Madsen, Arne Stjernholm; Ulhøi, John Parm
management during disruptive technological development, but also illustrates the internal problem of allowing a creative BDD to become "sectarian," i.e. blindly believing in itself and suspicious of the rest of the world. Using the framework presented in this paper, several fundamental concerns regarding......This case addresses the Home Communication Concept (HCC) and represents the response of a major ICT manufacturer to the reshaping of the telecom market, paved by Internet technology. The project is described from its start in summer 1997 to the end of 2001. This is a unique case study in more than...... one respect. The first author followed the project very closely during his employment in a new Business Development Department (BDD) at Ericsson Denmark. Secondly, the study covers all phases and aspects, from inception to field trials. Thirdly, it represents a radical innovation, based on a...
Wells, Rebecca; Cilenti, Dorothy; Issel, L Michele
Throughout the United States, public health leaders are experimenting with how best to integrate services for individuals with complex needs. To that end, North Carolina implemented a policy incorporating both local public health departments and other providers into medical homes for low income pregnant women and young children at risk of developmental delays. To understand how this transition occurred within local communities, a pre-post comparative case study was conducted. A total of 42 people in four local health departments across the state were interviewed immediately before the 2011 policy change and six months later: 32 professionals (24 twice) and 10 pregnant women receiving case management at the time of the policy implementation. We used constant comparative analysis of interview and supplemental data to identify three key consequences of the policy implementation. One, having medical homes increased the centrality of other providers relative to local health departments. Two, a shift from focusing on personal relationships toward medical efficiency diverged in some respects from both case managers' and mothers' goals. Three, health department staff re-interpreted state policies to fit their public health values. Using a political economy perspective, these changes are interpreted as reflecting shifts in public health's broader ideological environment. To a large extent, the state successfully induced more connection between health department-based case managers and external providers. However, limited provider engagement may constrain the implementation of the envisioned medical homes. The increased focus on medical risk may also undermine health departments' role in supporting health over time by attenuating staff relationships with mothers. This study helps clarify how state public health policy innovations unfold at local levels, and why front line practice may in some respects diverge from policy intent. PMID:26460509
Full Text Available Managing dyspnea at home is a challenging task. Although a competent palliative home care team can assist a patient to live at home with better pain control, dyspnea is usually not as well managed. In the Asian context, there are few research studies in dyspnea management in palliative home care. This paper aims to illustrate the cultural context that has an impact on dyspnea management at home and the assessment and management of dyspnea in a community palliative care setting in Malaysia. This paper reports on a study of 5 dyspneic patients suffering from both cancer-related and non-cancer-related dyspnea. Its focus is on a unique Asian cultural belief system that affects communication about prognosis and the role of family in palliative home care. In addition, this paper also describes dyspnea assessment, the barriers to morphine use, benzodiazepine prescription, oxygen therapy, and nonpharmacologic intervention in this center.
Borgiel, Katarzyna; Latortue, Xavier; Minel, Stéphanie; Merlo, Christophe
Introduction of information and communication technologies (ICT) in home care organizations is seen as a way of improving work efficiency and care quality. In recent years many research project have been undertaken in order to create models of existing processes and to design appropriate technological tools. This paper argues for the need of global and systemic approach for innovation management in home care in relation to the implementation of ICT devices. After describing the home care acti...
Full Text Available Abstract Background Home Based Management of fever (HBM was introduced as a national policy in Uganda to increase access to prompt presumptive treatment of malaria. Pre-packed Chloroquine/Fansidar combination is distributed free of charge to febrile children Methods A case-series study was performed during 20 weeks in a West-Ugandan sub-county with an under-five population of 3,600. Community drug distributors (DDs were visited fortnightly and recording forms collected. Referred children were located and primary caretaker interviewed in the household. Referral health facility records were studied for those stating having completed referral. Results Overall referral rate was 8% (117/1454. Fever was the main reason for mothers to seek DD care and for DDs to refer. Twenty-six of the 28 (93% "urgent referrals" accessed referral care but 8 (31% delayed >24 hours. Waiting for antimalarial drugs to finish caused most delays. Of 32 possible pneumonias only 16 (50% were urgently referred; most delayed ≥ 2 days before accessing referral care. Conclusion The HBM has high referral compliance and extends primary health care to the communities by maintaining linkages with formal health services. Referral non-completion was not a major issue but failure to recognise pneumonia symptoms and delays in referral care access for respiratory illnesses may pose hazards for children with acute respiratory infections. Extending HBM to also include pneumonia may increase prompt and effective care of the sick child in sub-Saharan Africa.
Full Text Available In today's competitive world, productivity- as a core source of production - is the most important target of the organization. Experimental studies in developed industrial countries prove that productivity improvements resulted from development of management systems play a more important role in production than physical increases in labor and capital factors. This paper, while focusing on productivity from a CRM perspective, employs a European Organizational Excellence Model framework to identify factors affecting productivity and the role of CRM systems. We perform an empirical study for a case study of home appliance manufacturing and using a questionnaire computed present status and compared with desired status of CRM components such as customer leadership, strategy, skill and motivation of labor work, effective use of information technology and process management.
Groenewoud, Hanny; de Lange, Jacomine
Purpose To describe the activities and time spent by casemanagers for home-dwelling people with dementia and their family caregivers in a western region of the Netherlands. Theory People with dementia and their family caregivers go through several transitions in disease, care and social roles. Integrated care for this group is important. In the Dutch Guideline for Integrated Dementia Care (2008), the casemanager is put forward as the vital link in the health-care supply chain for demented peo...
Many public power systems have initiated home energy audit programs in response to the requests of their consumers. The manual provides smaller public power systems with the information and specific skills needed to design and develop a program of residential energy audits. The program is based on the following precepts: locally owned public systems are the best, and in many cases the only agencies available to organize and coordinate energy conservation programs in many smaller communities; consumers' rights to energy conservation information and assistance should not hinge on the size of the utility that serves them; in the short run, public power systems of all sizes should offer residential energy conservation assistance to their consumers, because such assistance is desirable, necessary, and in the public interest; and in the long run, such programs will complement national energy goals and will produce economic benefits for both consumers and the public power system. A detailed description of home audit program planning, organization, and management are given. (MCW)
Van Dam, S.S.
This paper reviews research into Home Energy Management Systems (HEMS). These are intermediary products that can visualize, manage, and/or monitor the energy use of other products or whole households. HEMS have lately received increasing attention for their possible role in conserving energy within households. However, an analysis of the problem areas within household energy consumption along with a review of case studies and commercially available HEMS reveals some research gaps. If HEMS are...
The objective of this article is to understand coordination as it unfolds in case management practices in the context of integrated care networks devoted to frail elderly individuals. More specifically, we describe practical coordination processes. We conducted a qualitative exploratory study using an embedded case study design. Our study covers three health and social service centers in Québec. We noted that coordination produces convention in case management practices through a process of bringing together different types of compromise in home care situations where multidimensionality appears to be more or less important. We constructed four different types of compromise-producing convention with regard to coordination in case management practices: compromise at the interface, scheduling compromise, compromise of opportunity, and compromising change. PMID:23880440
Tifft, Kathleen; Fletcher, Janice; Junk, Virginia W.
Historically, curriculum for home economics included experiences in home management residences. In this qualitative study, nine alumnae and one advisor who lived in a home management house between 1939 and 1959 were interviewed about how their experiences influenced the quality of their lives in the 40-60 subsequent years. Alumnae of the residence…
A Mahmood; Fakhar, H.; Ahmed, S. H.; Javaid, N.
A significant amount of research has been conducted in order to make home appliances more efficient in terms of energy usage. Various techniques have been designed and implemented in order to control the power demand and supply. This paper encompasses reviews of different research works on a wide range of energy management techniques for smart homes aimed at reducing energy consumption and minimizing energy wastage. The idea of smart home is elaborated followed by a review of existing energy ...
Full Text Available Abstract Background Demand for home care services has increased considerably, along with the growing complexity of cases and variability among resources and providers. Designing services that guarantee co-ordination and integration for providers and levels of care is of paramount importance. The aim of this study is to determine the effectiveness of a new case-management based, home care delivery model which has been implemented in Andalusia (Spain. Methods Quasi-experimental, controlled, non-randomised, multi-centre study on the population receiving home care services comparing the outcomes of the new model, which included nurse-led case management, versus the conventional one. Primary endpoints: functional status, satisfaction and use of healthcare resources. Secondary endpoints: recruitment and caregiver burden, mortality, institutionalisation, quality of life and family function. Analyses were performed at base-line, and at two, six and twelve months. A bivariate analysis was conducted with the Student's t-test, Mann-Whitney's U, and the chi squared test. Kaplan-Meier and log-rank tests were performed to compare survival and institutionalisation. A multivariate analysis was performed to pinpoint factors that impact on improvement of functional ability. Results Base-line differences in functional capacity – significantly lower in the intervention group (RR: 1.52 95%CI: 1.05–2.21; p = 0.0016 – disappeared at six months (RR: 1.31 95%CI: 0.87–1.98; p = 0.178. At six months, caregiver burden showed a slight reduction in the intervention group, whereas it increased notably in the control group (base-line Zarit Test: 57.06 95%CI: 54.77–59.34 vs. 60.50 95%CI: 53.63–67.37; p = 0.264, (Zarit Test at six months: 53.79 95%CI: 49.67–57.92 vs. 66.26 95%CI: 60.66–71.86 p = 0.002. Patients in the intervention group received more physiotherapy (7.92 CI95%: 5.22–10.62 vs. 3.24 95%CI: 1.37–5.310; p = 0.0001 and, on average, required fewer
Morales-Asencio, JM; Gonzalo-Jiménez, E; Martin-Santos, FJ; Morilla-Herrera, JC; Celdráan-Mañas, M; Carrasco, A Millán; García-Arrabal, JJ; Toral-López, I
Background Demand for home care services has increased considerably, along with the growing complexity of cases and variability among resources and providers. Designing services that guarantee co-ordination and integration for providers and levels of care is of paramount importance. The aim of this study is to determine the effectiveness of a new case-management based, home care delivery model which has been implemented in Andalusia (Spain). Methods Quasi-experimental, controlled, non-randomised, multi-centre study on the population receiving home care services comparing the outcomes of the new model, which included nurse-led case management, versus the conventional one. Primary endpoints: functional status, satisfaction and use of healthcare resources. Secondary endpoints: recruitment and caregiver burden, mortality, institutionalisation, quality of life and family function. Analyses were performed at base-line, and at two, six and twelve months. A bivariate analysis was conducted with the Student's t-test, Mann-Whitney's U, and the chi squared test. Kaplan-Meier and log-rank tests were performed to compare survival and institutionalisation. A multivariate analysis was performed to pinpoint factors that impact on improvement of functional ability. Results Base-line differences in functional capacity – significantly lower in the intervention group (RR: 1.52 95%CI: 1.05–2.21; p = 0.0016) – disappeared at six months (RR: 1.31 95%CI: 0.87–1.98; p = 0.178). At six months, caregiver burden showed a slight reduction in the intervention group, whereas it increased notably in the control group (base-line Zarit Test: 57.06 95%CI: 54.77–59.34 vs. 60.50 95%CI: 53.63–67.37; p = 0.264), (Zarit Test at six months: 53.79 95%CI: 49.67–57.92 vs. 66.26 95%CI: 60.66–71.86 p = 0.002). Patients in the intervention group received more physiotherapy (7.92 CI95%: 5.22–10.62 vs. 3.24 95%CI: 1.37–5.310; p = 0.0001) and, on average, required fewer home care visits (9
Rosenstein, A H; Propotnik, T
Providing cost-effective high quality healthcare services ranks as the number one concern for anyone involved with the healthcare delivery system. While quality of care should always be the number one priority, controlling healthcare costs receives most of the attention. With limited healthcare dollars and providers assuming more of the financial risk for services rendered, a whole assortment of cost-containment strategies are being introduced in an effort to maintain some semblance of financial viability. Healthcare providers can approach cost control from two different angles. On the fixed-cost operational overhead side, traditional cost-containment techniques have focused on downsizing, maximizing productivity, staffing redesign, improved purchasing contracts, standardization, inventory control, and other more individualized restructured service models. On the variable-cost clinical side, cost control has been approached by introducing a variety of cost-containment strategies designed to improve efficiency and effectiveness of provider performance. While many of these strategies, previously discussed in the Journal of Healthcare Resource Management have stressed the importance of education, guidelines, pathways, and other clinical "tools for improvement," the success of many of these tools resides in the ability to provide real-time intervention. Real-time intervention rather than the more passive retrospective variance analysis has the greatest potential for producing cost savings by actually making a recommendation that prevents the unwanted event from occurring. In many institutions, the case manager bears the responsibility for monitoring and managing these programs. This article describes various case management models currently used by different institutions. PMID:10166062
Rossello Busquet, Ana; Soler, José; Dittmann, Lars
The number of electronic devices found in home environments is increasing, leading to an increase in the energy consumption in users’ premises. Introducing a Home Energy Management System (HEMS) into user residences might provide the necessary tools to reduce and optimize the energy consumption i...
Home care nursing (HCN) improves the management of symptoms in breast and colorectal cancer patients who take the oral chemotherapy drug capecitabine, according to a study published online November 16 in the Journal of Clinical Oncology.
Tu, Ming-Hsiang; Chang, Polun
Home care is important in Taiwan but most of the institutes are small and cannot afford computerization. We develop a support system based on InterRAI case management system using Excel VBA which is the most "free" application in institutes. The prototype system shows promising. PMID:19592932
Inoue, Akiko; Onose, Akira; Onishi, Hiroka; Isono, Hisayo; Miyamoto, Matakichi; Nagata, Hiroshi; Sakakibara, Terue
A 48-year-old man with no remarkable medical history presented with upper abdominal pain for approximately 1 month. He was diagnosed as having pancreatic carcinoma with liver and lung metastasis and complicating carcinomatous peritonitis. Despite chemotherapy, his performance status worsened, his appetite deteriorated, and his pain became intolerable. The patient opted to return home for palliative care, and his parents, aged over 70 years, supported this decision. Although corticosteroid and opiate administration was attempted to improve appetite loss and pain, oral administration became difficult over a short span of time. Thus, treatment was switched from oxycodone to a fentanyl patch for opioid rotation. We also prescribed risperidone for the treatment of delirium. The patient once opted for "respite hospitalization" at a general hospital to relieve his aged parents' fatigue, and thereafter, he finally died at home. When rapid disease progression is expected, not only should a fully equipped environment for patients be ensured but concern for their caregivers should also be considered. For this purpose, cooperation and communication among multidisciplinary medical staff is indispensable. PMID:24712144
Van Dam, S.S.
This paper reviews research into Home Energy Management Systems (HEMS). These are intermediary products that can visualize, manage, and/or monitor the energy use of other products or whole households. HEMS have lately received increasing attention for their possible role in conserving energy within
Tokmakoff, Andrew A.; van Vliet, Harry
With the advent of set-top boxes, the convergence of TV (broadcasting) and PC (Internet) is set to enter the home environment. Currently, a great deal of activity is occurring in developing standards (TV-Anytime Forum) and devices (TiVo) for local storage on Home Media Servers (HMS). These devices lie at the heart of convergence of the triad: communications/networks - content/media - computing/software. Besides massive storage capacity and being a communications 'gateway', the home media server is characterised by the ability to handle metadata and software that provides an easy to use on-screen interface and intelligent search/content handling facilities. In this paper, we describe a research prototype HMS that is being developed within the GigaCE project at the Telematica Instituut . Our prototype demonstrates advanced search and retrieval (video browsing), adaptive user profiling and an innovative 3D component of the Electronic Program Guide (EPG) which represents online presence. We discuss the use of MPEG-7 for representing metadata, the use of MPEG-21 working draft standards for content identification, description and rights expression, and the use of HMS peer-to-peer content distribution approaches. Finally, we outline explorative user behaviour experiments that aim to investigate the effectiveness of the prototype HMS during development.
Mikkelsen, Søren Aagaard; Jacobsen, Rune Hylsberg
infrastructure. The Home Energy Management System (HEMS) is a critical infrastructure component in this endeavour. Its main goal is to enable energy services utilising smart devices in the households based on the interest of the residential consumers and external actors. With the role of being both an essential......Energy management in households gets increasingly more attention in the struggle to integrate more sustainable energy sources. Especially in the electrical system, smart grid systems are envisioned to be part in the efforts towards a better utilisation of the energy production and distribution...... link in the communication infrastructure for balancing the electrical grid and a surveillance unit in private homes, security and privacy become essential to address. In this chapter, we identify and address potential threats Home Energy Management Platform (HEMP) developers should consider in the...
Zhang, Jiang; Rossello Busquet, Ana; Soler, José;
This paper makes three contributions to assist households to control their home devices in an easy way and to simplify the software installation and configuration processes across multi-vendor environments. First, a Home Environment Service Knowledge Management System is proposed, which is based...... on the knowledge implemented by ontology and uses the inference function of reasoner to find out available software services according to household requests. Second, this paper provides a concrete methodology to exploit and acquire conflict-free information from ontology knowledge by using a reasoner. At last...
Levin, Mark Sh; Klapproth, Alexander
The paper addresses modular hierarchical design (composition) of a management system for smart homes. The management system consists of security subsystem (access control, alarm control), comfort subsystem (temperature, etc.), intelligence subsystem (multimedia, houseware). The design solving process is based on Hierarchical Morphological Multicriteria Design (HMMD) approach: (1) design of a tree-like system model, (2) generation of design alternatives for leaf nodes of the system model, (3) Bottom-Up process: (i) multicriteria selection of design alternatives for system parts/components and (ii) composing the selected alternatives into a resultant combination (while taking into account ordinal quality of the alternatives above and their compatibility). A realistic numerical example illustrates the design process of a management system for smart homes.
Baechler, Michael C.; Antonopoulos, Chrissi A.; Sevigny, Maureen; Gilbride, Theresa L.; Hefty, Marye G.
This report was prepared by PNNL for the DOE Building America program. The report provides information for businesses considering entering the home performance contracting industry. Metrics discussed include industry trends and drivers, specific points of entry, business models, startup costs, and marketing strategies. The report includes detailed analysis of eight businesses around the country that have successfully entered the home performance contracting industry. Data is provided on their financial structures, program participation, marketing efforts, and staff training. This report will be distributed via the DOE Building America website, www.buildingamerica.gov. Individual case studies will also be cleared separately.
Rossello Busquet, Ana; Soler, José
In the last years energy consumption in the home environments has increased considerably. There is an interest to provide users with means to reduce their energy consumption. Introducing a Home Energy Management System (HEMS) into user residences might provide the necessary tools to reduce and optimize the energy consumption in home environments. The main element of HEMS is the home gateway. In this paper, a home gateway suitable for HEMS is presented. The home gateway proposed uses rules to ...
This Challenge Home case study describes the first certified DOE Challenge Home as constructed by e2 Homes. Completed in May 2012, the “Wilson Residence” in Winter Park, Florida, is a 4,305-ft2 custom home that scores a HERS 57 without solar and a better than zero net-energy HERS -7 with solar.
Making electricity grids smarter and facilitating them with integration of renewable energy sources (RES) and energy storage are fairly accepted as the necessary steps to achieve a sustainable and secure power industry. To enable Net-zero energy and optimize power management for future homes or buildings, DC electric distribution systems (DC Nano-grid) find feasibility and simplicity for integrating renewable energy sources and energy storage. However, integrating the sources and loads in a s...
Full Text Available The present paper, titled ‘A Study of the Effect of market orientation on SME firm performance the mediating role of product management’ Seek to answer the question Which aspects of product management how affect the firm performance Thus the product management literature, as well as market orieantation and performance in home appliances factories in Isfahan Province are examined. This research, in terms of its purpose, is an applied one; and in terms of implementation method, is a survey with a correlation approach. The statistical population include 84 managers (senior, marketing, manufacturing and R&D of the home appliances manufacturing companies in Esfahan Province. The data collection tool is a researcher-made questionnaire containing 30 items, of which the validity has been confirmed using the comments from advisors, professionals and experts; and the reliability, determined through Cronbach's alpha coefficient of 90% The questionnaire includes personal data and main, specialized items for examining the research hypotheses. The collected data were analyzed using SPSS and AMOS software programs through statistical tests at descriptive (frequency, percentage, accumulated percentage, average and standard deviation and inferential (regression modeling, variance analysis, non- parametric Kolmogorov and Smirnov test, and Freedman non-parametric test levels. According to the results obtained, all hypotheses were supported. Therefore, it was concluded that the product management as a mediator has a significant effect on the relationship between market orientation and performance.
Kerzner, Harold R
A new edition of the most popular book of project management case studies, expanded to include more than 100 cases plus a ""super case"" on the Iridium Project Case studies are an important part of project management education and training. This Fourth Edition of Harold Kerzner''s Project Management Case Studies features a number of new cases covering value measurement in project management. Also included is the well-received ""super case,"" which covers all aspects of project management and may be used as a capstone for a course. This new edition:Contains 100-plus case studies drawn from re
Leutz, Walter; Bishop, Christine E.; Dodson, Lisa
Purpose: To investigate how a partnership between labor and management works to change the organization and focus of nursing home frontline work, supporting a transition toward person-centered care (PCC) in participating nursing homes. Design and Methods: Using a participatory research approach, we conducted case studies of 2 nursing homes…
Rossello Busquet, Ana; Soler, José
In the last years energy consumption in the home environments has increased considerably. There is an interest to provide users with means to reduce their energy consumption. Introducing a Home Energy Management System (HEMS) into user residences might provide the necessary tools to reduce and...... optimize the energy consumption in home environments. The main element of HEMS is the home gateway. In this paper, a home gateway suitable for HEMS is presented. The home gateway proposed uses rules to implement the home energy management system. The rules can be downloaded though web services from a rule...... server. Furthermore, web services are used to provide modularity to the home gateway by enabling the deployment of the different logical components into different devices, if necessary....
Case study of Quadrant Homes, a Seattle area builder who, despite the recession, sold three homes a day in the first half of 2009, by letting buyers choose from 300 floor plans and 10,000 options, including an energy efficiency package designed with help from DOE’s Building America that cut energy use by 50% over a code-built home.
Mortier, R.; Bedwell, B.; Glover, K; Lodge, T.; Rodden, T.; Rotsos, C.; Moore, A.; Koliousis, A.; Sventek, J.
The Homework project has examined redesign of existing home network infrastructures to better support the needs and requirements of actual home users. Integrating results from several ethnographic studies, we have designed and built a home networking platform providing detailed per-flow measurement and management capabilities supporting several novel management interfaces. This demo specifically shows these new visualization and control interfaces, and describes the broader benefits of taking...
Kirkham, T; Armstrong, D.; Djemame, K; Jiang, M.
In order to fully exploit the concept of Smart Home, challenges associated with multiple device management in consumer facing applications have to be addressed. Specific to this is the management of resource usage in the home via the improved utilization of devices, this is achieved by integration with the wider environment they operate in. The traditional model of the isolated device no longer applies, the future home will be connected with services provided by third parties ranging from sup...
Keyson, D.V.; Al Mahmud, A.; De Hoogh, M.; Luxen, R.
In this paper we describe the design of a home energy and comfort management system. The system has three components such as a smart plug with a wireless module, a residential gateway and a mobile app. The combined system is called a home energy management and comfort toolkit. The design is inspired
Qasim Khalid; Naveed Arshad; Nasir Khan; Taha Hassan; Fahad Javed; Jahangir Ikram
Home energy management systems (HEMs) are used to provide comfortable life for consumers as well as to save energy. An essential component of HEMs is a home area network (HAN) that is used to remotely control the electric devices at homes and buildings. Although HAN prices have dropped in recent years but they are still expensive enough to prohibit a mass scale deployments. In this paper, a very low cost alternative to the expensive HANs is presented. We have applied a combination of non-intrusive load monitoring (NILM) and very low cost one-way HAN to develop a HEM. By using NILM and machine learning algorithms we find the status of devices and their energy consumption from a central meter and communicate with devices through the one-way HAN. The evaluations show that the proposed machine learning algorithm for NILM achieves up to 99%accuracy in certain cases. On the other hand our radio frequency (RF)-based one-way HAN achieves a range of 80 feet in all settings.
Lim, Rica; Ndungu, Lucy; Zhou, Jie
The purpose of this thesis is to describe what do nurses do to manage occupational stress in elderly homes in Finland. During academic studies in ethical decision-making, experienced nurses shared experiences that nurses go though during nursing care and management in elderly homes. The researchers of this study, who are student nurses, were motivated to look further on the topic about what do nurses do to manage occupational stress in their professional activities. The research question...
Gransjön Craftman, Åsa
The general aim of this thesis was to investigate how delegation of medication is handled in municipal home care. Specific aims were to 1) explore the prevalence of medication use in older adults over time; 2) describe district nurses’ experiences of the delegation of medication management to municipal home care personnel; 3) explore and describe how home care assistants experience receiving the actual delegation of the responsibility of medication administration; and 4) to describe how older...
Del Bianco, M. [NAHB Research Center Industry Partnership, Upper Marlboro, MD (United States); Taggart, J. [NAHB Research Center Industry Partnership, Upper Marlboro, MD (United States); Sikora, J. [NAHB Research Center Industry Partnership, Upper Marlboro, MD (United States); Wood, A. [NAHB Research Center Industry Partnership, Upper Marlboro, MD (United States)
This guide is designed to help Building America (BA) teams understand quality management and its role in transitioning from conventional to high performance home building and remodeling. It explains what quality means, the value of quality management systems, the unique need for QMS when building high performing homes, and the first steps to a implementing a comprehensive QMS. This document provides a framework and context for BA teams when they encounter builders and remodelers.
Del Bianco, M.; Taggart, J.; Sikora, J.; Wood, A.
This guide is designed to help Building America (BA) Teams understand quality management and its role in transitioning from conventional to high performance home building and remodeling. It explains what quality means, the value of quality management systems, the unique need for QMS when building high performing homes, and the first steps to a implementing a comprehensive QMS. This document provides a framework and context for BA teams when they encounter builders and remodelers.
Charro Laiño, Raúl
[ANGLÈS] The energy management system in next generation home has been developed in web semantic technology. This technology is used in smart homes. And for the monitoring of the power level and consumption of appliances, groups and rooms. Inside the autonomous energy system. The semantic web will give us the necessary interrelated to use autonomous. For good management of energy consumption, we must create communication methods to interact with the user. We can refer to the possibilities off...
Khan, I; A Mahmood; Javaid, N.; Razzaq, S.; Khan, R. D.; Ilahi, M.
We present a detailed review of various Home Energy Management Schemes (HEM,s). HEM,s will increase savings, reduce peak demand and Pto Average Ratio (PAR). Among various applications of smart grid technologies, home energy management is probably the most important one to be addressed. Various steps have been taken by utilities for efficient energy consumption.New pricing schemes like Time of Use (ToU), Real Time Pricing (RTP), Critical Peak Pricing (CPP), Inclining Block Rates (IBR) etc have...
Baranowski, Tom; Missaghian, Mariam; Watson, Kathy; Broadfoot, Alison; Cullen, Karen; Nicklas, Theresa; Fisher, Jennifer; O’Donnell, Sharon
Home fruit, 100% juice and vegetable (FJV) availability is related to increased FJV consumption by children. While FJV must be purchased for use in the home, no scales have been reported on home FJV pantry management practices. A scale for home FJV pantry management practices was generated from focus group discussions with diverse food shoppers. A commonly used scale of home FJV availability was also assessed. A grocery store intercept survey recruited 171 food shoppers with children in front of supermarkets and grocery stores. Survey instruments were administered twice, separated by 6 weeks. Single dimensionality was observed for each scale. Item Response Theory parameter estimates revealed easily interpreted patterns in the sequence of items by difficulty of response. These scales are available to help better understand influences on family FJV purchase decisions. PMID:17959271
Many efforts today aim to energy saving, promoting the user's awareness and virtuous behavior in a sustainability perspective. Our houses, appliances, energy meters and devices are becoming smarter and connected, domotics is increasing possibilities in house automation and control, and ambient intelligence and assisted living are bringing attention onto people's needs from different viewpoints. Our assumption is that considering these aspects together allows for novel intriguing possibilities. To this end, in this paper we combine home energy management with domotics, coordination technologies, intelligent agents, ambient intelligence, ubiquitous technologies and gamification to devise novel scenarios, where energy monitoring and management is just the basic brick of a much wider and comprehensive home management system. The aim is to control home appliances well beyond energy consumption, combining home comfort, appliance scheduling, safety constraints, etc. with dynamically-changeable users' preferences, goals and priorities. At the same time, usability and attractiveness are seen as key success factors: so, the intriguing technologies available in most houses and smart devices are exploited to make the system configuration and use simpler, entertaining and attractive for users. These aspects are also integrated with ubiquitous and pervasive technologies, geo-localization, social networks and communities to provide enhanced functionalities and support smarter application scenarios, hereby further strengthening technology acceptation and diffusion. Accordingly, we first analyse the system requirements and define a reference multi-layer architectural model - the Butlers architecture - that specifies seven layers of functionalities, correlating the requirements, the corresponding technologies and the consequent value-added for users in each layer. Then, we outline a set of notable scenarios of increasing functionalities and complexity, discuss the structure of the
Ainsworth, Nathan; Johnson, Brian; Lundstrom, Blake
Home Energy Management Systems (HEMS) are controllers that manage and coordinate the generation, storage, and loads in a home. These controllers are increasingly necessary to ensure that increasing penetrations of distributed energy resources are used effectively and do not disrupt the operation of the grid. In this paper, we propose a novel approach to HEMS design based on behavioral control methods, which do not require accurate models or predictions and are very responsive to changing conditions. We develop a proof-of-concept behavioral HEMS controller and show by simulation on an example home energy system that it capable of making context-dependent tradeoffs between goals under challenging conditions.
Villefrance, Rasmus; Brandt, Jonas; Eriksen, Poul Svante;
We describe and consider how the potential of energy savings may drive the penetration of smart grid technology into private homes. We assess the sociological processes which lead to energy savings when the residents have access to smart grid technology. We propose a way to establish a cash flow...... from consumers via electrical distribution companies to smart grid technology providers on the Danish market. Finally, we assess the impact of such a business development on the society, as well as relating the penetration of smart grid technology in private homes to the societal goal of 100% renewable...... energy in the electrical grid in 2050...
Bruce, Martha L; Raue, Patrick J.; Sheeran, Thomas; Reilly, Catherine; Pomerantz, Judith C.; Meyers, Barnett S.; Weinberger, Mark I.; Zukowski, Diane
High levels of depressive symptoms are common and contribute to poorer clinical outcomes even in geriatric patients who are already taking antidepressant medication. The Depression CARE for PATients at Home (Depression CAREPATH) intervention was designed to meet the needs of medical and surgical patients who suffer from depression. The intervention’s clinical protocols are designed to guide clinicians in managing depression as part of routine home care.
U.S. joined the ITER negotiations in the beginning of 2003. U.S. ITER Home team is involving the broader U.S. fusion community on current ITER plans and negotiation activities and engaging them in ITER preparatory work. The team is also preparing proposals for possible U.S. hardware contributions to ITER, and for U.S. performance of ITER
Abstract Key account management (KAM) is considered as an important marketing trend since last few years. The purpose of this thesis orients to the discussion about key account management practices from selling company’s perspectives in home appliance market of Pakistan. The study is carried through with four steps: elements of key accounts management, identification and analysis of key accounts, strategies for key accounts, and operational level capabilities used in key account management fo...
Latimer, Joyce G.; Close, David
This 2014 Virginia Pest Management Guide provides the latest recommendations for controlling diseases, insects, and weeds for home grounds and animals. New for 2014 is information about prevention and nonchemical control as alternatives to chemical control or as part of an integrated pest management approach.
Leontjevas, R.; Gerritsen, D.L.; Koopmans, R.T.C.M.; Smalbrugge, M.; Vernooij-Dassen, M.J.F.J.
BACKGROUND: A multidisciplinary, evidence-based care program to improve the management of depression in nursing home residents was implemented and tested using a stepped-wedge design in 23 nursing homes (NHs): "Act in case of Depression" (AiD). OBJECTIVE: Before effect analyses, to evaluate AiD proc
This builder's first DOE Zero Energy Ready Home won a Custom Builder award in the 2014 Housing Innovation Awards, scored HERS 49 without PV or HERS 44 with 1.4 kW of PV, and served as a prototype and energy efficiency demonstration model while performance testing was conducted.
This urban infill community with 24 duplexes, 19 townhomes, and 7 single-family homes features SIP walls, geothermal heat pumps, solar PV, and a proprietary energy management system. The builder won a 2013 Housing Innovation Award in the production builder category.
The home that won a Production Builder award in the 2014 Housing Innovation Awards serves as a model for this builder, showcasing high-tech features including an electric car charging station; a compressed natural gas (CNG) car fueling station; a greywater recycling system that filters shower, sink, and clothes washer water for yard irrigation; smart appliances; and an electronic energy management system.
Keyson, D.V.; Al Mahmud, A.; De Hoogh, M.; Luxen, R.
In this paper we describe the design of a home energy and comfort management system. The system has three components such as a smart plug with a wireless module, a residential gateway and a mobile app. The combined system is called a home energy management and comfort toolkit. The design is inspired with the fact that making energy visible and able to control it will help to conserve energy. One of the key goals is to create a platform which is extendable based on the needs of the end users. ...
Stormwater runoff from impervious surfaces in urban and suburban areas has led to human safety risks and widespread stream ecosystem impairment. While centralized stormwater management can minimize large fluctuations in stream flows and flooding risk to urban areas, this approac...
Case study of an energy-efficient Habitat for Humanity house that uses 30% less energy than conventional residential construction. The project was part of the Jimmy Carter Work Project in rural Appalachia in 1997
Stopczynski, Martin; Ghiglieri, Marco [Technische Univ. Darmstadt (Germany). Fachgebiet Sicherheit in der Informationstechnik
This case study describes a DOE Zero Energy Ready home in Vassalboro, Maine, that scored HERS 35 without PV and HERS 11 with PV. This 1,200 ft2 home has 10.5-inch-thick double-walls with 3 layers of mineral wool batt insulation, an R-20 insulated slab, R-70 cellulose in the attic, extensive air sealing, a mini-split heat pump, an heat recovery ventilator, solar water heating, LED lighting, 3.9 kWh PV, and triple-pane windows.
Building America research has shown that high-performance homes can potentially give builders an edge in the marketplace and can boost sales, but it doesn't happen automatically. It requires a tailored, easy-to-understand marketing campaign, and sometimes a little flair. This case study highlights the successful marketing approach of Tommy Williams Homes, which devotes resources to advertising, targeted social media outlets and blogs, realtor education seminars, and groundbreaking and open house celebrations. As a result, in one community, 2013 property sales records show that TWH outsells the only other builder in the development at a higher price, with fewer days on the market.
This case study describes a DOE Zero Energy Ready Home in Spirit Lake, Iowa, that scored HERS 41 without PV and HERS 28 with PV. This 3,048 ft2 custom home has advanced framed walls filled with 1.5 inches closed-cell spray foam, a vented attic with spray foam-sealed top plates and blown fiberglass over the ceiling deck. R-23 basement walls are ICF plus two 2-inch layers of EPS. The house also has a mini-split heat pump, fresh air fan intake, and a solar hot water heater.
Murray, Marion; Alston, Diane; Nischwitz, Claudia
Integrated pest management (IPM) is the practice of combining knowledge of the pest and host plant with multiple tactics for long-term, safe pest control. The goal of IPM is pesticide reduction by using cultural, mechanical, and biological controls before the last option, pesticides.
Wills, Celia E; Polivka, Barbara J; Darragh, Amy; Lavender, Steven; Sommerich, Carolyn; Stredney, Donald
This study describes the decision-making processes home healthcare personnel (HHP) use to manage their personal health and safety when managing hazards in client homes. A professionally diverse national sample of 68 HHP participated in individual semi-structured interviews and focus group discussions, and described their decision making and strategies for hazard management in their work environments. HHP described 353 hazard management dilemmas within 394 specifically identified hazards, which were clustered within three broader categories: electrical/fire, slip/trip/lift, and environmental exposures. HHP described multiple types of "making do" decisions for hazard management solutions in which perceived and actual resource limitations constrained response options. A majority of hazard management decisions in the broader hazards categories (72.5%, 68.5%, and 63.5%, respectively) were classifiable as less than optimal. These findings stress the need for more support of HHPs, including comprehensive training, to improve HHP decision making and hazard management strategies, especially in context of resource constraints. PMID:26669605
Building America research has shown that high-performance homes can potentially give builders an edge in the marketplace and can boost sales. But it doesn't happen automatically. It requires a tailored, easy to understand marketing campaign and sometimes a little flair. This case study highlights LifeStyle Homes’ successful marketing approach for their SunSmart home package, which has helped to boost sales for the company. SunSmart marketing includes a modified logo, weekly blog, social media, traditional advertising, website, and sales staff training. Marketing focuses on quality, durability, healthy indoor air, and energy efficiency with an emphasis on the surety of third-party verification and the scientific approach to developing the SunSmart package. With the introduction of SunSmart, LifeStyle began an early recovery, nearly doubling sales in 2010; SunSmart sales now exceed 300 homes, including more than 20 zero energy homes. Completed homes in 2014 far outpaced the national (19%) and southern census region (27%) recovery rates for the same period. As technology improves and evolves, this builder will continue to collaborate with Building America.
Bankston-White, Cheri; Birmingham, Jackie
Purpose and Objectives: Case management directors are in a dynamic position to affect the transition of care for patients across the continuum, work with all levels of providers, and support the financial well-being of a hospital. Most importantly, they can drive good patient outcomes. Although the position is critical on many different levels, there is little to help guide a new director in attending to all the “moving parts” of such a complex role. The purpose of this two-part article is to...
Jongbae Kim; Jinsung Byun; Daebeom Jeong; Myeong-in Choi; Byeongkwan Kang; Sehyun Park
A smart grid (SG) has attracted great attention due to recent environmental problems. SG technologies enable users, such as energy system operators and consumers, to reduce energy consumption and the emission of greenhouse gases, by changing energy infrastructure more efficiently. As a part of the SG, home energy management system (HEMS) has become increasingly important, because energy consumption of a residential sector accounts for a significant amount of total energy consumption. However,...
This case study aims to describe the management accounting change taking place at a Finnish home textile company Finlayson Oy. The focus of the study is on the development and adoption of a new business model for Pop Up -Shops business area as part of renewing the retail strategy and analyzing how the changes in management accounting systems linked to the new business model took place. Furthermore, the nature of the management accounting change as a phenomenon at the case company is discussed...
Baranowski, Tom; Missaghian, Mariam; Watson, Kathy; Broadfoot, Alison; Cullen, Karen; Nicklas, Theresa; Fisher, Jennifer; O’Donnell, Sharon
Home fruit, 100% juice and vegetable (FJV) availability is related to increased FJV consumption by children. While FJV must be purchased for use in the home, no scales have been reported on home FJV pantry management practices. A scale for home FJV pantry management practices was generated from focus group discussions with diverse food shoppers. A commonly used scale of home FJV availability was also assessed. A grocery store intercept survey recruited 171 food shoppers with children in front...
Case study of a DOE 2015 Housing Innovation Award winning custom home in the cold climate that got a HERS 30 without PV, with 2x8 24” on center walls with blown fiberglass and 4” polysio rigid foam; basement with 2” XPS interior, 4” under slab, 4” exterior of foundation wall; vented attic with R-100 blown cellulose; wo air-to-air heat pumps SEER 14.1; HSPF 9.6; heat pump water heater.
Egarter, Dominik; Monacchi, Andrea; Khatib, Tamer; Elmenreich, Wilfried
The progressive installation of renewable energy sources requires the coordination of energy consuming devices. At consumer level, this coordination can be done by a home energy management system (HEMS). Interoperability issues need to be solved among smart appliances as well as between smart and non-smart, i.e., legacy devices. We expect current standardization efforts to soon provide technologies to design smart appliances in order to cope with the current interoperability issues. Neverthel...
Livingstone, Sonia; Mascheroni, Giovanna; Dreier, Michael; CHAUDRON STEPHANE; LAGAE KAAT
Despite being often ambivalent regarding the potential benefits and risks of digital media, parents begin thinking about, and finding ways to manage, the digital media use of their children when they are very young. Partly, they act out of already-established styles of parenting and family values, extending these to ICT uses at home as soon as these begin. Partly, they are already mediating the activities of their older children, and they adjust their approach to include their younger chil...
Case study of a DOE 2015 Housing Innovation Award winning custom home in the mixed humid climate that got a HERS 41 without PV, with 2x4 16” on-center walls with 1 inch rigid foam, a sealed conditioned crawl space insulated on inside with 2 inches poly iso, a vented attic with R-38 blown fiberglass, a central heat pump with fresh air intake.
We are pleased to announce the recent launch of a new workshop on Project Management. This is designed for People with budgetary, scheduling and/or organizational responsibilities in a project or a sub-project. The objectives through a management case study specially suited to CERN are: to become familiar with modern management techniques in use for structuring, planning, scheduling, costing and progress monitoring of a project or a sub-project. to understand in-depth issues associated with Deliverable-oriented Project Management, Earned Value Management, Advanced Project Cost Engineering and Project Risk Management. The full description of this workshop can be found here. The next session will be held on 8 October 2004. If you are interested in this workshop, please contact Nathalie Dumeaux, email or 78144. Programme of Seminars October to December 2004 Situation : 21.09.2004 Séminaires bilingues Dates Jours Places disponibles Project Management Case study 8 October 1 oui Intr...
Walter, Klaus-Dieter [SSV Software Systems GmbH, Hannover (Germany)
The installation of smart meters together with real time consumption data visualization doesn't help to save energy CO2 emissions. With regards to refinancing options, the situation in Germany has been quite different since the middle of last year for buildings equipped with a photovoltaic system. If a heat pump system is also present, intelligent energy use in conjunction with smart meters can save considerable amounts of money. A Smart Home Energy Manager (SHEM) automates the energy saving. (orig.)
Ted Clifton, founder of Clifton View Homes, achieved an impressive Home Energy Rating System (HERS) score of 34 (without solar panels) on a two-story home completed in July 2011 that also earned him his first Challenge Home certification from the U.S. Department of Energy (DOE). This home also garnered a 2013 Housing Innovation Award in the "systems builder" category.
This home is the first manufactured home built to the DOE Zero Energy Ready Home standard and won an Affordable Builder award in the 2014 Housing Innovations Awards. This manufactured home achieved a HERS score of 57 without photovoltaics and includes superior insulation and air sealing.
This builder won a Custom Builder honor in the 2014 Housing Innovation Awards for this showcase home that serves as an energy-efficient model home for the custom home builder: 1,300 visitors toured the home, thousands more learned about the home’s advanced construction via the webpage, YouTube, Twitter, Facebook, Instagram, and Pinterest.
When done well, modular home production can provide lower costs and excellent quality control (QC)—compared to conventional home building methods— while still allowing a great deal of customization. The Consortium for Advanced Residential Buildings (CARB) is a U.S. Department of Energy Building America team that worked with three Maine companies to compare standard codecompliant modular homes with a modular zero energy home. Those companies were BrightBuilt Home (BBH), Black Bros. Builders, and Keiser Homes.
Rondeau, K V; Wagar, T H
Management scholars and practitioners alike have become increasingly interested in learning more about the ability of certain 'progressive' or 'high-performance' human resource management (HRM) practices to enhance organizational effectiveness. There is growing evidence to suggest that the contribution of various HRM practices to impact firm performance may be synergistic in effect yet contingent on a number of contextual factors, including workplace climate. A contingency theory perspective suggests that in order to be effective, HMR policies and practices must be consistent with other aspects of the organization, including its environment. This paper reports on empirical findings from research that examines the relationship between HRM practices, workplace climate and perceptions of organizational performance, in a large sample of Canadian nursing homes. Data from 283 nursing homes were collected by means of a mail survey that included questions on HRM practices, programmes, and policies, on human resource aspects of workplace climate, as well as a variety of indicators that include employee, customer/resident and facility measures of organizational performance. Results derived from ordered probit analysis suggest that nursing homes in our sample which had implemented more 'progressive' HRM practices and which reported a workplace climate that strongly values employee participation, empowerment and accountability tended to be perceived to generally perform better on a number of valued organizational outcomes. Nursing homes in our sample that performed best overall were found to be more likely to not only have implemented more of these HRM practices, but also to report having a workplace climate that reflects the seminal value that it places on its human resources. This finding is consistent with the conclusion that simply introducing HRM practices or programmes, in the absence of an appropriately supportive workplace climate, will be insufficient to attain
Roger E. Thomas
Full Text Available Case management was initiated in the 1970s to reduce care discontinuity. A literature review focused on end-of-life (EOL case management identified 17 research articles, with content analysis revealing two themes: (a seeking to determine or establish the value of EOL case management and (b identifying ways to improve EOL case management. The evidence, although limited, suggests that EOL case management is helpful to dying individuals and their families. Research is needed to more clearly illustrate its usefulness or outcomes and the extent of need for it and actual availability. Among other benefits, EOL case management may help reduce hospital utilization, a major concern with the high cost of hospital-based care and the increased desire for home-based EOL care.
Muhandiram Arachchige, Subodha Tharangi Ireshika
Peak demand is a severe problem in the electricity grid and it was solved by supply side management in the past. But nowadays the demand side management sources have drawn attention due to the economic and environmental constraints. Demand side management in the domestic sector can play an important role in reducing the peak demand on the power system network. It can help in reducing stress and overloading on the transmission and distribution lines. In many countries there are various demand ...
Taggart, J.; Sikora, J.; Wiehagen, J.; Wood, A.
This guideline is designed to highlight the QA process that can be applied to any residential building retrofit activity. The cantilevered floor retrofit detailed in this guideline is included only to provide an actual retrofit example to better illustrate the QA activities being presented. The goal of existing home high performing remodeling quality management systems (HPR-QMS) is to establish practices and processes that can be used throughout any remodeling project. The research presented in this document provides a comparison of a selected retrofit activity as typically done versus that same retrofit activity approached from an integrated high performance remodeling and quality management perspective. It highlights some key quality management tools and approaches that can be adopted incrementally by a high performance remodeler for this or any high performance retrofit. This example is intended as a template and establishes a methodology that can be used to develop a portfolio of high performance remodeling strategies.
Wenzel, John T; Schwenk, Eric S; Baratta, Jaime L; Viscusi, Eugene R
Management of acute postoperative pain is important to decrease perioperative morbidity and improve patient satisfaction. Opioids are associated with potential adverse events that may lead to significant risk. Uncontrolled pain is a risk factor in the transformation of acute pain to chronic pain. Balancing these issues can be especially challenging in opioid-tolerant patients undergoing surgery, for whom rapidly escalating opioid doses in an effort to control pain can be associated with increased complications. In the perioperative surgical home model, anesthesiologists are positioned to coordinate a comprehensive perioperative analgesic plan that begins with the preoperative assessment and continues through discharge. PMID:27208711
Van de Putte, M; Appels, S; Boone, T; Collienne, S; Daems, T; De Lepeleire, J; Foulon, V
Medication management in home care is an error prone process. In a small pilot project in Flanders, community pharmacists collaborated with physicians and home care nurses through a shared electronic care plan, to optimize the medication management of their home care patients. The pilot project shows that GPs and nurses are positive about the possible contribution of the pharmacist in medication management of home care patients. A larger follow up study is necessary to further identify possible roles of pharmacists in home care and to show related health benefits. PMID:23697093
This builder took home the Grand Winner prize in the Custom Builder category in the 2014 Housing Innovation Awards for its high performance building science approach. The builder used insulated concrete form blocks to create the insulated crawlspace foundation for its first DOE Zero Energy Ready Home, the first net zero energy new home certified in the state of California.
Lerbaek, Birgitte; Aagaard, Jørgen; Andersen, Mette Braendstrup; Buus, Niels
Assertive community treatment (ACT) case managers provide healthcare services to people with severe and persistent mental illness. These case managers take on generic roles in multidisciplinary teams and provide all-around services in the clients' private homes. This focus group study aimed to gain...... sustain interpersonal relationships with clients were an important part of their service. Basic nursing tasks were described as an important part of their everyday work, and even though such tasks were not distinctive for ACT case managers, the representations of their work seemed to give them a sense of...... worth as professionals and legitimized a unique role in the community mental healthcare services....
Van Dam, S.S.; Bakker, C.A.; Van Hal, J.D.M.
Between 2008 and 2011, three different home energy management systems (HEMS)that give feedback on energy consumption were implemented in households in the Netherlands. Home energy management systems are defined as intermediary devices that can visualise, monitor and/or manage domestic gas and/or ele
Khan, I; Javaid, N.; Ullah, M. N.; A Mahmood; M. U. Farooq
In this paper we present a systematic review of various home energy management (HEM) schemes. Employment of home energy management programs will make the electricity consumption smarter and more efficient. Advantages of HEM include, increased savings for consumers as well as utilities, reduced peak to average ratio (PAR) and peak demand. Where there are numerous applications of smart grid technologies, home energy management is probably the most important one to be addressed. Utilities across...
Håkanson, Cecilia; Seiger-Cronfalk, Berit; Henriksen, Eva; Norberg, Astrid; Ternestedt, Britt-Marie; Sandberg, Jonas
The aim of this study was to investigate first-line nursing home managers' views on their leadership and related to that, palliative care. Previous research reveals insufficient palliation, and a number of barriers towards implementation of palliative care in nursing homes. Among those barriers are issues related to leadership quality. First-line managers play a pivotal role, as they influence working conditions and quality of care. Nine first-line managers, from different nursing homes in Sw...
Pannapacker, W. A.
The number of families who home school their children is growing between five and 15% per year and it is believed that home schoolers outperform their public-educated peers, though critics believe that home schooling is a form of religious fanaticism and a means of avoiding diversity. A professor explains how he and his wife, home school their…
Full Text Available OBJECTIVE: Implementation fidelity is a key issue in home-visiting programs as it determines a program's effectiveness in accomplishing its original goals. This paper seeks to evaluate fidelity in a 27-month program addressing maternal and child health which took place in France between 2006 and 2011. METHOD: To evaluate implementation fidelity, home visit case notes were analyzed using thematic qualitative and computer-assisted linguistic analyses. RESULTS: During the prenatal period, home visitors focused on the social components of the program. Visitors discussed the physical changes in pregnancy, and psychological and social environment issues. Discussing immigration, unstable employment and financial related issues, family relationships and dynamics and maternity services, while not expected, were found in case notes. Conversely, health during pregnancy, early child development and postpartum mood changes were not identified as topics within the prenatal case notes. During the postnatal period, most components of the intervention were addressed: home visitors observed the mother's adaptation to the baby; routine themes such as psychological needs and medical-social networks were evaluated; information on the importance of social support and on adapting the home environment was given; home visitors counseled on parental authority, and addressed mothers' self-esteem issues; finally, they helped to find child care, when necessary. Some themes were not addressed or partially addressed: health education, child development, home environment, mother's education plans and personal routine, partner support and play with the child. Other themes were not expected, but found in the case notes: social issues, mother-family relationship, relation with services, couple issues, quality of maternal behavior and child's language development. CONCLUSIONS: In this program, home visitors experienced difficulties addressing some of the objectives because they
The country’s first Zero Energy Ready manufactured home that is certified by the U.S. Department of Energy (DOE) is up and running in Russellville, Alabama. The manufactured home was built by a partnership between Southern Energy Homes and the Advanced Residential Integrated Energy Solutions Collaborative (ARIES), which is a DOE Building America team. The effort was part of a three-home study including a standard-code manufactured home and an ENERGY STAR® manufactured home. Cooling-season results showed that the building used half the space-conditioning energy of a manufactured home built to the U.S. Department of Housing and Urban Development’s (HUD’s) Manufactured Home Construction and Safety Standards. These standards are known collectively as the HUD Code, which is the building standard for all U.S. manufactured housing.
Kam, Ming-kin; 甘銘堅
Many studies focus on the housing decisions of younger generation mainly on the households’ individual level such as affordability, house prices, income, interest rate and the relative costs of owning. However, the family financing is also another indispensable factor to affect the decision of home-owning. The home buyers save for several years to accumulate the down payment, but it will be nibbled up by the rising of home prices. Such rapid increases in house prices will make home-owning ...
As the first net zero-energy production home certified in Utah, this house incorporates two 94% efficient tankless water heaters and two roof-mounted solar panels that preheat the home's water supply. This home won a 2013 Housing Innovation Award in the production builder category.
This home on Whidbey Island won a Custom Builder award in the 2014 Housing Innovation Awards. The DOE Zero Energy Ready Home scores HERS 37 without PV or HERS -13 with 10 kW PV, enough to power the home and an electric car.
In the fall of 2010, a multiyear pilot energy efficiency retrofit project was undertaken by Greenbelt Homes, Inc., (GHI) a 1,566 home cooperative of circa 1930 and 1940 homes in Greenbelt, Maryland. GHI established this pilot project to serve as a basis for decision making for the rollout of a community-wide upgrade program that will incorporate energy efficiency improvements to the building envelope and mechanical equipment. With the community upgrade fully funded by the cooperative through their membership without outside subsidies, this project presents a unique opportunity to evaluate and prioritize the wide range of benefits of high-performance retrofits based on member experience with and acceptance of the retrofit measures implemented during the pilot project. Addressing the complex interactions between benefits, trade-offs, construction methods, project management implications, realistic upfront costs, financing, and other considerations, serves as a case study for energy retrofit projects that include high-performance technologies based on the long-term value to the homeowner. The pilot project focused on identifying the added costs and energy-savings benefits of improvements. Phase 1—baseline evaluation for a representative set of 28 homes sited in seven buildings; Phase 2—installation of the building envelope improvements and continued monitoring of the energy consumption for the heating season; Phase 3—energy simulations supporting recommendations for HVAC and water heating upgrades.
Mario Collotta; Giovanni Pau
The research and the implementation of home automation are getting more popular because the Internet of Things holds promise for making homes smarter through wireless technologies. The installation of systems based on wireless networks can play a key role also in the extension of the smart grid towards smart homes, that can be deemed as one of the most important components of smart grids. This paper proposes a fuzzy-based solution for smart energy management in a home automation wireless netw...
The Passive House Challenge Home located in River Forest, Illinois, is a 5-bedroom, 4.5-bath, 3,600 ft2 two-story home (plus basement) that costs about $237 less per month to operate than a similar sized home built to the 2009 IECC. For a home with no solar photovoltaic panels installed, it scored an amazingly low 27 on the Home Energy Rating System (HERS) score.An ENERGY STAR-rated dishwasher, clothes washer, and refrigerator; an induction cooktop, condensing clothes dryer, and LED lighting are among the energy-saving devices inside the home. All plumbing fixtures comply with EPA WaterSense criteria. The home was awarded a 2013 Housing Innovation Award in the "systems builder" category.
Wolk, James L.; And Others
Contends that case managers engage in the practice of management. Employs Mintzberg's seminal research on chief executive behavior to argue that case managers' work is similarly characterized by brevity, variety, and fragmentation. Notes that case managers perform the 10 roles developed by Mintzberg. Describes roles and presents case managers'…
A Study of the Effect of Technology & Marketing Strategies on Innovative Performance from the Standpoint of the Organizational Project Management (Case study: Home appliances manufacturing companies in Esfahan Province
Full Text Available In the present-day dynamic world, where the globalization process and the quick advances in technology have brought enormous changes into the marketplace, innovation is an important and critical factor for the organizations in order to create value and sustainable competitive advantage in today’s complex and changing environment; and more innovative organizations will be more successful in dealing with changing environments and in creating and developing novel capabilities which allow them to achieve a higher performance. This research, in terms of its purpose, is an applied and practical one; and in terms of nature and descriptive method is a survey. The statistical population include 84 managers (senior, marketing, technical and R&D of the home appliances manufacturing companies in Esfahan Province. Since the population is limited no sampling is necessary. Thus, the whole population is studied. The data collection tool is research-made questionnaire the validity of which was obtained using the standpoints of specialists and scholars in management and the reliability was obtained with a Cronbach's alpha coefficient of 85%. The collected data were analyzed using SPSS and AMOS software programs through statistical tests at descriptive (frequency, percentage, accumulated percentage, average and standard deviation and inferential (t-test, regression modeling, variance analysis, non- parametric Kolmogorov and Smirnov test, and Freedman non-parametric test levels. According to the results obtained, all hypotheses were supported.
Sato, Amy F; Kopel, Sheryl J.; McQuaid, Elizabeth L.; Seifer, Ronald; Esteban, Cynthia; Coutinho, Maria Teresa; Klein, Robert; Fritz, Gregory K.; Koinis-Mitchell, Daphne
While the pediatric psychology literature underscores the importance of illness related aspects of the home environment for optimal family asthma management, little is known about the contribution of more global aspects of the home environment (e.g., family routines/schedule, quality of stimulation provided to child) to asthma management in ethnic minority and urban families. The goals of this study were to: 1) explore ethnic/racial group differences in global and specific dimensions of home ...
Franzin-Garrec, Martine; Hoden, Romy
Hospital at home structures are healthcare institutions in their own right, with the same obligations in terms of governance with regard to quality of care and risk management. However, hospital at home services are characterised by the remote management of the activity and the nursing staff, with specific constraints. PMID:27085929
-clinical settings. As such, sustaining daily care activities in the home (or other non-clinical settings) is challenging as they are becoming more and more intertwined into people’s everyday life. Thus, this dissertation is concerned about one major challenge in Pervasive Healthcare: the design of technology that......Demographic changes are challenging healthcare systems as well as societies around the world due to an increasing aging population and rapid propagation of chronic diseases. To deal with the consequences of these changes, more and more long-term care services are being implemented including home...... self-care management work at home. People need to know which care activities to perform, when to perform them, how to proceed and why these are important. While at home, an active lifestyle and comorbidity not only challenge self-care activities but also the use of self-care technologies in non...
This house incorporates slab-on-grade, EPS roof, and radiant heating with an air-to-water heat pump that also preheats domestic hot water. Without counting in the solar panels, the home earns a home energy rating system (HERS) score of 37, with projected utility bills of about $740 a year. With the 6.4-kW photovoltaic power system installed on the roof, the home’s HERS scores drops to -1 and utility bills for the all-electric home drop to zero. This home was awarded a 2013 Housing Innovation Award in the affordable builder category.
Randall, Glen E; Williams, A Paul
The rise of neo-liberalism, which suggests that only markets can deliver maximum economic efficiency, has been a driving force behind the trend towards using market-based solutions to correct health care problems. However, the broad application of market-based reforms has tended to assume the presence of fully functioning markets. When there are barriers to markets functioning effectively, such as the absence of adequate competition, recourse to market-based solutions can be expected to produce less than satisfactory, if not paradoxical results. One such case is rehabilitation homecare in Ontario, Canada. In 1996, a "managed competition" model was introduced as part of a province-wide reform of home care in an attempt to encourage high quality at competitive prices. However, in the case of rehabilitation home care services, significant obstacles to achieving effective competition existed. Notably, there were few private provider agencies to bid on contracts due to the low volume and specialized nature of services. There were also structural barriers such as the presence of unionized employees and obstacles to the entry of new providers. This paper evaluates the impact of Ontario's managed competition reform on community-based rehabilitation services. It draws on data obtained through 49 in-depth key informant interviews and a telephone survey of home care coordinating agencies and private rehabilitation provider agencies. Instead of reducing costs and improving quality, as the political rhetoric promised, the analysis suggests that providing rehabilitation homecare services under managed competition resulted in higher per-visit costs and reduced access to services. These findings support the contention that there are limits to market-based reforms. PMID:16198035
This builder was honored with an Affordable Builder award in the 2014 Housing Innovation Awards, for the first retrofit home certified to the DOE Zero Energy Ready home requirements.The 60-year-old, three-bedroom ranch home is expected to save its homeowner more than $1,000 a year in utility bills compared to a home built to the current 2009 International Energy Conservation Code.
This is the first DOE Zero Energy Ready Home for this builder, who earned a Custom Builder honor in the 2014 Housing Innovation Awards. The home included rigid mineral wool board insulation over house wrap and plywood on the 2x6 advanced framed walls, achieving HERS 33 without PV.
This builder certified its first DOE Zero Energy Ready Home and won a Production Builder honor in the 2014 Housing Innovation Awards. It is the first home in the world to use a tri-generation system to supply electricity, heating, and cooling on site.
For this project, Amaris worked with U.S. Department of Energy (DOE) team, NorthernSTAR Building America Partnership, to develop the first Zero Energy Ready Home (ZERH) in Minnesota's cold climate using reasonable, cost-effective, and replicable construction materials and practices. The result is a passive solar, super-efficient 3542-ft2 walkout ranch-style home with all the creature comforts. Along with meeting ZERH standards, Amaris also achieved certifications for Leadership in Energy & Environmental Design for Homes v4, MN Green Path Emerald, and a Builders Association of the Twin Cities Reggie Award of Excellence. The home achieves a HERS score of 41 without photovoltaics; with PV, the home achieves a HERS score of 5.
Hargreaves, Tom; Hauxwell-Baldwin, Richard; Wilson, Charlie; Coleman, Mike; Kane, Tom; Stankovic, Lina; Stankovic, Vladimir; Murray, David; Liao, Jing; Firth, Steven; Hassan, Tarek
By introducing new ways of automatically and remotely controlling domestic environments smart technologies have the potential to significantly improve domestic energy management. It is argued that they will simplify users’ lives by allowing them to delegate aspects of decision-making and control - relating to energy management, security, leisure and entertainment etc. - to automated smart home systems. Whilst such technologically-optimistic visions are seductive to many, less research attenti...
Derboven, Jan; Zaman, Bieke; Geerts, David; De Grooff, Dirk
In research on educational games, the majority of studies have been executed in controlled school settings: the home as a context in which educational games are played, is still underexplored. However, the home context is becoming more important, as children are increasingly encouraged or even required to engage with learning content at home through educational games. In this article, we describe a study of Monkey Tales, an educational math game targeted at primary school children. Using a co...
This builder built fourteen homes in the Gordon Estates subdivision that achieved Challenge Home certification with HERS 38–58 on an affordable budget for homeowners. Every Mandalay home in the development also met the National Green Building Standard gold level. The Gordon Estates subdivision is also serving as a showcase of energy efficiency, and Mandalay is hosting education workshops for realtors, state and local officials, other builders, students, potential homeowners, and the public. The builder won a 2013 Housing Innovation Award in the affordable builder category.
Federica Paganelli; Francesca Paradiso; Stefano Turchi; Antonio Luchetta; Pino Castrogiovanni; Dino Giuli
The rational use and management of energy is considered a key societal and technological challenge. Home energy management systems (HEMS) have been introduced especially in private home domains to support users in managing and controlling energy consuming devices. Recent studies have shown that informing users about their habits with appliances as well as their usage pattern can help to achieve energy reduction in private households. This requires instruments able to monitor energy consumptio...
Case study of a DOE 2015 Housing Innovation Award winning affordable home in the hot-humid climate that got a HERS 56 without PV or HERS 26 with PV, with 4.5” SIP walls and 8.5” SIP roof; uninsulated slab; ductless minisplit heat pump 15.5 SEER, and tankless hot water.
AvalonBay Communities, which is a large multifamily developer, was developing a three-building complex in Elmsford, New York. The buildings were planned to be certified to the ENERGY STAR® Homes Version 3 program. This plan led to AvalonBay partnering with the Advanced Residential Integrated Solutions (ARIES) collaborative, which is a U.S. Department of Energy Building America team. ARIES worked with AvalonBay to redesign the project to comply with Zero Energy Ready Home (ZERH) criteria.
Verkade, P.J.; Meijel, B. van; Brink, C.; Os-Medendorp, H. van; Koekkoek, B.; Francke, A.L.
Background: Case management programmes for home-dwelling people with dementia and their informal carers exist in multiple forms and shapes. The aim of this research was to identify the essential components of case management for people with dementia as well as the preconditions for an effective deli
Three side-by-side lab houses were built, instrumented and monitored in an effort to determine through field testing and analysis the relative contributions of select technologies toward reducing energy use in new manufactured homes.The lab houses in Russellville, Alabama compared the performance of three homes built to varying levels of thermal integrity and HVAC equipment: a baseline HUD-code home equipped with an electric furnace and a split system air conditioner; an ENERGY STAR manufactured home with an enhanced thermal envelope and traditional split system heat pump; and a house designed to qualify for Zero Energy Ready Home designation with a ductless mini-split heat pump with transfer fan distribution system in place of the traditional duct system for distribution. Experiments were conducted in the lab houses to evaluate impact on energy and comfort of interior door position, window blind position and transfer fan operation. The report describes results of tracer gas and co-heating tests and presents calculation of the heat pump coefficient of performance for both the traditional heat pump and the ductless mini-split. A series of calibrated energy models was developed based on measured data and run in three locations in the Southeast to compare annual energy usage of the three homes.
Lewis, Mary; Noyes, Jane
Healthcare professionals have an obligation to enable children with complex needs to lead 'ordinary lives' at home but the views of professionals and family members often diverge in relation to the management of risks. Nurses are increasingly taking on the clinical responsibility for children with complex needs within a multidisciplinary, multi-agency team, yet have little training or experience in adapting risk management and clinical governance frameworks to home-based settings. Risk management frameworks for home-based care for children with complex health and social care needs are introduced in this article. Best practice guidance and resources for adapting risk management frameworks are presented to meet this identified gap in knowledge and experience. Children, young people and their parents have increasing expectations relating to the type and quality of home-based support they receive. Developing and applying clinical governance and risk management frameworks are part of improving outcomes for children with complex needs and their families. PMID:17694890
Case study of Pulte Homes Las Vegas Division, who certified nearly 1,200 homes to the DOE Builders Challenge between 2008 and 2012. All of the homes by Las Vegas’ biggest builder achieved HERS scores of lower than 70, and many floor plans got down to the mid 50s, with ducts located in sealed attics insulated along the roof line, advanced framing, and extra attention to air sealing.
Zehnder, Michael; Wache, Holger; Witschel, Hans-Friedrich; Zanatta, Danilo; Rodriguez, Miguel
This paper presents a case study of a recommender system that can be used to save energy in smart homes without lowering the comfort of the inhabitants. We present an algorithm that uses consumer behavior data only and uses machine learning to suggest actions for inhabitants to reduce the energy consumption of their homes. The system mines for frequent and periodic patterns in the event data provided by the Digitalstrom home automation system. These patterns are converted into association rul...
The paper analyzes the emergence of home education in European post-communist countries after 1989. The case of the Czech Republic representing the development and characteristic features of home education in the whole region is studied in detail. Additionalinformation about homeschooling in other post-communist countries are provided wherever they are available in order to provide a more comprehensive picture of the issue. The driving forces and history of home education after 1989 are descr...
ABSTRACT Kittilä, Petri 2011. Branding in senior care home services in China and Finland: Comparative case study in private sector. Bachelor’s Thesis. Kemi-Tornio University of Applied Sciences. Business and Culture. Pages 88. Appendix 1. The objective of this thesis was to study how the private sector senior care home services are branded and how significant the care homes see the brand building. In addition, my objective was to study differences in service branding between China and...
Verkade Paul-Jeroen; van Meijel Berno; Brink Cindy; van Os-Medendorp Harmieke; Koekkoek Bauke; Francke Anneke L
Abstract Background Case management programmes for home-dwelling people with dementia and their informal carers exist in multiple forms and shapes. The aim of this research was to identify the essential components of case management for people with dementia as well as the preconditions for an effective delivery of case management services. Method The method used to carry out the research was a modified four-phase Delphi design. First, a list of potentially essential components and preconditio...
Verkade, P.J.; van Meijel, B.; Brink, C; Van Os-Medendorp, H; Koekkoek, B.; Francke, A.L.
Background: Case management programmes for home-dwelling people with dementia and their informal carers exist in multiple forms and shapes. The aim of this research was to identify the essential components of case management for people with dementia as well as the preconditions for an effective delivery of case management services. Method: The method used to carry out the research was a modified four-phase Delphi design. First, a list of potentially essential components and preconditions for ...
Hogan, Tierney D
A positive relationship between staff RN case managers and their case management supervisor significantly impacts job satisfaction and retention in case managers. Literature review supports the premise that staff need to trust their supervisor and that there is a connection between this trust and job satisfaction. Staff case managers need to have a voice at work and feel empowered, and a supervisor's leadership style can influence job satisfaction and retention in their staff. PMID:16205207
The first certified Zero Energy Ready Home in Georgia was honored in the Custom Builder category of the 2014 Housing Innovation Awards. The 2,811-ft2, two-story custom home has 2x6 advanced framed walls filled with R-20 of open-cell spray foam, plus an R-6.6 insulated coated OSB sheathing. Also included is electronic monitoring equipment that tracks the PV, solar thermal water heater, ERV, mini-split heat pump with three indoor heads, solar water heater, and LED and CFL lighting.
This case study describes a DOE Zero Energy Ready Home in Boulder, Colorado, that scored HERS 38 without PV and 0 with PV. This 2,504 ft2 custom home has advanced framed walls, superior insulation a ground-source heat pump, ERV, and triple-pane windows.
The paper analyzes the emergence of home education in European post-communist countries after 1989. The case of the Czech Republic representing the development and characteristic features of home education in the whole region is studied in detail. Additional information about homeschooling in other post-communist countries are provided wherever…
This case study describes Imagine Homes, who met Builders Challenge criteria on more than 200 homes in San Antonio with rigid foam exterior sheathing, ducts and air handler in conditioned space in a spray-foam insulated attic, and high-efficiency HVAC, windows, and appliances.
The purpose of this study is the assessment of Anadolu University Open Education Faculty, Management and Organization Department, Home Management Associate Degree Program providing education via distance education system in terms of students. For this purpose, a survey consisting of 33 questions has been prepared. This survey has been sent to all active students enrolled to this department by e-mail. The following are primarily mentioned in the study; the purpose and function of the home mana...
Rea Ventures Group, LLC, partnered with Southface Energy Institute (Southface), a member of the U.S. Department of Energy's Partnership for Home Innovation Building America research team, to develop a prescriptive approach for rehabilitating a portfolio of rural multifamily rental properties in Georgia, which was funded by the U.S. Department of Agriculture (USDA).
... From the Federal Register Online via the Government Publishing Office POSTAL REGULATORY COMMISSION Postal Rate Case Management AGENCY: Postal Regulatory Commission. ACTION: Notice. SUMMARY: The Commission is seeking comments relevant to management of an anticipated exigent postal rate case. It...
Zipperer, A.; Aloise-Young, P. A.; Suryanarayanan, S.; Roche, R.; Earle, L.; Christensen, D.; Bauleo, P.; Zimmerle. D.
Smart homes hold the potential for increasing energy efficiency, decreasing costs of energy use, decreasing the carbon footprint by including renewable resources, and transforming the role of the occupant. At the crux of the smart home is an efficient electric energy management system that is enabled by emerging technologies in the electric grid and consumer electronics. This article presents a discussion of the state-of-the-art in electricity management in smart homes, the various enabling technologies that will accelerate this concept, and topics around consumer behavior with respect to energy usage.
Zipperer, A. [Colorado State Univ., Fort Collins, CO (United States); Aloise-Young, P. A. [Colorado State Univ., Fort Collins, CO (United States); Suryanarayanan, S. [Colorado State Univ., Fort Collins, CO (United States); Zimmerle, D. [Colorado State Univ., Fort Collins, CO (United States); Roche, R. [Univ. of Technology, Belfort-Montebeliard (France); Earle, L. [National Renewable Energy Lab. (NREL), Golden, CO (United States); Christensen, D. [National Renewable Energy Lab. (NREL), Golden, CO (United States); Bauleo, P. [Fort Collins Utilities, CO (United States)
Smart homes hold the potential for increasing energy efficiency, decreasing costs of energy use, decreasing the carbon footprint by including renewable resources, and trans-forming the role of the occupant. At the crux of the smart home is an efficient electric energy management system that is enabled by emerging technologies in the electricity grid and consumer electronics. This article presents a discussion of the state-of-the-art in electricity management in smart homes, the various enabling technologies that will accelerate this concept, and topics around consumer behavior with respect to energy usage.
Full Text Available The paper analyzes the emergence of home education in European post-communist countries after 1989. The case of the Czech Republic representing the development and characteristic features of home education in the whole region is studied in detail. Additionalinformation about homeschooling in other post-communist countries are provided wherever they are available in order to provide a more comprehensive picture of the issue. The driving forces and history of home education after 1989 are described. Current homeschooling legislation is analyzed with special attention paid to the processes of the legal enrolment of individuals into home education, supervision and assessment of educational results. The article concludes that despite the existence of country-specificcharacteristics, many features of home education in post-communist countries are similar. These generally include the rather strict regulation of home education and the high importance of schools as both gate-keeping and supervising institutions.
Tommy Williams Homes worked with PNNL, Florida HERO, Energy Smart Home Plans, and Florida Solar Energy Center to design and test two zero energy homes. Energy use was 30% lower in one home and 60% lower in the other.
Building America Case Study: Whole-House Solutions for Existing Homes: Greenbelt Homes, Inc. Pilot Retrofit Program; Whole-House Solutions for Existing Homes, Energy Efficiency & Renewable Energy (EERE)
In the fall of 2010, a multiyear pilot energy efficiency retrofit project was undertaken by Greenbelt Homes, Inc, (GHI) a 1,566 home cooperative of circa 1930 and 1940 homes in Greenbelt, Maryland. GHI established this pilot project to serve as a basis for decision making for the rollout of a decade-long community-wide upgrade program that will incorporate energy efficiency improvements to the building envelope and mechanical equipment. With the community upgrade fully funded by the cooperative through their membership without outside subsidies, this project presents a unique opportunity to evaluate and prioritize the wide-range of benefits of high-performance retrofits based on member experience with and acceptance of the retrofit measures implemented during the pilot project. Addressing the complex interactions between benefits, trade-offs, construction methods, project management implications, realistic upfront costs, financing, and other considerations, serves as a case study for energy retrofit projects to include high-performance technologies based on the long-term value to the homeowner. The pilot project focused on identifying the added costs and energy savings benefits of improvements. Phase 1: baseline evaluation for a representative set of 28 homes sited in seven buildings; Phase 2: installation of the building envelope improvements and continued monitoring of the energy consumption for the heating season and energy simulations supporting recommendations for HVAC and water heating upgrades to be implemented in Phase 3.
The intention of this paper is to conclude the management approach by the case study of Chinese enterprise. There are a lot of management approaches in practice, one of the most influential and famous one is management by objective which is invented by the father of modern management discipline Peter F Drucker, he observed the case of American most successful enterprise such as GM and then concluded and created the relevant meaningful management tools, in effect, such valuable manage...
Watson, Michael; Benford, Penny; Coupland, Carol; Clacy, Rose; Hindmarch, Paul; Majsak-Newman, Gosia; Deave, Toity; Kendrick, Denise
Objective To measure the validity of safety behaviours, safety equipment use and hazards reported on a questionnaire by parents/carers with children aged under 5 years participating in a series of home safety case-control studies. Methods The questionnaire measured safety behaviours, safety equipment use and hazards being used as exposures in five case-control studies. Responses to questions were compared with observations made during a home visit. The researchers making observations were bli...
The Savannah Housing Department is leading sustainable and affordable housing development in Georgia. It partnered with Southface Energy Institute, a member of the U.S. Department of Energy’s Partnership for Home Innovation Building America research team, to seek cost-effective solutions for increasing the energy efficiency of the Savannah Housing Department’s standard single-family home plans in the Savannah Gardens Community. Based on engineering, cost, and constructability analyses, the combined research team chose to pilot two technologies to evaluate efficiency and comfort impacts for homeowners: a heat-pump water heater in an encapsulated attic and an insulated exterior wall sheathing.
This house was the Grand Winner in the Affordable Builder category of the 2014 Housing Innovation Awards, and has 6-inch SIP walls, a 10-inch structural insulated panel roof, and insulating concrete forms foundation walls with R-20 high-density rigid EPS foam under the slab.A single ductless heat pump heats and cools the home, which also gets passive solar heating from south-facing triple-pane windows that heat a concrete slab floor plus a connected greenhouse.
Designed to produce as much energy as it uses, the ZeroHouse incorporates a PV system, R-15 fiberglass batts in walls, and slab-on-grade foundation. The builder ranked fifth in the nation on Builder Magazine’s 2012 Top 100 ranking of U.S. home builders based on number of housing starts, and won a 2013 Housing Innovation Award in the production builder category.
We present results of a household-level survey on behaviors regarding refuses in the home waste-waters network. Interpreting survey results in a panel-data logit results show that most socio-economic and public good-related respondent's characteristics do not play a significant role in explaining choices to discard in the home waste-waters network. The only significant regressor, apart from the nature of the refuse itself, is, by far, the belief that the respondent has about her neighbors' an...
Jansen, Lynn; McWilliam, Carol L; Forbes, Dorothy; Forchuk, Cheryl
Although urinary incontinence (UI) can be managed conservatively, it is a principal reason for the breakdown of in-home family care. This study explored the social interaction processes of knowledge translation (KT) related to how UI management knowledge might be translated within in-home care. In-depth interview data were collected from a theoretical sample of 23 family caregivers, older home care recipients, and home care providers. Constant comparison and Glaser’s analysis criteria were used to create translating knowledge through relating , a substantive theory with 10 subthemes: living with the problem; building experiential knowledge; developing comfort; easing into a working relationship; nurturing mutuality; facilitating knowledge exchange; building confidence; fi ne-tuning knowledge; putting it all together; and managing in-home care. Findings inform both theory and practice of in-home UI KT, illuminating how intersubjectivity and bi-directional relational interactions are essential to translating in-home chronic care knowledge, which is largely tacit and experiential in nature. PMID:24063503
Foslien, Wendy K; Curtner, Keith L
Because of growing energy demands and shortages, residential home owners are turning to energy conservation measures and smart home energy management devices to help them reduce energy costs and live more sustainably. In this context, the Honeywell team researched, developed, and tested the Context Aware Smart Home Energy Manager (CASHEM) as a trusted advisor for home energy management. The project focused on connecting multiple devices in a home through a uniform user interface. The design of the user interface was an important feature of the project because it provided a single place for the homeowner to control all devices and was also where they received coaching. CASHEM then used data collected from homes to identify the contexts that affect operation of home appliances. CASHEM's goal was to reduce energy consumption while keeping the user's key needs satisfied. Thus, CASHEM was intended to find the opportunities to minimize energy consumption in a way that fit the user's lifestyle.
Dentz, Jordan [Advanced Residential Integrated Energy Solutions Collaborative, New York, NY (United States); Alaigh, Kunal [Advanced Residential Integrated Energy Solutions Collaborative, New York, NY (United States)
Two multifamily buildings planned in Climate Zone 4 were analyzed to determine the cost, energy and performance implications of redesigning them to comply with Zero Energy Ready Home, a recognition program of the U.S. Department of Energy. Energy modeling was conducted on one representative apartment in each building using BEopt.
Ganesh Singh Dharmshaktu
Full Text Available Mobile based technology can be a cheap and handy adjunct to a home based programme for managing pin tract care in chronic orthopaedic cases. The text message and image based mobile platforms may serve as an evaluation tool relieving patient of agony of long and painful commutes on simple health issues like wound dressings. A case report depicting versatility of the idea with regard to its efficacy in clinical scenario is presented here. [Int J Res Med Sci 2014; 2(4.000: 1746-1747
Stringer, Patricia; Hourani, Rida Blaik
Abu Dhabi, United Arab Emirates (UAE) is in the process of initiating major education reform designed to improve schools. Parental involvement in support of student learning ranks high on the reform agenda. This study explores managerial aspects of implementing home-school relationships in seven primary Public Private Partnership (PPP) schools in…
Tomoya Kawakami; Naotaka Fujita; Tomoki Yoshihisa; Masahiko Tsukamoto
In recent years, sensors become popular and Home Energy Management System (HEMS) takes an important role in saving energy without decrease in QoL (Quality of Life). Currently, many rule-based HEMSs have been proposed and almost all of them assume “IF-THEN” rules. The Rete algorithm is a typical pattern matching algorithm for IF-THEN rules. Currently, we have proposed a rule-based Home Energy Management System (HEMS) using the Rete algorithm. In the proposed system, rules for managing energy a...
Full Text Available Abstract Background Patient safety is an ongoing global priority, with medication safety considered a prevalent, high-risk area of concern. Yet, we have little understanding of the supports and barriers to safe medication management in the Canadian home care environment. There is a clear need to engage the providers and recipients of care in studying and improving medication safety with collaborative approaches to exploring the nature and safety of medication management in home care. Methods A socio-ecological perspective on health and health systems drives our iterative qualitative study on medication safety with elderly home care clients, family members and other informal caregivers, and home care providers. As we purposively sample across four Canadian provinces: Alberta (AB, Ontario (ON, Quebec (QC and Nova Scotia (NS, we will collect textual and visual data through home-based interviews, participant-led photo walkabouts of the home, and photo elicitation sessions at clients' kitchen tables. Using successive rounds of interpretive description and human factors engineering analyses, we will generate robust descriptions of managing medication at home within each provincial sample and across the four-province group. We will validate our initial interpretations through photo elicitation focus groups with home care providers in each province to develop a refined description of the phenomenon that can inform future decision-making, quality improvement efforts, and research. Discussion The application of interpretive and human factors lenses to the visual and textual data is expected to yield findings that advance our understanding of the issues, challenges, and risk-mitigating strategies related to medication safety in home care. The images are powerful knowledge translation tools for sharing what we learn with participants, decision makers, other healthcare audiences, and the public. In addition, participants engage in knowledge exchange
Castle, Nicholas G.; Decker, Frederic H.
Purpose: The purpose of this study was to examine the association of Nursing Home Administrator (NHA) leadership style and Director of Nursing (DON) leadership style with quality of care. Design and Methods: Leaders were categorized into 4 groups: consensus managers, consultative autocrats, shareholder managers, or autocrats. This leadership style…
McAuley, Andrew; Lindsay, George; Woods, Maureen; Louttit, Derek
Aims: To assess if Scottish drug users, their family and friends could be trained in critical incident management and the safe and effective administration of naloxone. The project also sought to monitor whether drug users can manage their own personal take-home naloxone (THN) supply and use it appropriately in an emergency opiate overdose…
Wolk, J L; Sullivan, W P; Hartmann, D J
Case managers have been viewed as engaging in direct practice, community practice, or both. This article offers a third view: Case managers also engage in the practice of management. Employing Mintzberg's seminal research on chief executive behavior, the authors argue that case managers' work is similarly characterized by brevity, variety, and fragmentation. Case managers perform the 10 roles developed in Mintzberg's original study. These roles are divided into three groups: interpersonal, including figurehead, leader, and liaison; informational, including monitor, disseminator, and spokesperson; and decision-making, including entrepreneur, disturbance handler, resource allocator, and negotiator. Case managers' tasks associated with each role are presented. Considering their work as managerial in nature will help case managers more effectively assist clients in goal achievement. PMID:8153757
Plotz, Roan D.; Grecian, W. James; Kerley, Graham I.H.; Linklater, Wayne L.
Comparisons of recent estimations of home range sizes for the critically endangered black rhinoceros in Hluhluwe-iMfolozi Park (HiP), South Africa, with historical estimates led reports of a substantial (54%) increase, attributed to over-stocking and habitat deterioration that has far-reaching implications for rhino conservation. Other reports, however, suggest the increase is more likely an artefact caused by applying various home range estimators to non-standardised datasets. We collected 1939 locations of 25 black rhino over six years (2004–2009) to estimate annual home ranges and evaluate the hypothesis that they have increased in size. A minimum of 30 and 25 locations were required for accurate 95% MCP estimation of home range of adult rhinos, during the dry and wet seasons respectively. Forty and 55 locations were required for adult female and male annual MCP home ranges, respectively, and 30 locations were necessary for estimating 90% bivariate kernel home ranges accurately. Average annual 95% bivariate kernel home ranges were 20.4 ± 1.2 km2, 53 ±1.9% larger than 95% MCP ranges (9.8 km2 ± 0.9). When home range techniques used during the late-1960s in HiP were applied to our dataset, estimates were similar, indicating that ranges have not changed substantially in 50 years. Inaccurate, non-standardised, home range estimates and their comparison have the potential to mislead black rhino population management. We recommend that more care be taken to collect adequate numbers of rhino locations within standardized time periods (i.e., season or year) and that the comparison of home ranges estimated using dissimilar procedures be avoided. Home range studies of black rhino have been data deficient and procedurally inconsistent. Standardisation of methods is required. PMID:27028728
Chris von Borgstede; Maria Andersson; Ola Eriksson
Measures that challenge the generation of waste are needed to address the global problem of the increasing volumes of waste that are generated in both private homes and workplaces. Source separation at the workplace is commonly implemented by environmental management systems (EMS). In the present study, the relationship between source separation at work and at home was investigated. A questionnaire that maps psychological and behavioural predictors of source separation was distributed to empl...
Effective Management of an Advanced Gastric Cancer Patient by TS-1 Combined Chemotherapy Using Nasojejunal Tube and Successful Transfer to Home Care after Percutaneous Transesophageal Gastro-tubing (PTEG: A Case Report
Full Text Available A 67-year-old woman with debilitation and massive ascites was admitted to our hospital and diagnosed with stage IV scirrhous gastric cancer with peritoneal dissemination. After successful nasojejunal tube feeding because of oral intake disability, TS-1 combined with paclitaxel chemotherapy was selected. TS-1 at 80mg/m2 was given daily via nasojejunal tube for 2 weeks, followed by a 1-week rest, and paclitaxel at 50mg/m2 was administered intravenously on day 1 and 8. There were no serious side effects. After 4 cycles, a partial response was observed and percutaneous transesophageal gastro-tubing (PTEG was placed. After the fifth cycle, she was transferred to her home and received chemotherapy in an outpatient clinic. After 7 cycles, the disease progressed, and TS-1 combined with low-dose cisplatin was administered for 3 cycles. However, the patient died 16 weeks after discharge. PTEG was useful not only for a route of TS-1 administration, but also for receiving chemotherapy at home to maintain her quality.
Full Text Available The research and the implementation of home automation are getting more popular because the Internet of Things holds promise for making homes smarter through wireless technologies. The installation of systems based on wireless networks can play a key role also in the extension of the smart grid towards smart homes, that can be deemed as one of the most important components of smart grids. This paper proposes a fuzzy-based solution for smart energy management in a home automation wireless network. The approach, by using Bluetooth Low Energy (BLE, introduces a Fuzzy Logic Controller (FLC in order to improve a Home Energy Management (HEM scheme, addressing the power load of standby appliances and their loads in different hours of the day. Since the consumer is involved in the choice of switching on/off of home appliances, the approach introduced in this work proposes a fuzzy-based solution in order to manage the consumer feedbacks. Simulation results show that the proposed solution is efficient in terms of reducing peak load demand, electricity consumption charges with an increase comfort level of consumers. The performance of the proposed BLE-based wireless network scenario are validated in terms of packet delivery ratio, delay, and jitter and are compared to IEEE 802.15.4 technology.
Che, Zhenghong; Che, Zhengmei
Case teaching is an efficient teaching method of management. It plays an important role to enhance the students' ability to practice the theory. However, case teaching of financial management has not achieved the expected results. The paper aims to study the importance, characteristics and corresponding methods of case teaching method of financial…
Case study describing David Weekley Homes, Houston Division, has qualified more than 1,240 homes for the DOE Builders Challenge. Advanced framed 2x6 walls with open headers and two-stud corners allow more room for R-20 damp sprayed cellulose wall cavity insulation that is covered with R-5 rigid XPS foam. A radiant barrier cuts heat gain in the R-38 insulated vented attics. Draft stopping at fireplace and duct chases and behind tubs, gluing sheetrock to framing, and extensive caulking make for air-tight homes at 3.0 ACH50.
This study is a case assignment for Client A´s dehydrated culinary products and the topic is Out-of-home food market analysis in Finland. The main objective of the study is to produce information and to transform it into knowledge and wisdom by analyzing the out-of-home food market in Finland. The topic arose as a request from Client A since there is a need for detailed market analysis about the out-of-home food market in Finland in order to increase market share and estimate a future busines...
Cox, Narelle S.; McKay, Karen O.; Follett, Jennifer M.; Alison, Jennifer A
Purpose: This case series describes the effect of home intravenous (IV) antibiotic therapy on spirometry and exercise capacity in a group of children with cystic fibrosis (CF). Methods: Outcomes from 10 children with CF who were prescribed a 14-day course of home IV antibiotics for a respiratory exacerbation are reported. All children performed spirometry and a modified shuttle test (MST) before and after 14-days of home IV therapy. Results: After 14 days, FEV1 increased by mean (± SE) 12 ± 4...
This case study describes a DOE Zero Energy Ready Home in Houston, Texas, that scored HERS 39 without PV and HERS 29 with PV. This 5,947 ft2 custom home has 11.5-inch ICF walls. The attic is insulated along the roof line with 5 to 7 inches of open-cell spray foam. Most of the home's drinking water is supplied by a 11,500-gallon rainwater cistern. Hurricane strapping connects the roof to the walls. The triple-pane windows are impact resistant. The foundation is a raised slab.
This case study describes a DOE Zero Energy Ready Home in Greenbank, Washington that scored HERS 37 without PV and a -5 with PV. This 1,955 ft2 custom home has 6.5-inch structural insulated panel (SIPs) walls, a 10.25-inch SIPS roof, an R-20 insulated slab, a 2-ton ground source heat pump, radiant floor heat, 7.1 kWh PV, and triple-pane windows.
Colón-Emeric, Cathleen S.; Lekan-Rutledge, Deborah; Utley-Smith, Queen; Ammarell, Natalie; Bailey, Donald; Piven, Mary L.; Corazzini, Kirsten; Anderson, Ruth A.
We describe how connections among nursing home staff impact the care planning process using a complexity science framework. We completed six-month case studies of four nursing homes. Field observations (n = 274), shadowing encounters (n = 69), and in-depth interviews (n = 122) of 390 staff at all levels were conducted. Qualitative analysis produced a conceptual/thematic description and complexity science concepts were used to produce conceptual insights. We observed that greater levels of sta...
Baechler, Michael C. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Antonopoulos, C. A. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Sevigny, M. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Gilbride, T. L. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Hefty, M. G. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States)
This research report gives an overview of the needs and opportunities that exist in the U.S. home performance contracting industry. The report discusses industry trends, market drivers, different business models, and points of entry for existing and new businesses hoping to enter the home performance contracting industry. Case studies of eight companies who successfully entered the industry are provided, including business metrics, start-up costs, and marketing approaches.
Marin, Mike A.; Hauder, Matheus
Knowledge-intensive processes (KiPs) are becoming increasingly important for organizations with the rise of the knowledge society. Due to their unpredictable and emergent characteristic worklfow management solutions are not suitable to support KiPs. Various case management related approaches have been proposed by researchers and practitioners to support characteristics of KiPs. In this paper we provide a comprehensive list of definitions available on case management, e.g. case handling, adapt...
Full Text Available Home gardens are considered as vital units for enhancing food security particularly in developing nations of South Asia, such as Sri Lanka. Although the yam crop Dioscorea spp. constitute a popular but still minor component in Sri Lankan home gardens, they have the potential of producing large quantities of edible material with minimal inputs. However, their real value in South Asian home gardens is not yet reported. Hence, this study was carried out to get insights into home garden characteristics, gardener demography as well as current management practices within 300 Sri Lankan home garden systems that are located along a climatic gradient. By using interviews and field observations, gardeners, who cultivated in particular Dioscorea species, were studied within 10 of the 25 administrative districts distributed in the wet, intermediate and dry climatic zone of Sri Lanka. Furthermore, current management practices of yams cultivation were analyzed on local scale and compared afterwards with management recommendations published in the year 2006 by the Department of Agriculture. Dioscorea species were found in a majority of home gardens, especially in wet and intermediate zones of Sri Lanka. D. alata was the most prominent species and was managed at a subsistence level and not as per recommendations developed by the Department of Agriculture. Our results revealed that Dioscorea alata is an essential component of Sri Lankan home gardens in rural areas and can yield substantial quantities of edible tubers with low input, especially during times of food scarcities, and has therefore the potential to enhance food security and rural development.
Bennis, Sandy; Costanzo, Diane; Flynn, Ann Marie; Reidy, Agatha; Tronni, Catherine
Simply implementing software and technology does not assure that an organization's targeted clinical and financial goals will be realized. No longer is it possible to roll out a new system--by solely providing end user training and overlaying it on top of already inefficient workflows and outdated roles--and know with certainty that targets will be met. At Virtua Health's Home Care, based in south New Jersey, implementation of their electronic system initially followed this more traditional approach. Unable to completely attain their earlier identified return on investment, they enlisted the help of a new role within their health system, that of the nurse informaticist. Knowledgeable in complex clinical processes and not bound by the technology at hand, the informaticist analyzed physical workflow, digital workflow, roles and physical layout. Leveraging specific tools such as change acceleration, workouts and LEAN, the informaticist was able to redesign workflow and support new levels of functionality. This article provides a view from the "finish line", recounting how this role worked with home care to assimilate information delivery into more efficient processes and align resources to support the new workflow, ultimately achieving real tangible returns. PMID:19195281
Imelda K Moise
Full Text Available Although Healthy Start case managers recognized the benefits of case management for facilitating optimal service delivery to women and their families, structural factors impact effective implementation. This study investigated case managers' views of 1 the structural challenges faced in implementing case management for program participants, and 2 possible strategies to enhance case management in medical home settings. Two focus groups were conducted separately with case managers from the four program service sites to gain insight into these issues noted above. Each group was co-facilitated by two evaluators using a previously developed semi-structured interview guide. The group discussions were audio recorded and the case managers' comments were transcribed verbatim. Transcripts were analyzed using thematic analysis, a deductive approach. Data were collected in 2013 and analyzed in 2015. Case managers are challenged by externalities (demographic shifts in target populations, poverty; contractual requirements (predefined catchment neighborhoods, caseload; limited support (client incentives, tailored training, and a high staff turnover rate; and logistic difficulties (organizational issues. Their approach to case management tends to be focused on linking Although Healthy Start case managers recognized the benefits of case management for facilitating optimal service delivery to women and their families, structural factors impact effective implementation. This study investigated case managers' views of 1 the structural challenges faced in implementing case management for program participants, and 2 possible strategies to enhance case management in medical home settings. Two focus groups were conducted separately with case managers from the four program service sites to gain insight into these issues noted above. Each group was co-facilitated by two evaluators using a previously developed semi-structured interview guide. The group discussions were
Moise, Imelda K; Mulhall, Peter F
Although Healthy Start case managers recognized the benefits of case management for facilitating optimal service delivery to women and their families, structural factors impact effective implementation. This study investigated case managers' views of 1) the structural challenges faced in implementing case management for program participants, and 2) possible strategies to enhance case management in medical home settings. Two focus groups were conducted separately with case managers from the four program service sites to gain insight into these issues noted above. Each group was co-facilitated by two evaluators using a previously developed semi-structured interview guide. The group discussions were audio recorded and the case managers' comments were transcribed verbatim. Transcripts were analyzed using thematic analysis, a deductive approach. Data were collected in 2013 and analyzed in 2015. Case managers are challenged by externalities (demographic shifts in target populations, poverty); contractual requirements (predefined catchment neighborhoods, caseload); limited support (client incentives, tailored training, and a high staff turnover rate); and logistic difficulties (organizational issues). Their approach to case management tends to be focused on linking Although Healthy Start case managers recognized the benefits of case management for facilitating optimal service delivery to women and their families, structural factors impact effective implementation. This study investigated case managers' views of 1) the structural challenges faced in implementing case management for program participants, and 2) possible strategies to enhance case management in medical home settings. Two focus groups were conducted separately with case managers from the four program service sites to gain insight into these issues noted above. Each group was co-facilitated by two evaluators using a previously developed semi-structured interview guide. The group discussions were audio recorded
Moise, Imelda K.; Mulhall, Peter F.
Although Healthy Start case managers recognized the benefits of case management for facilitating optimal service delivery to women and their families, structural factors impact effective implementation. This study investigated case managers' views of 1) the structural challenges faced in implementing case management for program participants, and 2) possible strategies to enhance case management in medical home settings. Two focus groups were conducted separately with case managers from the four program service sites to gain insight into these issues noted above. Each group was co-facilitated by two evaluators using a previously developed semi-structured interview guide. The group discussions were audio recorded and the case managers' comments were transcribed verbatim. Transcripts were analyzed using thematic analysis, a deductive approach. Data were collected in 2013 and analyzed in 2015. Case managers are challenged by externalities (demographic shifts in target populations, poverty); contractual requirements (predefined catchment neighborhoods, caseload); limited support (client incentives, tailored training, and a high staff turnover rate); and logistic difficulties (organizational issues). Their approach to case management tends to be focused on linking Although Healthy Start case managers recognized the benefits of case management for facilitating optimal service delivery to women and their families, structural factors impact effective implementation. This study investigated case managers' views of 1) the structural challenges faced in implementing case management for program participants, and 2) possible strategies to enhance case management in medical home settings. Two focus groups were conducted separately with case managers from the four program service sites to gain insight into these issues noted above. Each group was co-facilitated by two evaluators using a previously developed semi-structured interview guide. The group discussions were audio recorded
Goodman, C A; Mutemi, W M; Baya, E K; Willetts, A; Marsh, V
Home management is a very common approach to the treatment of illnesses such as malaria, acute respiratory infections, tuberculosis, diarrhoea and sexually transmitted infections, frequently through over-the-counter purchase of drugs from shops. Inappropriate drugs and doses are often obtained, but interventions to improve treatment quality are rare. An educational programme for general shopkeepers and communities in Kilifi District, rural Kenya was associated with major improvements in the use of over-the-counter anti-malarial drugs for childhood fevers. The two main components were workshop training for drug retailers and community information activities, with impact maintained through on-going refresher training, monitoring and community mobilization. This paper presents the cost and cost-effectiveness of the programme in terms of additional appropriately treated cases, evaluating both its measured cost-effectiveness in the first area of implementation (early implementation phase) and the estimated cost-effectiveness of the programme recommended for district-level implementation (recommended district programme). The proportion of shop-treated childhood fevers receiving an adequate amount of a recommended antimalarial rose from 2% to 15% in the early implementation phase, at an economic cost of 4.00 US dollars per additional appropriately treated case (2000 US dollars). If the same impact were achieved through the recommended district programme, the economic cost per additional appropriately treated case would be 0.84 US dollars, varying between 0.37 US dollars and 1.36 US dollars in the sensitivity analysis. As with most educational approaches, the programme carries a relatively high initial financial cost, of 11,477 US dollars (0.02 per capita US dollars) for the development phase and 81,450 US dollars (0.17 per capita US dollars) for the set up year, which would be particularly suitable for donor funding, while the annual costs of 18,129 US dollars (0.04 per
Just in time principles and vendor managed inventory model are part of today’s supply chain management. These models are utilized in order to have successful and effective supply chain. This thesis concentrates on inbound logistics operations of supply chain. It describes the general theory of inbound supply chain logistics operations and dives into vendor managed inventory model and how this model can be utilized in a company where the suppliers are located far, lead times are long and deman...
Ainstworth, Nathan; Johnson, Brian; Lundstrom, Blake
Presentation for NAPS 2015 associated with conference publication CP-64392. Home Energy Management Systems (HEMS) are controllers that manage and coordinate the generation, storage, and loads in a home. These controllers are increasingly necessary to ensure that increasing penetrations of distributed energy resources are used effectively and do not disrupt the operation of the grid. In this paper, we propose a novel approach to HEMS design based on behavioral control methods, which do not require accurate models or predictions and are very responsive to changing conditions.
Brooks, Terrence A.; Bierbaum, Esther G.
Assesses bibliographic databases as part of visionary text systems such as hypertext and scholars' workstations. Downloading is discussed in terms of the capability to search records and to maintain unique bibliographic descriptions, and relational database management systems, file managers, and text databases are reviewed as possible hosts for…
Full Text Available One of the most important factors for the site selection of a second home is the space-time dimension. For example, the popularity of second home tourism in the hinterland of population centres is based on the short distance between second homes and the permanent residence of second home owners. In the case of peripheral resorts, however, the main reason for a large number of second homes is the attractiveness of the area associated with a high level of touristic elements. The study examines the municipalities of residence of the second home owners in four large resorts – Levi, Ruka, Saariselkä and Ylläs – in northern Finland. After analysing the geographical distribution of the owners with maps and diagrams the aim of the paper is to present a distance model for the resorts located in a northern periphery from the viewpoint of the regions of destination. Generally speaking, the model resembles a U-letter. In this respect, the resorts have three zones – day trip, weekend and vacation – and each of them has their own characteristics based on accessibility and regional structure, the number and structure of population (potential owners and land ownership. In the planning context, the proposed model can be utilised as a tool for the marketing of resorts as a second home environment as well as for analysing and comparing the overall attractiveness of resorts.
Håkanson, Cecilia; Cronfalk, Berit Seiger; Henriksen, Eva; Norberg, Astrid; Ternestedt, Britt-Marie; Sandberg, Jonas
The aim of this study was to investigate first-line nursing home managers' views on their leadership and related to that, palliative care. Previous research reveals insufficient palliation, and a number of barriers towards implementation of palliative care in nursing homes. Among those barriers are issues related to leadership quality. First-line managers play a pivotal role, as they influence working conditions and quality of care. Nine first-line managers, from different nursing homes in Sweden participated in the study. Semi-structured interviews were conducted and analysed using qualitative descriptive content analysis. In the results, two categories were identified: embracing the role of leader and being a victim of circumstances, illuminating how the first-line managers handle expectations and challenges linked to the leadership role and responsibility for palliative care. The results reveal views corresponding to committed leaders, acting upon demands and expectations, but also to leaders appearing to have resigned from the leadership role, and who express powerlessness with little possibility to influence care. The first line managers reported their own limited knowledge about palliative care to limit their possibilities of taking full leadership responsibility for implementing palliative care principles in their nursing homes. The study stresses that for the provision of high quality palliative care in nursing homes, first-line managers need to be knowledgeable about palliative care, and they need supportive organizations with clear expectations and goals about palliative care. Future action and learning oriented research projects for the implementation of palliative care principles, in which first line managers actively participate, are suggested. PMID:25628769
Phillips, Charles D
Case-mix classification and payment systems help assure that persons with similar needs receive similar amounts of care resources, which is a major equity concern for consumers, providers, and programs. Although health service programs for adults regularly use case-mix payment systems, programs providing health services to children and youth rarely use such models. This research utilized Medicaid home care expenditures and assessment data on 2,578 children receiving home care in one large sta...
Hall, James A.; Vaughan Sarrazin, Mary S.; Huber, Diane L.; Vaughn, Thomas; Block, Robert I.; Reedy, Amanda R.; Jang, MiJin
Objective: The purpose of this research was to evaluate the effectiveness of a comprehensive, strengths-based model of case management for clients in drug abuse treatment. Method: 503 volunteers from residential or intensive outpatient treatment were randomly assigned to one of three conditions of Iowa Case Management (ICM) plus treatment as usual…
Kayser-Jones, Jeanie S.; Kris, Alison E.; Miaskowski, Christine A.; Lyons, William L.; Paul, Steven M.
Purpose: The purpose of this study was to investigate pain management among 42 hospice and 65 non-hospice residents in two proprietary nursing homes. Design and Methods: In this prospective, anthropological, quantitative, and qualitative study, we used participant observation, event analysis, and chart review to obtain data. The Medication…
The argument presented in this paper is that today's workplaces and universities both require and promote individual and collective responsibility for work and that students need to be adequately prepared for this. UK national culture has been characterised as highly individualist. Therefore, internationalisation of home management students in the…
Dentz, Jordan [Advanced Residential Integrated Energy Solutions Collaborative, New York, NY (United States); Alaigh, Kunal [Advanced Residential Integrated Energy Solutions Collaborative, New York, NY (United States)
Two multifamily buildings planned in Climate Zone 4 were analyzed to determine the cost, energy and performance implications of redesigning them to comply with Zero Energy Ready Home, a recognition program of the U.S. Department of Energy. Energy modeling was conducted on one representative apartment in each building using BEopt. Construction costs were obtained from the developer and subcontractors to determine savings and cost increases over ENERGY STAR. It was found that seven items would be necessary to change to comply with ZERH criteria when starting from the original design which was compliant with ENERGY STAR version 3.0. Design changes were made to the exterior walls, domestic water heating system, duct protection, duct design, garage ventilation, and pest control to comply with ZERH requirements. Energy impacts of upgrading from the original design to ZERH resulted in 2 to 8% reduction in modeled source energy consumption, or 1.7 to 10.4 MMBtu per year, although the original design was already about 8% better than a design configured to minimum ENERGY STAR criteria. According to the BEopt analysis, annualized energy related costs of the ZERH design were slightly higher for the apartment and slightly lower for the townhome when compared to the original design.
Mvungi, A.; Hranova, R. K.; Love, D.
Sustainable use of water resources requires the integration of demand management with source quality management. The City of Harare is a case in point, where wastewater and runoff from the city flow into its reservoirs. Little has yet been established on the quality of runoff from home industries in the high-density urban environment. In Harare, most of these are located close to streams draining into the city’s reservoirs. The impact of runoff from different land uses on water quality in a tributary of the Marimba River, Kuwadzana high-density suburb, Harare, was assessed. The water quality from two sub-catchments, one of which contained home industries and residential areas and the other, which contained residential areas only, was compared over the 2001-2002 rainy season. It was found that phosphate (1.08 mg/l), TKN (3.2 mg/l), ammonia (1.14 mg/l), faecal coliforms (1000/100 ml), iron (6.9 mg/l), and lead (0.53 mg/l) were the major water quality pollutants. The SCS-SA model was used to estimate the runoff in different sampling points. Pollution loads for certain parameters were, on average, four times higher in the sub-catchment containing home industries (287 kg total phosphates, 319 kg TKN nitrate, 115 kg ammonia, 744 kg iron and 41 kg lead), than in the sub-catchment containing residential areas only (74kg total phosphates, 50 kg TKN nitrate, 21 kg ammonia, 138 kg iron and 12 kg lead). This is due to the higher runoff volumes from the area containing the home industries, while the pollution concentrations at both representative points where not statistically different. Accordingly, it is recommended that the City authorities should reassess current practice and make provision for sewer and drainage systems and adequate disposal of solid and hazardous wastes in areas zoned for home industries and to improve the solid waste management in high-density areas. Efforts should be made to control the storage of materials and scrap in these areas. Most importantly
Ibrahim Rana, Annie; Ó Foghlú, Mícheál
Traffic management in home area network (HAN) is different from the traditional traffic management in access and core networks. Traditionally network traffic works in best effort fashion and the HAN services are usually accommodated on the basis of first-in first-out rule. However quality can deteriorate when high number of users is connected to the HAN. Moreover the bursty traffic can also impact the quality by chocking the network traffic and blocking the network resources for a...
Cummings, J.; Withers, C.; Martin, E.; Moyer, N.
This document focuses on managing the driving forces which move air and moisture across the building envelope. While other previously published Measure Guidelines focus on elimination of air pathways, the ultimate goal of this Measure Guideline is to manage drivers which cause air flow and water vapor transport across the building envelope (and also within the home), control air infiltration, keep relative humidity (RH) within acceptable limits, avoid combustion safety problems, improve occupant comfort, and reduce house energy use.
Full Text Available Early home visits provided by public health nurses (PHNs around the world have been proven to positively impact physical, social, emotional and mental health outcomes of mothers and babies. Most of the research has focused on home visiting programs delivered by public health nurses and lay home visitors to support at risk or targeted mothers. Little research has been conducted to examine universal home visiting programs for mothers who are perceived to be lower-risk. The purpose of this research was to explore how universal and targeted early home visiting programs for mothers and babies were organized, delivered and experienced through the everyday practices of PHNs, mothers, and managers in one city in Atlantic Canada. Feminist post-structuralism was used to collect and analyze data through semi-structured face-to-face interviews with 16 PHNs, 16 mothers and 4 managers. Personal, social and institutional discourses of program delivery were examined using discourse analysis. Four main themes of the study include: i understanding targeted and universal programming; ii health outcomes; iii building relationships; and iv exploring a new surveillance. This article will discuss the first theme; understanding targeted and universal programming.
Lewin, Gill; Concanen, Karyn; Youens, David
The Home Independence Program (HIP), an Australian restorative home care/reablement service for older adults, has been shown to be effective in reducing functional dependency and increasing functional mobility, confidence in everyday activities, and quality of life. These gains were found to translate into a reduced need for ongoing care services and reduced health and aged care costs over time. Despite these positive outcomes, few Australian home care agencies have adopted the service model - a key reason being that few Australian providers employ health professionals, who act as care managers under the HIP service model. A call for proposals from Health Workforce Australia for projects to expand the scope of practice of health/aged care staff then provided the opportunity to develop, implement, and evaluate a service delivery model, in which nonprofessionals replaced the health professionals as Care Managers in the HIP service. Seventy older people who received the HIP Coordinator (HIPC) service participated in the outcomes evaluation. On a range of personal outcome measures, the group showed statistically significant improvement at 3 and 12 months compared to baseline. On each outcome, the improvement observed was larger than that observed in a previous trial in which the service was delivered by health professionals. However, differences in the timing of data collection between the two studies mean that a direct comparison cannot be made. Clients in both studies showed a similarly reduced need for ongoing home care services at both follow-up points. The outcomes achieved by HIPC, with non-health professionals as Care Managers, were positive and can be considered to compare favorably with the outcomes achieved in HIP when health professionals take the Care Manager role. These findings will be of interest to managers of home care services and to policy makers interested in reducing the long-term care needs of older community dwelling individuals. PMID:27382264
Plinere Darya; Borisov Arkady
Inventory management is a challenging problem area in supply chain management. Companies need to have inventories in warehouses in order to fulfil customer demand, meanwhile these inventories have holding costs and this is frozen fund that can be lost. Therefore, the task of inventory management is to find the quantity of inventories that will fulfil the demand, avoiding overstocks. This paper presents a case study for the assembling company on inventory management. It is proposed to use inve...
Eduardo L. G. Rios-Neto
The objective of this paper is to present the Brazilian migration experience and its relationship with migration management. The article is divided into three parts. First, it reviews some basic facts regarding Brazilian immigration and emigration processes. Second, it focuses on some policy and legal issues related to migration. Finally, it addresses five issues regarding migration management in Brazil.
合作式社工组织管理模式为社工组织的发展提供了良好的发展空间，其中多种合作式的社工组织为组织的发展整合了更多的优势资源。作者选取了“广州逢源人家社会服务中心”这一在广州最早进行社区服务专业化、合作式的社工组织的典型案例，分析了合作式社工组织管理模式的成因、内容、方法以及合作的效果，并根据对广州“逢源人家”特色服务项目与服务内容的经验总结，希望给读者一些启发和思考。%The cooperative management mode provided a good development space for the development of social work organizations, including the integration of more advantageous resources. In this paper, we selected a typical case of "Fengyuan Home" Social Service Center in Guangzhou city, which is a pioneer in community service specialization and cooperation between social work organizations, analyzed the causes, mode, content, methods and effects of the cooperative management mode, summarized the experience of characteristic service project, hoped to give the reader some insights and thinking.
For this DOE Zero Energy Ready Home that won a Custom Builder award in the 2014 Housing Innovation Awards, the builder uses structural insulated panels to construct the entire building shell, including the roof, walls, and floor of the home.
Sustaining daily, unsupervised healthcare activities in non-clinical settings such as the private home can challenge, among others, older adults. To support such unsupervised care activities, an increasingly number of reminders and monitoring systems are being designed. However, most of these...... systems target a specific treatment or condition and might not be sufficient to support the care management work at home. Based on a case study approach, my research investigates home-based healthcare practices and how they can inform future design of home-based healthcare technology that better account...... for the home setting and people’s everyday activities....
Palomo, Ruben; Thompson, Meagan; Colombi, Costanza; Cook, Ian; Goldring, Stacy; Young, Gregory S.; Ozonoff, Sally
Childhood disintegrative disorder (CDD) is a rare pervasive developmental disorder that involves regression after a period of at least 2 years of typical development. This case study presents data from family home movies, coded by reliable raters using an objective coding system, to examine the trajectory of development in one child with a…
Case study of a DOE 2015 Housing Innovation Award winning production home in the cold climate that got a HERS 37 without PV, or HERS 23 with PV, with R-24 SIP walls, Basement with R-10 under slab, and R-15 unfaced batt on walls, sealed attic with R-49 ocsf under roof deck; ground source heat pump COP 4.4.
PNNL, Florida HERO, and Energy Smart Home Plans helped Ravenwood Homes achieve a HERS 15 with PV or HERS 65 without PV on a home in Florida with SEER 16 AC, concrete block and rigid foam walls, high-performance windows, solar water heating, and 5.98 kW PV.
Energy Information Associates, Inc., Littleton, CO.
This workbook is intended to teach the homeowner some actions to be taken in the home to conserve energy and reduce energy-related costs. The workbook is arranged around five steps: (1) read utility meters, (2) study utility bills, (3) "tune-up" home energy systems, (4) make informed decisions about energy conservation products, and (5) compare…
Davoodi, Somayeh; Mohammadzadeh, Zeinab; Safdari, Reza
Objective: Applying mobile base systems in cancer care especially in chemotherapy management have remarkable growing in recent decades. Because chemotherapy side effects have significant influences on patient’s lives, therefore it is necessary to take ways to control them. This research has studied some experiences of using mobile phone based systems to home-based monitor of chemotherapy side effects in cancer. Methods: In this literature review study, search was conducted with keywords like cancer, chemotherapy, mobile phone, information technology, side effects and self managing, in Science Direct, Google Scholar and Pub Med databases since 2005. Results: Today, because of the growing trend of the cancer, we need methods and innovations such as information technology to manage and control it. Mobile phone based systems are the solutions that help to provide quick access to monitor chemotherapy side effects for cancer patients at home. Investigated studies demonstrate that using of mobile phones in chemotherapy management have positive results and led to patients and clinicians satisfactions. Conclusion: This study shows that the mobile phone system for home-based monitoring chemotherapy side effects works well. In result, knowledge of cancer self-management and the rate of patient’s effective participation in care process improved. PMID:27482134
This case study describes a DOE Zero Energy Ready Home in Old Greenwich, CT, that scored HERS 40 without PV and HERS 27 with PV. This 4,100 ft2 custom home has 13-inch ICF basement walls and 11-inch ICF above-grade walls with a closed-cell spray foam-insulated roof deck, and a continuously running ERV. The house has a dual-fuel heat pump, an instantaneous condensing water heater, and 4.5-kW solar shingles.
This case study describes a DOE Zero Energy Ready Home in Seattle, WA, that scored HERS 42 without PV and a -1 with PV. This 3,192 ft2 custom home has 6-inch SIP walls, a 12-inch SIP roof, an R-28 ICF-insulated foundation slab edge with R-20 rigid foam under the slab; an air-to-water heat pump plus radiant floor heat; 100% LED lighting; filtered-fan-powered fresh air intake; triple-pane windows, 9.7 kWh PV for electric car charging station.
Dedden, P; Chang, B; Nagel, D
A program for home treatment of uncomplicated acute proximal deep vein thrombosis (DVT) with enoxaparin is described. In fall 1995 an HMO in Southern California began developing a pharmacy-managed program in which selected patients with acute proximal DVT receive home treatment with enoxaparin. Advantages of the program included expected cost avoidance. The safety and efficacy of such therapy were verified, and quality control measures were established. Patients are referred to the program by the physicians making the diagnosis of proximal DVT. Upon referral, patients are placed in a holding area. A pharmacist orders laboratory tests and then prescribes warfarin and enoxaparin doses. Patients are given their first doses, taught to safely self-administer enoxaparin, and sent home. Follow-up care, monitoring, and blood sampling are provided through a home health agency. A pharmacist monitors the International Normalized Ratio (INR) and telephones the patient daily to specify the day's warfarin dose. Patients receive concurrent enoxaparin and warfarin therapy for at least five days until the INR is > 2; enoxaparin is then discontinued and patients are transferred to an outpatient anticoagulation service for continued monitoring. From April 1, 1996, to March 27, 1997, 55 patients were treated under the program; all eligible patients were enrolled. A total of 294 hospital days were avoided. There were no complications or hospital admissions due to bleeding. A comprehensive program for home treatment of uncomplicated acute proximal DVT with enoxaparin was implemented at an HMO. PMID:9290894
Umer, Saher; Tan, Yasuo; Lim, Azman Osman
宅内エネルギー管理システム(HEMS)は、家電機器作動の監視および管理を担っており、一連の要求に応じたエネルギーの負荷配分を行う。家電機器の増加に伴い、宅内電力消費の逼迫による停電リスクが増し、その結果、HEMSは不安定なものとなる。本論文では、リヤプノフアプローチを用いたエネルギー消費のHEMSによる安定性をモデル化し、さらに，エネルギー制約下におけるHEMS による安定性についての検討を行った。 : Home energy management system (HEMS) is responsible for monitoring and managing the operation of in-home appliances、 and providing load shifting according to a set of requirements. As more and more in-home appliances are increased、 the energy consumption in home leads an increase in the risk ...
Outage management issues identified from a field study conducted at a two-unit commercial pressurized water reactor (PWR), when one unit was in a refueling outage and the other unit was at full power operation, are the focus of this paper. The study was conduced as part of the US Nuclear Regulatory Commission's (NRC) organizational factors research program, and therefore the issues to be addressed are from an organizational perspective. Topics discussed refer to areas identified by the NRC as critical for safety during shutdown operations, including outage planning and control, personnel stress, and improvements in training and procedures. Specifically, issues in communication, management attention, involvement and oversight, administrative processes, organizational culture, and human resources relevant to each of the areas are highlighted by example from field data collection. Insights regarding future guidance in these areas are presented based upon additional data collection subsequent to the original study
Haber, S.B.; Barriere, M.T. (Brookhaven National Lab., Upton, NY (United States)); Roberts, K.H. (California Univ., Berkeley, CA (United States). Walter A. Haas School of Business)
Outage management issues identified from a field study conducted at a two-unit commercial pressurized water reactor (PWR), when one unit was in a refueling outage and the other unit was at full power operation, are the focus of this paper. The study was conduced as part of the US Nuclear Regulatory Commission's (NRC) organizational factors research program, and therefore the issues to be addressed are from an organizational perspective. Topics discussed refer to areas identified by the NRC as critical for safety during shutdown operations, including outage planning and control, personnel stress, and improvements in training and procedures. Specifically, issues in communication, management attention, involvement and oversight, administrative processes, organizational culture, and human resources relevant to each of the areas are highlighted by example from field data collection. Insights regarding future guidance in these areas are presented based upon additional data collection subsequent to the original study.
Haber, S.B.; Barriere, M.T. [Brookhaven National Lab., Upton, NY (United States); Roberts, K.H. [California Univ., Berkeley, CA (United States). Walter A. Haas School of Business
Outage management issues identified from a field study conducted at a two-unit commercial pressurized water reactor (PWR), when one unit was in a refueling outage and the other unit was at full power operation, are the focus of this paper. The study was conduced as part of the US Nuclear Regulatory Commission`s (NRC) organizational factors research program, and therefore the issues to be addressed are from an organizational perspective. Topics discussed refer to areas identified by the NRC as critical for safety during shutdown operations, including outage planning and control, personnel stress, and improvements in training and procedures. Specifically, issues in communication, management attention, involvement and oversight, administrative processes, organizational culture, and human resources relevant to each of the areas are highlighted by example from field data collection. Insights regarding future guidance in these areas are presented based upon additional data collection subsequent to the original study.
Chris von Borgstede
Full Text Available Measures that challenge the generation of waste are needed to address the global problem of the increasing volumes of waste that are generated in both private homes and workplaces. Source separation at the workplace is commonly implemented by environmental management systems (EMS. In the present study, the relationship between source separation at work and at home was investigated. A questionnaire that maps psychological and behavioural predictors of source separation was distributed to employees at different workplaces. The results show that respondents with awareness of EMS report higher levels of source separation at work, stronger environmental concern, personal and social norms, and perceive source separation to be less difficult. Furthermore, the results support the notion that after the adoption of EMS at the workplace, source separation at work spills over into source separation in the household. The potential implications for environmental management systems are discussed.
Verdezoto, Nervo; Olsen, Jesper Wolff
Several technologies have been developed to support people's medication management, including pillboxes, specialized software applications, reminders and paper-based medication lists. Several of these technologies were discovered in older adults' homes during user studies carried out with the main...... purpose to help them to manage their medications and recall challenges. We confirm that a considerable number of older adults integrate their medication treatments into their daily life routines, and that the lack of knowledge, caregiver's support, medicine outside the home, forgetting medication intake......, complexity of medication regimen were equally important challenges. One of the major findings was the issue related to substitutions, as older adults get confused due to the volatile information that they receive regarding their medications. We define basic requirements in order to address these issues...
The Building America team NorthernSTAR investigated opportunities to use the massive customer networks of the home service industry as a means to connect homeowners to home-performance solutions. Home service companies could provide a pathway to advance building-science-guided upgrades by being in close proximity to homeowners when a decision-making moment is at hand. Established trust provides an opportunity for the company to deliver sound information and influence during a remodeling decision.
In 2011, Rural Development, Inc. (RDI) completed the construction of Wisdom Way Solar Village (WWSV), which is a development of 20 very efficient homes in Greenfield, Massachusetts. The homes feature R-40 walls, triple-pane windows, R-50 attic insulation, and airtight construction. All homes also have photovoltaic (PV) systems and solar domestic hot water (SDHW) systems. Auxiliary water heating is provided by tankless gas water heaters. With the SDHW systems, RDI hoped to eliminate most of the need for gas for water heating and get the homes closer to zero energy.
Asif Qumer Gill
Full Text Available Emergency management agencies are progressively using social media for the sourcing and distribution of disaster information. Emergency management agencies are often unsure as to how to best identify and assess social media concerns (e.g. information security, trust which must be addressed to develop a social media-enabled disaster information management environment. This paper adopts the Social Architecture Viewpoint Assessment (SAVA framework for identifying and assessing social media concerns from four different viewpoints: IT, Value, Resource and Management. This paper demonstrates the use of the SAVA framework in the context of an in-depth empirical case study of an Australian emergency management agency. The results of this study indicate that the SAVA framework is useful for emergency information management managers in identifying and assessing social media concerns.
Chorney, Jill MacLaren; Twycross, Alison; Mifflin, Katherine; Archibald, Karen
BACKGROUND: Thousands of children undergo surgery each year, and a shift toward same-day surgeries and decreased lengths of hospital stay results in parents being increasingly responsible for their child’s postoperative care. Recent studies have tested interventions designed to improve parent management of their children’s postoperative pain at home, but progress in this area has been limited by a lack of synthesis of these findings.OBJECTIVE: To conduct a systematic review of interventions a...
Yanyu Zhang; Peng Zeng; Shuhui Li; Chuanzhi Zang; Hepeng Li
Demand response (DR) is an effective method to lower peak-to-average ratio of demand, facilitate the integration of renewable resources (e.g., wind and solar) and plug-in hybrid electric vehicles, and strengthen the reliability of power system. In smart grid, implementing DR through home energy management system (HEMS) in residential sector has a great significance. However, an algorithm that only optimally controls parts of HEMS rather than the overall system cannot obtain the best results. ...
Donald L. Uden, PharmD, FCCP; Jody L. Lounsbery, PharmD, BCPS; Jean Moon, PharmD, BCACP; Margaret L. Wallace, PharmD, BCACP
Purpose: To describe the landscape of medication management within the patient-centered medical homes (PCMH) in the state of Minnesota. Methods: An electronic survey of care coordinators within PCMHs certified with the Department of Health in state of Minnesota was conducted. The survey and follow up were distributed by the Minnesota Department of Health. At the time the survey was distributed, there were 161 certified PCMHs in the state. Results: The final analysis included 21 respondents. S...
Background This study was carried out to rapidly access the practice of home management of malaria by caregivers and community health workers in a rural part of South Eastern Nigeria between March and October, 2010. Methods Structured, pretested questionnaires, focus group discussions and oral interviews were used to collect data from 300 consenting individuals. Results Most of the participants/respondents were civil servants/teachers (44.3%). About 88.3% of them recognized malaria as an illn...
Kim Jung; Kim Mi; Lee Do; Jang Seok; Baek Eun; An Hyang; Lee Kang; Park Jong; Ha Nam
Abstract Background Constipation is a significant problem in the elderly, specifically nursing home and/or extended-care facility residents are reported to suffer from constipation. Lactic acid bacteria (LAB) are beneficial probiotic organisms that contribute to improved nutrition, microbial balance, and immuno-enhancement of the intestinal tract, as well as diarrhea and constipation effect. The objective of this study was to investigate the efficacy of this LAB supplement in the management o...
Jablonski, Anita; Ersek, Mary
The purpose of this study was to determine the extent to which nursing home staff adhere to current evidence-based guidelines to assess and manage persistent pain experienced by elderly residents. A retrospective audit was conducted of the medical records of 291 residents of 14 long-term care facilities in western Washington State. Data revealed a gap between actual practice and current best practice. Assessment of persistent pain was limited primarily to intensity and location. Although pres...
Wekre, Liv Johanne
Multidose dispensed drugs are drugs machine-packed into dose unit bags for each time of administration. Trondheim municipality decided in 2005 to implement Multidose Drug Dispensing (MDD) in home care services. At that time, there was a lack of scientific knowledge about the effects of MDD. The health care management of Trondheim therefore decided to study the implementation in collaboration with NTNU. MDD was adopted gradually during 2006.Three studies were conducted with the common main aim...
ONYOU bamboo fiber home textile franchise store is a small business located in Hefei City, Anhui Province, China. It has been running more than three years since ONYOU franchise store was set up on March 2010. It has gone through the good times and also tough times, there are still chal-lenges and threaths existing that this store needs to confront. In this thesis report, the marketing and customer relationship management suggestions has been designed for ONYOU franchise store and so...
Rana, Annie Ibrahim; O Foghlu, Micheal
Traditional home area network (HAN) equipment is usually unmanaged and network traffic is served in best effort fashion. This type of unmanaged network sometimes causes quality-of-service issues in the HAN, for example loss of quality in streamed video or audio content. Traffic management rules using policies to prioritise certain types of traffic according to user requirements and to assign bandwidth limits to other traffic types. However very little work has been done yet addressing the ...
Cummings, James [Building America Partnership for Improved Residential Construction (BA-PIRC), Cocoa, FL (United States); Withers, Charles [Building America Partnership for Improved Residential Construction (BA-PIRC), Cocoa, FL (United States); Martin, Eric [Building America Partnership for Improved Residential Construction (BA-PIRC), Cocoa, FL (United States); Moyer, Neil [Building America Partnership for Improved Residential Construction (BA-PIRC), Cocoa, FL (United States)
This report is a revision of an earlier report titled: Measure Guideline: Managing the Drivers of Air Flow and Water Vapor Transport in Existing Single-Family Homes. Revisions include: Information in the text box on page 1 was revised to reflect the most accurate information regarding classifications as referenced in the 2012 International Residential Code. “Measure Guideline” was dropped from the title of the report. An addition was made to the reference list.
Brennan-Ing, Mark; Seidel, Liz; Rodgers, Leslie; Ernst, Jerome; Wirth, Doug; Tietz, Daniel; Morretti, Antonio; Karpiak, Stephen E
In 1990, New York State instituted Comprehensive Medicaid Case Management, also known as Target Case Management (TCM), for people dealing with multiple comorbid conditions, including HIV. The goal of TCM is to assist clients in navigating the health care system to increase care engagement and treatment adherence for individuals with complex needs. HIV-positive individuals engaged in care are more likely to be virally suppressed, improving clinical outcomes and decreasing chances of HIV transmission. The purpose of this study was to understand the impact of TCM management on outcomes for people with HIV. Data were obtained from Amida Care, which operates not-for-profit managed care Medicaid and Medicare Special Needs Plans (SNPs) for HIV clients. Changes in clinical, cost, as well as medical and pharmacy utilization data among TCM clients were examined between January 2011 through September 2012 from the start of case management enrollment through the end of the study period (i.e., up to 6 months after disenrollment). Additionally, CD4 counts were compared between Amida Care TCM clients and non-TCM clients. Notable findings include increased CD4 counts for TCM clients over the one-year study period, achieving parity with non-TCM clients (i.e., Mean CD4 count > 500). When looking exclusively at TCM clients, there were increases in medication costs over time, which were concomitant with increased care engagement. Current findings demonstrate that TCM is able to achieve its goals of improving care engagement and treatment adherence. Subsequent policy changes resulting from the Affordable Care Act and the New York State Medicaid Redesign have made the Health Home the administrator of TCM services. Government entities charged with securing and managing TCM and care coordination for people with HIV should provide thoughtful and reasonable guidance and oversight in order to maintain optimal clinical outcomes for TCM clients and reduce the transmission of HIV. PMID:26849561
Full Text Available As an important component of the smart grid on the user side, a home energy management system is the core of optimal operation for a smart home. In this paper, the energy scheduling problem for a household equipped with photovoltaic devices was investigated. An online energy management algorithm based on event triggering was proposed. The Lyapunov optimization method was adopted to schedule controllable load in the household. Without forecasting related variables, real-time decisions were made based only on the current information. Energy could be rapidly regulated under the fluctuation of distributed generation, electricity demand and market price. The event-triggering mechanism was adopted to trigger the execution of the online algorithm, so as to cut down the execution frequency and unnecessary calculation. A comprehensive result obtained from simulation shows that the proposed algorithm could effectively decrease the electricity bills of users. Moreover, the required computational resource is small, which contributes to the low-cost energy management of a smart home.
Vittorini, Pierpaolo; Tarquinio, Antonietta; di Orio, Ferdinando
The eXtensible markup language (XML) is a metalanguage which is useful to represent and exchange data between heterogeneous systems. XML may enable healthcare practitioners to document, monitor, evaluate, and archive medical information and services into distributed computer environments. Therefore, the most recent proposals on electronic health records (EHRs) are usually based on XML documents. Since none of the existing nomenclatures were specifically developed for use in automated clinical information systems, but were adapted to such use, numerous current EHRs are organized as a sequence of events, each represented through codes taken from international classification systems. In nursing, a hierarchically organized problem-solving approach is followed, which hardly couples with the sequential organization of such EHRs. Therefore, the paper presents an XML data model for the Omaha System taxonomy, which is one of the most important international nomenclatures used in the home healthcare nursing context. Such a data model represents the formal definition of EHRs specifically developed for nursing practice. Furthermore, the paper delineates a Java application prototype which is able to manage such documents, shows the possibility to transform such documents into readable web pages, and reports several case studies, one currently managed by the home care service of a Health Center in Central Italy. PMID:19070934
Dellefield, Mary Ellen
Human resource practices including supervision and management are associated with organizational performance. Evidence supportive of such an association in nursing homes is found in the results of numerous research studies conducted during the past 17 years. In this article, best practices related to this topic have been culled from descriptive, explanatory, and intervention studies in a range of interdisciplinary research journals published between 1990 and 2007. Identified best practices include implementation of training programs on supervision and management for licensed nurses, certified nursing assistant job enrichment programs, implementation of consistent nursing assignments, and the use of electronic documentation. Organizational barriers and facilitators of these best practices are described. PMID:20077964
Al-Abri, SA; Kearney, T
WHAT IS KNOWN AND OBJECTIVE: Baking soda is a common household product promoted by the manufacturer as an antacid. It contains sodium bicarbonate and has the potential for significant toxicity when ingested in excessive amounts. Characterizing the patterns and outcomes from the misuse of baking soda as a home remedy can guide the clinical assessment and preventative counselling of patients at risk for use of this product. METHODS: We conducted a retrospective review of all symptomatic cases i...
MOHAMED, N.; Ng'ang'a, L; Odhiambo, J.; Nyamwaya, J.; Menzies, R
BACKGROUND--There is increasing evidence that environmental factors contribute to the development of asthma, so the relationship was studied between home environment factors and asthma among school children of varying socioeconomic backgrounds living in a developing country. METHODS--A case-control study was performed in participants of a prevalence survey which included 77 schoolchildren with asthma (defined by a history of wheeze, doctor diagnosis, or a decline in FEV1 of > or = 10% at five...
Case study of a DOE 2015 Housing Innovation Award winning custom home in the cold climate that got a HERS 47 without PV or HERS 22 with PV, with 2x4 24” on-center walls with 1 inch rigid foam plus 3” ccsf in cavity, a slab on grade foundation with 2” rigid foam under and around slab, a vented attic with with 2” ccsf plus R-15 blown cellulose, a central heat pump and HRV.
Case study of a DOE 2015 Housing Innovation Award winning production home in the mixed-dry climate that got a HERS 48 without PV, with 2x6 24” on center walls with R-21 blown fiberglass; slab foundation with R-10 under slab and R-5rigid foam at slab edge; vented attic with R-75 blown fiberglass; ducted minisplit heat pump 16.5 SEER, 9.5 HSPF.
Case study of a DOE 2015 Housing Innovation Award winning production home in the hot-dry climate that got a HERS 52 without PV, or HERS -2 with PV, with 2x6 16” on center walls with R-14 ocsf plus R-4 rigid exterior; slab on grade with R-8 slab edge; sealed attic with R-31 ocsf under roof deck; 92 AFUE furnace, 15 SEER AC, 100% LED.
Case study of a DOE 2015 Housing Innovation Award winning custom home in the marine climate that got HERS 34 without PV or HERS -12 with PV, with 6” SIP walls and 10” SIP roof; R-28 ICF around slab, R-20 rigid foam under slab; radiant floor heat and passive design; air-to-water heat pump COP 4.4; HRV; earth tube ventilation; triple-pane windows, 100% LED.
Case study of a DOE 2015 Housing Innovation Award winning production home in the cold climate that got a HERS 38 without PV, with staggered 2x4 studs every 8”on a 2x6 plate with dense-packed R-25 cellulose, basement with 3” XPS exterior and 2: XPS under slab; a vented attic with spray foam top plates and R-60 blown cellulose; 96% AFUE furnace, 14 SEER AC, plus fresh air intake.
Case study of a DOE 2015 Housing Innovation Award winning custom home in the cold climate that got a HERS 48 without PV, with 2x6 24” on center walls with R-23 blown fiberglass, ocsf at rim joists, basement with plus 2x4 stud walls with R-23 blown fiberglass, with R-20 around slab, R-38 under slab; a vented attic with R-100 blown cellulose; 95% AFUE furnace, 14 SEER AC, ERV; heat pump water heater.
Lee, Young-Mok; Kim, Yang-Ki; Kim, Shin-Ok; Kim, Sang-Jae; Park, Hae-Sim
We report a case of hypersensitivity pneumonitis in a 30-yr-old female housewife caused by Penicillium species found in her home environment. The patient was diagnosed according to history, chest radiograph, spirometry, high-resolution chest CT, and transbronchial lung biopsy. To identify the causative agent, cultured aeromolds were collected by the open-plate method. From the main fungi cultured, fungal antigens were prepared, and immunoblot analysis with the patient's serum and each fungal ...
Full Text Available Pinakin Gunvant Davey,1 Kiana Nouri,2 Samantha Zaczyk1 1Western University of Health Sciences, College of Optometry, Pomona, CA, USA; 2Western University of Health Sciences, College of Osteopathic Medicine of the Pacific, Pomona CA, USA Abstract: Intraocular pressure (IOP measurement remains an integral part of managing patients with or at risk for glaucoma. The current gold standard, the Goldmann applanation tonometer, is influenced by ocular parameters, both extrinsic and intrinsic, that can lead to long- and short-term fluctuations and measurement errors. The biggest of all limitations of Goldmann-type tonometers is that the device provides a cross-sectional picture of IOP levels. To get an overall picture, including nocturnal IOP estimates, a home tonometry unit can provide valuable information. This article discusses the various sources that influence IOP measurement, home tonometers that are currently available, and the growing body of evidence that shows how home tonometry can be helpful in the care of individuals at risk for progression of glaucoma. Keywords: home tonometry, intraocular pressure, sources of errors, telemetry
Jones, Sophie; McLoughlin, Siobhan; Piovesan, Dana; Savoia, Helen; Monagle, Paul; Newall, Fiona
The complexity of managing children with chronic disease has led to an increase in the use of long-term warfarin therapy. Time in therapeutic range (TTR) is the preferred method for determining efficacy and stability of warfarin management. This study aimed to determine the TTR achievement and incidence of adverse events among pediatric warfarin patients managed by an anticoagulation clinic over 12 months and to compare TTR achievement between patients self-testing (PST) at home and those monitored using routine methods. International normalized ratio (INR) results reported for 2012 for children currently having their warfarin therapy managed by a dedicated pediatric anticoagulation clinic were analyzed. Warfarin-related adverse events were recorded. A total of 164 patients were included. In total, 93 children performed PST and 71 children tested their INR at a hospital or pathology service. TTR achievement for the cohort was 67.1% (95% confidence interval, 64.4-69.7). A total of 69.2% of INR tests conducted at home were within the TTR compared with 64.3% of INR tests conducted at a hospital or pathology service (P=0.07). One major bleeding event occurred and there was 1 thrombotic episode. PST demonstrated noninferior warfarin stability compared with routine methods. Routine outcome evaluation of pediatric anticoagulation management within single institutions is necessary to confirm the success of such programs. PMID:26808370
Ying Fong, Yoly Yeuk; Yu, Marco; Young, Alvin Lerrmann; Jhanji, Vishal
Abstract We compared the clinical presentation and treatment outcomes of corneal and scleral perforations in geriatric nursing home residents, geriatric community residents, and non-geriatric population. The medical records of patients who were treated for corneal and scleral perforations at the Prince of Wales Hospital, Hong Kong between January 1, 2004 and May 1, 2013, were reviewed retrospectively. Of 144 cases, 53 (37%) occurred in the geriatric population, of which 16 (11%) lived in nurs...
Renata Cesar Torres
Full Text Available This study is a teaching case that deals with a managerial problem faced by a medium-size Brazilian company. Amendopar was a family business in the peanut products industry that operated in the Brazilian market for 47 years. The Londrina, Paraná unit was operating close to its maximum production capacity, imposing a limit to the company’s growth. Having an already well established position in its state of origin, the owners were considering expanding into other markets. There was also interest on their part because of the tax benefits they would reap by establishing a new production unit in São Paulo State. However, the challenge at this time was to decide whether it was the right time to make this move and how much investment would be required. These decisions would be made at a meeting to be held and for which the Industrial Director was preparing.
Eugene-Ezebilo, Doreen N.; Ezebilo, Eugene Ejike
Objective: To examine the medicines and dosage that mothers who engage in home-based malaria management administer to children aged ≤ 5 years having signs and symptoms associated with malaria and to discuss the possibilities of designing an effective home-based malaria management strategy. Methods: The data were obtained from face-to-face semi-structured interviews conducted with mothers in the Ugbowo Community of Benin City, Nigeria who were selected using multi-stage systematic random s...
Peoples, Hanne; Brandt, Åse; Wæhrens, Eva Elisabet Ejlersen;
Background: People with advanced cancer are increasingly able to live for extended periods of time. Advanced cancer influences the ability to manage occupations in the everyday life. Although studies have showed that people with advanced cancer experience occupational difficulties, there are...... limited research that more specifically explore how these are managed. The objective was to describe and explore how people with advanced cancer manage occupations at home. Material and methods: A qualitative descriptive design was applied. 73 participants were consecutively recruited from a Danish...... “Everyday life under change” and two sub-categories 1) Appling strategies to manage occupations in everyday life and 2) Preserving a meaningful everyday life. Significance: The findings suggest that people with advanced cancer, to a greater extent, should be supported in exploring familiar as well as new...
Garavaglia, Giulia; Lettieri, Emanuele; Agasisti, Tommaso; Lopez, Silvano
This study investigates efficiency and quality of care in nursing homes. By means of Data Envelopment Analysis (DEA), the efficiency of 40 nursing homes that deliver their services in the north-western area of the Lombardy Region was assessed over a 3-year period (2005-2007). Lombardy is a very peculiar setting, since it is the only Region in Italy where the healthcare industry is organised as a quasi-market, in which the public authority buys health and nursing services from independent providers-establishing a reimbursement system for this purpose. The analysis is conducted by generating bootstrapped DEA efficiency scores for each nursing home (stage one), then regressing those scores on explanatory variables (stage two). Our DEA model employed two input (i.e. costs for health and nursing services and costs for residential services) and three output variables (case mix, extra nursing hours and residential charges). In the second-stage analysis, Tobit regressions and the Kruskall-Wallis tests of hypothesis to the efficiency scores were applied to define what are the factors that affect efficiency: (a) the ownership (private nursing houses outperform their public counterparts); and (b) the capability to implement strategies for labour cost and nursing costs containment, since the efficiency heavily depends upon the alignment of the costs to the public reimbursement system. Lastly, even though the public institutions are less efficient than the private ones, the results suggest that public nursing homes are moving towards their private counterparts, and thus competition is benefiting efficiency. PMID:20922483
Schneider, J.; Klein, A.; Mannweiler, C.; Schotten, H. D.
This paper presents an overview of state-of-the-art architectures for integrating wireless sensor and actuators networks into the Future Internet. Furthermore, we will address advantages and disadvantages of the different architectures. With respect to these criteria, we develop a new architecture overcoming these weaknesses. Our system, called Smart Home Context Management System, will be used for intelligent home utilities, appliances, and electronics and includes physical, logical as well as network context sources within one concept. It considers important aspects and requirements of modern context management systems for smart X applications: plug and play as well as plug and trust capabilities, scalability, extensibility, security, and adaptability. As such, it is able to control roller blinds, heating systems as well as learn, for example, the user's taste w.r.t. to home entertainment (music, videos, etc.). Moreover, Smart Grid applications and Ambient Assisted Living (AAL) functions are applicable. With respect to AAL, we included an Emergency Handling function. It assures that emergency calls (police, ambulance or fire department) are processed appropriately. Our concept is based on a centralized Context Broker architecture, enhanced by a distributed Context Broker system. The goal of this concept is to develop a simple, low-priced, multi-functional, and save architecture affordable for everybody. Individual components of the architecture are well tested. Implementation and testing of the architecture as a whole is in progress.
Reviewed by Dr. Adnan BOYACI
161Case Studies in Knowledge ManagementEdited by Murray JennexHersley: PA: Idea Group, 2005, pp. 372, ISBN 1-59140-352-9Reviewed by Dr. Adnan BOYACIAnadolu UniversityEskişehir-TurkeyKnowledge management (KM) as a structured system and the way to the effectiveness isrelatively new field for the contemporary organizations functioning in different andcompetitive domain of public and private sectors in terms of getting optimal effectivenessunderlined by the concepts such as quality, productivity…...
This thesis discusses the importance of inventory management, specifically focusing on order delivery management. The thesis is written for a case company, Xerox Oy, the Finn-ish subsidiary of printing industry corporation Xerox Corporation. The thesis discusses how to optimize order sizes and the size of the customer inventory from the service provider’s point of view. While it is at times important for the customer to maintain high inventory levels in order to maintain steady productio...
Building science research supports installing exterior (soil side) foundation insulation as the optimal method to enhance the hygrothermal performance of new homes. With exterior foundation insulation, water management strategies are maximized while insulating the basement space and ensuring a more even temperature at the foundation wall. This project describes an innovative, minimally invasive foundation insulation upgrade technique on an existing home that uses hydrovac excavation technology combined with a liquid insulating foam. Cost savings over the traditional excavation process ranged from 23% to 50%. The excavationless process could result in even greater savings since replacement of building structures, exterior features, utility meters, and landscaping would be minimal or non-existent in an excavationless process.
Jablonski, Anita; Ersek, Mary
The purpose of this study was to determine the extent to which nursing home staff adhere to current evidence-based guidelines to assess and manage persistent pain experienced by elderly residents. A retrospective audit was conducted of the medical records of 291 residents of 14 long-term care facilities in western Washington State. Data revealed a gap between actual practice and current best practice. Assessment of persistent pain was limited primarily to intensity and location. Although prescribing practices were more in line with evidence-based guidelines, a significant number of residents did not obtain adequate pain relief. Nonpharmacological pain management methods were rarely implemented. Nursing home staff and administrators must critically examine both system and individual staff reasons for failure to comply with best pain management practices. Research is needed to determine factors that contribute to less-than-optimal adherence to evidence-based guidelines for pain management, as well as the best methods for implementing practice change. PMID:19650621
Koder, Deborah; Hunt, Glenn E; Davison, Tanya
Aim To identify the most common and distressing behavioural and psychological symptoms of dementia (BPSD) in nursing homes and to identify staff preferences regarding its behavioural management. Method A descriptive cross-sectional survey was completed by a self-selected sample of 247 staff working in 21 nursing homes in a defined catchment area. The survey contained items relating to experience in aged care work, attitudes towards BPSD, ratings of the importance of certain behavioural strategies for managing BPSD, and the Challenging Behaviour Scale. Results Shouting, wandering and restlessness had the highest incidence, frequency and difficulty ratings. Frequency of BPSD and level of satisfaction with how they were managed had the greatest effect on overall level of difficulty in managing behaviours. Staff rated discussing behavioural concerns at a group level and with senior nursing staff as the most important behavioural strategies. Conclusion A strong relationship was found between frequency and difficulty of BPSD. Therefore, interventions targeted at lowering frequency of BPSD are recommended. Communication across a number of levels may enhance the implementation of behavioural interventions. PMID:25430844
Hye-Kyoung Jeon; Jung-Hyun Lee; Kee-Wook Rim; Yang-Jae Park
This paper presents a system to alert of dangerous a child situation of a child by applying context information collected from a home network to ontology that is capable of inference. Radio frequency Identification (RFID) and sensors were used for the configuration of a home network, to obtain the raw data to convert into context information. To express the ontology, web ontology language (OWL) was used to provide the inference of context information. Then, simple object access protocol (SOAP) messages were used to notify of the dangerous situations that a child may be involved in via mobile devices. The proposed system consists of Context Manager, Service Manager, and Notification Manager. The child's safety management system can proactively detect the context data of a child on the basis of context awareness. In the experiment, the Jena 2.0 by ontology reasoner and the OSGi(Open Service Gateway initiative) Gateway developed using open source software Knopflerfish 1.3.3 were used to implement the service frame work.
Full Text Available With the exploding power consumption in private households and increasing environmental and regulatory restraints, the need to improve the overall efficiency of electrical networks has never been greater. That being said, the most efficient way to minimize the power consumption is by voluntary mitigation of home electric energy consumption, based on energy-awareness and automatic or manual reduction of standby power of idling home appliances. Deploying bi-directional smart meters and home energy management (HEM agents that provision real-time usage monitoring and remote control, will enable HEM in “smart households.” Furthermore, the traditionally inelastic demand curve has began to change, and these emerging HEM technologies enable consumers (industrial to residential to respond to the energy market behavior to reduce their consumption at peak prices, to supply reserves on a as-needed basis, and to reduce demand on the electric grid. Because the development of smart grid-related activities has resulted in an increased interest in demand response (DR and demand side management (DSM programs, this paper presents some popular DR and DSM initiatives that include planning, implementation and evaluation techniques for reducing energy consumption and peak electricity demand. The paper then focuses on reviewing and distinguishing the various state-of-the-art HEM control and networking technologies, and outlines directions for promoting the shift towards a society with low energy demand and low greenhouse gas emissions. The paper also surveys the existing software and hardware tools, platforms, and test beds for evaluating the performance of the information and communications technologies that are at the core of future smart grids. It is envisioned that this paper will inspire future research and design efforts in developing standardized and user-friendly smart energy monitoring systems that are suitable for wide scale deployment in homes.
Latour, Corine H. M.; Bosmans, Judith E.; van Tulder, Maurits W.; de Vos, Rien; Huyse, Frits J.; de Jonge, Peter; van Gemert, Liesbeth A. M.; Stalman, Wim A. B.
Objective: The objective of this study was to evaluate the cost-effectiveness of a nurse-led, home-based, case-management intervention (NHI) after hospital discharge in addition to usual care. Methods: Economic evaluation alongside a randomized controlled trial after being discharged home with 24 we
Davis, M A; Freeman, J W; Kirby, E C
OBJECTIVE: To examine the effect of case mix-adjusted reimbursement policy and market factors on nursing home performance. DATA SOURCES AND STUDY SETTING: Data from Medicaid certification inspection surveys, Medicaid cost reports, and the Kentucky State Center for Health Statistics for the years 1989 and 1991, to examine changes in nursing home performance stemming from the adoption of case mix-adjusted reimbursement in 1990. STUDY DESIGN: In addition to cross-sectional regressions, a first-d...
Braham, Melissa; Miller, Tricia A.; Duerr, Adam E.; Lanzone, Michael; Fesnock, Amy; LaPre, Larry; Driscoll, Daniel; Katzner, Todd Eli
Renewable energy is expanding quickly with sometimes dramatic impacts to species and ecosystems. To understand the degree to which sensitive species may be impacted by renewable energy projects, it is informative to know how much space individuals use and how that space may overlap with planned development. We used global positioning system–global system for mobile communications (GPS-GSM) telemetry to measure year-round movements of golden eagles (Aquila chrysaetos) from the Mojave Desert of California, USA. We estimated monthly space use with adaptive local convex hulls to identify the temporal and spatial scales at which eagles may encounter renewable energy projects in the Desert Renewable Energy Conservation Plan area. Mean size of home ranges was lowest and least variable from November through January and greatest in February–March and May–August. These monthly home range patterns coincided with seasonal variation in breeding ecology, habitat associations, and temperature. The expanded home ranges in hot summer months included movements to cooler, prey-dense, mountainous areas characterized by forest, grasslands, and scrublands. Breeding-season home ranges (October–May) included more lowland semi-desert and rock vegetation. Overlap of eagle home ranges and focus areas for renewable energy development was greatest when eagle home ranges were smallest, during the breeding season. Golden eagles in the Mojave Desert used more space and a wider range of habitat types than expected and renewable energy projects could affect a larger section of the regional population than was previously thought.
Darkins, Adam; Ryan, Patricia; Kobb, Rita; Foster, Linda; Edmonson, Ellen; Wakefield, Bonnie; Lancaster, Anne E
Between July 2003 and December 2007, the Veterans Health Administration (VHA) introduced a national home telehealth program, Care Coordination/Home Telehealth (CCHT). Its purpose was to coordinate the care of veteran patients with chronic conditions and avoid their unnecessary admission to long-term institutional care. Demographic changes in the veteran population necessitate VHA increase its noninstitutional care (NIC) services 100% above its 2007 level to provide care for 110,000 NIC patients by 2011. By 2011, CCHT will meet 50% of VHA's anticipated NIC provision. CCHT involves the systematic implementation of health informatics, home telehealth, and disease management technologies. It helps patients live independently at home. Between 2003 and 2007, the census figure (point prevalence) for VHA CCHT patients increased from 2,000 to 31,570 (1,500% growth). CCHT is now a routine NIC service provided by VHA to support veteran patients with chronic conditions as they age. CCHT patients are predominantly male (95%) and aged 65 years or older. Strict criteria determine patient eligibility for enrollment into the program and VHA internally assesses how well its CCHT programs meet standardized clinical, technology, and managerial requirements. VHA has trained 5,000 staff to provide CCHT. Routine analysis of data obtained for quality and performance purposes from a cohort of 17,025 CCHT patients shows the benefits of a 25% reduction in numbers of bed days of care, 19% reduction in numbers of hospital admissions, and mean satisfaction score rating of 86% after enrolment into the program. The cost of CCHT is $1,600 per patient per annum, substantially less than other NIC programs and nursing home care. VHA's experience is that an enterprise-wide home telehealth implementation is an appropriate and cost-effective way of managing chronic care patients in both urban and rural settings. PMID:19119835
Full Text Available Aim: Anticoagulants (AC and anti-platelet (AP agents are widely administered to patients with hematological malignancies (HM. However, HM patients may be at high risk of bleeding and hemorrhagic complications, because of different form of coagulopathies and several degrees of thrombocytopenia. Materials and Methods: A prospective evaluation of the use of anticoagulant and anti-thrombotic agents as well as of bleeding and thrombotic complications in a consecutive cohort of patients, which were followed during the first semester of 2010 by our home care service, was performed. In this regard, three pharmacological class of agents, such as oral anticoagulants (warfarin and acenocumarine, low molecular weight heparin (LMWH and anti-platelet (AP drugs were considered. Results: Out of 129 patients, 26 (20% were treated with AC/AP drugs. Warfarin, acenocumarine, LMWH as well as AP were used in 7, 11 and 12 patients, respectively. Adverse events (bleeding were observed in 3 patients (11.5%, 2 cases being on warfarin (replaced by LMWH and 1 being AP (suspension without replacement; out of the 3 patients with bleeding, none presented thrombocytopenia. Conclusions: Despite the frequent findings of hemostatic disorders in a population of frail patients managed in a home care setting, our experience demonstrated that the use of AC/AP drugs has been very rarely responsible for significant complications.
Highlights: • A home energy management system (HEMS) model including PV and battery is developed. • Impact of load and PV forecast errors on household economics are examined. • Real HEMS data on 160 households are used for the verification. • The contribution of HEMS to the central power grid is examined. - Abstract: Demand-side energy management systems (EMSs) are expected to be used as a method for further balancing the supply and demand of power systems with high levels of renewable energy generation, such as photovoltaic (PV) power. Energy demand and solar radiation must be predicted to realize the optimal operation scheduling of demand-side appliances by a home energy management system (HEMS), including heat pump water heaters, PV systems, and solar-powered water heaters. This paper presents a HEMS model that controls a residential battery system connected to a rooftop PV system taking into account of energy load and PV generation forecast errors. Forecast accuracy is verified by real HEMS data from 160 households; the impact of forecast errors on household economics is examined. Furthermore, the contribution to the entire power system is examined using the model under the dynamic pricing system
Zhu, Shuguang; He, Wenzhi; Li, Guangming; Zhuang, Xuning; Huang, Juwen; Liang, Honggen; Han, Yuebin
The ever-increasing amount of waste electric and electronic equipment (WEEE) has become a global problem. In view of the deleterious effects of WEEE on the environment and the valuable materials that can be reused in them, many countries have focused their attention on the management of WEEE and the recovery technologies of WEEE. The Chinese government has been active in creating a legislative and institutional framework to realize WEEE recycling. In June 2009, Chinese government launched home appliances and electronics trade-in implementation solution. This paper elaborates the home appliances trade-in policy and its significant impact on the WEEE management. The trade-in policy is not only conducive to expanding the consumption demand and promoting the balance of domestic and overseas demand, but also favorable to improving the energy efficiency and reducing environmental pollution. Under this policy, China has successfully established an effective WEEE recycling system, using the financial means and network design. Experiences gained from the trade-in policy have shown that management systems of WEEE need to be designed and implemented in a multi-stakeholder dialogue. PMID:22492263
Full Text Available In recent years, sensors become popular and Home Energy Management System (HEMS takes an important role in saving energy without decrease in QoL (Quality of Life. Currently, many rule-based HEMSs have been proposed and almost all of them assume “IF-THEN” rules. The Rete algorithm is a typical pattern matching algorithm for IF-THEN rules. Currently, we have proposed a rule-based Home Energy Management System (HEMS using the Rete algorithm. In the proposed system, rules for managing energy are processed by smart taps in network, and the loads for processing rules and collecting data are distributed to smart taps. In addition, the number of processes and collecting data are reduced by processing rules based on the Rete algorithm. In this paper, we evaluated the proposed system by simulation. In the simulation environment, rules are processed by a smart tap that relates to the action part of each rule. In addition, we implemented the proposed system as HEMS using smart taps.
Kawakami, Tomoya; Fujita, Naotaka; Yoshihisa, Tomoki; Tsukamoto, Masahiko
In recent years, sensors become popular and Home Energy Management System (HEMS) takes an important role in saving energy without decrease in QoL (Quality of Life). Currently, many rule-based HEMSs have been proposed and almost all of them assume "IF-THEN" rules. The Rete algorithm is a typical pattern matching algorithm for IF-THEN rules. Currently, we have proposed a rule-based Home Energy Management System (HEMS) using the Rete algorithm. In the proposed system, rules for managing energy are processed by smart taps in network, and the loads for processing rules and collecting data are distributed to smart taps. In addition, the number of processes and collecting data are reduced by processing rules based on the Rete algorithm. In this paper, we evaluated the proposed system by simulation. In the simulation environment, rules are processed by a smart tap that relates to the action part of each rule. In addition, we implemented the proposed system as HEMS using smart taps. PMID:25136672
Hsu, Clarissa; Coleman, Katie; Ross, Tyler R; Johnson, Eric; Fishman, Paul A; Larson, Eric B; Liss, David; Trescott, Claire; Reid, Robert J
Health care leaders and policymakers are turning to the patient-centered medical home (PCMH) model to contain costs, improve the quality of care, and create a more positive primary care work environment. We describe how Group Health, an integrated delivery system, developed and implemented a PCMH intervention that included standardized structural and practice level changes. This intervention was spread to a diverse set of 26 primary care practices in 14 months using Lean Management principles. Group Health's experience provides valuable insights that can be used to improve the design and implementation of future PCMH models. PMID:22415283
Mykhaylenko, Alona; Wæhrens, Brian Vejrum; Slepniov, Dmitrij
For many globally dispersed organizations the home base (HB) is historically the locus of integrative, coordinating and innovating efforts, important for the overall performance. The growing concerns about the offshoring strategies posing threats to the capabilities of the HB draw attention to how...... a HB can continuously sustain its centrality. The well-known challenges of distance in the distributed working arrangements may be regarded as a major threat to the network management capabilities (NMCs) of the HB. Therefore, this paper investigates what role does distance between the HB and its...
Noamesi, Paul; Tetteh, Theodora
This study examines how cultural diversity is managed in the work environment in care homes and cleaning services in Finland. The health care and cleaning services sectors were chosen primarily due to the high number of immigrants working in these sectors. The Finnish Labour Ministry pro-jects that the number of immigrant workers will increase by the year 2025 particularly in the health care and other services sectors due to the aging population of the Finnish labour force and the low birth r...
Peláez, Víctor; González, Roberto; San Martín, Luis Ángel; Campos, Antonio; Lobato, Vanesa
Hardware device management, and context information acquisition and abstraction are key factors to develop the ambient intelligent paradigm in smart homes. This work presents an architecture that addresses these two problems and provides a usable framework to develop applications easily. In contrast to other proposals, this work addresses performance issues specifically. Results show that the execution performance of the developed prototype is suitable for deployment in a real environment. In addition, the modular design of the system allows the user to develop applications using different techniques and different levels of abstraction.
Full Text Available Low-flow priapism can result in impotence if treatment is delayed, yet patients with recurrent priapism often suffer delay before therapy. We describe management of recurrent priapism using self-administered injections of intracavernosal metaraminol (Aramine™, Merck, a long-acting vasoconstricting amine that is considered safer than epinephrine. The patient injects as often as once daily using 5-10 mg of drug. Our patient reports rapid detumescence and has not required emergency room visits since starting injections. He denies complications. Treatment of priapism using metaraminol has been suggested in the hospital setting; however, this is the first report of successful home self-administration of the drug.
Norton, P.; Christensen, C.; Hancock, E.; Barker, G.; Reeves, P.
The design of this 1,280-square-foot, three-bedroom Habitat for Humanity of Metro Denver zero energy home carefully combines envelope efficiency, efficient equipment, appliances and lighting, and passive and active solar features to reach the zero energy goal. The home was designed with an early version (July 22, 2004) of the BEOpt building optimization software; DOE2 and TRNSYS were used to perform additional analysis. This engineering approach was tempered by regular discussions with Habitat construction staff and volunteers. These discussions weighed the applicability of the optimized solutions to the special needs and economics of a Habitat house--moving the design toward simple, easily maintained mechanical systems and volunteer-friendly construction techniques. A data acquisition system was installed in the completed home to monitor its performance.
Jacky Siu-Lun Ting
Full Text Available Risk management is a decision-making process involving considerations of political, social, economic and engineering factors with relevant risk assessments relating to a potential hazard. In the last decade, a number of risk management tools are introduced and employed to manage and minimize the uncertainty and threats realization to the organizations. However, the focus of these methodologies are different; in which companies need to adopt various risk management principles to visualize a full picture of the organizational risk level. Regarding to this, this paper presents a new approach of risk management that integrates Hierarchical Holographic Modeling (HHM, Enterprise Risk Management (ERM and Business Recovery Planning (BCP for identifying and assessing risks as well as managing the consequences of realized residual risks. To illustrate the procedures of the proposed methodology, a logistic company ABC Limited is chosen to serve as a case study Through applying HHM and ERM to investigate and assess the risk, ABC Limited can be better evaluated the potential risks and then took the responsive actions (e.g. BCP to handle the risks and crisis in near future.
In this 18-home community, all homes are LEED Platinum and meet ENERGY STAR for Homes Version 3 requirements, HERS 23–53. Half way through the project, Habitat for Humanity heard about the DOE Challenge Home program and signed on, committing to build the next home, a three-bedroom, two-bath, 1,143 ft2 duplex, to Challenge Home criteria. The home is the first DOE Challenge Home in Manatee County, and was awarded a 2013 Housing Innovation Award in the affordable builder category.
Long, J; Brostoff, S
This paper reports research, which aims to validate design knowledge, as the products of a structured analysis and design method (MUSE – Lim and Long, 1994). The products or ‘containers’ of the method (MUSE(C)) are used in the re-design of a range of domestic technologies, intended to support dementia care in the home. The case-study is judged a success. An evaluation showed the technologies to be more effective following re-design. The design products were shown to be correctly operationalis...
Maytham S. Ahmed
Full Text Available Demand response (DR program can shift peak time load to off-peak time, thereby reducing greenhouse gas emissions and allowing energy conservation. In this study, the home energy management scheduling controller of the residential DR strategy is proposed using the hybrid lightning search algorithm (LSA-based artificial neural network (ANN to predict the optimal ON/OFF status for home appliances. Consequently, the scheduled operation of several appliances is improved in terms of cost savings. In the proposed approach, a set of the most common residential appliances are modeled, and their activation is controlled by the hybrid LSA-ANN based home energy management scheduling controller. Four appliances, namely, air conditioner, water heater, refrigerator, and washing machine (WM, are developed by Matlab/Simulink according to customer preferences and priority of appliances. The ANN controller has to be tuned properly using suitable learning rate value and number of nodes in the hidden layers to schedule the appliances optimally. Given that finding proper ANN tuning parameters is difficult, the LSA optimization is hybridized with ANN to improve the ANN performances by selecting the optimum values of neurons in each hidden layer and learning rate. Therefore, the ON/OFF estimation accuracy by ANN can be improved. Results of the hybrid LSA-ANN are compared with those of hybrid particle swarm optimization (PSO based ANN to validate the developed algorithm. Results show that the hybrid LSA-ANN outperforms the hybrid PSO based ANN. The proposed scheduling algorithm can significantly reduce the peak-hour energy consumption during the DR event by up to 9.7138% considering four appliances per 7-h period.
Rabiee, Parvaneh; Glendinning, Caroline
Purpose: This paper reports the experiences of older people who use council-managed personal budgets (PBs) to fund home care services and their satisfaction with the level of choice and control they are able to exercise. Design/methodology/approach: Data were collected from 18 older people from eight home care agencies across three councils in England. All interviews were semi-structured and face-to-face. Findings: Despite some optimism about improvements in choice and flexibility experienced...
Jiang, Tao; Yu, Ping; Hailey, David; Ma, Jun; Yang, Jie
To obtain indications of the influence of electronic health records (EHR) in managing risks and meeting information system accreditation standard in Australian residential aged care (RAC) homes. The hypothesis to be tested is that the RAC homes using EHR have better performance in meeting information system standards in aged care accreditation than their counterparts only using paper records for information management. Content analysis of aged care accreditation reports from the Aged Care Standards and Accreditation Agency produced between April 2011 and December 2013. Items identified included types of information systems, compliance with accreditation standards, and indicators of failure to meet an expected outcome for information systems. The Chi-square test was used to identify difference between the RAC homes that used EHR systems and those that used paper records in not meeting aged care accreditation standards. 1,031 (37.4%) of 2,754 RAC homes had adopted EHR systems. Although the proportion of homes that met all accreditation standards was significantly higher for those with EHR than for homes with paper records, only 13 RAC homes did not meet one or more expected outcomes. 12 used paper records and nine of these failed the expected outcome for information systems. The overall contribution of EHR to meeting aged care accreditation standard in Australia was very small. Risk indicators for not meeting information system standard were no access to accurate and appropriate information, failure in monitoring mechanisms, not reporting clinical incidents, insufficient recording of residents' clinical changes, not providing accurate care plans, and communication processes failure. The study has provided indications that use of EHR provides small, yet significant advantages for RAC homes in Australia in managing risks for information management and in meeting accreditation requirements. The implication of the study for introducing technology innovation in RAC in
Sobkowski, D A; Maquera, V
A practical application of a neurology case management healthcare delivery mode results in increased access to specialty providers, shorter follow-up periods, and improved continuity of medical care. The program described in the following sections was developed at a naval hospital for the ongoing evaluation of therapeutic schemes to optimize headache therapy and, 1 year after implementation, shows improvement in patient outcomes and resource use. PMID:9192570
Full Text Available Chi-Hung Lin1, Hsien-Te Huang1, Chia-Chang Chien1, Dong-Sheng Tzeng1,2, For-Wey Lung1,3–51Department of Psychiatry, Kaohsiung Armed Forces General Hospital, Kaohsiung, Taiwan; 2Graduate Institute of Occupational Safety and Health; 3Graduate Institute of Behavioral Sciences, Kaohsiung Medical University, Kaohsiung, Taiwan; 4Department of Psychiatry, National Defense Medical Center, Taipei, Taiwan; 5Calo Psychiatric Center, Pingtung County, TaiwanAbstract: Purple urine bag syndrome (PUBS is a rare occurrence, in which the patient has a purple-colored urine bag following urinary catheterization for hours to days. Most of authors believe it is a mixture of indigo (blue and indirubin (red that becomes purple. Previous study showed that PUBS occurred predominantly in chronically catheterized, constipated women. We collected 10 elderly patients with PUBS in two nursing homes. The first two cases were identified by chart review in 1987 and 2003, and then later eight cases (42.1% were collected among 19 urinary catheterized elderly in the period between January 2007 and June 2007. In the present report, PUBS probably can occur in any patients with the right elements, namely urinary tract infection (UTI with bacteria possessing these enzymes, diet with enough tryptophan, and being catheterized. Associations with bed-bound state, Alzheimer’s, or dementia from other causes are reflections of the state of such patients who are at higher risk for UTI, and hence PUBS occurred. Although we presented PUBS as a harmless problem, prevention and control of the nosocomial catheter-associated UTIs (CAUTIs has become very important in the new patient-centered medical era. Thus, we should decrease the duration of catheterization, improve catheter care, and deploy technological advances designed for prevention, especially in the elderly cared for in nursing homes.Keyword: purple urine bag syndrome, indigo, indirubin, nursing home, bacteriuria, indoxyl sulphatase
A combination of diminished reimbursement, decreased funding for residency programs, an epidemic of claims denials, and the skilled nursing crisis has imperiled teaching hospitals across the country. Increasingly, these hospitals are looking to case management departments as potential saviors. In the short term, that could mean more staff and a beefier budget, but if your department can't produce, cuts later on could be drastic. The University of Pennsylvania Health System in Philadelphia lost $90 million in FY1998 and responded by cutting 1,100 positions--9% of its work force. The case management department lost eight positions and is trying to take up the slack with a massive reorganization of its care delivery system and a rigorous education program designed to reduce claims denials. At Georgetown University Medical Center in Washington, DC, however, case management staff and resources have been increased for now. The department is using its new-found prosperity to thoroughly screen all incoming patients for appropriateness of admission, upgrade its discharge planning capabilities, and hire a full-time employee to appeal denied claims. PMID:10557727
S&A Homes worked with Building America's IBACOS and architects Pfaffmann & Associates and Moss Associates to design energy-efficient homes for urban in-fill lots. This is a new market for S&A Homes, which builds over 500 homes a year using suburban designs.
Mottiar, Ziene; Quinn, Bernadette
This article investigates the role played by holiday home owners in shaping leisure / tourism places. Having reviewed recent trends in the holiday home literature, the paper argues the literature has failed to adequately consider how this group of actors can play a role in developing leisure / tourism places. The research is case study based and reports the findings of a study undertaken in Courtown, a small seaside resort in the Republic of Ireland. Specifically, it investigates the role tha...
This single-family home built in a peat bog has underground storage tanks and drainage tanks, blown fiberglass insulation, coated rigid polyisocyanurate, and flashing. The 3,600-square-foot custom home built by Weiss Building & Development LLC is the first home in Illinois certified to the DOE Challenge Home criteria, which requires that homes meet the EPA Indoor airPlus guidelines.The builder won a 2013 Housing Innovation Award in the custom builder category.
In this pilot project, the Building America Partnership for Improved Residential Construction and Florida Power and Light are collaborating to retrofit a large number of homes using a phased approach to both simple and deep retrofits. This project will provide the information necessary to significantly reduce energy use through larger community-scale projects in collaboration with utilities, program administrators and other market leader stakeholders.
Full Text Available Abstract Background Constipation is a significant problem in the elderly, specifically nursing home and/or extended-care facility residents are reported to suffer from constipation. Lactic acid bacteria (LAB are beneficial probiotic organisms that contribute to improved nutrition, microbial balance, and immuno-enhancement of the intestinal tract, as well as diarrhea and constipation effect. The objective of this study was to investigate the efficacy of this LAB supplement in the management of nursing home residents. Methods Nineteen subjects (8M, 11F; mean age 77.1 ± 10.1 suffering with chronic constipation were assigned to receive LAB (3.0 × 1011 CFU/g twice (to be taken 30 minutes after breakfast and dinner a day for 2 weeks in November 2008. Subjects draw up a questionnaire on defecation habits (frequency of defecation, amount and state of stool, and we collected fecal samples from the subjects both before entering and after ending the trial, to investigate LAB levels and inhibition of harmful enzyme activities. Results were tested with SAS and Student's t-test. Results Analysis of questionnaire showed that there was an increase in the frequency of defecation and amount of stool excreted in defecation habit after LAB treatment, but there were no significant changes. And it also affects the intestinal environment, through significantly increase (p p Conclusion LAB, when added to the standard treatment regimen for nursing home residents with chronic constipation, increased defecation habit such as frequency of defecation, amount and state of stool. So, it may be used as functional probiotics to improve human health by helping to prevent constipation.
In recent years, case management has been recognized as a key in improving healthcare quality and reducing costs, but while hospitals are giving case managers more responsibilities, many administrators are not approving an increase in staff to handle the extra work. Case managers can help their hospital succeed with the Centers for Medicare & Medicaid Services' Value-based Purchasing program, the readmission reduction program, and bundled payments. Case management directors should make sure the hospital's senior leadership understands the roles and responsibilities of case managers and how their interventions can affect outcomes and the bottom line. The number of caseloads depends on the case management model, the responsibilities of case managers, and whether they have assistants or case management extenders who can take over some tasks and allow the licensed staff to work at the top of their licenses. Don't let technology replace communication and patient-centered interactions. PMID:26427224
Full Text Available This case study serve as exemplar regarding what can go wrong with the implementation of an electronic document management system. Knowledge agility and knowledge as capital, is outlined against the backdrop of the information society and knowledge economy. The importance of electronic document management and control is sketched thereafter. The literature review is concluded with the impact of human resource management on knowledge agility, which includes references to the learning organisation and complexity theory. The intervention methodology, comprising three phases, follows next. The results of the three phases are presented thereafter. Partial success has been achieved with improving the human efficacy of electronic document management, however the client opted to discontinue the system in use. Opsomming Die gevalle studie dien as voorbeeld van wat kan verkeerd loop met die implementering van ’n elektroniese dokumentbestuur sisteem. Teen die agtergrond van die inligtingsgemeenskap en kennishuishouding word kennissoepelheid en kennis as kapitaal bespreek. Die literatuurstudie word afgesluit met die inpak van menslikehulpbronbestuur op kennissoepelheid, wat ook die verwysings na die leerorganisasie en kompleksietydsteorie insluit. Die metodologie van die intervensie, wat uit drie fases bestaan, volg daarna. Die resultate van die drie fases word vervolgens aangebied. Slegs gedeelte welslae is behaal met die verbetering van die menslike doeltreffendheid ten opsigte van elektroniese dokumentbestuur. Die klient besluit egter om nie voort te gaan om die huidige sisteem te gebruik nie.
Full Text Available Demand response (DR is an effective method to lower peak-to-average ratio of demand, facilitate the integration of renewable resources (e.g., wind and solar and plug-in hybrid electric vehicles, and strengthen the reliability of power system. In smart grid, implementing DR through home energy management system (HEMS in residential sector has a great significance. However, an algorithm that only optimally controls parts of HEMS rather than the overall system cannot obtain the best results. In addition, single objective optimization algorithm that minimizes electricity cost cannot quantify user’s comfort level and cannot take a tradeoff between electricity cost and comfort level conveniently. To tackle these problems, this paper proposes a framework of HEMS that consists of grid, load, renewable resource (i.e., solar resource, and battery. In this framework, a user has the ability to sell electricity to utility grid for revenue. Different comfort level indicators are proposed for different home appliances according to their characteristics and user preferences. Based on these comfort level indicators, this paper proposes a multiobjective optimization algorithm for HEMS that minimizes electricity cost and maximizes user’s comfort level simultaneously. Simulation results indicate that the algorithm can reduce user’s electricity cost significantly, ensure user’s comfort level, and take a tradeoff between the cost and comfort level conveniently.
Allcock Kerryanne; Jagannathan Balaji; Hood Christopher J; Marshall Mark R
Abstract Background Home hemodialysis is common in New Zealand and associated with lower cost, improved survival and better patient experience. We present the case of a fully trained home hemodialysis patient who exsanguinated at home as a result of an incorrect wash back procedure. Case presentation The case involves a 67 year old male with a history of well controlled hypertension and impaired glucose tolerance. He commenced on peritoneal dialysis in 2006 following the development of end st...
Day, Andrew; Hardcastle, Lesley; Birgden, Astrid
Case management is commonly regarded as the foundation of effective service provision across a wide range of human service settings. This article considers the case management that is offered to clients of community corrections, identifying the distinctive features of case management in this particular setting, and reviewing the empirical evidence…
Assessments of the impact of electrification on the quality of life of households in developing countries have increased over the last decade. One aspect that has still received little attention is education and the ability of children to keep up at school. The underlying hypothesis is that electrification enables children to do their homework in the evening and so keep up with their school work. To this first hypothesis we add a second one, concerning the relation between access to electricity and attendance to school according to gender. Although most household tasks are carried out by the mothers, their daughters are also involved, and electrification could have a beneficial effect by making easier for girls to do their homework in the evening and easier for the mothers to help them. We will check the validity of these hypotheses using a case study of 162 children attending school in a small town in northwestern Madagascar. - Research Highlights: → We use a sample of 162 children in Madagascar to test the effect of access to the electricity supply in home to the education of children. → We also test the effect to the electricity supply in home to gender-specificities. → Our results confirm that electrification can contribute to reduce social reproduction with regard to education. → Our results also show that electrification helps to reduce gender inequalities.
Ruth, Mark; Pratt, Annabelle; Lunacek, Monte; Mittal, Saurabh; Wu, Hongyu; Jones, Wesley
The combination of distributed energy resources (DER) and retail tariff structures to provide benefits to both utility consumers and the utilities is poorly understood. To improve understanding, an Integrated Energy System Model (IESM) is being developed to simulate the physical and economic aspects of DER technologies, the buildings where they reside, and feeders servicing them. The IESM was used to simulate 20 houses with home energy management systems on a single feeder under a time of use tariff to estimate economic and physical impacts on both the households and the distribution utilities. HEMS reduce consumers’ electric bills by precooling houses in the hours before peak electricity pricing. Household savings are greater than the reduction utility net revenue indicating that HEMS can provide a societal benefit providing tariffs are structured so that utilities remain solvent. Utilization of HEMS reduce peak loads during high price hours but shifts it to hours with off-peak and shoulder prices and resulting in a higher peak load.
Full Text Available In recent years, there is a global evolution in the way energy is generated and consumed due to climate change, energy independence and the impending decay of fossil fuels. It has seen a rise of interest in the deployment of multi agent systems in energy domains that inherently have uncertain and dynamic environments with limited resources. In such domains, the key challenge is to minimize the energy consumption while satisfying the comfort level of occupants in the buildings under uncertainty (regarding agent negotiation actions. This paper presents the new development for enhancement the performance of Power Management in Smart Home simulator. This development is based on the anticipatory and multi agent systems that used in this simulator.
This report summarizes a preliminary study aimed at estimating the potential of saving potable water, (and the electrical energy used to heat it), that is presently lost directly to the drain while occupants wait for hot water to arrive at the faucet (point of use). Data were collected from five single-family homes in Palo Alto, California. Despite the small sample size in this study, the results make a compelling case for retrofitting homes with hot water recirculation systems to eliminate unnecessary wastage of water at the point of use. Technical as well as behavioral and attitudinal changes towards water conservation are necessary for a fulfilling and successful conservation effort. This report focuses on the technical issues, but behavioral issues are also noted, which may be factored into future studies involving local and state governments and utility companies.
Full Text Available Rescuing data from inaccessible or damaged storage media for the purpose of preserving the digital data for the long term is one of the dimensions of digital archaeology. With the current pace of technological development, any system can become obsolete in a matter of years and hence the data stored in a specific storage media might not be accessible anymore due to the unavailability of the system to access the media. In order to preserve digital records residing in such storage media, it is necessary to extract the data stored in those media by some means.One early storage medium for home computers in the 1980s was audio tape. The first home computer systems allowed the use of standard cassette players to record and replay data. Audio cassettes are more durable than old home computers when properly stored. Devices playing this medium (i.e. tape recorders can be found in working condition or can be repaired, as they are usually made out of standard components. By re-engineering the format of the waveform and the file formats, the data on such media can then be extracted from a digitised audio stream and migrated to a non-obsolete format.In this paper we present a case study on extracting the data stored on an audio tape by an early home computer system, namely the Philips Videopac+ G7400. The original data formats were re-engineered and an application was written to support the migration of the data stored on tapes without using the original system. This eliminates the necessity of keeping an obsolete system alive for enabling access to the data on the storage media meant for this system. Two different methods to interpret the data and eliminate possible errors in the tape were implemented and evaluated on original tapes, which were recorded 20 years ago. Results show that with some error correction methods, parts of the tapes are still readable even without the original system. It also implies that it is easier to build solutions while original
An ever-increasing body of research explores the effectiveness of Home Energy Management Systems (HEMS) in achieving energy savings in households. To date, however, the overall life cycle impact of the HEMS itself has not been taken into account. Thus, no assessment has been made whether the amount of energy saved (esaved) outweighs the energy needed for production, use and disposal (einvested). Therefore, an eco-cost and a Cumulative Energy Demand (CED) method were used to analyze three distinct types of HEMS. Based on the literature, six scenarios were developed in order to find the break-even point, where einvested=esaved. The results show that the overall impact is dependent on the type of HEMS, and that if the duration of use is short and the achieved savings are small, the benefits do not always outweigh the environmental costs. Care should be taken not to develop HEMS with unnecessarily elaborate parts or functionalities and that their own electricity consumption is minimized. The paper concludes by discussing the implication for polices concerning the implementation of smart meters and HEMS and their design. - Highlights: • We conducted a lifecycle assessment of three Home Energy Management Systems (HEMS). • We developed six scenarios to find the breakeven point where einvested=esaved. • All three HEMS can achieve net energy savings over the course of five years. • Within the scenarios, it can take up to two years to achieve net energy savings. • No HEMS achieve a positive return on investment within five years in all scenarios
Full Text Available Research on smart homes (SHs has increased significantly in recent years because of the convenience provided by having an assisted living environment. The functions of SHs as mentioned in previous studies, particularly safety services, are seldom discussed or mentioned. Thus, this study proposes a semantic approach with decision support for safety service in SH management. The focus of this contribution is to explore a context awareness and reasoning approach for risk recognition in SH that enables the proper decision support for flexible safety service provision. The framework of SH based on a wireless sensor network is described from the perspective of neighbourhood management. This approach is based on the integration of semantic knowledge in which a reasoner can make decisions about risk recognition and safety service. We present a management ontology for a SH and relevant monitoring contextual information, which considers its suitability in a pervasive computing environment and is service-oriented. We also propose a rule-based reasoning method to provide decision support through reasoning techniques and context-awareness. A system prototype is developed to evaluate the feasibility, time response and extendibility of the approach. The evaluation of our approach shows that it is more effective in daily risk event recognition. The decisions for service provision are shown to be accurate.
Huang, Xiaoci; Yi, Jianjun; Zhu, Xiaomin; Chen, Shaoli
Research on smart homes (SHs) has increased significantly in recent years because of the convenience provided by having an assisted living environment. The functions of SHs as mentioned in previous studies, particularly safety services, are seldom discussed or mentioned. Thus, this study proposes a semantic approach with decision support for safety service in SH management. The focus of this contribution is to explore a context awareness and reasoning approach for risk recognition in SH that enables the proper decision support for flexible safety service provision. The framework of SH based on a wireless sensor network is described from the perspective of neighbourhood management. This approach is based on the integration of semantic knowledge in which a reasoner can make decisions about risk recognition and safety service. We present a management ontology for a SH and relevant monitoring contextual information, which considers its suitability in a pervasive computing environment and is service-oriented. We also propose a rule-based reasoning method to provide decision support through reasoning techniques and context-awareness. A system prototype is developed to evaluate the feasibility, time response and extendibility of the approach. The evaluation of our approach shows that it is more effective in daily risk event recognition. The decisions for service provision are shown to be accurate. PMID:27527170
Rabiner, D J; Stearns, S C; Mutran, E
OBJECTIVE. This study explored the relationship between participation in a home/community-based long-term care case management intervention (known as the Channeling demonstration), use of formal in-home care, and subsequent nursing home utilization. STUDY DESIGN. Structural analysis of the randomized Channeling intervention was conducted to decompose the total effects of Channeling on nursing home use into direct and indirect effects. DATA COLLECTION METHOD. Secondary data analysis of the Nat...
Beach, R. [IBACOS, Inc, Pittsburgh, PA (United States); Jones, A. [IBACOS, Inc, Pittsburgh, PA (United States)
This report explores the correlation between energy efficiency and the business success of home builders by examining a data set of builders and homes in the Colorado Springs, Colorado, market between 2006 and 2014. During this time, the Great Recession of 2007 to 2009 occurred, and new-home sales plummeted both nationally and in Colorado Springs. What is evident from an analysis of builders and homes in Colorado Springs is that builders who had Home Energy Rating System (HERS) ratings performed on some or all of their homes during the Recession remained in business during this challenging economic period. Many builders who did not have HERS ratings performed on their homes at that time went out of business or left the area. From the analysis presented in this report, it is evident that a correlation exists between energy efficiency and the business success of home builders, although the reasons for this correlation remain largely anecdotal and not yet clearly understood.
Reunanen, Markku; Silvast, Antti
This paper discusses the adoption of new technology by a hobbyist community known as the demoscene. The demoscene is chiefly a European community that originates from the mid-1980s and continues to exist even today. During its twenty years of existence, the demoscene has had to react to several changes in the field of information technology, in particular new hardware and software platforms. Based on the contemporary communication found in disk magazines and Internet forums we present case examples of the transitions and analyze the adoption processes. At large, the observations made serve as examples of the rich and unexpected ways in which the home computers were domesticated since the early 1980s.
Clinch, Alexandra; Le, Brian
Once it has been determined that aggressive medical treatment can no longer meet the goals of care for a ventilated patient, the process of withdrawing mechanical ventilation begins. This is a challenging clinical situation, drawing on the treating physician's skills including clinical decision making with consideration of the ethical and legal domains of practice, high level communication skills, intensive symptom control for the dying patient, and support for families throughout the episode, including bereavement. Central to the success of this process is recognition and respect for the needs and wishes of the patient and family. This case reports on the withdrawal of mechanical ventilation from a conscious patient in their own home, leading to death, following a prolonged hospital admission. PMID:21248178
Beach, R. [IBACOS, Inc., Pittsburgh, PA (United States); Jones, A. [IBACOS, Inc., Pittsburgh, PA (United States)
The building industry needs to understand how energy ratings can impact homebuilders. Of interest is how energy efficiency may or may not have a positive impact on homebuilders’ business success. Focusing on Colorado Springs, Colorado, as a case study, the U.S. Department of Energy’s Building America research team IBACOS suggests a win–win between a builder’s investment in energy efficiency and that builder’s ability to sell homes. Although this research did not ultimately determine why a correlation may exist, a builder’s investment in voluntary energy-efficiency programs correlated with that builder’s ability to survive the Great Recession of 2007 to 2009. This report explores the relationship between energy-efficiency ratings and the market performance of several builders in Colorado Springs.
Production builders in the Stapleton community of Denver, Colorado, now build 2,300-ft2 or larger homes that earn the U.S. Environmental Protection Agency (EPA) ENERGY STAR® through the Certified Homes Program, Version 3. These builders are repositioning to build comparably sized homes to the standards of the U.S. Department of Energy’s (DOE’s) Zero Energy Ready Home (ZERH) program. Most ZERH criteria align closely with ENERGY STAR and are familiar to these builders.
Peterson, G A; Drone, I D; Munetz, M R
Though ubiquitous in community mental health agencies, case management suffers from a lack of consensus regarding its definition, essential components, and appropriate application. Meaningful comparisons of various case management models await such a consensus. Global assessments of case management must be replaced by empirical studies of specific interventions with respect to the needs of specific populations. The authors describe a highly differentiated and prescriptive system of case management involving the application of more than one model of service delivery. Such a diversified and targeted system offers an opportunity to study the technology of case management in a more meaningful manner. PMID:9211044
This DOE Zero Energy Ready Home is one of a development of seven two-story homes that garnered a Production Builder award in the 2014 Housing Innovation Awards. Exceptional construction quality allowed the home to achieve a HERS score of 45 without photovoltaic, or HERS 26 with a 7-kW photovoltaic system included.
All homes in the Stapleton community must be ENERGY STAR certified; New Town Builders has announced that it will build 250–300 new homes over the next 7–10 years, all of which will be Challenge Homes. New Town received a 2013 Housing Innovation Award in the production builder category.
Kelly, Judy; Orr, Alison
As the proportion of older adults increases within the Canadian population, healthcare systems across the country are facing increased demands for home-based services, including home care nursing, rehabilitation, case management, adult day programs, respite, meal programs and home support. Home support is one of the core care services required in the community to enable older adults to remain at home as long as possible. In 2006, Vancouver Community introduced a new home support delivery and performance management model: the Accountability, Responsiveness and Quality for Clients Model of Home Support (ARQ Model) (VCH 2006). The main components of the ARQ Model are an expanded use of "cluster care" along with stable monthly funding for high-density buildings and neighbourhoods; the introduction of specific monthly and quarterly quality performance reporting; and the implementation of performance-based funding for home support. This article discusses the setup of the ARQ model, its ongoing evaluation and results achieved thus far. PMID:20057219
Zwijsen, Sandra A; Smalbrugge, Martin; Zuidema, Sytse U; Koopmans, Raymond T C M; Bosmans, Judith E; van Tulder, Maurits W; Eefsting, Jan A; Gerritsen, Debby L; Pot, Anne-Margriet
BACKGROUND: Behavioural problems are common in nursing home residents with dementia and they often are burdensome for both residents and nursing staff. In this study, the effectiveness and cost-effectiveness of a new care programme for managing behavioural problems will be evaluated. METHODS/DESIGN:
Ruth, M.; Pratt, A.; Lunacek, M.; Mittal, S.; Wu, H.; Jones, W.
The combination of distributed energy resources (DER) and retail tariff structures to provide benefits to both utility consumers and the utilities is not well understood. To improve understanding, an Integrated Energy System Model (IESM) is being developed to simulate the physical and economic aspects of DER technologies, the buildings where they reside, and feeders servicing them. The IESM was used to simulate 20 houses with home energy management systems on a single feeder under a time-of-use (TOU) tariff to estimate economic and physical impacts on both the households and the distribution utilities. Home energy management systems (HEMS) reduce consumers’ electric bills by precooling houses in the hours before peak electricity pricing. Utilization of HEMS reduce peak loads during high price hours but shifts it to hours with off-peak and shoulder prices, resulting in a higher peak load. used to simulate 20 houses with home energy management systems on a single feeder under a time-of-use (TOU) tariff to estimate economic and physical impacts on both the households and the distribution utilities. Home energy management systems (HEMS) reduce consumers’ electric bills by precooling houses in the hours before peak electricity pricing. Utilization of HEMS reduce peak loads during high price hours but shifts it to hours with off-peak and shoulder prices, resulting in a higher peak load.
Jacobus N. Cronjé
Full Text Available Background: Since logistics emerged as an applied discipline during the latter part of the 20th century, there has been an increased need for skills development in logistics and supply chain management. However, literature suggests a general shortage of educated and skilled logistics and supply chain managers worldwide.Objectives: The purpose of this article was to benchmark an in-house training programme in logistics management in the beverage industry of Zimbabwe with international best practice.Method: A case study approach was followed focusing on the programme curriculum, content and delivery. The article reports on the nature and effectiveness of the programme. The curriculum was benchmarked with skills requirements identified in literature. Relevance was evaluated based on participant perceptions over a period of 3 years using questionnaires with both closed- and open-ended questions.Results: Findings suggested that the programme offering is in line with international practice whilst it also addresses particular issues in Third World countries. Participants perceived the programme as being practical and valuable for enhancing their job performance and career development.Conclusion: The article provides a framework for evaluating logistics training programmes. Future research could include an evaluation that measures changes in on-the-job behaviour of participants.
Aït-Khaled, N; Enarson, D A
An evaluation based on recording the number of patients and evaluating their treatment outcomes provides the information necessary to plan the provision of care, determine the analysis of the situation and revise practice if the results are not satisfactory. The standardised tools proposed for this evaluation are: a district register for new persistent asthma patients, quarterly reports of case finding and an annual report of cohort patient follow-up. The main indicators of quality of care based on register information given by the cohort analysis are the percentage of defaulters and the percentage of patients whose asthma is controlled or well controlled after 1 year of follow-up. The services involved in asthma management should be adapted to the local situation in each country. In particular, the health service structure and national guidelines must be respected, and services involved in asthma management should be implemented in stages. Operational research within the services is essential to ensure that the services provided are appropriate. This type of research involves the health personnel responsible for patient management, provides them with new knowledge and helps them to resolve problems they are confronted with on a regular basis. It also inspires critical thinking, which is crucial to both research and practice. PMID:16848332
Reviewed by Dr. Adnan BOYACI
Full Text Available 161Case Studies in Knowledge ManagementEdited by Murray JennexHersley: PA: Idea Group, 2005, pp. 372, ISBN 1-59140-352-9Reviewed by Dr. Adnan BOYACIAnadolu UniversityEskişehir-TurkeyKnowledge management (KM as a structured system and the way to the effectiveness isrelatively new field for the contemporary organizations functioning in different andcompetitive domain of public and private sectors in terms of getting optimal effectivenessunderlined by the concepts such as quality, productivity…etc. Because of the growingimportance and the popularity of the KM either as a research topic or specialized coursesubject, a crucial need for understanding, conceptualization and implementation of KM asa system has emerged since the mid 1990’s. In this sense, the book contributes criticallyto fill the gap between theory and implementation as a teaching material.This edited book is published by Idea Group Publishing. The book has twenty chaptersdivided into seven sections. In addition to a section of authors’ biography contributing thebook and an index, there is a preface that the basic terms and key concepts underliningthe cases discussed following chapters, which is explained in a schematized way.Besides the editor, total of 47 authors have contributed to the book. These authors arefrom different countries, academic backgrounds, and institutions. Although approximatelyone third of the authors are from USA, the rest of the authors are from Canada, England,Austria, Germany, Australia, New Zealand, Egypt, Bahrain and China. The authorsrepresent a variety of universities, private companies, and military institutions. Most ofthem have strong professional backgrounds, which help them address the issues bothfrom theoretical and practical perspectives. Contributions of authors having differentbackgrounds and institutions enable the book to have very comprehensive spectrum andthis makes the book attractive practically for those working different sectors
This Challenge Home is one of 42 homes in a micro-community of ultra-modern, energy-efficient homes built by Dwell Development on an urban gray-field site in South Seattle. Every home will achieve a 5-Star Built Green rating from the regional master builders association and meet the criteria of the Northwest ENERGY STAR program, which is more strict than the national ENERGY STAR criteria. Also, the home won a 2013 Housing Innovation Award in the "systems builder" category.
Yarmo Roberts, Deborah
'Case management' in the health and social service sector is controversial, highly political and saturated with conflicting agendas among stakeholders. Research was conducted recently to explore the role of case managers in three evolving, Australian-based, long-term care, case management models. The findings have relevance to countries worldwide that contend with delivering quality care that is cost effective. The research captures the perspectives of 51 open-ended interviews with front-line case managers who have first-hand knowledge of the models' effect on their clients and on their own roles. Contrary to the rhetoric that case management is client-centred, case management is concluded to be 'system centred' based on a unilateral approach taken by each of the three models. Case managers had a limited ability to attain necessary services for clients. Success was dependent on the range of case managers' skills and experience, relationship with the client, degree of job satisfaction, level of influence in the health and social system and ability to collaborate with relevant professionals. The relationship between the three primary influences (system, model, client) affecting case managers' pursuit of achieving appropriate client services was also reviewed. A reconceptualized multidimensional approach, or 'neo-process-centred' case management, is proposed. The revised approach can be applied to existing and new models and has direct implications for policy makers, management and practitioners aspiring to improve client care within existing constraints. PMID:12184835
As a case manager or case management leader, it is important for you to stay in touch with how CMS continues to roll out the two-midnight rules as well as the manner of auditing on a go-forward basis. It is also important that your department continue to have a close working relationship with the billing department in your hospital to ensure that the hospital remains compliant with this new rule. Finally, it is also critical that your emergency department and its physicians are kept up to date on the rule and its implications for hospital admissions. Having a case management presence in the emergency department will help to ensure a sound review process at this important route of entry to the hospital. A working team should be created to review the cases that fall outside of the rule, and these cases should also be presented to the utilization review committee so that the hospital can continue to learn and move forward. Finally, listen to the CMS National Provider Calls (www.cms. gov/NPC) to gain additional and updated information as it becomes available! For additional information on the two-midnight rule go to www.cms.gov and search for CMS-1599-F. PMID:24697139
Dees, J P; Anderson, N L
1. Case management is an effective strategy for occupational health nurses to use to reduce corporate health insurance, workers' compensation, and disability expenditures. 2. Case management has evolved from a reactive to a proactive strategy useful in many arenas. While there are differences among group health, workers' compensation, and disability, the basic case management process is the same. 3. Early intervention and comprehensive assessment are the foundation of a successful case management process. 4. Occupational health nurses have extensive clinical, interpersonal, and management skills enabling them to excel as case managers. PMID:8852236
The Building America Partnership for Improved Residential Construction, the Bonneville Power Administration (BPA), and Northwest Energy Works (NEW), the current Northwest Energy Efficient Manufactured Housing Program (NEEM) administrator, have been collaborating to conduct research on new specifications that would improve on the energy requirements of a NEEM home. In its role as administrator, NEW administers the technical specs, performs research and engineering analysis, implements ongoing construction quality management procedures, and maintains a central database with home tracking. This project prototyped and assessed the performances of cost-effective high performance building assemblies and mechanical systems that are not commonly deployed in the manufacturing setting. The package of measures is able to reduce energy used for space conditioning, water heating and lighting by 50 percent over typical manufactured homes produced in the northwest.
... Recommended Practice (RP) 90. As explained in API RP 90, Section 3, Annular Casing Pressure Management Program... Institute's Recommended Practice for managing annular casing pressure. New regulations are needed because... Continental Shelf lessees to follow best industry practices for wells with sustained casing pressure....
The subject of this thesis is management games in learning process of business skills, Case: Global Management Challenge Finland. The thesis seeks to find out how different management games are used worldwide in learning business skills, it introduces the biggest strategic and management game: Global Management Challenge, studies the case of this game in Finland, discusses how management games could help students learn different business skills and proposes future training programs for thi...
Lafleur, Jean-Michel; Calderon Chelius, Leticia
How did Mexican migrants react to the opportunity to formally participate for the first time in home country politics during the 2006 Presidential Election? In this paper, we attempt to explain the low level of migrant voter registration in home country elections. Grounding ourselves on the existing literature on voter turnout, we verify two hypotheses that focus (1) on the role of Mexican authorities, and (2) on the interest of migrants and migrant associations in home country politics. Buil...
The builder of this 1,650-ft2 cabin won a Custom Home honor in the 2014 Housing Innovations Awards. The home meets Passive House Standards with 5.5-in. of foil-faced polysiocyanurate foam boards lining the outside walls, R-55 of rigid EPS foam under the slab, R-86 of blown cellulose in the attic, triple-pane windows, and a single ductless heat pump to heat and cool the entire home.
This single-family home features a superinsulated shell with 12-inch double walls filled with open cell spray foam, as well as R-5 triple-pane windows. The 18.33 kW photovoltaic system can produce all the electricity the home can use in a year with enough left over to power an electric car for 30,000 miles.These features helped the builder to win a 2013 Housing Innovation Award in the custom home category.
Kaplan Thompson Architects (KTA) has specialized in sustainable, energy-efficient buildings, and they have designed several custom, zero-energy homes in New England. These zero-energy projects have generally been high-end, custom homes with budgets that could accommodate advanced energy systems. In an attempt to make zero energy homes more affordable and accessible to a larger demographic, KTA explored modular construction as way to provide high-quality homes at lower costs. In mid-2013, KTA formalized this concept when they launched BrightBuilt Home (BBH). The BBH mission is to offer 'a line of architect-designed, high-performance homes that are priced to offer substantial savings off the lifetime cost of a typical home and can be delivered in less time.' For the past two years, CARB has worked with BBH and Keiser Homes (the primary modular manufacturer for BBH) to discuss challenges related to wall systems, HVAC, and quality control. In Spring of 2014, CARB and BBH began looking in detail on a home to be built in Lincolnville, Maine, by Black Bros. Builders. This report details the solution package specified for this modular plan and the challenges that arose during the project.
McCurry, Susan M.; LaFazia, David M.; Pike, Kenneth C.; Logsdon, Rebecca G.; Teri, Linda
This article describes a Sleep Education Program (SEP) designed to teach owner/operators and direct care staff working in adult family homes (AFHs) how to improve the sleep and nighttime behavior of older residents with dementia. There have been no sleep intervention studies conducted in adult family homes, and strategies that are known to improve sleep in community-dwelling older adults or nursing home residents may not be feasible or effective in AFHs because of their unique care environmen...
Aravind Kailas; Valentina Cecchi; Arindam Mukherjee
With the exploding power consumption in private households and increasing environmental and regulatory restraints, the need to improve the overall efficiency of electrical networks has never been greater. That being said, the most efficient way to minimize the power consumption is by voluntary mitigation of home electric energy consumption, based on energy-awareness and automatic or manual reduction of standby power of idling home appliances. Deploying bi-directional smart meters and home ene...
Mendelson, Dan; Ramchand, Rajeev; Abramson, Richard; Tumlinson, Anne
This brief provides a description of prescription drug use in nursing homes and a summary of current policy issues in this area. The brief first profiles the nursing home pharmaceutical market, outlining the major trends in demographics and drug utilization, the supply chain by which drugs go from manufacturers to pharmacies to nursing home residents, and the alternative arrangements by which prescription drugs in nursing homes are financed. The brief then provides a synopsis of current policy issues, focusing in turn on cost containment and quality improvement initiatives. PMID:12463231
Karina de Oliveira Azzolin
Full Text Available OBJECTIVE: to assess patient knowledge of heart failure by home-based measurement of two NOC Nursing Outcomes over a six-month period and correlate mean outcome indicator scores with mean scores of a heart failure Knowledge Questionnaire.METHODS: in this before-and-after study, patients with heart failure received four home visits over a six-month period after hospital discharge. At each home visit, nursing interventions were implemented, NOC outcomes were assessed, and the Knowledge Questionnaire was administered.RESULTS: overall, 23 patients received home visits. Mean indicator scores for the outcome Knowledge: Medication were 2.27±0.14 at home visit 1 and 3.55±0.16 at home visit 4 (P<0.001; and, for the outcome Knowledge: Treatment Regimen, 2.33±0.13 at home visit 1 and 3.59±0.14 at home visit 4 (P<0.001. The correlation between the Knowledge Questionnaire and the Nursing Outcomes Classification scores was strong at home visit 1 (r=0.7, P<0.01, but weak and non significant at visit 4.CONCLUSION: the results show improved patient knowledge of heart failure and a strong correlation between Nursing Outcomes Classification indicator scores and Knowledge Questionnaire scores. The NOC Nursing Outcomes proved effective as knowledge assessment measures when compared with the validated instrument.
Capitman, John A.
Case management has developed as an administrative service for controlling costs and improving the quality of health and social service delivery. Long-term care case management combined with service expansion has been examined in some detail with varied results. Less research has focused on case management for users of high-cost medical care. This overview highlights five programs and patient groups where integrated delivery and/or financing of medical and long-term care services are being de...
Akpan, Asangaedem; Gosney, Margot A; Barrett, James
Objective: Fecal loading, cognitive impairment, loose stools, functional disability, comorbidity and anorectal incontinence are recognized as factors contributing to loss of fecal continence in older adults. The objective of this project was to assess the relative distribution of these factors in a variety of settings along with the outcome of usual management. Methods: One hundred and twenty adults aged 65 years and over with fecal incontinence recruited by convenience sampling from four dif...
Full Text Available Abstract Background Uganda was the first country to scale up Home Based Management of Fever/Malaria (HBM in 2002. Under HBM pre-packaged unit doses with a combination Sulphadoxine/Pyrimethamin (SP and Chloroquine (CQ called "HOMAPAK" are administered to all febrile children by community selected voluntary drug distributors (DDs. In this study, community perceptions, health worker and drug provider opinions about the community based distribution of HOMAPAK and its effect on the use of other antimalarials were assessed. Methods In 2004, four focus group discussions with mothers and 11 key informant interviews with drug sellers, drug distributors and health workers were conducted in Kasese district, western Uganda. This was complemented by three months of field observations. Results Caretakers concurred that they were benefiting from the programme. However, according to the information from the DDs and health workers, many caretakers perceived HOMAPAK as a drug of lower quality only meant for first aid. Caretakers also expressed need for other drugs to treat other childhood diseases. The introduction of HOMAPAKs was said not to affect the sale of other allopathic antimalarial drugs in the community. DDs expressed concerns about lack of incentives and facilitation such as torches, gumboots and diagnostic equipment to improve their performance. Conclusion HBM is well appreciated by the community. However, more efforts are needed to improve uptake of the strategy through systematic community sensitization and community dialogue. This study highlights the potential of community based volunteers if well trained, facilitated and integrated into a functioning local health system.
Muhammad Babar Rasheed
Full Text Available This paper presents real time information based energy management algorithms to reduce electricity cost and peak to average ratio (PAR while preserving user comfort in a smart home. We categorize household appliances into thermostatically controlled (tc, user aware (ua, elastic (el, inelastic (iel and regular (r appliances/loads. An optimization problem is formulated to reduce electricity cost by determining the optimal use of household appliances. The operational schedules of these appliances are optimized in response to the electricity price signals and customer preferences to maximize electricity cost saving and user comfort while minimizing curtailed energy. Mathematical optimization models of tc appliances, i.e., air-conditioner and refrigerator, are proposed which are solved by using intelligent programmable communication thermostat ( iPCT. We add extra intelligence to conventional programmable communication thermostat (CPCT by using genetic algorithm (GA to control tc appliances under comfort constraints. The optimization models for ua, el, and iel appliances are solved subject to electricity cost minimization and PAR reduction. Considering user comfort, el appliances are considered where users can adjust appliance waiting time to increase or decrease their comfort level. Furthermore, energy demand of r appliances is fulfilled via local supply where the major objective is to reduce the fuel cost of various generators by proper scheduling. Simulation results show that the proposed algorithms efficiently schedule the energy demand of all types of appliances by considering identified constraints (i.e., PAR, variable prices, temperature, capacity limit and waiting time.
Ofovwe, G E; Ibadin, O M; Ofovwe, E C; Okolo, A A
To determine the knowledge, attitude and practice (KAP) of home management of febrile convulsion (FC), by mothers in the community, focus group discussions (FGD) were conducted in two communities, Uselu (urban) and Evbuomodu village (rural), both in Edo State, Southern Nigeria. The study was conducted between December 2000 and February 2001. Our findings show that 71% of urban mothers compared to 25% of rural mothers attributed the cause of FC to fever (chi(2)=24.17: p<0.001). Seventy-five percent of mothers from rural community and 28.6% of urban mothers attributed the cause to witchcraft and/or evil spirits. Twenty-five percent of rural mothers also attributed abnormality of the spleen as a cause of FC. All the mothers, both urban and rural, were not directly involved in the management of the convulsive episode due to panic and confusion. Ninety-two percent of urban and all the rural mothers permitted the use of traditional medicine while 7.1% of urban mothers employed prayers during convulsion. Twenty percent of urban and twenty-two percent of rural mothers use urine (human and or cow's) for treating FC at home. Other home remedies include kerosene, fuel and crude oil. Mass enlightenment campaign for the community, especially the rural, against use of harmful traditional remedies to treat FC at home is strongly advised. PMID:12127675
Mecha, Ezi I.; Desai, Mayur S.; Richards, Thomas C.
It is imperative for businesses to manage knowledge and stay competitive in the marketplace. Knowledge management is critical and is a key to prevent organizations from duplicating their efforts with a subsequent improvement in their efficiency. This study focuses on overview of knowledge management, analyzes the current knowledge management in…
Ogihara, Miyoko; Yamaoka, Keita; Fujimaki, Yoko; Watanabe, Mutsuko; Hirohara, Masayoshi; Kushida, Kazuki
Although many patients wish to remain in their familiar home environment while undergoing cancer treatment, many obstacles prevent a patient from receiving cancer care at home. With early-stage cancer, the patients may better accept the diagnosis and have a greater will to fight the illness. However as time proceeds, progression or recurrence of cancer may occur, and eventually, proactive treatments will not be available. This progression results in great physical and mental strain on the patients and their family. At all stages of such progression, opportunities exist for a care provider to assist with overcoming potential obstacles by openly communicating with the patients, talking through the patients' experiences, and understanding their feelings. However, on diagnosis, cancer patients must often face the reality that they have very little time left to live. When transiting medical care from their long-trusted hospital to a home care base, a new physician must be selected and other decisions related to their care must be quickly made. Transferring responsibility to a good home care provider can greatly influence a patient's emotional state. This paper reports one such case in which the patients died in their homes with the best comfort and possible outcome. PMID:26809394
Quality. NY: Plenum Press.Blyth, C. (1972, Subjective vs. objective methods in statistics. American Statistician 26(3: 20-22.Eftekhari, A.R., Fatahi, A and Hajipoor, M. (2001, Spatial Distribution Assessment Quality of Life in rural Area, Journal of Rural Research, Vol.6, pp69-94.Eid, M. and E. Diener. (2004, Globlal judgements of subjective well-being: Situational variability and long-term stability. Social Indicators Research 65(3: 245-277.Grgi, I., Zimbrek, T., Tratnik, M., Markovina, J., and Jura, J. (2010, Quality of life in rural areas of Croatia: To stay or to leave? African Journal of Agricultural Research. Pp.653-660.Jafari; J. (2000, Encyclopedia of tourism; Routledge.Kharazmi, SH. (2005, quality of life and digital era requirement of Iran. Journal the word of economics.Kim, K (2002, the Effects of Tourism Impacts upon Quality of Residents in the Community. (Ph.D. Dissertation. Blacksburg, Virginia: Faculty of the Virginia Polytechnic Institute and State University.Kowkabi, A. (2005, planning quality of life in the city centers: definitions and index, research of city planning. No 12Mahdavi,M., Ghadiri,M.M & Sanaee,M.(2008, The Role and Impact of Secondary Houses on Economical and Social Structure of Kelardasht, Human Geography Research Quarterly, No.65,pp.19-52.Majedi,M. and Lahsaeizadeh,A.(2007, Relationships between Contextual Variables Social Capital and Satisfaction form Quality of Life: A case Study in Rural Areas of Fars Province of Iran Journal of Village and Development, No.4, pp.91-135.Marjavaara, R (2008, Second Home Tourism the Root to Displacement in Sweden? Doctoral Dissertation Department of Social and Economic Geography Umea University, Sweden GERUM.McGillivray, M. ( 2007, Human Well-Being, Concept and Measurement. New York: Palgrave MacMillan.Müller, D.K., Hall, C.M. and Keen, D. (2004, Second Home Tourism Impact, Planning and Management. In C.M. Hall, and D.K. Müller (Eds. Tourism, Mobility and Second Homes: Between Elite Landscape and Common
In this project, three production home builders—K. Hovnanian Homes, David Weekley Homes, and Transformations, Inc.—partnered with Building America team Building Science Corporation to evaluate the certification of five test homes to the new DOE Challenge Home program performance standard (now DOE Zero Energy Ready Home program). The builders identified key benefits and barriers that impacted the certification of the test homes, and the likelihood of whether DOE Challenge Home certification would be pursued in future homes
This LEED Platinum home was built on the site of a 60-year-old bungalow that was demolished. It boasts views of Candlewood Lake, a great deal of daylight, and projected annual energy savings of almost $3,000. This home was awarded a 2013 Housing Innovation Award in the custom builder category.
The 6-bedroom home achieves a HERS score of 43 even before PV is installed and will cut utility bills dramatically for its owners. Water-savings faucets, LED lighting, and ENERGY STAR appliances add to energy savings. This home garnered a 2013 Housing Innovation Award in the custom builder category.
Samuel Alan Stewart
Full Text Available Obstructive sleep apnea is a common condition within the Canadian population. The current gold standard for diagnosis and management of patients is in-laboratory (in-lab polysomnography; however, the limited availability of testing options for patients has led to long wait times and increased disease burden within the population. The Sleep Research Laboratory in Saskatoon (Saskatchewan implemented a home management program to run in parallel with the in-lab system several years ago in an effort to increase their capacity and reduce wait times. The present study was a retrospective analysis of all patients referred to the program between 2009 and 2012. The home management system has improved wait times by diagnosing and managing up to one-half of the referred patient population, reducing the wait for in-lab treatment from a median of 152 days in 2009 to 92 days in 2012 (P<0.0001. Moving forward, home management can provide a viable alternative to in-lab testing for patients who meet strict entry criteria, reducing the in-lab workload and, ultimately, reducing wait times.
Full Text Available Despite a significant increase in enrolments of postgraduate international Muslim students within Australian universities, little is known about their perceptions of life within Australian homes while undertaking their studies. The aim of this study is to investigate the ways in which students’ cultural and religious traditions affect their use of domestic spaces within the homes in which they reside. The research found that participants faced some minor difficulties in achieving privacy, maintaining modesty and extending hospitality while able to perform their daily activities in Australian designed homes. The findings suggest that greater research attention needs to be given to the development of Australian home designs that are adaptable to the needs of a multicultural society. Australian society encompasses diverse cultural customs and requirements with respect to home design, and these are yet to be explored.
Jensen, Per Anker; Katchamart, Akarapong
Purpose: To investigate how Facilities Management (FM) can add value and develop a management concept that can assist facilities managers in implementing value adding strategies and practices. Background: Earlier research has shown an increased focus on added value of FM and a FM Value Map has been...... case study of LEGO. Results: The study shows that the management model for FM creates a relevant starting point but also that stakeholder and relationship management is an essential aspect of Value Adding Management. The case study confirms the relevance of the basic concept and provides an important...
BRENNAN, ROSS; Ahmad, S. Jaseem
Case studies are widely used in management education. Most of the literature discussing the case study method has reflected the perspective of the teacher, implying a teacher-centred view of the case study as a learning strategy. Little is known about the student perspective on case studies. If we are to use the case study method as a component of a student-centred learning experience, then we must know how students perceive case studies, and understand the differences in attitude...
Moses L Nanang
Full Text Available Background: Maternal mortality is unacceptably high in Ghana. This situation is attributed partly to non-availability of healthcare services and poor utilization of these services when they are available. More deliveries are still performed at home, and in many cases, without the supervision of trained attendants, despite the Ghana Government's fee exemption policy on maternal deliveries. The purpose of this study was to identify factors that predict home delivery among mothers. Materials and Methods: An unmatched case control study was conducted among mothers in the Bosomtwe-Atwima-Kwanwoma district of Ghana. A total of 114 mothers consisting of 54 cases and 60 controls participated in the study. A multi-stage sampling technique was used to select participants of the study. Data were collected using pre-tested questionnaires and analyzed using EPIINFO (3.3 and STATA (8.2 statistical software. Results: Mothers aged 31 years and above (AOR 3.00, 95% CI: 1.16-7.74 and those with primary or no formal education (AOR 3.88, 95% CI: 1.60-9.46 were more likely to deliver at home. Also, the risk of home delivery for mothers with more antenatal care (ANC clinic visits was less by 0.3 (30% (AOR 0.70, 95% CI: 0.53-0.88. Conclusion: The factors influencing home delivery among mothers were maternal ages of 31 years and above, primary or no formal education, and less than four ANC visits. Interventions aimed at improving female education, increasing the number of ANC visits, and providing counselling, follow-up, and support to older pregnant mothers are recommended to increase the number of women who deliver in healthcare facilities.
Lim, Soh Buay
This study was conducted on a Malaysian home grown multi-level marketing company which has been the market leader for the past two years surpassing the performance of established company like Amway in Malaysia. The study attempted to analyse the state of preparedness within the organization to introduce TQM. The objectives of this study are threefold. Firstly it is to evaluate how quality management is used as a vehicle to achieve business excellence. Secondly, it also attempts to assess the ...
Achieving Building America energy savings goals (40 percent by 2030) will require many existing homes to install energy upgrades. Engaging large numbers of homeowners in building science-guided upgrades during a single remodeling event has been difficult for a number of reasons. Performance upgrades in existing homes tend to occur over multiple years and usually result from component failures (furnace failure) and weather damage (ice dams, roofing, siding). This research attempted to: A) Understand the homeowner's motivations regarding investing in building science based performance upgrades. B) Determining a rapidly scalable approach to engage large numbers of homeowners directly through existing customer networks. C) Access a business model that will manage all aspects of the contractor-homeowner-performance professional interface to ensure good upgrade decisions over time. The solution results from a synergistic approach utilizing networks of suppliers merging with networks of homeowner customers. Companies in the $400 to $800 billion home services industry have proven direct marketing and sales proficiencies that have led to the development of vast customer networks. Companies such as pest control, lawn care, and security have nurtured these networks by successfully addressing the ongoing needs of homes. This long-term access to customers and trust established with consistent delivery has also provided opportunities for home service providers to grow by successfully introducing new products and services like attic insulation and air sealing. The most important component for success is a business model that will facilitate and manage the process. The team analyzes a group that developed a working model.
Breedveld, Elly J; Meijboom, Bert R; de Roo, Aad A
Health organizations have started to become more market-driven. Therefore, it is important for health organizations to analyse the competitive dynamics of their industrial structure. However, relevant theories and models have mainly been developed for organizations acting in the profit sector. In this paper, we adapt Porter's 'five forces model' to the home care industry. In particular, we modify the (determinants of the) bargaining power of labour suppliers. We then apply the modified Porter-model to the home care industry in the Netherlands for the period of 1987-1997 with special attention for labour supply. The new instrument clarifies the complexity of the supply chains and value systems of the home care industry. As can be illustrated by developments in the home care industry in the province of North Brabant during the 1990s, competition between home care providers has influenced labour market relations, but so do other factors as well. Between 1987 and 1997, the bargaining power of labour suppliers was relatively limited. After 1997, however, the demand for home care personnel has increased strongly. In spite of the present economic recession, scarcity on this labour market seems to prevail in the longer term due to a growing demand for home care services. PMID:16011857
Full Text Available ... kit contains: A booklet with information on the operation, home skills such as emptying and changing a pouch, problem solving, and home management. A DVD with demonstration of each skill Stoma ...
Full Text Available ... UOAA). The skills kit contains: A booklet with information on the operation, home skills such as emptying and changing a pouch, problem solving, and home management. A DVD with demonstration of each skill Stoma ...
Full Text Available Yeon-Hwan Park,1,2 Hwal Lan Bang,2,3 Ga Hye Kim,1 Ji Yeon Ha1 1College of Nursing, Seoul National University, Seoul, Korea; 2The Research Institute of Nursing Science, Seoul National University, Seoul, Korea; 3Department of Nursing Science, College of Industry, Sangmyung University, Cheonan, Korea Purpose: To explore facilitators and barriers to self-management from the viewpoint of staff taking care of nursing home (NH residents with chronic diseases in South Korea. Patients and methods: A qualitative content analysis was done using the focus group interview method. A total of 23 health-care professionals (16 registered nurses and 7 social workers were interviewed from three urban NHs, each with more than 100 beds. Results: Five facilitators were identified: grouping the residents; the resident’s awareness of his/her current health status; the willingness of residents to engage in self-management; residence in the facility; and support from the staff. Additionally, seven barriers were identified: deterioration of the resident’s health; the dependency expectations of the resident; hesitation in asking for help; difference in expectations between the staff and the resident’s family; insufficient staffing and time; lack of standardized guidelines; and conservative tendencies of the staff due to rigid policies. Conclusion: The findings of this study can help health-care professionals recognize the factors that influence self-management and provide direction for registered nurses and other health professionals involved in supporting self-management programs for NH residents. Keywords: self-management, aged, focus groups, long-term care
Baker, J J; Chiverton, P; Hines, V
This article presents an example of how one hospital identified costs for capitation in psychiatric case management. An 18-month postacute case management pilot project collected data on a nurse-specific and patient-specific basis. Costs were identified using activity-based costing methodology. PMID:9502055
Jensen, Per Anker; Katchamart, Akarapong
Purpose: To develop a management concept that can assist facilities managers in implementing value adding strategies and practices. The FM Value Map has been developed to analyse and demonstrate the different ways FM can add value. However, there is a need to develop management tools that can be...... practice value adding management. It underlines the importance of stakeholder and relationship management as part of adding value. The case study confirms the relevance of the basic concept of Value Adding Management. Practical implications: The concept of Value Adding Management is expected to increase...
A randomized controlled study was carried out in Khartoum North during the year 1994-1995 at Ahmed Gasim children teaching hospital, khatmia, and shabia health centres to evaluate acceptability, safety and efficiency of three formulated baobab home oral rehydration solutions in children with diarrhoeal diseases. 113 children 6-60 months of age were enrolled in the study with mild or no dehydration and without associated diseases. Three baobab solutions were administered beside the control WHO/oral rehydration solution (ORS). 32 were allocated to solution A (baobab pulp extract+home sugar), 35 patients to solution B (baobab pulp extract+domestic salt+sugar), 25 to solution C (baobab pulp extract+WHO/ORS) and 21 to the control solution (WHO/ORS). The solutions were administered for three successive days to the children with diarrhoea. A questionnaire was filled for each child including attitudes and practices of mother regarding diarrhoeal diseases, socioeconomic status of parents, history of the patient health and past nutritional intake during the present diarrhoea. The clinical data were studied. The study showed that the solutions were acceptable, effective and safer than the control. The three solutions A, B and C were good as therapeutic solutions and exceeded that of the WHO/ORS. Clinical data demonstrated that after 24 hours of management of the diarrhoeal diseases with baobab solutions, the recovery rate was 60% for solution A group, 20% for solution B group and 28% for solution C where as the recovery rate for solution D was 5%. By the second 24 hours of management the cumulative recovery rate was 100% for A, 77% for B, 84% for C and 24% for D. None was considered a treatment failure or developed dehydration and all the patients were satisfactorily treated with marked effect on children with diarrhoea , specially bloody diarrhoea. The molar concentration of K in the baobab solution was 21 mmol/litre very close to the molar concentration of K in the WHO
Building cost effective, high performance homes that provide superior comfort, health, and durability is the goal of the Department of Energy's (DOE's) Zero Energy Ready Homes (ZERH) program. Through Building America research and other innovative programs throughout the country, many of the technical challenges to building to the ZERH standard have been addressed. This case study describes the development of a 62-unit multifamily community constructed by nonprofit developer Mutual Housing at the Spring Lake subdivision in Woodland, CA. The Spring Lake project is expected to be the first ZERH-certified multifamily project nationwide. Building America team Alliance for Residential Building Innovation worked with Mutual Housing throughout the project. The case study discusses challenges encountered, lessons learned, and how obstacles were overcome. An objective of this project was to gain a highly visible foothold for residential buildings built to the DOE ZERH specification that can be used to encourage participation by other California builders.
Isono, Hisayo; Hayakawa, Naoko; Inoue, Akiko; Onose, Akira
Bone metastasis from lung cancer accounts for approximately 30% of all metastatic bone tumors. The median survival time of patients with stage IV lung cancer with bone metastases is 5.5 months and that of patients without bone metastases is 7.5 months. Here, we report 3 cases of spinal cord paralysis. All cases were assessed according to the Tokuhashi score. As the predicted survival time of these patients was mental health care), and coordinated home medical care. Patient management was mediated by a multidisciplinary medical team. However, all 3 patients were unable to return home and died in the hospital within 1-2 months after the onset of spinal cord paralysis. Spinal metastases can be expected not only in patients with lung cancer but also in patients with other types of carcinomas. Early diagnosis and treatment and accurate prognosis prediction are essential. Rapid responses and cooperation from experts are required, and increased awareness regarding spinal metastases among health professionals is essential. PMID:24712141
Case study of two DOE 2015 Housing Innovation Award winning custom homes in the marine climate that got HERS 39 and 38 without PV or HERS 2-12 and -9 with PV, with 6.5” SIP walls and 10.25” SIP roof; 11.75 ICF around slab, R-20 rigid foam under slab; radiant floor heat and passive design; air-to-water heatpump, fresh air intake with fan, triple-pane windows, 100% LED.
Case study of a DOE 2015 Housing Innovation Award winning production home in the mixed-dry climate that got a HERS 44 without PV, or HERS -2 with PV, with 2x4 walls 16” on center walls with R-15 cavity plus 1” EPS exterior rigid foam, slab on grade with R-10 slab edge; unvented attic with R-38 blown fiberglass netted to underside of roof deck; 19 SEER heat pump; heat pump water heater; 100% LED.
This builder worked with IBACOS to design urban infill HERS-51 homes with compact duct layout in conditioned space, foam insulated precast concrete foundations, high-efficiency HVAC, and tankless water heaters
The first Challenge Home built in New England features cool-roof shingles, HERS 20–42, and walls densely packed with blown fiberglass. This house won a 2013 Housing Innovation Award in the custom builder category.
These single-family, HERS 45 homes incorporate 2×6 wood framed walls with R-20 open cell spray insulation and OSB. The builder, StreetScape Development, won a 2013 Housing Innovation Award in the custom builder category.
Chylothorax carries significant mortality and morbidity. Patients with high-output chylothorax have traditionally been managed by surgical treatment if nonoperative management has proved unsuccessful. Newer, more recent percutaneous techniques used to treat chylothorax are safer and less invasive than surgery. We present three cases that have been successfully managed using these percutaneous techniques.
Garg, Harshit; Uppal, Manpreet; Sreedharan, Sreesanth Kelu; Aggarwal, Sandeep
Recurrence of pheochromocytoma after a total adrenalectomy is uncommon. Such recurrent tumours are mostly managed by the open technique, with very few studies reporting laparoscopic management. We hereby report a case of successful laparoscopic management of a recurrent pheochromocytoma after total adrenalectomy for left adrenal pheochromocytoma. PMID:27279402
Alba KRUJA; Sidita RESHKETA
In the last two decades Albania had shifted from a closed, communist economy to an open market where private sector has increased its influence, especially in production and trade sector. Today it can be studied and found the leaders of each sector by analyzing the position that these private companies have in the market.Erzeni LTD is a company operating in the market for more than 17 years. The company‘s first operations were production and trade of home, office and school furniture, operati...
The Columbia County (New York) Habitat for Humanity (Columbia County Habitat) affiliate has been experimenting with high-performance building since 2012, starting with ENERGY STAR® Certified Homes. In 2013, they constructed their first homes aimed at the Passive House standards. Building off of this effort, in 2014 they began work on a second set of Passive Townhomes in Hudson, New York, in partnership with the Advanced Residential Integrated Energy Solutions (ARIES) Building America team and BarlisWedlick Architects.
Abrahamson, Kathleen; DeCrane, Susan; Mueller, Christine; Davila, Heather Wood; Arling, Greg
This article describes the experiences of staff members working within nursing homes that successfully implemented a quality improvement project aimed at reducing resident pain. Interviews were conducted with 24 nursing home employees from within 8 facilities participating in the quality improvement project. Findings were organized using the Consolidated Framework for Implementation Research. Interdisciplinary communication, supportive leadership, training, and nursing assistant participation facilitated implementation. Increased documentation, resistance to change, and difficulty measuring outcomes were perceived challenges. PMID:25407787
This article estimates the impact of minimum staffing requirements on the nursing home market using a unique national panel over the 1996-2005 period. This study reveals that, given a half-hour increase in the minimum nursing hours per resident day for licensed nurses, quality of patient care increases by 25 percent. This quality-increasing effect is mainly driven by low-quality nursing homes increasing their quality of care to meet the new standards. By contrast, minimum staffing requirement...
Bradford Natalie; Armfield Nigel R; Young Jeanine; Smith Anthony C
Abstract Background Over the last decade technology has rapidly changed the ability to provide home telehealth services. At the same time, pediatric palliative care has developed as a small, but distinct speciality. Understanding the experiences of providing home telehealth services in pediatric palliative care is therefore important. Methods A literature review was undertaken to identify and critically appraise published work relevant to the area. Studies were identified by searching the ele...
Ciccarelli, Marina; Chen, Janice D; Vaz, Sharmila; Cordier, Reinie; Falkmer, Torbjörn
Maintaining the musculoskeletal health of children using mobile information and communication technologies (ICT) at home presents a challenge. The physical environment influences postures during ICT use and can contribute to musculoskeletal complaints. Few studies have assessed postures of children using ICT in home environments. The present study investigated the Rapid Upper Limb Assessment (RULA) scores determined by 16 novice and 16 experienced raters. Each rater viewed 11 videotaped scenarios of a child using two types of mobile ICT at home. The Grand Scores and Action Levels determined by study participants were compared to those of an ergonomist experienced in postural assessment. All postures assessed were rated with an Action Level of 2 or above; representing a postural risk that required further investigation and/or intervention. The sensitivity of RULA to assess some of the unconventional postures adopted by children in the home is questioned. PMID:26154217
Full Text Available Abstract Background Over the last decade technology has rapidly changed the ability to provide home telehealth services. At the same time, pediatric palliative care has developed as a small, but distinct speciality. Understanding the experiences of providing home telehealth services in pediatric palliative care is therefore important. Methods A literature review was undertaken to identify and critically appraise published work relevant to the area. Studies were identified by searching the electronic databases Medline, CINAHL and Google Scholar. The reference list of each paper was also inspected to identify any further studies. Results There were 33 studies that met the inclusion criteria of which only six were pediatric focussed. Outcome measures included effects on quality of life and anxiety, substitution of home visits, economic factors, barriers, feasibility, acceptability, satisfaction and readiness for telehealth. While studies generally identified benefits of using home telehealth in palliative care, the utilisation of home telehealth programs was limited by numerous challenges. Conclusion Research in this area is challenging; ethical issues and logistical factors such as recruitment and attrition because of patient death make determining effectiveness of telehealth interventions difficult. Future research in home telehealth for the pediatric palliative care population should focus on the factors that influence acceptance of telehealth applications, including goals of care, access to alternative modes of care, perceived need for care, and comfort with using technology.
Basman M. Hasan Alhafidh
Full Text Available Home automation and control systems as basic elements of smart cities have played a key role in the development of our homes environments. They have a wide range of applications in many fields at home such as security and monitoring, healthcare, energy, and entertainment applications. The improvement of humans’ living standards make people keep trying to delegate many of their needs to a home automation system. Such a system has been built with capabilities of predicting what the user intends to do in smart home environment. However, there are many issues that need more investigation and solutions, such as: 1 many researches adopt a specific application without integrating different varieties of applications in one environment, 2 there is no study tries to show the real effect or even evaluates the implementation of predicted actions that have been established via homes intelligent gateway, 3 there is an interoperability issue due to using different kinds of home applications that have different protocols for message context. In this proposal, we will describe a new approach of an intelligent self-adaptive system that can precisely monitor a stakeholder behaviors and analyze his/her actions trying to anticipate a stakeholder behavior in the future. In addition, we will evaluate the real effect of a predicted actions after implementing them by an intelligent gateway in a simulated home environment. The principle behind a prediction process is presented by analyzing a sequence of user’s interaction events with heterogeneous, and distributed nodes in the environment using an intelligent gateway. Predicting next stakeholder action can be process using certain analytical algorithms. The main novelties in the proposed approach are threefold: I Developing a learning technique which is embedded in an intelligent gateway to build a model of users’ behavior and interactions to balance the needs of multiple users within a smart home environment. II
Gill Lewin,1 Karyn Concanen,2 David Youens3 1School of Nursing, Midwifery and Paramedicine, Curtin University, Perth, WA, Australia; 2Silver Chain Group, Osborne Park, WA, Australia; 3Faculty of Health Science, Curtin University, Perth, WA, Australia Abstract: The Home Independence Program (HIP), an Australian restorative home care/reablement service for older adults, has been shown to be effective in reducing functional dependency and increasing functional mobility, confidence in everyday ...
Asif Qumer Gill; Sultana Lubna Alam; Jessica Eustace
Emergency management agencies are progressively using social media for the sourcing and distribution of disaster information. Emergency management agencies are often unsure as to how to best identify and assess social media concerns (e.g. information security, trust) which must be addressed to develop a social media-enabled disaster information management environment. This paper adopts the Social Architecture Viewpoint Assessment (SAVA) framework for identifying and assessing social media con...
Pettersen, Mads Walle
The aim of this master thesis is to explore the organization of a program within Digital Fornying, namely Labdata. The goal of Labdata is to introduce a common, standard, laboratory system for the South-Eastern Norway Regional Health Authority. We compare the organization of Labdata with theoretical concepts from adaptive co-management, Weill & Ross, project and program management. In order to manage this, we have developed the following research question: What are the challenges involved...
The purpose of this study is to investigate and analyse the effectiveness and necessity of managing the teaching of critical thinking skills in English Home Language to second language speakers in the Further Education and Training phase, by focusing on critical thinking skills; classroom management; management skills of professional teachers; the relationship between teaching and management; guidelines for effective classroom management; the National Curriculum Statement Grades 10-12; the Na...
This master’s thesis researches an internal improvement project regarding the problem management process at Basware as a case study. Problem management had been previously implemented at Basware but improvements were needed due to identified knowledge gaps in the current process. The main objectives were to find out how problem management was currently done, how the related incident management and its resolution times can be reduced and how can the effectiveness, i.e. ability to reduce the nu...
Theatre provides a unique set of conditions for the management of emotions. Drawing on participant observation from one repertory theater, three university productions, and interviews with stage actors, directors, and acting instructors, I conceptualize actors as privileged emotion managers. Actors access structural resources that enable their…
Braun, Dietmar; Benninghoff, Martin; Ramuz, Raphaël; Gorga, Adriana
There remains uncertainty in scientific discussions regarding the governance of universities in new public management regimes in terms of who actually "rules" in the university. Apparently, a strengthened management leadership is confronted with continuing elements of academic self-regulation and professional autonomy in knowledge…
YANG Lan-rong; ZHANG Jin-long
This paper presents a Case-Based system for assisting construction project managers in identifying risk factors and the corresponding construction project risk. The construction project risk identification model captures the case, acquired from previous completed construction projects and experience. A prototype is developed based on the proposed Case-Based system to determine risk factors along with their risk effects.
Rajita S. Jani
Results: Lower abdominal pain was most common presenting symptom of ectopic pregnancy in 96% cases. The classical triad of symptoms (amenorrhea, abdominal pain and vaginal bleeding was present in only 28% cases. PID contributed 24% cases and previous abortion contributed 28% cases indicating these two as the common risk factors. Ampulla was the commonest site for ectopic pregnancy, in 52% cases. Salpingostomy performed mainly at this site. In 6% cases ectopic pregnancy in infundibulum were treated with fimbrial expression and fimbriectomy. 22% patients were managed medically (methotraxte. These were the cases having unruptured ectopic pregnancy and ectopic mass <4 cm. Laparoscopy was done in 34% cases, in 2 cases it was converted to laparotomy. While open laparotomy was done in 40% cases. Conclusions: Ectopic pregnancy is a treatable problem. Ultrasonography plays central role in the diagnosis and management. Mode of therapy is determined by a combination of clinical symptoms, sonography findings and serum b-HCG values. Surgical management is still a cornerstone of management of ectopic pregnancy. But now scope of medical and laparoscopic management is also there. In recent years laparotomy has been replaced by laparoscopic surgery which is more conservative, minimally invasive and less time consuming which leads to quick recovery. [Int J Reprod Contracept Obstet Gynecol 2014; 3(2.000: 374-379
In April 1978, a study of local movement of small mammals on the Subsurface Disposal Area (SDA) of the Radioactive Waste Management Complex (RWMC) was undertaken in conjunction with a study of rodent dispersal. Live trapping in May and June revealed a strong potential for the detection of local movement of at least four species of rodents. Information on this movement is important as each species, during burrowing, may transport radioactive waste from the point of interment to the surface. The area over which contamination may be spread, as fecal deposits or as metabolically incorporated elements, is a function of the daily movement of each animal. At least eight factors may effect size and shape of home range. These factors are discussed, techniques employed in the calculation of home range are outlined, and problems associated with live trapping and studying local movement of small mammals are considered
Stafford, Randall S; Berra, Kathy
Case management (CM) is an important strategy for chronic disease care. By utilizing non-physician providers for conditions requiring ongoing care and follow-up, CM can facilitate guideline-concordant care, patient empowerment, and improvement in quality of life. We identify a series of critical factors required for successful CM implementation. Heart to Heart is a clinical trial evaluating CM for coronary heart disease (CHD) risk reduction in a multiethnic, low-income population. Patients at elevated cardiac risk were randomized to CM plus primary care (212 patients) or to primary care alone (207). Over a mean follow-up of 17 months, patients received face-to-face nurse and dietitian visits. Mean contact time was 14 hours provided at an estimated cost of $1250 per patient for the 341 (81%) patients completing follow-up. Visits emphasized behavior change, risk-factor monitoring, self-management skills, and guideline-based pharmacotherapy. A statistically significant reduction in mean Framingham risk probability occurred in CM plus primary care relative to primary care alone (1.6% decrease in 10-year CHD risk, p = 0.007). Favorable changes were noted across individual risk factors. Our findings suggest that successful CM implementation relies on choosing appropriate case managers and investing in training, integrating CM into existing care systems, delineating the scope and appropriate levels of clinical decision making, using information systems, and monitoring outcomes and costs. While our population, setting, and intervention model are unique, these insights are broadly relevant. If implemented with attention to critical factors, CM has great potential to improve the process and outcomes of chronic disease care. PMID:17718658
Transitioning from standard light frame to a thermal mass wall system in a high performance home will require a higher level of design integration with the mechanical systems. The much higher mass in the ICF wall influences heat transfer through the wall and affects how the heating and cooling system responds to changing outdoor conditions. This is even more important for efficient, low-load homes with efficient heat pump systems in colder climates where the heating and cooling peak loads are significantly different from standard construction.This report analyzes a range of design features and component performance estimates in an effort to select practical, cost-effective solutions for high performance homes in a cold climate. Of primary interest is the influence of the ICF walls on developing an effective air sealing strategy and selecting an appropriate heating and cooling equipment type and capacity. The domestic water heating system is analyzed for costs and savings to investigate options for higher efficiency electric water heating. A method to ensure mechanical ventilation air flows is examined. The final solution package includes high-R mass walls, very low infiltration rates, multi-stage heat pump heating, solar thermal domestic hot water system, and energy recovery ventilation. This solution package can be used for homes to exceed 2012 International Energy Conservation Code requirements throughout all climate zones and achieves the DOE Challenge Home certification.
Vaismoradi, Mojtaba; Skär, Lisa; Söderberg, Siv; Bondas, Terese E.
Older people who live in nursing homes commonly suffer from pain. Therefore, relieving suffering among older people that stems from pain demands knowledge improvement through an integration of international knowledge. This study aimed to integrate current international findings and strengthen the understanding of older people's experiences of and perspectives on pain and pain management in nursing homes. A meta-synthesis study using Noblit and Hare's interpretative meta-ethnography approach was conducted. Empirical research papers from journals were collected from various databases. The search process and appraisal determined six articles for inclusion. Two studies were conducted in the US and one each in Iceland, Norway, the UK, and Australia. The older people's experiences of pain as well as perspectives on pain management from all involved (older people, their family members, and healthcare staff) were integrated into a theoretical model using three themes of “identity of pain,” “recognition of pain,” and “response to pain.” The metaphor of “normalizing suffering” was devised to illustrate the meaning of pain experiences and pain management in nursing homes. Society's common attitude that pain is unavoidable and therefore acceptable in old age in society—among older people themselves as well as those who are responsible for reporting, acknowledging, and relieving pain—must change. The article emphasizes that pain as a primary source of suffering can be relieved, provided that older people are encouraged to report their pain. In addition, healthcare staff require sufficient training to take a person-centered approach towards assessment and management of pain that considers all elements of pain. PMID:27173102
Vaismoradi, Mojtaba; Skär, Lisa; Söderberg, Siv; Bondas, Terese E
Older people who live in nursing homes commonly suffer from pain. Therefore, relieving suffering among older people that stems from pain demands knowledge improvement through an integration of international knowledge. This study aimed to integrate current international findings and strengthen the understanding of older people's experiences of and perspectives on pain and pain management in nursing homes. A meta-synthesis study using Noblit and Hare's interpretative meta-ethnography approach was conducted. Empirical research papers from journals were collected from various databases. The search process and appraisal determined six articles for inclusion. Two studies were conducted in the US and one each in Iceland, Norway, the UK, and Australia. The older people's experiences of pain as well as perspectives on pain management from all involved (older people, their family members, and healthcare staff) were integrated into a theoretical model using three themes of "identity of pain," "recognition of pain," and "response to pain." The metaphor of "normalizing suffering" was devised to illustrate the meaning of pain experiences and pain management in nursing homes. Society's common attitude that pain is unavoidable and therefore acceptable in old age in society-among older people themselves as well as those who are responsible for reporting, acknowledging, and relieving pain-must change. The article emphasizes that pain as a primary source of suffering can be relieved, provided that older people are encouraged to report their pain. In addition, healthcare staff require sufficient training to take a person-centered approach towards assessment and management of pain that considers all elements of pain. PMID:27173102
Full Text Available Older people who live in nursing homes commonly suffer from pain. Therefore, relieving suffering among older people that stems from pain demands knowledge improvement through an integration of international knowledge. This study aimed to integrate current international findings and strengthen the understanding of older people's experiences of and perspectives on pain and pain management in nursing homes. A meta-synthesis study using Noblit and Hare's interpretative meta-ethnography approach was conducted. Empirical research papers from journals were collected from various databases. The search process and appraisal determined six articles for inclusion. Two studies were conducted in the US and one each in Iceland, Norway, the UK, and Australia. The older people's experiences of pain as well as perspectives on pain management from all involved (older people, their family members, and healthcare staff were integrated into a theoretical model using three themes of “identity of pain,” “recognition of pain,” and “response to pain.” The metaphor of “normalizing suffering” was devised to illustrate the meaning of pain experiences and pain management in nursing homes. Society's common attitude that pain is unavoidable and therefore acceptable in old age in society—among older people themselves as well as those who are responsible for reporting, acknowledging, and relieving pain—must change. The article emphasizes that pain as a primary source of suffering can be relieved, provided that older people are encouraged to report their pain. In addition, healthcare staff require sufficient training to take a person-centered approach towards assessment and management of pain that considers all elements of pain.
Networking in most large organizations is protected with corporate firewalls and managed by seasoned security professionals. Attempts to break into systems at these organizations are extremely difficult to impossible for an external intruder. With the growth in networking and the options that it makes possible, new avenues of intrusion are opening up. Corporate machines exist that are completely unprotected against intrusions, that are not managed by a security professional, and that are regularly connected to the company network. People have the option of and are encouraged to work at home using a home computer linked to the company network. Managers have home computers linked to internal machines so they can keep an eye on internal processes while not physically at work. Researchers do research or writing at home and connect to the company network to download information and upload results. In most cases, these home computers are completely unprotected, except for any protection that the home user might have installed. Unfortunately, most home users are not security professionals and home computers are often used by other family members, such as children downloading music, who are completely unconcerned about security precautions. When these computers are connected to the company network, they can easily introduce viruses, worms, and other malicious code or open a channel behind the company firewall for an external intruder.
Drewes, Erika; Driscoll, Mark; Blyum, Leonid; Vincentz, Diane
Hip subluxation in children with Cerebral Palsy (CP) has an incidence of 10-30 %, and children with severe CP having the highest incidence. The condition deteriorates if left untreated. Surgery is the most common method used in managing hip subluxation because standard conservative therapies do not improve it. Surgery may have to be repeated and comes at a biological cost to the child. A new home-based CAM, Advanced Biomechanical Rehabilitation (ABR), has shown encouraging results leading to improved spinal stability and stability in sitting in children with severe CP. This case report examines hip development over time in six children with severe CP in the ABR Program. Changes in their clinical picture and pelvic X-Rays are reported. ABR appeared to help stabilize and improve hip subluxation, resulting in these children not requiring further surgical intervention. These findings warrant further investigation of ABR as a noninvasive therapy for hip subluxation. PMID:27198038
Richard L. Nolan
This working paper reports on a major Harvard Business School project designed to enhance MBA and practicing executives in case learning. The work is built on the foundation of HBS field cases employing the monomyth "hero's journey" classic story structure along with the creation of associated fictional case characters designed to engage readers in the dimensions of human behavior, decision-making, and judgments in carrying out the work of the modern corporation. A most fortuitous event in st...
Full Text Available Jean Bourbeau,1 Pere Casan,2 Silvia Tognella,3 Peter Haidl,4 Joëlle B Texereau,5,6 Romain Kessler7 On behalf of the COMET investigators 1Respiratory Epidemiology and Clinical Research Unit, Research Institute of the McGill University Health Centre, McGill University, Montreal, QC, Canada; 2Hospital Universitario Central de Asturias, Facultad de Medicina, Oviedo, Spain; 3Lung Department, Ospedale Orlandi, Bussolengo VR, Italy; 4Krankenhaus Kloster Grafschaft, Schmallenberg, Germany; 5Air Liquide Healthcare, Medical Research and Development, Jouy-en-Josas, 6Assistance Publique-Hôpitaux de Paris, Service de Physiologie Clinique, Hôpital Cochin, Paris, 7Department of Pulmonary Medicine, Translational Medicine Federation of Strasbourg, University Hospital of Strasbourg, Strasbourg, France Introduction: Most hospitalizations and costs related to COPD are due to exacerbations and insufficient disease management. The COPD patient Management European Trial (COMET is investigating a home-based multicomponent COPD self-management program designed to reduce exacerbations and hospital admissions.Design: Multicenter parallel randomized controlled, open-label superiority trial.Setting: Thirty-three hospitals in four European countries.Participants: A total of 345 patients with Global initiative for chronic Obstructive Lung Disease III/IV COPD.Intervention: The program includes extensive patient coaching by health care professionals to improve self-management (eg, develop skills to better manage their disease, an e-health platform for reporting frequent health status updates, rapid intervention when necessary, and oxygen therapy monitoring. Comparator is the usual management as per the center’s routine practice.Main outcome measures: Yearly number of hospital days for acute care, exacerbation number, quality of life, deaths, and costs. Keywords: COPD, disease management, exacerbations, hospitalization, home care, clinical trial
National Aeronautics and Space Administration — Software Health Management (SWHM) is a new field that is concerned with the development of tools and technologies to enable automated detection, diagnosis,...
Mei, Jing; Li, Jing; Yu, Yiqin; Li, Xiang; Liu, Haifeng; Xie, Guotong
The computerization of care pathways (CPs) has drawn considerable attention, for improving quality of health care and reducing costs. A well-known big challenge of implementing CPs is their flexibility and ad hoc variations in execution of clinical tasks. We observe that case management suits well to address this problem, and this paper proposes a CMMN-based CP model, where CMMN (Case Management Model and Notation) is becoming an industry standard. Via an experimental experience on modelling CHF (congestive heart failure) ambulatory CP, we illustrate that the usage of case management paves the way to popularize CPs, particularly for its quick deployment and execution in industrial products. PMID:25160134
Daws, Michael; Beacock, Peter
The design project set in a studio learning environment remains central to much of the under- graduate curriculum activity for the aspiring architect. Yet much recent discussion has identified the need to look beyond this design curriculum horizon and to extend into studies in management. The Burton Report, among others, has encouraged diversity in architectural education. A degree course in Architectural Design and Management has been developed at Northumbria University as a direct response ...
Kenmotsu, Hirotsugu; Honda, Atsuro; Baba, Tomohisa; Matsumoto, Yutaka; Shichi, Izumi; Eto, Takashi; Arai, Kazumori
A 26-year-old man presented with complaints of exertional dyspnea and cough. The patient has already been given corticosteroids at a previous hospital. Chest CT revealed small centrilobular nodules with diffuse ground-glass opacities in both lungs. Lung biopsy specimens at thoracoscopy revealed non-necrotizing granulomas, patchy foci of mononuclear cell infiltration and fibrous thickening of alveolar septa, and Masson's bodies in bronchioles. Sputum culture showed the growth of Mycobacterium avium complex (MAC). Culture of water from the bath tub of his home showed MAC. Administration of antituberculous drugs and corticosteroids, and avoidance of bathing at home resulted in the improvement of his symptoms and CT findings. We believe the case is hypersensitivity pneumonitis to MAC in an immunocompetent patient, simulating hot tub lung. Hypersensitivity pneumonitis caused by MAC is rare in Japan. PMID:16366369
D. Springer and A. German
Building cost effective, high performance homes that provide superior comfort, health, and durability is the goal of the Department of Energy's (DOE's) Zero Energy Ready Homes (ZERH) program. This case study describes the development of a 62-unit multifamily community constructed by nonprofit developer Mutual Housing at the Spring Lake subdivision in Woodland, California. The Spring Lake project is expected to be the first ZERH-certified multifamily project nationwide. Building America team Alliance for Residential Building Innovation worked with Mutual Housing throughout the project. An objective of this project was to gain a highly visible foothold for residential buildings built to the DOE ZERH specification that can be used to encourage participation by other California builders.
This book lays the theoretical foundations for understanding e-services as well as provide real life cases of e-services......This book lays the theoretical foundations for understanding e-services as well as provide real life cases of e-services...
Hoag, Anne; Brickley, Dale J.; Cawley, Joanne M.
Traces the development and pedagogical theory of the case study method. Offers an overview of current discourse on its effectiveness. Presents results from a quasi-experiment. Finds that students exposed to the case method improved their problem solving skills measurably and significantly over a 15-week semester, outperforming the control group…
Rexford E. Santerre; John A. Vernon
This paper offers an empirical test of ownership mix efficiency in the U.S. nursing home industry. We test to compare the benefits of quality assurance with the costs from the attenuation of property rights that result from an increased presence of nonprofit organizations. The empirical results suggest that too few nonprofit nursing homes may exist in the typical market area of the U.S. The policy implication is that more quality of care per dollar might be obtained by attracting a greater pe...
Grosse, Christine Uber
This article explores the use of intercultural management cases as alternative instructional materials in business language courses. These cases use the power of story to teach about successful global leaders who effectively lead across cultures. As the cases engage and inform business language students, they also serve as a valuable resource for teaching language, communication, and culture. Additionally, the cases develop situation analysis and problemsolving skills. Three prominent CEOs se...
Baranger, Violaine; Bon Mardion, Nicolas; Dureuil, Bertrand; Compère, Vincent
Throat packs are frequently used after tracheal intubation during ear, nose, and throat surgery. We report 2 cases of complications related to throat packs retained at the end of surgery. Miscommunication between anesthesiology and surgery teams on throat pack management led to an upper gastrointestinal endoscopy examination under general anesthesia in the first case and to severe respiratory distress requiring tracheal reintubation in the second case. Our 2 case reports highlight the importance of good communication between anesthesiology and surgery teams and of standardized procedures and checklists for the management of throat packs to ensure patient safety. PMID:27301056
Full Text Available Yeon-Hwan Park,1,2 HeeKyung Chang31College of Nursing, 2The Research Institute of Nursing Science, Seoul National University, Seoul, South Korea; 3Seoul Women’s College of Nursing, Seoul, South KoreaBackground and aims: Although a growing number of older people are suffering from multimorbidity, most of the health problems related to multimorbidity can be improved by self-management. The aim of this study was to examine the effectiveness of a health coaching self-management program for older adults with multimorbidity in nursing homes. Methods: Older adults with multimorbidity from one nursing home in Korea were randomly allocated to either an intervention group (n=22 or conventional group (n=21. Participants in the intervention group met face to face with the researchers twice a week for 8 weeks, during which time the researchers engaged them in goal setting and goal performance using the strategies in the health coaching self-management program. Regular care was provided to the other participants in the conventional group. Results: Participants in the intervention group had significantly better outcomes in exercise behaviors (P=0.015, cognitive symptom management (P=0.004, mental stress management/relaxation (P=0.023, self-rated health (P=0.002, reduced illness intrusiveness (P<0.001, depression (P<0.001, and social/role activities limitations (P<0.001. In addition, there was a significant time-by-group interaction in self-efficacy (P=0.036. According to the goal attainment scales, their individual goals of oral health and stress reduction were achieved.Conclusion: The health coaching self-management program was successfully implemented in older adults with multimorbidity in a nursing home. Further research is needed to develop and evaluate the long-term effects of an intervention to enhance adherence to self-management and quality of life for older adults with multimorbidity.Keywords: chronic diseases, nursing intervention, older adults
Full Text Available Abstract Background Home hemodialysis is common in New Zealand and associated with lower cost, improved survival and better patient experience. We present the case of a fully trained home hemodialysis patient who exsanguinated at home as a result of an incorrect wash back procedure. Case presentation The case involves a 67 year old male with a history of well controlled hypertension and impaired glucose tolerance. He commenced on peritoneal dialysis in 2006 following the development of end stage kidney failure secondary to focal segmental glomerulosclerosis. He transferred to hemodialysis due to peritoneal membrane failure in 2010, and successfully trained for home hemodialysis over a 20 week period. Following one month of uncomplicated dialysis at home, he was found deceased on his machine at home in the midst of dialysis. His death occurred during the wash back procedure performed using the “open circuit” method, and resulted from misconnection of the saline bag to the venous end of the extracorporeal blood circuit instead of the arterial end. This led to approximately 2.3L of his blood being pumped into the saline bag resulting in hypovolaemic shock and death from exsanguination. Conclusions Despite successful training, critical procedural errors can still be made by patients on home hemodialysis. In this case, the error involved misconnection of the saline bag for wash back. This case should prompt providers of home hemodialysis to review their training protocols and manuals. Manufacturers of dialysis machinery should be encouraged to design machines specifically for home hemodialysis, and consider distinguishing the arterial and venous ends of the extracorporeal blood circuit with colour coding or incompatible connectivity, to prevent occurrences such as these in the future.
While libraries offer next generation public services such as mobile access and e-books, these services are often neither home-grown nor sustainable. Libraries have a history of lending and services built on a simple model: they purchase an item and then provide it to the community. Unfortunately, the latest generation of services offered by…
These super-insulated homes all have R-22 insulated concrete form walls, R-20 closed-cell spray form under the slab, ground source heat pump, tight air sealing, and more—helping this builder to win a Production Builder award in the 2014 Housing Innovation Awards.
The builder won an Affordable Builder award in the 2014 Housing Innovation Awards for this super-insulated home that features a 5.5-inch-thick layer of open-cell spray foam on the inside of the attic ceiling, providing an R-20-insulated, cool, conditioned space for the home’s high-efficiency SEER 15 heat pumps.
This home garnered an award in the Affordable Builder category of the 2014 Housing Innovation Awards, and features 2x4 walls with fiberglass batt inside plus R-3 rigid foam on the exterior, ENERGY STAR lighting, appliances, and ceiling fans, a solar water heater, an energy recovery ventilation, and a high efficiency heat pump.
This house, constructed by Caldwell and Johnson, should save its owners $600 per year over the 2009 IECC with the help of efficiency measures such as walls with OSB sheathing and R-13 open cell spray foam insulation. The home garnered a 2013 Housing Innovation Award in the custom builder category.
Behkami, Nima A.
It has been shown that the use of Health Information Technology (HIT) is associated with reduced cost and increased quality of care. This dissertation examined the use of registries in Patient Centered Medical Home (PCMH) practices. A survey questionnaire was sent to a nationwide group of clinics certified for being a PCMH. They were asked to…
Eleven new townhomes comply with EPA's airPLUS criteria and use EPA WaterSense-qualifying features. Foundation walls are insulated on the exterior with XPS insulation. Non-shared walls use wall panels that were produced offsite. This builder was awarded a 2013 Housing Innovation Award in the affordable home category.
This review deals primarily with the duties of Health Protection personnel assigned to Savannah River's operatig facilities - as opposed to the role of bioassay and dosimetry specialists - in handling potential transuranium assimilation cases
Building science research supports installing exterior (soil side) foundation insulation as the optimal method to enhance the hygrothermal performance of new homes. With exterior foundation insulation, water management strategies are maximized while insulating the basement space and ensuring a more even temperature at the foundation wall. However, such an approach can be very costly and disruptive when applied to an existing home, requiring deep excavation around the entire house. The NorthernSTAR Building America Partnership team implemented an innovative, minimally invasive foundation insulation upgrade technique on an existing home. The approach consisted of using hydrovac excavation technology combined with a liquid insulating foam. The team was able to excavate a continuous 4" wide by 4' to 5' deep trench around the entire house, 128 linear feet, except for one small part under the stoop that was obstructed with concrete debris. The combination pressure washer and vacuum extraction technology also enabled the elimination of large trenches and soil stockpiles normally produced by backhoe excavation. The resulting trench was filled with liquid insulating foam, which also served as a water-control layer of the assembly. The insulation was brought above grade using a liquid foam/rigid foam hybrid system and terminated at the top of the rim joist. Cost savings over the traditional excavation process ranged from 23% to 50%. The excavationless process could result in even greater savings since replacement of building structures, exterior features, utility meters, and landscaping would be minimal or non-existent in an excavationless process.
A discussion of energy source devlopments and environmental protection dealing with impacts, and legal aspects of pollution controls and resource management, and case history studies of major energy projects is presented
Smith, Pernille; Carugati, Andrea; Giangreco, Antonio
integration process of the merger. The main issue is how a middle manager constitutes an obstacle to this organisational change by re-inforcing the 'old' ways of working in his group. To solve this case satisfactorily students should be able to see the organisation from several different layers (employee......This is the third of a four-case series (408-115-1, 908-025-1, 308-343-1 and 608-037-1). This case is about resistance to organisational change in relation to a merger. The case describes a major organisational change in a newly established department, which has been instituted to speed up the......, middle management, top management) and explain how these different perspectives are interconnected and can be managed....
Coulter, Christopher H
Employers' past solutions to rising health benefit costs--adopting managed care strategies, cost shifting to employees and reducing benefits-are no longer effectively controlling costs and are depressing the value of health benefits for employee recruitment and retention. An alternative strategy is to implement health management approaches that improve the health status of employees. These programs reduce medical costs and have a documented positive impact on workers' compensation, disability costs, absenteeism and productivity. Further, this approach is complementary to health care consumerism as a strategy for health improvement and benefit cost reduction and results in improved employee health, outlook and satisfaction. PMID:16792389
Full Text Available In the last two decades Albania had shifted from a closed, communist economy to an open market where private sector has increased its influence, especially in production and trade sector. Today it can be studied and found the leaders of each sector by analyzing the position that these private companies have in the market.Erzeni LTD is a company operating in the market for more than 17 years. The company‘s first operations were production and trade of home, office and school furniture, operations which later on were expanded in new product such as inside and armored doors. Erzeni LTD, known also as the leader in wood/MDF based products, arranges its sale in three different directions: 1. Sales in Albanian free market, 2. Sales through fixed long-term contracts, 3. Export sales. In this paper it will be analyzed the past, present and future of Erzeni LTD, by developing an implementable strategy that would improve the future position of the company not only as an operator in the Albanian market but also abroad. In order to develop the company`s strategies, the SWOT-TOWS analysis will be conducted in which it will be identified the strengths, weaknesses, opportunities and threats that the company is facing.
Wagner, Petra; Schober, Barbara; Spiel, Christiane
This paper deals with the time students spend working at home for school. In Study 1, we investigated amount and regulation of time. Study 2 serves to validate the results of Study 1 and, in addition, investigates the duration of the time units students used and their relation to scholastic success. In Study 1, the participants were 332 students…
Christensen, Henry; Lauterlein, Jens-Jacob; Sørensen, Patricia D;
We have developed an expert computer system for the control of oral anticoagulation therapy, accessible by the patients via their own computer. To investigate if the weekly measurement and dosing of international normalized ratio (INR) at home using the online Internet-based system was superior to...
Gilstrap, Cristina M; White, Zachary M
This study examines the dialectical tensions experienced by home hospice nurses in interactions with patients, families, and health care providers. In-depth, semistructured interviews were conducted with 24 home hospice nurses from a mid-size for-profit hospice organization serving approximately 230 patients on an annual basis. Interviews revealed hospice nurses experience both interpersonal and organizational dialectics during hospice interactions: authoritative-nonauthoritative, revelation-concealment, independence-collaboration, and quality of care-business of care. Dialectics often resulted as a by-product of (a) responding to expectations and care choices of patients and families particular to the emotionally charged home context, (b) obtaining authorization from health care providers who are not members of the interdisciplinary team, and (c) pressures associated with providing quality patient care while fulfilling organizational role requirements. The praxis strategies used to negotiate tensions included segmentation, balance, recalibration, and spiraling inversion. Specifically, nurses employed strategies such as ascertaining family/patient acceptance, using persuasive tactics when communicating with external health care providers, relying on effective time management, and working off the clock to provide more in-person care. Although functional for patients and hospice organizations, nurses who continually rely on these strategies may experience job stress when their interpersonal commitments repeatedly conflict with organizational role demands. PMID:24991918
Full Text Available Congenital eversion of the upper eyelids is a rare condition, the exact cause of which remains unknown. It is more frequently associated with Down′s syndrome and black babies. If diagnosed early and treated properly, the condition can be managed without surgery. We report a case of congenital bilateral severe upper eyelid eversion in a normal infant, born by vaginal delivery. The case was conservatively managed by lubricants, antibiotics and eyelid patching.
Full Text Available Anaesthesiologist plays a major role in Cerebrospinal Fluid (CSF rhinorrhea repair surgery as the prognosis of which is dependent on provision of clear bloodless surgical field and surgeons satisfaction. Anaesthesiologist also plays vital role in the management of CSF Lumbar drain. This case highlights the importance of hypotensive anaesthesia during endoscopic repair of a case of spontaneous CSF Rhinorrhea with successful perioperative management of Lumbar drainage of CSF
McNamara, T G
Dental ankylosis may be a significant complication in orthodontic clinical practice. This case report describes the management of a malocclusion, complicated by an ankylosed maxillary central incisor, which arose during orthodontic treatment, following an acute traumatic injury. The use of the ankylosed incisor in successfully managing the significant Class II division 1 malocclusion is described.
The target of this project is to analyse human resource management focusing on the case of an existing company, "OKEY" and find out how improve human resource management and how it could be possible to implement it in this company. In this work I have used web resources and information from the company together with an interview.
Markowitz, V.M.; Lewis, S.; McCarthy, J.; Olken, F.; Zorn, M.
In this paper we describe a new approach to the construction of data management systems for genomic mapping applications in molecular biology, genetics, and plant breeding. We discuss the architecture of such systems and propose an incremental approach to the development of such systems. We illustrate the proposed approach and architecture with a case study of a prototype data management system for genomic maps.
McNamara, C M
This paper reviews the incidence, etiology and location of supernumerary teeth with emphasis on premolar supernumeraries and examines the management of supernumerary premolars of three patients undergoing orthodontics. These cases demonstrate that the management of premolars is assessed individually and treatments based on potential complications, which may occur during the orthodontic and surgical management of the dentition. Progress and posttreatment radiographs are recommended for the assessment of late forming supernumerary teeth.
The goal of this exploratory case study (Yin 1994) is to understand how Nintendo manages innovation, and in particular how it managed the development of the Wii. Indeed, Nintendo has always been regarded as a creative and innovative firm. However, its internal practices and the innovative nature of its products have yet to be addressed from an academic viewpoint. This research does find that Nintendo managed the development of the Wii following the Blue Ocean Strategy approach (Kim & Ma...
Nødset, Ingrid Foss
In this paper I examine the topic of earnings management and use a case example. In the first part of the paper I review theory on two closely related topics - earnings management and fraud - and present and discuss incentives, methods, typical indications and frequency of earnings management in the financial statements. I continue to describe the frameworks and laws that apply to revenue recognition and how income is recognized in the power industry, as this is especially relevant for the ca...
Naina Pattnaik; Anurag Satpathy; Rinkee Mohanty; Rashmita Nayak; Surjeet Sahoo
Cases described here discuss interdisciplinary (periodontal and behavioral) approach in the management of rare and difficult to diagnose self-inflicted injuries of gingiva such as gingivitis artefacta major. Self-inflicted injuries to the gingiva are rare and their management by periodontal therapy alone is inadequate. Proper management of this condition requires early detection and effective psychological treatment through behavioral therapy in addition to the treatment of dental lesion. Thr...
The goal of this exploratory case study (Yin 1994) is to understand how Nintendo manages innovation, and in particular how it managed the development of the Wii. Indeed, Nintendo has always been regarded as a creative and innovative firm. However, its internal practices and the innovative nature of its products have yet to be addressed from an academic viewpoint. This research does find that Nintendo managed the development of the Wii following the Blue Ocean Strategy approa...
The goal of this exploratory case study (Yin 1994) is to understand how Nintendo manages innovation, and in particular how it managed the development of the Wii. Indeed, Nintendo has always been regarded as a creative and innovative firm. However, its internal practices and the innovative nature of its products have yet to be addressed from an academic viewpoint. This research does find that Nintendo managed the development of the Wii following the Blue Ocean Strategy approach (Kim & Ma...
This paper provides a case study of the application of cost management techniques for project management of capital works within a major Australian electricity corporation. Historical data was collected from the corporation's archived files to establish the performance status of completed capital works projects. A survey of the corporation's project staff was also conducted to determine the current usage of cost management techniques and further explore the findings of the historical data sea...
AALTO SCHOOL OF ECONOMICS ABSTRACT International Business Communication Master’s Thesis April 20, 2011 Oskari Rankila The Role of Responsible Investing in Reputation Management A Case Study of an Asset Management Company Objectives of the study The objective of this study was to investigate the role of responsible investing (RI) in reputation management. The study aims to explore the perceptions of the case company’s employees and its institutional clients about commu...
Perkins, Alexandra; Walters, Frederick; Sievert, Jennifer; Rhodes, Blaine; Morrissey, Barbara; Karr, Catherine J.
Paresthesias have previously been reported among adults in occupational and non-occupational settings after dermal contact with pyrethroid insecticides. In this report, we describe a preverbal 13-month-old who presented to his primary care pediatrician with approximately 1 week of odd facial movements consistent with facial paresthesias. The symptoms coincided with a period of repeat indoor spraying at his home with a commercially available insecticide containing two active ingredients in the pyrethroid class. Consultation by the Northwest Pediatric Environmental Health Specialty Unit and follow-up by the Washington State Department of Health included urinary pyrethroid metabolite measurements during and after the symptomatic period, counseling on home clean up and use of safer pest control methods. The child’s symptoms resolved soon after home cleanup. A diagnosis of pesticide-related illness due to pyrethroid exposure was made based on the opportunity for significant exposure (multiple applications in areas where the child spent time), supportive biomonitoring data, and the consistency and temporality of symptom findings (paresthesias). This case underscores the vulnerability of children to uptake pesticides, the role of the primary care provider in ascertaining an exposure history to recognize symptomatic illness, and the need for collaborative medical and public health efforts to reduce significant exposures in children. PMID:27548193
Full Text Available Paresthesias have previously been reported among adults in occupational and non-occupational settings after dermal contact with pyrethroid insecticides. In this report, we describe a preverbal 13-month-old who presented to his primary care pediatrician with approximately 1 week of odd facial movements consistent with facial paresthesias. The symptoms coincided with a period of repeat indoor spraying at his home with a commercially available insecticide containing two active ingredients in the pyrethroid class. Consultation by the Northwest Pediatric Environmental Health Specialty Unit and follow-up by the Washington State Department of Health included urinary pyrethroid metabolite measurements during and after the symptomatic period, counseling on home clean up and use of safer pest control methods. The child’s symptoms resolved soon after home cleanup. A diagnosis of pesticide-related illness due to pyrethroid exposure was made based on the opportunity for significant exposure (multiple applications in areas where the child spent time, supportive biomonitoring data, and the consistency and temporality of symptom findings (paresthesias. This case underscores the vulnerability of children to uptake pesticides, the role of the primary care provider in ascertaining an exposure history to recognize symptomatic illness, and the need for collaborative medical and public health efforts to reduce significant exposures in children.
Perkins, Alexandra; Walters, Frederick; Sievert, Jennifer; Rhodes, Blaine; Morrissey, Barbara; Karr, Catherine J
Paresthesias have previously been reported among adults in occupational and non-occupational settings after dermal contact with pyrethroid insecticides. In this report, we describe a preverbal 13-month-old who presented to his primary care pediatrician with approximately 1 week of odd facial movements consistent with facial paresthesias. The symptoms coincided with a period of repeat indoor spraying at his home with a commercially available insecticide containing two active ingredients in the pyrethroid class. Consultation by the Northwest Pediatric Environmental Health Specialty Unit and follow-up by the Washington State Department of Health included urinary pyrethroid metabolite measurements during and after the symptomatic period, counseling on home clean up and use of safer pest control methods. The child's symptoms resolved soon after home cleanup. A diagnosis of pesticide-related illness due to pyrethroid exposure was made based on the opportunity for significant exposure (multiple applications in areas where the child spent time), supportive biomonitoring data, and the consistency and temporality of symptom findings (paresthesias). This case underscores the vulnerability of children to uptake pesticides, the role of the primary care provider in ascertaining an exposure history to recognize symptomatic illness, and the need for collaborative medical and public health efforts to reduce significant exposures in children. PMID:27548193
This paper aims to avoid the incidence of unnecessary matter and bring considerable economic benefits by reasonablely using food additives. It firstly describes that China is weak in the system for the food additives supervision and management field by comparative analysis. The standard management system should be improved and long-acting standardization management mode is needed. In the case of the high speed of development in our country, integration of category yield of food additives with...
... the list of eligible improvements include ``home energy management systems'' and ``home lighting... energy system--and in the latter case a variety of subsidies and incentives are available to fund costs... Commissioner, HUD. ] ACTION: Notice. SUMMARY: This notice announces HUD's FHA Home Energy Retrofit Loan...
In early 2003, Bruce Power restarted two of their previously laid up units in the Bruce A generating station, Units 3 and 4. However, due to challenges relating to the availability of personnel with active Shift Manager licenses, an alternate shift structure was proposed to ensure the safe operation of the station. This alternate structure resulted in a redistribution of responsibility, and a need to assess the resulting changes in workload. Atomic Energy of Canada Limited was contracted to perform a workload assessment based on the new shift structure, and to provide recommendations, if necessary, to ensure Shift Managers had sufficient resources available to perform their required duties. This paper discusses the performance of that assessment, and lessons learned as a result of the work performed during the Restart project. (author)
Ibon Tamayo Uria
Full Text Available Citizens’ reports of sightings of undesirable animals are a common component of pest control programmes in a city. For this reason, local authorities tend to develop procedures for the capture and analysis of the resulting data sets based on these reported sightings. These procedures in turn contribute to the development of other initiatives aimed at improving public health conditions. The study presented here focuses on the methodology designed and implemented by the Madrid City Council for controlling and managing the presence of urban pests.The long experience (over 100 years of the City Council and its commitment to the incorporation of new technologies have allowed a number of important lessons to be learnt in pest control and management, which may be useful as a guide and model for cities where public health services have not yet incorporated these methods.
The present time is characterized by rapid development of information and communication technologies. Getting of punctual and trustworthy informations and their qualified processing is absolutely essential. The growing competitive environment constrains the firms to find new flexible forms of satisfaction of needs of customers. The aim of article is analyze and evaluate the exploitation of value management in the range of mortgage services. Providing with complex service means high quality, s...
Since primary commodity producers first took control of their natural resources, they have attempted to utilize production/price management with varying degrees of success. As a tool aimed at regulating, rather than controlling, commodity markets, this type of resource management is an essential means of achieving realistic economic returns, which, in the long run, serves the interests of the producer of the commodity in question, as well as its consumer. By regulating commodity markets in times of stable prices producing countries would benefit from a steady and constant level of export earnings, thus allowing them to achieve a sustainable level of economic development. As far as the oil market is concerned, stable prices, set in a range favourable to both producers and consumers, would give investors the confidence needed for long-term exploration. This is particularly important for a commodity such as oil, at a time when the lead time between exploration starting and actual production getting under way is increasing. Not only would producers benefit from stable export earnings, which are an essential requirement for the planning of their development process, but consuming countries would at the same time benefit in two ways: first, they would gain security of supply; and second, as fluctuations in their expenditure for this commodity are reduced, they would be a position to manage their economies more efficiently. (author)
Bonaiuto, Maria M.
Educators and health care professionals alike understand that healthy students are likely to be successful learners. The goal of school nurse case management is to support students so that they are ready to learn. This article describes the outcomes of a 4-year process improvement project designed to show the impact of school nurse case management…
This month, we have begun our discussion of the reasons why this is a very good time for hospitals to review and re-engineer their case management models and departments, including the Affordable Care Act and value-based purchasing, among others. Next time, we will discuss the elements you need to review when re-engineering your own case management department. PMID:27434941
Amir Ghafurian Shagerdi
Full Text Available Home appliances are among basic requirements of anyone in the world and it is always important to find out about factors influencing this industry. Therefore, the purpose of this study is to provide a comprehensive model to detect major factors influencing on consumer purchasing intention. For this purpose, the proposed study designs a questionnaire and distributes it among 400 customers who have some experiences on purchasing home appliances in city of Tehran, Iran, recently. Cronbach alpha was calculated for all components of the survey and they were all well above the minimum acceptable level. We analyzed the data using structural equation modeling via LISREL and the results of this survey show that brand familiarity, brand trust, and perceived value have significant positive effects on consumers purchase intention.
A family-run nursing home that gives elderly people the feel of a real of a real home Jiang Shaoju’s three-year-old family-run nursing home for the elderly in Dalian breaks all stereotypes people might attach to traditional homes for the aged.There are no nurses in uniforms,no numbered bedding and there is a lot of laughter. Jiang,56,has given almost every one of the 12 elderly women in her nursing home a nickname.She calls 92-year-old Xuan Shoulan"vice principal"because Xuan likes giving orders to others in the house and
Nguyen Phan, Thuy Tien
Vietnam has a high potential of solar energy, especially in central and south regions of the country. Together with solar water heating systems, solar photovoltaic models have become increasingly popular in Vietnam recently. Among various solar photovoltaic technologies, solar photovoltaic off-grid home systems have demonstrated to be one of the most feasible and favorable options to electrify rural areas in Vietnam. The purpose of this study was to examine the market potential, market n...
ABSTRACT Objectives of the Study The aim of this research is threefold. The first objective is to define the concept of service quality in the context of home delivery of physically large consumer goods. Second objective for the research is to identify different customer segments and their key value drivers. Third object for this research is to identify those elements in the service process that could be used to modularize the service package. Academic background and methodology ...
Boorsma, M.; Hout, van, H.P.J.; Frijters, D.H.M.; Ribbe, M. W.; Nijpels, G.
Background The objective of this article is to describe the design of a study to evaluate the clinical and economic effects of a Disease Management model on functional health, quality of care and quality of life of persons living in homes for the elderly. Methods This study concerns a cluster randomized controlled clinical trial among five intervention homes and five usual care homes in the North-West of the Netherlands with a total of over 500 residents. All persons who are not terminally il...
Ribbe Miel W; Frijters Dinnus H; van Hout Hein PJ; Boorsma Marijke; Nijpels Giel
Abstract Background The objective of this article is to describe the design of a study to evaluate the clinical and economic effects of a Disease Management model on functional health, quality of care and quality of life of persons living in homes for the elderly. Methods This study concerns a cluster randomized controlled clinical trial among five intervention homes and five usual care homes in the North-West of the Netherlands with a total of over 500 residents. All persons who are not term...
Ribbe Miel W
Full Text Available Abstract Background The objective of this article is to describe the design of a study to evaluate the clinical and economic effects of a Disease Management model on functional health, quality of care and quality of life of persons living in homes for the elderly. Methods This study concerns a cluster randomized controlled clinical trial among five intervention homes and five usual care homes in the North-West of the Netherlands with a total of over 500 residents. All persons who are not terminally ill, are able to be interviewed and sign informed consent are included. For cognitively impaired persons family proxies will be approached to provide outcome information. The Disease Management Model consists of several elements: (1 Trained staff carries out a multidimensional assessment of the patients functional health and care needs with the interRAI Long Term Care Facilities instrument (LTCF. Computerization of the LTCF produces immediate identification of problem areas and thereby guides individualized care planning. (2 The assessment outcomes are discussed in a Multidisciplinary Meeting (MM with the nurse, primary care physician, nursing home physician and Psychotherapist and if necessary other members of the care team. The MM presents individualized care plans to manage or treat modifiable disabilities and risk factors. (3 Consultation by an nursing home physician and psychotherapist is offered to the frailest residents at risk for nursing home admission (according to the interRAI LTCF. Outcome measures are Quality of Care indicators (LTCF based, Quality Adjusted Life Years (Euroqol, Functional health (SF12, COOP-WONCA, Disability (GARS, Patients care satisfaction (QUOTE, hospital and nursing home days and mortality, health care utilization and costs. Discussion This design is unique because no earlier studies were performed to evaluate the effects and costs of this Disease Management Model for disabled persons in homes for the elderly on
Ünver, Kadir; Jensen, Per Anker
Purpose: To investigate how Risk Management (RM) is perceived and practiced in Facilities Management (FM) and corporate management and to evaluate the potential benefits of an increased application. Theory: RM is a generic management discipline, but apparently it has not achieved the attention it...... deserves in FM. Application of RM in FM could help to increase the strategic importance and awareness of FM among corporate managers. Approach: A preliminary study with expert interviews was initially conducted followed by a main study with an interview survey in two Danish case companies - a real estate...... administration than in relation to general business and corporate management, whereas the consulting engineering company as a contrast had much stronger focus on RM in relation to general business and corporate management than in relation to FM. This reflects the differences in core business and what is seen as...
A family of five and pet dog who rented a water-damaged home and developed multiple health problems. The home was analyzed for species of mold and bacteria. The diagnostics included MRI for chronic sinusitis with ENT and sinus surgery, and neurological testing for neuro cognitive deficits. Bulk samples from the home, tissue from the sinuses, urine, nasal secretions, placenta, umbilical cord, and breast milk were tested for the presence of trichothecene, aflatoxins, and Ochratoxin A. The family had the following diagnosed conditions: chronic sinusitis, neurological deficits, coughing with wheeze, nose bleeds, and fatigue among other symptoms. An infant was born with a total body flare, developed multiple Cafe-au-Lait pigmented skin spots and diagnoses with NF1 at age 2. The mycotoxins were detected in bulk samples, urine and nasal secretions, breast milk, placenta, and umbilical cord. Pseudomonas aueroginosa, Acinetobacter, Penicillium, and Aspergillus fumigatus were cultured from nasal secretions (father and daughter). RT-PCR revealed A. fumigatus DNA in sinus tissues of the daughter. The dog had 72 skin lesions (sebaceous glands and lipomas) from which trichothecene and ochratoxin A. were detected. The health of the family is discussed in relation to the most recent published literature regarding microbial contamination and toxic by-products present in water-damaged buildings.
Jack Dwayne Thrasher
Full Text Available A family of five and pet dog who rented a water-damaged home and developed multiple health problems. The home was analyzed for species of mold and bacteria. The diagnostics included MRI for chronic sinusitis with ENT and sinus surgery, and neurological testing for neurocognitive deficits. Bulk samples from the home, tissue from the sinuses, urine, nasal secretions, placenta, umbilical cord, and breast milk were tested for the presence of trichothecenes, aflatoxins, and Ochratoxin A. The family had the following diagnosed conditions: chronic sinusitis, neurological deficits, coughing with wheeze, nose bleeds, and fatigue among other symptoms. An infant was born with a total body flare, developed multiple Cafe-au-Lait pigmented skin spots and diagnoses with NF1 at age 2. The mycotoxins were detected in bulk samples, urine and nasal secretions, breast milk, placenta, and umbilical cord. Pseudomonas aueroginosa, Acinetobacter, Penicillium, and Aspergillus fumigatus were cultured from nasal secretions (father and daughter. RT-PCR revealed A. fumigatus DNA in sinus tissues of the daughter. The dog had 72 skin lesions (sebaceous glands and lipomas from which trichothecenes and ochratoxin A. were detected. The health of the family is discussed in relation to the most recent published literature regarding microbial contamination and toxic by-products present in water-damaged buildings.
Solar water heating systems are not new, but they have not become prevalent in most of the U.S. Most of the country is cold enough that indirect solar thermal systems are required for freeze protection, and average installed cost of these systems is $9,000 to $10,000 for typical systems on single-family homes. These costs can vary significantly in different markets and with different contractors, and federal and regional incentives can reduce these up-front costs by 50% or more. In western Massachusetts, an affordable housing developer built a community of 20 homes with a goal of approaching zero net energy consumption. In addition to excellent thermal envelopes and PV systems, the developer installed a solar domestic water heating system (SDHW) on each home. The Consortium for Advanced Residential Buildings (CARB), a research consortium funded by the U.S. Department of Energy Building America program, commissioned some of the systems, and CARB was able to monitor detailed performance of one system for 28 months.
With this new home—which achieved the highest rating possible under the National Green Building Standard—Nexus EnergyHomes demonstrated that green and affordable can go hand in hand. The mixed-humid climate builder, along with the U.S. Department of Energy Building America team Partnership for Home Innovation, embraced the challenge to create a new duplex home in downtown Frederick, Maryland, that successfully combines affordability with state-of-the-art efficiency and indoor environmental quality. To limit costs, the builder designed a simple rectangular shape and kept interesting architectural features such as porches outside the building’s structure. This strategy avoided the common pitfall of creating potential air leakage where architectural features are connected to the structure before the building is sealed against air infiltration. To speed construction and limit costs, the company chose factory-assembled components such as structural insulated panel walls and floor and roof trusses. Factory-built elements were key in achieving continuous insulation around the entire structure. Open-cell spray foam at the rim joist and attic roofline completed the insulation package, and kept the heating, ventilating, and air-conditioning system in conditioned space.
Muehlsteff, Jens; Carvalho, Paulo; Henriques, Jorge; Paiva, Rui P; Reiter, Harald
State-of-the-Art disease management for Congestive Heart Failure (CHF) patients is still based on easy-to-acquire measures such as heart rate (HR), weight and blood pressure (BP). However, these measures respond late to changes of the patient health status and provide limited information to personalize and adapt medication therapy. This paper describes our concept called "Cardiac Status Assessment" we have been investigating within the European project "HeartCycle" towards next-generation home-based disease management of CHF. In our concept we analyze non-invasive surrogate measures of the cardio-vascular function in particular systolic time intervals and pulse wave characteristics to estimate Cardiac Output (CO) and Systemic Vascular Resistance (SVR) both are established clinical measures. We discuss the underlying concept, a developed measurement system and first results. PMID:22254450
The paper sets out from a central proposition that the concept of social adaptive case management (SACM) bears on the evolution of modern businesses in enterprise. Social ACM makes the business case and the active components (information, processes, knowledge, etc.) become active social network elements and connecting knowledge workers. It allows the social network, flexible dialogue and cooperation in the adaptation of knowledge workers and processing complex business cases. It also offers a...
This thesis is written for Case Company X, which is an international and sales-focused accelerator for innovative software companies. The company invests seed capital in their portfolio companies and deliver concrete results for their sales and international growth. In addition, Case Company X organizes events for startup founders. This thesis will discuss how to plan and manage an event for Case Company X. The objective of this thesis is to clarify the process of organizing a successful ...
?This project represents the third phase of a multi-year effort to develop and bring to market a High Performance Manufactured Home (HPMH). The scope of this project involved building four HPMH prototypes, resulting in what is expected to be a 30% savings relative to the Building America Benchmark. (The actual % savings varies depending on choice of heating equipment and climate zone). The HPMH home is intended to make significant progress toward performing as zero-net-energy ready. Previous phases of this project created a HPMH specification and prototyped individual measures from the package to obtain engineering approvals and develop preliminary factory construction processes. This report describes the project team's work during 2014 to build prototype homes to the HPMH specifications and to monitor the homes for energy performance and durability during 2014. Monitoring is expected to continue into 2016.
home is intended to make significant progress toward performing as zero-net-energy ready. Previous phases of this project created a HPMH specification and prototyped individual measures from the package to obtain engineering approvals and develop preliminary factory construction processes. This report describes the project team's work during 2014 to build prototype homes to the HPMH specifications and to monitor the homes for energy performance and durability during 2014. Monitoring is expected to continue into 2016.
Five patients who would have been unable to survive because of intestinal complications of radiation therapy were able to lead an otherwise normal life with the use of parenteral nutrition administered at home. One patient died of recurrent carcinoma of the cervix after 14 months. Another patient died as the result of a totally avoidable pharmaceutical error after 2 1/2 years. The remaining three are still disease free without morbidity relating to the parenteral nutrition
Kim, Ji Ae; Lee, Seung Ha; Choi, Seung Hyun; Jung, Ki Kyung; Park, Mi Sun; Jeong, Ji Yoon; Hwang, Myung Sil; Yoon, Hae Jung; Choi, Dal Woong
To prepare measures for practical policy utilization and the control of heavy metals, hazard control related institutions by country, present states of control by country, and present states of control by heavy metals were examined. Hazard control cases by heavy metals in various countries were compared and analyzed. In certain countries (e.g., the U.S., the U.K., and Japan), hazardous substances found in foods (e.g., arsenic, lead, cadmium, and mercury) are controlled. In addition, the Joint...
Akcakaya, H.R.; Burgman, M.A.; Kindvall, O.; Wood, C.C.; Sjogren-Gulve, P.; Hatfield, J.S.; McCarthy, M.A.
This edited volume is a collection of population and metapopulation models for a wide variety of species, including plants, invertebrates, fishes, amphibians, reptiles, birds, and mammals. Each chapter of the book describes the application of RAMAS GIS 4.0 to one species, with the aim of demonstrating how various life history characteristics of the species are incorporated into the model, and how the results of the model has been or can be used in conservation and management of the species. The book comes with a CD that includes a demo version of the program, and the data files for each species.
Astor Eugênio Hexsel
Full Text Available The Cordilheira de Santana case, from now on referred to simply as Cordilheira, was conducted and reported with the main purpose of contributing to the understanding of the process of strategy formulation in the winery sector. It presents the case of a recently created small firm aiming to compete in the market by offering high quality based on reduced premium line products, with prices established in accordance. Even so, it has not achieved the expected results. The wine industry with its basis in the wineries of the extreme south of Brazil, which is the most productive sector in the whole country, is also discussed. The case study began in 2008, when Rosana, owner and director of the company, travelled from São Paulo to Porto Alegre and highly concerned that the expected results had not been achieved. Data included as a technical note on the wine industry provides information on the industry as a whole, enabling students to reconsider the firm´s positioning in the market. The teaching note that follows provides the professor with information that will allow him to explore several perspectives that will have to be faced by Rosana further. She may choose to strengthen the present strategy or to take it in a new direction.
Full Text Available Introduction: Conservative management is the first option for patients with stress urinary incontinence (SUI. However, successful management of women diagnosed with SUI is dependent on a proper assessment and a tailored treatment plan. This case report aims to show the effectiveness of physiotherapy management in a 42-year-old patient diagnosed with SUI.Patient presentation: The patient’s main complaints were involuntary loss of urine on coughing, sneezing and lifting of heavy objects, which started following the birth of her third child.Management and outcome: The patient was taught the ‘Knack’ manoeuvre and provided with a tailored pelvic floor exercise programme. Improvement was noted at the third visit and the patient no longer had involuntary episodes.Conclusion: This case report shows the successful outcome of conservative management in a patient with stress urinary incontinence.
Atul B. Borade
Full Text Available Enterprises use supply chain management practices for improving business or supply chain performance. It is observed that supply chain technologies like VMI are now becoming an integral part of enterprise’s strategy. Even small and medium enterprises can adopt this practice and improve the performance of supply chain. This paper discusses vendor managed forecasting with the help of case study. It shows how a small enterprise improves supply chain performance by using demand related information obtained from retailer. The results obtained in the study shows that vendor managed forecasting in supply chain reduces the demand variation and improves inventory management significantly.
Warnier, Martijn; Sinderen, van Marten; Brazier, Frances M.T.; Cordeiro, J.; Mitrakos, D.; Shishkov, B.B.
Automated and effcient energy management has many potential benefits for producers and consumers of energy, and the environment. Focusing on energy management on the consumer side, this paper considers two forms of energy management: minimizing energy usage in single households and avoiding peaks in
Investigating the feasibility, acceptability and appropriateness of outreach case management in an urban Aboriginal and Torres Strait Islander primary health care service: a mixed methods exploratory study
Askew, Deborah A.; Togni, Samantha J.; Schluter, Philip J.; Rogers, Lynne; Egert, Sonya; Potter, Nichola; Hayman, Noel E.; Cass, Alan; Brown, Alex D. H.
Background The disparities in health and life expectancy of Aboriginal and Torres Strait Islander peoples compared to non-Indigenous Australians are well documented. Chronic diseases are a leading contributor to these disparities. We aimed to determine the feasibility, acceptability and appropriateness of a case management approach to chronic disease care integrated within an urban Aboriginal and Torres Strait Islander primary health care service. Methods The Home-based, Outreach case Managem...
Full Text Available International trade plays a special role in all countries due the influence exerted in the economic and social field. At the same time, subjects such as planning and implementing the operation of export and import becomes very important, with particular relevance among entrepreneurs and academics. When it comes to this issue, the aim of this teaching case is to provide discussions about the subjects of entrepreneurship, business planning and the learning of strategists. It describes the experience of company SK, started in July of 1997, which began its businesses through exporting and importing leather and its artifacts. Later, the enterprise redirected its focus and began importing chocolates for the Brazilian market. The entrepreneur found, during the process of the business construction, a series of challenges that obliged him to make decisions and make choices. Having an amount of capital and willingness to undertake, he had to decide which path to follow and how to decide. Were there right and wrong choices? How would he plan and operationalize a start-up business? How would he evaluate opportunities and estimate the risk of an enterprise? These are some of many questions that the reader will be challenged to answer after analyzing this case.
Full Text Available ... FIRST Trial ACS Publications ACS in the News Stay Up to Date with ACS Association Management Jobs ... skills such as emptying and changing a pouch, problem solving, and home management. A DVD with demonstration ...
Case management practices have continued to grow despite a lack of clear evidence of their efficacy. With the expanding segment of the elderly population, there is a critical need to develop and identify programs that will address the many needs of the aging. Geriatric Case Management has been the avenue selected by many health care providers to address these issues, focusing on maintaining health status and improving linkages with medical and community resources. Studies testing the effectiveness of these models have failed to demonstrate their effectiveness in reducing depression, reducing acute care service use, and improving or maintaining health status. The Geriatric Case Management models presented in these lack an evidence-based, theoretical framework that provides definition and direction for case management practice. This article introduces behavior change theories as a method of structuring and delineating the case management intervention. The Transtheoretical Model and the Theory of Planned Behavior are discussed and methods of integrating these theories into practice are discussed. PMID:11878076
In the post-asylum era, case managers perform much of the face-to-face work of pharmaceutical compliance for people with severe and persistent mental illness. Their work demands careful orchestration of the assemblage of compliance, including the actual medications, the ideology of biopsychiatry, the division of professional labor, and certain mundane tools. Ethnographic vignettes from an Assertive Community Treatment (ACT) team show how case managers use this assemblage in their everyday routines, but also how it undercuts key elements of the original ACT mission. Reflecting its roots in the deinstitutionalization movement, the ACT model gives case managers limitless responsibilities for clients' lives, but then narrowly defines their role as the prosthetic extension of psychiatric authority. To produce compliance, case managers depend on the medication cassette, analyzed here as a human/non-human hybrid woven into their ordinary work. The medication cassette has pre-scripted uses that enlist clinicians in biopsychiatric thinking and also silently impose compliant behavior on clients. The elements in the assemblage of compliance depend on each other, but they do not form a seamless whole, as evidenced by the dilemmas and micropolitics of the clinical front-line. Theoretical notions of assemblages and technologies of compliance, drawn from science and technology studies, illuminate a core conundrum of practice in psychiatric case management. PMID:20721752
Full Text Available Abstract Background There is a popular belief that out-of-home eating outlets, which typically serve energy dense food, may be more commonly found in more deprived areas and that this may contribute to higher rates of obesity and related diseases in such areas. Methods We obtained a list of all 1301 out-of-home eating outlets in Glasgow, UK, in 2003 and mapped these at unit postcode level. We categorised them into quintiles of area deprivation using the 2004 Scottish Index of Multiple Deprivation and computed mean density of types of outlet (restaurants, fast food restaurants, cafes and takeaways, and all types combined, per 1000 population. We also estimated odds ratios for the presence of any outlets in small areas within the quintiles. Results The density of outlets, and the likelihood of having any outlets, was highest in the second most affluent quintile (Q2 and lowest in the second most deprived quintile (Q4. Mean outlets per 1,000 were 4.02 in Q2, 1.20 in Q4 and 2.03 in Q5. With Q2 as the reference, Odds Ratios for having any outlets were 0.52 (CI 0.32–0.84 in Q1, 0.50 (CI 0.31 – 0.80 in Q4 and 0.61 (CI 0.38 – 0.98 in Q5. Outlets were located in the City Centre, West End, and along arterial roads. Conclusion In Glasgow those living in poorer areas are not more likely to be exposed to out-of-home eating outlets in their neighbourhoods. Health improvement policies need to be based on empirical evidence about the location of fast food outlets in specific national and local contexts, rather than on popular 'factoids'.
Honnie Aguilar Leinartas
Full Text Available Improving the energy efficiency of the residential building stock plays a key role in mitigating global climate change. New guidelines are targeting widespread application of deep energy retrofits to existing homes that reduce their annual energy use by 50%, but questions remain as to how to identify and prioritize the most cost-effective retrofit measures. This work demonstrates the utility of whole building energy simulation and optimization software to construct a “tool-box” of prescriptive deep energy retrofits that can be applied to large portions of the existing housing stock. We consider 10 generally representative typology groups of existing single-family detached homes built prior to 1978 in the Chicago area for identifying cost-optimal deep energy retrofit packages. Simulations were conducted in BEopt and EnergyPlus operating on a cloud-computing platform to first identify cost-optimal enclosure retrofits and then identify cost-optimal upgrades to heating, ventilation, and air-conditioning (HVAC systems. Results reveal that prescriptive retrofit packages achieving at least 50% site energy savings can be defined for most homes through a combination of envelope retrofits, lighting upgrades, and upgrades to existing HVAC system efficiency or conversion to mini-split heat pumps. The average upfront cost of retrofits is estimated to be ~$14,400, resulting in average annual site energy savings of ~54% and an average simple payback period of ~25 years. Widespread application of these prescriptive retrofit packages across the existing Chicago-area residential building stock is predicted to reduce annual site energy use by 3.7 × 1016 J and yield approximately $280 million USD in annual energy savings.
Geissler, Ferdinand; Leopold, Thomas; Pink, Sebastian
This study uses geo-coded data from 11 waves (2000 – 2010) of the SOEP to investigate gender differences in the spatial mobility of N = 2,072 young adults initially leaving their parental home. In West Germany, we find no gender differences in moving distances. In East Germany, young women are considerably more mobile than men. Almost 30% of East German women move across 100 km or more, compared to only 18% of East German men. The multivariate models reveal that these differences are not expl...
In many popular cities of the world, short-term accommodation for visitors is becoming increasingly expensive. Sydney is one such city. It is famous for its living standard and it is a regular destination for tourists and workers alike. Reputable online portals such as airbnb.com has made it possible for home owners (or even renters) to list their space online and make some money if someone books it. Suburban housing in Sydney is cheaper as compared to the main Sydney city. Similarly, the hom...
The population in Finland is rapidly ageing the number of children and people of working age decreases. There were 255,912 at the age of 80 and over at the end of 2010 and it is estimated that by 2030 the population will rise still further. The municipality of Espoo is experiencing high logistics costs in food delivery services to public homes for the elderly and there is a need to develop more cost effective logistics methods to reduce these costs. The purpose of this study is to analyze...
A collaboration with Building America team Building Science Corporation helped this builder win a 2013 Housing Innovation Award in 2013—a 2,508-ft2 home built on speculation in the Devens, MA, subdivision. For the above-grade walls, the super-insulated building shell starts with 12 inch thick double walls composed of two 2x4 16-inch on-center walls spaced 5 inches apart. The space between the walls is filled with low-density (open-cell) spray foam for an insulation value of R-45.
For this project with the U.S. Department of Energy Building America team Home Innovation Research Labs, the retrofit insulated panels relied on an enhanced expanded polystyrene (EPS) for thermal resistance of R-4.5/inch, which is an improvement of 10% over conventional (white-colored) EPS. EPS, measured by its life cycle, is an alternative to commonly used extruded polystyrene and spray polyurethane foam. It is a closed-cell product made up of 90% air, and it requires about 85% fewer petroleum products for processing than other rigid foams.
Full Text Available Home network (HOMENET performs multiple important functions such as energy management, multimedia sharing, lighting and climate control in smart grid (SG. In HOMENET there are numerous challenges among which mobility and security are the basic requirements that need to be addressed with priority. The information-centric networking (ICN is regarded as the future Internet that subscribes data in a content-centric manner irrespective of its location. Furthermore, it has pecial merit in mobility and security since ICN supports in-network caching and self-contained security, these make ICN a potential solution for home communication fabric. This paper aims to apply the ICN approach on HOMENET system, which we called ICN-HOMENET. Then, a proof-of-concept evaluation is employed to evaluate the effectiveness of the proposed ICN-HOMENET approach in data security, device mobility and efficient content distribution for developing HOMENET system in SG. In addition, we proposed a cost-efficient residential energy management (REM scheme called ICN-REM scheme for ICN-HOMENET system which encourages consumers to shift the start time of appliances from peak hours to off-peak hours to reduce the energy bills. To the best of our knowledge, this is the first attempt to propose an ICN-based REM scheme for HOMENET system. In this proposal, we not only consider the conflicting requests from appliances and domestic power generation, but also think the energy management unit (EMU should cooperate with measurement sensors to control some specific appliances in some specific conditions. Moreover, the corresponding performance evaluation validates its correctness and effectiveness.
The purpose of this thesis was to evaluate a case project and to study whether it was carried out in a correct manner; meaning that did the case project follow the project management models. In addition, part of the study was to determine what could have been improved in the management of the case project. The case project was about creating and launching a communication channel based on a social media service, on a blog platform called Tumblr, for Team Finland in Spain network. The network p...
Fernandes, Filipe; Morais, Hugo; Vale, Zita;
- ing systems, storage systems, and electric vehicles. Each consumer can participate in different demand response events promoted by system operators or aggregation entities. This paper proposes an innovative method to manage the appliances on a house during a demand response event. The main...... contribution of this work is to include time constraints in resources management, and the context evaluation in order to ensure the required comfort levels. The dynamic resources management methodology allows a better resources’ management in a demand response event, mainly the ones of long duration, by......In future power systems, in the smart grid and microgrids operation paradigms, consumers can be seen as an energy resource with decentralized and autonomous decisions in the energy management. It is expected that each consumer will manage not only the loads, but also small generation units, heat...
Swallow Veronica M
Full Text Available Abstract Background Care of children and young people (children with long-term kidney conditions is usually managed by multidisciplinary teams. Published guidance recommends that whenever possible children with long-term conditions remain at home, meaning parents may be responsible for performing the majority of clinical care-giving. Multidisciplinary team members, therefore, spend considerable time promoting parents' learning about care-delivery and monitoring care-giving. However, this parent-educative aspect of clinicians' role is rarely articulated in the literature so little evidence exists to inform professionals' parent-teaching interventions. Methods/Design This ongoing study addresses this issue using a combination of quantitative and qualitative methods involving the twelve children's kidney units in England, Scotland and Wales. Phase I involves a survey of multidisciplinary team members' parent-teaching interventions using: i A telephone-administered questionnaire to determine: the numbers of professionals from different disciplines in each team, the information/skills individual professionals relay to parents and the teaching strategies/interventions they use. Data will be managed using SPSS to produce descriptive statistics ii Digitally-recorded, qualitative group or individual interviews with multidisciplinary team members to explore their accounts of the parent-teaching component of their role. Interviews will be transcribed anonymously and analysed using Framework Technique. Sampling criteria will be derived from analysis to identify one/two unit(s for subsequent in-depth study Phase II involves six prospective, ethnographic case-studies of professional-parent interactions during parent-teaching encounters. Parents of six children with a long-term kidney condition will be purposively sampled according to their child's age, diagnosis, ethnicity and the clinical care-giving required; snowball sampling will identify the
Ajith, Sreedevi D; Shetty, Smitha; Hussain, Huma; Nagaraj, Tejavathy; Srinath, M
Interdisciplinary care for the management of impacted teeth provides a holistic method of treating patients. Careful planning is necessary to reach the desired treatment goals. This article attempts to highlight the importance of diagnosis and adequate treatment planning for successful eruption of impacted teeth. The concept of forced eruption to improve the bone morphology of the impacted teeth has been used to treat a case of multiple impacted teeth. This paper reviews the diagnosis and management of impacted teeth. A case report of multiple impacted maxillary anterior teeth of a 13-year-old female patient has been presented. How to cite the article: Ajith SD, Shetty S, Hussain H, Nagaraj T, Srinath M. Management of multiple impacted teeth: A case report and review. J Int Oral Health 2014;6(3):93-8. PMID:25083041
Mukkamala, Raghava Rao; Hildebrandt, Thomas; Slaats, Tijs;
semantics that supports both run time changes and formal verification. We show how these techniques are being implemented in industry as a component of the Exformatics case management tools. Finally we discuss the planned future work, which will aim to allow changes to be tested for conformance wrt policies......By trustworthy adaptive case management we mean that it should be possible to adapt processes and goals at runtime while guaranteeing that no deadlocks and livelocks are introduced. We propose to support this by applying a formal declarative process model, DCR Graphs, and exemplify its operational...... specified either as linear time logic (LTL) or DCR Graphs, extend the language with time and data and offer extended support for cross-organizational case management systems....
Full text: The advances in the managing of nuclear information in Colombia are presented, this has allowed recapturing the activities starting from 1999 contributing the INIS with the results of the investigations related with the OIEA mission, for benefit of the international scientific community. In Colombia, the nuclear documental handling were first performed by the Institute of Nuclear Affairs (IAN) and then by the Institute of Nuclear Sciences and Alternative Energy (INEA). Later on in 1998 these functions were assigned to INGEOMINAS; in such a way that INGEOMINAS has been playing this role. At the present time INGEOMINAS has the nuclear information and the documentation that in accordance with its nature as geological service includes (geology, mining, underground waters, geotechnics, and geophysics among other), however; until two years ago two libraries were established, specialized in nuclear topics, both with headquarters in Bogota. Once the documentation was organized in the two documental centers (Library and Technical Documents) some contracts have been made in order to scanning the Technical Reports (texts and maps) stored in the Center of Technical Documents; in such a way that today we have approximately 80% of the technical documents in digital format. The technical reports are indexed in the documental database; called SERMIN (Metadata service) which can be seen through Internet (www.ingeominas.gov.co). The books, congress memories, thesis, magazines and other materials related to nuclear topics located in the library, are not yet indexed in the documental database. For this year we plan to hire a company to compile the metadata in order to become available through the Internet. Starting 1999 INGEOMINAS reactivated the activities and compromises with the International Atomic Energy Agency-IAEA; a new INIS - Liaison Officer was named and Colombia restarted activities as realization, indexing and sending of records to the INIS System in Vienna; as
Pattnaik, Naina; Satpathy, Anurag; Mohanty, Rinkee; Nayak, Rashmita; Sahoo, Surjeet
Cases described here discuss interdisciplinary (periodontal and behavioral) approach in the management of rare and difficult to diagnose self-inflicted injuries of gingiva such as gingivitis artefacta major. Self-inflicted injuries to the gingiva are rare and their management by periodontal therapy alone is inadequate. Proper management of this condition requires early detection and effective psychological treatment through behavioral therapy in addition to the treatment of dental lesion. Three male patients in their twenties presented with traumatic injuries of gingiva with history of self-injury and underlying emotional disturbances. Following basic periodontal intervention, their self-inflicting behavior was confirmed on psychiatric consultation. All of them underwent cognitive behavior therapy and were able to successfully curb their self-inflicting behavior prior to any definitive dental procedures. These cases illustrate the essentiality of behavioral intervention in addition to periodontal procedures in the management of such lesions. PMID:26664762
Full Text Available Cases described here discuss interdisciplinary (periodontal and behavioral approach in the management of rare and difficult to diagnose self-inflicted injuries of gingiva such as gingivitis artefacta major. Self-inflicted injuries to the gingiva are rare and their management by periodontal therapy alone is inadequate. Proper management of this condition requires early detection and effective psychological treatment through behavioral therapy in addition to the treatment of dental lesion. Three male patients in their twenties presented with traumatic injuries of gingiva with history of self-injury and underlying emotional disturbances. Following basic periodontal intervention, their self-inflicting behavior was confirmed on psychiatric consultation. All of them underwent cognitive behavior therapy and were able to successfully curb their self-inflicting behavior prior to any definitive dental procedures. These cases illustrate the essentiality of behavioral intervention in addition to periodontal procedures in the management of such lesions.
Rudagi B M
Full Text Available Ameloblastoma, first recognized by Cusack in 1827, is a neoplasm of odontogenic epithelium, especially of enamel organ-type tissue that has not undergone differentiation to the point of hard tissue formation. It accounts for about 1% of all oral tumors and about 9-11% of odontogenic tumors. Ameloblastoma in the mandible can progress to a great size and cause facial asymmetry, displacement of teeth, malocclusion, and pathologic fractures. A case of large ameloblastoma of mandible in a 39 year old male patient is being reported. Patient had large swelling on left lower side of the jaw since 2 years. Swelling was approximately 15 X 10cm in size. Intraorally the swelling involved buccal and lingual cortical plates and was obliterating the vestibular space. Patient did not seek medical attention because swelling was painless. The patient was investigated and treated with surgical excision and was providedwith prosthesis to correct the post operative sequale. The patient showed uneventful recovery with no recurrence after a follow up of one year.
Daamen Mariëlle AMJ
Full Text Available Abstract Background Heart failure is likely to be particularly prevalent in the nursing home population, but reliable data about the prevalence of heart failure in nursing homes are lacking. Therefore the aims of this study are to investigate (a the prevalence and management of heart failure in nursing home residents and (b the relation between heart failure and care dependency as well as heart failure and quality of life in nursing home residents. Methods/design Nursing home residents in the southern part of the Netherlands, aged over 65 years and receiving long-term somatic or psychogeriatric care will be included in the study. A panel of two cardiologists and a geriatrician will diagnose heart failure based on data collected from actual clinical examinations (including history, physical examination, ECG, cardiac markers and echocardiography, patient records and questionnaires. Care dependency will be measured using the Care Dependency Scale. To measure the quality of life of the participating residents, the Qualidem will be used for psychogeriatric residents and the SF-12 and VAS for somatic residents. Conclusion The study will provide an insight into the actual prevalence and management of heart failure in nursing home residents as well as their quality of life and care dependency. Trial registration Dutch trial register NTR2663
The purpose of this study was to identify the aspects affecting customer satisfaction and to find out how the management can improve customer service. The purpose was to give guidelines to the case company of how to improve customer service and thus gain competitive advantage over competitors. The data to this study was gathered from various online sources and literature. The core theories and concepts were CRM, creating customer satisfaction, managing employees and complaint handling pro...
Pikas, Ergo; Koskela, Lauri; Dave, Bhargav; Liias, Roode
Delivering better products with a reduced lead time and less resources has become the primary focus of design management. The aim of this work is to revisit typical design management inefficiencies and discuss possible remedies for these problems. To this end, a case study and interviews with seven Estonian architects were carried out. The data obtained was analyzed within the framework of the transformation-flow-value theory of production. Despite its failure to deliver customer value, a sin...
Koelmeyer, Chris; Pisone, Neil
The recent increase in international projects has resulted in higher risk along with difficulties in control and coordination. Effective project management can therefore be seen as being essential to the success of projects. The purpose of this paper is to understand how a large multinational company currently handles these issues. This paper conducts a case study that will look at the relationship between contingencies and their effects on project risk management. The findings show that alth...
De Vito Eduardo L
Full Text Available Abstract Introduction Little has been written about the use of non-invasive ventilation in the home care of amyotrophic lateral sclerosis-motor neuron disease patients with end-stage respiratory muscle failure. Nocturnal use of non-invasive ventilation has been reported to improve daytime blood gases but continuous non-invasive ventilation dependence has not been studied in this regard. There continues to be great variation by country, economics, physician interest and experience, local concepts of palliation, hospice requirements, and resources available for home care. We report a case series of home-based amyotrophic lateral sclerosis-motor neuron disease patients who refused tracheostomy and advanced non-invasive ventilation to full-setting, while maintaining normal alveolar ventilation and oxygenation in the course of the disease. Since this topic has been presented in only one center in the United States and nowhere else, it is appropriate to demonstrate that this can be done in other countries as well. Case presentation We present here the cases of three Caucasian patients (a 51-year-old Caucasian man, a 45-year-old Caucasian woman and a 57-year-old Caucasian woman with amyotrophic lateral sclerosis who developed continuous non-invasive ventilation dependence for 15 to 27 months without major complications and were able to maintain normal CO2 and pulse oxyhemoglobin saturation despite a non-measurable vital capacity. All patients were wheelchair-dependent and receiving riluzole 50 mg twice a day. Patient one developed mild-to-moderate bulbar-innervated muscle weakness. He refused tracheostomy but accepted percutaneous gastrostomy. Patient two had two lung infections, acute bronchitis and pneumonia, which were treated with antibiotics and cough assistance at home. Patient three had three chest infections (bronchitis and pneumonias and asthmatic episodes treated with antibiotics, bronchodilators and cough assistance at home. All patients had
Sandhu, B K; Duquette, A; Kérouac, S; Rouillier, L
Less money spent on health services, cost-effectiveness, better productivity and more efficiency are some of the driving forces of contemporary "neo-liberalism" and political trends. How can nursing services and the profession's human values adapt in this difficult context? The authors describe the newest modality of patient care delivery system: nursing case management. They examine the factors and assumptions that led up to its development and point out the validity of asking some serious questions before embarking on the euphoria of case management. PMID:1291932
Highlights: • Hourly electricity consumption data of seven end-uses from 25 homes are analyzed. • Hourly load, cost, and emission profiles of end-uses are developed and categorized. • Side-by-side analysis of energy, cost, and environmental effects is conducted. • Behaviour and outdoor temperature based end-uses are determined. • Share of each end-use in the total daily load, cost, and emission is determined. - Abstract: Providing information on the temporal distributions of residential electricity end-uses plays a major role in determining the potential savings in residential electricity demand, cost, and associated emissions. While the majority of the studies on disaggregated residential electricity end-use data provided hourly usage profiles of major appliances, only a few of them presented analysis on the effect of hourly electricity consumption of some specific end-uses on household costs and emissions. This study presents side-by-side analysis of energy, cost, and environment effects of hourly electricity consumption of the main electricity end-uses in a sample of homes in the Canadian province of Ontario. The data used in this study are drawn from a larger multi-stakeholder project in which electricity consumption of major end-uses at 25 homes in Milton, Ontario, was monitored in five-minute intervals for six-month to two-year periods. In addition to determining the hourly price of electricity during the monitoring period, the hourly carbon intensity is determined using fuel type hourly generation and the life cycle greenhouse gas intensities specifically determined for Ontario’s electricity fuel mix. The hourly load, cost, and emissions profiles are developed for the central air conditioner, furnace, clothes dryer, clothes washer, dishwasher, refrigerator, and stove and then grouped into eight day type categories. The side-by-side analysis of categorized load, cost, and emission profiles of the seven electricity end-uses provided information on
García, Alexandra A.; Brown, Sharon A.; Horner, Sharon D.; Zuñiga, Julie; Arheart, Kristopher L.
This pilot study evaluated an innovative diabetes symptom awareness and self-management educational program for Mexican Americans, a fast growing minority population experiencing a diabetes epidemic. Patients with diabetes need assistance interpreting and managing symptoms, which are often annoying and potentially life-threatening. A repeated…
Full Text Available This paper aims to highlight a link between publishing business innovation and how editors manage creativity in the digital era. Examining the changing industrial and historical business context for the U.K. magazine publishing industry, two case studies are analyzed as representatives of different ends of the publishing company spectrum (one a newly launched magazine published by a major, the other an independent ‘magazine’ website start-up. Qualitative data analysis on publishing innovation and managing creativity is presented as a springboard for further research on magazine media management.
Benizri, F; Balladur, E; Darse, J; Guérin, J; Boudy, V; Echard, M; Brodin, M; Hagenmüller, J B; Prognon, P; Bonan, B
While home-based chemotherapy improves comfort and quality of life of patients, quality and safety conditions must be equivalent to hospital settings. In addition, organization is much more complex. At the hospital at home "Assistance publique-Hôpitaux de Paris", prescribers are potentially spread across 21 health facilities. The administration of chemotherapy is performed by about 300 nurses at the patient's home in Paris and its suburbs. Centralized preparations of chemotherapy began in September 2009 by the pharmacy department of Georges-Pompidou European hospital, with a progressive increase of the activity. This article describes the quality insurance system established with this new organization to meet the specific challenges of home therapy: choice of eligible anticancer drugs, computerized information systems and networking with other heath facilities, secure transport conditions, traceability from the prescription to the administration, security of administration. This experience can offer an important support for other centres in their approach of quality insurance for home chemotherapy. PMID:20807693
Segatti, Aurelia; Hoag, Colin Brewster; Vigneswaran, Darshan
effects on staff’s perceptions and practices of a politically driven attempt at inculcating a new sense of “service delivery”. Structural factors are not found to have been prevalent determinants explaining the difficulties in implementing the reform. It is rather the failure of the political leadership......This paper deals with the transformation of “institutional culture” in bureaucratic agencies. This is explored in the context of post-Apartheid South African public sector reform, and more particularly that of migration management within the Department of Home Affairs (DHA). The paper assesses the...... to address the lack of a shared sense of mission and the range of unintended, counter-productive effects, elicited by the reform itself which explain the overall incapacity to amend perceptions and behaviours among civil servants....
Heriyanto Habar, Eddy
Management of certain prosthetic cases can be established with optimal result when prior orthodontic treatment is undertaken, such as example cases of missing teeth with diastema or abnormal arch form. A 24-year-old female patient came with the complaint of diastema as a result of tooth loss and need a denture. After the examination, it was found that the teeth were unarranged and the arch form was abnormal. Orthodontic treatment was firstly undertaken to arrange the teeth, establish the spac...
R. Vieriu-Moţoc; E. Târcoveanu; C. Bradea; A. Vasilescu
Introduction: Ovarian benign cyst are frequently managed by laparoscopy. Recently published studies advocate this aproach for well-selected patients with excessive size tumors. Case report: We present a case of a 21 years old female who presented in First Surgical Clinic Iasi with lower abdominal pain and bowel symptoms. The ultrasound examination showed a unilocular cyst measuring 23 by 14 cm, arising from the left ovary and occupying the entire pelvis and lower abdomen, with bilateral hydro...
Leser, Florian; Alt, Rainer; Österle, Hubert
Businesses often do not succeed with the implementation of collaborative processes, and research has not provided adequate help. The article provides a concept for services and standards to implement collaborative processes and describes experiences from a successful solution. The case of Net-Tech’s Elex analyzes how Net-Tech realized a collaborative process management for its manufacturing operations. The case study shows a concept for implementing collaborative processes as well as its impl...
Ponsford, B J; Barlow, D
This research reviews the factors affecting the pricing or rate schedules of home health care agencies. A large number of factors affect costs and thus rate structures. The major factors include reimbursement structures with accompanying discount structures, administrative burdens, and risks. Channel issues include bargaining power, competition, and size. Staffing issues affect pricing and product through the provider level, productivity, and quality outcomes. Physician and patient issues include quality concerns and choices. These factors are discussed in light of overall marketing strategy and the interaction of pricing with other marketing controllables such as product, place/distribution, and promotion. Economic and accounting principles are also reviewed with consideration to understanding direct and indirect costs in order to enable negotiators to effectively price health care services. PMID:10623194
Adams, Sharrika D.; Hazelwood, Sherry; Hayden, Bruce
Case management is a functional area in higher education and student affairs that emerged after the mass shootings at Virginia Tech in 2007. Although new to higher education, case management emerged from established social work practice. This article compares social work theory and case management standards with a new case management model for…
Felipe Faissol Janot de Matos
Full Text Available The use of accounting discretion to window dress financial statements seems to be eroding public confidence in the financial reporting process. Critics argue that some managers are intentionally abusing GAAP’s afforded discretion to manage earnings. This can reduce the quality of the financial reporting process and ultimately bring adverse effects on resource allocation in the economy. Not surprisingly, market participants, legislators, regulators, and academics are concerned with the need to control financial reporting abuses. In this paper we briefly review the recent literature on earnings management and show the incentives as well as the mechanics used by Lucent’s managers to manipulate earnings. We found strong incentives for Lucent’s managers to report smooth and increasing earnings to: a increase the firm’s market capitalization; b enhance management compensation and job security; and c reduce the company’s cost of capital. The evidence we found suggests that the managers used: a big bath restructuring charges; b miscellaneous cookie jar reserves; c premature and aggressive revenue recognition; and d creative acquisition accounting and purchased R&D to manage earnings. Keywords: Financial statements. Manipulate earnings. Managers.
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Trombly, Robert M; Comer, Robert W; Villamil, Juanita E
The need for administrative faculty members to have superior leadership and management skills to handle their increasingly complex responsibilities is well established. As a part of the 2000-01 ADEA Leadership Institute curriculum, fellows were responsible for developing situational case studies for a faculty development workshop to develop participants' leadership and management skills. The case presented here involved managing conflicts in the dental academic setting. The foundation of conflict management centers on communication techniques including transparent communication, open discussion, open confrontation, and active listening. Management options such as avoidance, accommodation, competition, negotiation, and collaboration are potential strategies for the faculty leader. This case study involves a fictitious public dental school, New Horizons University, which has embarked on solutions to address limited resources, but unwittingly has created conflicts between individuals and groups of faculty members. The case discussion analyzes the cause of conflicts, presents the positive and negative potential of the conflicts, reviews techniques of conflict management, and discusses specific management concepts regarding resource allocation and equity theory. PMID:12014569
Kishore, Jugal; Agarwal, Ravindra; Kohli, Charu; Sharma, Pramod Kumar; Kamat, NV; Tyagi, SC
Introduction: Improper management of biomedical waste (BMW) poses a risk for health and environment. Healthcare workers have an important responsibility to properly segregate and train the staff in its disposal.
Halim Halimi; Aristotel Tentov
Securing the network communication for the smart grid, it is important that a secure key distribution and management scheme is needed. Advanced metering Infrastructure (AMI) is considered as integral part of the smart grid that collects and analyzes the information of energy consumption using the communication network. In order to achieve data confidentiality, privacy, and authentication in AMI, various crypto algorithms are used, such as demand key distribution and management schemes. Invest...
Matics, Jens; Krost, Gerhard [University of Duisburg-Essen, Bismarckstrasse 81, D-47057 Duisburg (Germany)
Micro combined heat and power (CHP) systems for single residential buildings are seen as advantageous to combine both decentralized power supply and rather high overall efficiency. The latter presupposes flexible and adaptive plant management which has to mediate between energy cost minimization and user comfort aspects. This is achieved by use of computational intelligence (CI) techniques; structure and performance of the management system are shown. (author)