Sample records for care trec building

  1. TREC 2014 Web Track Overview (United States)


    automatic query reformulation . These algorithms aim to increase retrieval 8 29 8 28 7 26 7 27 6 27 3 28 4 28 5 29 2 29 6 25 1 29 4 25 8 25 7 25 6 26 0 25 3...sensitive retrieval, building upon the resources created by the TREC Web track. 8 Acknowledgements We thank Jamie Callan, David Pane and the Language

  2. Building the eye care team

    Directory of Open Access Journals (Sweden)

    Thulasiraj Ravilla


    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.

  3. [The architectural design of psychiatric care buildings]. (United States)

    Dunet, Lionel


    The architectural design of psychiatric care buildings. In addition to certain "classic" creations, the Dunet architectural office has designed several units for difficult patients as well as a specially adapted hospitalisation unit. These creations which are demanding in terms of the organisation of care require close consultation with the nursing teams. Testimony of an architect who is particularly engaged in the universe of psychiatry.

  4. PolarTREC-Teachers and Researchers Exploring and Collaborating: Innovative Science Education from the Poles to the World (United States)

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


    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 or 907-474-1600 or visit

  5. Celebrating a commitment to care: building concernful practices among practitioners. (United States)

    Burke, Linda L; Williams, Margaret G


    Caring can be discussed and achieved in a variety of ways within various professional nursing settings. The purpose of our Commitment to Care Celebration was to share common experiences of caring among students, faculty, and staff to build community at a small midwestern college of nursing. The concernful practices of schooling learning teaching were the backbone of designing this caring experience. Narrative pedagogy invited stories of caring among participants in small circular groups to discover what was most important in caring for self and others. This event revealed a true caring experience for students, faculty, and staff, and supported how concernful practices engendered a community of learners.

  6. BJUT at TREC 2015 Contextual Suggestion Track (United States)


    of Technology, Beijing 100124, China 2. Beijing Key Laboratory of Trusted Computing, Beijing 100124, China 3. National Engineering Laboratory for...CTISCP, Beijing 100124, China ⇤ Abstract In this paper we described our efforts for TREC contextual suggestion task. Our goal of this

  7. TREC 2014 Temporal Summarization Track Overview (United States)


    TREC 2014 Temporal Summarization Track Overview Javed Aslam Fernando Diaz Matthew Ekstrand-Abueg Richard McCreadie Virgil Pavlu Tetsuya Sakai...string, time): u = (u.string, u.t). For example u = (“The hurricane was upgraded to category 4”, 1330169580) represents an update describing the... hurricane category, now 4, pushed out by system S at UNIX time 1330169580 (i.e. 1330169580 seconds after 0:00 UTC on January 1, 1970). In this year’s

  8. Overview of the TREC 2008 Legal Track (United States)


    Judge Grimm, writing in Victor Stanley v. Creative Pipe [13], went on to make this rather extraordinary set of observations about discovery of...results of the TREC Legal Track to date can be said to meet the judiciary’s ex- pectations, it is nevertheless the case that the opinion in Victor Stanley ...Crowley LLP), Joe Looby and Ryan Bilbrey (FTI Consulting), and the team from H5 (Todd Elmer, Jim Donahue, Misti Gerber , and others) for their

  9. Building a safe care-providing robot. (United States)

    Fotoohi, Leila; Gräser, Axel


    A service robot especially a care-providing robot, works in the vicinity of a human body and is sometimes even in direct contact with it. Conventional safety methods and precautions in industrial robotics are not applicable to such robots. This paper presents a safety approach for designing the safe care-providing robot FRIEND. The approach is applied in each step of design iteratively to identify and assess the potential hazards during design. The steps are explained briefly in this work. The main contribution of this paper is verification of safety requirements using the Ramadge-Wonham (RW) framework. The greater complexity of the tasks the robot will perform, the more complex is the identification of safety requirements. Use of this framework led us to analyze the requirements and verify them formally, systematically and on a modular basis. In our approach human-robot interaction (HRI) is also modeled by a set of uncontrolled events that may happen any time during operation. Subsequently the safety requirements are modified to consider these interactions. As a result the safety module behaves like a controller, running in parallel with the system, which maintains the system safe and works according to the safety requirements by enabling the admissible sequences of events.

  10. Building collaborative teams in neonatal intensive care. (United States)

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


    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=showing that staff had greater 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.

  11. The Second Text Retrieval Conference (TREC-2) [and] Overview of the Second Text Retrieval Conference (TREC-2) [and] Reflections on TREC [and] Automatic Routing and Retrieval Using Smart: TREC-2 [and] TREC and TIPSTER Experiments with INQUIRY [and] Large Test Collection Experiments on an Operational Interactive System: Okapi at TREC [and] Efficient Retrieval of Partial Documents [and] TREC Routing Experiments with the TRW/Paracel Fast Data Finder [and] CLARIT-TREC Experiments. (United States)

    Harman, Donna; And Others


    Presents an overview of the second Text Retrieval Conference (TREC-2), an opinion paper about the program, and nine papers by participants that show a range of techniques used in TREC. Topics include traditional text retrieval and information technology, efficiency, the use of language processing techniques, unusual approaches to text retrieval,…

  12. University of Delaware at TREC 2014 (United States)


    which fit in the specified genre . We then aggregate all sets of results for a single user’s profile into one set of 50 ranked results, which is the...TREC 2014) held in Gaithersburg, Maryland, November 19-21, 2014. The conference was co-sponsored by the National Institute of Standards and Technology...randomly selected. 2.2 Submitted runs Our main idea is to maintain diversity among all the genres that suit the user’s taste. We have submitted two runs

  13. ECNU at TREC 2015: Microblog Track (United States)


    specific settings for each run is as follows: ECNURUNA1(0.17, 0.3, 0.3, 0.5), 1 twitter -tools/wiki/TREC-2013- API -Specifications...gather a parallel sample of tweets from the Twitter public stream during the evaluation period, i.e., from July 20, 2015, 00:00:00 UTC to July 29...2 twitter -tools/wiki/Sampling-the-public- Twitter -stream 3 4 twitter -tools

  14. University of glasgow at TREC 2006

    DEFF Research Database (Denmark)

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


    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...

  15. Teamwork: building healthier workplaces and providing safer patient care. (United States)

    Clark, Paul R


    A changing healthcare landscape requires nurses to care for more patients with higher acuity during their shift than ever before. These more austere working conditions are leading to increased burnout. In addition, patient safety is not of the quality or level that is required. To build healthier workplaces where safe care is provided, formal teamwork training is recommended. Formal teamwork training programs, such as that provided by the MedTeams group, TeamSTEPPS (Team Strategies and Tools to Enhance Performance and Patient Safety), or participatory action research programs such as the Healthy Workplace Intervention, have decreased errors in the workplace, increased nurse satisfaction and retention rates, and decreased staff turnover. This article includes necessary determinants of teamwork, brief overviews of team-building programs, and examples of research programs that demonstrate how teamwork brings about healthier workplaces that are safer for patients. Teamwork programs can bring about these positive results when implemented and supported by the hospital system.

  16. HU_DB at TREC 2014 Microblog Track (United States)


    timeline is simply a list of representative tweets, sorted according to time. As part of the TREC framework, an online API to a historical Twitter dataset...Microblogging platforms, such as Twitter , Google+ and Tumblr, are a popular means to share and discover timely information. Such platforms differ from standard...The Microblog track at TREC 2014 focused only on Twitter , and defined the following task, called the Tweet Timeline Generation (TTG) task: Task 1

  17. CSIR at TREC 2008 Expert Search Task: Modeling Expert Evidence in Expert Search (United States)


    CSIR at TREC 2008 Expert Search Task: Modeling Expert Evidence in Expert Search Jiepu Jiang1, Wei Lu1, Haozhen Zhao2 1 Center for Studies of...AND SUBTITLE CSIR at TREC 2008 Expert Search Task: Modeling Expert Evidence in Expert Search 5a. CONTRACT NUMBER 5b. GRANT NUMBER 5c. PROGRAM...15. J. Jiang, W. Lu, D. Liu. CSIR at TREC 2007. In Proceedings of the 16th Text REtrieval Conference (TREC 2007), 2007. 16. J. Jiang, W. Lu. IR

  18. Building collaboration in caring for people with schizophrenia. (United States)

    Kertchok, Ratchaneekorn


    People with schizophrenia, who have disturbances in mood, thought processes and behavior, experience impairment in day-to-day functioning. Primary caregivers have tried to become involved in caring for persons with schizophrenia by coordination with community psychiatric nurses. Community psychiatric nurses have an important role to play in supporting families in this care, especially primary caregivers. The purpose of the present study was to explore the relationship between Thai community psychiatric nurses and primary caregivers of people with schizophrenia. Grounded theory methodology was used to examine the process with which community psychiatric nurses work together with primary caregivers. Purposive sampling and theoretical sampling were used. Data were collected from 34 informants, including 17 community psychiatric nurses and 17 primary caregivers through in-depth interviews, observation, and field notes. Data was analyzed using constant and comparative methods by Glaser (1978). The study revealed that building collaboration in the care of people with schizophrenia involved coordinating both community psychiatric nurses and primary caregivers in a process that consists of five major stages. In the first stage, community psychiatric nurses and primary caregivers used strategies to establish trust in each other before the next stage, which engaged their concerns and needs. Later, the stages of mutual preparation for caregiving, cooperating on patient care and monitoring outcomes were jointly employed in order to promote a healthy family life for patients. The study concludes by suggesting guidelines and giving insights into ways of helping primary caregivers and their patients with schizophrenia.

  19. Building Schools as Caring Communities: Why, What, and How? (United States)

    Doyle, Lynn H.; Doyle, Patrick M.


    Suggests that a caring community has an "ethic of care" that works to develop students who will become empathetic adults and transport a caring mission beyond the walls of the school into their communities. Discusses establishing powerful policies for equity, empowering groups, teaching caring in classrooms, caring for students, and caring by…

  20. University of Lugano at TREC 2009 Blog Track (United States)


    Texas School of Information at TREC 2007. In Proc. of the 2007 Text Retrieval Conf, 2007. [4] J. L. Elsas, J. Arguello, J. Callan, and J. G. Carbonell ...aggregation operators in multicriteria decision making. IEEE Trans. Syst. Man Cybern., 18(1):183–190, 1988. [14] Y. Yang, J. G. Carbonell , R. D. Brown, T

  1. Drexel at TREC 2014 Federated Web Search Track (United States)


    TREC 2014) held in Gaithersburg, Maryland, November 19-21, 2014. The conference was co-sponsored by the National Institute of Standards and... genre of content, e.g. news, blogs, encyclopedia, etc. The user’s query may have a strong indication of vertical intent, e.g. ”arrow icon”, which is

  2. Overview of the TREC 2013 Federated Web Search Track

    NARCIS (Netherlands)

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


    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

  3. Overview of the TREC 2014 Federated Web Search Track

    NARCIS (Netherlands)

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


    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


    Institute of Scientific and Technical Information of China (English)

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


    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.

  5. UTD at TREC 2014: Query Expansion for Clinical Decision Support (United States)


    Wikipedia and PubMed corpus statistics in order to au- tomatically extract keywords. Extracted key- words were then expanded by relying on struc- tured...designed for the TREC-CDS track in 2014 used the open access subset of the PubMed Central1 (PMC) collection of scientific arti- cles as retrieved on...query expansion in the four o cially submitted runs. Each of these systems exploits both Wikipedia and PubMed corpus statistics in order to au

  6. RUC at TREC 2014: Select Resources Using Topic Models (United States)


    them being observed (i.e. sampled). To infer the topic Report Documentation Page Form ApprovedOMB No. 0704-0188 Public reporting burden for the...Selection. In CIKM 2009, pages 1277-1286. [10] M. Baillie, M. Carmen, and F. Crestani. A Multiple- Collection Latent Topic Model for Federated...RUC at TREC 2014: Select Resources Using Topic Models Qiuyue Wang, Shaochen Shi, Wei Cao School of Information Renmin University of China Beijing

  7. BUPT_PRIS at TREC 2014 Knowledge Base Acceleration Track (United States)


    Abstract This paper describes the system in Vital Filtering and Streaming Slot Filling task of TREC 2014 Knowledge Base Acceleration Track. In the Vital ...can help update a knowledge base like Wikipedia. The KBA2014 includes three tasks: Vital Filtering(VF) task ,Streaming Slot Filling task and Accelerate...Create. The third task is new open track which is not evaluated. For the Vital Filtering task, given a fixed list of target entities from

  8. 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


    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

  9. Distributed Non-Parametric Representations for Vital Filtering: UW at TREC KBA 2014 (United States)


    Proceedings of the Twenty-Second Text REtrieval Conference (TREC), 2013. Blei, David . Probabilistic topic models. Communications of the ACM, pp. 7784, 2012...Conference (TREC 2012), 2012. Hinton, G. E., McClelland , J. L., and Rumelhart, D. E. Distributed Representations. In Parallel Distributed Processing

  10. Building a Health Care Legal Partnership Learning Collaborative. (United States)

    Weber, Eileen; Polkey, Bryan


    Many Americans need both health care and legal interventions to maximize their opportunities for health. Medical-legal partnerships (MLPs), also known as health care legal partnerships (HLPs), bring the power of law to health care to reduce barriers and negative social determinants of health. The two terms--HLP and MLP--are used interchangeably in this article. Growing research shows that these partnerships can improve care, improve health, enhance interprofessional collaboration, and improve the financial status of patients and providers. HLPs take many forms, depending on their settings and resources. A health care legal partnership learning collaborative that brings leaders of diverse HLPs together to share experiences and best practices can help expand this effective model and enhance its potential for collective impact in improving population health.

  11. Organizational leadership for building effective health care teams. (United States)

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


    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 all need support from leadership to succeed. Teams have been invoked as a necessary tool to address the needs of patients with multiple chronic conditions and to address medical workforce shortages. Invoking teams, however, is much easier than making them function effectively, so we need to consider the implications of the growing emphasis on teams. Although the ACA will spur team development, organizational leadership must use what we know now to train, support, and incentivize team function. Meanwhile, we must also advance research regarding teams in health care to give those leaders more evidence to guide their work.

  12. K2U at TREC 2014 KBA Track (United States)


    this purpose, a language model built from a set of non-relevant documents for the target entity is used. More details are found in Section III-C. Then...useful is based on another language model built from the Wikipedia article for the target entity. The details are described in Section III-D. 2trec...Graduate School of System Informatics,Kobe, Hy??go, Japan , 8. PERFORMING ORGANIZATION REPORT NUMBER 9. SPONSORING/MONITORING AGENCY NAME(S) AND

  13. Building A Health Care Data Warehouse for Cancer Diseases

    Directory of Open Access Journals (Sweden)

    Osama E.Sheta


    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.

  14. A framework to evaluate research capacity building in health care

    Directory of Open Access Journals (Sweden)

    Cooke Jo


    Full Text Available Abstract Background Building research capacity in health services has been recognised internationally as important in order to produce a sound evidence base for decision-making in policy and practice. Activities to increase research capacity for, within, and by practice include initiatives to support individuals and teams, organisations and networks. Little has been discussed or concluded about how to measure the effectiveness of research capacity building (RCB Discussion This article attempts to develop the debate on measuring RCB. It highlights that traditional outcomes of publications in peer reviewed journals and successful grant applications may be important outcomes to measure, but they may not address all the relevant issues to highlight progress, especially amongst novice researchers. They do not capture factors that contribute to developing an environment to support capacity development, or on measuring the usefulness or the 'social impact' of research, or on professional outcomes. The paper suggests a framework for planning change and measuring progress, based on six principles of RCB, which have been generated through the analysis of the literature, policy documents, empirical studies, and the experience of one Research and Development Support Unit in the UK. These principles are that RCB should: develop skills and confidence, support linkages and partnerships, ensure the research is 'close to practice', develop appropriate dissemination, invest in infrastructure, and build elements of sustainability and continuity. It is suggested that each principle operates at individual, team, organisation and supra-organisational levels. Some criteria for measuring progress are also given. Summary This paper highlights the need to identify ways of measuring RCB. It points out the limitations of current measurements that exist in the literature, and proposes a framework for measuring progress, which may form the basis of comparison of RCB

  15. Care of the comatose patient: building mutual staff values. (United States)

    Hofmann, P B; Smoot, F L


    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.

  16. Mid-infrared T-Recs spectroscopy of local lirgs

    Directory of Open Access Journals (Sweden)

    T. Díaz-Santos


    Full Text Available Se presenta espectroscopia de alta resolución espacial con T-ReCS en la banda N (8 13 m de las regiones centrales (unos pocos kpc de tres galaxias infrarrojas (IR luminosas (LIRGs locales. Los espectros nucleares presentan una profunda banda de absorción de los silicatos a 9.7 m y la línea de emisión de [S IV]10:5 m en acuerdo con su clasificación como AGN. Las dos LIRGs con emisión en el IR medio no resuelta no muestran emisión PAH en 11:3 m en sus espectros nucleares. Para NGC 5135 los datos de T-ReCS nos han permitido resolver los espectros del núcleo, una región H II y la zona difusa entre ambos, en escalas menores que 2:500 600 pc. La zona difusa presenta emisión PAH brillante con un continuo débil, mientras que la región H II presenta emisión PAH con menor anchura equivalente y la línea de [Ne ii]12:8 m.

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

    Fell, D


    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.

  18. Building Spiritual Care in Nursing: An Overview of Ku's Spiritual Studies in Taiwan. (United States)

    Ku, Ya-Lie

    This paper describes the overview of Ku's spiritual literature on nursing through five stages in Taiwan: the development of a spiritual framework, a scale of spiritual distress, a spiritual care model, a spiritual nursing course, and a spiritual care book in nursing. The article demonstrates the process of building spiritual care in nursing from constructing theoretical frameworks, measurements, and applying to education. The integrative overview of Ku's spiritual studies developed in this article could be an example in clinical and education fields for nurse administrators to develop spiritual capabilities.

  19. A prescription for disruptions in care: community building among nurses to address horizontal violence. (United States)

    Longo, Joy; Smith, Marlaine C


    In the health care environment, threats exist that can impact a nurse's ability to provide safe, quality care. One of these threats is disruptive behavior among health care workers in which negative interactions adversely affect communication and collaboration. When this occurs among nurses, it is identified as horizontal violence. An underlying concept is power. When attempting to address these behaviors in the workplace, it is important that nurses recognize the context in which they occur so sustaining changes can be made. Community building among nurses may be an appropriate approach to give nurses the skills to make these changes.

  20. Make Time to Talk: Language Building Tips for Center-Based Child Care Providers (United States)

    National Institute for Literacy, 2010


    Everyone knows that it's important to talk every day with each child, using the kind of talk that builds language and thinking skills. The phrase MAKE TIME TO TALK is to help child care providers remember things they can do when talking to children to help them learn new vocabulary and how to use language to express their ideas and needs, and that…

  1. The relationship between building design and residents' quality of life in extra care housing schemes. (United States)

    Orrell, Alison; McKee, Kevin; Torrington, Judith; Barnes, Sarah; Darton, Robin; Netten, Ann; Lewis, Alan


    Well-designed housing is recognised as being an important factor in promoting a good quality of life. Specialised housing models incorporating care services, such as extra care housing (ECH) schemes are seen as enabling older people to maintain a good quality of life despite increasing health problems that can accompany ageing. Despite the variation in ECH building design little is known about the impact of ECH building design on the quality of life of building users. The evaluation of older people's living environments (EVOLVE) study collected cross-sectional data on building design and quality of life in 23 ECH schemes in England, UK. Residents' quality of life was assessed using the schedule for the evaluation of individual quality of life-direct weighting (SEIQoL-DW) and on the four domains of control, autonomy, self-realisation and pleasure on the CASP-19. Building design was measured on 12 user-related domains by means of a new tool; the EVOLVE tool. Using multilevel linear regression, significant associations were found between several aspects of building design and quality of life. Furthermore, there was evidence that the relationship between building design and quality of life was partly mediated by the dependency of participants and scheme size (number of living units). Our findings suggest that good quality building design in ECH can support the quality of life of residents, but that designing features that support the needs of both relatively independent and frail users is problematic, with the needs of highly dependent users not currently supported as well as could be hoped by ECH schemes.

  2. Cancer care coordination: building a platform for the development of care coordinator roles and ongoing evaluation. (United States)

    Freijser, Louise; Naccarella, Lucio; McKenzie, Rosemary; Krishnasamy, Meinir


    Continuity of care is integral to the quality and safety of care provided to people with cancer and their carers. Further evidence is required to examine the contribution Nurse Cancer Care Coordinator (NCCC) roles make in improving the continuity. The aim of the present study was to clarify the assumptions underpinning the NCCC roles and provide a basis for ongoing evaluation. The project comprised a literature review and a qualitative study to develop program logic. The participants who were purposively sampled included policy makers, practitioners, patient advocates, and researchers. Both the literature and participant reports found that NCCC roles are diverse and responsive to contextual influences to coordinate care at the individual (patient), organisational, and systems levels. The application of the program logic for the development of NCCC roles was explored. The conceptualisation of NCCC roles was also examined in relation to Boundary Spanning and Relational Coordination theory. Further research is required to examine how NCCCs contribute to improving equity, safety, quality and coordination of care. The project has implications for research, policy and practice, and makes explicit existing assumptions to provide a platform for further development and evaluation of these roles.

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

    Directory of Open Access Journals (Sweden)

    Riane Eisler


    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.

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

    Directory of Open Access Journals (Sweden)

    Marije Versteeg


    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.

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

    Directory of Open Access Journals (Sweden)

    O. Jilkina


    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.

  6. PolarTREC: Successful Methods and Tools for Attaining Broad Educational Impacts with Interdisciplinary Polar Science (United States)

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


    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

  7. Building Sustainable Capacity for Cardiovascular Care at a Public Hospital in Western Kenya. (United States)

    Binanay, Cynthia A; Akwanalo, Constantine O; Aruasa, Wilson; Barasa, Felix A; Corey, G Ralph; Crowe, Susie; Esamai, Fabian; Einterz, Robert; Foster, Michael C; Gardner, Adrian; Kibosia, John; Kimaiyo, Sylvester; Koech, Myra; Korir, Belinda; Lawrence, John E; Lukas, Stephanie; Manji, Imran; Maritim, Peris; Ogaro, Francis; Park, Peter; Pastakia, Sonak D; Sugut, Wilson; Vedanthan, Rajesh; Yanoh, Reuben; Velazquez, Eric J; Bloomfield, Gerald S


    Cardiovascular disease deaths are increasing in low- and middle-income countries and are exacerbated by health care systems that are ill-equipped to manage chronic diseases. Global health partnerships, which have stemmed the tide of infectious diseases in low- and middle-income countries, can be similarly applied to address cardiovascular diseases. In this review, we present the experiences of an academic partnership between North American and Kenyan medical centers to improve cardiovascular health in a national public referral hospital. We highlight our stepwise approach to developing sustainable cardiovascular services using the health system strengthening World Health Organization Framework for Action. The building blocks of this framework (leadership and governance, health workforce, health service delivery, health financing, access to essential medicines, and health information system) guided our comprehensive and sustainable approach to delivering subspecialty care in a resource-limited setting. Our experiences may guide the development of similar collaborations in other settings.

  8. The TREC/KREC assay for the diagnosis and monitoring of patients with DiGeorge syndrome.

    Directory of Open Access Journals (Sweden)

    Eva Froňková

    Full Text Available DiGeorge syndrome (DGS presents with a wide spectrum of thymic pathologies. Nationwide neonatal screening programs of lymphocyte production using T-cell recombination excision circles (TREC have repeatedly identified patients with DGS. We tested what proportion of DGS patients could be identified at birth by combined TREC and kappa-deleting element recombination circle (KREC screening. Furthermore, we followed TREC/KREC levels in peripheral blood (PB to monitor postnatal changes in lymphocyte production.TREC/KREC copies were assessed by quantitative PCR (qPCR and were related to the albumin control gene in dry blood spots (DBSs from control (n = 56, severe immunodeficiency syndrome (SCID, n = 10 and DGS (n = 13 newborns. PB was evaluated in DGS children (n = 32, in diagnostic samples from SCID babies (n = 5 and in 91 controls.All but one DGS patient had TREC levels in the normal range at birth, albeit quantitative TREC values were significantly lower in the DGS cohort. One patient had slightly reduced KREC at birth. Postnatal DGS samples revealed reduced TREC numbers in 5 of 32 (16% patients, whereas KREC copy numbers were similar to controls. Both TREC and KREC levels showed a more pronounced decrease with age in DGS patients than in controls (p < 0.0001 for both in a linear model. DGS patients had higher percentages of NK cells at the expense of T cells (p < 0.0001. The patients with reduced TREC levels had repeated infections in infancy and developed allergy and/or autoimmunity, but they were not strikingly different from other patients. In 12 DGS patients with paired DBS and blood samples, the TREC/KREC levels were mostly stable or increased and showed similar kinetics in respective patients.The combined TREC/KREC approach with correction via control gene identified 1 of 13 (8% of DiGeorge syndrome patients at birth in our cohort. The majority of patients had TREC/KREC levels in the normal range.

  9. Building Quality Report Cards for Geriatric Care in The Netherlands: Using Concept Mapping to Identify the Appropriate "Building Blocks" from the Consumer's Perspective (United States)

    Groenewoud, A. Stef; van Exel, N. Job A.; Berg, Marc; Huijsman, Robbert


    Purpose: This article reports on a study to identify "building blocks" for quality report cards for geriatric care. Its aim is to present (a) the results of the study and (b) the innovative step-by-step approach that was developed to arrive at these results. Design and Methods: We used Concept Mapping/Structured Conceptualization to…

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

    NARCIS (Netherlands)

    Bellogín Kouki, A.; Gebremeskel, G.G.; He, J.; Lin, J.J.P.; Said, A.; Samar, T.; Vries, A.P. de; Vuurens, J.B.P.


    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) Trac

  11. The University of Amsterdam at TREC 2010: Session, Entity, and Relevance Feedback

    NARCIS (Netherlands)

    Bron, M.; He, J.; Hofmann, K.; Meij, E.; de Rijke, M.; Tsagkias, E.; Weerkamp, W.


    We describe the participation of the University of Amsterdam’s ILPS group in the session, entity, and relevance feedback track at TREC 2010. In the Session Track we explore the use of blind relevance feedback to bias a follow-up query towards or against the topics covered in documents returned to th

  12. PolarTREC-Celebrating the Legacy of the IPY Through Researcher-Educator Partnerships (United States)

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


    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

  13. Interprofessional team building in the palliative home care setting: Use of a conceptual framework to inform a pilot evaluation. (United States)

    Shaw, James; Kearney, Colleen; Glenns, Brenda; McKay, Sandra


    Home-based palliative care is increasingly dependent on interprofessional teams to deliver collaborative care that more adequately meets the needs of clients and families. The purpose of this pilot evaluation was to qualitatively explore the views of an interprofessional group of home care providers (occupational therapists, nurses, personal support work supervisors, community care coordinators, and a team coordinator) regarding a pilot project encouraging teamwork in interprofessional palliative home care services. We used qualitative methods, informed by an interprofessional conceptual framework, to analyse participants' accounts and provide recommendations regarding strategies for interprofessional team building in palliative home health care. Findings suggest that encouraging practitioners to share past experiences and foster common goals for palliative care are important elements of team building in interprofessional palliative care. Also, establishing a team leader who emphasises sharing power among team members and addressing the need for mutual emotional support may help to maximise interprofessional teamwork in palliative home care. These findings may be used to develop and test more comprehensive efforts to promote stronger interprofessional teamwork in palliative home health care delivery.

  14. Challenges and opportunities in building a sustainable rural primary care workforce in alignment with the Affordable Care Act: the WWAMI program as a case study. (United States)

    Allen, Suzanne M; Ballweg, Ruth A; Cosgrove, Ellen M; Engle, Kellie A; Robinson, Lawrence R; Rosenblatt, Roger A; Skillman, Susan M; Wenrich, Marjorie D


    The authors examine the potential impact of the Patient Protection and Affordable Care Act (ACA) on a large medical education program in the Northwest United States that builds the primary care workforce for its largely rural region. The 42-year-old Washington, Wyoming, Alaska, Montana, and Idaho (WWAMI) program, hosted by the University of Washington School of Medicine, is one of the nation's most successful models for rural health training. The program has expanded training and retention of primary care health professionals for the region through medical school education, graduate medical education, a physician assistant training program, and support for practicing health professionals.The ACA and resulting accountable care organizations (ACOs) present potential challenges for rural settings and health training programs like WWAMI that focus on building the health workforce for rural and underserved populations. As more Americans acquire health coverage, more health professionals will be needed, especially in primary care. Rural locations may face increased competition for these professionals. Medical schools are expanding their positions to meet the need, but limits on graduate medical education expansion may result in a bottleneck, with insufficient residency positions for graduating students. The development of ACOs may further challenge building a rural workforce by limiting training opportunities for health professionals because of competing demands and concerns about cost, efficiency, and safety associated with training. Medical education programs like WWAMI will need to increase efforts to train primary care physicians and increase their advocacy for student programs and additional graduate medical education for rural constituents.

  15. 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


    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

  16. QU at TREC-2014: Online Clustering with Temporal and Topical Expansion for Tweet Timeline Generation (United States)

    2014-11-01 twitter -tools/wiki/TREC- 2013- API -Specifications 2 3We tried different values for this... Twitter are attracting users looking to engage in vibrant and influential hubs for informa- tion sharing and finding. With hundreds of millions of...tweets posted daily, a large number of queries are issued seeking in- formation. Recent studies on Twitter data have emphasized the high temporality of

  17. Re-ranking via User Feedback: Georgetown University at TREC 2015 DD Track (United States)


    passages in the feedbacks to re-rank documents in the original list. The new relevance score of a document d in the original list becomes: ! ! ! = 1...metadata. It talks about how illicit and fake goods such as fake Viagra are made, advertised, and sold on the Internet. All documents are in the HTML... news dataset. This corpus is a subset of the original TREC 2014 KBA Stream Corpus. Table 2 shows the statistics of these three datasets. Table 2

  18. NASA IceBridge and PolarTREC - Education and Outreach Partnership (United States)

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


    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

  19. An evaluation of the 'Designated Research Team' approach to building research capacity in primary care

    Directory of Open Access Journals (Sweden)

    Dyas Jane


    Full Text Available Abstract Background This paper describes an evaluation of an initiative to increase the research capability of clinical groups in primary and community care settings in a region of the United Kingdom. The 'designated research team' (DRT approach was evaluated using indicators derived from a framework of six principles for research capacity building (RCB which include: building skills and confidence, relevance to practice, dissemination, linkages and collaborations, sustainability and infrastructure development. Methods Information was collated on the context, activities, experiences, outputs and impacts of six clinical research teams supported by Trent Research Development Support Unit (RDSU as DRTs. Process and outcome data from each of the teams was used to evaluate the extent to which the DRT approach was effective in building research capacity in each of the six principles (as evidenced by twenty possible indicators of research capacity development. Results The DRT approach was found to be well aligned to the principles of RCB and generally effective in developing research capabilities. It proved particularly effective in developing linkages, collaborations and skills. Where research capacity was slow to develop, this was reflected in poor alignment between the principles of RCB and the characteristics of the team, their activities or environment. One team was unable to develop a research project and the funding was withdrawn at an early stage. For at least one individual in each of the remaining five teams, research activity was sustained beyond the funding period through research partnerships and funding successes. An enabling infrastructure, including being freed from clinical duties to undertake research, and support from senior management were found to be important determinants of successful DRT development. Research questions of DRTs were derived from practice issues and several projects generated outputs with potential to change daily

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


    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.

  1. PolarTREC-Teachers and Researchers Exploring and Collaborating: Science Education from the Poles to the World (United States)

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


    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

  2. PolarTREC-Teachers and Researchers Exploring and Collaborating: Science Education from the Poles to the World (United States)

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


    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: or contact or 907-474-1600. PolarTREC is funded by NSF and managed by the Arctic Research Consortium of the US (ARCUS).

  3. PKUICST at TREC 2014 Microblog Track: Feature Extraction for Effective Microblog Search and Adaptive Clustering Algorithms for TTG (United States)


    on the queries and corpora are described as follows: 1 twitter -tools/wiki/TREC- 2013- API -Specifications • Non-English...query expansion and (2) web-based query expansion. In twitter corpus based query expansion, we first use TREC- API to get the top ranked tweet set. Then...the official corpus via a common API . Tweet Timeline Generation (TTG) is a new task for this year’s Microblog track with a putative user model as

  4. 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


    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.

  5. Frequency analysis of TRBV subfamily sjTRECs to characterize T-cell reconstitution in acute leukemia patients after allogeneic hematopoietic stem cell transplantation

    Directory of Open Access Journals (Sweden)

    Yang Lijian


    Full Text Available Abstract Background Allogeneic hematopoietic stem cell transplantation (allo-HSCT leads to a prolonged state of immunodeficiency and requires reconstitution of normal T-cell immunity. Signal joint T-cell receptor excision DNA circles (sjTRECs are markers of developmental proximity to the thymus that have been used to evaluate thymic function related to T-cell immune reconstitution after HSCT. To assess the proliferative history in different T-cell receptor beta variable region (TRBV subfamilies of T cells after HSCT, expansion of TRBV subfamily-naive T cells was determined by analysis of a series of TRBV-BD1 sjTRECs. Methods sjTRECs levels were detected by real-time quantitative polymerase chain reaction (PCR in peripheral blood mononuclear cells (PBMCs from 43 Chinese acute leukemia patients who underwent allo-HSCT. Twenty-three TRBV-BD1 sjTRECs were amplified by semi-nested PCR. Sixteen age-matched healthy volunteers served as normal controls. Results sjTRECs levels were low or undetectable in the first 6 weeks after allo-HSCT and increased after 8 weeks post HSCT; however, sjTRECs levels at week 20 post-HSCT were still less than normal controls. Frequencies of TRBV subfamily sjTRECs in PBMCs from recipients at week 8 post-HSCT (29.17 ± 20.97% or at week 16 post-HSCT (38.33 ± 9.03% were significantly lower than those in donors (47.92 ± 13.82% or recipients at pre-HSCT (45.83 ± 14.03%. However, frequencies of TRBV subfamily sjTRECs in recipients at week 30 post-HSCT (42.71 ± 21.62% were similar to those in donors and recipients at pre-HSCT. sjTRECs levels in donors had a positive linear correlation with sjTRECs levels in recipients within 8-12 weeks post-HSCT. Patients with acute graft-versus-host disease (GVHD or chronic GVHD had profoundly reduced TRECs levels during the first year post-HSCT. Frequencies of BV22-BD1 sjTRECs and BV23-BD1 sjTRECs in patients with GVHD were significantly lower than those in recipients at pre-HSCT, and the

  6. Building a Successful Care Path in Residential Care: Findings from Qualitative Research with Young People and Professionals in Italy (United States)

    Serbati, Sara; Gioga, Gianmaria


    Qualitative methods (i.e. semi-structured interviews) were used in this micro-research to explore the different ways in which young people and social and residential workers perceive the outcomes of the residential care experience. By comparing the participants' points of view, it was possible to investigate different ways of thinking about…

  7. Improving Geoscience Education through the PolarTREC Teacher Research Experience Model (Invited) (United States)

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


    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

  8. QCRI at TREC 2014: Applying the KISS Principle for the TTG Task in the Microblog Track (United States)


    gradient descent. ICML 2005. 3. A. S. El -Din and W. Magdy. Web-based Pseudo Relevance Feedback for Microblog Retrieval. TREC 2012. 4. T. El -Ganainy...disabling hyperlink-based pseudo relevance feedback (HPRF) and reranking. The run which applied both HPRF and reranking was then used in the TTG task by...Relevance Feedback (HPRF) A hyperlink in a tweet is more than a link to related content as in webpages, but actually it is considered a link to the main

  9. Building a health care workforce for the future: more physicians, professional reforms, and technological advances. (United States)

    Grover, Atul; Niecko-Najjum, Lidia M


    Traditionally, projections of US health care demand have been based upon a combination of existing trends in usage and idealized or expected delivery system changes. For example, 1990s health care demand projections were based upon an expectation that delivery models would move toward closed, tightly managed care networks and would greatly decrease the demand for subspecialty care. Today, however, a different equation is needed on which to base such projections. Realistic workforce planning must take into account the fact that expanded access to health care, a growing and aging population, increased comorbidity, and longer life expectancy will all increase the use of health care services per capita over the next few decades--at a time when the number of physicians per capita will begin to drop. New technologies and more aggressive screening may also change the equation. Strategies to address these increasing demands on the health system must include expanded physician training.

  10. Opinions on building design for old-aged caring facility%关于养老设施建筑设计的几点看法

    Institute of Scientific and Technical Information of China (English)



    根据养老设施的建筑设计理念,介绍了养老设施的建筑内容,从整体规划、居住单元、绿色设计等方面,阐述了养老设施建筑设计的要点,使养老建筑的设计实现全面化、通达化、庭院化、舒适化。%According to building design concept of old-age caring facility,the paper introduces the old-age caring facility building contents. Start-ing from aspects of integral planning,housing unit and green design,it describes the building design points of old-age caring facility,so as to make old-age caring building design comprehensive,smooth,comfortable and garden-like yards.

  11. Delivering Coordinated Cancer Care by Building Transactive Memory in a Team of Teams. (United States)

    Henry, Elizabeth; Silva, Abigail; Tarlov, Elizabeth; Czerlanis, Cheryl; Bernard, Margie; Chauhan, Cynthia; Schalk, Denise; Stewart, Greg


    Cancer care delivery is highly complex. Treatment involves coordination within oncology health-care teams and across other teams of referring primary and specialty providers (a team of teams). Each team interfaces with patients and caregivers to offer component parts of comprehensive care. Because patients frequently obtain specialty care from divergent health-care systems resulting in cross-system health-care use, oncology teams need mechanisms to coordinate and collaborate within and across health-care systems to optimize clinical outcomes for all cancer patients. Transactive memory is one potential strategy that can help improve comprehensive patient care delivery. Transactive memory is a process by which two or more team professionals develop a shared system for encoding, storing, and retrieving information. Each professional is responsible for retaining only part of the total information. Applying this concept to a team of teams results in system benefits wherein all teams share an understanding of specialized knowledge held by each component team. The patient's role as the unifying member of the team of teams is central to successful treatment delivery. This clinical case presents a patient who is receiving oral treatment for advanced prostate cancer within two health systems. The case emphasizes the potential for error when multiple teams function without a point team (the team coordinating efforts of all other primary and specialty teams) and when the specialty knowledge of providers and patients is not well integrated into all phases of the care delivery process.

  12. 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


    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.

  13. NudtMDP at TREC 2015 LiveQA Track (United States)


    liveQAs than factoid QAs. We build a question answering system to find the answers from web data. The system has two channels, one use search engine ...culating the similarity between two questions is a very important component in our QA systems. In search engine and community question answering web sites...perform much better than the avarge scores. Keywords: web based search , question answering, CQA 1 Introduction In this paper, we describe the online

  14. Webis at TREC 2014: Web, Session, and Contextual Suggestion Tracks (United States)


    collection of information if it does not display a currently valid OMB control number. 1. REPORT DATE NOV 2014 2. REPORT TYPE 3. DATES COVERED 00...much to improve the result ranking. 4. CONTEXTUAL SUGGESTION TRACK The research question we examine in the Contextual Sug- gestion track is whether a... gestions we build upon state-of-the-art tools. Our first run uses descriptions without explanations while an explanation is added in the second run

  15. T Cell Receptor Excision Circle (TREC) Monitoring after Allogeneic Stem Cell Transplantation; a Predictive Marker for Complications and Clinical Outcome (United States)

    Gaballa, Ahmed; Sundin, Mikael; Stikvoort, Arwen; Abumaree, Muhamed; Uzunel, Mehmet; Sairafi, Darius; Uhlin, Michael


    Allogeneic hematopoietic stem cell transplantation (HSCT) is a well-established treatment modality for a variety of malignant diseases as well as for inborn errors of the metabolism or immune system. Regardless of disease origin, good clinical effects are dependent on proper immune reconstitution. T cells are responsible for both the beneficial graft-versus-leukemia (GVL) effect against malignant cells and protection against infections. The immune recovery of T cells relies initially on peripheral expansion of mature cells from the graft and later on the differentiation and maturation from donor-derived hematopoietic stem cells. The formation of new T cells occurs in the thymus and as a byproduct, T cell receptor excision circles (TRECs) are released upon rearrangement of the T cell receptor. Detection of TRECs by PCR is a reliable method for estimating the amount of newly formed T cells in the circulation and, indirectly, for estimating thymic function. Here, we discuss the role of TREC analysis in the prediction of clinical outcome after allogeneic HSCT. Due to the pivotal role of T cell reconstitution we propose that TREC analysis should be included as a key indicator in the post-HSCT follow-up. PMID:27727179

  16. Embodied Germ Cell at Work: Building an Expansive Concept of Physical Mobility in Home Care (United States)

    Engestrom, Yrjo; Nummijoki, Jaana; Sannino, Annalisa


    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…

  17. [Palliative care birth plan: a field of perinatal medicine to build]. (United States)

    Tosello, B; Le Coz, P; Payot, A; Gire, C; Einaudi, M-A


    Some couples may choose to continue the pregnancy unable to decide for termination of pregnancy. Such situations recently occurred in neonatology units and may lead to neonatal palliative care. Faced with all uncertainties inherent to medicine and the future of the baby, medical teams must inform parents of different possible outcome step by step. Consistency in the reflection and intentionality of the care is essential among all different stakeholders within the same health team to facilitate support of parents up to a possible fatal outcome. This issue in perinatal medicine seems to be to explore how caregivers can contribute in the construction of parenthood in a context of a palliative care birth plan.

  18. Building capacity for dementia care in Latin America and the Caribbean (United States)

    Gonzalez, Francisco J.; Gaona, Ciro; Quintero, Marialcira; Chavez, Carlos A.; Selga, Joyce; Maestre, Gladys E.


    Latin America and the Caribbean (LAC) have limited facilities and professionals trained to diagnose, treat, and support people with dementia and other forms of cognitive impairment. The situation for people with dementia is poor, and worsening as the proportion of elderly in the general population is rapidly expanding. We reviewed existing initiatives and provided examples of actions taken to build capacity and improve the effectiveness of individuals, organizations, and national systems that provide treatment and support for people with dementia and their caregivers. Regional barriers to capacity building and the importance of public engagement are highlighted. Existing programs need to disseminate their objectives, accomplishments, limitations, and overall lessons learned in order to gain greater recognition of the need for capacity-building programs. PMID:25932285

  19. Capacity building in the health sector to improve care for child nutrition and development. (United States)

    Yousafzai, Aisha K; Rasheed, Muneera A; Daelmans, Bernadette; Manji, Sheila; Arnold, Caroline; Lingam, Raghu; Muskin, Joshua; Lucas, Jane E


    The effectiveness of interventions promoting healthy child growth and development depends upon the capacity of the health system to deliver a high-quality intervention. However, few health workers are trained in providing integrated early child-development services. Building capacity entails not only training the frontline worker, but also mobilizing knowledge and support to promote early child development across the health system. In this paper, we present the paradigm shift required to build effective partnerships between health workers and families in order to support children's health, growth, and development, the practical skills frontline health workers require to promote optimal caregiving, and the need for knowledge mobilization across multiple institutional levels to support frontline health workers. We present case studies illustrating challenges and success stories around capacity development. There is a need to galvanize increased commitment and resources to building capacity in health systems to deliver early child-development services.

  20. Approaches to Sustainable Capacity Building for Cardiovascular Disease Care in Kenya. (United States)

    Barasa, Felix A; Vedanthan, Rajesh; Pastakia, Sonak D; Crowe, Susie J; Aruasa, Wilson; Sugut, Wilson K; White, Russ; Ogola, Elijah S; Bloomfield, Gerald S; Velazquez, Eric J


    Cardiovascular diseases are approaching epidemic levels in Kenya and other low- and middle-income countries without accompanying effective preventive and therapeutic strategies. This is happening in the background of residual and emerging infections and other diseases of poverty, and increasing physical injuries from traffic accidents and noncommunicable diseases. Investments to create a skilled workforce and health care infrastructure are needed. Improving diagnostic capacity, access to high-quality medications, health care, appropriate legislation, and proper coordination are key components to ensuring the reversal of the epidemic and a healthy citizenry. Strong partnerships with the developed countries also crucial.

  1. The HackensackUMC Value-Based Care Model: Building Essentials for Value-Based Purchasing. (United States)

    Douglas, Claudia; Aroh, Dianne; Colella, Joan; Quadri, Mohammed


    The Affordable Care Act, 2010, and the subsequent shift from a quantity-focus to a value-centric reimbursement model led our organization to create the HackensackUMC Value-Based Care Model to improve our process capability and performance to meet and sustain the triple aims of value-based purchasing: higher quality, lower cost, and consumer perception. This article describes the basics of our model and illustrates how we used it to reduce the costs of our patient sitter program.

  2. Building the Diversity Bridge Abroad: The Journey to Implement Cultural Competent Health Care in Lausanne, Switzerland (United States)

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


    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…

  3. The Teen Depression Awareness Project: Building an Evidence Base for Improving Teen Depression Care. Research Highlights (United States)

    Adamson, David M.


    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…

  4. Building a Culture of Inclusion: Disability as Opportunity for Organizational Growth and Improving Patient Care. (United States)

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


    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.

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

    NARCIS (Netherlands)

    Jong, Kim de


    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

  6. What makes a nest-building male successful? Male behavior and female care in penduline tits

    NARCIS (Netherlands)

    Szentirmai, [No Value; Komdeur, J; Szekely, T; Szentirmai, István


    Why do females increase parental effort when caring for the offspring of attractive males? First, attractive males may be poor fathers so that their females are compelled to increase their own contribution in order to fledge some young (the partner-compensation hypothesis). Second, females mated to

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

    NARCIS (Netherlands)

    Boterenbrood, Frank; Krediet, Irene; Goossen, William


    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

  8. [Building competences in the care, according to Boff: a new perspective of nurse's ethical conduct]. (United States)

    Trevizan, Maria Auxiliadora; Mendes, Isabel Amélia Costa; Lourenço, Maria Regina; Melo, Marcia Regina Antonietto da Costa


    In this study, authors characterize nurse's managerial conduct in the perspective of the work, illustrated through the analysis of three investigations. Understanding the fragility of managerial nurse's situation, considering the commitment with the users and with the ones who provide the services, authors advocate in favor of an intervention to change this situation. Therefore, they propose an alternative of reflection about the changes that are necessary. They defend a new ethics articulating a new sense of providing care proposed by Boff, in which the relationship is based on the companionship, interaction and sharing. According to this way of being, nurse's care is an attitude of concern, responsibility and affective commitment with the other. Thus, the instrumental reasoning is substituted by the sensible reasoning and the spirit of deep feelings. Considering these new values, nurses understand better the other's dimension, the respect, reciprocity, and complementarity in the managerial relationship.

  9. Building Sustainable Capacity for Cardiovascular Care at a Public Hospital in Western Kenya



    Cardiovascular disease deaths are increasing in low- and middle-income countries and are exacerbated by health care systems that are ill-equipped to manage chronic diseases. Global health partnerships, which have stemmed the tide of infectious diseases in low- and middle-income countries, can be similarly applied to address cardiovascular diseases. In this review, we present the experiences of an academic partnership between North American and Kenyan medical centers to improve cardiovascular ...

  10. Building a culture of health: A new framework and measures for health and health care in America. (United States)

    Trujillo, Matthew D; Plough, Alonzo


    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.

  11. Building laboratory capacity to support HIV care in Nigeria: Harvard/APIN PEPFAR, 2004–2012 (United States)

    Hamel, Donald J.; Sankalé, Jean-Louis; Samuels, Jay Osi; Sarr, Abdoulaye D.; Chaplin, Beth; Ofuche, Eke; Meloni, Seema T.; Okonkwo, Prosper; Kanki, Phyllis J.


    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 encourage the development of other

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

    Directory of Open Access Journals (Sweden)

    Donald J. Hamel


    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

  13. Building an effective competitive intelligence system for health care service providers. (United States)

    Festervand, T A; Lumpkin, J R


    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.

  14. KISTI at TREC 2014 Clinical Decision Support Track: Concept-based Document Re-ranking to Biomedical Information Retrieval (United States)


    13. SUPPLEMENTARY NOTES presented in the proceedings of the Twenty-Third Text REtrieval Conference (TREC 2014) held in Gaithersburg, Maryland...November 19-21, 2014. The conference was co-sponsored by the National Institute of Standards and Technology (NIST) and the Defense Advanced browse /2010/en 3 Based on the selected concepts, ranking is performed by scoring

  15. Evaluating Stream Filtering for Entity Profile Updates in TREC 2012, 2013, and 2014 (KBA Track Overview, Notebook Paper) (United States)


    driving research on automatic systems for filtering streams of text for new information about entities. We refer to Report Documentation Page Form...Retrieval – Information Filtering; H.3.m [Information Storage and Retrieval]: Miscellaneous – Test Collections; I.2.7 [Natural Language Processing] Text the proceedings of the Twenty-Third Text REtrieval Conference (TREC 2014) held in Gaithersburg, Maryland, November 19-21, 2014. The conference was

  16. Building bridges: towards integrated library and information services for mental health and social care. (United States)

    Blackburn, N


    This research focuses on identifying the information needs of health professionals, social workers and staff from voluntary agencies, who work together in the provision of services for people with a mental illness. The aim is to provide a fully integrated library and information service for mental health and social care. A number of recent government reports have prompted this research. These have culminated in the publication of the National Service Framework for Mental Health. It was decided to conduct a qualitative study using 17 semistructured interviews with individuals and multi-professional groups. A thematic analysis highlighted a number of key themes including: information need, information seeking behaviour and information flows. Results have indicated that because of the dispersed nature of mental health services, across primary and secondary care, and from statutory and non-statutory organisations, information technology is viewed as the only realistic vehicle to provide the required information. As specialist mental health trusts are configured, covering wider geographical areas, this can only increase the reliance on information technology, for information access and information sharing.

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

    Directory of Open Access Journals (Sweden)

    Stefan Kostadinov


    Full Text Available 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.

  18. [Life history interview--an effective approach to building positive doctor-patient relations and guide to proper end of life home care]. (United States)

    Yamanashi, Hirotomo; Yamanashi, Irotomo; Miyamori, Tadashi


    The acclaimed psychiatrist, Arthur Kleinman, proposed Life History Interview as a way of enabling doctors to truly listen to a patient who is suffering from chronic disease. Two cases of terminally ill patients were carried out with Life History Interview. When speaking of the end of life home care, Life History Interview is an effective approach in building positive doctor-patient relations in the early stages. It truly allows for a good foundation for providing a proper care.

  19. Building Resilience for Palliative Care Clinicians: An Approach to Burnout Prevention Based on Individual Skills and Workplace Factors. (United States)

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


    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.

  20. Could the ethics of institutionalized health care be anything but Kantian? Collecting building blocks for a unifying metaethics. (United States)

    Kaldis, Byron


    Is a Health Care Ethics possible? Against sceptical and relativist doubts Kantian deontology may advance a challenging alternative affirming the possibility of such an ethics on the condition that deontology be adopted as a total programme or complete vision. Kantian deontology is enlisted to move us from an ethics of two-person informal care to one of institutions. It justifies this affirmative answer by occupying a commanding meta-ethical stand. Such a total programme comprises, on the one hand, a dual-aspect strategy incorporating the macro- (institutional) and micro- (person-to-person) levels while, on the other, it integrates consistently within moral epistemology a meta-ethics with lower-ground moral theories. The article describes the issues to be dealt with and the problems which have to be solved on the way to a unifying theory of that kind (Sections I-III) and indicates elements of Kantian moral philosophy which may serve as building blocks (Section IV). Among these are not only Kant's ideas concerning the moral acting of persons and his ideas concerning civil society and state but also his ideas concerning morality, schematism and religion.

  1. Towards building the oral health care workforce: who are the new dental therapists? (United States)

    Blue, Christine M; Lopez, Naty


    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.

  2. Teachers, Researchers, and Students Collaborating in Arctic Climate Change Research: The Partnership Between the Svalbard REU and ARCUS PolarTREC programs (United States)

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


    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

  3. 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


    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

  4. 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


    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



    Osvaldo Murillo Aguilar


    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 expresi...

  6. 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



    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 ...

  7. Careful modernisation of historical buildings. Wall-mounted multiple high-efficiency boiler systems; Sanierung mit Fingerspitzengefuehl. Brennwertwandgeraete als Mehrkesselanlage

    Energy Technology Data Exchange (ETDEWEB)

    Rieke, M. [Broetje (A.) Werke fuer Heizungstechnik GmbH und Co. KG, Rastede (Germany)


    The Offenburg townhall building is a historical monument of the baroque era which is still used as an office building. The technical facilities were checked and modernisation measures were planned and executed in 2005 so as to ensure high thermal comfort without interfering with the character of the building. (orig.)

  8. 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;


    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......-cells, this 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....

  9. Mental health promotion in the health care setting: collaboration and engagement in the development of a mental health promotion capacity-building initiative. (United States)

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


    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.

  10. 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


    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

  11. Discipline Policies in Early Childhood Care and Education Programs: Building an Infrastructure for Social and Academic Success (United States)

    Longstreth, Sascha; Brady, Sharon; Kay, Adam


    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…

  12. Standing on the toes of pygmies:. Why econophysics must be careful of the economic foundations on which it builds (United States)

    Keen, Steve


    Modern economic theory does not provide a sound foundation on which to build econophysics. Pivotal concepts like utility maximization, perfect competition, and diminishing marginal productivity are empirically and logically flawed. Physicists should not use any of these in econophysics, and should be wary of many other models accepted by economists.

  13. A road map to building ethics capacity in the home and community care and support services sector. (United States)

    Boulanger, Renaud F; Ibarra, Kimberley; Wagner, Frank


    There are unique ethical issues that arise in home and community care because of its locus and range of service. However, the academic literature on ethical issues in the sector of home and community care and support remains minimal. Opportunities for education, collaboration and exchange among professionals and care providers are also severely limited. Although the proposed solution of developing ethics capacity in the home care setting is over 20 years old, only modest progress had been made until recently. This article introduces the Community Ethics Network (CEN), a replicable network of home and community care agencies in the Greater Toronto Area. Its achievements can be attributed to a commitment to work toward a common approach to ethical decision-making and to a focus on education, case reviews and policy development. CEN has produced numerous positive outcomes; key among these is the development and delivery of standardized training on ethics to more than 2,000 front-line staff of diverse backgrounds/professions and representing over 40 different organizations.

  14. The global role of health care delivery science: learning from variation to build health systems that avoid waste and harm. (United States)

    Mulley, Albert G


    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.

  15. NUDTSNA at TREC 2015 Microblog Track: A Live Retrieval System Framework for Social Network based on Semantic Expansion and Quality Model (United States)


    Overview It is a real-time job in this year’s Microblog track that teams listen to the twitter stream [9] via official common API . In this section...components as follow, 1) Feature Extraction Component, which extract features from twitter stream based on TREC-API1 and profiles provided by the...official. Before feature extracting, data preprocessing and data filtering is implemented to get rid of unnecessary data. For twitter stream, we extract

  16. It serves you right. Hassle-free health care builds loyalty, volume--and the bottom line. (United States)

    Larkin, H

    Zero barriers to care, zero waiting times: Tough as those targets sound, today's stars of customer service are scoring direct hits. "It's not a change in the services that are delivered," says one patient satisfaction pro. "It's a change in the way they're being delivered."

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

    Lynch, Marion; Verner, Elizabeth


    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.

  18. Overcoming barriers to effectiveness in a health care operational environment: building on the lessons of American industry. (United States)

    Zimmerer, L W; Zimmerer, T W; Yasin, M M


    Several of the manufacturing-based philosophies, techniques and tools, such as Total Quality Management (TQM), Continuous Improvement (CI), Business Process Reengineering (BPR) and Time-based Competition (TBC) have been successfully adapted for use within the service sector. Diverse service industries including airlines, insurance, food services and hospitality have increased customer satisfaction and performance through the use of the quality driven, manufacturing-based philosophies. This article explores the reasons for the limited success of TQM/CI, BPR, TBC and benchmarking within the health care industry. Sixteen barriers to change are identified, possible counter-measures to these barriers are outlined and two conceptual frameworks are offered as possible facilitators of change for the health care industry.

  19. Building positive self-image in adolescents in foster care: the use of role models in an interactive group approach. (United States)

    Yancey, A K


    In a previous article (Yancey, 1992), the literature on identity development in individuals from socially devalued racial and ethnic groups was summarized. It was postulated that the social maladaptation of adolescents in residential group foster care is reflective of identity disturbances created by the negative images of African-Americans and Latinos perpetuated by the dominant society and unfiltered by optimal parental racial/ethnic socialization. The present article describes the development of a pilot preventive mental health intervention, the PRIDE (Personal and Racial/ethnic Identity Development and Enhancement) program, designed to provide components of parenting that are necessary for promoting positive self-image in ethnically marginalized adolescents and that are typically lacking in the group foster care milieu. PRIDE utilizes successful, ethnically relevant role models in interactive group sessions to create a significant cognitive and emotional experience for teens. While the utility of role modeling for at-risk youth is widely accepted, there is little research on the packaging, delivery, and influence of this intervention modality. This study demonstrates the feasibility of a "hybrid" role-modeling approach (intermediate in intensity of exposure and cost between one-to-one mentoring and career-day programs). Implications for further research on this type of intervention are discussed.

  20. Building equity in chronic disease management in Thailand: a whole-system provincial trial of systematic, pro-active chronic illness care. (United States)

    Wanitkun, N; Batterham, R; Vichathai, C; Leetongin, G; Osborne, R H


    Thailand has a history of implementing innovative and proactive policies to address the health needs of its population. Since 1962 Thailand has implemented initiatives that led to it having a health system characterized by a primary care focus, decentralization and mechanisms to maximize equity and universal access to basic care at the local level. Thai health structures initially evolved to meet challenges including infectious and developmental diseases and later HIV. Early in the 21st century chronic illness rapidly became the greatest cause of morbidity and mortality and the question has arisen how Thailand can adapt its strong health system to deal with the new epidemics. This article describes an effort to reorient provincial health services to meet the needs of the increasing number of people with diabetes and heart disease. It describes measures taken to build on the equity-promoting elements of the Thai health system. The project included; a situational analysis, development and implementation of a chronic disease self-management intervention implemented by nurses and alignment of provincial health services. The self-management intervention is currently being evaluated within a clustered randomized control trial. The evaluation has been developed to fit with the focus on equity in relation to both selection criteria and the outcomes that are being assessed.

  1. Front-line worker engagement: greening health care, improving worker and patient health, and building better jobs. (United States)

    Chenven, Laura; Copeland, Danielle


    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.


    Directory of Open Access Journals (Sweden)

    M. A. Gordukova


    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. 

  3. Green building: sustainable building quality; Green Building: nachhaltige Gebaeudequalitaet

    Energy Technology Data Exchange (ETDEWEB)

    Staub, R.


    This article takes a look at the 'Portikon' office building near Zurich, Switzerland, that meets the 'Minergie-P' very low energy consumption requirements. The author is of the opinion that the project can be seen as a reference project for sustainable building technology. The structure of the seven-storey building with a central atrium is described and discussed. The 'Minergie-P' energy concept is discussed, as are the 1,100 square meters of photovoltaic panels on the roof of the building. Heating energy is provided by Zurich's waste incineration plant nearby. Electro-biological aspects in the building are taken care of by appropriate earthing and shielding of cables. The building's facility management system and the installations used are briefly discussed.

  4. Controlling the intelligent building

    Energy Technology Data Exchange (ETDEWEB)

    LeBlanc, R.J.


    Companies will be able to locate in intelligent buildings that offer access to a variety of sophisticated communications equipment, at the heart of which are building controls that ensure a comfortable and safe working environment for the occupants. Future buildings will include advanced telephones or workstations with built-in building control sensors for temperature, light level, and security. Advanced telecommunication systems may have telephone cabinets with built-in control functions which eliminate the need for discrete control systems. The owners and tenants will both enjoy benefits if the controls are carefully selected and designed so that they integrate into a single building package.

  5. 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


    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.

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

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


    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

  7. U.S.– India Joint Center for Building Energy Research and Development (CBERD) Caring for the Energy Health of Healthcare Facilities

    Energy Technology Data Exchange (ETDEWEB)

    Singh, Reshma [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States); Mathew, Paul [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States); Granderson, Jessica [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States); Srivastava, Rohini [Carnegie Mellon Univ., Pittsburgh, PA (United States); Shukla, Rash [Center for Environmental Planning and Technology (India)


    The U.S.-India Joint Center for Building Energy Research & Development (CBERD), created through the Partnership to Accelerate Clean Energy (PACE) agreement between the United States and India, is a research and development (R&D) center with over 30 institutional and industry partners from both nations. This five-year presidential initiative is jointly funded by the U.S. Department of Energy and the Government of India. CBERD aims to build upon a foundation of collaborative knowledge, tools, and technologies, and human capabilities that will increase development of high-performance buildings. To reach this goal, the R&D focuses on energy use reduction throughout the entire life cycle of buildings—i.e., design, construction, and operations. During the operations phase of buildings, even with best-practice energy-efficient design, actual energy use can be much higher than the design intent. Every day, much of the energy consumed by buildings serves no purpose (Roth et al. 2005). Building energy information systems (EIS) are commercially available systems that building owners and facility managers use to assess their building operations, measure, visualize, analyze, and report energy cost and consumption. Energy information systems can enable significant energy savings by tracking energy use, identifying consumption patterns, and benchmarking performance against similar buildings, thereby identifying improvement opportunities. The CBERD team has identified potential energy savings of approximately 2 quads of primary energy in the United States, while industry building energy audits in India have indicated potential energy savings of up to 30 percent in commercial buildings such as offices. Additionally, the CBERD team has identified healthcare facilities (e.g., hospitals, clinics), hotels, and offices as the three of the highest-growth sectors in India that have significant energy consumption, and that would benefit the most from implementation of EIS.

  8. Organization Spotlight: The Power of an Association in Early Childhood Education and Care: ISSA--An Engine for Advocacy, Capacity Building, and Creating a Growing Learning Community (United States)

    Ionescu, Mihaela


    The International Step by Step Association (ISSA) is an association that believes in learning from each other across cultures and borders, building on each other's strengths, and tapping into the power of a network. Building on the strong legacy of the Open Society Foundations' Step by Step program, ISSA has nurtured a culture of belonging to a…

  9. Building Materials

    Institute of Scientific and Technical Information of China (English)


    @@ Building Materials Sub-council of CCPIT is the other sub-council in construction field. CCPIT Building Materials Sub-council (CCPITBM), as well as CCOIC Build-ing Materials Chamber of Commerce, is au-thorized by CCPIT and state administration of building materials industry in 1992. CCPITBM is a sub-organization of CCPIT and CCOIC.

  10. Connecting Arctic/Antarctic Researchers and Educators (CARE): Supporting Teachers and Researchers Beyond the Research Experience (United States)

    Warburton, J.; Warnick, W. K.; Breen, K.; Fischer, K.; Wiggins, H.


    Teacher research experiences (TREs) require long-term sustained support for successful transfer of research experiences into the classroom. Specifically, a support mechanism that facilitates focused discussion and collaboration among teachers and researchers is critical to improve science content and pedagogical approaches in science education. Connecting Arctic/Antarctic Researchers and Educators (CARE) is a professional development network that utilizes online web meetings to support the integration of science research experiences into classroom curriculum. CARE brings together teachers and researchers to discuss field experiences, current science issues, content, technology resources, and pedagogy. CARE is a component of the Arctic Research Consortium of the U.S. (ARCUS) education program PolarTREC--Teachers and Researchers Exploring and Collaborating. PolarTREC 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. The CARE network was established to develop a sustainable learning community through which teachers and researchers will further their work to bring polar research into classrooms. Through CARE, small groups of educators are formed on the basis of grade-level and geographic region; each group also contains a teacher facilitator. Although CARE targets educators with previous polar research experiences, it is also open to those who have not participated in a TRE but who are interested in bringing real-world polar science to the classroom

  11. Building Social Web Applications

    CERN Document Server

    Bell, Gavin


    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

  12. Child Care Services Handbook. (United States)

    Duval County School Board, Jacksonville, FL.

    A companion document to the curriculum guide for a secondary level child care services curriculum, this handbook contains a variety of administrative and program resources for the teacher: The vocational curriculum outline for child care services; a calendar of suggested public relations activities; procedures for building child care services…

  13. Building on a national health information technology strategic plan for long-term and post-acute care: comments by the Long Term Post Acute Care Health Information Technology Collaborative. (United States)

    Alexander, Gregory L; Alwan, Majd; Batshon, Lynne; Bloom, Shawn M; Brennan, Richard D; Derr, John F; Dougherty, Michelle; Gruhn, Peter; Kirby, Annessa; Manard, Barbara; Raiford, Robin; Serio, Ingrid Johnson


    The LTPAC (Long Term Post Acute Care) Health Information Technology (HIT) Collaborative consists of an alliance of long-term services and post-acute care stakeholders. Members of the collaborative are actively promoting HIT innovations in long-term care settings because IT adoption for health care institutions in the United States has become a high priority. One method used to actively promote HIT is providing expert comments on important documents addressing HIT adoption. Recently, the Office of the National Coordinator for HIT released a draft of the Federal Health Information Technology Strategic Plan 2011-2015 for public comment. The following brief is intended to inform about recommendations and comments made by the Collaborative on the strategic plan.

  14. “在宅养老”住宅体系建设研究%Research on Construction of Residential Building System based on the Mode of“Old-age Care at Home”

    Institute of Scientific and Technical Information of China (English)

    张萍; 杨申茂; 刘君敏


      文章介绍了美国《通用住宅设计》、日本《应对长寿社会的住宅设计指南》和中国《老年人居住建筑设计标准》;通过比较,试图提出适合我国“在宅养老”模式的住宅设计指引,以期能为我国“在宅养老”住宅体系的建构提供依据。%  This paper introduces Universal Design in Housing of America, Housing Design Guidelines in the Society of Longevity of Japanese and Code for Design of Residential Building for the Aged of China. It attempts to put forward suited residential building guidelines to the mode of"old-age care at home"through the comparison of the three from different country, hoping to provide a basis for our"old-age care at home"residential construction of the system.

  15. 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


    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。

  16. Going where no doctor has gone before: The place of Cuba's Latin American School of Medicine in building health care capacity for Ecuador.


    Huish, Robert Lee


    Martin Luther King said that “of all the forms of inequality, injustice in health care is the most shocking and inhumane.” Today, despite the overwhelming quantity of attention and resources given towards global health, social inequity has never been worse as many in the global South remain perilously marginalized from the receipt of sustainable primary-care services. Amidst this backdrop Cuba developed the Latin American School of Medicine (ELAM) as a response to the global South’s lagging s...

  17. Building a Rapid Learning Health Care System for Oncology: Why CancerLinQ Collects Identifiable Health Information to Achieve Its Vision. (United States)

    Shah, Alaap; Stewart, Andrew K; Kolacevski, Andrej; Michels, Dina; Miller, Robert


    The ever-increasing volume of scientific discoveries, clinical knowledge, novel diagnostic tools, and treatment options juxtaposed with rising costs in health care challenge physicians to identify, prioritize, and use new information rapidly to deliver efficient and high-quality care to a growing and aging patient population. CancerLinQ, a rapid learning health care system in oncology, is an initiative of the American Society of Clinical Oncology and its Institute for Quality that addresses these challenges by collecting information from the electronic health records of large numbers of patients with cancer. CancerLinQ is first and foremost a quality measurement and reporting system through which oncologists can harness the depth and power of their patients' clinical records and other data to assess, monitor, and improve the care they deliver. However, in light of privacy and security concerns with regard to collection, use, and disclosure of patient information, this article addresses the need to collect protected health information as defined under the Health Insurance Portability and Accountability Act of 1996 to drive rapid learning through CancerLinQ.

  18. The Role of Trust in CenteringPregnancy : Building Interpersonal Trust Relationships in Group-Based Prenatal Care in The Netherlands

    NARCIS (Netherlands)

    Kweekel, L.; Gerrits, T.; Rijnders, M.; Brown, P.R.


    Background CenteringPregnancy (CP) is a specific model of group-based prenatal care for women, implemented in 44 midwifery practices in The Netherlands since 2011. Women have evaluated CP positively, especially in terms of social support, and improvements have been made in birthweight and preterm-bi

  19. 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


    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.

  20. Analyzing on the Motivation and Factors for Building Long-term Care Insurance System-Based on Current Situation and Data Analysis of Chengdu%CHINA HEALTH INSURANCE

    Institute of Scientific and Technical Information of China (English)

    谢俊萍; 胡兆舜


    With the accelerating of population aging, besides basic medical insurance, the demands for long-term care are also increasing, especially the needs for reducing the fi nancial and caring burden of families having disabled older people are more urgent. Through analyzing current situation and the data of Chengdu, as well as considering the advanced experience of other countries in long-term care insurance system, we propose that long-term care insurance should be an independent insurance system, which is led and coordinated by government, initiated at low level while mainly protecting target population, and has system elements of fi ne rating and service industry for the elderly care. We hope these suggestions can provide reference for the system design.%随着人口老龄化进程的加快,老年人群在享受基本医疗保险制度的同时,对长期照护的需求进一步加大,特别是失能老人对减轻家庭照护经济和精力负担的诉求尤为迫切。本文通过对成都市现状和数据的分析,在借鉴其他国家经验的基础上,提出我国要建立的长期照护保险制度应是一个独立的险种、应由政府主导协调推进、建制初期应低水平起步并以保障重点人群为主、建立完善的等级评定体系、发展养老服务业等制度建设要素,为制度设计提供参考。

  1. Building America

    Energy Technology Data Exchange (ETDEWEB)

    Brad Oberg


    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.

  2. Solar building


    Zhang, Luxin


    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...

  3. 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


    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

  4. 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


    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

  5. Building TQM into nursing management. (United States)

    Masters, M L; Masters, R J


    Total quality management (TQM) is a management philosophy that addresses problems currently faced by health care, specifically reducing costs while improving quality of services. As hospital administrators embrace this new management style, nurse executives and managers will be challenged to implement TQM. Building TQM into nursing management will improve quality and reduce costs while meeting the needs of health care customers.

  6. Patterns and expenditures of multi-morbidity in an insured working population in the United States: insights for a sustainable health care system and building healthier lives. (United States)

    Greene, Robert; Dasso, Edwin; Ho, Sam; Frank, Jerry; Scandrett, Graeme; Genaidy, Ash


    The U.S. health care system is currently heading toward unsustainable health care expenditures and increased dissatisfaction with health outcomes. The objective of this population-based study is to uncover practical insights regarding patients with 1 or more chronic illnesses. A cross-sectional investigation was designed to gather data from health records drawn from diverse US geographic markets. A database of 9.74 million fully-insured, working individuals was used, together with members in the same households. Among nearly 3.43 million patients with claims, 2.22 million had chronic conditions. About 24.3% had 1 chronic condition and 40.4% had multi-morbidity. Health care expenditures for chronic conditions accounted for 92% of all costs (52% for chronic costs and 40% for nonchronic costs). Psychiatry, orthopedics-rheumatology, endocrinology, and cardiology areas accounted for two thirds of these chronic condition costs; nonchronic condition costs were dominated by otolaryngology, gastroenterology, dermatology, orthopedics-rheumatology conditions, and preventive services. About 50.1% of all households had 2 or more members with chronic conditions. In summary, multi-morbidity is prevalent not only among those older than age 65 years but also in younger and working individuals, and commonly occurs among several members of a household. The authors suggest that the disease-focused model of medicine should change to a more holistic illness-wellness model, emphasizing not only the physical but also the mental and social elements that can influence individual health. In that way the chronic care model could be broadened in context and content to improve the health of patients and households.

  7. 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


    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、机构管理制度建设四方面进行改革后,基层卫生人员能力提升、工作积极性增加、收入提高,基层卫生条件改善,纵向和横向医疗服务协作机制建立,县内就诊率和基层卫生服务利用提高。结论:肥西县“自下而上”的探索路径和“以点带面”的试点推行,不仅是基层卫生体系综合改革的核心内容,也有效撬动了其它方面的改革,触动了医疗卫生体系体制机制。%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

  8. Laboratory Building.

    Energy Technology Data Exchange (ETDEWEB)

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


    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.

  9. Laboratory Building

    Energy Technology Data Exchange (ETDEWEB)

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


    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.

  10. A integralidade na formação dos profissionais de saúde: tecendo valores The integral health care in the training of health professionals: building values

    Directory of Open Access Journals (Sweden)

    Gabriela Guerra Gonze


    Full Text Available A integralidade da assistência, um dos princípios doutrinários do sistema de saúde brasileiro, constitui uma das principais metas para se alcançar uma assistência de qualidade e humanizada. O presente trabalho tem por objetivo analisar a percepção dos professores dos cursos de graduação que formam profissionais de saúde na Universidade Federal de Juiz de Fora, sobre a formação orientada pela integralidade. Trata-se de uma pesquisa qualitativa, na qual foi utilizada a técnica da entrevista semiestruturada com docentes dos referidos cursos. Como estratégia de análise dos dados, propõese a modalidade de análise temática. A categoria em torno da qual são trazidas as reflexões sobre a percepção dos docentes sobre o ensino voltado para o princípio da integralidade foi nomeada "os princípios do SUS orientando a formação". Os resultados do estudo apontam que os docentes expressam um envolvimento com os valores da Reforma Sanitária brasileira, no contexto das mudanças necessárias na formação em saúde.Integral healthcare, one of the doctrinal principles of the Brazilian health care system, is one of the main ways to reach high-quality and humanized care. This work aims to analyze the perception of teachers of undergraduate courses who train health professionals at Juiz de Fora Federal University, Brazil, when it comes to integral care-oriented training. It is a qualitative research, employing the semi-structured interview technique with teachers of the studied courses. The thematic analysis is suggested as the data analysis method. The reflections on the perception of teachers about the principle of the integral healthcare have been centered on the category "trainingorienting principles of the Unified Health System". The study results show that teachers express involvement with the Brazilian Health Reform values, in the context of necessary changes in health training.

  11. 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


    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

  12. ECHO Ontario Chronic Pain & Opioid Stewardship: Providing Access and Building Capacity for Primary Care Providers in Underserviced, Rural, and Remote Communities. (United States)

    Dubin, Ruth E; Flannery, John; Taenzer, Paul; Smith, Andrew; Smith, Karen; Fabico, Ralph; Zhao, Jane; Cameron, Lindsay; Chmelnitsky, Dana; Williams, Rob; Carlin, Leslie; Sidrak, Hannah; Arora, Sanjeev; Furlan, Andrea D


    Chronic pain is a prevalent and serious problem in the province of Ontario. Frontline primary care providers (PCPs) manage the majority of chronic pain patients, yet receive minimal training in chronic pain. ECHO (Extension for Community Healthcare Outcomes) Ontario Chronic Pain & Opioid Stewardship aims to address the problem of chronic pain management in Ontario. This paper describes the development, operation, and evaluation of the ECHO Ontario Chronic Pain project. We discuss how ECHO increases PCP access and capacity to manage chronic pain, the development of a community of practice, as well as the limitations of our approach. The ECHO model is a promising approach for healthcare system improvement. ECHO's strength lies in its simplicity, adaptability, and use of existing telemedicine infrastructure to increase both access and capacity of PCPs in underserviced, rural, and remote communities.

  13. Developing integrated care. Towards a development model for integrated care


    Minkman, Mirella M.N


    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....

  14. [Team building in health care by means of outdoor training. Evaluation of the experience of a Local Health Authority of Pinerolo]. (United States)

    Cominetti, Laura; Dimonte, Valerio


    It is always difficult to measure the quality and efficacy of a formative event. The event assessed in this study was an outdoor course and the aspects considered were the degree of satisfaction, the increase of knowledge, modifications in behavior and working actions and organized change (4 levels according to Kirkpatrick). Data were collected by means of a questionnaire which the 28 course participants were asked to fill in. Some aspects were statistically tested to evaluate eventual associations between the role of the participant and the answer given but these were not found to be significant. Results showed a good levels of satisfaction and knowledge increase which, in terms of working procedures and individual behavior, resulted in better team-building and mutual appreciation, whereas organizational changes were rather limited and sometimes reflected disappointment. The study made the Health Authority aware of the value of human resources and of the fact that a formative event which acts on feelings and behavior may be the key to success in bringing about deep and lasting changes.

  15. Building Languages (United States)

    ... Training Manually Coded English (MCE) Natural Gestures Speech Speech Reading (Lip Reading) Even though American Sign Language (ASL) is not a building block, it is sometimes used together with one or more building blocks. Close Information For... Media Policy Makers File Formats Help: How do I view ...

  16. 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. (United States)

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


    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.

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

    NARCIS (Netherlands)

    M.M.N. Minkman (Mirella)


    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

  18. Building Inclusion

    NARCIS (Netherlands)

    Jeanet Kullberg; Isik Kulu-Glasgow


    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 proje

  19. 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 need urgent action. The built environment is an obvious area to put effort into because of the large and cost-effective energy saving potential and potential for Renewable Energy-based supply systems for buildings....

  20. Our Buildings, Ourselves. (United States)

    Roodman, David Malin; Lenssen, Nicholas


    Reviews in detail environmental impacts associated with buildings. Discusses building construction, internal environments, building life spans, building materials, protection from climate, and amenities. (LZ)

  1. Competence Building

    DEFF Research Database (Denmark)

    Borrás, Susana; Edquist, Charles

    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 particularly...

  2. Building Procurement

    DEFF Research Database (Denmark)

    Andersson, Niclas


    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....

  3. Building Sandcastles

    DEFF Research Database (Denmark)

    Jensen, Steffen Moltrup Ernø; Korsgaard, Steffen; Shumar, Wes

    of entrepreneurship education. Our theoretical and methodological approach builds on Actor-Network Theory. The empirical settings of our study consist of two entrepreneurship courses which differ in terms of temporal extension and physical setting. Data is collected using observation and interview techniques. Our...

  4. Building Partnerships. (United States)

    Kisner, Mary J.; And Others


    Defines school-business partnerships and reviews changes in such partnerships over the past 25 years. Provides steps to building effective partnerships for school-to-work activities: review the school's mission; select partners that will bring strength to the relationship; set clearly defined, realistic goals; maintain the partnership; and…

  5. Can we build inclusion?

    DEFF Research Database (Denmark)

    Kirkeby, Inge Mette; Grangaard, Sidse


    building and the strategies the pedagogues develop to fulfil their pedagogical intentions. But in one respect, the results gave more and other knowledge than anticipated at the setup of the project: By analysing the interviews, it became clear that especially for a group of children with special......A society is known by how it cares for the weak. This may be how it cares for wheel chair users but is may also be how it includes some children with special requirements in kindergartens or whether they are referred to special institutions. We expect most people would say that they go...... for an inclusive society – e.g. that a kindergarten should be for all children. But in practice this intention may be met by considerable challenges. So many factors influence the process. In this paper the question is raised, whether the physical frame of the kindergartens makes a difference for daily life...

  6. Building Bridges through an Ethic of Caring. (United States)

    Stine, Deborah E.; Louque, Angela C.

    This study addresses the question of what principles need to be incorporated into the daily life of women in leadership positions to assist in their success. It is framed around the work of Carlos Castaneda, who describes the path of a warrior in metaphorical terms through seven principles of power: (1) knowing the battleground; (2) discarding the…

  7. Building Systems: Passing Fad or Basic Tool? (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. Four Essential Practices for Building Trust (United States)

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


    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…

  9. Teamwork for eye care

    Directory of Open Access Journals (Sweden)

    M Babar Qureshi


    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.

  10. Strategies for Sustainable Comfort in Buildings

    DEFF Research Database (Denmark)

    Nørgaard, Jørgen


    of all capital in our societies, often more than a hundred years. For that reason they should never be designed on the bases of just present cheap energy supply and energy system, but with the long term outlook and risks in mind. New buildings can be designed to require essentially no space heating...... to renovation of excisting buildings, supplemented with subsidies. Finally care should be taken to not oversize the building stock, which could outweigh the gains from insulation, etc....

  11. Building Letters

    Institute of Scientific and Technical Information of China (English)


    Cabinet是种十分吸引人却很简单的衬线字体,是由一名匿名字体设计师专门为Building Letters最新的资金筹集活动所设计的。这个Building Letters包中包含一个CDROM,有32种字体,以及一本专门设计的杂志和两张由Eboy和Emigre所设计的海报。字体光盘样例是由世界顶级的字体设计师们设计的.

  12. 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...... Belgrade), Leo Pekkala (Finnish Centre for Media Education and Audiovisual Media/MEKU), Julie Uldam (Network on Civic Engagement and Social Innovation) and Gabriella Velics (Community Media Forum Europe)....

  13. 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....

  14. Hair care and dyeing. (United States)

    Draelos, Zoe Diana


    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.



    Jondelius, Olof


    This work is looking in to what possibilites and restrictions comes with using mycelium as a building material for a small house. It includes reasoning around solutions for some of the problems and presenting some ideas of how to use some of the materials properties in your favor. A general background of why we need to start look in to alternative materials for all petroleum materials are presented. Det här arbetet har varit inriktat på att se vilka möjligheter samt begränsningar det skul...

  16. Critical Care (United States)

    Critical care helps people with life-threatening injuries and illnesses. It might treat problems such as complications ... a team of specially-trained health care providers. Critical care usually takes place in an intensive care ...

  17. Tracheostomy care (United States)

    Respiratory failure - tracheostomy care; Ventilator - tracheostomy care; Respiratory insufficiency - tracheostomy care ... Before you leave the hospital, health care providers will teach you how ... and suction the tube Keep the air you breathe moist Clean ...

  18. 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


    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.

  19. Existing buildings

    DEFF Research Database (Denmark)

    Gram-Hanssen, Kirsten


    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 improvement......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...

  20. Integrating Responsive Building Elements in Buildings

    DEFF Research Database (Denmark)

    Haase, Matthias; Amato, Alex; Heiselberg, Per


    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...... 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...... 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...

  1. TREC Dynamic Domain: Polar Science (United States)


    Apache Nutch tool that can dump Nutch segments into Common Crawl data format, mapping each crawled-by-Nutch file on a JSON-based data structure... geographic region? 2. How many regions of interest are represented by the data you collected? Identify geographic “regions” as e.g., Circumpolar Arctic...measurements related to Climate Change? Is it time-based and/or geographic region based? What areas show a high document relevancy for sea-ice extent and

  2. TREC 2013 Web Track Overview (United States)


    relative to a provided baseline). Second, we based the 2013 Web track experiments on the new ClueWeb12 collection created by the Language Technologies...sophisticated stages of retrieval in their quest to improve result quality: from personalized and contextual re-ranking to automatic query reformulation ...B manual 0.045 0.058 0.038 6 Acknowledgements We thank Jamie Callan, David Pane and the Language Technologies Insti- tute at Carnegie Mellon

  3. SIRA: TREC Session Track 2014 (United States)


    including query topics, initial retrieved webpages , clicked on links, visit times, etc. SIRA has used several methods to improve search results that...sessions include many aspects of a search, including query topics, initial retrieved webpages , clicked on links, visit times, etc. SIRA has used several...which was designed for intelligence analysts researching weapons of mass destruction [5]. In these domains, a small number of specific frames can

  4. IRIT at TREC KBA 2014 (United States)


    IRIT, Paul Sabatier University 118 route de Narbonne F-31062 Toulouse cedex 9 Abstract. This paper describes the IRIT lab participation to the Vital ... vital documents containing timely new information that should help a human to update the profile of the target entity (e.g., Wikipedia page of the entity...In this work, we evaluate two factors that could detect vitality . The first one uses a Language Model to learn vitality from a sample of vital

  5. Building energy analysis tool (United States)

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


    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.

  6. Building America

    Energy Technology Data Exchange (ETDEWEB)

    Brad Oberg


    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.

  7. Building a leadership brand. (United States)

    Ulrich, Dave; Smallwood, Norm


    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.

  8. Hospice Care (United States)

    Hospice care is end-of-life care. A team of health care professionals and volunteers provides it. ... can remain as alert and comfortable as possible. Hospice programs also provide services to support a patient's ...

  9. Palliative Care (United States)

    Palliative care is treatment of the discomfort, symptoms, and stress of serious illness. It provides relief from distressing symptoms ... of the medical treatments you're receiving. Hospice care, care at the end of life, always includes ...

  10. Heat Consumption Analysis in Public Buildings Managed by Riga City Municipality


    Krūmiņš, Ē; Dimdiņa, I; Lešinskis, A


    The aim of the present study is analysis of heat energy consumption in public buildings (managed by Riga city municipality) in year 2008. Our data set contained information on more than 400 public buildings, including data on heat energy consumption depending on building use, and data on the quantity and quality of windows in these buildings. The data were analysed across ten groups of buildings managed by the municipality: schools, special status buildings, day care centres, ...

  11. BUILDING 341 Seismic Evaluation

    Energy Technology Data Exchange (ETDEWEB)

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


    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.

  12. Tribal Green Building Toolkit (United States)

    This Tribal Green Building Toolkit (Toolkit) is designed to help tribal officials, community members, planners, developers, and architects develop and adopt building codes to support green building practices. Anyone can use this toolkit!

  13. 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....

  14. Danish building typologies and building stock analyses

    DEFF Research Database (Denmark)

    Wittchen, Kim Bjarne; Kragh, Jesper

    enough to meet the government’s plan to make Danish buildings free from use of fossil fuels by 2035. This will probably require around 50 % energy savings in the Danish building stock as a whole. However, the project has proven that dedicated engagement of locals can speed up market penetration...... energy savings in residential buildings. The intension with this analysis was to investigate the possible energy reduction in Denmark if the same approach had been taken for the entire Danish building stock. The report concludes that the ZeroHome initiative clearly results in energy savings, but far from...... for energy savings in the existing Building stock....

  15. The impact of T-TREC-retrieved wind and radial velocity data assimilation using EnKF and effects of assimilation window on the analysis and prediction of Typhoon Jangmi (2008) (United States)

    Wang, Mingjun; Xue, Ming; Zhao, Kun


    This study examines the relative impact of assimilating T-TREC-retrieved winds (VTREC) versus radial velocity (Vr) on the analysis and forecast of Typhoon Jangmi (2008) using an ensemble Kalman filter (EnKF). The VTREC and Vr data at 30 min intervals are assimilated into the ARPS model at 3 km grid spacing over four different assimilation windows that cover, respectively, 0000-0200, 0200-0400, 0400-0600, and 0000-0600 UTC, 28 September 2008. The assimilation of VTREC data produces better analyses of the typhoon structure and intensity than the assimilation of Vr data during the earlier assimilation windows, but during the later assimilation windows when the coverage of Vr data on the typhoon from four Doppler radars is much improved, the assimilation of Vr outperforms VTREC data. The combination of VTREC and Vr data, either by assimilating both VTREC and Vr data in all cycles or by assimilating VTREC in the first cycle and Vr in the remaining cycles (labeled VTFVR), further improves the analyses of the typhoon structure and intensity compared to assimilating VTREC or Vr data alone. Quantitative verifications of 24 h forecasts of the typhoon show that the VTFVR assimilation experiments produces forecasts that best match the best track data and also have the highest precipitation prediction skills. The track forecast errors in experiment that assimilate VTREC data through the later cycles are the largest. The behaviors are discussed based on the coverage, information content, and accuracy of the various forms of data.

  16. Palliative Care (United States)

    ... you are a partner with the palliative care team as you all work toward the same goal — providing the best quality of life for your child for as ... Care for Children With Terminal Illness Managing Home Health Care Taking Care of You: Support ...

  17. Hospice care (United States)

    ... family a break (called respite care). Doctor services. Nursing care. Home health aide and homemaker services. Counseling. Medical ... may be given in other locations, including: A nursing home A ... in charge of care is called the primary care giver. This may ...

  18. Enhancing the primary care team to provide redesigned care: the roles of practice facilitators and care managers. (United States)

    Taylor, Erin Fries; Machta, Rachel M; Meyers, David S; Genevro, Janice; Peikes, Deborah N


    Efforts to redesign primary care require multiple supports. Two potential members of the primary care team-practice facilitator and care manager-can play important but distinct roles in redesigning and improving care delivery. Facilitators, also known as quality improvement coaches, assist practices with coordinating their quality improvement activities and help build capacity for those activities-reflecting a systems-level approach to improving quality, safety, and implementation of evidence-based practices. Care managers provide direct patient care by coordinating care and helping patients navigate the system, improving access for patients, and communicating across the care team. These complementary roles aim to help primary care practices deliver coordinated, accessible, comprehensive, and patient-centered care.

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

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


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

  20. Global building physics

    DEFF Research Database (Denmark)

    Rode, Carsten


    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...... 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...... lecture and illustrates global relations to highlight some of the challenges that we see today....

  1. Global Building Physics

    DEFF Research Database (Denmark)

    Rode, Carsten


    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...

  2. Caring for muscle spasticity or spasms (United States)

    ... patientinstructions/000063.htm Caring for muscle spasticity or spasms To use the sharing features on this page, ... strength-building exercises are helpful as are playing sports and doing daily tasks. Talk with your health ...

  3. ICT Enhanced Buildings Potentials

    DEFF Research Database (Denmark)

    Christiansson, Per


    The paper describes and gives example on how Information and Communication, ICT, can and will enhance and support the building functional systems defined from client and end-user needs and requirements. The building systems may be derived from functional requirements on buildings such as usability...... and security on highest level with sub-systems definitions on lever levels. Building functional sub-systems may be defined for user comfort, indoor-climate, evacuation, space configuration, aesthetics, O&M etc. These building systems are supported by Information and Communication Technology, ICT, and building...... component systems that are accessed and integrated in the real world of building use in different contexts. The ICT systems may be physically or virtually embedded in the building. Already in 1982 AT&T established the 'intelligent buildings', IB, concept due to marketing reasons and the Informart building...

  4. Retrofitting Listed Buildings

    DEFF Research Database (Denmark)

    Rasmussen, Torben Valdbjørn


    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...... of 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....


    Directory of Open Access Journals (Sweden)

    Ioana Olariu


    Full Text Available Building an effective sales force starts with selecting good salespeople, but good salespeople are very difficult to find. The reason for this is that most sales jobs are very demanding and require a great deal from the salesperson. There are many different types of sales jobs. Before it can hire salespeople, each company must do a careful job analysis to see what particular types of selling and other skills are necessary for each sales job. One task of the market planner is to establish clear objectives each year for the entire sales force, for each region, each sales office, and each salesperson. Sales jobs are different from in-house jobs in some significant ways. Nevertheless, each company must continually work on building and maintaining an effective sales force using the following steps: recruitment, selection, training, compensation and evaluation of each salesperson.

  6. Pin care (United States)

    ... gov/pubmed/24302374 . Nagy K. Discharge instructions for wound cares. The American Association of the Surgery of Trauma. . Accessed May 13, 2016.

  7. Palliative Care (United States)

    ... possessions to others, write a letter or a poem or compose a song, or decide what they ... One Year Off Treatment Transitioning to Adult Care Long-Term Follow-Up Care Coping With Cancer Overview ...

  8. Building a sports medicine team. (United States)

    Fu, Freddie H; Tjoumakaris, Fotios Paul; Buoncristiani, Anthony


    There have been a growing number of participants in high school and collegiate athletics in recent years, placing ever-increasing demands on the sports medicine team. Building a winning sports medicine team is equally as important to the success of an athletic organization as fielding talented athletes. Acquisition of highly qualified, motivated, and hard-working individuals is essential in providing high quality and efficient health care to the athlete. Maintaining open paths of communication between all members of the team is the biggest key to success and an optimal way to avoid confusion and pitfalls.

  9. 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


    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


    Directory of Open Access Journals (Sweden)

    Sabina Jordan


    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.

  11. 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 essential...

  12. Importance of Building Code

    Directory of Open Access Journals (Sweden)

    Reshmi Banerjee


    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.

  13. Comparing Care

    NARCIS (Netherlands)

    Evert Pommer; Isolde Woittiez; John Stevens


    Home care is one of the most important means of compensating for disabilities and ensuring continuity in people's daily functioning. Home care services in the Netherlands have recently been transferred from a national social security provision for long-term care to a local social service. In most ot

  14. Building the Future: Summary of Four Studies to Develop the Private Sector, Education, Health Care, and Data for Decisionmaking for the Kurdistan Region - Iraq (with Arabic-language version). (United States)

    Anthony, C Ross; Hansen, Michael L; Kumar, Krishna B; Shatz, Howard J; Vernez, Georges


    In 2010, the Kurdistan Regional Government (KRG) asked the RAND Corporation to undertake four studies aimed at improving the economic and social development of the Kurdistan Region of Iraq. RAND's work was intended to help the KRG expand access to high-quality education and health care, increase private-sector development and employment for the expanding labor force, and design a data-collection system to support high-priority policies. The studies were carried out over the year beginning February 2010. The RAND teams worked closely with the Ministries of Planning, Education, and Health to develop targeted solutions to the critical issues faced by the KRG. This article summarizes the health care study. It is intended to provide a high-level overview of the approaches, followed by the studies, key findings, and major recommendations.

  15. 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)


    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

  16. Applied building physics

    CERN Document Server

    Hens, Hugo S L C


    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

  17. Preconception Care and Prenatal Care (United States)

    ... at risk for complications? How does stress affect pregnancy? NICHD Research Information Clinical Trials Resources and Publications Preconception Care and Prenatal Care: Condition Information Skip sharing on social media links Share this: Page Content What is preconception ...

  18. Virtual care

    DEFF Research Database (Denmark)

    Kamp, Annette; Aaløkke Ballegaard, Stinne

    of retrenchment, promising better quality, empowerment of citizens and work that is smarter and more qualified. Through ethnographic field studies we study the introduction of virtual home care in Danish elderly care, focusing on the implications for relational work and care relations. Virtual home care entails...... and professionals, and they instigate change in organization and professional identities. Studies, which more specifically deal with telecare, stress how virtualization alters the character of the observations care workers are able to make, and how the validity of the patients’ own measurements and observations...... point out how issues of trust and surveillance, which are always negotiated in care relations, are in fact accentuated in this kind of virtual care work. Moreover, we stress that the contemporary institutional context, organization and time schedules have a vast impact on the practices developed....

  19. Who Cares for Care Leavers? (United States)

    Askew, Julie; Rodgers, Paul; West, Andrew


    This chapter describes a programme of learning and development at the University of Sheffield, United Kingdom, to support looked-after children and care leavers (youth previously provided care outside or beyond family) throughout the student lifecycle. In this context, looked-after children are those cared for by a town/city authority where…

  20. Building Design & Construction - Sustainability

    Energy Technology Data Exchange (ETDEWEB)



    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.

  1. Better Buildings Challenge Overview

    Energy Technology Data Exchange (ETDEWEB)



    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.

  2. 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...

  3. Integrated Building Health Management (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 undetected...

  4. Building Services Systems

    DEFF Research Database (Denmark)

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


    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...

  5. Robotic buildings(s)

    NARCIS (Netherlands)

    Bier, H.H.


    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

  6. State Capitol Buildings (United States)

    Department of Homeland Security — This shapefile will display the locations of the fifty state capitol buildings as well as the territorial capitol buildings for the US Virgin Islands, Guam, Northern...

  7. Comfort control in buildings

    CERN Document Server

    Castilla, Maria del Mar; Rodriguez, Francisco de Asis


    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.

  8. Requirements for existing buildings

    DEFF Research Database (Denmark)

    Thomsen, Kirsten Engelund; Wittchen, Kim Bjarne


    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....

  9. 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)


    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.

  10. TREC-SAVE: a randomised trial comparing mechanical restraints with use of seclusion for aggressive or violent seriously mentally ill people: study protocol for a randomised controlled trial

    Directory of Open Access Journals (Sweden)

    Ferreira Marco AV


    Full Text Available Abstract Background Thousands of people whose aggression is thought due to serious mental illness are secluded or restrained every day. Without fair testing these techniques will continue to be used outside of a rigorous evidence base. With such coercive treatment this leaves all concerned vulnerable to abuse and criticism. This paper presents the protocol for a randomised trial comparing seclusion with restraints for people with serious mental illnesses. Methods/Design Setting-General psychiatric wards of a large psychiatric hospital in Rio de Janeiro, Brazil. Participants-Anyone aggressive or violent suspected or known to have serious mental illness for whom restriction is felt to be indicated by nursing and medical staff, but also for whom they are unsure whether seclusion or restraint would be indicated. Interventions-The standard care of either strong cotton banding to edge of bed with medications as indicated and close observation or the other standard care of use of a minimally furnished seclusion room but with open but barred windows onto the nursing station. Outcomes-time to restrictions lifted, early change of treatment, additional episodes, adverse effects/events, satisfaction with care during episode. Duration-2 weeks. Identifier: ISRCTN 49454276

  11. Advance care directives (United States)

    ... advance directive; Do-not-resuscitate - advance directive; Durable power of attorney - advance care directive; POA - advance care directive; Health care agent - advance care directive; Health care proxy - ...

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

    Directory of Open Access Journals (Sweden)

    Manjiri P Dighe


    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.

  13. Building a case for building performance


    Lehrer, David


    You have seen the facts before. Americans make up less than 5% of the world’s population, yet consume 25% of the earth’s resources and create 25% of the world’s greenhouse gases. We are also told that the construction and operation of buildings are major contributors to this problem, and that as building industry professionals we have a major responsibility to improve the performance of the buildings and environments that we create. Although a growing number of states and municipalit...

  14. Health care consumerism movement takes a step forward. (United States)

    Thompson, Michael; Cutler, Charles M


    One of the contributing factors to both the increase in health care costs and the backlash to managed care was the lack of consumer awareness of the cost of health care service, the effect of health care costs on profits and wages, and the need to engage consumers more actively as consumers in health care decisions. This article reviews the birth of the health care consumerism movement and identifies gaps in health care consumerism today. The authors reveal some of the keys to building a sustainable health care consumerism framework, which involves enlisting consumers as well as other stakeholders.

  15. Green Building Research Laboratory

    Energy Technology Data Exchange (ETDEWEB)

    Sailor, David Jean [Portland State Univ., Portland, OR (United States)


    This project provided support to the Green Building Research Laboratory at Portland State University (PSU) so it could work with researchers and industry to solve technical problems for the benefit of the green building industry. It also helped to facilitate the development of PSU’s undergraduate and graduate-level training in building science across the curriculum.

  16. Future Green Buildings

    DEFF Research Database (Denmark)

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

    Efficient buildings are essential for an affordable Danish energy supply in 2050. The purpose of this report is to describe the contribution and role of the building sector in a 100% renewable energy future, as well as the transitions that are necessary in the building sector to support this chan...

  17. Building the ISS

    Institute of Scientific and Technical Information of China (English)

    石继忠; 李秀霞


    Have you seen people building houses?To build a house,you need workers.They use their hands,tools and machines to put everything together. Building the ISS is almost the same.The difference is that the workers are astronauts.They

  18. Building with Straw. (United States)

    Di Santo, Gilbert


    Discusses the early use of straw in Africa and Europe as a building material. Provides background information and a basic framework for the straw bale project, and recommends supervision for young students. Lists objectives for building a straw bale bench and provides the building instructions which consist of three sessions. Includes four…

  19. Making Smart Building Decisions. (United States)

    Coburn, Janet


    Discusses how a positive partnership with the architect can help one who is inexperienced in building design and construction make smart building decisions. Tips address how to prevent change orders, what red flags to look for in a building project, what the administrator should expect from the architect to make the project run smoothly, and what…

  20. 2006~2011年云南省各级妇幼保健机构能力建设现状分析%Analysis on the current situation of capacity - building at all levels of maternity and child health care institutions of Yunnan during 2006 ~2011

    Institute of Scientific and Technical Information of China (English)

    周红; 张燕; 万英; 庄永彪; 郑佳瑞


    Objective: To analyze the current situation of capacity - building at all levels of maternity and child health care institutions of Yunnan during 2006 ~ 2011, and to provide the basis for capacity - building and development of the maternity and child health care institutions in Yunnan in the process of new medical system reform. Methods: Through annual network monitoring and reporting system of the national maternity and child care institutions, related resources and operation situation information of the maternity and child health care institutions at all levels were collected The capacity - building of the maternity and child health care institutions at all levels were evaluated by contrastive analysis. Results; During 2006 ~2011, total staff, fixed assets, business income, year outpatient man - time and discharge person - time of maternity and child health care institutions in Yunnan province had a larger growth. The growth rates were 18. 8% , 97. 1% , 168. 7% , 60. 8% , and 72. 1%. The average values of these indexes coming from all maternal and child health care institutions were about 34. 5 people, 4. 501 million Yuan, 2. 628 million Yuan, 29 338 man - times, 624 man - times in 2011. Conclusion: The government and the public health administrative department of Yunnan province at all levels steadily increase the investment into maternity and child care centers for 6 years. So the material resources, financial resources, service ability of maternity and child health care institutions are increased greatly. However, talent deficiency, relatively backward infrastructure, relatively weak service ability, and non -prominent characteristics of maternity and child care are still the bottleneck factors that hinder the development of the maternity and child health care institutions in Yunnan province.%目的:分析2006~2011年云南省各级妇幼保健机构能力建设发展现状,为新医改进程中云南省妇幼保健机构的建设和发展提供依据.方

  1. Capacity building for HIA

    Directory of Open Access Journals (Sweden)

    Gabriel Gulis PhD


    Full Text Available

    Background: To integrate health impact assessment (HIA into existing decision-making processes requires not only methods and procedures but also well-trained experts, aware policy makers and appropriate institutions. Capacity building is the assistance which is provided to entities, which have a need to develop a certain skill or competence, or for general upgrading of performance ability. If a new technique is planned to be introduced there is a need for capacity building with no respect to levels (local, regional, national, international or sectors (health, environment, finance, social care, education, etc.. As such, HIA is a new technique for most of the new Member States and accession countries of the European Union.

    Methods: To equip individuals with the understanding and skills needed to launch a HIA or be aware of the availability of this methodology and to access information, knowledge and training, we focused on the organization of workshops in participating countries. The workshops served also as pilot events to test a “curriculum” for HIA; a set of basic topics and presentations had been developed to be tested during workshops. In spite of classical in-class workshops we aimed to organize e-learning events as a way to over come the “busyness” problem of decision makers.

    Results: Throughout March – October 2006 we organized and ran 7 workshops in Denmark, Turkey, Lithuania, Poland, Bulgaria, Slovak Republic and Hungary. Participants came from the public health sector (141, non-public health decision makers (113 and public health students (100. A concise curriculum was developed and tested during these workshops. Participants developed a basic understanding of HIA, skills to develop and use their own screening tools as well as scoping.Within the workshop in Denmark we tested an online, real-time Internet based training method; participants highly welcomed this

  2. Advance care planning: thinking ahead to achieve our patients' goals. (United States)

    Cairns, Rosemary


    The End of Life Care Strategy for England describes advance care planning (ACP) as a 'voluntary process of discussion about future care...concerns and wishes...values or personal goals for care, their understanding of their illness and prognosis...wishes for types of care or treatment and the availability of these' (Department of Health (DH), 2008). In Scotland, Living and Dying Well: Building on Progress (Scottish Government (SG), 2011) referred to adopting a 'thinking ahead' philosophy.

  3. Key Elements of Building Coordinated Health Care Delivery System in China%我国目前分级诊疗工作中的几个关键环节探讨

    Institute of Scientific and Technical Information of China (English)

    周瑞; 赵琨; 齐雪然


    本文依据“知信行”行为改变理论,探讨分级诊疗体系建设中政府管医、医生行医、患者就医行为改变的关键要素,并探讨实现“大医院愿意放、基层愿意接、患者愿意去”的政策支撑和制度环境。本文提出:在认知上,分级诊疗是区域医疗服务体系规划的核心,是医改工作的风向标,是一项复杂的长期任务。在意愿上,若要大医院愿意放,需同步推进传统的财政补助方式、当前医疗服务定价机制的改革;若要基层愿意接,应设立财政专项补助、拉大绩效工资差;若要患者愿意去,应鼓励大医院专科医生坐诊基层、正确宣传基层首诊内涵、完善医保管理方式。在行动上,实行机构差异化考核、设立大医院基层部、打通药物目录等管理措施必须兼顾,协同推进分级诊疗体系建设。%According to the behavior changing theory of knowledge - attitude - practice,we explored the key elements regarding how government manages medical services,how doctors practice medicine,and how patients have medical services in the coordinated health care delivery system in China,and also explored the supporting polices and institutional environment to encourage major hospitals to make patient referral down to primary - level medical settings,primary - level medical settings to receive referral patients,and patients to have medical services in primary - level medical settings. This paper came up with following suggestions. In terms of cognition,we should realize that the coordinated health care delivery system is the core of planning for regional health care delivery system and benchmark of health care system reform,and is a complex long - term task. In terms of willingness,given the willingness of major hospitals to make patient referral down to primary - level medical settings,the reform of traditional financial aid mode and the current pricing mechanism of medical services

  4. Green Buildings and Health. (United States)

    Allen, Joseph G; MacNaughton, Piers; Laurent, Jose Guillermo Cedeno; Flanigan, Skye S; Eitland, Erika Sita; Spengler, John D


    Green building design is becoming broadly adopted, with one green building standard reporting over 3.5 billion square feet certified to date. By definition, green buildings focus on minimizing impacts to the environment through reductions in energy usage, water usage, and minimizing environmental disturbances from the building site. Also by definition, but perhaps less widely recognized, green buildings aim to improve human health through design of healthy indoor environments. The benefits related to reduced energy and water consumption are well-documented, but the potential human health benefits of green buildings are only recently being investigated. The objective of our review was to examine the state of evidence on green building design as it specifically relates to indoor environmental quality and human health. Overall, the initial scientific evidence indicates better indoor environmental quality in green buildings versus non-green buildings, with direct benefits to human health for occupants of those buildings. A limitation of much of the research to date is the reliance on indirect, lagging and subjective measures of health. To address this, we propose a framework for identifying direct, objective and leading "Health Performance Indicators" for use in future studies of buildings and health.

  5. Commercial Buildings Characteristics, 1992

    Energy Technology Data Exchange (ETDEWEB)


    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.

  6. The Strengthening of Primary Health Care Network Building to Promote the Cooperation of Healthy Development%加强基层卫生网络建设促进合作医疗健康发展

    Institute of Scientific and Technical Information of China (English)



    由中共中央、国务院下发的加强农村卫生工作的决定,明确指出了新型合作医疗制度是由政府组织、引导、支持,农民自愿参加,个人、集体和政府多方筹资,以大病统筹为主的农民医疗互助共济制度,而计算机网络建设的好坏将直接决定这一制度的成败。这一系统应以国家农村合作医疗制度为依据,同时又要结合2005年5月最新的卫生部《新型农村合作医疗信息管理系统规范》,并结合本地新型农村合作医疗特点,开发出一套适合当地实际情况的计算机网络。%The CPC Central Committee and State Council issued the decision to strengthen rural health work,clear that the new cooperative medical care system is organized by the government, guidance,support,farmers voluntary, individual,collective and multi-government funding,mainly to serious co-ordination farmers medical Huzhugongji system,and computer networks will directly determine the quality of the construction of the system's success or failure.This system should be country-based rural cooperative medical care system,but also with the latest in May 2005,the Ministry of Health,"the new rural cooperative medical information management system standards",and with local characteristics of the new rural cooperative medical care,to develop a suitable local conditions of the computer network.

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

    Directory of Open Access Journals (Sweden)

    Filipa Homem


    : 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.

  8. Recognition as care

    DEFF Research Database (Denmark)

    Ahlmark, Nanna; Whyte, Susan Reynolds; Harting, Janneke


    This longitudinal study provides critical insight into the social processes of municipal diabetes training for Arabic-speaking immigrants in Denmark focusing on participants’ experiences. Our study builds on observations of three diabetes courses and 36 interviews with participants at the start of......-based and solidarity-based recognition to analyse what was at stake in these experiences, and we engage Annemarie Mol’s concept of a logic of care to show how recognition unfolded practically during the training. We propose that participants’ wider social context and experiences of misrecognition situated the training...

  9. Building an ethical organizational culture. (United States)

    Nelson, William A; Taylor, Emily; Walsh, Thom


    The success of a health care institution-as defined by delivering high-quality, high-value care, positive patient outcomes, and financial solvency-is inextricably tied to the culture within that organization. The ability to achieve and sustain alignment between its mission, values, and everyday practices defines a positive organizational culture. An institution that has a diminished organizational culture, reflected in the failure to consistently align management and clinical decisions and practices with its mission and values, will struggle. The presence of misalignment or of ethics gaps affects the quality of care being delivered, the morale of the staff, and the organization's image in the community. Transforming an organizational culture will provide a foundation for success and a framework for daily ethics-grounded operations in any organization. However, building an ethics-grounded organization is a challenging process requiring strong organization leadership and planning. Using a case study, the authors provide a multiyear, continuous step-by-step strategy consisting of identifying ethics culture gaps, establishing an ethics taskforce, clarifying and prioritizing the problems, developing strategy for change, implementing the strategy, and evaluating outcomes. This process will assist organizations in aligning its actions with its mission and values, to find success on all fronts.

  10. 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)



    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。

  11. Green building performance assessments

    Energy Technology Data Exchange (ETDEWEB)

    Larsson, N. [Natural Resources Canada, Ottawa, ON (Canada)


    A system for labelling buildings in a manner similar to product labelling already well established with respect to goods and materials in general, was proposed. The system envisaged would differ from existing labelling systems in that it would follow the principles incorporated into `Green Building Challenge `98`, (GBC`98) The GBC`98 is a two-year process of international building performance assessment, whose goal is to inform the international community of scientists, designers and builders about advances in green building performance. GBC`98 also aims to test and demonstrate an improved method for measuring building performance, establish international benchmarks for building performance while respecting regional and technical diversity, showcase `best-practice` examples of green buildings around the world, document successful elements in individual green buildings and offer direction to participating countries in the development of regionally sensitive assessment models. The genesis of GBC`98, its potential applications as a second generation tool for eco-labeling of buildings was summarized, along with a review of existing building performance assessment systems. 4 refs.

  12. 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


    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

  13. Investing in Our Future: A Guide to Child Care Financing. (United States)

    Stoney, Louise; Groginsky, Scott; Poppe, Julie

    This book investigates the innovative ways being used to ensure and finance high quality care for children. Chapter 1, "Introduction," discusses the government's role in helping to structure, build, and finance the system, as well as financing strategies. Chapter 2, "Financing Child Care Supply," addresses center-based child care, supports for…

  14. Sustainable Building Operation

    DEFF Research Database (Denmark)

    Jensen, Jesper Ole


    Energy-savings in the existing building stock have becomes a main goal in national and international policies. Often focus is on building-renovations, whereas the potential of sustainable building operation to a large extent has been neglected. Nevertheless, international research as well...... as 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...... building operation as an 'umbrella' for various ways of reducing flows of energy, water and waste in the daily operation of the buildings, for instance by regular monitoring the consumption, by using 'green accounting', by applying policies for sustainability etc. The paper is based on case studies...

  15. A Profile Approach to Child Care Quality, Quantity, and Type of Setting: Parent Selection of Infant Child Care Arrangements (United States)

    Sosinsky, Laura Stout; Kim, Se-Kang


    Building on prior variable-oriented research which demonstrates the independence of the associations of child care quality, quantity, and type of setting with family factors and child outcomes, the current study identifies four profiles of child care dimensions from the NICHD Study of Early Child Care and Youth Development. Profiles accounted for…

  16. Development of Ecological Buildings

    Directory of Open Access Journals (Sweden)

    Andrius Keizikas


    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

  17. Capacity Building in Vietnam


    Adam McCarty


    This report is the outcome of a study commissioned to examine the capacity building needs in Vietnam, and is a supplementary document to the Asian Development Bank's Country Operational Strategy for Vietnam. Vietnam's needs in terms of capacity building are particularly important given that is it a transitional economy and also one with little institutional experience in dealing with the international donor community. This paper examines the international awareness of capacity building and ca...

  18. Building Bridges, Breaking Barriers. (United States)

    Horner, Anne


    Essential facts Integrated care has been identified by the government and health and social care organisations as a vital step in responding to the increasing numbers of older people with complex needs, who are likely to receive care from several services in different locations.

  19. Sick building syndrome

    Directory of Open Access Journals (Sweden)

    Tjandra Y. Aditama


    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

  20. Building valve amplifiers

    CERN Document Server

    Jones, Morgan


    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

  1. CARES Foundation (United States)

    ... today and CARES will receive 5% of your purchase! THEIR HISTORY: In 2001, Lauren’s Hope introduced the ... Go to the staff directory Find Us on Facebook Recent Tweets In case you missed it! http:// ...

  2. Dysarthria - care (United States)

    Speech and language disorder - dysarthria care; Slurred speech - dysarthria; Articulation disorder - dysarthria ... Dysarthria is a condition that occurs when there are problems with the muscles that help you talk. ...

  3. Residential Care (United States)

    ... Last name: Email: * Zip: * *required We will not sell or share your name. Residential Care Tweet Bookmark ... for the future. Use Alzheimer's Navigator ™ - our free online tool - to guide you as you map out ...

  4. Caring Encounters (United States)

    Gunn, Alyson


    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. Buildings' integral role in good health. (United States)

    Hall, Chris


    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).

  6. Valuing Equality in Irish Social Care

    Directory of Open Access Journals (Sweden)

    Niall Hanlon


    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.

  7. Sustainable building and local resources

    Directory of Open Access Journals (Sweden)

    Maria Cristina Forlani


    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.

  8. Continuous Briefing and User Participation in Building Projects

    DEFF Research Database (Denmark)

    Jensen, Per Anker


    Briefing is not just about specifying needs as requirements but also about evaluating how well design pro-posals fulfill the needs and aspirations. Furthermore, briefing is not only about building design. Briefing starts at the pre-project stage to create a basis for the project decision....... It includes an initial strategic brief-ing to define the overall vision and objectives. Parallel to the design briefing it is necessary to carry out a briefing process related to interior design and building operation and before the building is commissioned a briefing process related to moving...... into the 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...

  9. Buildings behaving badly

    NARCIS (Netherlands)

    Student, Jillian; Papyrakis, Elissaios; Beukering, van Pieter


    Heating buildings contributes to approximately 36 % of Europe’s energy demand and several EU member states have adopted mandatory energy labels to improve energy efficiency by promoting home weatherization investments. This paper focuses on the perception of the energy label for residential building

  10. Heat loss from Buildings

    DEFF Research Database (Denmark)

    Karlsson, Kenneth; Næraa, Rikke


    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...... project for calculations in the SESAM model....

  11. Reusing Old Manufacturing Buildings (United States)

    Roman, Harry T.


    This article presents an interesting design challenge for students, one that will certainly let them integrate subject matter and get a sense of pride for doing something useful in their own community. The author would be willing to bet that the average town or city has some old red brick manufacturing building(s) that have seen much better days.…

  12. Dancing building prevents collapse

    NARCIS (Netherlands)

    Visscher, R.


    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

  13. Building Numbers from Primes (United States)

    Burkhart, Jerry


    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…

  14. Behavioral Strategies: Building Systems. (United States)

    Sandoz, Charles J.

    Using a construction building analogy, this guide provides a plan for building a system of behavior strategies. These strategies are designed to assist behavior analysts of contracted provider agencies in the construction and maintenance of procedures which will help monitor and reduce the frequency of problematic behaviors in individuals with…

  15. Building: Food for thought

    Directory of Open Access Journals (Sweden)

    Efraïm Rodríguez


    Full Text Available The sculpture presented by Efraïm Rodríguez for the conference is titled “pequeño arquitecto” (The Little Architect, a figure which represents a child building a tower with pieces of classical children’s block building toys; the child itself is built out of the same sculpted materials.

  16. Building a Better Robot (United States)

    Navah, Jan


    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,…


    The report summarizes information on how bilding systems -- especially the heating, ventilating, and air-conditioning (HVAC) system -- inclurence radon entry into large buildings and can be used to mitigate radon problems. It addresses the fundamentals of large building HVAC syst...

  18. Buildings behaving badly

    NARCIS (Netherlands)

    Student, Jillian; Papyrakis, Elissaios; Beukering, van Pieter


    Heating buildings contributes to approximately 36 % of Europe’s energy demand and several EU member states have adopted mandatory energy labels to improve energy efficiency by promoting home weatherization investments. This paper focuses on the perception of the energy label for residential building

  19. Telementoring Primary Care Clinicians to Improve Geriatric Mental Health Care. (United States)

    Fisher, Elisa; Hasselberg, Michael; Conwell, Yeates; Weiss, Linda; Padrón, Norma A; Tiernan, Erin; Karuza, Jurgis; Donath, Jeremy; Pagán, José A


    Health care delivery and payment systems are moving rapidly toward value-based care. To be successful in this new environment, providers must consistently deliver high-quality, evidence-based, and coordinated care to patients. This study assesses whether Project ECHO(®) (Extension for Community Healthcare Outcomes) GEMH (geriatric mental health)-a remote learning and mentoring program-is an effective strategy to address geriatric mental health challenges in rural and underserved communities. Thirty-three teleECHO clinic sessions connecting a team of specialists to 54 primary care and case management spoke sites (approximately 154 participants) were conducted in 10 New York counties from late 2014 to early 2016. The curriculum consisted of case presentations and didactic lessons on best practices related to geriatric mental health care. Twenty-six interviews with program participants were conducted to explore changes in geriatric mental health care knowledge and treatment practices. Health insurance claims data were analyzed to assess changes in health care utilization and costs before and after program implementation. Findings from interviews suggest that the program led to improvements in clinician geriatric mental health care knowledge and treatment practices. Claims data analysis suggests that emergency room costs decreased for patients with mental health diagnoses. Patients without a mental health diagnosis had more outpatient visits and higher prescription and outpatient costs. Telementoring programs such as Project ECHO GEMH may effectively build the capacity of frontline clinicians to deliver high-quality, evidence-based care to older adults with mental health conditions and may contribute to the transformation of health care delivery systems from volume to value.

  20. Technical Management for Buildings

    CERN Document Server

    Vairo, Antonio


    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.

  1. CERN's newest building

    CERN Multimedia

    Anaïs Vernède


    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...

  2. Building the green way. (United States)

    Lockwood, Charles


    Just five or six years ago, the term "green building" evoked visions of barefoot, tie-dyed, granola-munching denizens. There's been a large shift in perception. Of course, green buildings are still known for conserving natural resources by, for example, minimizing on-site grading, using alternative materials, and recycling construction waste. But people now see the financial advantages as well. Well-designed green buildings yield lower utility costs, greater employee productivity, less absenteeism, and stronger attraction and retention of workers than standard buildings do. Green materials, mechanical systems, and furnishings have become more widely available and considerably less expensive than they used to be-often cheaper than their standard counterparts. So building green is no longer a pricey experiment; just about any company can do it on a standard budget by following the ten rules outlined by the author. Reliable building-rating systems like the U.S. Green Building Council's rigorous Leadership in Energy and Environmental Design (LEED) program have done much to underscore the benefits of green construction. LEED evaluates buildings and awards points in several areas, such as water efficiency and indoor environmental quality. Other rating programs include the UK's BREEAM (Building Research Establishment's Environmental Assessment Method) and Australia's Green Star. Green construction is not simply getting more respect; it is rapidly becoming a necessity as corporations push it fully into the mainstream over the next five to ten years. In fact, the author says, the owners of standard buildings face massive obsolescence. To avoid this problem, they should carry out green renovations. Corporations no longer have an excuse for eschewing environmental and economic sustainability. They have at their disposal tools proven to lower overhead costs, improve productivity, and strengthen the bottom line.

  3. Pastoral care: marketing "high touch". (United States)

    Finn, M


    Marketing pastoral care skills is important both within and without the health care organization. To increase administrators' awareness of the value of the pastoral care department, for example, chaplains must be able to demonstrate that their activities can affect the bottom line. They must therefore develop a system of accountability that defines and measures their services in objective terms. Such a system would include the reporting of monthly visit statistics as well as the collection of data from patients and personnel on the adequacy of pastoral care services. Other awareness-building activities could include participation in nursing practice rounds, in-service presentations, involvement in hospital social events, and placement of articles about pastoral care in hospital publications. Activities that would help to foster good community relations and thereby improve census include participation in the area clergy association, work with local church groups that visit the sick and the homebound, providing speakers to community organizations, and sponsoring a memorial Mass for families of patients who have died at the hospital. Pastoral care staff should not feel threatened by the changing health care environment. Instead they must recognize the opportunity it provides to create ways to minister to a new mix of patients and to reach new groups.

  4. Integrating Palliative Care into Primary Care. (United States)

    Gorman, Rosemary D


    Improved quality of life, care consistent with patient goals of care, and decreased health care spending are benefits of palliative care. Palliative care is appropriate for anyone with a serious illness. Advances in technology and pharmaceuticals have resulted in increasing numbers of seriously ill individuals, many with a high symptom burden. The numbers of individuals who could benefit from palliative care far outweighs the number of palliative care specialists. To integrate palliative care into primary care it is essential that resources are available to improve generalist palliative care skills, identify appropriate patients and refer complex patients to specialist palliative care providers.

  5. Knowledge formalization of intelligent building (United States)

    Žáček, Martin


    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.

  6. Building Software with Gradle

    CERN Document Server

    CERN. Geneva; Studer, Etienne


    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 ...

  7. Building Sustainability Assessment

    Directory of Open Access Journals (Sweden)

    Heli Koukkari


    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.

  8. 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)


    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.

  9. Analysis of energy use at US institutional buildings (United States)

    Hirst, E.; Trimble, J.; Goelitz, R.


    The Federal Institutional Conservation Program includes collection of energy use and energy related data from individual institutional buildings. Data were obtained from ten states (Massachusetts, New Hampshire, Vermont, New Jersey, Florida, Minnesota, Wisconsin, Texas, Kansas, and Oregon) on almost fifteen thousand schools, hospitals, local government buildings, and public care institutions. After the data were carefully examined, organized, and validated (i.e., outliers that might be errors were deleted), regression equations were developed for each of the four institutional building types. Because so many of the data elements were either missing or outliers, techniques were applied that allow incorporation of observations with missing data in the regression analysis. These equations explain annual energy use as functions of average energy price, floor area, year of construction, occupancy, air conditioning, primary heating fuel, owner, location, and building function.

  10. Revealing tact within postnatal care. (United States)

    Smythe, Elizabeth; Payne, Deborah; Wilson, Sally; Paddy, Ann; Heard, Kate


    In this article, we explore the nature of good postnatal care through a hermeneutic unpacking of the notion of tact, drawing on the philosophical writings of Heidegger, Gadamer, and van Manen. The tactful encounters considered were from a hermeneutic research study within a small, rural birthing center in New Zealand. Insights drawn from the analysis were as follows: the openness of listening, watching and being attuned that builds a positive mode of engagement, recognizing that the distance the woman needs from her nurse/midwife is a call of tact, that tact is underpinned by a spirit of care, within tact there are moods and tact might require firmness, and that all of these factors come together to build trust. We conclude that the attunement of tact requires that the staff member has time to spend with a woman, enough energy to engage, and a spirit of care. Women know that tactful practice builds their confidence and affects their mothering experience. Tact cannot be assumed; it needs to be nurtured and sheltered.

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

    Directory of Open Access Journals (Sweden)

    Rajiv Yeravdekar


    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.

  12. 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 means...... and architectural features built into the design. However, with the advent of new technologies, architects were no longer constrained by the need to ensure that buildings had ample daylighting, remained airy and cool in the summer and warm in the winter. Since HVAC systems and artificial lighting could satisfy...

  13. INL Green Building Strategy

    Energy Technology Data Exchange (ETDEWEB)

    Jennifer Dalton


    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

  14. Mycotoxins in building materials

    DEFF Research Database (Denmark)

    Nielsen, Kristian Fog; Frisvad, Jens Christian


    as in future energy efficient buildings. It brings together different disciplinary points of view on indoor mold, ranging from physics and material science to microbiology and health sciences. The contents have been outlined according to three main issues: Fundamentals, particularly addressing the crucial...... for avoiding adverse health effects is the prevention (or minimization) of persistent dampness and microbial growth on interior surfaces and in building structures. This book aims to describe the fundamentals of indoor mold growth as a prerequisite to tackle mold growth in the existing building stock as well...

  15. A TRECs screening assay and its combination with IL2RG gene analysis for diagnosis of severe combined immunodeficiency%TRECs筛查方法的建立及联合IL2RG基因分析对重症联合免疫缺陷症的诊断意义

    Institute of Scientific and Technical Information of China (English)

    何晓燕; 刘姗; 戴荣欣; 刘玮; 刘之岱; 余朝文; 唐诗; 赵晓东; 邹琳


    目的 拟建立适合临床应用的新生儿筛查技术,结合Sanger测序技术,明确重症联合免疫缺陷(SCJD)相关基因突变,为患儿的早期筛查与诊治提供依据.方法 前瞻性研究.利用Taqman实时荧光PCR技术,建立定量检测滤纸干血斑中T细胞受体重排删除环(TRECs)的方法,进行方法学评价;收集2013年1月至2014年6月到重庆医科大学附属儿童医院就诊的SCID疑似患儿30例,检测干血斑TRECs拷贝数和外周血基因组DNA中IL2RG核酸序列;结合患儿临床诊断,分析两种方法的临床符合率.结果 自建荧光定量PCR法的最低检测量为103拷贝/ml,批内及批间变异系数分别为<4.7%和<9.1%.30例SCID疑似患儿中,17例TRECs含量低于参考区间,根据临床表现,最终均确诊为SCID,自建方法的临床符合率为17/17.17例SCID确诊患儿均为男孩,其中16例存在IL2RG基因突变(7例移码突变,6例错义突变,2例无义突变,1例剪切突变),1例为RAG1基因复合杂合错义突变.结论 建立以TRECs为基础的新生儿筛查技术,联合应用IL2RG基因分析技术,将有助于SCID患儿的早期发现、早期诊断及治疗方案的正确选择.%Objective To establish a newborn screening method suitable for clinical application,combined with Sanger sequencing assay for related gene mutation,and thereby to provide early screening and diagnosis basis for severe combined immunodeficiency (SCID).Methods Using Taqman real-time PCR technology,the quantitative detection method for T-cell receptor rearrangement excision circles (TRECs) from the dried blood spots was developed and the methodology evaluation was performed.From January 2013 to June 2014,a total of 30 suspected SCID cases in the Children's Hospital of Chongqing Medical University were enrolled.TRECs copies were measured in DNA isolated from the dried blood spots.IL2RG gene mutations were also tested in DNA from peripheral blood mononuclear cells by sequencing.Compared with

  16. Wound Care. (United States)

    Balsa, Ingrid M; Culp, William T N


    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.

  17. "Who Says What Is Quality?": Setting Quality Standards for Family Child Care (United States)

    Modigliani, Kathy


    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…

  18. 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


    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.

  19. View of Building 40

    CERN Multimedia


    Recently opened at CERN is this striking building for physicists, constructed with the help of the Swiss 'Fondation des Immeubles pour les Organisations Internationales', which has over the years added several major edifices to the Geneva landscape

  20. Building Songs 10


    Zla ba sgrol ma


    Male villagers sing a building song This collection presents forty-nine audio files including: several folk song genres; folktales and; local history from the Sman shad Valley of Sde dge county World Oral Literature Project

  1. Green buildings pay

    DEFF Research Database (Denmark)

    Naboni, Emanuele; Edwards, Brian


    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...... or environmental thinking and this finds expression in new approaches to the design of building facades, roofs, atria. Another is that new software simulation tools have changed energy assumptions and hence building forms. In a fast evolving arena, the book shows how architects are reshaping their practices....... 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....

  2. Flight Research Building (Hangar) (United States)

    Federal Laboratory Consortium — The NASA Glenn Flight Research Building is located at the NASA Glenn Research Center with aircraft access to Cleveland Hopkins International Airport. The facility is...

  3. Municipal Building Energy Usage (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...

  4. Buildings Sector Analysis

    Energy Technology Data Exchange (ETDEWEB)

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


    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.

  5. Assessment of building sustainability


    Bragança, L.; Mateus, Ricardo; Koukkari, Heli


    The concept of sustainable building is usually related to environmental characteristics although the social, economics and cultural indicators of the life-cycle impacts are of substancial importance. Any building level assessment method is complex and involves contradictory aspects; emphasizing the qualitative criteria only increases confusion. The R&D and standardization is thus concentrated to transparency and usability of the enviromental methods. Other directions of research are aiming at...

  6. Building Materials in Arctic Climate

    DEFF Research Database (Denmark)

    Jensen, Ole Mejlhede


    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....

  7. Hospice Care (United States)

    ... Hospice is a combination of services designed to address not only the physical needs of patients, but also the psychosocial needs of patients, their loved ones. Hospice combines pain control, symptom ... plan to address each patient’s individual needs. The hospice care team ...

  8. Respite Care (United States)

    ... provided in a home, an adult day-care program or over a weekend in a nursing home or an assisted living facility. For more information on the NFCSP visit the Administration on Aging website at ...

  9. Prenatal Care. (United States)

    Health Resources and Services Administration (DHHS/PHS), Rockville, MD. Office for Maternal and Child Health Services.

    This booklet is the first in a series of publications designed to provide parents with useful information about childrearing. Contents are organized into three parts. Part I focuses on the pregnancy, prenatal care, development of the baby, pregnant lifestyles, nutrition, common discomforts, and problems of pregnancy. Part II provides information…

  10. 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


    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.

  11. Developing health care workforces for uncertain futures. (United States)

    Gorman, Des


    Conventional approaches to health care workforce planning are notoriously unreliable. In part, this is due to the uncertainty of the future health milieu. An approach to health care workforce planning that accommodates this uncertainty is not only possible but can also generate intelligence on which planning and consequent development can be reliably based. Drawing on the experience of Health Workforce New Zealand, the author outlines some of the approaches being used in New Zealand. Instead of relying simply on health care data, which provides a picture of current circumstances in health systems, the author argues that workforce planning should rely on health care intelligence--looking beyond the numbers to build understanding of how to achieve desired outcomes. As health care systems throughout the world respond to challenges such as reform efforts, aging populations of patients and providers, and maldistribution of physicians (to name a few), New Zealand's experience may offer a model for rethinking workforce planning to truly meet health care needs.

  12. Preventing the Spread of Illness in Child Care or School (United States)

    ... Turn off Animations Turn on Animations Our Sponsors Log in | Register Menu Log in | Register Home Our Sponsors Ages & Stages Ages & ... several years of life as their bodies are building immunity to infections. In many child care facilities, ...

  13. Better team management--better team care? (United States)

    Shelley, P; Powney, B


    Team building should not be a 'bolt-on' extra, it should be a well planned, integrated part of developing teams and assisting their leaders. When asked to facilitate team building by a group of NHS managers we developed a framework which enabled individual members of staff to become more effective in the way they communicated with each other, their teams and in turn within the organization. Facing the challenge posed by complex organizational changes, staff were able to use 3 training days to increase and develop their awareness of the principles of teamwork, better team management, and how a process of leadership and team building could help yield better patient care.

  14. Building Better Buildings: Sustainable Building Activities in California Higher Education Systems. (United States)

    Sowell, Arnold; Eichel, Amanda; Alevantis, Leon; Lovegreen, Maureen


    This article outlines the activities and recommendations of California's sustainable building task force, discusses sustainable building activities in California's higher education systems, and highlights key issues that California is grappling with in its implementation of sustainable building practices. (EV)

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

    DEFF Research Database (Denmark)

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


    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...... to 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...

  16. Innovations In Diabetes Care Around the World: Case Studies Of Care Transformation Through Accountable Care Reforms. (United States)

    Thoumi, Andrea; Udayakumar, Krishna; Drobnick, Elizabeth; Taylor, Andrea; McClellan, Mark


    The rising prevalence, health burden, and cost of chronic diseases such as diabetes have accelerated global interest in innovative care models that use approaches such as community-based care and information technology to improve or transform disease prevention, diagnosis, and treatment. Although evidence on the effectiveness of innovative care models is emerging, scaling up or extending these models beyond their original setting has been difficult. We developed a framework to highlight policy barriers-institutional, regulatory, and financial-to the diffusion of transformative innovations in diabetes care. The framework builds on accountable care principles that support higher-value care, or better patient-level outcomes at lower cost. We applied this framework to three case studies from the United States, Mexico, and India to describe how innovators and policy leaders have addressed barriers, with a focus on important financing barriers to provider and consumer payment. The lessons have implications for policy reform to promote innovation through new funding approaches, institutional reforms, and performance measures with the goal of addressing the growing burdens of diabetes and other chronic diseases.

  17. FastStats: Hospice Care (United States)

    ... Day Services Centers Home Health Care Hospice Care Nursing Home Care Residential Care Communities Screenings Mammography Pap Tests Disability ... Care National Study of Long-Term Care Providers Nursing Home Care Residential Care Communities Centers for Medicare and Medicaid ...

  18. 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


    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.

  19. Building the chronic kidney disease management team. (United States)

    Spry, Leslie


    The need to be efficient and the demands for performance-based service are changing how nephrologists deliver care. Chronic kidney disease (CKD) occurs in patients with complex medical and social problems. CKD management requires that multidisciplinary professionals provide patient education, disease management, and psychosocial support. To remain cost-efficient, many physicians are training and supervising midlevel practitioners in the delivery of specialized health care. Specialized care that meets present CKD patient needs is best delivered in a CKD clinic. Three models of CKD clinic are identified: (1) anemia management CKD clinic, (2) the basic CKD clinic, and (3) the comprehensive CKD clinic. Each clinic model is based on critical elements of staffing, billable services, and patient-focused health care. Billable services are anemia-management services, physician services that may be provided by midlevel practitioners, and medical nutrition therapy. In some cases, social worker services may be billable. Building a patient-focused clinic that offers CKD management requires planning, familiarity with federal regulations and statutes, and skillful practitioners. Making services cost-efficient and outcome oriented requires careful physician leadership, talented midlevel practitioners, and billing professionals who understand the goals of the CKD clinic. As Medicare payment reforms evolve, a well-organized CKD program can be well poised to meet the requirements of payers and congressional mandates for performance-based purchasing.

  20. Specifying a green building

    Energy Technology Data Exchange (ETDEWEB)

    Cousins, F.; McGregor, A. [Ove Arup and Partners, (United States)


    The concept of a `green` building is defined as a building that works with, rather than in spite of, the local climate to minimize fossil fuel consumption. It minimizes water consumption and waste. It uses construction materials that have a long life, are non-toxic, and which require minimum energy to produce, deliver to the building site and install. It is sufficiently flexible to permit successive changes without major construction work. With this definition as the background, this paper concentrates on the reduction of fossil fuel energy consumption in commercial buildings, and the various means available to achieve it, such as natural ventilation, thermal storage, control of solar gain, maximizing the use of daylight for illumination, and passive and active solar energy collection. Also discussed are some of the reasons why some buildings fail to satisfy owners and occupants. A strategy involving performance-based contracting, elements of value engineering and occupant education to assure energy efficiency and owner/occupants satisfaction is presented. 15 refs.


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


  2. Buildings for advanced technology

    CERN Document Server

    Teague, E; Murday, James


    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...



    López de Asiaín, Jaime; Alvarez-Ude, Luis


    Green Building Challenge 2005 forma part d'un projecte de cooperació entre diferents països (més de 20 en l'actualitat) que té per objectiu el desenvolupament d'una metodologia d'avaluació del comportament ecològic dels edificis i els resultats se presentaran en una conferència internacional a celebrar a Tòquio (Japó) a la finals de l'any 2005: Sustainable Building 2005. Green Building Challenge 2005 forma parte de un proyecto de cooperación entre distintos países (más de 20 en la actualid...

  4. Automated model building

    CERN Document Server

    Caferra, Ricardo; Peltier, Nicholas


    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

  5. On building Information Warehouses

    CERN Document Server

    Laha, Arijit


    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.

  6. Building information deduced

    DEFF Research Database (Denmark)

    Tamke, Martin; Myrup Jensen, Morten; Beetz, Jakob


    In recent years, Building Information Models have become commonplace in building profession. The extensive use and increasing experience with BIM models offers new perspectives and potentials for design and planning. A recent stakeholder study conducted by the authors of this paper show...... of a model, differences in separate models or models from different point of time. Current BIM tools support both modes only in a rudimentary form. This paper discusses current modes of information query within and across BIM models, shows beneficial scenarios for building and planning practice through...... that in practice models are no longer solely observed as culmination of knowledge in a 3d representation of future built structures, but as a source of information in itself. Experienced users of BIM want to Find Information within a model or across a set of these and Compare models in order to evaluate states...

  7. Carbon Efficient Building Solutions

    Directory of Open Access Journals (Sweden)

    Pellervo Matilainen


    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.

  8. Climate Responsive Buildings in China

    DEFF Research Database (Denmark)

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


    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...... 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 within the framework of the Annex44 of the International Energy Agency (IEA...... 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...

  9. Managing acute care. (United States)

    Russell, J S


    In the last few years, much medical-facility construction has been driven by what insurers want. Hospitals have built facilities for well-reimbursed procedures and closed money-losing ones. Health-maintenance organizations increasingly expect to hold down costs by making prepayment arrangements with doctors and their hospitals. President Clinton has pledged early action on health-care reform, which will likely change planners' priorities. Whether the nation goes to Clintonian "managed competition" or a Canadian-style nationwide single-payer system (the two most likely options), the projects on these pages reflect two large-scale trends that are likely to continue: the movement of more procedures from inpatient to outpatient facilities and the separation of treatment functions from ordinary office and administrative tasks so that the latter are not performed in the same high-cost buildings as technology-intensive procedures. Various schemes that make care more "patient-centered" have been tried and been shown to speed healing, even for outpatients, but such hard-to-quantify issues get short shrift in an era of knee-jerk cost containment. The challenge in tomorrow's healthcare universe--whatever it becomes--will be to keep these issues on the table.

  10. Building a Circular Future

    DEFF Research Database (Denmark)

    Merrild, Heidi; Guldager Jensen, Kasper; Sommer, John


    of the circular strategies is not only in the future. Increased flexibility, optimized operation and maintenance, as well as a healthier building, is low-hanging fruit that can be harvested today. The project’s principles can be implemented in industrialized construction in a large scale today. That is proven......Natural resources are scarce and construction accounts for 40 percent of the material and energy consumption in Europe. This means that a switch to a circular future is necessary. ’Building a Circular Future’ maps out where we are, where we are going, and what is needed for this conversion to take...

  11. Architecture Building Sustainability

    Institute of Scientific and Technical Information of China (English)



    @@ 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.

  12. Vedr.: Military capacity building

    DEFF Research Database (Denmark)

    Larsen, Josefine Kühnel; Struwe, Lars Bangert


    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......Military capacity building has increasingly become an integral part of Danish defence. Military capacity is a new way of thinking Danish defence and poses a new set of challenges and opportunities for the Danish military and the Political leadership. On the 12th of december, PhD. Candidate Josefine...

  13. Ecology Beyond Building

    DEFF Research Database (Denmark)

    Peters, Terri


    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 t...... 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....

  14. Building UIs with Wijmo

    CERN Document Server

    Zhang, Yuguang


    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

  15. Building the perfect PC

    CERN Document Server

    Thompson, Robert Bruce


    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

  16. Religious building energy use

    Energy Technology Data Exchange (ETDEWEB)

    Spielvogel, L.G.; Rudin, A.


    The Interfaith Coalition on Energy (ICE) was organized in 1980 by the Philadelphia area religious community and, funded in 1982 by local private foundations and corporations, began an energy management program for religious buildings whose utility bills are paid by congregations. Since that time, ICE has completed on-site energy audits for 226 congregations with a total of 546 buildings. Each audit report contains a description of the facilities and their energy systems, a baseline year of energy data, a computation of energy use per square foot, and a list of recommendations to reduce energy costs in order of simple payback.

  17. Joints in steel buildings

    Directory of Open Access Journals (Sweden)

    Gabriel F. Valencia Clement


    Full Text Available Masonry and steel components used in constructing buildings are in a constant state of motion. Volumetric changes are produced by temperature variation and deformation resulting from static or dynamic loading and in some materials, such as masonry, due to moisture content. This article addresses means of determining when expansion and seismic joints are required and how to proportion and design appropriate joints, specifically in steel buildings. It does not cover the study of expansion joints in concrete structures, in masonry construction or in non-structural (architectural elements.

  18. Building Civic Bridges: Community-Centered Action Civics (United States)

    LeCompte, Karon; Blevins, Brooke


    Project-based learning is an example of powerful social studies learning in which student engage in active inquiry. Action civics is a relatively new educational practice in which students "act as citizens" through a cycle of research, action, and reflection about problems they care about in their community. "Building Civic…

  19. Careful science?

    DEFF Research Database (Denmark)

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


    Concern about obesity has prompted numerous public health campaigns that urge people to be more physically active. The campaigns often include normative statements and attempt to impose restrictions on individuals' lives without considering the complexities of daily life. We suggest that broadening...... 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...

  20. Medical Care during Pregnancy (United States)

    ... 1- to 2-Year-Old Medical Care During Pregnancy KidsHealth > For Parents > Medical Care During Pregnancy A ... both moms and their babies. Prenatal Care Before Pregnancy Prenatal care should start before you get pregnant. ...

  1. Home Care Services (United States)

    Home care is care that allows a person with special needs stay in their home. It might be for people who are getting ... chronically ill, recovering from surgery, or disabled. Home care services include Personal care, such as help with ...

  2. What is palliative care? (United States)

    Comfort care; End of life - palliative care; Hospice - palliative care ... The goal of palliative care is to help people with serious illnesses feel better. It prevents or treats symptoms and side effects of disease and ...

  3. UCD IIRG at TREC 2012 Medical Track (United States)


    documents. For ex- ample, the query “” would en- sure that documents matching shakespeare in the au- thor field are returned. On the...corpus side, field extents are identified using XMLlike markup, e.g. <author> shakespeare </author>. 3 System Background & Motivation This section outlines

  4. TUW @ TREC Clinical Decision Support Track (United States)


    for health has become a common task nowadays. Pew Research Center estimates that 80% of the American population uses the Web to seek health information...Herrera, Jayashree Kalpathy-Cramer, Dina Demner-Fushman, Sameer Antani, and Ivan Eggel. Overview of the imageclef 2012 medical image retrieval and

  5. CMIC@TREC-2009: Relevance Feedback Track (United States)


    Carbonell and Goldstein [2] suggested the so-called Maximal Marginal Relevance (MMR) which attempts to reduce redundancy while maintaining relevance...Search and Data Mining, (Barcelona, Spain: ACM, 2009), pp. 5-14. 2. Carbonell , J. and Goldstein, J. The use of MMR, diversity-based reranking for

  6. QACTIS Enhancements in TREC QA-2006 (United States)


    to the weight seemed to have only limited effect on score but prevented accidental discarding of legitimate answers. The last challenge was to...overall corpus) as filter terms, but there was not enough time to adequately analyze the effect . Additional parameters such as how many of the top 1000...Further reviewing in the “a” arena, we noted that vital nuggets for 152.7 ( Mozart ) appeared in our 17th and 60th documents; a vital for 163.8 (Hermitage

  7. ICTNET at Microblog Track in TREC 2014 (United States)


    relevant to query Q before time T. Participants can access the corpus by official APIs . The second task is Tweet Timeline Generation(TTG) task. It is newly...the methodology of TTG task. Section 5 gives the final results of the two tasks. 2 Data Preparation The twitter -tools[3] was downloaded from github...By using it we can interact with the service API to download the original tweets of each topic of each year in 2011, 2012, 2013 and 2014. We

  8. UCAS at TREC-2014 Microblog Track (United States)


    interact with the tweet collection via a search API . In the previous years, quite a few researches have attempted to apply learning to rank to Twitter ...last year (the Tweets2013 collection). It contains 243 million tweets gathered from the (sampled) public Twitter stream from February 1, 2013 to[2]. By using learning to rank, multiple intrinsic features of Twitter , such as user authority, mentions, retweets, hashtags and recency can be

  9. TUW @ TREC Clinical Decision Support Track 2015 (United States)


    Introduction It is estimated that more than 80% of the American population uses the Web to seek health information [1]. Small wonder that it attracts...generated by this important mapping. <topic number=ŕ" type="diagnosis"> <description>....</description> <summary>58-year-old woman with hypertension and...TUW1 1 - - - TUW2 1 1 1 - TUW3 3 2 1 - B TUW4 1 - - 6 TUW5 1 1, 4 1, 4 6 TUW6 3 2, 5 1, 4 6 Original Text: ============== 58-year-old woman with

  10. Endicott College at 2014 TREC Session Track (United States)


    the currentquery. For RL2 and RL3, we used real clicks in sessions with at least one click , and simulated clicks as the top retrieved baseline result...baseline), post spam removal. For the ECxSRMxOS RL2, we used real clicks in sessions with at least one click , and the baseline in clickless sessions. RL3

  11. Overview of the TREC 2009 Legal Track (United States)


    Clearwell . The original emails were from the mailboxes of about 150 employees of Enron Corporation. At the time of collection, these mailboxes contained...pst) format by Clearwell . Clearwell first extracted user names from the .pst collection. They then cleaned up these names, where possible, using...First, exact duplicates were identified and automatically removed by Clearwell . Duplication detected at this stage resulted in retention of a single

  12. ICTNET at Web Track TREC2014 (United States)


    recognition Some entities such as "orcas island", “african american music ” and "windsor knot" consist of more than one word. It is very useful to treat...However, we found that a lot of noise was brought in at the same time. We choose the Wikipedia Dump to help extract the entities in the topics this

  13. IBM’s PIQUANT in TREC2003 (United States)


    La Bomba ,’’ ( the bomb ) for his explosive skiing style DSA P11 work: La Bomba LQA P12 most successful and popular Italian skier ever DSA P11...Alberto Tomba , Italy LQA P2 lawyer SQA job: champion LQA P6 work: Slalom for Peace LQA P12 born: Italy LQA P2 work: the Bomba LQA P12 some World Cup

  14. ICTNET at Session Track TREC2014 (United States)


    expansion score of the document. SVD The score of the session visual document model. UAT The score of user attention time model. BM25QC The BM25...QE, SVD , UAT, BM25QC, CosSimQT, Clicked BM25QC, CosSimQT, SVD , QE CosSimQT, SVD , QE, UAT RL3 The same as above except that it use all the sessions

  15. ICTNET at Temporal Summarization Track TREC 2014 (United States)


    CLASSIFICATION OF: 17. LIMITATION OF ABSTRACT Same as Report (SAR) 18. NUMBER OF PAGES 3 19a. NAME OF RESPONSIBLE PERSON a. REPORT unclassified b...Allocation  Module   LDA  is  an   unsupervised  learning  method.  We  use  the  LDA  to  find  the  latent  semantic  topic.  For   each  query,  we...Vector  Machine  method   SVM   is   a   supervised   learning   classifier.   Its   classification   results   often   depend   on   the   features

  16. Overview of the TREC 2014 Session Track (United States)


    present evaluation results and analysis. 2 Evaluation Tasks We use the word “session” to mean a sequence of reformulations along with any user interaction...query reformulations ). A single topic can have more than one session associated with it, since two different users could go about satisfying the same...collection consists of roughly 730 million English- language web pages, comprising approximately 5TB of compressed data. The dataset was crawled from the Web

  17. NLM at TREC 2012 Medical Records Track (United States)


    UMLS synonymy, our search treated ‘increased platelet count ’ and ‘thrombocythemia’ as synonyms of ‘thrombocytosis’, whereas as shown in Table 6...Control (ɠ.0%), we assume that being able to issue database-like queries for finding values above the normal platelet count range (150- 450) and... children ; translating the ICD-9 codes to their preferred terms in the UMLS; and extracting the patient’s age and gender into structured fields. These

  18. Overview of the TREC-2014 Microblog Track (United States)


    respect to tweets in the existing cluster, or she can create a new cluster for the tweet. We have developed a JavaScript -based annotation in- terface...pace on their laptops, at locations of their choosing (this was possible because the an- notation interface was implemented in JavaScript and hence...determine to what extent this impacts our ability to make system comparisons , i.e., that system X is more effective than system Y [14]. Note that as is

  19. Overview of the TREC 2012 Web Track (United States)


    picture of the Last Supper painting by Leonardo da Vinci . </description> <subtopic number=ŕ" type="nav"> Find a picture of the Last Supper painting by...Leonardo da Vinci . </subtopic> <subtopic number=Ŗ" type="nav"> Are tickets available online to view da Vinci’s Last Supper in Milan, Italy

  20. Overview of the TREC 2012 Crowdsourcing Track (United States)


    women clergy 445 1404 62 5% 29 2% 69% tourists, violence 446 2020 162 9% 119 6% 90% Stirling engine 447 1588 16 1% 2 0% 100% Table 1: Each of the 10...descrip- tive concepts, e.g., sky , clouds, birds, the task in IRAT was to gather relevance decisions for a set of 90 search topics and 20k images

  1. IRIT at TREC 2012 Contextual Suggestion Track (United States)


    place sets that we came up to were: • PS 1: amusement park, aquarium, art gallery, bar, book store, bowling alley, cafe , movie theater, museum,, shopping mall, zoo. • PS 2: aquarium, art gallery, bar, book store, bowling alley, cafe , movie theater, museum, park, restaurant, shopping...mall. • PS 3: bar, cafe , grocery or supermarket. • PS 4: bar, cafe , restaurant, shopping mall. • PS 5: bowling alley, cafe , casino, movie theater

  2. Teaching Reflective Care in Japanese Early Childhood Settings (United States)

    Hellman, Anette


    The purpose of this article is to explore the way preschool teachers teach reflective care in Japan. The article builds on a two-month ethnographic study conducted in Japanese kindergartens and nurseries among children aged 3-6 years. The data were analysed using concepts of age and gender. The results show that care in Japan, in contrast to…

  3. Family-centred residential care : the new reality?

    NARCIS (Netherlands)

    Geurts, Esther M. W.; Boddy, Janet; Noom, Marc J.; Knorth, Erik J.


    This paper considers therapeutic approaches to residential care with specific attention to the question of family involvement. It builds on a body of literature indicating the potential of residential care as a positive intervention for young people, and examines the contention that even when family

  4. Building theory through design

    DEFF Research Database (Denmark)

    Markussen, Thomas


    This chapter deals with a fundamental matter of concern in research through design: how can design work lead to the building of new theory? Controversy exists about the balance between theory and design work in research through design. While some researchers see theory production as the scientific...

  5. Building with History

    DEFF Research Database (Denmark)

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


    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...

  6. Building Background Knowledge (United States)

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


    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.

  7. 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...

  8. Building with Sand (United States)

    Ashbrook, Peggy


    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…

  9. Building a Better CTO (United States)

    Fletcher, Geoffrey H.


    This article features the new Framework of Essential Skills of the K-12 CTO of the Consortium for School Networking (CoSN). This latest, version 2.0 iteration of the skills framework builds upon work the organization did earlier this decade. This time CoSN, a professional association for district technology leaders, reached out to a variety of…

  10. References on Sustainable Buildings



    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.

  11. Rapid Building Assessment Project (United States)


    U.S. Department of Energy DPW OMD Directorate of Public Works Operations Maintenance Division ECM energy conservation measure EEB Hub Energy... EEB Hub). 5 For this project, FirstFuel worked with 11 DoD installations across the country to identify buildings for remote audit

  12. Building for International Business

    Institute of Scientific and Technical Information of China (English)


    When completed next August, the LG Beijing Tower project is sureto be one of the most high-end buildings in Beijing. With a meticulous attention to detail, planners know the ins and outs of the city's business momentum.The LG Beijing Tower will utilize an integrated networking system to ensure safety,efficiency and comfort.

  13. Energy efficient building design

    Energy Technology Data Exchange (ETDEWEB)


    The fundamental concepts of the building design process, energy codes and standards, and energy budgets are introduced. These tools were combined into Energy Design Guidelines and design contract requirements. The Guidelines were repackaged for a national audience and a videotape for selling the concept to government executives. An effort to test transfer of the Guidelines to outside agencies is described.

  14. Fire Protection for Buildings (United States)

    Edmunds, Jane


    Reviews attack on fire safety in high rise buildings made by a group of experts representing the iron and steel industry at a recent conference. According to one expert, fire problems are people oriented, which calls for emphasis on fire prevention rather than reliance on fire suppression and for fire pretection to be built into a structure.…

  15. Building a Twig Phylogeny (United States)

    Flinn, Kathryn M.


    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…

  16. Customer loyalty building


    Nováková, Veronika


    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.

  17. Building Resilience in Children (United States)

    ... D., MS Ed, FAAP, a pediatrician specializing in adolescent medicine at The Children’s Hospital of Philadelphia (CHOP), has joined forces with the American Academy of Pediatrics (AAP) to author A Parent’s Guide to Building Resilience in Children and Teens: Giving Your Child Roots ...

  18. Sustainable Building Design

    Directory of Open Access Journals (Sweden)

    Madeleine Charney


    Full Text Available The intended audience for this webliography is librarians, both in the sciences and in other disciplines, and others that are new to the field such as students and members of the general public who are interested in this topic. Sustainable building practitioners may find parts useful as well.

  19. Building a Straw Bridge (United States)

    Teaching Science, 2015


    This project is for a team of students (groups of two or three are ideal) to design and construct a model of a single-span bridge, using plastic drinking straws as the building material. All steps of the design, construction, testing and critiquing stages should be recorded by students in a journal. Students may like to include labelled diagrams,…

  20. Building Bridges to China. (United States)

    Wasta, Stephanie; Scott, Margaret


    Describes a theme cycle called "Building Bridges to China" developed for third grade students that focuses on the similarities between the lives of children and families in China and the United States. Explains that the theme cycle addresses the National Geography Standards and three of the National Council for the Social Studies standards. (CMK)

  1. [Care between ethics, work and political]. (United States)

    Svandra, Philippe


    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.

  2. Reliability of Reinforced Concrete Buildings During Construction

    Institute of Scientific and Technical Information of China (English)

    方东平; 耿川东; 张传敏; 祝宏毅; 刘西拉


    The safety analysis of reinforced concrete buildings during construction should be based on the comprehensive understanding of loads, load effects, structural resistance, and available safety index of the structure. This paper analyzes the characteristics and probabilistic models of resistance, loads, and load effects. A method was developed to calculate the probability of failure based on Monte Carlo simulation and models proposed in previous articles. Construction examples were used to analyze the influence of live load on the probability of failure. The results show that when the live load increases, the maximum probability of failure increases with acceleration. The results suggest that the construction live load should be carefully addressed during construction.

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

    Directory of Open Access Journals (Sweden)

    Kazi Abdur Rouf


    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.

  4. Use of expert judgment elicitation to estimate seismic vulnerability of selected building types (United States)

    Jaiswal, K.S.; Aspinall, W.; Perkins, D.; Wald, D.; Porter, K.A.


    Pooling engineering input on earthquake building vulnerability through an expert judgment elicitation process requires careful deliberation. This article provides an overview of expert judgment procedures including the Delphi approach and the Cooke performance-based method to estimate the seismic vulnerability of a building category.

  5. Improving organizational climate for excellence in patient care. (United States)

    Arnold, Edwin


    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.

  6. Palliative wound care: principles of care. (United States)

    Dale, Barbara; Emmons, Kevin R


    Home care nursing occurs in a complex care environment. Nurses working in this setting care for a wide array of individuals who often are sicker and more complex than ever before. The high prevalence of wounds among these individuals requires that home care nurses have a certain level of knowledge to provide excellent care. Many times, individuals with wounds do not have the capacity to heal or are burdened with numerous symptoms affecting quality of life. In these cases, the home care nurse must understand concepts of palliative wound care to alleviate symptoms with the goal of improving quality of life.

  7. Novel heating and cooling concept employing rainwater cisterns and thermo-active building systems for a residential building

    Energy Technology Data Exchange (ETDEWEB)

    Kalz, Doreen E.; Wienold, Jan; Fischer, Martin; Cali, Davide [Fraunhofer Institute for Solar Energy Systems ISE, Heidenhofstr. 2, 79110 Freiburg (Germany)


    This paper introduces and evaluates a novel heating and cooling concept employing thermo-active building systems and environmental energy, harnessed from two 11-m{sup 3} rainwater cisterns for a 285-m{sup 2} residential building in passive house standard in Germany. The building strives for a significantly reduced primary energy use with carefully coordinated measures, such as high quality building envelope, by means of vacuum insulated panels, supply and exhaust air system with heat recovery, reduced solar heat gains (solar shading), and the integration of thermal solar collectors and photovoltaic in the plant system. On this premise, a comprehensive long-term monitoring in high time-resolution was carried out for the building for two years with an accompanying commissioning of the building performance. Measurements comprise the energy use for heating, cooling, and ventilation, as well as the auxiliary equipment, the performance of the environmental heat source and sink (rainwater cistern), thermal comfort, and local climatic site conditions. The analysis focuses on the performance and the efficiency of rainwater cisterns as natural heat source and sink as well as the heat pump system. The paper discusses the performance of thermo-active building systems, investigates the thermal comfort, determines the efficiency of the heating/cooling system, and evaluates the total end and primary energy use of the building. (author)

  8. Government Buildings, Owned, government buildings, Published in 2006, Washoe County. (United States)

    NSGIC GIS Inventory (aka Ramona) — This Government Buildings, Owned dataset, was produced all or in part from Published Reports/Deeds information as of 2006. It is described as 'government buildings'....

  9. Development of two Danish building typologies for residential buildings

    DEFF Research Database (Denmark)

    Kragh, Jesper; Wittchen, Kim Bjarne


    The aim of this paper is to present two Danish typologies for residential buildings developed in the EU-financed project TABULA. The building typologies focus on energy performance and can be used in the analyses of, e.g., political strategies for planning the future upgrading of the energy...... performance of the residential building stock. Overall, the typologies consist of two types of building models—real example models and average designed models. The main purpose of developing the building typologies was to establish a tool able to calculate different energy-saving scenarios for the entire...... residential building stock. To make such calculations of scenarios, similar average designed building models were established based on extracted average values from the Danish Energy Performance Certification Scheme database. The two building typologies had the same overall composition, i.e., three main...

  10. Aspects of Using CFD for Wind Comfort Modeling Around Tall Buildings

    DEFF Research Database (Denmark)

    Rasmussen, Michael R.; Andersen, Lars


    The Light*House complex is investigated for uncomfortable wind climate and dangerous winds at pedestrian level. A CFD model is used for simulating the wind effect for 12 different directions and correlated to the wind statistics of a nearby meteorological station. Comparing to practical standards...... for safety and comfort, the results indicates that the building is safe for pedestrians. However, when designing surrounding builds, care shall be taken to avoid interaction between buildings....

  11. Body Build Satisfaction and the Congruency of Body Build Perceptions. (United States)

    Hankins, Norman E.; Bailey, Roger C.


    Females were administered the somatotype rating scale. Satisfied subjects showed greater congruency between their own and wished-for body build, and greater congruency between their own and friend/date body builds, but less congruency between their own body build and the female stereotype. (Author/BEF)

  12. Building perservation practice

    DEFF Research Database (Denmark)

    Pilegaard, Marie Kirstine

    Cultural Heritage sites are in the current practice, defined as everything you find on a site within a delimited selected area. Written sources and guidelines for the preservation of the cultural heritage, written by the public authorities or professionals describe them as places that tell a story...... of architects and planners is primarily to reconcile the conservation prospects with the future use of buildings and sites. They intermediary the site through selections of the narratives, and in practice the restoration or transformation projects becomes a communication of the selected story, utilized....... The currently focus on the experience economic potentials of the cultural heritage, raises the expectation of a economic gain of the transformation projects, which can cause decisions made under pressure that cannot be reversed in the future. Industrial sites and buildings, who needs a significant...

  13. Building a Model Astrolabe

    CERN Document Server

    Ford, Dominic


    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.

  14. Net Zero Energy Buildings

    DEFF Research Database (Denmark)

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


    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 selection...

  15. Building and using binoscopes

    CERN Document Server

    Butler, Norman


    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.

  16. Work at Building 513

    CERN Multimedia

    IT Department


    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

  17. Work at Building 513

    CERN Multimedia

    IT Department


    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. Life between buildings

    DEFF Research Database (Denmark)

    Gehl, Jan


    A classic is republished. Life between Buildings was first published in 1971. This book - frequently revised over the years - is still the best source for understanding how people use public spaces in our cities. Published in many languages, it is a standard textbook in Architecture and Planning...... Schools around the world, and continues to be the undisputed basic introduction to the interplay between public space design and social life. This book is now available in its third English language version....

  19. Green building financing


    Brunko, Pavlo


    The article is devoted to the problem of green buildings financing. It is noted that bank lending can be a major source of funds for construction. However, current trends in the economy of Ukraine shows that credit, especially lending to construction, is in poor condition. Accordingly, there is a need to explore the possibility of additional measures that can be applied to bringing financial resources into the construction.The author brings evidence in favor of feasibility of raising funds fo...

  20. Not Just New Buildings

    Institute of Scientific and Technical Information of China (English)


    In the past decade, China could be dubbed a huge construction site in the eyes of many Westerners. Beginning this year, the infrastructure boom will spread from cities to the countryside. Building a "new socialist countryside" has become a hot topic in the last three months, as it was specified in the country's 11th Five-Year Plan (2006-10) for economic and social development.

  1. Building Partner Capacity (United States)


    In a similar manner, globalization has also created new realities, such as in the case of food production where choice now affects demand as much as...quantity did in the past. “Two major factors drive food requirements [and market prices]: a growing global population and prosperity that expands...argued earlier, to expend effort in other nations without consideration of building capacity and resiliency risks strategic failure and wastage of

  2. Building Company Loyalty System


    Haniková, Alžběta


    The thesis discusses the importance of loyal customers, and loyalty system as a tool for building loyalty. It defines loyalty and customer satisfaction, it deals with the issue of customer retention. It describes the history and types of loyalty programs, important factors for deciding on their implementation and problems associated with them. The practical part is concerned with the clothing market, Orsay company and its Orsay Club loyalty systeme. The work also includes a survey of the loya...

  3. 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...

  4. Building retrofit for cities

    Energy Technology Data Exchange (ETDEWEB)

    Heinrich, H.


    The impact of high fuel prices on retrofit in the urban sector is discussed. Then, the benefits of a strong urban retrofit program are enumerated. Institutional, financial, informational, and attitudinal barriers that stand in the way of widespread implementation of energy conservation retrofit are discussed. Policy tools which can be used to implement a retrofit program consist of tax breaks, financing arrangements, mandatory building efficiency standards, and education programs.

  5. Innovations to Build On (United States)

    Laney, Kahliah; Giles, David; Bowles, Jonathan


    To be sure, there is a lot the Bloomberg administration has not accomplished in the social policy arena. City funding for a number of vital social programs--from child care to summer jobs for young adults--has been cut or flat-lined even as demand for these services has increased. Many of those interviewed say that the administration moved away…

  6. Allegheny County Building Footprint Locations (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...


    The papr describes how, rather than building "bridges" across centuries, quality assurance (QA) personnel have the opportunity to build bridges across technical disciplines, between public and private organizations, and between different QA groups. As reviewers and auditors of a...

  8. Dynamic optimization of building performance

    DEFF Research Database (Denmark)

    Maslesa, Esmir; Nielsen, Susanne Balslev; Birkved, Morten;

    D develops a methodological basis and purpose-based software for simultaneous calculation of total value and environmental performance of non-residential buildings. So far, a literature study has identified 8 indicator categories that should be considered when addressing environmental performance of building....... The next step of the project combines research and practice through various case studies in which environmental building performance of non-residential buildings will be studied. Case studies will investigate which environmental indicators are used in practice and why, and disclose how building data...... management, energy management, asset management etc. The research focus of this industrial PhD is to study how these different building data sets can be used and combined for improving total value of buildings, with special emphasis on environmental building performance from lifecycle perspective...

  9. Care coordination between specialty care and primary care: a focus group study of provider perspectives on strong practices and improvement opportunities

    Directory of Open Access Journals (Sweden)

    Kim B


    Full Text Available Bo Kim,1,2 Michelle A Lucatorto,3 Kara Hawthorne,4 Janis Hersh,5 Raquel Myers,6 A Rani Elwy,1,7 Glenn D Graham81Center for Healthcare Organization and Implementation Research, Edith Nourse Rogers Memorial VA Hospital, Bedford, 2Department of Psychiatry, Harvard Medical School, Boston, MA, 3Office of Nursing Services, Department of Veterans Affairs, 4Chief Business Office, Purchased Care, Washington, DC, 5New England Veterans Engineering Resource Center, Boston, MA, 6SJ Quinney College of Law, University of Utah, Salt Lake City, UT, 7Department of Health Policy and Management, Boston University School of Public Health, Boston, MA, 8Specialty Care Services (10P4E, Department of Veterans Affairs, Washington, DC, USAAbstract: Care coordination between the specialty care provider (SCP and the primary care provider (PCP is a critical component of safe, efficient, and patient-centered care. Veterans Health Administration conducted a series of focus groups of providers, from specialty care and primary care clinics at VA Medical Centers nationally, to assess 1 what SCPs and PCPs perceive to be current practices that enable or hinder effective care coordination with one another and 2 how these perceptions differ between the two groups of providers. A qualitative thematic analysis of the gathered data validates previous studies that identify communication as being an important enabler of coordination, and uncovers relationship building between specialty care and primary care (particularly through both formal and informal relationship-building opportunities such as collaborative seminars and shared lunch space, respectively to be the most notable facilitator of effective communication between the two sides. Results from this study suggest concrete next steps that medical facilities can take to improve care coordination, using as their basis the mutual understanding and respect developed between SCPs and PCPs through relationship-building efforts

  10. Training a system-literate care coordination workforce. (United States)

    Naccarella, Lucio; Osborne, Richard H; Brooks, Peter M


    People with chronic complex conditions continue to experience increasing health system fragmentation and poor coordination. To reverse these trends, one solution has been an investment in effective models of care coordination that use a care coordinator workforce. Care coordinators are not a homogenous workforce - but an applied professional role, providing direct and indirect care, and is often undertaken by nurses, allied health professionals, social workers or general practitioners. In Australia, there is no training curriculum nor courses, nor nationally recognised professional quality standards for the care coordinator workforce. With the growing complexity and fragmentation of the health care system, health system literacy - shared understanding of the roles and contributions of the different workforce professions, organisations and systems, among patients and indeed the health workforce is required. Efforts to improve health system literacy among the health workforce are increasing at a policy, practice and research level. However, insufficient evidence exists about what are the health system literacy needs of care coordinators, and what is required for them to be most effective. Key areas to build a health system literate care coordination workforce are presented. Care coordination is more than an optional extra, but one of the only ways we are going to be able to provide equitable health services for people with chronic complex conditions. People with low health literacy require more support with the coordination of their care, therefore we need to build a high performing care coordinator workforce that upholds professional quality standards, and is health literacy responsive.

  11. The Preservation of Adobe Buildings

    Directory of Open Access Journals (Sweden)

    Diana Plian


    Full Text Available Whether built in the 17th or in the 20th centuries, adobe buildings share common problems of maintenance and deterioration. These types of buildings represent today in Romania a traditional house for country people. It also makes recommendations for preserving adobe buildings. By its composition, adobe construction is inclined to deteriorate; however, the buildings can be made durable and renewable when properly maintained.

  12. Upcoming renovations in Building 63

    CERN Multimedia


    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.

  13. Appropriate schemata and building blocks

    Institute of Scientific and Technical Information of China (English)

    Yang Haijun; Li Minqiang


    Appropriate schemata as a novel concept to characterize building blocks are introduced, and then, the traits of appropriate schemata are presented. The effects of building blocks by search operators are analyzed. Hence, the experiments on RR-8X8 are employed to verify that appropriate schemata construct the building blocks. The validity of appropriate schemata and building blocks from the views of theory and practice is presented.

  14. DoD Sustainable Buildings (United States)


    unclassified Standard Form 298 (Rev. 8-98) Prescribed by ANSI Std Z39-18 DoD Sustainable Buildings Overview  Sustainability Drivers  Green Building Requirements...generation = reduced energy bill = more $ available for “tooth”  More $ available for “tooth” = enhanced operational capability Green Building Requirements...Weather Agency; Offutt AFB, NE LEED Gold Certified Green Building Requirements The Guiding Principles (GP’s)  The 5 GP’s  Employ Integrated Design

  15. Hawaii-Okinawa Building Evaluations

    Energy Technology Data Exchange (ETDEWEB)

    Metzger, I.; Salasovich, J.


    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. Perioperative Care of Prisoners: Providing Safe Care. (United States)

    Smith, Francis Duval


    Correctional nurses are trained to care for prisoners in a controlled security environment; however, when a convict is transferred to a noncorrectional health care facility, the nurses there are often unfamiliar with custody requirements or how to safely care for these patients. The care of prisoners outside of prison has not been adequately investigated, and a gap exists between research and nursing education and practice. Nurses rarely have to consider how providing care for a prisoner in custody affects their practice, the potential dissonance between routine nursing care and the requirements to maintain security, or that care of prisoners in unsecured clinical areas places the nurse and other personnel at risk for physical assault or prisoner escape. Educating perioperative nurses in the care of prisoners in a public hospital environment is important for the provision of safe care and prevention of physical and emotional repercussions to personnel.

  17. Who cares for former child soldiers? Mental health systems of care in sierra leone. (United States)

    J Song, Suzan; van den Brink, Helene; de Jong, Joop


    While numerous studies on former child soldiers (FCS) have shown mental health needs, adequate services are a challenge. This study aimed to identify priorities, barriers and facilitators of mental health care for Sierra Leonean FCS. Thematic analysis was done on 24 qualitative interviews with participants from diverse sectors. Priorities of mental distress, substance abuse, and gender-based violence were common among FCS clients. Barriers were governmental support and communication with other providers. Perceived facilitators of care were primary- and secondary-level interventions. A public mental health model would feasibly build upon local, culturally embraced interventions, targeting local priorities and reducing barriers to care.

  18. Money Matters for Early Education: The Relationships among Child Care Quality, Teacher Characteristics, and Subsidy Status (United States)

    St.Clair-Christman, JeanMarie; Buell, Martha; Gamel-McCormick, Michael


    Child care is the first out-of-home learning opportunity for many children. For low-income children, a high-quality child care placement can provide many of the experiences and skills that help build a foundation for later school success. Among the many measures of child care quality, some closely linked to later success in school are those…

  19. Applying Lean Six Sigma for innovative change to the post-anesthesia care unit. (United States)

    Haenke, Roger; Stichler, Jaynelle F


    Many healthcare organizations are building or renovating patient care facilities. Using Lean Six Sigma methods, nurse leaders can eliminate unnecessary waste and improve work and patient care environments. Starting with a key department like the post-anesthesia care unit is a good way to expose staff and leaders to the potential of Lean.

  20. 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.


    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

  1. Commitment, Community, and Passion: Dimensions of a Care-Centered Approach to Teacher Education. (United States)

    Goldstein, Lisa S.


    Builds on Nel Noddings' work on caring encounters to develop a care-centered approach to teacher education. This model emphasizes the important contributions to the process of preparing caring teachers made by enhanced interpersonal commitment, membership in a community of learners, and passion for the creative, intellectual aspects of teaching.…


    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...

  3. Building Construction Elements, Building Envelope and Method for Constructing a Building Envelope

    DEFF Research Database (Denmark)


    High-strength concrete building system and method of assembly for construction a buiding envelope.......High-strength concrete building system and method of assembly for construction a buiding envelope....

  4. Acne - self-care (United States)

    Acne vulgaris - self-care; Cystic acne - self-care; Pimples - self-care; Zits - self-care ... If daily skin care does not clear up blemishes, try over-the-counter acne medicines that you apply to your skin. These products ...

  5. Understanding palliative care. (United States)

    Martin, Caren McHenry


    While most pharmacists and other health care practitioners are familiar with the programs and philosophy of hospice, they may lack a clear understanding of palliative care. Because myths and misconceptions about palliative care abound, a review of the definitions and components of palliative care can enhance the practice of all practitioners who care for patients with chronic diseases.

  6. US green building conference - 1994

    Energy Technology Data Exchange (ETDEWEB)

    Fanney, A.H.; Whitter, K.M.; Traugott, A.E.; Simon, L.N. [eds.


    This report constitutes the proceedings of the Green Building Conference held in Gaithersburg, Maryland, February 16-17, 1994. The conference was co-sponsored by the National Institute of Standards and Technology (NIST) and the US Green Building Council (USGBC). Over 450 individuals attended the conference representing building product manufacturers, building owners and managers, environmental groups, utilities, contractors, builders, architects, engineers, and the local, state, and the federal governments. The conference provided an opportunity to acquire practical, useful information on green buildings, resources, and guidelines. Eighteen papers were presented at the conference. Separate abstracts and indexing were prepared for each paper for inclusion in the Energy Science and Technology Database.


    Directory of Open Access Journals (Sweden)

    Stanka Djurić


    Full Text Available In terms of ensuring national security and the security of energy supply and energy sources, such as liquid fuels and gas, as well as energy independence from energy imports and energy, the focus of our strategy to shift towards renewable energy sources. In fact, whether a state of more or less energy-independent, to a large extent can be determined by the percentage participation renewable energy in meeting the total energy requirements. So, the consumption of renewable energy source (solar energy, wind energy, geothermal energy, hydropower and small watercourses, biomass and biogas is put in relation with the amount of power and energy which are imported from foreign countries (liquid fuels and gas. Based on data published by the European statistics agency, in developed European countries is the fact that renewable energy sources accounted for 10-12% of the total energy balance of individual countries. Here, the situation is very worrying, given that renewable energy resources still account for only 1% in the energy balance, which is negligible and intolerable little. On the other hand, environmental awareness that is constantly improving and developing required to behave and act in accordance with the capabilities and resources of nature and the natural environment. As the largest building and construction consume energy and also the biggest polluters of the environment, point to the request to change the method of construction and thus to change the way of life on the planet. Poor and inadequate access to the building and construction industry certainly is recognized as the most important factor in global warming. The progress of civilization, especially in terms of technical and technological innovation brings the design and construction of facilities that will be compatible with the environment. For designers and investors is to develop, design and build "green".

  8. Building Web Reputation Systems

    CERN Document Server

    Farmer, Randy


    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

  9. Building Regional Competencies

    DEFF Research Database (Denmark)

    Norus, Jesper


    a dominating position in the global marketfor industrial enzymes from 1870-2004. The case of industrial enzymes shows how aregion has been able to build sustainable competitive advantages from its distinctivecompetencies. This is done through a mixture of outsourcing and in sourcing ofcompetencies, knowledge...... and technologies from other regions in a ramified set ofinteracting networks. The key personnel within the regions firms are deliberatelyallowed to engage in the formations of these non-disclosure network activities so thatprofessional knowledge communities has been established across regional boundariesand...

  10. 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...... knowledge governance mechanisms can move the organization towards desired knowledge-based goals. A multiple-case study comprising 23 cases advances our understanding of the elements that trigger, enable, hamper, and drive shifting, leveraging and adapting. Finally, the paper offers a tentative framework...... of dynamic capability building promoting project competence development....

  11. Building Brands Together

    DEFF Research Database (Denmark)

    Ind, Nicholas; Iglesias, Oriol; Schultz, Majken


    Co-creation is a rapidly emerging area of research. However, there is a lack of understanding as to how organizations use co-creation to build relationships and generate value. How does participation emerge and what outcomes does it deliver? To generate insight into the co-creation process, we...... created an online brand community. Our findings show that people participate in a community because it offers them the chance to find fulfillment, to express their creativity, and to socialize. The findings have significant implications for marketing, branding, and research professionals because...... the research shows that managers have to see participants as integral to the brand....

  12. Building Transdisciplinary Environmental Studies

    DEFF Research Database (Denmark)

    Holm, Jesper

    We will in this paper approach the challenge of building integrated environmental studies by presenting a crude frame of analysis which take into account both the physical aspects and the social-discursive articulations of environmental problems. This framework partly mirrors the approach of our...... department (Dept. of Environment, Technology and Social Studies, Roskilde University), and has originally in another version been presented in the book “Miljøregulering - tværvidenskabelige studier (Environmental Regulation. Interdisciplinary Studies)” (Holm, Kjærgård & Pedersen eds. 1997, in Danish) written...

  13. Sustainable Development and Green Buildings

    Directory of Open Access Journals (Sweden)

    Arijit Sinha


    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.

  14. Thermal testing of building envelopes (United States)

    Lebedev, O.; Kirzhanov, D.; Avramenko, V.; Budadin, O.


    Averaged heat transfer resistance of the building envelope is the primary parameter that determines the energy saving characteristics of the building. At the phase of the building design it is usually taken into account that building must preserve heat effectively. It is mostly important in northern countries where cold seasons last for more than a half of year. Usually infrared methods are used to find mechanical defects of the building envelope. In this article an alternative way to describe the building envelope using infrared camera is presented. The method includes the determination of local heat engineering characteristics of the envelope using contact measurements and the determination of averaged heat transfer resistance of the buildings envelope using its infrared image.

  15. Tropical Zero Energy Office Building

    DEFF Research Database (Denmark)

    Reimann, Gregers Peter; Kristensen, Poul Erik


    of the building, so that windows are only towards the north and south, in order to reduce the solar heat gains. In order to reduce the loss of cooling through the building envelope, the walls and the roofs are heavily insulated, and the windows have double low energy glazing. The building will be lit primarily...... lighting. These measures include the use of high efficient lighting controlled according to demand, high efficiency pumps and fans, a high efficiency chiller, and use of energy efficient office equipment. The buildings PV system is connected to the grid. Solar electricity is exported to the grid during......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...

  16. Education for Care and Sustainable Life

    Directory of Open Access Journals (Sweden)

    Victoria Vásquez Verdera


    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.

  17. Building energy governance in Shanghai (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

  18. How to Build Better Friendships

    Institute of Scientific and Technical Information of China (English)

    Sue; Browder; 王燕平; 王莺平


    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

  19. Emergency care toolkits. (United States)

    Black, Steven


    Emergency care services are the focus of a series of toolkits developed by the NHS National electronic Library for Health to provide resources for emergency care leads and others involved in modernising emergency care, writes Steven Black.

  20. Your cancer care team (United States)

    ... gov/ency/patientinstructions/000929.htm Your cancer care team To use the sharing features on this page, ... help your body heal. Working with Your Care Team Each member of your care team plays an ...

  1. Office of Child Care (United States)

    ... for Children & Families Office of Child Care By Office Administration for Native Americans (ANA) Administration on Children, ... Care Partnerships. Review the profiles. > What is the Office of Child Care (OCC)? The Office of Child ...

  2. Developing the Care in Pharmaceutical Care. (United States)

    Fjortoft, Nancy F.; Zgarrick, David P.

    The purpose of this study was to assess the level of caring ability of a sample of pharmacy students and assess the relationship between selected predictor variables and pharmacy students' caring ability. Caring was viewed as the ability to assume responsibility for the protection and welfare of another without being perfunctory or begrudging.…

  3. Masonry building envelope analysis (United States)

    McMullan, Phillip C.


    Over the past five years, infrared thermography has proven an effective tool to assist in required inspections on new masonry construction. However, with more thermographers providing this inspection service, establishing a standard for conducting these inspections is imperative. To attempt to standardize these inspections, it is important to understand the nature of the inspection as well as the context in which the inspection is typically conducted. The inspection focuses on evaluating masonry construction for compliance with the design specifications with regard to structural components and thermal performance of the building envelope. The thermal performance of the building includes both the thermal resistance of the material as well as infiltration/exfiltration characteristics. Given that the inspections occur in the 'field' rather than the controlled environment of a laboratory, there are numerous variables to be considered when undertaking this type of inspection. Both weather and site conditions at the time of the inspection can vary greatly. In this paper we will look at the variables encountered during recent inspections. Additionally, the author will present the standard which was employed in collecting this field data. This method is being incorporated into a new standard to be included in the revised version of 'Guidelines for Specifying and Performing Infrared Inspections' developed by the Infraspection Institute.


    Directory of Open Access Journals (Sweden)

    Ali Vakili-Ardebili


    Full Text Available The sustainable building design process is driven on the basis of a range of design eco-indicators. Consideration of a multitude of eco-determinants, such as environment, economy, resources, energy consumption and society values in addition to design characteristics and contexts, makes the process of ecological design even more complex. A large number of eco-drivers are extracted from the literature and current design practices. To gain a better insight on eco-design determinants, a survey focusing on the use of eco-design drivers has been conducted with various architects in the UK. The factor analysis method was used to remove redundant data from the survey. Through the factor analysis approach, 115 eco-determinants are grouped into six main clusters. This article presents the process, analysis and findings of this work. The extracted eco-indicators and their associated clusters can be used to improve the process of ecological building design. DOI: 10.3763/aedm.2008.0096 Source: Architectural Engineering and Design Management, Volume 6, Number 2, 2010 , pp. 111-131(21

  5. Many diseases, one model of care?

    Directory of Open Access Journals (Sweden)

    Tit Albreht


    Full Text Available Abstract This article has been corrected. See J Comorbidity 2016;6(1:33. Patients with multiple chronic conditions (multimorbidity have complex and extensive health and social care needs that are not well served by current silo-based models of care. A lack of integration between care providers often leads to fragmented, incomplete, and ineffective care, leaving many patients overwhelmed and unable to navigate their way towards better health outcomes. In planning for the future, healthcare policies and models of care are required that cater for the complex needs of patients with multimorbidity and that deliver coordinated care that is patient-centred and focused on disease prevention, multidisciplinary teamwork and shared decision-making, and on empowering patients to self-manage. Salient lessons can be learnt from the work undertaken at a European and national level to develop care models in cancer and diabetes – two complex and often co-occurring conditions requiring coordinated long-term care. Innovative work is also underway in many European countries aimed at improving the integration of care for people with multimorbidity, resulting in more efficient and cost-effective health outcomes. This article reviews some of the most innovative programmes that have been initiated across and within Europe with the aim of improving the way care is delivered to people with complex and multiple long-term conditions. This work provides a foundation upon which to build better, more effective models of care for people with multimorbidity. Journal of Comorbidity 2016;6(1:12–20

  6. The Hospital Building as Project and Matter of Concern

    DEFF Research Database (Denmark)

    Harty, Chris; Tryggestad, Kjell


    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 forms of representations do for the building design and project? The full-scale model...... the optimum (or minimum) spatial requirements should be to allow effective care of patients. The first representations are physical mock-ups of a single-bed room for Danish hospitals where actual medical and logistical procedures are simulated using real equipment and real people. The second is a three...

  7. On a computational model of building thermal dynamic response (United States)

    Jarošová, Petra; Vala, Jiří


    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.

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

    Energy Technology Data Exchange (ETDEWEB)

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


    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.

  9. Building a sustainable system: the making of the WTIS. (United States)

    Hall, Steve; Thabet, Rami; Dummett, Mark


    Building Ontario's Wait Time Information System (WTIS) was one of the largest and most complex technology projects Cancer Care Ontario (CCO) had ever taken on. Increasing public concern about wait times and the lack of adequate tools to provide a clear or accurate picture of provincial wait times had led to a sense of urgency for the province to report wait time data. While healthcare providers and the Ministry of Health and Long-term Care (MOHLTC) sought to address timely access to care, the challenges to develop a suitable information management/information technology (IM/IT) solution within aggressive timelines were significant. For the WTIS project, success was defined by the ability to deliver a tool to capture wait time data that addressed business and clinical needs and by providing individuals with the ability to use the tool and its data to improve access to care.

  10. Integrating Environmentally Responsive Elements in Buildings

    DEFF Research Database (Denmark)

    Heiselberg, Per; Andresen, Inger; Perino, Marco;


    Significant improvement have been achieved on efficiency improvements of specific building elements like the building envelope and building equipment and services and whilst most building elements still offer opportunities for efficiency improvements, the greatest future potential lie with techno...

  11. Analisa Life Cycle Cost pada Green Building Diamond Building Malaysia


    Trixy Firsani; Christiono Utomo


    Mengingat kenyataan bahwa seluruh emisi CO2 yang ada di dunia lebih dari sepertiganya dihasilkan oleh bangunan[1], maka dibutuhkan suatu antispasi untuk mengeliminir akan fakta tersebut, yaitu melalui penerapan suatu konsep bangunan ramah lingkungan atau biasa disebut dengan konsep green building. Salah satu bangunan yang mengadopsi konsep green building tersebut adalah Diamond Building Malaysia. Bangunan ini menghabiskan biaya yang relatif tinggi jika dibandingkan dengan biaya pada pembangun...

  12. Irregular Shaped Building Design Optimization with Building Information Modelling

    Directory of Open Access Journals (Sweden)

    Lee Xia Sheng


    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.


    Directory of Open Access Journals (Sweden)

    Camila Dubow


    Full Text Available The article proposes a critical reflection, based on national law, scholarly, scientific, on the current development of Networks of Health Care, as a strategy for strengthening the Single Health System (SUS. Are weighted inefficiency of traditional ways of organizing care and management, the challenge of Network Health Care for comprehensive care and management mechanisms used in this process. The work provides subsidies for the care practices and health management are reflected, pointing strategies that result in disruptions of paradigms through a refocusing of attention in existing models. For networks of health care can be consolidated, is fundamental to political sensitivity of health managers with a commitment to build a new model of care, through the struggle to consolidate the SUS and the realization of the principles of universality, comprehensiveness and equity.

  14. 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


    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.

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

    Energy Technology Data Exchange (ETDEWEB)

    Jones, D.W.


    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.

  16. Parameters of Upgrading Existing Building into a Green Building

    Directory of Open Access Journals (Sweden)

    Mrs. Rupali Kapure


    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.

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

    Energy Technology Data Exchange (ETDEWEB)

    R. Aldrich and J. Williamson


    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.

  18. Commercial building to low energy standards. Crucial decisions at building shell; Geschaeftsbau nach Passivhaus-Standard. Entscheidende Weichenstellungen beim Rohbau

    Energy Technology Data Exchange (ETDEWEB)

    Brenckle, R.


    This article describes the Customer Care Centre of the IWB utility in Basel, Switzerland, which was built to the Minergie-P extremely low energy consumption standard. In particular, the importance of crucial decisions made before the start of the construction of the building's shell is stressed. The optimal co-ordination of statics, insulation and permeability is discussed, as are aspects concerning the positioning of windows, waste-heat recovery and air-conditioning. The project and its background are discussed. The heating and ventilation concept, heat gains and losses and the associated ideas used in the building are looked at in detail.

  19. Putting the 'care' back into aged care. (United States)

    Beadnell, Cathy


    Aged care is well and truly back on the political agenda in Australia. While the mainstream media has recently exposed a number of horrific cases of alleged abuse in aged care facilities it has done little to highlight the failings of social policy over time or to foster debate on how to improve the care of older Australians. What are the barriers to providing safe and quality aged care to a growing number of our citizens and how do we overcome them? If you relied on the recent media coverage for your impression of aged care you could be forgiven for thinking it is all bad news. But there are facilities providing high quality care and stories of nurses working wonders in the face of adversity. Cathy Beadnell considers some of the broader cultural and workforce issues in aged care.

  20. Guidelines for Building Science Education

    Energy Technology Data Exchange (ETDEWEB)

    Metzger, Cheryn E. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Rashkin, Samuel [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Huelman, Pat [Pacific Northwest National Lab. (PNNL), Richland, WA (United States)


    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

  1. Guidelines for Building Science Education

    Energy Technology Data Exchange (ETDEWEB)

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


    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

  2. Spintronics: Conceptual Building Blocks (United States)

    Ansermet, J.-Ph.

    The purpose of this introduction to spintronics is to provide some elementary description of its conceptual building blocks. Thus, it is intended for a newcomer to the field. After recalling rudimentary descriptions of spin precession and spin relaxation, spin-dependent transport is treated within the Boltzmann formalism. This suffices to introduce key notions such as the spin asymmetry of the conductivities in the two-current model, the spin diffusion length, and spin accumulation. Two basic mechanisms of spin relaxation are then presented, one arising from spin-orbit scattering and the other from electron-magnon collisions. Finally, the action of a spin-polarized current on magnetization is presented in a thermodynamics framework. This introduces the notion of spin torque and the characteristic length scale over which the transverse spin polarization of conduction electron decays as it is injected into a magnet.

  3. Renovating the Main Building

    CERN Multimedia

    CERN Bulletin


    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...

  4. Photovoltaic building blocks

    DEFF Research Database (Denmark)

    Hanberg, Peter Jesper; Jørgensen, Anders Michael


    it directcompetitive with fossil energy sources a further reduction is needed. By increasing the efficiency of the solar cells one gain an advantage through the whole chain of cost. So that per produced Watt of power less material is spent, installation costs are lower, less area is used etc. With an average...... 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......Photovoltaics (PV), better known as solar cells, are now a common day sight on many rooftops in Denmark.The installed capacity of PV systems worldwide is growing exponentially1 and is the third most importantrenewable energy source today. The cost of PV is decreasing fast with ~10%/year but to make...

  5. Building Land Information Policies

    DEFF Research Database (Denmark)

    Enemark, Stig


    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...... and judicial setting of the individual country. However, in spite of the different origins, the systems seem to merge into a global model serving some basic societal needs. The paper presents an outline of this development towards a global model for sustainable land administration infrastructures...... of 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...

  6. The NIST Green Building Program

    Energy Technology Data Exchange (ETDEWEB)

    Hill, J.E. [National Institute of Standards and Technology (NIST), Gaithersburg, MD (United States)


    For over 2 decades, NIST has been involved in energy conservation programs. NIST`s current programs broadly span the areas from waste minimization to air, soil, water, indoor air quality, ozone depletion, and global warming. The latest endeavor NIST is undertaking is the {open_quotes}Green Building Program{close_quotes} in which NIST is at the forefront of designing buildings using environmentally safe materials. NIST`s program has two components. The laboratory-based activities involve NIST staff working directly with manufacturers and designers to develop technologies conducive to energy efficiency. The second component, demonstration buildings, includes environmentally safe buildings which are monuments to green technologies. These buildings not only demonstrate cost effectiveness and evaluate green technologies, they also identify new technologies needed to develop an effective green building.

  7. Capacity Building in Land Management

    DEFF Research Database (Denmark)

    Enemark, Stig; Ahene, Rexford


    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...... building in land management is not only a question of establishing a sufficient technological level or sufficient economic resources. It is mainly a question of understanding the interdisciplinary and cross-sectoral nature of land administration systems, and understanding the need for human resource...... development in this area. Furthermore, capacity building should ensure that the focus is on building sound institutions and governance rather than just high-level IT-infrastructures.    This overall approach to capacity building in land management is used for implementing a new land policy reform in Malawi...

  8. 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


    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.

  9. User Driven Innovative Building Design

    DEFF Research Database (Denmark)

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


    to the broad introduction of advanced information and communication technology (ICT). VICMET is a general method for user involvement in every phase of the construction process and with a unique setup for each type of user. VICMET can use already created information in the building process and 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, and the Solution......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...

  10. Building better boards. (United States)

    Nadler, David A


    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.

  11. Preservation in New Buildings

    Directory of Open Access Journals (Sweden)

    Christopher Kitching


    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.

  12. Buildings Lean Maintenance Implementation Model (United States)

    Abreu, Antonio; Calado, João; Requeijo, José


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

  13. Building Evacuation with Mobile Devices


    Merkel, Sabrina


    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. Development of hazard-compatible building fragility and vulnerability models (United States)

    Karaca, E.; Luco, N.


    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.

  15. Environmental site assessments and audits: Building inspection requirements (United States)

    Lange, John H.; Kaiser, Genevieve; Thomulka, Kenneth W.


    Environmental site assessment criteria were originally developed by organizations that focused, almost exclusively, on surface, subsurface, and pollution source contamination. Many of the hazards associated with indoor environments and building structures were traditionally not considered when evaluating sources and entities of environmental pollution. Since a large number of building materials are potentially hazardous, careful evaluation is necessary. Until recently, little information on building inspection requirements of environmental problems has been published. Traditionally, asbestos has been the main component of concern. The ever-changing environmental standards have dramatically expanded the scope of building surveys. Indoor environmental concerns, for example, currently include formaldehyde, lead-based paint, polychlorinated biphenyls, radon, and indoor air pollution. Environmental regulations are being expanded and developed that specifically include building structures. These regulatory standards are being triggered by an increased awareness of health effects from indoor exposure, fires, spills, and other accidents that have resulted in injury, death, and financial loss. This article discusses various aspects of assessments for building structures.

  16. Lifetime environmental impact of buildings

    CERN Document Server

    Mequignon, Marc


    This work discusses the impact of the life of buildings on? sustainable development methods.?The study of the lifespan of the building is used to assess and?manage the environmental impacts associated?with all the stages of a product's life, from raw material extraction?through to repair, maintenance and?? 'end of life' scenarios. While several papers have discussed thegreenhouse gas emissions of buildings,?less research has been done on how these are affected by the lifespan?of the building. This book serves to?highlight the pertinence of this factor and contributes to providing?new ideas on

  17. Energy Innovations for Healthy Buildings

    Energy Technology Data Exchange (ETDEWEB)

    Bogucz, Edward A. [Syracuse Univ., NY (United States)


    Healthy buildings provide high indoor environmental quality for occupants while simultaneously reducing energy consumption. This project advanced the development and marketability of envisioned healthy, energy-efficient buildings through studies that evaluated the use of emerging technologies in commercial and residential buildings. The project also provided resources required for homebuilders to participate in DOE’s Builders Challenge, concomitant with the goal to reduce energy consumption in homes by at least 30% as a first step toward achieving envisioned widespread availability of net-zero energy homes by 2030. In addition, the project included outreach and education concerning energy efficiency in buildings.

  18. Electric Propulsion Research Building (EPRB) (United States)

    Federal Laboratory Consortium — The Electric Propulsion Research Building (EPRB) capability centers on its suite of vacuum chambers, which are configured to meet the unique requirements related to...

  19. Perencanaan Dengan Konsep Sustainable Building


    Putra, Yulesta


    Di beberapa Negara maju pada tahun 2000 telah mengeluarkan peraturan tentang penerapan konsep sustainable building yang merupakan bagian dari program management lingkungan kota, oleh Yulesta Putra 04015309

  20. Descent in buildings (AM-190)

    CERN Document Server

    Mühlherr, Bernhard; Weiss, Richard M


    Descent in Buildings begins with the resolution of a major open question about the local structure of Bruhat-Tits buildings. The authors then put their algebraic solution into a geometric context by developing a general fixed point theory for groups acting on buildings of arbitrary type, giving necessary and sufficient conditions for the residues fixed by a group to form a kind of subbuilding or "form" of the original building. At the center of this theory is the notion of a Tits index, a combinatorial version of the notion of an index in the relative theory of algebraic groups. These results

  1. 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


    U.S. and China are the world’s top two economics. Together they consumed one-third of the world’s primary energy. It is an unprecedented opportunity and challenge for governments, researchers and industries in both countries to join together to address energy issues and global climate change. Such joint collaboration has huge potential in creating new jobs in energy technologies and services. Buildings in the US and China consumed about 40% and 25% of the primary energy in both countries in 2010 respectively. Worldwide, the building sector is the largest contributor to the greenhouse gas emission. Better understanding and improving the energy performance of buildings is a critical step towards sustainable development and mitigation of global climate change. 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.

  2. Communication in acute ambulatory care. (United States)

    Dean, Marleah; Oetzel, John; Sklar, David P


    Effective communication has been linked to better health outcomes, higher patient satisfaction, and treatment adherence. Communication in ambulatory care contexts is even more crucial, as providers typically do not know patients' medical histories or have established relationships, conversations are time constrained, interruptions are frequent, and the seriousness of patients' medical conditions may create additional tension during interactions. Yet, health communication often unduly emphasizes information exchange-the transmission and receipt of messages leading to a mutual understanding of a patient's condition, needs, and treatments. This approach does not take into account the importance of rapport building and contextual issues, and may ultimately limit the amount of information exchanged.The authors share the perspective of communication scientists to enrich the current approach to medical communication in ambulatory health care contexts, broadening the under standing of medical communication beyond information exchange to a more holistic, multilayered viewpoint, which includes rapport and contextual issues. The authors propose a socio-ecological model for understanding communication in acute ambulatory care. This model recognizes the relationship of individuals to their environment and emphasizes the importance of individual and contextual factors that influence patient-provider interactions. Its key elements include message exchange and individual, organizational, societal, and cultural factors. Using this model, and following the authors' recommendations, providers and medical educators can treat communication as a holistic process shaped by multiple layers. This is a step toward being able to negotiate conflicting demands, resolve tensions, and create encounters that lead to positive health outcomes.

  3. Spiritual Care Education of Health Care Professionals

    Directory of Open Access Journals (Sweden)

    Donia Baldacchino


    Full Text Available Nurses and health care professionals should have an active role in meeting the spiritual needs of patients in collaboration with the family and the chaplain. Literature criticizes the impaired holistic care because the spiritual dimension is often overlooked by health care professionals. This could be due to feelings of incompetence due to lack of education on spiritual care; lack of inter-professional education (IPE; work overload; lack of time; different cultures; lack of attention to personal spirituality; ethical issues and unwillingness to deliver spiritual care. Literature defines spiritual care as recognizing, respecting, and meeting patients’ spiritual needs; facilitating participation in religious rituals; communicating through listening and talking with clients; being with the patient by caring, supporting, and showing empathy; promoting a sense of well-being by helping them to find meaning and purpose in their illness and overall life; and referring them to other professionals, including the chaplain/pastor. This paper outlines the systematic mode of intra-professional theoretical education on spiritual care and its integration into their clinical practice; supported by role modeling. Examples will be given from the author’s creative and innovative ways of teaching spiritual care to undergraduate and post-graduate students. The essence of spiritual care is being in doing whereby personal spirituality and therapeutic use of self contribute towards effective holistic care. While taking into consideration the factors that may inhibit and enhance the delivery of spiritual care, recommendations are proposed to the education, clinical, and management sectors for further research and personal spirituality to ameliorate patient holistic care.

  4. Pediatric intensive care. (United States)

    Macintire, D K


    To provide optimal care, a veterinarian in a pediatric intensive care situation for a puppy or kitten should be familiar with normal and abnormal vital signs, nursing care and monitoring considerations, and probable diseases. This article is a brief discussion of the pediatric intensive care commonly required to treat puppies or kittens in emergency situations and for canine parvovirus type 2 enteritis.

  5. Building guide : how to build Xyce from source code.

    Energy Technology Data Exchange (ETDEWEB)

    Keiter, Eric Richard; Russo, Thomas V.; Schiek, Richard Louis; Sholander, Peter E.; Thornquist, Heidi K.; Mei, Ting; Verley, Jason C.


    While Xyce uses the Autoconf and Automake system to configure builds, it is often necessary to perform more than the customary %E2%80%9C./configure%E2%80%9D builds many open source users have come to expect. This document describes the steps needed to get Xyce built on a number of common platforms.

  6. Seismic vulnerability assessments administrative building and human resources building

    Energy Technology Data Exchange (ETDEWEB)

    McClure, F.E.


    The purpose of this assessment is to identify probable life safety structural and non-structural building damage and its impact on the safety of the occupants of the subject buildings during an earthquake which has a 10% probability of exceedance in 50 years in the Fernald, Ohio area. 2 figs.

  7. Better Buildings NW Ohio

    Energy Technology Data Exchange (ETDEWEB)

    Moyer, Kevin [Toledo-Lucas County Port Authority, Toledo, OH (United States)


    When the Toledo Lucas County Port Authority (TLCPA) filed for the Department of Energy EECBG grant in late 2009, it was part of a strategic and Board backed objective to expand the organization’s economic development and financing programs into alternative energy and energy efficiency. This plan was filed with the knowledge and support of the areas key economic development agencies. The City of Toledo was also a key partner with the Mayor designating a committee to develop a Strategic Energy Policy for the City. This would later give rise to a Community Sustainability Strategic Plan for Toledo, Lucas County and the surrounding region with energy efficiency as a key pillar. When the TLCPA signed the grant documents with the DOE in June of 2010, the geographic area was severely distressed economically, in the early stages of a recovery from over a 30% drop in business activity and high unemployment. The TLCPA and its partners began identifying potential project areas well before the filing of the application, continuing to work diligently before the formal award and signing of the grant documents. Strong implementation and actions plans and business and financing models were developed and revised throughout the 3 year grant period with the long term goal of creating a sustainable program. The TLCPA and the City of Toledo demonstrated early leadership by forming the energy improvement district and evaluating buildings under their control including transportation infrastructure and logistics, government services buildings and buildings which housed several for profit and not for profit tenants while completing significant energy efficiency projects that created public awareness and confidence and solid examples of various technologies and energy savings. As was stated in the DOE Award Summary, the undertaking was focused as a commercial program delving into Alternative Energy Utility Districts; what are referred to in Ohio Statute as Energy Special Improvement

  8. About Skin-to-Skin Care (Kangaroo Care) (United States)

    ... Size Email Print Share About Skin-to-Skin Care Page Content Article Body You may be able ... care, also called kangaroo care. What is Kangaroo Care? Kangaroo care was developed in South America as ...

  9. Virtual building environments (VBE) - Applying information modeling to buildings

    Energy Technology Data Exchange (ETDEWEB)

    Bazjanac, Vladimir


    A Virtual Building Environment (VBE) is a ''place'' where building industry project staffs can get help in creating Building Information Models (BIM) and in the use of virtual buildings. It consists of a group of industry software that is operated by industry experts who are also experts in the use of that software. The purpose of a VBE is to facilitate expert use of appropriate software applications in conjunction with each other to efficiently support multidisciplinary work. This paper defines BIM and virtual buildings, and describes VBE objectives, set-up and characteristics of operation. It informs about the VBE Initiative and the benefits from a couple of early VBE projects.

  10. 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

    Directory of Open Access Journals (Sweden)

    Meng-Hsien Hsieh


    Full Text Available 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 citizens are able to live comfortably and be well taken care of, is presented here. The current trends visible from this project are also discussed.

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

    Directory of Open Access Journals (Sweden)

    Thomas Kwiatkowski


    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

  12. A physical approach on flood risk vulnerability of buildings


    B. Mazzorana; S. Simoni; Scherer, C.; B. Gems; Fuchs, S.; Keiler, M.


    The design of efficient hydrological risk mitigation strategies and their subsequent implementation relies on a careful vulnerability analysis of the elements exposed. Recently, extensive research efforts were undertaken to develop and refine empirical relationships linking the structural vulnerability of buildings to the impact forces of the hazard processes. These empirical vulnerability functions allow estimating the expected direct losses as a result of the hazard scenar...

  13. A physical approach on flood risk vulnerability of buildings


    B. Mazzorana; S. Simoni; Scherer, C.; B. Gems; Fuchs, S.; Keiler, Margreth


    The design of efficient hydrological risk mitigation strategies and their subsequent implementation relies on a careful vulnerability analysis of the elements exposed. Recently, extensive research efforts were undertaken to develop and refine empirical relationships linking the structural vulnerability of buildings to the impact forces of the hazard processes. These empirical vulnerability functions allow estimating the expected direct losses as a result of the hazard scenario based on spatia...

  14. Introduction to Intel’s Threading Building Blocks


    Yazdanmehr, Shayan


    Intel‘s Threading Building Blocks (Intel TBB) is a C++ template library for implementing task parallelism. This parallel programming approach enables scalable memory allocation and task scheduling. Therefore it suits well for implementing several parallel algorithms. Nevertheless, the achievable parallel performance by TBB for typical scenarios of scientific computing has so far not been systematically studied. Neither does there exist a careful comparison, with respect to the usability, betw...

  15. INL High Performance Building Strategy

    Energy Technology Data Exchange (ETDEWEB)

    Jennifer D. Morton


    High performance buildings, also known as sustainable buildings and green buildings, are resource efficient structures that minimize the impact on the environment by using less energy and water, reduce solid waste and pollutants, and limit the depletion of natural resources while also providing a thermally and visually comfortable working environment that increases productivity for building occupants. As Idaho National Laboratory (INL) becomes the nation’s premier nuclear energy research laboratory, the physical infrastructure will be established to help accomplish this mission. This infrastructure, particularly the buildings, should incorporate high performance sustainable design features in order to be environmentally responsible and reflect an image of progressiveness and innovation to the public and prospective employees. Additionally, INL is a large consumer of energy that contributes to both carbon emissions and resource inefficiency. In the current climate of rising energy prices and political pressure for carbon reduction, this guide will help new construction project teams to design facilities that are sustainable and reduce energy costs, thereby reducing carbon emissions. With these concerns in mind, the recommendations described in the INL High Performance Building Strategy (previously called the INL Green Building Strategy) are intended to form the INL foundation for high performance building standards. This revised strategy incorporates the latest federal and DOE orders (Executive Order [EO] 13514, “Federal Leadership in Environmental, Energy, and Economic Performance” [2009], EO 13423, “Strengthening Federal Environmental, Energy, and Transportation Management” [2007], and DOE Order 430.2B, “Departmental Energy, Renewable Energy, and Transportation Management” [2008]), the latest guidelines, trends, and observations in high performance building construction, and the latest changes to the Leadership in Energy and Environmental Design

  16. Multigenerational Challenges: Team-Building for Positive Clinical Workforce Outcomes (United States)

    Moore, Jill M; Everly, Marcee; Bauer, Renee


    Patient acuity in hospital settings continues to increase, and there is greater emphasis on patient outcomes. The current nursing workforce is comprised of four distinct generational cohorts that include veterans, baby boomers, millennials, and generation Xers. Each group has unique characteristics that add complexity to the workforce and this can add challenges to providing optimal patient care. Team building is one strategy to increase mutual understanding, communication, and respect, and thus potentially improve patient outcomes. In this article, we first briefly define generational cohorts by characteristics, and discuss differing expectations for work/life balance and potential negative outcomes. Our discussion offers team building strategies for positive outcomes, a case scenario, and concludes with resources for team building and organizational opportunities.

  17. Seismic design of RC buildings theory and practice

    CERN Document Server

    Manohar, Sharad


    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...

  18. FEM Updating of the Heritage Court Building Structure

    DEFF Research Database (Denmark)

    Ventura, C. E.; Brincker, Rune; Dascotte, E.


    . The starting model of the structure was developed from the information provided in the design documentation of the building. Different parameters of the model were then modified using an automated procedure to improve the correlation between measured and calculated modal parameters. Careful attention......This paper describes results of a model updating study conducted on a 15-storey reinforced concrete shear core building. The output-only modal identification results obtained from ambient vibration measurements of the building were used to update a finite element model of the structure...... was placed to the selection of the parameters to be modified by the updating software in order to ensure that the necessary changes to the model were realistic and physically realisable and meaningful. The paper highlights the model updating process and provides an assessment of the usefulness of using...

  19. Structural response of steel high rise buildings to fire

    DEFF Research Database (Denmark)

    Gentili, Filippo; Giuliani, Luisa; Bontempi, Franco


    Due to the significant vertical elevation and complexity of the structural system, high rise buildings may suffer from the effects of fire more than other structures. For this reason, in addition to evacuation strategies and active fire protection, a careful consideration of structural response...... to fire is also very important. In this context, it is of interest to investigate the characteristics of the structural system that could possibly reduce local damages or mitigate the progression of failures in case of fire. In this paper, a steel high rise building is taken as case study and the response...... of the building is investigated up to the crisis of the structure with respect to a standard fire in a lower and in a higher storey: the comparison of the fire induced failures at the different height allows highlighting the role played in the resulting collapse mechanisms by the beam-column stiffness ratio...

  20. FEM Updating of Tall Buildings using Ambient Vibration Data

    DEFF Research Database (Denmark)

    Ventura, C. E.; Lord, J. F.; Turek, M.;


    to develop reliable finite element models of large civil engineering structures. A fifteen story and a forty-eight story reinforced concrete buildings are used as case studies for this purpose. The dynamic characteristics of interest for this study were the first few lateral and torsional natural frequencies...... and the corresponding mode shapes. The degree of torsional coupling between the modes was also investigated. The modal identification results obtained from ambient vibration measurements of each building were used to update a finite element model of the structure. The starting model of each structure was developed from...... the information provided in the design documentation of the building. Different parameters of the model were then modified using an automated procedure to improve the correlation between measured and calculated modal parameters. Careful attention was placed to the selection of the parameters to be modified...