...

  9. Enacting Care

    Czech Academy of Sciences Publication Activity Database

    Urban, Petr

    2015-01-01

    Roč. 9, č. 2 (2015), s. 216-222. ISSN 1749-6535 R&D Projects: GA ČR(CZ) GPP401/12/P544 Institutional support: RVO:67985955 Keywords : ethics of care * enactivism * autonomy * social institutions * autism * exclusion Subject RIV: AA - Philosophy ; Religion http://dx.doi.org/10.1080/17496535.2015.1022356

  10. Who cares?

    DEFF Research Database (Denmark)

    Petersen, Morten Krogh

    practices. If that is the case, the great challenge is to “come up with ingenious solutions to the problem of how to become interesting enough for practices to care about” (ibid: 72). Through ethnographic fieldwork encounters with Radicand Design Collaboratory, a collaborative product development...

  11. Sustainable Building Operation

    DEFF Research Database (Denmark)

    Jensen, Jesper Ole

    2009-01-01

    practical experiences from Danish housing estates indicates that there are large potentials for energy savings by focusing on the operation of the buildings. We suggest that in order to achieve sustainability in the existing housing, renovation and operations should be seen as integrated parts and that...... sustainable building operation can pave the way for sustainable building renovation. This paper discusses the use of sustainability building operation in Danish housing estates: Which tools, methods and technologies is being used, where are the barriers and where are the potentials? We define sustainable...... sustainable building operation and a survey amongst building administrators from the private and the social housing sector. Our results show that there are many good examples on sustainable building operation in Danish housing estates, where local building managers, residents etc. have gained impressive...

  12. Building the Korogwe Laboratory

    DEFF Research Database (Denmark)

    Knudsen, Jakob; von Seidlein, Lorenz; Richard, Jean Pierre

    2011-01-01

    An illustrated description of the building of a biomedical research laboratory in Korogwe, Tanzania.......An illustrated description of the building of a biomedical research laboratory in Korogwe, Tanzania....

  13. Requirements for existing buildings

    DEFF Research Database (Denmark)

    Thomsen, Kirsten Engelund; Wittchen, Kim Bjarne

    2012-01-01

    This report collects energy performance requirements for existing buildings in European member states by June 2012.......This report collects energy performance requirements for existing buildings in European member states by June 2012....

  14. Better Buildings Challenge Overview

    Energy Technology Data Exchange (ETDEWEB)

    None

    2011-06-01

    The Better Buildings Challenge is a national leadership initiative calling on corporate chief executive officers, university presidents, and state and local leaders to make a significant commitment to building energy efficiency.

  15. Environmental indicators for buildings

    DEFF Research Database (Denmark)

    Dammann, Sven

    Environmental Indicators for Buildings are studied using two different perspectives: with a technological, environmental scientific departing point and with a social scientific departing point. Different relevant groups in the building sector are identified and analysed, using the Social...

  16. Robotic buildings(s)

    NARCIS (Netherlands)

    Bier, H.H.

    2014-01-01

    Technological and conceptual advances in fields such as artificial intelligence, robotics, and material science have enabled robotic building to be in the last decade prototypically implemented. In this context, robotic building implies both physically built robotic environments and robotically supp

  17. Integrated Building Health Management

    Data.gov (United States)

    National Aeronautics and Space Administration — Abstract: Building health management is an important part in running an efficient and cost-effective building. Many problems in a building’s system can go...

  18. Building Design & Construction - Sustainability

    Energy Technology Data Exchange (ETDEWEB)

    None

    2003-11-01

    Offers a brief history of green building; presents the results of a specially commissioned survey; and analyzes the chief trends, issues, and published research, based on interviews with dozens of experts and participants in green building.

  19. Comfort control in buildings

    CERN Document Server

    Castilla, Maria del Mar; Rodriguez, Francisco de Asis

    2014-01-01

    This book describes both concepts and development of advanced comfort control systems in buildings, with significant energy saving, and attention to thermal, visual and indoor air quality. The concepts are proven through real tests in a bioclimatic building.

  20. Energy performance in buildings

    International Nuclear Information System (INIS)

    The adoption of the building sector regulations strongly oriented to the energy sustainability becomes more effective, also on the economic plan, if placed by one spread of the energetic certification of the buildings

  1. Allegheny County Building Footprints

    Data.gov (United States)

    Allegheny County / City of Pittsburgh / Western PA Regional Data Center — This dataset contains photogrammetrically compiled roof outlines of buildings. All near orthogonal corners are square. Buildings that are less than 400 square feet...

  2. Buildings interoperability landscape - Draft

    Energy Technology Data Exchange (ETDEWEB)

    Hardin, Dave B. [Pacific Northwest National Laboratory (PNNL), Richland, WA (United States); Stephan, Eric G. [Pacific Northwest National Laboratory (PNNL), Richland, WA (United States); Wang, Weimin [Pacific Northwest National Laboratory (PNNL), Richland, WA (United States); Corbin, Charles D. [Pacific Northwest National Laboratory (PNNL), Richland, WA (United States); Widergren, Steven E. [Pacific Northwest National Laboratory (PNNL), Richland, WA (United States)

    2015-02-01

    Buildings are an integral part of our nation’s energy economy. The advancement in information and communications technology (ICT) has revolutionized energy management in industrial facilities and large commercial buildings. As ICT costs decrease and capabilities increase, buildings automation and energy management features are transforming the small-medium commercial and residential buildings sectors. A vision of a connected world in which equipment and systems within buildings coordinate with each other to efficiently meet their owners’ and occupants’ needs, and where buildings regularly transact business with other buildings and service providers (such as gas and electric service providers) is emerging. However, while the technology to support this collaboration has been demonstrated at various degrees of maturity, the integration frameworks and ecosystems of products that support the ability to easily install, maintain, and evolve building systems and their equipment components are struggling to nurture the fledging business propositions of their proponents.

  3. Biological Sciences Building

    OpenAIRE

    Kumaraswamy, Mohan

    2002-01-01

    One element of the CIVCAL project Web-based resources containing images, tables, texts and associated data on the construction of the Biological Sciences Building. The HKU Kadoorie Biological Sciences Building is an 11-storey reinforced concrete framed building with a structural steel arch roof. The building dimensions are approximately 60 metres x 30 metres. The estimated project cost for the superstructure construction (excluding the bored pile foundations) was about HK$ 400 million....

  4. Marine Building Technology

    OpenAIRE

    Westby, Ola

    2006-01-01

    This textbook is all about building of ships, platforms and other offshore installations. The geometry and functions of systems and structures are explained as an introduction to management and technology at shipyards and building sites. Both loadbearing structures, outfitting and installation of accommodation are included. Project management, production planning, cost calculations, building methods, discipline knowledge (welding, painting, insulation, mechanical, piping etc.), fabrication te...

  5. ICT Enhanced Buildings Potentials

    DEFF Research Database (Denmark)

    Christiansson, Per

    2007-01-01

    with focus on virtual building models support, new services and user environment definitions and development, virtual spaces and augmented reality, intelligent building components, application ontologies, and ICT systems integration to illustrate ICT enhanced buildings potentials and R&D needs.  ...

  6. Facilitating Collaborative Knowledge Building

    Science.gov (United States)

    Hmelo-Silver, Cindy E.; Barrows, Howard S.

    2008-01-01

    This article describes a detailed analysis of knowledge building in a problem-based learning group. Knowledge building involves increasing the collective knowledge of a group through social discourse. For knowledge building to occur in the classroom, the teacher needs to create opportunities for constructive discourse in order to support student…

  7. "Who Says What Is Quality?": Setting Quality Standards for Family Child Care

    Science.gov (United States)

    Modigliani, Kathy

    2011-01-01

    This article tells the story of the 4-year consensus-building process to design quality standards for the field of family child care. Working with the National Association for Family Child Care, the Family Child Care Project at Wheelock College was funded to create an accreditation system for home-based child care programs using innovative methods…

  8. Knowing-how to care.

    Science.gov (United States)

    Dall'Agnol, Darlei

    2016-07-01

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

  9. Maternal care

    OpenAIRE

    2001-01-01

    In June 2000 a distinguished group of obstetricians, midwives, general practitioners, and medical statisticians came together to discuss maternal care. Chaired by Professor James Drife from Leeds, discussion ranged over many topics, including: the changing role of the obstetrician, general practitioners, and the increasing status and responsibility of midwives. Other subjects include the induction of labour, obstetric analgesia and anaesthesia, and debates about the place and kind of delivery...

  10. Team Building e a enfermagem Team Building e enfermería Team Building and nursing

    Directory of Open Access Journals (Sweden)

    Filipa Homem

    2012-07-01

    : profundizar los conocimientos sobre Team Building, contextualizar el Team Building y reflexionar sobre su utilidad del Team Building en su contexto dentro de las prestaciones de atención de enfermería. De este modo, se realizaron búsquedas en la base de datos electrónica EBSCO, y se consultó la literatura relacionada con la psicología organizacional. Con esta investigación se concluyó que la estrategia de dinamización de equipo es útil aplicada a la enfermería, puede incluso mejorar la comunicación y las relaciones interpersonales, identificar fortalezas y debilidades de los equipos, proporcionar una mayor satisfacción en el trabajo y así, mejorar la calidad la atención sanitaria prestada.In this environment of growing dissatisfaction and unpredictability in nursing, it is increasingly important to motivate teams, giving them personal, relational, and communicative competencies and, above all, to build team working and thus improve productivity. Team Building emerges as an effective strategy to achieve positive results within organizations. Because it is a strategy not yet widely used in Portugal, we decided to look into the issue and reflect on its relevance and potential in nursing teams with the following objectives: to deepen knowledge about Team Building, to frame Team Building within the context of organizational theories, to describe different models of Team Building and to reflect on the usefulness of Team Building for the quality of nursing care. Articles were searched in EBSCO electronic databases, and organizational psychology literature was consulted. With this research, we conclude that Team Building applied to nursing can improve communication and interpersonal relationships, identify strengths and weaknesses of teams, provide greater job satisfaction and thus enhance the quality of health care provided.

  11. Building Order in the Building Company Organization

    OpenAIRE

    Krivdová, Magdaléna

    2013-01-01

    The aim of the thesis is to describe an organization of a building order, and to show its key phases. The individual phases of how a order is completed in a company are shown on practical examples. The first two chapters deal with the current situation of today's construction industry; consequently, the reasons for introducing the principles of project management into the construction business practice are mentioned. The third chapter is devoted to the description of a building order. It...

  12. Improving care coordination using organisational routines: care pathways as a coordination mechanism

    DEFF Research Database (Denmark)

    Prætorius, Thim

    replicated, the way they are influenced by the organisation and the way they influence health care professionals. Design/methodology/approach: Theory of routines is systematically applied to the concept of care pathways in order to develop theoretically derived propositions. Findings: Care pathways mirror...... routines by being recurrent, collective and embedded and specific to an organisation. In particular, care pathways resemble standard operating procedures that can give rise to recurrent collective action patterns. Eleven propositions related to five categories are proposed by building on these insights......: care pathways and (a) coordination, (b) change, (c) replication, (d) the organisation and (e) health care professionals. Research limitations/implications: The article is conceptual and uses care pathways as illustrative instances of hospital routines. The propositions provide a starting point for...

  13. Integrated building design

    Science.gov (United States)

    Sanguinetti, Jennifer

    2005-04-01

    For many years, building design has been a very linear process with owners speaking to architects who then design building shells that they pass along to sub-consultants who must fit their systems into the allotted spaces. While this process has some advantages, it provides little opportunity to optimize systems based on such factors as energy use or occupant comfort. This presentation will focus on the evolution and implications of integrated building design, a method that has provided greater opportunities for interaction between design disciplines and with building users early on in the design process. Integration has resulted in buildings that are more sustainable than typical buildings and that can respond better to the needs of the owner and users. Examples of the application of the process and the resulting buildings will be presented from the view of a design engineer with experience of both processes. Specifically, the potential contribution of an acoustical consultant in the integrated process will be explored.

  14. Commercial Buildings Characteristics, 1992

    Energy Technology Data Exchange (ETDEWEB)

    1994-04-29

    Commercial Buildings Characteristics 1992 presents statistics about the number, type, and size of commercial buildings in the United States as well as their energy-related characteristics. These data are collected in the Commercial Buildings Energy Consumption Survey (CBECS), a national survey of buildings in the commercial sector. The 1992 CBECS is the fifth in a series conducted since 1979 by the Energy Information Administration. Approximately 6,600 commercial buildings were surveyed, representing the characteristics and energy consumption of 4.8 million commercial buildings and 67.9 billion square feet of commercial floorspace nationwide. Overall, the amount of commercial floorspace in the United States increased an average of 2.4 percent annually between 1989 and 1992, while the number of commercial buildings increased an average of 2.0 percent annually.

  15. Promoting Patient- and Family-Centered Care Through Personal Stories.

    Science.gov (United States)

    Johnson, Beverley H

    2016-03-01

    Patient- and family-centered care is an approach to the planning, delivery, and evaluation of health care that is grounded in mutually beneficial partnerships among patients, their families, and health care professionals. It redefines the relationships in health care by placing an emphasis on collaborating with patients of all ages, and their families, at all levels of care, in all health care settings, and in organizational change and improvement. This collaboration ensures that health care is responsive to an individual's priorities, preferences, and values. In patient- and family-centered care, patients define their "family" and determine how they and their family will participate in care and decision making. While patient- and family-centered care can improve the experience of care, safety, and quality, it also can improve the learning environment for students and trainees. The author shares personal stories to illustrate the core concepts of patient- and family-centered care, when they are present in health care interactions, and when they are not. Drawing from these stories and the author's experience in working with academic medical centers and other health care organizations over many decades, recommendations for changes in medical education are suggested that can contribute to the development of a health care workforce with the skills and commitment to partner respectfully, effectively, and authentically with patients and families. The implementation of the Affordable Care Act gives new impetus for building a health care delivery system and related educational programs to support patient- and family-centered practice. PMID:26796094

  16. Building for animal production

    International Nuclear Information System (INIS)

    In order to limit the radiation dose to persons working with animal husbandry in severe fallout situations, it was considered necessary to make an inventory of the Swedish livestock buildings as to number, location, use and size. These data as well as data on geometry of buildings, building material and thickness of the material in walls and roofs are given in the present work. On the basis of the mentioned data, calculations were made of the shielding factors of different types of livestock buildings. The collected data can also be used in preparedness planning in relation to housing facilities for livestock and location and size of animal production in situations of crises or war. The calculations show shielding factors for different types of livestock buildings of normal ground area within the range of 0.18-0.71. The higher value indicates a fairly poor shielding effect. The inventory and the calculations show that in those regions in Sweden where the main part of the livestock is managed, the types of buildings are, however, characterized by radiation shielding factors of 0.3-0.4. Calculation were also made of the radiation level inside the buildings following decontamination of roofs or of surrounding ground. Ground decontamination only, i.e., removal of the upper contaminated surface layer, will reduce the radiation level inside the building. For most buildings the radius of the surrounding area to be decontaminated has to be 15-30 times larger than the width of the building in order to achieve a 50 percentage reduction of the radiation level inside the building. For buildings of medium or large size and with thick walls the radiation contribution from the roof is greater than the radiation from the ground, and regardless of the size of the ground areas decontaminated the radiation level inside these buildings will only be reduced by 20-30%. 15 refs, 11 figs, 14 tabs

  17. Caring for Multiples

    Science.gov (United States)

    ... labor & premature birth The newborn intensive care unit (NICU) Birth defects & other health conditions Loss & grief Tools & ... Home > Complications & Loss > The newborn intensive care unit (NICU) > Caring for multiples Caring for multiples E-mail ...

  18. Modern community care program

    International Nuclear Information System (INIS)

    Going into the next millennium do we see nuclear energy? Yes we will see an expanding nuclear sector in the modem community. he modem community that cares for people, health and environment needs nuclear. Energy saves lives. Electricity is efficient use of energy. Energy will be the key to a sustainable society, energy is life. Nuclear energy protects the environment. Nuclear is an integral part of the modern community caring for people, health and environment. The dynamics of the public opinion-forming process and its effects on the nuclear industry are a challenge of the global nuclear industry. Current communications strategy and its consequences are on of the key issues. The nuclear industry must be perceived in certain ways in order to move towards achieving the vision and avoiding the harassment scenario. Each perception goal does not bear the same function within the communications process. As the nuclear industry is oe of the keys to a sustainable society, it must achieve legitimacy in its capacity as an interesting agenda-setter for tackling problems and as an expert. We have to build our communication activities on an open and honest attitude and we have to establish trust and confidence. The nuclear industry must also prove its ability and performance. If this could be achieved there will be an option for the future

  19. Processo de trabalho na Unidade de Terapia Intensiva Neonatal: construção de uma atenção orientada pela integralidade Proceso de trabajo en la Unidad de Terapia Intensiva Neonatal: construcción de una atención integral Work process in the neonatal intensive care unit: building a holistic-oriented care

    Directory of Open Access Journals (Sweden)

    Elysângela Dittz Duarte

    2009-09-01

    organización del proceso de trabajo inscribe el quehacer del colectivo de los trabajadores.This is a qualitative study aimed at analyzing the performance of healthcare professionals, as well as their contribution to a holistic-oriented care towards newborn babies in a Neonatal Intensive Care Unit (NICU. The study was carried out in the Sofia Feldman Hospital, in Belo Horizonte, State of Minas Gerais, Brazil. The study's subjects were ten healthcare professionals who cared for newborns in the NICU, and seven parents of admitted newborns. Data was collected by means of workshops and participant observation processes. Data were treated and analyzed by means of discourse analysis concepts. The resulting data highlighted the following aspects: the potential and holistic-oriented practices of healthcare professionals; the presence or absence of healthcare actions that materialized the holistic care; the different perceptions of the participants about the work carried out by the team; and in what sense the rationale of the work organization encompassed the workers' collective performance.

  20. O grupo pesquisador construindo ações de autocuidado para o envelhecimento saudável: pesquisa sociopoética El grupo investigador construyendo acciones de cuidar de si para el envejecimiento saludable: abordaje sociopoética The research group building self-care actions for the healthy aging process: sociopoetic research

    Directory of Open Access Journals (Sweden)

    Iraci dos Santos

    2011-12-01

    adversidades que el envejecimiento pueda provocar, utilizando su potencial humano. Una contribución es valorar el autocuidado como estrategia para el crecimiento personal y el inicio de cambios significativos.The aim of this study was to analyze the feelings of aged people regarding the self-care, accordingly to Nola Pender's Theory. This theory takes in consideration cognitive experiences, beliefs, habits and practices, in order to characterize the group's culture and lifestyle. The subjects were a group of participants from the Third Age Open University Program of Rio de Janeiro State University. The Data was collected through Art techniques and the data production was submitted to Sociopoetics thematic analysis. As results emerged the following categories: Collective face of the aging process - the group members do not see themselves as old, as represented by the cultural and social discrimination; The comprehensiveness of self-care - the image of the nurse attributed only to physical care was deconstructed, thus building the "conffect" (concept/affection self-care/aging is the quest for another living dimension. To conclude, being old involves adopting positive solutions to face the difficulties regarding the aging process, using people's own human potential. A contribution may be to promote the self-care as a strategy for personal growth and as a start point for substantial changes.

  1. The Road to Excellence for Primary Care Resident Teaching Clinics.

    Science.gov (United States)

    Gupta, Reena; Dubé, Kate; Bodenheimer, Thomas

    2016-04-01

    Primary care residency programs and their associated primary care clinics face challenges in their goal to simultaneously provide a good education for tomorrow's doctors and excellent care for today's patients. A team from the Center for Excellence in Primary Care at the University of California, San Francisco, conducted site visits to 23 family medicine, internal medicine, and pediatric residency teaching clinics. The authors found that a number of programs have transformed themselves with respect to engaged leadership, resident scheduling, continuity of care for patients and residents, team-based care, and resident engagement in practice improvement. In this Commentary, the authors highlight the features of transforming programs that are melding inspiring resident education with excellent patient care. The authors propose a model, the 10 + 3 Building Blocks of Primary Care Teaching Clinics, to illustrate the themes that characterize transforming primary care residency programs. PMID:26826073

  2. Who cares!

    Institute of Scientific and Technical Information of China (English)

    老晃

    2013-01-01

    1有人再三怂恿,希望我能吐槽《富春山居图》,务求鞭辟入里,揭露丑恶真相。我舍不得,舍不得浪费纸。好吧,小吐一下。传说,在《富春山居图》开拍之前有心人提醒导演孙健君,剧本有硬伤,得改,例举一三三四……话没说完,孙勃然大怒,"Who cares!"这位目空一切的君王,他什么都不care,所以他花钱砸的那堆玩意儿,根本也不是电影。这就是真相。值得一说的,是此刻红得发紫,摸都摸不得的《小时代》。

  3. [Epidemiology of "sick buildings"].

    Science.gov (United States)

    Sterling, T D; Collett, C; Rumel, D

    1991-02-01

    The indoor environment of modern buildings, especially those designed for commercial and administrative purposes, constitutes a unique ecological niche with its own biochemical environment, fauna and flora. Sophisticated construction methods and the new materials and machinery required to maintain the indoor environment of these enclosed structures produce a large number of chemical by-products and permit the growth of many different microorganisms. Because modern office buildings are sealed, the regulation of humidification and temperature of ducted air presents a dilemma, since difference species of microorganisms flourish at different combinations of humidity and temperature. If the indoor environment of modern office buildings is not properly maintained, the environment may become harmful to its occupants' health. Such buildings are classified as "Sick Buildings". A review of the epidemiology of building illness is presented. The etiology of occupant illnesses, sources of toxic substances, and possible methods of maintaining a safe indoor environment are described. PMID:1784964

  4. Radon in buildings

    International Nuclear Information System (INIS)

    This guide is intended to inform designers, contractors, householders and other building owners about radon in buildings and to provide guidance where it has been decided to take action to reduce radon levels. It gives some pointers to good practice insofar as it relates to non complex buildings of normal design and construction. Reference is made to the usual ways of reducing l;levels of radon and guidance is given on sources of further information. I

  5. Development of Ecological Buildings

    Directory of Open Access Journals (Sweden)

    Andrius Keizikas

    2011-04-01

    Full Text Available The article presents research on ecological buildings and their influence on the constructional sphere. The aim of the paper is to reveal the essence of ecological architecture showing substantial progress and its potential to stimulate architectural and technological growth. The article also describes relations between the ideas of ecological buildings and the ‘passive house’ concepts and aspects of development as well as describes the possibilities of improving building sustainability and energy efficiency. Article in Lithuanian

  6. Radon in buildings

    International Nuclear Information System (INIS)

    This guide is intended to inform designers, householders and other building owners about the radon problem and to help in deciding if there is need to take any action to reduce radon levels in their homes or other buildings.It explains what radon is, how it enters buildings and what effect it may have on health. Reference is made to some of the usual ways of reducing the level of radon and guidance is given on some sources of assistance

  7. Buildings' integral role in good health.

    Science.gov (United States)

    Hall, Chris

    2014-05-01

    As reported in last month's HEJ, the new Sustainable Development Strategy for the Health, Public Health and Social Care System for 2014-20 rightly emphasises the importance of the built environment to health and well-being. Chris Hall, the BRE's health sector lead, says this message 'stretches far beyond hospitals and healthcare buildings into the communities and homes that people live in'. Here he highlights some of the key elements relating to the current carbon efficiency of healthcare buildings, considers the impact of 'good' housing on health and preventing illness, and looks forward to a series of joint IHEEM and BRE 'Building Sustainable Development' mini-conference events planned in the run-up to October's Healthcare Estates 2014 event in response to the new Strategy, designed to share ideas and good practice on sustainable estates issues. The first takes place in London later this month (see panel below). PMID:24930185

  8. Constructing a conflict resolution program for health care.

    Science.gov (United States)

    Porter-O'Grady, Tim

    2004-01-01

    Resolving conflict throughout organizations requires a programmatic infrastructure and a committed management team. Leaders must recognize the need to approach conflict by building a format for learning, creating and managing an effective conflict management program. Careful attention to the elements of design and the stages of development can make all the difference in building a sustainable and useful conflict management approach. PMID:15600105

  9. Sustainable building and local resources

    Directory of Open Access Journals (Sweden)

    Maria Cristina Forlani

    2014-05-01

    Full Text Available The research comes from the deepest reasons of the crisis, in order to recognize in such reasons themselves the direction to come out, the new needs and the new challenges. The local resources (material and immaterial were reconsidered as patrimony, precious but limited, of each specific area to trace out a path of supportability able to rebuild new relations between project/production and environmental culture. The industrial production becomes a driving force for the economic renewal through an iterative cycle between research/science and economics aiming to smart building, meant as practice in evolution. This practise is careful to the local, environmental, cultural and economic situation, whose parameters are identity, energy, environment, mobility and economics that give back different scale answers.

  10. Classification of Building Object Types

    DEFF Research Database (Denmark)

    Jørgensen, Kaj Asbjørn

    2011-01-01

    Development of the existing classification systems has been very difficult and time consuming tasks, where many considerations have been taken and many compromises have been made. The results reveal that, although the theoretical foundation was clarified, many deviations and shortcuts have been...... made. This is certainly the case in the Danish development. Based on the theories about these abstraction mechanisms, the basic principles for classification systems are presented and the observed misconceptions are analyses and explained. Furthermore, it is argued that the purpose of classification...... systems has changed and that new opportunities should be explored. Some proposals for new applications are presented and carefully aligned with IT opportunities. Especially, the use of building modelling will give new benefits and many of the traditional uses of classification systems will instead be...

  11. Building valve amplifiers

    CERN Document Server

    Jones, Morgan

    2013-01-01

    Building Valve Amplifiers is a unique hands-on guide for anyone working with tube audio equipment--as an electronics hobbyist, audiophile or audio engineer. This 2nd Edition builds on the success of the first with technology and technique revisions throughout and, significantly, a major new self-build project, worked through step-by-step, which puts into practice the principles and techniques introduced throughout the book. Particular attention has been paid to answering questions commonly asked by newcomers to the world of the valve, whether audio enthusiasts tackling their first build or

  12. Sick building syndrome

    Directory of Open Access Journals (Sweden)

    Tjandra Y. Aditama

    2002-06-01

    Full Text Available Sick building syndrome describes a number of mostly unspesific complaints of some occupants of the building. The exact pathophysiological mechanism remains elusive. It is a multi factorial event which may include physical, chemical, biological as well as psycological factors. In many cases it is due to insufficient maintenance of the HVAC (heating, ventilation, air conditioning system in the building. Sign and symptoms can be uncomfortable and even disabling, which may include mucus membrane irritation, neurotoxic symptoms, asthma like symptoms, skin complaints, gastrointestinal symptoms and other related symptoms. There are various investigation methods to diagnose sick building syndrome, and on site assessment of the building is extremely useful. Prevention through a proactive air quality monitoring program is far more desirable than dealing with an actual sick building. Indoor air and the sick building symdrome serves as a paradigm of modern occupational and environmental medicine. (Med J Indones 2002; 11:124-31Keywords: indoor air pollution, sick building syndrome, building related illness

  13. Nuclear reactor building

    International Nuclear Information System (INIS)

    Purpose: To prevent seismic vibrations of external buildings from transmitting to the side walls of a reactor container in a tank type FBR reactor building. Constitution: The reactor building is structured such that the base mat for a reactor container chamber and a reactor container is separated from the base mat for the walls of building, and gas-tight material such as silicon rubber is filled in the gap therebetween. With such a constitution, even if the crane-supporting wall vibrates violently upon occurrence of earthqualkes, the seismic vibrations do not transmit toward the reactor container chamber. (Horiuchi, T.)

  14. Grassmannians of classical buildings

    CERN Document Server

    Pankov, Mark

    2010-01-01

    Buildings are combinatorial constructions successfully exploited to study groups of various types. The vertex set of a building can be naturally decomposed into subsets called Grassmannians. The book contains both classical and more recent results on Grassmannians of buildings of classical types. It gives a modern interpretation of some classical results from the geometry of linear groups. The presented methods are applied to some geometric constructions non-related to buildings - Grassmannians of infinite-dimensional vector spaces and the sets of conjugate linear involutions. The book is self

  15. Healthy Buildings '88

    International Nuclear Information System (INIS)

    The Healthy Buildings '88 Conference focuses on the technical solutions and functional requirements contributing to Healthy Buildings for people to live and work in. The main object of the Conference is to give architects, consultants, real-estate owners and manufacturers of building materials recommendations on choice of materials and choice of systems and on how to combine materials and systems. The program includes overview lectures, plenary symposia with invited speakers, workshops, poster presentations and an exhibition of scientific, educational and technical material. One part of the conference is devoted to the problem of radon in residential buildings

  16. Taking Care of Your Teeth and Mouth

    Science.gov (United States)

    ... Every day, a thin film of bacteria called dental plaque builds up on your teeth. The bacteria in plaque produce acids that can begin to harm enamel. ... also need to clean around your teeth with dental floss every day. Careful flossing will take off plaque and leftover food that a toothbrush can’t ...

  17. The infant caring process among Cherokee mothers.

    Science.gov (United States)

    Nichols, Lee Anne

    2004-09-01

    The purpose of this study was to identify the social process of infant care among Cherokee mothers. Nineteen informants, who had an infant less than 2 years of age, were interviewed. The data were analyzed using the technique of constant comparative analysis. A social process of Indian infant care among Cherokee mothers was identified. Eight concepts emerged from data analysis. The first and principal concept, being a Cherokee mother, describes the functions of being an Indian mother in Cherokee society. The other seven concepts describe the patterns of cultural care the mothers provided to their infants. These included accommodating everyday infant care, accommodating health perspectives, building a care-providing consortium, living spiritually, merging the infant into Indian culture, using noncoercive discipline techniques, and vigilantly watching for the natural unfolding of the infant. Trustworthiness and credibility of the generated theory were evaluated through multiple measures. PMID:15296577

  18. [Care between ethics, work and political].

    Science.gov (United States)

    Svandra, Philippe

    2015-09-01

    Down to the roots, the ethics of care have stood up a "different voice". Building on Carol Gilligan's works, the concept was developed widely in opposition with the rational and universalist aspect of Kant's moral philosophy. However, it also appears that this vision of care runs counter sets the three other main dominant moral theories, ie, utilitarism, John Rawls' procedural ethics and the Aristotelian virtue ethics. We may assert that the care theory presents itself as a contextualized moral theory aiming at taking into account others' vulnerability, in a practical way. Hence, the general term of "care" may encompass the notions of "help", "support" and "healing process", which, in France, for have often been opposed for varied reasons--historical, economical, psychological, professional etc... Switching from a moral position to a professional and practical activity, the concept of care has now undeniably taken on now a social and political dimension. PMID:26685550

  19. American Society of Clinical Oncology policy statement: opportunities in the patient protection and affordable care act to reduce cancer care disparities.

    Science.gov (United States)

    Moy, Beverly; Polite, Blase N; Halpern, Michael T; Stranne, Steven K; Winer, Eric P; Wollins, Dana S; Newman, Lisa A

    2011-10-01

    Patients in specific vulnerable population groups suffer disproportionately from cancer. The elimination of cancer disparities is critically important for lessening the burden of cancer. The Patient Protection and Affordable Care Act provides both opportunities and challenges for addressing cancer care disparities and access to care. The American Society of Clinical Oncology (ASCO) advocates for policies that ensure access to cancer care for the underserved. Such policies include insurance reform and the reduction of economic barriers to quality health care. Building on ASCO's prior statement on disparities in cancer care (2009), this article summarizes elements of the health care law that are relevant to cancer disparities and provides recommendations for addressing major provisions in the law. It outlines specific strategies to address insurance reform, access to care, quality of care, prevention and wellness, research on health care disparities, and diversity in the health care workforce. ASCO is committed to leading efforts toward the improvement of cancer care among the most vulnerable patients. PMID:21810680

  20. Oral care.

    Science.gov (United States)

    Hitz Lindenmüller, Irène; Lambrecht, J Thomas

    2011-01-01

    Adequate dental and oral hygiene may become a challenge for all users and especially for elderly people and young children because of their limited motor skills. The same holds true for patients undergoing/recovering from chemo-/radiotherapy with accompanying sensitive mucosal conditions. Poor dental hygiene can result in tooth decay, gingivitis, periodontitis, tooth loss, bad breath (halitosis), fungal infection and gum diseases. The use of a toothbrush is the most important measure for oral hygiene. Toothbrushes with soft bristles operated carefully by hand or via an electric device help to remove plaque and to avoid mucosal trauma. A handlebar with a grip cover can be helpful for manually disabled patients or for those with reduced motor skills. In case of oral hygiene at the bedside or of patients during/after chemo-/radiotherapy a gauze pad can be helpful for gently cleaning the teeth, gums and tongue. The use of fluoride toothpaste is imperative for the daily oral hygiene. Detergents such as sodium lauryl sulphate improve the cleaning action but may also dehydrate and irritate the mucous membrane. The use of products containing detergents and flavouring agents (peppermint, menthol, cinnamon) should therefore be avoided by bedridden patients or those with dry mouth and sensitive mucosa. Aids for suitable interdental cleaning, such as dental floss, interdental brushes or dental sticks, are often complicated to operate. Their correct use should be instructed by healthcare professionals. To support dental care, additional fluoridation with a fluoride gel or rinse can be useful. Products further containing antiseptics such as chlorhexidine or triclosan reduce the quantity of bacteria in the mouth. For patients undergoing or having undergone radio-/chemotherapy, a mouthwash that concomitantly moisturizes the oral mucosa is advisable. PMID:21325845

  1. Edmonton, Canada: a regional model of palliative care development.

    Science.gov (United States)

    Fainsinger, Robin L; Brenneis, Carleen; Fassbender, Konrad

    2007-05-01

    Palliative care developed unevenly in Edmonton in the 1980s and early 1990s. Health care budget cuts created an opportunity for innovative redesign of palliative care service delivery. This report describes the components that were developed to build an integrated comprehensive palliative care program, the use of common clinical assessments and outcome evaluation that has been key to establishing credibility and ongoing support. Our program has continued to develop and grow with an ongoing focus on the core areas of clinical care, education, and research. PMID:17482060

  2. School Building Defect Pattern

    Directory of Open Access Journals (Sweden)

    Mahli M.

    2014-01-01

    Full Text Available In providing a conducive learning environment for the student, the school building must be in good condition. This paper is evaluating the existing condition of primary school building in Sarawak, Malaysia. It focuses on building defects pattern for school building. The primary data collection is from the school building condition survey with involvement of 24 primary schools. The schools have been selected using simple random sampling and stratified sampling (of school age as the variable of selection. The reporting method is based on Condition Survey Protocol (CSP 1 Matrix. Data analysis covers descriptive and inferential statistics. The analysis carried out found that the overall 4,725 defects have been identified. The building defect pattern is mainly on Ground Level of 3,176 defects, the highest number of defects components found on walls (798. 16.2% defects are cracks from 11 common defects and most of all the highest score of defects based on age of the building were the building in the range of 11 to 20 years.

  3. Integrated Building Design

    DEFF Research Database (Denmark)

    Heiselberg, Per

    In the first half of the 20th century, HVAC systems and artificial lighting were developed to meet indoor comfort needs. Before the introduction of mechanical systems, climate - not building style or appearance - was the major determinant of building form. Comfort was achieved through passive mea...

  4. Building with shapes

    CERN Document Server

    Mooney, Carla

    2014-01-01

    There are shapes everywhere you look. You can put shapes together or build with them. What can you build with three circles? In this title, students will explore and understand that certain attributes define what a shape is called. This title will allow students to identify the main purpose of a text, including what the author wants to answer, explain, or describe.

  5. Dancing building prevents collapse

    NARCIS (Netherlands)

    Visscher, R.

    2007-01-01

    In future, anybody caught inside a building during an earthquake need no longer fear the roof collapsing on them. Thanks to the use of composite materials, all the building will do is dance along, riding the waves of the earthquake. At least, according to Professor Ir. Adriaan Beukers of the Aerospa

  6. Heat loss from Buildings

    DEFF Research Database (Denmark)

    Karlsson, Kenneth; Næraa, Rikke

    1997-01-01

    Determination of heat loss coefficients for buildings in Denmark. The coefficient are determined for 15 building groups and 3 year intervals. They are based on the BBR-registre and assumptions of U-values(W/K*m2)and computed in a simple spreed sheet model.The results are used in the REVEILLE...

  7. Building a Better Robot

    Science.gov (United States)

    Navah, Jan

    2012-01-01

    Kids love to build robots, letting their imaginations run wild with thoughts of what they might look like and what they could be programmed to do. Yet when students use cereal boxes and found objects to make robots, often the projects look too similar and tend to fall apart. This alternative allows students to "build" robots in a different way,…

  8. Building a Data Warehouse.

    Science.gov (United States)

    Levine, Elliott

    2002-01-01

    Describes how to build a data warehouse, using the Schools Interoperability Framework (www.sifinfo.org), that supports data-driven decision making and complies with the Freedom of Information Act. Provides several suggestions for building and maintaining a data warehouse. (PKP)

  9. Building Numbers from Primes

    Science.gov (United States)

    Burkhart, Jerry

    2009-01-01

    Prime numbers are often described as the "building blocks" of natural numbers. This article shows how the author and his students took this idea literally by using prime factorizations to build numbers with blocks. In this activity, students explore many concepts of number theory, including the relationship between greatest common factors and…

  10. Body-building

    Institute of Scientific and Technical Information of China (English)

    2012-01-01

    正In recent years, more and more people spare no pains to join in the body-building group. People begin to take part in various fitness clubs or fitness centers in their spare time. This shows body-building has become an indispensable part of many people’s life.

  11. Electromagnetically shielded building

    International Nuclear Information System (INIS)

    This invention relates to a building having an electromagnetic shield structure well-suited for application to an information network system utilizing electromagnetic waves, and more particularly to an electromagnetically shielded building for enhancing the electromagnetic shielding performance of an external wall. 6 figs

  12. Filtrations and Buildings

    OpenAIRE

    Cornut, Christophe

    2014-01-01

    We construct and study a scheme theoretical version of the Tits vectorial building, relate it to filtrations on fiber functors, and use them to clarify various constructions pertaining to Bruhat-Tits buildings, for which we also provide a Tannakian description.

  13. Towards Effective Ponseti Clubfoot Care: The Uganda Sustainable Clubfoot Care Project

    OpenAIRE

    Pirani, Shafique; Naddumba, Edward; Mathias, Richard; Konde-Lule, Joseph; Penny, J. Norgrove; Beyeza, Titus; Mbonye, Ben; Amone, Jackson; Franceschi, Fulvio

    2009-01-01

    Neglected clubfoot is common, disabling, and contributes to poverty in developing nations. The Ponseti clubfoot treatment has high efficacy in correcting the clubfoot deformity in ideal conditions but is demanding on parents and on developing nations’ healthcare systems. Its effectiveness and the best method of care delivery remain unknown in this context. The 6-year Uganda Sustainable Clubfoot Care Project (USCCP) aims to build the Ugandan healthcare system’s capacity to treat children with ...

  14. Technical Management for Buildings

    CERN Document Server

    Vairo, Antonio

    1999-01-01

    This paper is a presentation of an 'instrument' for the optimization of the functionality and conservation of tertiary buildings. This technique has several different names: Building Automation Systems (BAS), Central Control and Monitoring System (CCMS) in English, and Gestion Technique du Bâtiment' (GTB) or Gestion Technique Centralisée (GTC) in French. With this technique it is possible to manage all the functions of a building, it is a modern instrument that introduces the concept of 'automation' in the operation of buildings using computerized procedures, earlier reserved for industrial processes. The system is structured with different automation levels with a distributed intelligence, each level characterized by a communication system (Fieldbus for the lowest and Ethernet for the highest level). In order to apply the BAS to CERN buildings it is necessary to evaluate the advantages, the CERN requirements and the integration with the several existing control and automation systems.

  15. CERN's newest building

    CERN Multimedia

    Anaïs Vernède

    2011-01-01

    With a growing number of users looking for offices, the shortage of space has become acute, particularly for physicists. Building 42, inaugurated on Friday 11 February, offers almost 300 new work-spaces and a particularly pleasant working environment.   Mauro Dell’Ambrogio, the Swiss State Secretary for Education and Research (left), Rolf Heuer , CERN Director-General (centre), and Mark Muller, President of the Government of the Republic and Canton of Geneva and Head of the Department of Construction and Information Technology (right) at the opening of Building 42 on 11 February, 2011.   Construction work for the new Building 42 began in January 2009, thanks to support from the Swiss foundation FIPOI (Fondation des immeubles pour les organisations internationales). After two years of work, the building, an extension of Building 40, is ready to accommodate physicists from around the world who have come to work on the LHC. "We had more than 25 external contractors working...

  16. The experience of multiprofessional residents in hospital attention in primary care

    OpenAIRE

    Marta Maria da Silva Lira-Batista; Jaqueline Virgulino Ribeiro; Hayanne Osiro Pauletti; Antônio Messias Gama Rospendowiski; Gabriella Novelli Oliveira; Emilia Godoy de Souza

    2012-01-01

    The Multidisciplinary Residency in Hospital Care (MRHC) should be taken as a paradigm of care model adopted in primary care, valuing full attention and establishing a relationship. The Basic Heath Unity  is a very rich place for the integration of activities among its professionals and multidisciplinary residents. That experience helped in building a new outlook and new process of health work in primary care both while in hospital care. All program activities developed allowed MRHC integratio...

  17. Improving organizational climate for excellence in patient care.

    Science.gov (United States)

    Arnold, Edwin

    2013-01-01

    Managers in health care organizations today are expected to achieve higher-quality patient care at a lower cost. Developing and maintaining a positive organizational climate can help improve motivation and foster higher employee performance. In turn, this will help the organization deliver better patient care at a lower cost. This article offers metrics for assessing organizational climate, analyzes barriers to a positive climate, and explores strategies that managers can use to build the type of climate that fosters high performance. PMID:23903945

  18. Building Communities of Care for Military Children and Families

    Science.gov (United States)

    Kudler, Harold; Porter, Rebecca I.

    2013-01-01

    Military children don't exist in a vacuum; rather, they are embedded in and deeply influenced by their families, neighborhoods, schools, the military itself, and many other interacting systems. To minimize the risks that military children face and maximize their resilience, write Harold Kudler and Colonel Rebecca Porter, we must go beyond…

  19. Energy management systems in buildings

    Energy Technology Data Exchange (ETDEWEB)

    Lush, D.M.

    1979-07-01

    An investigation is made of the range of possibilities available from three types of systems (automatic control devices, building envelope, and the occupants) in buildings. The following subjects are discussed: general (buildings, design and personnel); new buildings (envelope, designers, energy and load calculations, plant design, general design parameters); existing buildings (conservation measures, general energy management, air conditioned buildings, industrial buildings); man and motivation (general, energy management and documentation, maintenance, motivation); automatic energy management systems (thermostatic controls, optimized plant start up, air conditioned and industrial buildings, building automatic systems). (MCW)

  20. Knowledge formalization of intelligent building

    Science.gov (United States)

    Žáček, Martin

    2016-06-01

    This article aim is understanding the basic knowledge about an intelligent building. The notion of the intelligent building can be called any building equipped with computer and communication technology, which can automatically respond to internal or external stimuli. The result of the intelligent building is an automated and foreseeing of activities that enable to reduce operating costs and increase comfort. The best way to use the intelligent building is for a low-energy building, a passive building, or for building with high savings. The output of this article is the formalization of basic knowledge of the intelligent building by RDF graph.

  1. Health care operations management

    OpenAIRE

    Carter, M W; Hans, E.W.; Kolisch, R.

    2012-01-01

    Health care operations management has become a major topic for health care service providers and society. Operations research already has and further will make considerable contributions for the effective and efficient delivery of health care services. This special issue collects seven carefully selected papers dealing with optimization and decision analysis problems in the field of health care operations management.

  2. Building Sustainability Assessment

    Directory of Open Access Journals (Sweden)

    Heli Koukkari

    2010-07-01

    Full Text Available Although social, economic, and cultural indicators are of substantial importance to the concept of sustainable building, this concept is usually related to environmental characteristics. Any building level assessment method is complex and involves contradictory aspects. Moreover, emphasizing qualitative criteria only increases confusion. R&D and standardization are thus concentrated to transparency and usability of the environmental methods. Other directions of research aim at performance-based design and methods to take regional and cultural aspects into account. In this paper, the perspectives of the sustainability assessment of a whole building are presented, based on a state of the art, feasibility study on performance analysis and the development of an extended life-cycle assessment for buildings. Using various tools, and based on the case studies of building sustainability assessment, environmental indicators were often shown to be of lesser importance than the other, soft ones. The first steps in the development of a building sustainability assessment method for Portuguese residential buildings will be presented and discussed in the end.

  3. Building Software with Gradle

    CERN Document Server

    CERN. Geneva; Studer, Etienne

    2014-01-01

    In this presentation, we will give an overview of the key concepts and main features of Gradle, the innovative build system that has become the de-facto standard in the enterprise. We will cover task declaration and task graph execution, incremental builds, multi-project builds, dependency management, applying plugins, extracting reusable build logic, bootstrapping a build, and using the Gradle daemon. By the end of this talk, you will have a good understanding of what makes Gradle so powerful yet easy to use. You will also understand why companies like Pivotal, LinkedIn, Google, and other giants with complex builds count on Gradle. About the speakers Etienne is leading the Tooling Team at Gradleware. He has been working as a developer, architect, project manager, and CTO over the past 15 years. He has spent most of his time building software products from the ground up and successfully shipping them to happy customers. He had ...

  4. Building-integrated photovoltaics

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1993-01-01

    This is a study of the issues and opportunities for building-integrated PV products, seen primarily from the perspective of the design community. Although some quantitative analysis is included, and limited interviews are used, the essence of the study is qualitative and subjective. It is intended as an aid to policy makers and members of the technical community in planning and setting priorities for further study and product development. It is important to remember that the success of a product in the building market is not only dependent upon its economic value; the diverse group of building owners, managers, regulators, designers, tenants and users must also find it practical, aesthetically appealing and safe. The report is divided into 11 sections. A discussion of technical and planning considerations is followed by illustrative diagrams of different wall and roof assemblies representing a range of possible PV-integration schemes. Following the diagrams, several of these assemblies are then applied to a conceptual test building which is analyzed for PV performance. Finally, a discussion of mechanical/electrical building products incorporating PVs is followed by a brief surveys of cost issues, market potential and code implications. The scope of this report is such that most of the discussion does not go beyond stating the questions. A more detailed analysis will be necessary to establish the true costs and benefits PVs may provide to buildings, taking into account PV power revenue, construction costs, and hidden costs and benefits to building utility and marketability.

  5. Buildings Interoperability Landscape

    Energy Technology Data Exchange (ETDEWEB)

    Hardin, Dave [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Stephan, Eric G. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Wang, Weimin [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Corbin, Charles D. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Widergren, Steven E. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States)

    2015-12-31

    Through its Building Technologies Office (BTO), the United States Department of Energy’s Office of Energy Efficiency and Renewable Energy (DOE-EERE) is sponsoring an effort to advance interoperability for the integration of intelligent buildings equipment and automation systems, understanding the importance of integration frameworks and product ecosystems to this cause. This is important to BTO’s mission to enhance energy efficiency and save energy for economic and environmental purposes. For connected buildings ecosystems of products and services from various manufacturers to flourish, the ICT aspects of the equipment need to integrate and operate simply and reliably. Within the concepts of interoperability lie the specification, development, and certification of equipment with standards-based interfaces that connect and work. Beyond this, a healthy community of stakeholders that contribute to and use interoperability work products must be developed. On May 1, 2014, the DOE convened a technical meeting to take stock of the current state of interoperability of connected equipment and systems in buildings. Several insights from that meeting helped facilitate a draft description of the landscape of interoperability for connected buildings, which focuses mainly on small and medium commercial buildings. This document revises the February 2015 landscape document to address reviewer comments, incorporate important insights from the Buildings Interoperability Vision technical meeting, and capture thoughts from that meeting about the topics to be addressed in a buildings interoperability vision. In particular, greater attention is paid to the state of information modeling in buildings and the great potential for near-term benefits in this area from progress and community alignment.

  6. The corporate brand building

    OpenAIRE

    Wisterová, Veronika

    2011-01-01

    The target of this master's thesis is to follow the process of corporate brand building of the company Starkl zahradník, to analyse it and to suggest possible improvements. The thesis is divided into four main sections. The first section deals with the theoretical aspects of the corporate brand building. The second section observes the process of brand building of the brand Starkl zahradník. The third section deals with the survey that was carried out and analyse its results. This survey was ...

  7. INL Green Building Strategy

    Energy Technology Data Exchange (ETDEWEB)

    Jennifer Dalton

    2005-05-01

    Green buildings, also known as sustainable buildings, resource efficient buildings, and high performance buildings, are structures that minimize the impact on the environment by using less energy and water, reducing solid waste and pollutants, and limiting the depletion of natural resources. As Idaho National Laboratory (INL) becomes the nation’s premier nuclear energy research laboratory, the physical infrastructure will be established to help accomplish the mission. This infrastructure, particularly the buildings, should incorporate green design features in order to be environmentally responsible and reflect an image of progressiveness and innovation to the public and prospective employees. With this in mind, the recommendations described in this strategy are intended to form the INL foundation for green building standards. The recommendations in this strategy are broken down into three levels: Baseline Minimum, Leadership in Energy and Environmental Design (LEED)Certification, and Innovative. Baseline Minimum features should be included in all new occupied buildings no matter what the purpose or size. These features do not require significant research, design, or capital costs and yet they can reduce Operation and Maintenance (O&M) costs and produce more environmentally friendly buildings. LEED Certification features are more aggressive than the Baseline Minimums in that they require documentation, studies, and/or additional funding. Combined with the Baseline Minimums, many of the features in this level will need to be implemented to achieve the goal of LEED certification. LEED Silver certification should be the minimum goal for all new buildings (including office buildings, laboratories, cafeterias, and visitor centers) greater than 25,000 square feet or a total cost of $10 million. Innovative features can also contribute to LEED certification, but are less mainstream than those listed in the previous two levels. These features are identified as areas where

  8. Building for energy conservation

    Energy Technology Data Exchange (ETDEWEB)

    O' Callaghan, P.W.

    1978-01-01

    The need to conserve energy, how energy may be saved, and thermal energy conservation in buildings are discussed in the introductory chapter. Heat gains and losses, fluid flow, convective heat transfer, and radiative heat transfer are covered in chapter 2, fundamentals. Thermal comfort, climate, heat losses from buildings, heat gains to buildings, thermal network analysis, energy thrift, secondary effects, waste heat recovery, and altenative energy sources are subjects covered in chapters 3 to 11. The final chapter, prospectus for the future, covers discussions on areas where energy should be saved, total energy, energy management, energy accounting, and practicing energy conservation. (MCW)

  9. The Living, Dynamic and Complex Environment Care in Intensive Care Unit

    Directory of Open Access Journals (Sweden)

    Marli Terezinha Stein Backes

    2015-06-01

    Full Text Available OBJECTIVE: to understand the meaning of the Adult Intensive Care Unit environment of care, experienced by professionals working in this unit, managers, patients, families and professional support services, as well as build a theoretical model about the Adult Intensive Care Unit environment of care.METHOD: Grounded Theory, both for the collection and for data analysis. Based on theoretical sampling, we carried out 39 in-depth interviews semi-structured from three different Adult Intensive Care Units.RESULTS: built up the so-called substantive theory "Sustaining life in the complex environment of care in the Intensive Care Unit". It was bounded by eight categories: "caring and continuously monitoring the patient" and "using appropriate and differentiated technology" (causal conditions; "Providing a suitable environment" and "having relatives with concern" (context; "Mediating facilities and difficulties" (intervenienting conditions; "Organizing the environment and managing the dynamics of the unit" (strategy and "finding it difficult to accept and deal with death" (consequences.CONCLUSION: confirmed the thesis that "the care environment in the Intensive Care Unit is a living environment, dynamic and complex that sustains the life of her hospitalized patients".

  10. Adoption & Foster Care

    Science.gov (United States)

    ... Children > Family Life > Family Dynamics > Adoption & Foster Care Adoption & Foster Care Article Body ​Each year, many children join families through adoption and foster care. These families may face unique ...

  11. Home Care Services

    Science.gov (United States)

    ... ill, recovering from surgery, or disabled. Home care services include Personal care, such as help with bathing, ... your home. Some types of care and community services are free or donated. Many other types you ...

  12. Skin Care and Aging

    Science.gov (United States)

    ... Home » Skin Care and Aging Heath and Aging Skin Care and Aging Dry Skin and Itching Bruises Wrinkles Age Spots ... doctor. For More Information About Skin Care and Aging American Academy of Dermatology 1-866-503-7546 ( ...

  13. About Critical Care Nursing

    Science.gov (United States)

    ... requiring intense and vigilant nursing care. Number of Critical Care Nurses in the United States According to "The Registered ... nurses who work in a hospital setting. Where Critical Care Nurses Work According to "The Registered Nurse Population" study, ...

  14. Enlarged prostate - after care

    Science.gov (United States)

    BPH - self-care; Benign prostatic hypertrophy - self-care; Benign prostatic hyperplasia - self-care ... exercises ( Kegel exercises ) that strengthen the pelvic floor muscles. Doing these exercise may help with leaking or ...

  15. Buildings exposed to fire

    International Nuclear Information System (INIS)

    The 24 lectures presented to the colloquium cover the following subject fields: (1) Behaviour of structural components exposed to fire; (2) Behaviour of building materials exposed to fire; (3) Thermal processes; (4) Safety related, theoretical studies. (PW)

  16. Municipal Building Energy Usage

    Data.gov (United States)

    Allegheny County / City of Pittsburgh / Western PA Regional Data Center — This data set contains energy use data from 2009-2014 for 139 municipally operated buildings. Metrics include: Site & Source EUI, annual electricity, natural...

  17. Buildings Sector Analysis

    Energy Technology Data Exchange (ETDEWEB)

    Hostick, Donna J.; Nicholls, Andrew K.; McDonald, Sean C.; Hollomon, Jonathan B.

    2005-08-01

    A joint NREL, ORNL, and PNNL team conducted market analysis to help inform DOE/EERE's Weatherization and Intergovernmental Program planning and management decisions. This chapter presents the results of the market analysis for the Buildings sector.

  18. Helping clients build credit

    OpenAIRE

    Vikki Frank

    2007-01-01

    Until now people who repaid loans from community groups had not been on credit bureaus’ radar. Now Credit Builders Alliance is partnering with Experian to help clients of community lenders build strong credit histories.

  19. Oncology and palliative care

    OpenAIRE

    Bausewein, Claudia; Hartenstein, R.

    2000-01-01

    Oncology developed as a discipline over the last decades. Treatment is concentrated on cure or palliation of the illness with the help of chemotherapy, radiotherapy or surgery. Palliative care has its origin in the hospice movement that started around 1960 in the UK. Centre of care is the patient and his family. Focus of care has moved from quantity to quality of life. Symptom control, communication, rehabilitation and care for the dying are main areas of palliative care. Palliative care and ...

  20. Critical care during epidemics

    OpenAIRE

    Rubinson, Lewis; O'Toole, Tara

    2005-01-01

    We recommend several actions that could improve hospitals' abilities to deliver critical care during epidemics involving large numbers of victims. In the absence of careful pre-event planning, demand for critical care services may quickly exceed available intensive care unit (ICU) staff, beds and equipment, leaving the bulk of the infected populace without benefit of potentially lifesaving critical care. The toll of death may be inversely proportional to the ability to augment critical care c...

  1. Building Performance Simulation tools for planning of energy efficiency retrofits

    DEFF Research Database (Denmark)

    Mondrup, Thomas Fænø; Karlshøj, Jan; Vestergaard, Flemming

    2014-01-01

    Designing energy efficiency retrofits for existing buildings will bring environmental, economic, social, and health benefits. However, selecting specific retrofit strategies is complex and requires careful planning. In this study, we describe a methodology for adopting Building Performance...... energy efficiency retrofits in social housing. To generate energy savings, we focus on optimizing the building envelope. We evaluate alternative building envelope actions using procedural solar radiation and daylight simulations. In addition, we identify the digital information flow and the information...... Simulation (BPS) tools as energy and environmentally conscious decision-making aids. The methodology has been developed to screen buildings for potential improvements and to support the development of retrofit strategies. We present a case study of a Danish renovation project, implementing BPS approaches to...

  2. Building Materials in Arctic Climate

    DEFF Research Database (Denmark)

    Jensen, Ole Mejlhede

    2005-01-01

    Building in the artic requires special attention on the appropriateness of building materials. The harsh climate makes execution difficult and sets unusual requirements for the pure material properties. In addition, there is a lack of choice of good, natural building materials in the arctic. This...... results in high transport costs. The building materials situation in Greenland may potentially be improved by intensifying the reuse of building materials or by promoting the local production of building materials....

  3. Building Services Systems

    DEFF Research Database (Denmark)

    Zinzi, Michele; Romeo, Carlo; Thomsen, Kirsten Engelund;

    2015-01-01

    This guideline on Building Services Systems is one of four guidelines produced by the School of the Future project. The other three guidelines cover: Building Construction Elements, Improved Indoor Environmental Quality and Concepts for Zero Emission Schools. This guideline consists of the...... description of 5 main technologies: condensing boilers, heat pumps, ventilation systems, lighting and photovoltaic systems. For each technology chapter there is the same content list: an introduction, a brief technology description, some advantages and disadvantages, market penetration and utilisation, energy...

  4. Plataforma smart building

    OpenAIRE

    Cidrera Lopez, Alain

    2013-01-01

    The overall project is a system (hardware + software) that allows monitoring and control in a building / office different security systems, energy, communications, home automation, PKI's overall business that will increase all the efficiency of the building and the business and ensure the continuity of it. My participation in this Project will mainly focus on the development of hardware components, monitoring and control system (home automation, energy, safety control elements ...) and softwa...

  5. Green buildings pay

    DEFF Research Database (Denmark)

    Naboni, Emanuele; Edwards, Brian

    2012-01-01

    The new edition of ‘Green Buildings Pay’ authored by Brian Edwards and Emanuele Naboni explores the business and professional benefits which derive from architectural design driven by sustainability. With a new sub-title ‘Green Buildings Pay: design, productivity and ecology’ the book argues....... Branding via LEED and BREEAM has taken green ideas to China and other emerging economies. The globalization of sustainability and of architectural practice is an important strand of the new edition....

  6. Building Peaceful Borders

    Institute of Scientific and Technical Information of China (English)

    2006-01-01

    China's efforts to build a harmonious world begin with establishing peaceful borders with its neighbors China's recent contribution to the world of international relations is the promotion of "building a harmonious world together," put forward by President Hu Jintao at the 60th anniversary of the UN in September 2005. As the core of the country's peaceful foreign policy in the new era, this approach has been well received and widely discussed in the international community. Meanwhile, Chinese foreign pol...

  7. Providing for energy efficiency in homes and small buildings. Part I. Understanding and practicing energy conservation in buildings

    Energy Technology Data Exchange (ETDEWEB)

    Parady, W. Harold; Turner, J. Howard

    1980-06-01

    This is a training program to educate students and individuals in the importance of conserving energy and to provide for developing skills needed in the application of energy-saving techniques that result in energy-efficient buildings. A teacher guide and student workbook are available to supplement the basic guide, which contains three parts. Part I considers the following: understanding the importance of energy; developing a concern for conserving energy; understanding the use of energy in buildings; care and maintenance of energy-efficient buildings; and developing energy-saving habits. A bibliography is presented.

  8. Pediatric palliative care.

    Science.gov (United States)

    Moody, Karen; Siegel, Linda; Scharbach, Kathryn; Cunningham, Leslie; Cantor, Rabbi Mollie

    2011-06-01

    Progress in pediatric palliative care has gained momentum, but there remain significant barriers to the appropriate provision of palliative care to ill and dying children, including the lack of properly trained health care professionals, resources to finance such care, and scientific research, as well as a continued cultural denial of death in children. This article reviews the epidemiology of pediatric palliative care, special communication concerns, decision making, ethical and legal considerations, symptom assessment and management, psychosocial issues, provision of care across settings, end-of-life care, and bereavement. Educational and supportive resources for health care practitioners and families, respectively, are included. PMID:21628042

  9. Viewing Health Care Delivery as Science: Challenges, Benefits, and Policy Implications

    OpenAIRE

    Pronovost, Peter J.; Goeschel, Christine A.

    2010-01-01

    The need for health services research is likely to rise rapidly as the population ages, health care costs soar, and therapeutic and diagnostic choices proliferate. Building an effective and efficient health care delivery system is a national priority. Yet the national health care quality report concludes that we lack the ability to monitor progress toward even basic quality and patient safety goals effectively.

  10. CTEPP DATA COLLECTION FORM 05: CHILD DAY CARE CENTER PRE-MONITORING QUESTIONNAIRE

    Science.gov (United States)

    This data collection form is used to identify the potential sources of pollutants at the day care center. The day care teacher is asked questions related to the age of their day care building; age and frequency of cleaning carpets or rugs; types of heating and air conditioning de...

  11. Towards a taxonomy for integrated care: A mixed-methods study

    NARCIS (Netherlands)

    Valentijn, P.P.; Boesveld, I.C.; Klauw, D.M. van der; Ruwaard, D.; Struijs, J.N.; Molema, J.J.W.; Bruijnzeels, M.A.; Vrijhoef, H.J.M.

    2015-01-01

    Introduction: Building integrated services in a primary care setting is considered an essential important strategy for establishing a highquality and affordable health care system. The theoretical foundations of such integrated service models are described by the Rainbow Model of Integrated Care, wh

  12. Building Services Requests Subsystem (BSRS)

    Data.gov (United States)

    Department of Transportation — Lotus Notes workflow application used for the submission, processing, tracking and reporting of building service related requiests. Enables regional office building...

  13. Education for Care and Sustainable Life

    Directory of Open Access Journals (Sweden)

    Victoria Vásquez Verdera

    2014-07-01

    Full Text Available Reflective paper that presents results of research conducted from the perspective of the ethic of care. To board the issue of what do educational organizations do when they care; a methodology for critical-hermeneutic character is followed. Different texts are selected and interpreted with the intention to argue a speech that is considered not univocal. It draws on original sources to address the topic of how to put into action the philosophy of care education. Challenges arise as the need to: (1 seek collaboration in interpersonal and institutional relations, (2 include plural perspectives to build a public speech that doesn´t obscure the diversity of human experience, and (3 analyze critically and honest our daily practices so as not to legitimize the use of violence. Ways to promote the development from the perspective of the ethic of care and concludes by identifying the key elements of this educational perspective are presented.

  14. GP and nurses' perceptions of how after hours care for people receiving palliative care at home could be improved: a mixed methods study

    OpenAIRE

    Miles Gail; O'Connor Margaret M; Tan Heather M; Klein Britt; Schattner Peter

    2009-01-01

    Abstract Background Primary health care providers play a dominant role in the provision of palliative care (PC) in Australia but many gaps in after hours service remain. In some rural areas only 19% of people receiving palliative care achieve their goal of dying at home. This study, which builds on an earlier qualitative phase of the project, investigates the gaps in care from the perspective of general practitioners (GPs) and PC nurses. Methods Questionnaires, developed from the outcomes of ...

  15. Integrating palliative care into comprehensive cancer care.

    Science.gov (United States)

    Abrahm, Janet L

    2012-10-01

    While there are operational, financial, and workforce barriers to integrating oncology with palliative care, part of the problem lies in ourselves, not in our systems. First, there is oncologists' "learned helplessness" from years of practice without effective medications to manage symptoms or training in how to handle the tough communication challenges every oncologist faces. Unless they and the fellows they train have had the opportunity to work with a palliative care team, they are unlikely to be fully aware of what palliative care has to offer to their patients at the time of diagnosis, during active therapy, or after developing advanced disease, or may believe that, "I already do that." The second barrier to better integration is the compassion fatigue many oncologists develop from caring for so many years for patients who, despite the oncologists' best efforts, suffer and die. The cumulative grief oncologists experience may go unnamed and unacknowledged, contributing to this compassion fatigue and burnout, both of which inhibit the integration of oncology and palliative care. Solutions include training fellows and practicing oncologists in palliative care skills (eg, in symptom management, psychological disorders, communication), preventing and treating compassion fatigue, and enhancing collaboration with palliative care specialists in caring for patients with refractory distress at any stage of disease. As more oncologists develop these skills, process their grief, and recognize the breadth of additional expertise offered by their palliative care colleagues, palliative care will become integrated into comprehensive cancer care. PMID:23054873

  16. Development of two Danish building typologies for residential buildings

    DEFF Research Database (Denmark)

    Kragh, Jesper; Wittchen, Kim Bjarne

    2014-01-01

    building types: single-family houses, terraced houses and blocks of flats. Each main building type is presented for nine periods representing age, typical building tradition and insulation levels. Finally, an energy balance model of the residential building stock was devised to validate the average...

  17. The role of programmed and emergent mechanisms of coordination: How standardized care pathways contribute to coordinate care tasks in hospitals

    DEFF Research Database (Denmark)

    Prætorius, Thim

    mechanisms of coordination, this paper finds that standardized work processes such as care pathways should be considered as a bundle of coordination mechanisms—plans and rules, objects, routines, roles and proximity—rather than a mechanism of its own. The bundle builds the accountability, predictability and...... attention to identify and reinforce those underlying mechanisms. This provides solutions to deal with the fundamental challenge of care coordination in hospitals. The research builds on an in-depth, embedded case study of hospital care pathways. Care pathways are particularly interesting because they mirror......Hospitals face substantial coordination challenges. To meet this hospitals more and more use standardized work processes such as care pathways. By drawing on recent coordination theory that increasingly emphasizes the role of lateral and emergent interactions alongside traditional, programmed...

  18. Being the Change: An Inner City School Builds Peace

    Science.gov (United States)

    Curry, Marnie W.

    2014-01-01

    This article describes an urban high school's response to gun violence, chronicling how the school's mission, full-service community orientation, and commitment to authentic cariño (caring) allowed students to respond to grief and tragedy and develop an ongoing peace building movement that seeks to transform students' lives and the…

  19. 5 strategies for building a top-performing hospital.

    Science.gov (United States)

    McCarthy, Kathleen H

    2012-11-01

    A hospital's strategy for attaining high performance under value-based business models should focus on five key objectives: Building meaningful scale and scope; Focusing on more integrated care delivery and management; Attaining demonstrably high levels of clinical quality; Differentiating from the competition through superior customer service; Establishing a competitive cost position. PMID:23173363

  20. Building work in nuclear power plant construction in France

    International Nuclear Information System (INIS)

    A survey is given of the methods of forming and reinforcing concrete structures, concrete laying jobs, instrumentation and transport on the building sites, occupational safety, care of labour, and work quality testing used in the construction of nuclear power plants in France. (J.B.)

  1. Building air exhaustion device

    International Nuclear Information System (INIS)

    An opening is formed on the side wall of a building such as of a nuclear power plant, and a blow out panel is held (supported) by a clip for closing the opening. A large-diameter pipeline is connected at one end to the opening so as to cover the blow out panel, and immersed at the other end in a pool water. When a pipeline such as of main steam pipelines is ruptured in the building, high temperature and high pressure coolants are flown out from the ruptured port, and the pressure in the building is elevated. The blow out panel falls off from the side of the building by the elevation of the pressure in the building. Steams or compressed air discharged from the opening is introduced to the pool through the large diameter pipeline, then the steams are condensed by the pool water and radioactive materials contained in the condensed steams are kept in the pool water. Radioactive materials contained in the released compression air are also removed into the pool water. (I.N.)

  2. The Roles of Representations in Building Design

    DEFF Research Database (Denmark)

    Harty, Chris; Tryggestad, Kjell

    2012-01-01

    minimum) spatial requirements should be to allow effective care of patients. The first representation is a three dimensional augmented reality model of a single room for a new hospital in the UK, using a CAVE (Cave Automatic Virtual Environment) where the room is reproduced virtually at one-to-one scale......Mock-ups, scale models and drawings are ubiquitous in building design processes, circulating between various stakeholders. They contribute to the gradual evolution of design, but what else can specific material representations do for the building design and project? The full scale model...... of a hospital single bed room can be different in terms of detail and medium, but in what sense might it perform different and similar functions? The mobilization of multiple forms of representations and visualizations suggest that design materialization might have several important roles to play in negotiating...

  3. Aplikasi Teori Self-Care Deficit Orem dalam Konteks Tuna Wisma (Studi Literatur (The Application of Orem’s Self Care Deficit in Homeless Setting

    Directory of Open Access Journals (Sweden)

    Megah Andriyani

    2007-07-01

    Full Text Available Homeless health is government and NGO’s responsibilities for creating optimal citizen health status. Homeless is one of community health nursing clients. The Self Care Theory is used in nursing science for giving conceptual framework as a practical guidance and building self care knowledge through research. Orem described self care as a continuing intervention. It was needed and done by adult to be survived, healthy, and wellness. This theory is also used in homeless setting by many experts. This article aims to describe Orem’s Self Care Theory, describe homeless’ self care, and apply Orem’s Self Care Theory in homeless setting.

  4. SOLAR EFFECTS ON BUILDING DESIGN.

    Science.gov (United States)

    Building Research Inst., Inc., Washington, DC.

    A REPORT OF A PROGRAM HELD AS PART OF THE BUILDING RESEARCH INSTITUTE 1962 SPRING CONFERENCE ON THE SOLAR EFFECTS ON BUILDING DESIGN. TOPICS DISCUSSED ARE--(1) SOLAR ENERGY DATA APPLICABLE TO BUILDING DESIGN, (2) THERMAL EFFECTS OF SOLAR RADIATION ON MAN, (3) SOLAR EFFECTS ON ARCHITECTURE, (4) SOLAR EFFECTS ON BUILDING COSTS, (5) SELECTION OF…

  5. Automated model building

    CERN Document Server

    Caferra, Ricardo; Peltier, Nicholas

    2004-01-01

    This is the first book on automated model building, a discipline of automated deduction that is of growing importance Although models and their construction are important per se, automated model building has appeared as a natural enrichment of automated deduction, especially in the attempt to capture the human way of reasoning The book provides an historical overview of the field of automated deduction, and presents the foundations of different existing approaches to model construction, in particular those developed by the authors Finite and infinite model building techniques are presented The main emphasis is on calculi-based methods, and relevant practical results are provided The book is of interest to researchers and graduate students in computer science, computational logic and artificial intelligence It can also be used as a textbook in advanced undergraduate courses

  6. Buildings for advanced technology

    CERN Document Server

    Teague, E; Murday, James

    2015-01-01

    This book deals with the design and construction of buildings for nanoscale science and engineering research. The information provided in this book is useful for designing and constructing buildings for such advanced technologies as nanotechnology, nanoelectronics and biotechnology. The book outlines the technology challenges unique to each of the building environmental challenges outlined below and provides best practices and examples of engineering approaches to address them: • Establishing and maintaining critical environments: temperature, humidity, and pressure • Structural vibration isolation • Airborne vibration isolation (acoustic noise) • Isolation of mechanical equipment-generated vibration/acoustic noise • Cost-effective power conditioning • Grounding facilities for low electrical interference • Electromagnetic interference (EMI)/Radio frequency interference (RFI) isolation • Airborne particulate contamination • Airborne organic and chemical contamination • Environment, safety a...

  7. On building Information Warehouses

    CERN Document Server

    Laha, Arijit

    2009-01-01

    One of the most important goals of information management (IM) is supporting the knowledge workers in performing their works. In this paper we examine issues of relevance, linkage and provenance of information, as accessed and used by the knowledge workers. These are usually not adequately addressed in most of the IT based solutions for IM. Here we propose a non-conventional approach for building information systems for supporting the knowledge workers which addresses these issues. The approach leads to the ideas of building Information Warehouses (IW) and Knowledge work Support Systems (KwSS). Such systems can open up potential for building innovative applications of significant impact, including those capable of helping organizations in implementing processes for double-loop learning.

  8. Zero Energy Building

    DEFF Research Database (Denmark)

    Marszal, Anna Joanna; Heiselberg, Per; Bourrelle, J.S.;

    2011-01-01

    , (4) the type of energy balance, (5) the accepted renewable energy supply options, (6) the connection to the energy infrastructure and (7) the requirements for the energy efficiency, the indoor climate and in case of gird connected ZEB for the building–grid interaction. This paper focuses on the......The concept of Zero Energy Building (ZEB) has gained wide international attention during last few years and is now seen as the future target for the design of buildings. However, before being fully implemented in the national building codes and international standards, the ZEB concept requires...... clear and consistent definition and a commonly agreed energy calculation methodology. The most important issues that should be given special attention before developing a new ZEB definition are: (1) the metric of the balance, (2) the balancing period, (3) the type of energy use included in the balance...

  9. Building brains for bodies

    Science.gov (United States)

    Brooks, Rodney Allen; Stein, Lynn Andrea

    1994-01-01

    We describe a project to capitalize on newly available levels of computational resources in order to understand human cognition. We will build an integrated physical system including vision, sound input and output, and dextrous manipulation, all controlled by a continuously operating large scale parallel MIMD computer. The resulting system will learn to 'think' by building on its bodily experiences to accomplish progressively more abstract tasks. Past experience suggests that in attempting to build such an integrated system we will have to fundamentally change the way artificial intelligence, cognitive science, linguistics, and philosophy think about the organization of intelligence. We expect to be able to better reconcile the theories that will be developed with current work in neuroscience.

  10. Pediatric Palliative Care

    OpenAIRE

    Johnston, Donna L.; Hentz, Tracy A.; Friedman, Debra L.

    2005-01-01

    Pediatric palliative care provides benefit to children living with life-threatening or terminal conditions. Palliative care should be available to all seriously ill children. Palliative care includes the treatment of symptoms such as pain, nausea, dyspnea, constipation, anorexia, and sialorrhea. This care can occur in a variety of settings, from home to hospice to hospital, and must include bereavement care and follow up after the death of a child. There are many challenges in pediatric palli...

  11. Carbon Efficient Building Solutions

    Directory of Open Access Journals (Sweden)

    Pellervo Matilainen

    2010-03-01

    Full Text Available Traditionally, the Finnish legislation have focused on energy use and especially on energy used for heating space in buildings. However, in many cases this does not lead to the optimal concept in respect to minimizing green house gases. This paper studies how CO2 emission levels are affected by different measures to reduce energy use in buildings. This paper presents two real apartment buildings with different options of energy efficiency and power sources. The calculations clearly show that in the future electricity and domestic hot water use will have high importance in respect to energy efficiency, and therefore also CO2 equivalent (eq emissions. The importance increases when the energy efficiency of the building increases. There are big differences between average Finnish production and individual power plants; CO2 eq emissions might nearly double depending on the energy source and the power plant type. Both a building with an efficient district heating as a power source, and a building with ground heat in addition to nuclear power electricity as a complimentary electricity source performed very similarly to each other in respect to CO2 eq emissions. However, it is dangerous to conclude that it is not important which energy source is chosen. If hypothetically, the use of district heating would dramatically drop, the primary energy factor and CO2 eq emissions from electricity would rise, which in turn would lead to the increase of the ground heat systems emissions. A problem in the yearly calculations is that the fact that it is very important, sometimes even crucial, when energy is needed, is always excluded.

  12. The gaps between healthcare service and building design: a state of the art review

    OpenAIRE

    Tzortzopoulos, Patricia; Codinhoto, Ricardo; Kagioglou, Mike; Rooke, John; Koskela, Lauri

    2009-01-01

    Healthcare buildings are designed to achieve diverse objectives, ranging from providing appropriate environments where care can be delivered to communities to increasing operational efficiency and improving patient flows and the patient experience. Improvements in operational efficiency should result from state-of-the-art buildings, more appropriate layouts, departmental adjacencies, efficient clinical and business processes and enhanced information systems. However, complexities around requi...

  13. What Do You Stand for? For Teens: A Guide to Building Character

    Science.gov (United States)

    Lewis, Barbara A.

    2005-01-01

    Young people need guidance from caring adults to build strong, positive character traits--but they can also build their own. This book by the best-selling author of "The Kid's Guide to Social Action" invites children and teens to explore and practice honesty, kindness, empathy, integrity, tolerance, patience, respect, and more. Quotations and…

  14. building integrated wind energy

    OpenAIRE

    Wang, Jialin

    2013-01-01

    In considering methods of reducing the emission of carbon dioxide; there is a growing interest for use of wind power at domestic building in U.K. But the technology of wind turbines development in building environment is more complicated than in open areas. Small wind turbines in suburban areas have been reported as having unsatisfactory energy output, but it is not clear whether this is due to insufficient wind resource or low turbine efficiency. The aim of this research is to discover wheth...

  15. Architecture Building Sustainability

    Institute of Scientific and Technical Information of China (English)

    DAVID HENDRICKSON

    2006-01-01

    @@ Leading architectural design and engineering firm, Skidmore,Owings, & Merrill (SOM), is renowned for pushing the envelope, masterminding some of the world's most cutting edge and enduring structural masterpieces - America's tallest building, the Sears Tower,in the firm's home city of Chicago, the 88-story Jinmao Tower in Shanghai, and the Freedom Tower in New York City, successor to the fallen World Trade Center complex,are among the well known projects in its building portfolio. SOM's next high profile assignment, the Pearl River Tower, in Guangzhou is one no less worthy of this tradition.

  16. PV cool-build

    Energy Technology Data Exchange (ETDEWEB)

    Cross, B.; Nuh, D.

    2004-07-01

    This report summarises the findings of a project to develop a method for calculating the operating temperature of building integrated photovoltaic (BIPV) modules/laminates which are estimated to operate above ambient temperature. The aim of the study was to minimise the temperature of the BIPV in order to increase the production of clean electricity. Details are given of a series of indoor experiments, computer modelling, and outdoor measurements. The production of a readily available, user-friendly design guide for architects and building designers is discussed.

  17. Building the perfect PC

    CERN Document Server

    Thompson, Robert Bruce

    2006-01-01

    This popular Build-It-Yourself (BIY) PC book covers everything you want to know about building your own system: Planning and picking out the right components, step-by-step instructions for assembling your perfect PC, and an insightful discussion of why you'd want to do it in the first place. Most big brand computers from HP, Dell and others use lower-quality components so they can meet their aggressive pricing targets. But component manufacturers also make high-quality parts that you can either purchase directly, or obtain through distributors and resellers. Consumers and corporations

  18. Building UIs with Wijmo

    CERN Document Server

    Zhang, Yuguang

    2013-01-01

    Written with an example-based approach, Building UIs with Wijmo leads you step by step through the implementation and customization of each library component and its associated resources. Reference tables of each configuration option, method, and event for each component are provided, alongside detailed explanations of how each widget is used.Building UIs with Wijmo is targeted at readers who are familiar with HTML, CSS, JavaScript, and jQuery, and have a basic understanding of web development. Although knowledge of jQuery UI is not mandatory, it would be a bonus as it is quite similar to Wijm

  19. Building global learning communities

    Directory of Open Access Journals (Sweden)

    Averill Gordon

    2013-09-01

    Full Text Available Within the background where education is increasingly driven by the economies of scale and research funding, we propose an alternative online open and connected framework (OOC for building global learning communities using mobile social media. We critique a three year action research case study involving building collaborative global learning communities around a community of practice of learning researchers and practitioners. The results include the development of a framework for utilising mobile social media to support collaborative curriculum development across international boundaries. We conclude that this framework is potentially transferrable to a range of educational contexts where the focus is upon student-generated mobile social media projects.

  20. Ecology Beyond Building

    DEFF Research Database (Denmark)

    Peters, Terri

    2011-01-01

    As the designers of the WWf building in Zeist, The Netherslands a CO2-neutral, self-sufficient office complex, RAU has set the bar for sustainable research and design. Guesteditor Terri Peters visited the firm's studio in Amsterdam to talk to principal Thomas Rau. As Peters relates, Rau prefers to...... put on the dwindling supply of raw materials rather than the immidiate problems of energy consumption for which there are solutions within reach. With the emphasis on a more far-reaching approach, he places buildings in a wider context of ecological thinking and systems....

  1. Sustainable Development and Green Buildings

    OpenAIRE

    Arijit Sinha; Rakesh Gupta; Andreja Kutnar

    2013-01-01

    Global sustainability goals have led to the development of the green building movement. The Green Building Program, stemming from the movement, has had unprecedented success as it provides a quantifiable metric to people’s efforts towards sustainable development. Sustainable development and green buildings are often used interchangeably. Although, sustainable development and green buildings are related, they are not the same. This paper provides an overview of how green building relates to su...

  2. Building materials in a green economy: A book review

    Directory of Open Access Journals (Sweden)

    Kazi Abdur Rouf

    2013-09-01

    Full Text Available This paper reviews the book ’Building Materials in a Green Economy' written by Brian Milani (2005. The book has eight chapters. This paper deals with the importance of building materials in our lives. The book mainly focuses on the centrality of building materials in all forms of society global indicates how materials are produced, used and reused, which will inevitably affect the quality of lives of those who harvest/create them versus those who benefit from the materials. Brian Milani highlights that the current process for managing building materials is not done in an eco-conscious manner that would entail conservation, maintenance and recycled materials. He addresses how regulation and education will be the key in making changes in the proper management of building materials. Also looks to understand how the building industry informs ‘positional economic development’; warns the readers about the destruction of the Mother Earth by corporations; and manufacturing not eco-friendly building materials and their wastage. Hence, it is important that corporations should produce building materials that are eco-friendly and care for environmental sovereignty.

  3. Dynamic Soil-Structure Interaction of Instrumented Buildings and Test Structures

    OpenAIRE

    Givens, Michael James

    2013-01-01

    The effects of soil-structure interaction (SSI) are investigated through careful interpretation of available data from instrumented buildings and recently performed forced vibration experiments on instrumented buildings and test structures. Conventional engineering practice typically ignores soil-structure interaction (SSI) during evaluation of the seismic demand on buildings based on the perception that consideration of SSI will reduce demands on structures and ignoring SSI effects will caus...

  4. Building Envelope for New Buildings and Energy Renovation of Old Buildings

    DEFF Research Database (Denmark)

    Rudbeck, Claus Christian

    The Building Envelope Project at Technical University of Denmark should, in coorporation with associated trade organizations, strengthen the development on the building envelope area with focus on heat, moisture and economy......The Building Envelope Project at Technical University of Denmark should, in coorporation with associated trade organizations, strengthen the development on the building envelope area with focus on heat, moisture and economy...

  5. Cost recovery of NGO primary health care facilities: a case study in Bangladesh

    OpenAIRE

    Alam Khurshid; Ahmed Shakil

    2010-01-01

    Abstract Background Little is known about the cost recovery of primary health care facilities in Bangladesh. This study estimated the cost recovery of a primary health care facility run by Building Resources Across Community (BRAC), a large NGO in Bangladesh, for the period of July 2004 - June 2005. This health facility is one of the seven upgraded BRAC facilities providing emergency obstetric care and is typical of the government and private primary health care facilities in Bangladesh. Give...

  6. Model development for international nurse educator partnerships: relationship-building process and strategies

    OpenAIRE

    Sandra Cadena

    2012-01-01

    Cultural diversity and its impact on patient care contribute to persistent health care disparities. In attempts to enhance nursing student cultural awareness and sensitivity, nurse educators seek international opportunities, often times in low resource countries, as ways to expand upon culturally diverse experiences. A model that addresses relationship-building among faculty from different countries and cultures contributes to enhanced professional relationships, minimizes colla...

  7. Moisture conditions in buildings

    DEFF Research Database (Denmark)

    Rode, Carsten

    2012-01-01

    Growth of mould requires the presence of moisture at a certain high level. In a heated indoor environment such moisture levels occur only if there is a reason for the moisture supply. Such moisture can come from the use of the building, because of malfunctioning constructions, or it can be the...

  8. Building Migratory Bridges

    Science.gov (United States)

    Roy, Michael; Doss, Laurie K.

    2007-01-01

    The Building Migratory Bridges (BOMB) program--a collaboration between the Marvel wood School and Audubon Sharon in Connecticut and Conservation Research Education Action (CR EA), a U.S. not-for-profit in Panama--uses nontropical migratory bird research in the United States and Panama to demonstrate how negative environmental impacts in one…

  9. Building Background Knowledge

    Science.gov (United States)

    Neuman, Susan B.; Kaefer, Tanya; Pinkham, Ashley

    2014-01-01

    This article make a case for the importance of background knowledge in children's comprehension. It suggests that differences in background knowledge may account for differences in understanding text for low- and middle-income children. It then describes strategies for building background knowledge in the age of common core standards.

  10. Building with History

    DEFF Research Database (Denmark)

    Douglas-Jones, Rachel; Adams, Charlotte; Green, Adrian;

    2014-01-01

    Drawing on interdisciplinary research focusing on Durham University estate, we describe how buildings constructed as part of an eighteenth century transition to a high carbon coal-based economy, are used and understood by their current inhabitants. Applied heritage research has tended to focus on...

  11. Vedr.: Military capacity building

    DEFF Research Database (Denmark)

    Larsen, Josefine Kühnel; Struwe, Lars Bangert

    2013-01-01

    Kühnel Larsen and researcher Lars Bangert Struwe of CMS had organized a seminar in collaboration with Royal Danish Defense Colleg and the East African Security Governance Network. The seminar focused on some of the risks involved in Military capacity building and how these risks are dealt with from...

  12. Checklist for Physics Buildings.

    Science.gov (United States)

    American Inst. of Physics, New York, NY.

    This booklet was written to encourage close communication between architect and client and to assist planners of physics facilities in providing important features of building design. Some 300 items considered important are listed Also included is a list of 17 references related to facility construction (many available free of charge. A companion…

  13. Building a Twig Phylogeny

    Science.gov (United States)

    Flinn, Kathryn M.

    2015-01-01

    In this classroom activity, students build a phylogeny for woody plant species based on the morphology of their twigs. Using any available twigs, students can practice the process of cladistics to test evolutionary hypotheses for real organisms. They identify homologous characters, determine polarity through outgroup comparison, and construct a…

  14. Gaze Interactive Building Instructions

    DEFF Research Database (Denmark)

    Hansen, John Paulin; Ahmed, Zaheer; Mardanbeigi, Diako

    We combine eye tracking technology and mobile tablets to support hands-free interaction with digital building instructions. As a proof-of-concept we have developed a small interactive 3D environment where one can interact with digital blocks by gaze, keystroke and head gestures. Blocks may be moved...

  15. Future Green Buildings

    DEFF Research Database (Denmark)

    Mathiesen, Brian Vad; Drysdale, David; Lund, Henrik;

    an energy system integration perspective, heat savings, electricity savings, and user behavioural aspects as well as energy storage and household level flexibility. Many reports on green or sustainable buildings focus only on savings levels and disregard the cost of renewable energy production. Some reports...

  16. Radioactivity in building materials

    International Nuclear Information System (INIS)

    The present report, drawn up at the request of the former Minister of Public Health and Environmental Affairs of the Netherlands, discusses the potential radiological consequences for the population of the Netherlands of using waste materials as building materials in housing construction. (Auth.)

  17. Building Project Competence

    DEFF Research Database (Denmark)

    Pemsel, Sofia; Wiewiora, Anna

    This research investigates the development of project competence, and particularly, three related dynamic capabilities (shifting, adapting, leveraging) that contribute to project competence development. In doing so, we make use of the emerging literature on knowledge governance and theorize how...... of dynamic capability building promoting project competence development....

  18. Customer loyalty building

    OpenAIRE

    Nováková, Veronika

    2012-01-01

    This bachelor thesis focuses on the customer loyalty. It gives an example of CRM project which aims to build the loyalty of customers to some brand or product so the customer would return to the company and would be satisfied with all products and services he get.

  19. Building with Sand

    Science.gov (United States)

    Ashbrook, Peggy

    2010-01-01

    Children playing in damp sand invariably try to make a tower or a tunnel. By providing experiences with a variety of materials, alone and together, teachers set up the conditions for children to learn through their senses and ensure that a class approaches a topic with a common set of experiences to build on. Learning about the properties of…

  20. Building the quantum network

    International Nuclear Information System (INIS)

    We show how quantum key distribution (QKD) techniques can be employed within realistic, highly secure communications systems, using the internet architecture for a specific example. We also discuss how certain drawbacks in existing QKD point-to-point links can be mitigated by building QKD networks, where such networks can be composed of trusted relays or untrusted photonic switches. (author)

  1. References on Sustainable Buildings

    OpenAIRE

    Hui, Sam CM

    2005-01-01

    This web site is developed with the aim to promote sustainable design and planning of buildings. Selected references including books, reports, audio/visual materials and journals are listed. Most of the materials can be found in the HKU Libraries. To facilitate retrieval, links are provided to the library catalogue system for further information and study.

  2. Deactivation of Building 7602

    International Nuclear Information System (INIS)

    The Department of Energy (DOE) has sponsored research and development programs in Building 7602 at Oak Ridge National Laboratory (ORNL) since 1984. This work focused on development of advanced technology for processing nuclear fuels. Building 7602 was used for engineering-scale tests using depleted and natural uranium to simulate the nuclear fuel. In April 1994 the DOE Office of Nuclear Energy (NE) sent supplemental FY 1994 guidance to ORNL stating that in FY 1995 and beyond, Building 7602 is considered surplus to NE programs and missions and shall be shut down (deactivated) and maintained in a radiologically and industrially safe condition with minimal surveillance and maintenance (S ampersand M). DOE-NE subsequently provided FY 1995 funding to support the deactivation activities. Deactivation of Building 7602 was initiated on October 1, 1994. The principal activity during the first quarter of FY 1995 was removal of process materials (chemicals and uranium) from the systems. The process systems were operated to achieve chemical solution concentrations needed for reuse or disposal of the solutions prior to removal of the materials from the systems. During this phase of deactivation the process materials processed and removed were: (1) Uranyl nitrate solution 30,178 L containing 4490 kg of uranium; (2) Nitric acid (neutralized) 9850 L containing less than 0.013 kg of uranium; (3) Organic solution 3346 L containing 265 kg of uranium; (4) Uranium oxide powder 95 kg; and (5) Miscellaneous chemicals. At the end of December 1994, the process systems and control systems were shut down and deactivated. Disposition of the process materials removed from the process systems in Building 7602 proved to be the most difficult part of the deactivation. An operational stand down and funding reductions at Y-12 prevented planned conversion of the uranyl nitrate solution to depleted uranium oxide powder. This led to disposal of the uranyl nitrate solution as waste

  3. PROGRESS IN ENERGY EFFICIENT BUILDINGS

    Energy Technology Data Exchange (ETDEWEB)

    Wall, L.W.; Rosenfeld, A.H.

    1982-12-01

    Recent accomplishments in buildings energy research by the diverse groups in the Energy Efficient Buildings Program at Lawrence Berkeley Laboratory (LBL) are summarized. We review technological progress in the areas of ventilation and indoor air quality, buildings energy performance, computer modeling, windows, and artificial lighting. The need for actual consumption data to track accurately the improving energy efficiency of buildings is being addressed by the Buildings Energy Data (BED) Group at LBL. We summarize results to date from our Building Energy Use Compilation and Analysis (BECA) studies, which include time trends in the energy consumption of new commercial and new residential buildings, the measured savings being attained by both commercial and residential retrofits, and the cost-effectiveness of buildings energy conservation measures. We also examine recent comparisons of predicted vs. actual energy usage/savings, and present the case for building energy use labels.

  4. Measuring Nursing Care Value.

    Science.gov (United States)

    Welton, John M; Harper, Ellen M

    2016-01-01

    The value of nursing care as well as the contribution of individual nurses to clinical outcomes has been difficult to measure and evaluate. Existing health care financial models hide the contribution of nurses; therefore, the link between the cost and quality o nursing care is unknown. New data and methods are needed to articulate the added value of nurses to patient care. The final results and recommendations of an expert workgroup tasked with defining and measuring nursing care value, including a data model to allow extraction of key information from electronic health records to measure nursing care value, are described. A set of new analytic metrics are proposed. PMID:27055306

  5. Research in cardiovascular care

    DEFF Research Database (Denmark)

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

    2014-01-01

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

  6. care about还是care for?

    Institute of Scientific and Technical Information of China (English)

    曾克辉

    2015-01-01

    1问care about和care for可以相互替换使用吗?答:有时可以。但在不同情况下,它们在较确切的含义上还是有区别的。1在表示"喜欢,关心,担心"时,意思一样,常可以互换使用。如:I care about/for your integrity and honesty.我喜欢你的正直和诚实。She doesn’t care about/for politics.她不关心政治。You needn't care about/for his safety.你不必为他的安全担心。2在表示"介意,计较,在乎"等意思时,

  7. Building codes: An often overlooked determinant of health.

    Science.gov (United States)

    Chauvin, James; Pauls, Jake; Strobl, Linda

    2016-05-01

    Although the vast majority of the world's population spends most of their time in buildings, building codes are not often thought of as 'determinants of health'. The standards that govern the design, construction, and use of buildings affect our health, security, safety, and well-being. This is true for dwellings, schools, and universities, shopping centers, places of recreation, places of worship, health-care facilities, and workplaces. We urge proactive engagement by the global public health community in developing these codes, and in the design and implementation of health protection and health promotion activities intended to reduce the risk of injury, disability, and death, particularly when due to poor building code adoption/adaption, application, and enforcement. PMID:26935404

  8. Building a Community

    Science.gov (United States)

    Cookson, Peter W., Jr.

    2004-01-01

    When children are securely attached and feel safe within a group, they are free to use their cognitive capacities in ways that are unimaginable. While there is no secret formula for creating genuine learning environments, the author of this paper offers a few ideas for fostering a positive and caring learning environment in the classroom.

  9. The energy performance of office buildings throughout their building process

    OpenAIRE

    Entrop, A.G.; Dewulf, G.P.M.R.; Wamelink, J.W.F.; Geraedts, R.P.; L. Volker

    2011-01-01

    Many innovative techniques and policy measures have been introduced to reduce energy consumption. Despite the high ambitions and societal pressures, the adoption rate of energy measures in office buildings is still low. Using adoption theories this paper provides a framework to analyse the adoption process of energy saving techniques in building processes. This framework is used to analyse the design and building processes of four Dutch office buildings. In these processes the roles of the st...

  10. National Health Care Survey

    Science.gov (United States)

    This survey encompasses a family of health care provider surveys, including information about the facilities that supply health care, the services rendered, and the characteristics of the patients served.

  11. Wound Care: Preventing Infection

    Science.gov (United States)

    ... happening, the better you’ll be prepared to take care of yourself once you leave the hospital. You ... skin. If you catch a problem early and take care, you will often be able to continue to ...

  12. Caring for the Caregiver

    Science.gov (United States)

    ... But during this time, it’s important that caregivers take care of themselves too. PDF Kindle ePub This booklet ... cancer This booklet is not about how to take care of a patient. Instead, it mainly provides ways ...

  13. Day Care Centers

    Data.gov (United States)

    Department of Homeland Security — This database contains locations of day care centers for 50 states and Washington D.C. and Puerto Rico. The dataset only includes center based day care locations...

  14. US EPA CARE Grants

    Data.gov (United States)

    U.S. Environmental Protection Agency — This is a provisional dataset that contains point locations for the subset of Community Action for a Renewed Environment (CARE) grants given out by the US EPA. CARE...

  15. Palliative Care in Cancer

    Science.gov (United States)

    ... care that is given to a person when cancer therapies are no longer controlling the disease. It focuses on caring, not curing. When a person has a terminal diagnosis (usually defined as having a life expectancy ...

  16. Critical Care Team

    Science.gov (United States)

    ... of these areas: Surgery Internal medicine Pediatrics Anesthesiology Critical care nurse: A highly skilled nurse who provides all aspects ... and can often uphold the patient's wishes. The critical care nurse becomes an important part of decision-making with ...

  17. Surgical Critical Care Initiative

    Data.gov (United States)

    Federal Laboratory Consortium — The Surgical Critical Care Initiative (SC2i) is a USU research program established in October 2013 to develop, translate, and validate biology-driven critical care....

  18. Preeclampsia - self-care

    Science.gov (United States)

    ... page: //medlineplus.gov/ency/patientinstructions/000606.htm Preeclampsia - self-care To use the sharing features on this ... have frequent checkups and tests. Bed Rest and Self-care at Home When you are at home, ...

  19. Pet Care: MRSA FAQ

    Science.gov (United States)

    ... AVMA Meeting Dates Meetings & CE Calendar Symposiums & Summits Pet Health Awareness Events About AVMA Who We Are ... 12 Educators You are here: Home | Public Resources | Pet Care Print Share This! Your Veterinarian Pet Care ...

  20. Does Care Matter?

    DEFF Research Database (Denmark)

    Loft, Lisbeth Trille Gylling; Hogan, Dennis P.

    2014-01-01

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

  1. CareCoor

    DEFF Research Database (Denmark)

    Bossen, Claus; Christensen, Lars Rune; Grönvall, Erik;

    2013-01-01

    Objectives The present study aims to augment the network of home care around elderly. We investigate the nature of cooperative work between relatives and home care workers around elderly persons; present the CareCoor system developed to support that work; and report experiences from two pilot tests...... persons. The design implications led to the development of a prototype, called CareCoor, which is accessible via a tablet PC and on the Internet. CareCoor was subsequently evaluated in two pilot tests. The first lasted a week and included three elderly, their next of kin and the affiliated home care...... workers, while the second test lasted for six weeks and involved five elderly people, their next of kin and relevant home care workers. Results In the paper we make three major points, namely, (1) home care work is highly cooperative in nature and involves substantial coordinative efforts on the part...

  2. Diabetes - eye care

    Science.gov (United States)

    ... page: //medlineplus.gov/ency/patientinstructions/000078.htm Diabetes - eye care To use the sharing features on this ... enable JavaScript. Diabetic retinopathy - care Diabetes and your eyes Diabetes can harm your eyes. It can damage ...

  3. Spiritual care in a hospital setting: nurses’ and patients’ perspectives

    Directory of Open Access Journals (Sweden)

    Jan P. Vlasblom

    2012-04-01

    Full Text Available Many patients wish to discuss spiritual issues with nurses. Previous work has shown that nurses do so infrequently. A mixed methods research approach was used to investigate the perceptions of spiritual care of nurses and patients. Fifty-one nurses and 75 patients of five hospital departments of a non-academic hospital in the Netherlands were surveyed in 2007. We recorded the nurses’ perception of patient wishes, perceived relevance of spiritual care for patients, spiritual care provided in practice, and their evaluation of the spiritual care provided for the patients. With regard to the patients the nurses cared for, we recorded their satisfaction with the information and experiences of spiritual care provided by the nurses. Furthermore, semi-structured qualitative interviews with eight nurses examined the nurses’ perceptions of spiritual care including perceived barriers and facilitators of spiritual care giving. The nurses generally perceived spiritual care as important. The quantitative and qualitative research indicated that time to listen, availability, empathic skills, openness to other opinions, and a good relationship of trust were important facilitators. Fortyone per cent of the nurses said that few patients received sufficient attention to their spiritual needs. Patients also experienced limitations in the support for and registration of their spiritual needs. Both nurses and patients acknowledged shortcomings in the provision of spiritual care. Even though some issues may be improved relatively easily, such as registering needs, in practice giving spiritual care is complex, as it requires being available and building a relationship with the patient.

  4. Net Zero Energy Buildings

    DEFF Research Database (Denmark)

    Marszal, Anna Joanna; Bourrelle, Julien S.; Musall, Eike;

    2010-01-01

    The international cooperation project IEA SHC Task 40 / ECBCS Annex 52 “Towards Net Zero Energy Solar Buildings”, attempts to develop a common understanding and to set up the basis for an international definition framework of Net Zero Energy Buildings (Net ZEBs). The understanding of such buildings...... and how the Net ZEB status should be calculated differs in most countries. This paper presents an overview of Net ZEBs energy calculation methodologies proposed by organisations representing eight different countries: Austria, Canada, Denmark, Germany, Italy, Norway, Switzerland and the USA. The...... different parameters used in the calculations are discussed and the various renewable supply options considered in the methodologies are summarised graphically. Thus, the paper helps to understand different existing approaches to calculate energy balance in Net ZEBs, highlights the importance of variables...

  5. Building a Model Astrolabe

    CERN Document Server

    Ford, Dominic

    2012-01-01

    This paper presents a hands-on introduction to the medieval astrolabe, based around a working model which can be constructed from photocopies of the supplied figures. As well as describing how to assemble the model, I also provide a brief explanation of how each of its various parts might be used. The printed version of this paper includes only the parts needed to build a single model prepared for use at latitudes around 52{\\deg}N, but an accompanying electronic file archive includes equivalent images which can be used to build models prepared for use at any other latitude. The vector graphics scripts used to generate the models are also available for download, allowing customised astrolabes to be made.

  6. Radon in residential buildings

    International Nuclear Information System (INIS)

    For the investigation, a passive integrating radon dose meter developed at the KfK Karlsruhe was used. This institute also carried out the evaluation of all dose meters. The inquiry data were collected and statistically evaluated centrally by the Radiation Hygiene Institute of the German Health Authorities. Results obtained from almost 6.000 appartments show a distinct regional distribution of the measured values closely related to the geological conditions of the respected area. Surprisingly, there was little dependency on the building materials, with the exception of natural stone houses. The analysis showed that the structural characteristics of a building likely to influence the penetration of radon from the soil have a great effect on the Rn level. Generally, the frequency distribution of the measured values follows a logarithmic Gaussian distribution. Based on a median of 40 Bg/m3, the annual effective dose equivalent is about 1 mSv. (orig./HP)

  7. Building and using binoscopes

    CERN Document Server

    Butler, Norman

    2015-01-01

    Focusing on both homemade and commercial products, this book provides the reader with simple and straightforward information about the modelling and building of binoscopes. Binoscopes can be thought of as binoculars enlarged to the size of telescopes: essentially, a combination of the two. Constructing a binoscope is easier than most people think, but it still demands attention to detail and proper background knowledge. The author goes on to provide additional information about how to understand the products currently on the market, should the reader choose to purchase a binoscope instead of building one. Lastly, the book also compares binoscopes with telescopes in great detail, outlining the differences the reader can expect to see in the night sky from using both. The celestial views obtained with a binoscope, compared to a single telescope of the same aperture, are a very different experience and well worth the effort.

  8. Parental Care and Investment

    OpenAIRE

    González-Voyer, Alejandro; Kolm, N.

    2010-01-01

    Parental care is common throughout the animal kingdom and among caring species there is a bewildering variation in how parents care for offspring, as well as in the amount of resources parents invest in care. For instance, there is considerable variation in the relative parental investment by the sexes – in some species females invest more, in others males invest more, and in some investment is more or less equally shared. Different hypotheses have been proposed to explain patterns of parenta...

  9. Creonization of health care.

    Science.gov (United States)

    Bulger, R J

    1990-01-01

    As prefigured in the Greek tragedy Antigone, one of the primary conflicts in contemporary health care is that between humane concern for the individual and concern for society at large and administrative rules. The computerization of the health care system and development of large data bases will create new forms of this conflict that will challenge the self-definition of health care and health care professionals. PMID:2394563

  10. Building synthetic memory

    OpenAIRE

    Inniss, Mara C.; Silver, Pamela A.

    2013-01-01

    Cellular memory – conversion of a transient signal into a sustained response – is a common feature of biological systems. Synthetic biologists aim to understand and reengineer such systems in a reliable and predictable manner. Synthetic memory circuits have been designed and built in vitro and in vivo based on diverse mechanisms such as oligonucleotide hybridization, recombination, transcription, phosphorylation, and RNA editing. Thus far, building these circuits has helped us explore the bas...

  11. Exploratory Model Building

    OpenAIRE

    Bhatnagar, Raj

    2013-01-01

    Some instances of creative thinking require an agent to build and test hypothetical theories. Such a reasoner needs to explore the space of not only those situations that have occurred in the past, but also those that are rationally conceivable. In this paper we present a formalism for exploring the space of conceivable situation-models for those domains in which the knowledge is primarily probabilistic in nature. The formalism seeks to construct consistent, minimal, and desirable situation-d...

  12. BUILD UP Skills Danmark

    DEFF Research Database (Denmark)

    Forsingdal, Charlotte Vartou; Lauridsen, Vagn Holk; Hougaard, Karsten Frøhlich;

    opfyldelsen af 2020-målene, skal de rette kompetencer inden for energief-fektivitet og brug af vedvarende energi være til stede blandt de udførende i bygge- og an-lægsbranchen. Det er på denne baggrund, at Europa-Kommissionen har igangsat Build Up Skills projektet på tværs af Europa. Formålet med denne...

  13. Towards universal university buildings

    OpenAIRE

    Heylighen, Ann; Michiels, Sam; Van Huffel, Sabine

    2006-01-01

    The paper presents a recent initiative at the Katholieke Universiteit Leuven (K.U.Leuven) that explores ways to stimulate knowledge exchange between building users and professionals. Within the context of the university’s diversity policy, students of the Architecture department and professionals of the Technical Services (TS) and Environment Health & Safety Service (EHS) team up with personnel and students with disabilities to assess the ‘universality’ of the campus. The aim i...

  14. Build America Bonds

    OpenAIRE

    Andrew Ang; Vineer Bhansali; Yuhang Xing

    2010-01-01

    Build America Bonds (BABs) are a new form of municipal financing introduced in 2009. Investors in BAB municipal bonds receive interest payments that are taxable, but issuers receive a subsidy from the U.S. Treasury. The BAB program has succeeded in lowering the cost of funding for state and local governments with BAB issuers obtaining finance 54 basis points lower, on average, compared to issuing regular municipal bonds. For institutional investors, BAB issue yields are 116 basis points highe...

  15. Thermal evaluation of buildings

    OpenAIRE

    Barajas, Luís M; Roset Calzada, Jaime; La Ferla, Giuseppe

    2015-01-01

    To COST ACTION TU 1104 "Smart Energy Regions" Prof. Aleksandra Djukic and Prof. Aleksandra Krstic-Furundzic of the Faculty of Architecture of the University of Belgrade, Serbia, that gave us the opportunity of be part of the training school imparted from Monday 20th to Thursday 23rd April 2015, where we can teach the topic. The convenience of the use of environmental building evaluation tools, to know design conditions and thermal behavior, by using bioclimatic strategies fo...

  16. NRC new sustainable building

    International Nuclear Information System (INIS)

    'Full text:' The National Research Council Institute For Fuel Cell Innovation is relocating to a purpose-built 71,343 sq. Ft. (6598 sq. M) Research, Testing, Evaluation, and Industry Incubation Facility in the spring of 2006. The new facility will contain Hydrogen-ready laboratories, the existing relocated Hydrogen Safe Environmental Test Chamber, a hydrogen vehicle maintenance bay, a hydrogen vehicle refuelling station, and the following demonstration projects and features: 1. A Ground Source Heat Pump: This long-proven natural-source heating and cooling technology to provide climate control for the new IFCI's atrium and galleria. It is being designed by Keen Engineering of North Vancouver, BC. 2. 5 KW Solid Oxide Fuel Cell System: Fuelled by natural gas and in the future, from biomass, the fuel cell will also produce approximately 15 kW of waste heat, which will be captured and used to supply heat for the building. The Solid Oxide Fuel Cell will be supplied by Fuel Cell Technologies in Kingston, ON. 3. LEED Building certification: Attaining LEED 'green building' certification is considered an important complement to the plans for the new NRC-IFCI, because it will provide respected third-party verification of government's commitment to efficient building design and construction. Project architects Bunting Coady of Vancouver, BC believe the IFCI has strong potential to earn gold LEED certification. 4. Photovoltaic hydrogen source for back-up power fuel cell system: A photovoltaic array will capture energy from sunlight to power an electrolyzer that will produce and store hydrogen for a PEM fuel cell emergency backup power system. The electrolyzer will be provided by Hydrogenics of Mississauga, ON. Photovoltaics are being designed and installed by the British Columbia Institute of Technology. (author)

  17. Work at Building 513

    CERN Multimedia

    IT Department

    2006-01-01

    As part of IT's preparations to meet the challenge of LHC computing, a new chilled water production unit is being constructed for the Computer Centre. The air conditioning work will start in mid-January and last until June 2006. During this period access to the car park of Building 513 will be restricted. Please consult the plan for details of the area affected by the work. With apologies for the inconvenience, IT Department

  18. Work at Building 513

    CERN Multimedia

    IT Department

    2006-01-01

    As part of IT's preparations to meet the challenge of LHC computing, a new chilled water production unit is being constructed for the Computer Centre. The air conditioning work will start in mid-January and last until June 2006. During this period, access to the car park of Building 513 will be restricted. Please consult the plan for details of the area affected by the work. With apologies for the inconvenience. IT Department

  19. Building a professional portfolio.

    OpenAIRE

    Arhippainen, Mikko

    2016-01-01

    Building a professional portfolio is a thesis report with buiding a professional portfolio for the author with a background in graphic design and event management with main interest on aesthetics side. This report describes the main process of selecting materials, planning and actually producing the portfolio. In addition to the portfolio there is a chapter with inspection on LinkedIn and other social medias when planning for jobsearch. Altogether it is many channels and a combination of ...

  20. Building Regional Competencies

    OpenAIRE

    Norus, Jesper

    2005-01-01

    This paper analyzes the foundations of regional knowledge and its long-term impact on the region’s companies’ and how a particular knowledge has developed an ability to stay competitive within a specific technological field. The case illustrates how the Copenhagen region has been able to develop a dominating position in the global market for industrial enzymes from 1870-2004. The case of industrial enzymes shows how a region has been able to build sustainable competitive advant...

  1. Building the Knowledge Economy

    OpenAIRE

    Čerić, Vlatko

    2001-01-01

    Generation and exploitation of knowledge became one of the most significant components in the new economy. This paper first investigates influence of information and communications technology on economy, with specific emphasis on Internet economy and electronic commerce. The paper then describes characteristics of the knowledge economy, discusses knowledge, presents main issues relevant for building of knowledge economy and gives an overview of the situation and perspectives of knowledge econ...

  2. Caring for Children Affected by HIV and AIDS

    OpenAIRE

    UNICEF Innocenti Research Centre

    2006-01-01

    This IRC Insight highlights the urgent need to support families and communities to care for children orphaned by HIV/AIDS. The report looks at how the epidemic undermines children's health and schooling, and reinforces marginalization and deprivation. It explores the options for the care of children in communities affected by the AIDS epidemic. Beginning with the premise that the parent-child bond is the basic building block of child development and the family the basic unit of society, the r...

  3. Caring for Yourself

    Science.gov (United States)

    Alzheimer ’s Caregiving Tips Caring forYourself Taking care of yourself is one of the most important things you ... are some ways you can take care of yourself: • Ask for help when you need it. • Join ...

  4. Education in palliative care.

    Science.gov (United States)

    Weissman, David E; Blust, Linda

    2005-02-01

    Palliative care education includes the domains of pain and nonpain symptom management, communications skills, ethics and law, psychosocial care, and health systems. Defining key attitudes, knowledge, and skill objectives, and matching these to appropriate learning formats, is essential in educational planning. Abundant educational resource material is available to support classroom and experiential palliative care training. PMID:15639043

  5. Value of care - National

    Data.gov (United States)

    U.S. Department of Health & Human Services — Value of care displays – national data. This data set includes national-level data for the value of care displays associated with a 30-day episode of care for...

  6. Building for energy conservation

    Energy Technology Data Exchange (ETDEWEB)

    Burberry, P.

    1978-01-01

    Ways in which buildings may be designed to increase thermal efficiency are discussed, giving first of all examples of thermal design in relation to climate. How the building itself may be designed to take advantage of solar energy and the ways in which heat loss takes place are described; the effect of design variables such as siting, volume, and insulation is shown. The book also reviews the development of thermal regulations for health and comfort and, more recently, energy conservation. It discusses the possitilities and difficulties of legislation for energy saving. The UK regulations are given in detail together with descriptions of the FHA and ASHRAE recommendations for the USA and the lastest Scandinavian norms. The author argues that no significant cost need be involved in many of the aspects of thermal design, e.g., shape and fenestration; and that these factors should automatically be taken into account by designers. Even existing buildings can be adapted in various respects to save energy consumption. The book concludes with an explanation of calculation methods for U-values, heat loss, plant sizing, seasonal heat requirements, and other procedures, amply illustrated with tables and graphs.

  7. Capacity Building in Land Management

    DEFF Research Database (Denmark)

    Enemark, Stig; Ahene, Rexford

    2003-01-01

    There is a significant need for capacity building in the interdisciplinary area of land management especially in developing countries and countries in transition, to deal with the complex issues of building efficient land information systems and sustainable institutional infrastructures. Capacity...

  8. Allegheny County Building Footprint Locations

    Data.gov (United States)

    Allegheny County / City of Pittsburgh / Western PA Regional Data Center — This dataset contains photogrammetrically compiled roof outlines of buildings. All near orthogonal corners are square. Buildings that are less than 400 square feet...

  9. User Driven Innovative Building Design

    DEFF Research Database (Denmark)

    Christiansson, Per; Sørensen, Kristian Birch; Steffensen, K. G.;

    2009-01-01

    During recent years there has been an ever-increasing focus on the possibilities to change the building process to raise quality on the final building products as well as on the activities of actors involved in the building process. One reason for this interest is the new opportunities evolving due...... buildings in a collaborative/participative creative and innovative building design process. The AEC professionals also appreciate development, enhancement and to some extent formalization of existing methods for user involvement in the building process....... emphasis that the users are the key to next level of successful building projects. VICMET defines four spaces to support the activities in a innovative/creative design process; The Contextual Inquiry Space, the Conceptual Modeling and Game Space, the Functional Building Systems (FBS) Consolidation Space...

  10. Indirect building localization based on a prominent solid landmark from a forward-looking infrared imagery

    Institute of Scientific and Technical Information of China (English)

    Xiaoping Wang; Tianxu Zhang; Xiaoyu Yang

    2011-01-01

    A novel indirect building localization technique based on a prominent solid landmark from a forwardlooking infrared imagery is proposed to localize low, deeply buried, or carefully camouflaged buildings in dense urban areas.First, the widely used effective methods are applied to detect and localize the solid landmark.The building target is then precisely indirectly localized by perspective transformation according to the imaging parameters and the space constraint relations between the building target and the solid landmark.Experimental results demonstrate this technique can indirectly localize buildings in dense urban areas effectively.%@@ A novel indirect building localization technique based on a prominent solid landmark from a forward-looking infrared imagery is proposed to localize low, deeply buried, or carefully camouflaged buildings in dense urban areas.First, the widely used effective methods are applied to detect and localize the solid landmark.The building target is then precisely indirectly localized by perspective transformation according to the imaging parameters and the space constraint relations between the building target and the solid landmark.Experimental results demonstrate this technique can indirectly localize buildings in dense urban areas effectively.

  11. Building our future: a plea for leadership.

    Science.gov (United States)

    Souba, Wiley W

    2004-05-01

    In recent years the spastic nature of the health care marketplace has continued to increase, which has greatly escalated the demands of leadership in academic medical centers. The expectations of leaders, including surgery chairs, have increased considerably, whereas their capacity for independent action has undeniably diminished. In such a predicament, it is useful to revisit fundamentals, using them as a guide to build a sound future. Five leadership principles are critical to building a better future: (1) recognizing that the work of leadership involves an inward journey of self-discovery and self-development; (2) establishing clarity around a set of core values that guide the organization as it pursues its goals; (3) communicating a clear sense of purpose and vision that inspires widespread commitment to a shared sense of destiny; (4) building a culture of excellence and accountability throughout the entire organization; and (5) creating a culture that emphasizes the development of leaders and leadership as an organizational capacity. Leadership and learning are inextricably linked. We must change the perception that learning in academic surgery is about correcting a deficit rather than a natural part of human growth and development. Our ability to learn, grow, and contribute to an organization is what provides each of us with meaning and identity. This feeling of being part of something special that is larger than ourselves is a powerful force and an important dividend of great leadership. PMID:15085387

  12. ENERGY EFFICIENCY OF THE BUILDING

    OpenAIRE

    Bocharnikov, Dmitry

    2011-01-01

    The subject of bachelor’s thesis is about energy efficiency of the building. Much attention is being paid to energy saving problems all over the world. In the first part it theoretic base for thermal performance requirements of buildings. It includes main positions of Russian requirements for thermal performance. Also it is about general types of building envelope. The second part is about energy audit of buildings. In this part there is an energy efficiency assessment methodology. Energy eff...

  13. Capacity Building in Land Administration

    DEFF Research Database (Denmark)

    Enemark, Stig; Williamson, I

    2004-01-01

    Capacity building increasingly seen as a key component of land administration projects in developing and countries in transition undertaken by the international development banks and individual country development assistance agencies. However, the capacity building concept is often used within a...... should be dealt with as capacity building projects in themselves.    The article introduces a conceptual analytical framework that provides some guidance when dealing with capacity building for land administration in support of a broader land policy agenda....

  14. Upcoming renovations in Building 63

    CERN Multimedia

    2014-01-01

    La Poste will close its doors in Building 63 on Friday, 28 November. It moves to Building 510 and where it will open on 1 December (see picture).   UNIQA will close its HelpDesk in Building 63 on Wednesday, 26 November and will re-open the next day in Building 510. La Poste and UNIQA are expected to return to their renovated office space between April and May 2015.

  15. Hawaii-Okinawa Building Evaluations

    Energy Technology Data Exchange (ETDEWEB)

    Metzger, I.; Salasovich, J.

    2013-05-01

    NREL conducted energy evaluations at the Itoman City Hall building in Itoman, Okinawa Prefecture, Japan, and the Hawaii State Capitol building in Honolulu, Hawaii. This report summarizes the findings from the evaluations, including the best practices identified at each site and opportunities for improving energy efficiency and renewable energy. The findings from this evaluation are intended to inform energy efficient building design, energy efficiency technology, and management protocols for buildings in subtropical climates.

  16. Climate Responsive Buildings in China

    DEFF Research Database (Denmark)

    Haase, M.; Amato, A.; Heiselberg, Per

    2006-01-01

    There is a global need for a more sustainable building development. About 50% of energy is used in buildings indicating that buildings provide a considerable potential for operational energy savings. Studies were conducted with the following objectives: to perform a state-of-the-art review of res...

  17. Speak Up: Help Prevent Errors in Your Care: Ambulatory Care

    Science.gov (United States)

    ... role in making health care safe. That includes doctors, nurses and other health care professionals. Health care organizations ... embarrassed if you don't understand what your doctor, nurse or other health care professional tells you. • Don’ ...

  18. Benchmarking HIV health care

    DEFF Research Database (Denmark)

    Podlekareva, Daria; Reekie, Joanne; Mocroft, Amanda;

    2012-01-01

    ABSTRACT: BACKGROUND: State-of-the-art care involving the utilisation of multiple health care interventions is the basis for an optimal long-term clinical prognosis for HIV-patients. We evaluated health care for HIV-patients based on four key indicators. METHODS: Four indicators of health care were...... to North, patients from other regions had significantly lower odds of virological response; the difference was most pronounced for East and Argentina (adjusted OR 0.16[95%CI 0.11-0.23, p care utilization...

  19. On a computational model of building thermal dynamic response

    Science.gov (United States)

    Jarošová, Petra; Vala, Jiří

    2016-07-01

    Development and exploitation of advanced materials, structures and technologies in civil engineering, both for buildings with carefully controlled interior temperature and for common residential houses, together with new European and national directives and technical standards, stimulate the development of rather complex and robust, but sufficiently simple and inexpensive computational tools, supporting their design and optimization of energy consumption. This paper demonstrates the possibility of consideration of such seemingly contradictory requirements, using the simplified non-stationary thermal model of a building, motivated by the analogy with the analysis of electric circuits; certain semi-analytical forms of solutions come from the method of lines.

  20. Using DOE Commercial Reference Buildings for Simulation Studies: Preprint

    Energy Technology Data Exchange (ETDEWEB)

    Field, K.; Deru, M.; Studer, D.

    2010-08-01

    The U.S. Department of Energy developed 256 EnergyPlus models for use in studies that aim to characterize about 70% of the U.S. commercial building stock. Sixteen building types - including restaurants, health care, schools, offices, supermarkets, retail, lodging, and warehouses - are modeled across 16 cities to represent the diversity of U.S. climate zones. Weighting factors have been developed to combine the models in proportions similar to those of the McGraw-Hill Construction Projects Starts Database for 2003-2007. This paper reviews the development and contents of these models and their applications in simulation studies.

  1. Compliance with building energy regulations for new-build dwellings

    International Nuclear Information System (INIS)

    Despite increasingly stringent building energy regulations worldwide, non-compliance exists in practice. This paper examines the profile of compliance with building energy regulations for new-build dwellings. In total 404 new-build dwellings completed in the UK from 2006 to 2009 were investigated. Only a third of these dwellings were evidenced as being compliant with Building Regulations Part L (England and Wales). Such low compliance casts a serious concern over the achievability of the UK Government's target for all new-build homes to be ‘zero carbon’ from 2016. Clearly evidenced was a lack of knowledge of Part L and its compliance requirements among the supply and building control sides of new-build dwellings. The results also indicate that the compliance profile was influenced by factors including Standard Assessment Procedure (UK Government's methodology for energy efficiency) calculation submissions, learning and experience of builders and building controls with Part L, use of Part L1A checklist, the introduction of energy performance certificate (EPC), build method, dwelling type, and project size. Better compliance was associated with flats over houses and timber frame over masonry. The use of EPC and Part L1A checklist should be encouraged. Key to addressing the lack of compliance with building energy regulations is training. -- Highlights: ► There exists a lack of compliance, worldwide, with building energy regulations. ► The implementation of England and Wales building energy regulations is problematic. ► Training, learning and experience of builders and building control are critical. ► Energy performance certificate and Part L 2006 checklist helped achieve compliance. ► Flats achieved better compliance over houses; and timber frame over masonry.

  2. Ethical thinking and discrimination in health care

    Directory of Open Access Journals (Sweden)

    Aleksander Mlinšek

    2012-02-01

    Full Text Available RQ: Personal excellence of nursing focusing on self-transcendence and achievements is crucial for achieving excellence in health care. The question is whether there is unequal treatment of patients despite high ethical standards placed in health care.Purpose: Professional nurses code is a guide in assessing their ethical performance. People are different amongst each other, but have the same rights in the health system, which should be provided by health care services. The need to overcome inequalities has become a cornerstone of excellence in health care.Method: A small quantitative survey of nurses was conducted in one of the departments in a Slovenian hospital. To analyse the results, we used frequency statistics, Spearman's rank correlation test and chi-square test. Results: Providers of health care services are aware of the importance of ethics in its formation. Professional Code is relatively well known; 8.4 % of the respondents were not sure if they clearly define the principles of respect for equality. Discrimination, caused by providers of health care, is of a less extent. Ethical awareness among health care providers does not affect identification with the profession. The education level ofnursing personnel and the perception of discrimination based on religious affiliation influenced one another. Education has no influence on the perception of discrimination based on other circumstances.Organization: Health care organizations should integrate hygieneethical thinking among its strategic goals. Quality is not only quantifying the data. Personal excellence of health care providers, which is difficult to measure, is the basic building block of organizational excellence and patient satisfaction.Originality: There are not many research studies on perceptionsof discrimination in health care. The article raises the sensitive issue that we should talk more about.Limitations: The survey was conducted on a small sample size. Further research

  3. Neuroeconomics and Integrated Care

    DEFF Research Database (Denmark)

    Larsen, Torben

    2012-01-01

    Background: Fragmented specialized care for the frail elderly as claimed by WHO needs horizontal integration across settings. The home of the patient seems to be a promising place to integrate hospital care, primary care and social services for high-risk discharges where the quality...... of rehabilitation makes a difference. Objective: The study aims to reveal how integrated home care may be organised to improve quality of care as compared to usual hospital care. Method: A qualitative case study of the use of a neuroeconomic model in relation to multidisciplianry collaboration on a RCT...... of integrated home care for stroke patients. Results: (1) The classical understanding of CNS is that of a dual system of ANS and Cortex. The new neuroeconomic understanding is that of a reciprocal balance of Limbic System (LS) and Neocortex (NC). This applies directly in favour of integrated homecare compared...

  4. Strengthening competence building for preventing and controlling health-care-associated infection, improving healthcare-associated infection management level%加强医院感染防控能力建设,提升医院感染管理水平

    Institute of Scientific and Technical Information of China (English)

    李六亿; 李洪山; 郭燕红; 樊静; 孟莉; 姚洪; 胡必杰; 吴安华; 徐英春

    2015-01-01

    目的:通过医院感染预防与控制能力建设项目的实施,加强我国医院感染的预防与控制能力,加大医院感染防控措施的落实力度,提升医院感染管理工作水平。方法整个项目包括呼吸机相关肺炎(VAP)、中央静脉插管相关血流感染(CLABSI)、导尿管相关尿路感染(CAUTI)、手术部位感染(SSI)、新生儿病房和新生儿重症监护室(NICU)、血液透析中心(室)、多重耐药菌(MDRO)医院感染防控7个子项目,通过召开项目启动会、基线调查、统一培训,参与项目的医院按照统一的要求、方法与内容进行调查。2013年10月项目正式实施;2013年10月—2014年3月:进行医院感染流行病学及防控措施实施情况的调查;2014年4—9月:实施各项干预防控措施,并监测干预措施的依从性。结果全国共有52所医院参与该项目,49所医院上报数据。重症监护病房(ICU)器械插管相关感染,VAP、CLABSI 和 CAUTI 发病率分别为8.89‰、1.32‰和2.02‰;综合 ICU VAP、CLABSI 和CAUTI 发病率分别为9.6‰、1.4‰和2.2‰。干预前后 ICU VAP、CAUTI 发病率比较,差异均有统计学意义(均P <0.05)。ICU 手卫生依从率为76.73%(29361/38267),通过采取干预措施,总依从性和各类医务人员的手卫生依从性均有提升,干预前后比较,差异均有统计学意义(均 P <0.05)。结论该项目加大了医院感染各项防控措施的落实力度,降低了相关医院感染发病率,提升了医院感染预防与控制能力,是一种值得推广的模式。%Objective Through the implementation of competence building project of healthcare-associated infec-tion(HAI)prevention and control,strengthen the competence for HAI prevention and control in China,promote the implementation of HAI prevention and control measures,and improve HAI management level.Methods The whole

  5. How to Build Better Friendships

    Institute of Scientific and Technical Information of China (English)

    Sue; Browder; 王燕平; 王莺平

    1998-01-01

    没有“朋友”这盏明灯,人生道路将变得黯然无光;没有“朋友”这个音符,生命乐曲将失去动人的华章。 国人有首世代传唱的儿歌:找呀找呀找呀找,找到一个好朋友,敬个礼呀…… 然而,找朋友,交朋友也是一门艺术。 本文认为,友谊并非一种简单的自然发生而又自然消亡的现象: But friendshipes don’t just happen.They have to be created(缔造)and nurtured(培养).Like any other skill,building friendship has to be practiced. 如何create和nurture友谊,文章主要观点如下: a.“友谊第一”: 交友需要时间,但值得! Making time for friends may mean leaving the house a bit messier,letting the grassgrow higher or skipping your favorite TV sitcom(系列喜剧).But aren’t these smallprices to pay for the pleasures of companionship? b.“问寒问暖”: But the seemingly trivial acts of caring are what keep friendships going: thebirthday call,the note scrawled in a greeting card to ask,"How’s your back?" 三言两语,一声问候,暖人心怀: He found the talks that matter most tend to last only two or three minutes. It’s not the long meaning-of-life conversations that remind old

  6. Problems of building social and production bases for the construction of the Temelin nuclear power plant

    International Nuclear Information System (INIS)

    A survey is given of capital costs of building parts and the concept is presented of the equipment of a building site. The social basis consists of accommodation units, cloakrooms, catering units, utility units, a health care centre and a shopping centre. The production base consists of a central concrete plant, cement plant, central armour unit, forming hall, storage area, buildings for pre-assembly, fleet of trucks and other machines, maintenance and repair shops. The network infrastructure and the mains connections are designed and the procedure of the build up of the site is described. The experience is summed up and recommendations made for future nuclear power plant projects. (E.S.)

  7. Geomatics applied to building management

    International Nuclear Information System (INIS)

    An integrated information system at an educational facility which has the capacity to monitor relative data pertaining to the spatial characteristics of a building was demonstrated. The system was instrumental in optimizing building management by making use of geomatics technology. Geomatics establishes relations between geo-reference data (plans) and an actual data base. Such a system has the capability to integrate and assess all data relative to building management. The information allows building managers to rationalize exploitation costs and to coordinate energy use with the activities in the building

  8. Aplikasi Teori Self-Care Deficit Orem dalam Konteks Tuna Wisma (Studi Literatur) (The Application of Orem’s Self Care Deficit in Homeless Setting)

    OpenAIRE

    Megah Andriyani

    2007-01-01

    Homeless health is government and NGO’s responsibilities for creating optimal citizen health status. Homeless is one of community health nursing clients. The Self Care Theory is used in nursing science for giving conceptual framework as a practical guidance and building self care knowledge through research. Orem described self care as a continuing intervention. It was needed and done by adult to be survived, healthy, and wellness. This theory is also used in homeless setting by many exp...

  9. Timely and Effective Care - State

    Data.gov (United States)

    U.S. Department of Health & Human Services — Timely and Effective Care measures - state data. This data set includes state-level data for measures of heart attack care, heart failure care, pneumonia care,...

  10. Shin splints - self-care

    Science.gov (United States)

    ... care; Anterior tibial pain - self-care; Medial tibial stress syndrome - self-care; MTSS - self-care; Exercise-induced ... these medicines have side effects and can cause ulcers and bleeding. Talk to your doctor about how ...

  11. Sustainable Development and Green Buildings

    Directory of Open Access Journals (Sweden)

    Arijit Sinha

    2013-03-01

    Full Text Available Global sustainability goals have led to the development of the green building movement. The Green Building Program, stemming from the movement, has had unprecedented success as it provides a quantifiable metric to people’s efforts towards sustainable development. Sustainable development and green buildings are often used interchangeably. Although, sustainable development and green buildings are related, they are not the same. This paper provides an overview of how green building relates to sustainable development practices. Sustainability also governs decisions concerning building materials. A comprehensive explanation of what constitutes a green building material is discussed and how renewable material like wood fare in the deciding criteria. There are many green building rating systems in place. United States Green Building Council administered Leadership in Energy and Environment Design (LEED is the global market leader in the rating systems. LEED is a commendable and grand effort in moving towards sustainable development by converting the built environment green. However, it does have certain pitfalls and challenges. Some of these challenges are with respect to policies on material selection and performance monitoring. The materials used in a project are considered at a common starting point and no consideration is given to the life cycle performance of the material. Statements concerning sustainability require validation, and Life Cycle Analysis (LCA is a tool that can provide such validity. This paper presents how beneficial it can be, when included, in the bigger scheme of green building rating systems and introduces an integrated design concept for green buildings.

  12. Tropical Zero Energy Office Building

    DEFF Research Database (Denmark)

    Reimann, Gregers Peter; Kristensen, Poul Erik

    2006-01-01

    by daylight, supplemented by electric lighting during very dark and overcast periods. Extensive active energy efficiency measures are implemented in the building in order to reduce the need for electricity to an absolute minimum, without compromising the request for comfortable temperatures and adequate......The new headquarter for Pusat Tenaga Malaysia is designed to be a Zero Emission Office Building (ZEO). A full range of passive and active energy efficiency measures are implemented such that the building will need no more electricity than what can be produced via its own Building Integrated PV...... system. The overall objective of the project is to achieve zero energy consumption at lowest possible initial investments. The ZEO Building shows implementation of integrated design concepts, where active and passive energy systems are interwoven into the building itself, and where several building...

  13. Nuclear building blocks

    International Nuclear Information System (INIS)

    The Candu 300 is the latest and smallest version of the CANDU pressurized heavy water reactor. It is designed for modular construction which, it is hoped, will shorten the construction schedule, take advantage of factory construction, improve quality (because central work locations and better conditions can be used) and provide flexibility of supply. The basic CANDU nuclear steam supply system is described generally and then the station and building layout, modular construction sequence (using a very heavy lift mobile crane), the process system modules and major nuclear equipment modules, are described in more detail. The advantages of modularisation are explained and plans for future modular reactors are mentioned. (U.K.)

  14. Mould growth in buildings

    OpenAIRE

    Holme, Jonas

    2010-01-01

    Many studies around the world have reported that moisture-related problems in buildings (i.e., dampness) increase the risk of health effects such as respiratory symptoms, asthma and allergy in both adults and children. However, there is only limited knowledge about which agents in indoor air or dust cause the reported health effects. Biological pollutants such as moulds is one of the explanations that has been suggested. The principal objective of this PhD study has been to increase the knowl...

  15. Building Web Reputation Systems

    CERN Document Server

    Farmer, Randy

    2010-01-01

    What do Amazon's product reviews, eBay's feedback score system, Slashdot's Karma System, and Xbox Live's Achievements have in common? They're all examples of successful reputation systems that enable consumer websites to manage and present user contributions most effectively. This book shows you how to design and develop reputation systems for your own sites or web applications, written by experts who have designed web communities for Yahoo! and other prominent sites. Building Web Reputation Systems helps you ask the hard questions about these underlying mechanisms, and why they're critical

  16. Building energy governance in Shanghai

    Science.gov (United States)

    Kung, YiHsiu Michelle

    With Asia's surging economies and urbanization, the region is adding to its built environment at an unprecedented rate, especially those population centers in China and India. With numerous existing buildings, plus a new building boom, construction in these major Asian cities has caused momentous sustainability challenges. This dissertation focuses on China's leading city, Shanghai, to explore and assess its existing commercial building energy policies and practices. Research estimates that Shanghai's commercial buildings might become a key challenge with regard to energy use and CO2 emissions as compared to other major Asian cities. Relevant building energy policy instruments at national and local levels for commercial buildings are reviewed. In addition, two benchmarks are established to further assess building energy policies in Shanghai. The first benchmark is based on the synthesis of relevant criteria and policy instruments as recommended by professional organizations, while the second practical benchmark is drawn from an analysis of three global cities: New York, London and Tokyo. Moreover, two large-scale commercial building sites - Shanghai IKEA and Plaza 66 - are selected for investigation and assessment of their efforts on building energy saving measures. Detailed building energy savings, CO2 reductions, and management cost reductions based on data availability and calculations are presented with the co-benefits approach. The research additionally analyzes different interventions and factors that facilitate or constrain the implementation process of building energy saving measures in each case. Furthermore, a multi-scale analytical framework is employed to investigate relevant stakeholders that shape Shanghai's commercial building energy governance. Research findings and policy recommendations are offered at the close of this dissertation. Findings and policy recommendations are intended to facilitate commercial building energy governance in Shanghai and

  17. Growing ambulatory care nurse leaders in a multigenerational workforce.

    Science.gov (United States)

    Moye, Janet P; Swan, Beth Ann

    2009-01-01

    Ambulatory care faces challenges in sustaining a nursing workforce in the future as newly licensed nurses are heavily recruited to inpatient settings and retirements will impact ambulatory care sooner than other areas. Building a diverse team by recruiting nurses of different ages (generations) and skills may result in a more successful and robust organization. Knowledge about generational characteristics and preferences will aid nurse leaders and recruiters in attracting high-quality, talented nurses. Nurses of Generations X and Y can increase their likelihood of success in ambulatory care by better understanding intergenerational issues. PMID:20050492

  18. The Application Trend of Smart Sensing Technology in Home of Building: An Example of a Green and Smart Building for the Seniors Citizens Offered by Farglory Land Development

    OpenAIRE

    Meng-Hsien Hsieh

    2011-01-01

    The living space of smart buildings requires three major applications: energy-saving and comfort, security and hazard prevention, and health care. These applications not only give rise to a market opportunity for advanced sensor fusion technologies including comfort sensing, infrared sensing, inertial sensing, and voice recognition, but also make proactive sensing, smart determination, and automatic control possible. The smart building project by Farglory Land Development, where senior citize...

  19. [A careful look to postmodern tribes: caring for adolescent health in the context of their everyday lives].

    Science.gov (United States)

    da Nóbrega, Juliana Fernandes; Nitschke, Rosane Gonçalves; da Silva, Fernanda Pravato; Carraro, Cláudia Anita Gomes; Alves, Cristiane

    2013-09-01

    This is a theoretical reflection, based on Michel Maffesoli's Comprehensive Sociology, which is concerned with the health care of adolescents in contemporary everyday life, and particularly with the phenomenon of urban tribes. These are understood as groups of people who have emotional ties, building a bond of sociality towards a common goal. This study focuses on the importance to take into account the lifestyle of adolescents and aims to raise awareness among health professionals about such issues, seeking for strategies tuned with reality and care needs in order to promote health, devising ways to improve caring, rethinking health policies for adolescents in contemporary society. PMID:24344604

  20. Care in the perception of cancer patients

    Directory of Open Access Journals (Sweden)

    Carolina Henriques

    2011-08-01

    Full Text Available Introduction: Being a cancer patient is a unique and singular. The cancer disease associated with pain and suffering is a challenging process for the sufferer, for whom have around or for those caring for the sick. Pain, considered the 5 th vital sign, is often identified as the main complaint of our patients suffering from cancer. We dare to say that to explore the essence of the care provided by nurses and primary health care to cancer patients with prolonged pain at the time found in his home and family, we would be helping to build a know -how by itself, with positive externalities for patients, families, professionals and nursing itself. Methods: Ask "What does Care for Nurses and primary health care for cancer patients with prolonged pain in time for your family?" we may lead the cornerstone of our problems, by studying quantitative nature using a questionnaire and a significance level of care. Results: the average age is 59.27 years, mostly women, 51% are married and in 29.8% of studies has only completed the first cycle of education. The majority of cancer patients who participated in this study share a room with a relative. In regard to aspects of their pain, cancer patients referred to 47.1% of cases, that their pain started weeks ago and 38.5% even refers to the pain persists for months. The pain felt by these patients is not the severe type, in 68.3% of cases, and has an average intensity of 5, although we have 25% of these patients with pain greater than a 6.75. The Meaning of Caring scale applied to the group of nurses who provide care at primary health reveals an alpha of 0.8857 and 0.9025 standardized alpha. The Meaning of Caring scale applied to the group of cancer patients with prolonged pain at the time they are at home shows an alpha of 0.6672and 0.7374 standardized alpha. The Meaning of Caring scale applied to the group of cancer family patients with prolonged pain shows an alpha of 0.6712 and an alpha standardized 0

  1. Applying the guidelines for pharmacists integrating into primary care teams

    Science.gov (United States)

    Barry, Arden R.; Pammett, Robert T.

    2016-01-01

    Background: In 2013, Jorgenson et al. published guidelines for pharmacists integrating into primary care teams. These guidelines outlined 10 evidence-based recommendations designed to support pharmacists in successfully establishing practices in primary care environments. The aim of this review is to provide a detailed, practical approach to implementing these recommendations in real life, thereby aiding to validate their effectiveness. Methods: Both authors reviewed the guidelines independently and ranked the importance of each recommendation respective to their practice. Each author then provided feedback for each recommendation regarding the successes and challenges they encountered through implementation. This feedback was then consolidated into agreed upon statements for each recommendation. Results and Discussion: Focusing on building relationships (with an emphasis on face time) and demonstrating value to both primary care providers and patients were identified as key aspects in developing these new roles. Ensuring that the environment supports the practice, along with strategic positioning within the clinic, improves uptake and can maximize the usefulness of a pharmacist in primary care. Demonstrating consistent and competent clinical and documentation skills builds on the foundation of the other recommendations to allow for the effective provision of clinical pharmacy services. Additional recommendations include developing efficient ways (potentially provider specific) to communicate with primary care providers and addressing potential preconceived notions about the role of the pharmacist in primary care. Conclusion: We believe these guidelines hold up to real-life integration and emphatically recommend their use for new and existing primary care pharmacists.

  2. Taking care of caretaking

    DEFF Research Database (Denmark)

    Kristiansen, Kristian

    It has been put forward in recent years that facilities management considerations should be better integrated into planning, design and construction of new buildings. It is difficult to disagree with the idea that it would good to establish a feedback mechanism from buildings in use to the produc...

  3. Taking care of caretaking

    DEFF Research Database (Denmark)

    Kristiansen, Kristian

    2010-01-01

    It has been put forward in recent years that facilities management considerations should be better integrated into planning, design and construction of new buildings. It is difficult to disagree with the idea that it would good to establish a feedback mechanism from buildings in use to the produc...

  4. Psychiatric Nursing Faculty Practice: Care within the Community Context.

    Science.gov (United States)

    Richie, Mary Fern; And Others

    1996-01-01

    Psychiatric nursing faculty practice offers the academic nurse opportunity to generate salary support and integrate students into the real world of mental health care. It promotes scholarship and knowledge-building and has a direct impact on the lives of patients. (Author/JOW)

  5. Changing Health Care Education: The Challenge to Dental Schools.

    Science.gov (United States)

    Trani, Eugene P.

    1993-01-01

    This keynote address offers suggestions for structural change in dental education to meet changing societal needs including programs tailored to specific local community needs, interdisciplinary efforts, public-private cooperative projects building on local health care community strengths, and international collaboration supporting both health…

  6. Irregular Shaped Building Design Optimization with Building Information Modelling

    Directory of Open Access Journals (Sweden)

    Lee Xia Sheng

    2016-01-01

    Full Text Available This research is to recognise the function of Building Information Modelling (BIM in design optimization for irregular shaped buildings. The study focuses on a conceptual irregular shaped “twisted” building design similar to some existing sculpture-like architectures. Form and function are the two most important aspects of new buildings, which are becoming more sophisticated as parts of equally sophisticated “systems” that we are living in. Nowadays, it is common to have irregular shaped or sculpture-like buildings which are very different when compared to regular buildings. Construction industry stakeholders are facing stiff challenges in many aspects such as buildability, cost effectiveness, delivery time and facility management when dealing with irregular shaped building projects. Building Information Modelling (BIM is being utilized to enable architects, engineers and constructors to gain improved visualization for irregular shaped buildings; this has a purpose of identifying critical issues before initiating physical construction work. In this study, three variations of design options differing in rotating angle: 30 degrees, 60 degrees and 90 degrees are created to conduct quantifiable comparisons. Discussions are focused on three major aspects including structural planning, usable building space, and structural constructability. This research concludes that Building Information Modelling is instrumental in facilitating design optimization for irregular shaped building. In the process of comparing different design variations, instead of just giving “yes or no” type of response, stakeholders can now easily visualize, evaluate and decide to achieve the right balance based on their own criteria. Therefore, construction project stakeholders are empowered with superior evaluation and decision making capability.

  7. Towards more Manageable Coastal Building; Initial Coastal Building Construction Guidelines

    OpenAIRE

    Roslan Talib; Mohd Z. Sulieman

    2011-01-01

    Problem statement: As we may not be aware that the coastal construction is different from inland construction. Building in a coastal environment is different from building in an inland area. In general, buildings in coastal areas must be designed and built to withstand higher loads due to its more extreme conditions. Nowadays, the issue of global warming, uncertainty of global weather and the climate change effect indirectly creating the coastal area with much more expose to extreme condition...

  8. Parameters of Upgrading Existing Building into a Green Building

    OpenAIRE

    Mrs. Rupali Kapure; Dr.R.K.Jain

    2014-01-01

    Before turning to specific programs for upgrading buildings, it’s important to understand the market dynamics of greening existing buildings. From a macroeconomic perspective, energy efficiency upgrades represent the most cost-effective way to meet growing energy demands. From a microeconomic perspective, recent studies have shown that energy-efficient and certified green buildings merit higher market values, greater rents, and higher occupancies. From a corporate sustainabili...

  9. Health Care Indicators

    OpenAIRE

    Donham, Carolyn S.; Maple, Brenda T.; Letsch, Suzanne W.

    1993-01-01

    This regular feature of the journal includes a discussion of each of the following four topics: community hospital statistics; employment, hours, and earnings in the private health sector; health care prices; and national economic indicators. These statistics are valuable in their own right for understanding the relationship between the health care sector and the overall economy. In addition, they allow us to anticipate the direction and magnitude of health care cost changes prior to the avai...

  10. Health Care Indicators

    OpenAIRE

    Donham, Carolyn S.; Maple, Brenda T.; Cowan, Cathy A.

    1992-01-01

    This regular feature of the journal includes a discussion of each of the following four topics: community hospital statistics; employment, hours, and earnings in the private health sector; health care prices; and national economic indicators. These statistics are valuable in their own right for understanding the relationship between the health care sector and the overall economy. In addition, they allow us to anticipate the direction and magnitude of health care cost changes prior to the avai...

  11. Health Care Indicators

    OpenAIRE

    Donham, Carolyn S.; Maple, Brenda T.; Sensenig, Arthur L.

    1994-01-01

    This regular feature of the journal includes a discussion of each of the following four topics: community hospital statistics; employment, hours, and earnings in the private health sector; health care prices; and national economic indicators. These statistics are valuable in their own right for understanding the relationship between the health care sector and the overall economy. In addition, they allow us to anticipate the direction and magnitude of health care cost changes prior to the avai...

  12. Health Care Indicators

    OpenAIRE

    Donham, Carolyn S.; Maple, Brenda T.; Sivarajan, Lekha

    1993-01-01

    This regular feature of the journal includes a discussion of each of the following four topics community hospital statistics; employment, hours, and earnings in the private health sector; health care prices; and national economic indicators. These statistics are valuable in their own right for understanding the relationship between the health care sector and the overall economy. In addition, they allow us to anticipate the direction and magnitude of health care cost changes prior to the avail...

  13. Health Care Indicators

    OpenAIRE

    Donham, Carolyn S.; Sensenig, Arthur L.; Heffler, Stephen K.

    1995-01-01

    This regular feature of the journal includes a discussion of each of the following four topics community hospital statistics; employment, hours, and earnings in the private health sector; health care prices; and national economic indicators. These statistics are valuable in their own right for understanding the relationship between the health care sector and the overall economy. In addition, they allow us to anticipate the direction and magnitude of health care cost changes prior to the avail...

  14. Health Care Indicators

    OpenAIRE

    Maple, Brenda T.; Cowan, Cathy A.; Donham, Carolyn S.; Letsch, Suzanne W.

    1991-01-01

    This regular feature of the journal includes a section on each of the following four topics: community hospital statistics; employment, hours, and earnings in the private health sector; health care prices; and national economic indicators. These statistics are valuable in their own right for understanding the relationship between the health care sector and the overall economy. In addition, they provide indicators of the direction and magnitude of health care costs prior to the availability of...

  15. Health Care Indicators

    OpenAIRE

    Donham, Carolyn S.; Sensenig, Arthur L.; Heffler, Stephen K.

    1995-01-01

    This regular feature of the journal includes a discussion of each of the following four topics: community hospital statistics; employment, hours, and earnings in the private health sector; health care prices; and national economic indicators. These statistics are valuable in their own right for understanding the relationship between the health care sector and the overall economy. In addition, they allow us to anticipate the direction and magnitude of health care cost changes prior to the avai...

  16. Health Care Indicators

    OpenAIRE

    Cowan, Cathy A.; Donham, Carolyn S.; Letsch, Suzanne W.; Maple, Brenda T.; Lazenby, Helen C.

    1992-01-01

    This regular feature of the journal includes a section on each of the following four topics: community hospital statistics; employment, hours, and earnings in the private health sector; health care prices; and national economic indicators. These statistics are valuable in their own right for understanding the relationship between the health care sector and the overall economy. In addition, they provide indicators of the direction and magnitude of health care costs prior to the availability of...

  17. Italian health care reform

    OpenAIRE

    Livio Garattini

    1992-01-01

    It is remarkable how health care systems, created over decades and influenced by very different cultures exhibit similar problems. Most health care systems are compartmentalised with managers at margins responding to perverse incentives and seeking to shift patients and costs onto rival organisations. Decision makers behave selfishly, considering the welfare of their own organisations rather than those of the health care system as a whole, and in the absence if evidence about the cost-effecti...

  18. Health care delivery systems.

    OpenAIRE

    Stevens, F; Zee, J. van der

    2007-01-01

    A health care delivery system is the organized response of a society to the health problems of its inhabitants. Societies choose from alternative health care delivery models and, in doing so, they organize and set goals and priorities in such a way that the actions of different actors are effective, meaningful, and socially accepted. From a sociological point of view, the analysis of health care delivery systems implies recognition of their distinct history over time, their specific values an...

  19. [Nursing care in prison].

    Science.gov (United States)

    Aujard, Ségolène; de Brisoult, Béatrice; Broussard, Daniel; Petitclerc-Roche, Solenne; Lefort, Hugues

    2016-03-01

    In France, nurses practising in the prison environment work in a health care unit, for somatic care, or in a regional medical-psychological unit for large facilities and psychological care. These units belong to the regional hospitals. Located at the heart of the prison, they cater for prisoner-patients. On the frontline, the nurse has specific autonomy and responsibility in this unique context. PMID:26975674

  20. Lesbian health care needs.

    OpenAIRE

    Moran, N

    1996-01-01

    OBJECTIVE: To define the special health care needs of Canadian lesbians. DESIGN: A questionnaire containing 61 yes-or-no and multiple-choice questions sought information on six areas: demographics; health care use; habits, diet, and exercise; preventive care; mental health; and physical health. SETTING: The organizational meeting of a lesbian softball league in Toronto. PARTICIPANTS: Of 360 women eligible for the meeting, 205 attended and 195 completed the survey. Questionnaires used for anal...

  1. Improving Palliative Cancer Care

    OpenAIRE

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

    2014-01-01

    Over a decade ago, the Institute of Medicine (IOM) presented Ensuring Quality Cancer Care in the United States, with recommendations for change (IOM, 1999). However, barriers to integrating palliative care (PC) to achieve high-quality care in cancer still remain. As novel therapeutic agents evolve, patients are living longer, and advanced cancer is now considered a chronic illness. In addition to complex symptom concerns, patients and family caregivers are burdened with psychological, social,...

  2. Pediatric palliative care

    OpenAIRE

    Trapanotto Manuela; Spizzichino Marco; Benini Franca; Ferrante Anna

    2008-01-01

    Abstract The WHO defines pediatric palliative care as the active total care of the child's body, mind and spirit, which also involves giving support to the family. Its purpose is to improve the quality of life of young patients and their families, and in the vast majority of cases the home is the best place to provide such care, but for cultural, affective, educational and organizational reasons, pediatric patients rarely benefit from such an approach. In daily practice, it is clear that pedi...

  3. Music in child care

    OpenAIRE

    Maria Polikandrioti; Ioannis Koutelekos

    2007-01-01

    Music has been used therapeutically for many centuries, and numerous studies have researched the curative and preventative powers of music in several diseases. Music, as a therapy was shown to have positive effects in child care, such as in premature infants, children in emergency care, children receiving surgery, children in oncology departments and handicapped children. The aim of this review was to study the therapeutic effects of music in child care at hospital. The method οf this study i...

  4. Patient-centered Care.

    Science.gov (United States)

    Reynolds, April

    2009-01-01

    Patient-centered care focuses on the patient and the individual's particular health care needs. The goal of patient-centered health care is to empower patients to become active participants in their care. This requires that physicians, radiologic technologists and other health care providers develop good communication skills and address patient needs effectively. Patient-centered care also requires that the health care provider become a patient advocate and strive to provide care that not only is effective but also safe. For radiologic technologists, patient-centered care encompasses principles such as the as low as reasonably achievable (ALARA) concept and contrast media safety. Patient-centered care is associated with a higher rate of patient satisfaction, adherence to suggested lifestyle changes and prescribed treatment, better outcomes and more cost-effective care. This article is a Directed Reading. Your access to Directed Reading quizzes for continuing education credit is determined by your area of interest. For access to other quizzes, go to www.asrt.org/store. According to one theory, most patients judge the quality of their healthcare much like they rate an airplane flight. They assume that the airplane is technically viable and is being piloted by competent people. Criteria for judging a particular airline are personal and include aspects like comfort, friendly service and on-time schedules. Similarly, patients judge the standard of their healthcare on nontechnical aspects, such as a healthcare practitioner's communication and "soft skills." Most are unable to evaluate a practitioner's level of technical skill or training, so the qualities they can assess become of the utmost importance in satisfying patients and providing patient-centered care.(1). PMID:19901351

  5. [Primary care in France].

    Science.gov (United States)

    Sánchez-Sagrado, T

    2016-01-01

    The poor planning of health care professionals in Spain has led to an exodus of doctors leaving the country. France is one of the chosen countries for Spanish doctors to develop their professional career. The French health care system belongs to the Bismarck model. In this model, health care system is financed jointly by workers and employers through payroll deduction. The right to health care is linked to the job, and provision of services is done by sickness-funds controlled by the Government. Primary care in France is quite different from Spanish primary care. General practitioners are independent workers who have the right to set up a practice anywhere in France. This lack of regulation has generated a great problem of "medical desertification" with problems of health care access and inequalities in health. French doctors do not want to work in rural areas or outside cities because "they are not value for money". Medical salary is linked to professional activity. The role of doctors is to give punctual care. Team work team does not exist, and coordination between primary and secondary care is lacking. Access to diagnostic tests, hospitals and specialists is unlimited. Duplicity of services, adverse events and inefficiencies are the norm. Patients can freely choose their doctor, and they have a co-payment for visits and hospital care settings. Two years training is required to become a general practitioner. After that, continuing medical education is compulsory, but it is not regulated. Although the French medical Health System was named by the WHO in 2000 as the best health care system in the world, is it not that good. While primary care in Spain has room for improvement, there is a long way for France to be like Spain. PMID:26304179

  6. Medical students as EMTs: skill building, confidence and professional formation

    Directory of Open Access Journals (Sweden)

    Thomas Kwiatkowski

    2014-07-01

    Full Text Available Objective: The first course of the medical curriculum at the Hofstra North Shore-LIJ School of Medicine, From the Person to the Professional: Challenges, Privileges and Responsibilities, provides an innovative early clinical immersion. The course content specific to the Emergency Medical Technician (EMT curriculum was developed using the New York State Emergency Medical Technician curriculum. Students gain early legitimate clinical experience and practice clinical skills as team members in the pre-hospital environment. We hypothesized this novel curriculum would increase students’ confidence in their ability to perform patient care skills and enhance students’ comfort with team-building skills early in their training. Methods: Quantitative and qualitative data were collected from first-year medical students (n=97 through a survey developed to assess students’ confidence in patient care and team-building skills. The survey was completed prior to medical school, during the final week of the course, and at the end of their first year. A paired-samples t-test was conducted to compare self-ratings on 12 patient care and 12 team-building skills before and after the course, and a theme analysis was conducted to examine open-ended responses. Results: Following the course, student confidence in patient care skills showed a significant increase from baseline (p<0.05 for all identified skills. Student confidence in team-building skills showed a significant increase (p<0.05 in 4 of the 12 identified skills. By the end of the first year, 84% of the first-year students reported the EMT curriculum had ‘some impact’ to ‘great impact’ on their patient care skills, while 72% reported the EMT curriculum had ‘some impact’ to ‘great impact’ on their team-building skills. Conclusions: The incorporation of EMT training early in a medical school curriculum provides students with meaningful clinical experiences that increase their self

  7. Building capacity in health research in the developing world

    Directory of Open Access Journals (Sweden)

    Mary Ann Lansang

    2004-10-01

    Full Text Available Strong national health research systems are needed to improve health systems and attain better health. For developing countries to indigenize health research systems, it is essential to build research capacity. We review the positive features and weaknesses of various approaches to capacity building, emphasizing that complementary approaches to human resource development work best in the context of a systems and long-term perspective. As a key element of capacity building, countries must also address issues related to the enabling environment, in particular: leadership, career structure, critical mass, infrastructure, information access and interfaces between research producers and users. The success of efforts to build capacity in developing countries will ultimately depend on political will and credibility, adequate financing, and a responsive capacity-building plan that is based on a thorough situational analysis of the resources needed for health research and the inequities and gaps in health care. Greater national and international investment in capacity building in developing countries has the greatest potential for securing dynamic and agile knowledge systems that can deliver better health and equity, now and in the future.

  8. Building design: sustainability and some energetic and ecological aspects

    Energy Technology Data Exchange (ETDEWEB)

    Abruzzese, D.; Ascolani, F.; Strollo, R.M. [University of Rome Tor Vergata (Italy). Dept. of Civil Engineering

    1998-07-01

    In the paper a general overview of the connections between architecture and the field of environmental care is presented. Sustainability is related with the system of human activities, thought as a holistic one: among these, architecture represents a holistic complex itself. Energy consumption reduction and pollutant emissions cut down are seen in the light of the maintenance of our health. Building plays an important role in the environmental impact of human acting, therefore it takes many responsibilities on its back. Building impacts on nature in ways and some data about environmental burdens deriving from activities related to building are given, with a certain stress laid on the Italian state. An overview of the green building philosophy, pointing out the importance of renovation of existing building estate, and so me basic aspects of green building design are presented; some examples illustrate the realization of bioarchitecture's principles. The acknowledgement by technical standards and rules has been dealt with through short account to give an idea that things are getting going. (author)

  9. Development of hazard-compatible building fragility and vulnerability models

    Science.gov (United States)

    Karaca, E.; Luco, N.

    2008-01-01

    We present a methodology for transforming the structural and non-structural fragility functions in HAZUS into a format that is compatible with conventional seismic hazard analysis information. The methodology makes use of the building capacity (or pushover) curves and related building parameters provided in HAZUS. Instead of the capacity spectrum method applied in HAZUS, building response is estimated by inelastic response history analysis of corresponding single-degree-of-freedom systems under a large number of earthquake records. Statistics of the building response are used with the damage state definitions from HAZUS to derive fragility models conditioned on spectral acceleration values. Using the developed fragility models for structural and nonstructural building components, with corresponding damage state loss ratios from HAZUS, we also derive building vulnerability models relating spectral acceleration to repair costs. Whereas in HAZUS the structural and nonstructural damage states are treated as if they are independent, our vulnerability models are derived assuming "complete" nonstructural damage whenever the structural damage state is complete. We show the effects of considering this dependence on the final vulnerability models. The use of spectral acceleration (at selected vibration periods) as the ground motion intensity parameter, coupled with the careful treatment of uncertainty, makes the new fragility and vulnerability models compatible with conventional seismic hazard curves and hence useful for extensions to probabilistic damage and loss assessment.

  10. Energy Efficiency, Building Productivity and the Commercial Buildings Market

    Energy Technology Data Exchange (ETDEWEB)

    Jones, D.W.

    2002-05-16

    The energy-efficiency gap literature suggests that building buyers are often short-sighted in their failure to apply life-cycle costing principles to energy efficient building technologies, with the result that under investment in these advanced technology occurs. This study examines the reasons this behavior may occur, by analyzing the pressures that market forces place on purchasers of buildings. Our basic conclusion is that the fundamental manner in which the buildings sector does business creates pressures to reduce initial capital outlays and to hedge against a variety of risks, including the ability of building owners to capture benefits from energy efficiency. Starting from the position that building buyers' willingness to pay drives choices over building attributes, we examine basic market principles, the structure of the buildings market, including the role of lenders, and policies that promote penetration of energy efficient technologies. We conclude that greater attention to buyers, and to the incentives and constraints they face, would promote a better understanding of building investment choices and contribute to better policies to promote the penetration of these technologies into markets.

  11. Parameters of Upgrading Existing Building into a Green Building

    Directory of Open Access Journals (Sweden)

    Mrs. Rupali Kapure

    2014-02-01

    Full Text Available Before turning to specific programs for upgrading buildings, it’s important to understand the market dynamics of greening existing buildings. From a macroeconomic perspective, energy efficiency upgrades represent the most cost-effective way to meet growing energy demands. From a microeconomic perspective, recent studies have shown that energy-efficient and certified green buildings merit higher market values, greater rents, and higher occupancies. From a corporate sustainability viewpoint, greening existing buildings is a direct way to reduce a company’s carbon footprint. As a result, corporate real estate managers in the United States have begun to decide in favour of greening both owned and leased buildings, seeing many economic benefits from this switch. Green buildings offer many marketing benefits for building owners and tenants, including opportunities for creating new green “brands” and also “future-proofing” their real estate against both future energy price increases and also value erosion as the trend toward green buildings continues to grow. Marketing benefits will vary by geographic location, building and tenant type, and other factors, but they are present in all privately owned real estate.

  12. Building America Case Study: Solar Water Heating in Multifamily Buildings

    Energy Technology Data Exchange (ETDEWEB)

    R. Aldrich and J. Williamson

    2016-05-01

    Solar domestic hot water (SDHW) systems have been installed on buildings for decades, but because of relatively high costs they have not achieved significant market penetration in most of the country. As more buildings move towards zero net energy consumption, however, many designers and developers are looking more closely at SDHW. In multifamily buildings especially, SDHW may be more practical for several reasons: (1) When designing for zero net energy consumption, solar water heating may be part of the lowest cost approach to meet water heating loads. (2.) Because of better scale, SDHW systems in multifamily buildings cost significantly less per dwelling than in single-family homes. (3) Many low-load buildings are moving away from fossil fuels entirely. SDHW savings are substantially greater when displacing electric resistance water heating. (4) In addition to federal tax incentives, some states have substantial financial incentives that dramatically reduce the costs (or increase the benefits) of SDHW systems in multifamily buildings. With support form the U.S. DOE Building America program, the Consortium for Advanced Residential Buildings (CARB) worked with a developer in western Massachusetts to evaluate a SDHW system on a 12-unit apartment building. Olive Street Development completed construction in spring of 2014, and CARB has been monitoring performance of the water heating systems since May 2014.

  13. Dare to Care, Care to Perform

    DEFF Research Database (Denmark)

    Giangreco, Antonio; Sebastiano, Antnio; Carugati, Andrea

    2010-01-01

    -driven modernization process of an Italian nursing home. Based on qualitative research methods, our aim is to identify what are the elements of a designing approach of an IT-tool meant to enhance a process of modernization in a health care organization. Our results show that a patient-centered, user-friendly, bottomup...... designed and results-driven tool is more likely to be beneficial for the patients and the users and therefore, for the organization at large. This study contributes to the extant literature on health care management providing the alternative view that, if the tool is designed around and for the individuals...... (patients and users), then it will produce positive results for the organization. In other words, who dares to care, will perform....

  14. Activity monitoring of people in buildings using distributed smart cameras

    OpenAIRE

    Van Hese, Peter; Tessens, Linda; Morbée, Marleen; Kleihorst, Richard; Philips, Wilfried

    2010-01-01

    Systems for monitoring the activity of people inside buildings (e.g., how many people are there, where are they, what are they doing, etc.) have numerous (potential) applications including domotics (control of lighting, heating, etc.), elderly-care (gathering statistics on the daily live) and video teleconferencing. We will discuss the key challenges and present the preliminary results of our ongoing research on the use of distributed smart cameras for activity monitoring of people in buil...

  15. Building on success, forging new ground: The question of sustainability

    OpenAIRE

    Waters, Donald J.

    2004-01-01

    Building on success, forging new ground: The question of sustainability by Donald J. Waters This paper focuses on three factors that contribute to the sustainability of digital scholarly resources. First, the development of such resources depends on a clear definition of the audience and the needs of users. Second, the resource must be designed to take advantage of economies of scale. Third, to create an enduring resource, careful attention is needed to the design of the organization t...

  16. Promoting health, building community.

    Science.gov (United States)

    Artis, Bobby

    2005-01-01

    As part of its mission to honor human dignity and to care for the poor and vulnerable, Catholic Healthcare Partners (CHP), Cincinnati, has made a systemwide commitment to address housing needs in the communities it serves. A priority for the system is providing safe, affordable housing options for the low-income elderly. CHP's approach goes beyond "bricks and mortar," however. The system aims not only to provide a home for senior adults but also to enrich their lives. Through various activities and support services, CHP's senior living complexes in Kentucky, Ohio, Pennsylvania, and Tennessee offer residents an opportunity to live in a vibrant community. CHP facilities have developed a variety of initiatives to enhance residents' lives. Among these are: spiritual care services, nurses who serve as a resource to low-income elders, a short-stay shelter for seniors in transition, a service referral program, and therapy to help elders remain independent. In order to offer these comprehensive services to senior adults, CHP relies on partnerships with a variety of organizations and on funding from both the federal government and private investors. Especially as the nation's population ages, CHP continues to make its housing ministry a strategic priority. PMID:15807065

  17. Preservation in New Buildings

    Directory of Open Access Journals (Sweden)

    Christopher Kitching

    2000-06-01

    Full Text Available In the United Kingdom (as in many other countries increasing attention is being paid to the importance of each library and archive having a written preservation strategy endorsed by its governing body. So increasingly we are asking: where does „preservation“ begin and what are its top priorities? Some would say preservation begins with the definition of collecting policies to ensure that only relevant items are acquired in the first place, and therefore that no unnecessary costs are incurred on the long-term care of unwanted and unconsulted items. Others might argue that the first priority must be the careful appraisal of existing holdings to determine their preservation and conservation requirements and to prioritise their treatment. Or should preservation begin with damage-limitation: restricting the physical handling of books and documents, on the one hand by providing whenever possible surrogate copies in digital formats or microform, and on the other hand by offering at least basic protection through appropriate boxing and packaging? This, surely, goes hand-in-hand with the education of staff and readers about the importance of treating rare or unique materials with proper respect.

  18. Penis care (uncircumcised)

    Science.gov (United States)

    Uncircumcised penis - bathing; Cleaning an uncircumcised penis ... An uncircumcised penis has its foreskin intact. An infant boy with an uncircumcised penis does not need special care. Normal bathing ...

  19. Democracy, caring and competence

    DEFF Research Database (Denmark)

    Broström, Stig; Johannesson, Eva Marianne; Purola, Anna-Maija;

    2015-01-01

    The aim of the study is to explore how Nordic Early Childhood Education and Care policies frame values education in preschools with a special focus on the values of democracy, caring and competence. The study is part of a larger Nordic project, Valueseducation in Nordic preschools: Basis of...... the study. Keywords related with democratic, caring and competence values were selected. The findings reveal different dimensions and meanings of the three value fields, such as democracy as being and/or becoming; care as fulfilment of basic needs and an ethical relationship; and competence values as...

  20. Nursing Care after Death

    OpenAIRE

    Gong, Xi

    2012-01-01

    Nurses care, help and support patients before they are born, when they are alive and after they die. The starting points of this study were how nurses provide physical care for the dead patients and psychological care for the bereaved families. The purpose of this study was to describe the role of a nurse when patients die. The aims of this study were that the results of the study could help the nurses’ clinical work and could be used as part of teaching material in post-mortem care or nu...

  1. Caring for the caregiver.

    Science.gov (United States)

    2008-01-01

    Caring for the Caregiver is information for persons helping to care for people with cancer. The emphasis is on what caregivers can do to help themselves at this stressful time. Topics included are: Who Is a Caregiver, Your Feelings, Asking For Help, Caring for Yourself, Going With Your Loved One to Medical Visits, Talking With Others, Remember, Other Resources for Caregivers. The information is written on a basic level and it is very suitable for health professionals to share with persons helping to care for family members or friends who have cancer. The National Cancer Institute posted this information on its website last June 29. PMID:19062356

  2. Progressive Care of Obese Patients.

    Science.gov (United States)

    Dambaugh, Lori A; Ecklund, Margaret M

    2016-08-01

    Obese patients have complex needs that complicate their care during hospitalization. These patients often have comorbid conditions, including hypertension, heart failure, obstructive sleep apnea, pressure ulcers, and difficulty with mobility. Obese patients may be well served in the progressive care setting because they may require more intensive nursing care than can be delivered in a general care unit. Progressive care nurses have core competencies that enable them to safely and effectively care for obese patients. A plan of care with interdisciplinary collaboration illustrates the integrative care for obese progressive care patients. (Critical Care Nurse 2016; 36[4]:58-63). PMID:27481802

  3. Guidelines for Building Science Education

    Energy Technology Data Exchange (ETDEWEB)

    Metzger, Cheryn E.; Rashkin, Samuel; Huelman, Pat

    2015-03-11

    The U.S. Department of Energy’s (DOE) residential research and demonstration program, Building America, has triumphed through 20 years of innovation. Partnering with researchers, builders, remodelers, and manufacturers to develop innovative processes like advanced framing and ventilation standards, Building America has proven an energy efficient design can be more cost effective, healthy, and durable than a standard house. As Building America partners continue to achieve their stretch goals, they have found that the barrier to true market transformation for high performance homes is the limited knowledge-base of the professionals working in the building industry. With dozens of professionals taking part in the design and execution of building and selling homes, each person should have basic building science knowledge relevant to their role, and an understanding of how various home components interface with each other. Instead, our industry typically experiences a fragmented approach to home building and design. After obtaining important input from stakeholders at the Building Science Education Kick-Off Meeting, DOE created a building science education strategy addressing education issues preventing the widespread adoption of high performance homes. This strategy targets the next generation and provides valuable guidance for the current workforce. The initiative includes: • Race to Zero Student Design Competition: Engages universities and provides students who will be the next generation of architects, engineers, construction managers and entrepreneurs with the necessary skills and experience they need to begin careers in clean energy and generate creative solutions to real world problems. • Building Science to Sales Translator: Simplifies building science into compelling sales language and tools to sell high performance homes to their customers. • Building Science Education Guidance: Brings together industry and academia to solve problems related to

  4. The System-of-Care Model: Implementation in Twenty-Seven Communities.

    Science.gov (United States)

    Vinson, Nina B.; Brannan, Ana Maria; Baughman, Lela N.; Wilce, Maureen; Gawron, Timothy

    2001-01-01

    A 4-year study of 27 system-of-care sites designed to provides mental health services to children and adolescents, found that despite many changes in each local service system, no site was able to fully implement all 16 key attributes comprising an ideal system-of-care model (including sites with previous system-building experience). (Contains…

  5. Impact of a Statewide Collaborative on Strengthening Families through Early Care and Education

    Science.gov (United States)

    Roach, Mary; Kim, Yae Bin; O'Connor, Cailin; Laurion, Joan

    2009-01-01

    Research Findings: Research suggests that early care and education programs are most effective when they include strong components of family involvement. The Center for the Study of Social Policy recommended that early care and education programs build family-centered practices to strengthen families and reduce the incidence of child abuse and…

  6. Building Energy Monitoring and Analysis

    Energy Technology Data Exchange (ETDEWEB)

    Hong, Tianzhen; Feng, Wei; Lu, Alison; Xia, Jianjun; Yang, Le; Shen, Qi; Im, Piljae; Bhandari, Mahabir

    2013-06-01

    This project aimed to develop a standard methodology for building energy data definition, collection, presentation, and analysis; apply the developed methods to a standardized energy monitoring platform, including hardware and software, to collect and analyze building energy use data; and compile offline statistical data and online real-time data in both countries for fully understanding the current status of building energy use. This helps decode the driving forces behind the discrepancy of building energy use between the two countries; identify gaps and deficiencies of current building energy monitoring, data collection, and analysis; and create knowledge and tools to collect and analyze good building energy data to provide valuable and actionable information for key stakeholders.

  7. Radiation exposure from building materials

    International Nuclear Information System (INIS)

    A survey procedure was developed to find buildings in which the radiation exposure from gamma rays is relatively high. For modern structures NaI(Tl) survey meters are used to identify building materials with higher radionuclide content. Samples of these materials are analyzed by gamma-ray spectroscopy for 226Ra daughters, 232Th daughters, and 40K. The exposure rate in a building is computed from these concentrations on the basis of the geometrical configuration of building materials, acting both as radiation sources and as a shield against terrestrial radiation, and also on the basis of the outside radiation exposure rate at the building site. The procedure may also be applied to surveys of building material constituents and to materials in place in older structures. A calculational model was developed to predict radiation exposure rates within the houses

  8. Renovating the Main Building

    CERN Multimedia

    CERN Bulletin

    2010-01-01

    CERN's "Main Building" is exactly that. The Organization's central hub, with hundreds of staff and visitors passing through its doors every day, will soon be getting a well-earned facelift. Refurbishment work will proceed in phases, starting with the Salle des Pas Perdus, the concourse between the Council Chamber and the Main Auditorium. By the end of August, informal seating areas will be installed, electronic display panels will provide practical information and improved sound insulation will enhance conditions in the auditoria and surrounding meeting rooms.   In light green the area that will undergo the facelift. Work will start in July. The ground floor is home to the entrance to Restaurant No. 1, the bank, the post office, the travel agent, the Users Office, the Staff Association, the notice boards etc. Step up to the first floor to access CERN's largest lecture theatre, the Council Chamber and its "Pas Perdus" lobby. Everyone who works at or visits CERN i...

  9. Photovoltaic building blocks

    DEFF Research Database (Denmark)

    Hanberg, Peter Jesper; Jørgensen, Anders Michael

    2014-01-01

    efficiency of about 15% for commercial Silicon solar cells there is still much to gain. DTU Danchip provides research facilities, equipment and expertise for the building blocks that comprises fabricating the efficient solar cell. In order to get more of the sun light into the device we provide thin film...... coating tools to depositand develop anti-reflection filters by means of sputtering or e-beam evaporation. To reduce the area taken up by metallic contacts transparent conducting oxides like Aluminium doped ZincOxide (AZO) and Indium Tin Oxide (ITO) can be deposited. We also support research...... and development of new 2D materials like graphene that is a promising candidate for cheap highly transparent contacts. Another way to increase efficiency is to structure the active layers indevice so that more light is absorbed. This can be done in one of our advanced dry etching machines either mask-less to form...

  10. Building Land Information Policies

    DEFF Research Database (Denmark)

    Enemark, Stig

    2004-01-01

    The paper presents a conceptual understanding in the areas of Cadastre, Land Administration, and Land Management as a basis for building adequate land information policies. To develop this understanding the paper looks at each area as a system or an infrastructure designed for handling specific...... measurement science, spatial information, management, and land management. (2) To establish national professional associations which accommodate a modern interdisciplinary profile. (3) To assess the capacity needs in land administration and to develop the capacity needed at societal, institutional and...... personal level.    (4) To establish appropriate institutional and organisational infrastructures to manage the integration of topographic mapping and cadastral information into a coherent land administration system for sustainable development. The paper aims to establish the basic understanding for dealing...

  11. Mandated bundled payments compel hospitals to rethink post-acute care.

    Science.gov (United States)

    Baggot, Deirdre; Edeburn, Andy

    2015-10-01

    Health care is on the brink of an industrywide shift to a bundled payment model in which payment covers episodes of care extending from prehospitalization into post-acute care. Hospitals and health systems should begin development of a post-acute care network strategy in preparation for bundled payments. The strategic effort will require four broad phases: Defining the value proposition. Developing the post-acute care network. Building the bundle. Executing smartly from the start with new delivery models that reduce clinical variation and real-time performance monitoring. PMID:26595978

  12. Building better boards.

    Science.gov (United States)

    Nadler, David A

    2004-05-01

    Companies facing new requirements for governance are scrambling to buttress financial-reporting systems, overhaul board structures--whatever it takes to comply. But there are limits to how much good governance can be imposed from the outside. Boards know what they ought to be: seats of challenge and inquiry that add value without meddling and make CEOs more effective but not all-powerful. A board can reach that goal only if it functions as a high-performance team, one that is competent, coordinated, collegial, and focused on an unambiguous goal. Such entities don't just evolve; they must be constructed to an exacting blueprint--what the author calls board building. In this article, Nadler offers an agenda and a set of tools that boards can use to define and achieve their objectives. It's important for a board to conduct regular self-assessments and to pay attention to the results of those analyses. As a first step, the directors and the CEO should agree on which of the following common board models best fits the company: passive, certifying, engaged, intervening, or operating. The directors and the CEO should then analyze which business tasks are most important and allot sufficient time and resources to them. Next, the board should take inventory of each director's strengths to ensure that the group as a whole possesses the skills necessary to do its work. Directors must exert more influence over meeting agendas and make sure they have the right information at the right time and in the right format to perform their duties. Finally, the board needs to foster an engaged culture characterized by candor and a willingness to challenge. An ambitious board-building process, devised and endorsed both by directors and by management, can potentially turn a good board into a great one. PMID:15146740

  13. Building Evacuation with Mobile Devices

    OpenAIRE

    Merkel, Sabrina

    2014-01-01

    The rapidly growing world population and increasingly dense settlements demand ever-larger and more complex buildings from today's engineers. In comparison to this technological progress, a building's equipment for emergency evacuation has been hardly developed further. This work presents a concept for a building evacuation system based on mobile devices. Furthermore, various algorithms for route planning with mobile devices and for indoor localization of mobile devices are addressed.

  14. The Netherlands' School Building Prize

    OpenAIRE

    OECD

    1999-01-01

    The School Building Prize has been awarded every two years since 1992 to Dutch school boards that have proved able to embrace new directions in school building design while keeping within their available budget. The Prize, which has drawn acclaim for the development of high quality educational architecture in the Netherlands, provides publicity for successful projects so that other schools can benefit from the designs and information. The 1998 School Building Prize was awarded to the British ...

  15. Mould growth on building materials

    DEFF Research Database (Denmark)

    Fog Nielsen, K.

    Mould growth in buildings is associated with adverse health effects among the occupants of the building. However actual growth only occurs in damp and water-damaged materials, and is an increasing problem in Denmark, due to less robust constructions, inadequate maintenance, and too little...... ventilation. This project was started to determine if mycotoxins are produced in damp and water-damaged buildings as well investigating the influence of environmental conditions (humidity and temperature) on the production of fungal growth and secondary metabolism....

  16. Sustainability in Energy and Buildings

    OpenAIRE

    Kinnane, Oliver; Basu, Biswajit

    2014-01-01

    PUBLISHED Cardiff This paper presents a new methodology for characterising the energy performance of buildings suitable for city-scale, top-down energy modelling. Building properties that have the greatest impact on simulated energy performance were identified via a review of sensitivity analysis studies. The methodology greatly simplifies the description of a building to decrease labour and simulation processing overheads. The methodology will be used in the EU FP7 INDICATE project whi...

  17. Energy-efficient timber buildings

    OpenAIRE

    Zbašnik-Senegačnik, Martina; Kitek Kuzman, Manja

    2015-01-01

    The choice of materials for a building with high energy efficiency becomes much more important and strategies for reducing the use of primary energy for the production of materials and components becomes key. The positive trend towards wooden construction is dictated by international guidelines, where a wooden building is an important starting point, not only for low-energy, but also low-emission building with exceptional health and safety aspects. In Europe, the most comprehensiv...

  18. Center for Electron Microscopy, CEN-DTU; The building

    DEFF Research Database (Denmark)

    Horsewell, Andy

    Center for electron nanoscopy, CEN●DTU; The building Andy Horsewell Technical University of Denmark, DTU Materials Technology, Building 204, 2800 Lyngby ABSTRACT CEN●DTU, having been given[1] the opportunity to create a world-class facility with a unique suite of electron microscopes, is in full...... environmental cell, to provide in-situ observations of gas-solid interactions at high temperatures. 2 dual beam FIB-FEGSEMs, both with EDS and one with EBSD will allow 3D image, composition and crystallographic reconstruction at sub-nanometer resolution. Additional electron microscopes, making 7 in all......, comprise a unique assembly of outstanding instruments for research, teaching and innovation. In order to operate at peak performance, such instruments place extreme demands on the stability of the environment around them. All of the following factors must be minimized through careful building design and...

  19. Seismic design of RC buildings theory and practice

    CERN Document Server

    Manohar, Sharad

    2015-01-01

    This book is intended to serve as a textbook for engineering courses on earthquake resistant design. The book covers important attributes for seismic design such as material properties, damping, ductility, stiffness and strength. The subject coverage commences with simple concepts and proceeds right up to nonlinear analysis and push-over method for checking building adequacy. The book also provides an insight into the design of base isolators highlighting their merits and demerits. Apart from the theoretical approach to design of multi-storey buildings, the book highlights the care required in practical design and construction of various building components. It covers modal analysis in depth including the important missing mass method of analysis and tension shift in shear walls and beams. These have important bearing on reinforcement detailing. Detailed design and construction features are covered for earthquake resistant design of reinforced concrete as well as confined and reinforced masonry structures. Th...

  20. Design of passive solar buildings in urban areas

    Energy Technology Data Exchange (ETDEWEB)

    Tombazis, A.N.; Preuss, S.A. [Meletitiki-Alexandros N. Tombazis and Associates Architects Ltd., Athens (Greece)

    2001-07-01

    This paper is about designing solar buildings within given urban contexts and the resulting restrictions rather than about town planning with the freedom to arrange buildings freely so as to maximise access to natural resources. A comprehensive bioclimatic design in such a given urban environment must carefully investigate and assess the building's access to natural resources while taking into account the negative influences that might prevail around the site. The associated constraints can be a challenging but very interesting and rewarding starting point for architectural design. If understood and considered from the beginning these constraints can lead to creative, innovative and beautiful architectural solutions, in other words, to real architecture. (Author)