Coupled Geomechanical-Flow Assessment of CO2 Leakage through Heterogeneous Caprock during CCS

Directory of Open Access Journals (Sweden)

Guan Woo Kim

2018-01-01

Full Text Available The viability of carbon capture sequestration (CCS is dependent on the secure storage of CO2 in subsurface geologic formations. Geomechanical failure of caprock is one of the main reasons of CO2 leakage from the storage formations. Through comprehensive assessment on the petrophysical and geomechanical heterogeneities of caprock, it is possible to predict the risk of unexpected caprock failure. To describe the fracture reactivation, the modified Barton–Bandis model is applied. In order to generate hydro-geomechanically heterogeneous fields, the negative correlation between porosity and Young’s modulus/Poisson’s ratio is applied. In comparison with the homogeneous model, effects of heterogeneity are examined in terms of vertical deformation and the amount of leaked CO2. To compare the effects of heterogeneity, heterogeneous models for both geomechanical and petrophysical properties in coupled simulation are designed. After 10-year injection with petrophysically heterogeneous and geomechanically homogeneous caprock, CO2 leakage is larger than that of the homogeneous model. In contrast, heterogeneity of geomechanical properties is shown to mitigate additional escape of CO2. Vertical displacement of every heterogeneous model is larger than homogeneous model. The model with compressive tectonic stress shows much more stable trapping with heterogeneous caprock, but there is possibility of rapid leakage after homogeneous caprock failure.

Geomechanics of clays for radioactive waste disposal

International Nuclear Information System (INIS)

Come, B.

1989-01-01

Clay formations have been studied for many years in the European Community as potential disposal media for radioactive waste. This document brings together results of on-going research about the geomechanical behaviour of natural clay bodies, at normal and elevated temperatures. The work is carried out within the third Community R and D programme on Management and storage of radioactive waste

Geomechanical monitoring system at the Waste Isolation Pilot Plant, Carlsbad, New Mexico

International Nuclear Information System (INIS)

Francke, J.L.; Carrasco, R.C.

1992-01-01

This paper describes in detail the geomechanical instrumentation system and the database that has been established from the geomechanical monitoring program. In addition, it describes the quality assurance and control measures that are in place to ensure that the data from the underground is accurate, traceable, and defensible. The system is installed at the Waste Isolation Pilot Plant in Carlsbad, New Mexico. This facility is being developed for the disposal of transuranic nuclear wastes in underground excavations in salt 655 meters below the surface. The purpose of the instrumentation system, is to monitor the deformations and stress changes that are occurring in the rock with time. This information is needed to routinely assess conditions in the facility and to ensure that safe operating conditions are maintained. The geomechanical monitoring system has provided data collection, quality control, and database maintenance, all of which are of vital importance to monitoring the geomechanical performance of underground excavations

Geotechnical applications of LiDAR pertaining to geomechanical evaluation and hazard identification

Science.gov (United States)

Lato, Matthew J.

Natural hazards related to ground movement that directly affect the safety of motorists and highway infrastructure include, but are not limited to, rockfalls, rockslides, debris flows, and landslides. This thesis specifically deals with the evaluation of rockfall hazards through the evaluation of LiDAR data. Light Detection And Ranging (LiDAR) is an imaging technology that can be used to delineate and evaluate geomechanically-controlled hazards. LiDAR has been adopted to conduct hazard evaluations pertaining to rockfall, rock-avalanches, debris flows, and landslides. Characteristics of LiDAR surveying, such as rapid data acquisition rates, mobile data collection, and high data densities, pose problems to traditional CAD or GIS-based mapping methods. New analyses methods, including tools specifically oriented to geomechanical analyses, are needed. The research completed in this thesis supports development of new methods, including improved survey techniques, innovative software workflows, and processing algorithms to aid in the detection and evaluation of geomechanically controlled rockfall hazards. The scientific research conducted between the years of 2006-2010, as presented in this thesis, are divided into five chapters, each of which has been published by or is under review by an international journal. The five research foci are: (i) geomechanical feature extraction and analysis using LiDAR data in active mining environments; (ii) engineered monitoring of rockfall hazards along transportation corridors: using mobile terrestrial LiDAR; (iii) optimization of LiDAR scanning and processing for automated structural evaluation of discontinuities in rockmasses; (iv) location orientation bias when using static LiDAR data for geomechanical analysis; and (v) evaluating roadside rockmasses for rockfall hazards from LiDAR data: optimizing data collection and processing protocols. The research conducted pertaining to this thesis has direct and significant implications with

Modeling reservoir geomechanics using discrete element method : Application to reservoir monitoring

Energy Technology Data Exchange (ETDEWEB)

Alassi, Haitham Tayseer

2008-09-15

Understanding reservoir geomechanical behavior is becoming more and more important for the petroleum industry. Reservoir compaction, which may result in surface subsidence and fault reactivation, occurs during reservoir depletion. Stress changes and possible fracture development inside and outside a depleting reservoir can be monitored using time-lapse (so-called '4D') seismic and/or passive seismic, and this can give valuable information about the conditions of a given reservoir during production. In this study we will focus on using the (particle-based) Discrete Element Method (DEM) to model reservoir geomechanical behavior during depletion and fluid injection. We show in this study that DEM can be used in modeling reservoir geomechanical behavior by comparing results obtained from DEM to those obtained from analytical solutions. The match of the displacement field between DEM and the analytical solution is good, however there is mismatch of the stress field which is related to the way stress is measured in DEM. A good match is however obtained by measuring the stress field carefully. We also use DEM to model reservoir geomechanical behavior beyond the elasticity limit where fractures can develop and faults can reactivate. A general technique has been developed to relate DEM parameters to rock properties. This is necessary in order to use correct reservoir geomechanical properties during modeling. For any type of particle packing there is a limitation that the maximum ratio between P- and S-wave velocity Vp/Vs that can be modeled is 3 . The static behavior for a loose packing is different from the dynamic behavior. Empirical relations are needed for the static behavior based on numerical test observations. The dynamic behavior for both dense and loose packing can be given by analytical relations. Cosserat continuum theory is needed to derive relations for Vp and Vs. It is shown that by constraining the particle rotation, the S-wave velocity can be

Prediction of tectonic stresses and fracture networks with geomechanical reservoir models

International Nuclear Information System (INIS)

Henk, A.; Fischer, K.

2014-09-01

This project evaluates the potential of geomechanical Finite Element (FE) models for the prediction of in situ stresses and fracture networks in faulted reservoirs. Modeling focuses on spatial variations of the in situ stress distribution resulting from faults and contrasts in mechanical rock properties. In a first methodological part, a workflow is developed for building such geomechanical reservoir models and calibrating them to field data. In the second part, this workflow was applied successfully to an intensively faulted gas reservoir in the North German Basin. A truly field-scale geomechanical model covering more than 400km 2 was built and calibrated. It includes a mechanical stratigraphy as well as a network of 86 faults. The latter are implemented as distinct planes of weakness and allow the fault-specific evaluation of shear and normal stresses. A so-called static model describes the recent state of the reservoir and, thus, after calibration its results reveal the present-day in situ stress distribution. Further geodynamic modeling work considers the major stages in the tectonic history of the reservoir and provides insights in the paleo stress distribution. These results are compared to fracture data and hydraulic fault behavior observed today. The outcome of this project confirms the potential of geomechanical FE models for robust stress and fracture predictions. The workflow is generally applicable and can be used for modeling of any stress-sensitive reservoir.

Prediction of tectonic stresses and fracture networks with geomechanical reservoir models

Energy Technology Data Exchange (ETDEWEB)

Henk, A.; Fischer, K. [TU Darmstadt (Germany). Inst. fuer Angewandte Geowissenschaften

2014-09-15

This project evaluates the potential of geomechanical Finite Element (FE) models for the prediction of in situ stresses and fracture networks in faulted reservoirs. Modeling focuses on spatial variations of the in situ stress distribution resulting from faults and contrasts in mechanical rock properties. In a first methodological part, a workflow is developed for building such geomechanical reservoir models and calibrating them to field data. In the second part, this workflow was applied successfully to an intensively faulted gas reservoir in the North German Basin. A truly field-scale geomechanical model covering more than 400km{sup 2} was built and calibrated. It includes a mechanical stratigraphy as well as a network of 86 faults. The latter are implemented as distinct planes of weakness and allow the fault-specific evaluation of shear and normal stresses. A so-called static model describes the recent state of the reservoir and, thus, after calibration its results reveal the present-day in situ stress distribution. Further geodynamic modeling work considers the major stages in the tectonic history of the reservoir and provides insights in the paleo stress distribution. These results are compared to fracture data and hydraulic fault behavior observed today. The outcome of this project confirms the potential of geomechanical FE models for robust stress and fracture predictions. The workflow is generally applicable and can be used for modeling of any stress-sensitive reservoir.

Geomechanical response of permafrost-associated hydrate deposits to depressurization-induced gas production

Science.gov (United States)

Rutqvist, J.; Moridis, G.J.; Grover, T.; Collett, T.

2009-01-01

In this simulation study, we analyzed the geomechanical response during depressurization production from two known hydrate-bearing permafrost deposits: the Mallik (Northwest Territories, Canada) deposit and Mount Elbert (Alaska, USA) deposit. Gas was produced from these deposits at constant pressure using horizontal wells placed at the top of a hydrate layer (HL), located at a depth of about 900??m at the Mallik site and 600??m at the Mount Elbert site. The simulation results show that general thermodynamic and geomechanical responses are similar for the two sites, but with substantially higher production and more intensive geomechanical responses at the deeper Mallik deposit. The depressurization-induced dissociation begins at the well bore and then spreads laterally, mainly along the top of the HL. The depressurization results in an increased shear stress within the body of the receding hydrate and causes a vertical compaction of the reservoir. However, its effects are partially mitigated by the relatively stiff permafrost overburden, and compaction of the HL is limited to less than 0.4%. The increased shear stress may lead to shear failure in the hydrate-free zone bounded by the HL overburden and the downward-receding upper dissociation interface. This zone undergoes complete hydrate dissociation, and the cohesive strength of the sediment is low. We determined that the likelihood of shear failure depends on the initial stress state as well as on the geomechanical properties of the reservoir. The Poisson's ratio of the hydrate-bearing formation is a particularly important parameter that determines whether the evolution of the reservoir stresses will increase or decrease the likelihood of shear failure.

Coupling a fluid flow simulation with a geomechanical model of a fractured reservoir

OpenAIRE

Segura Segarra, José María; Paz, C.M.; de Bayser, M.; Zhang, J.; Bryant, P.W.; Gonzalez, Nubia Aurora; Rodrigues, E.; Vargas, P.E.; Carol, Ignacio; Lakshmikantha, Ramasesha Mookanahallipatna; Das, K. C.; Sandha, S.S.; Cerqueira, R.; Mello,, U.

2013-01-01

Improving the reliability of integrated reservoir development planning and addressing subsidence, fault reactivation and other environmental impacts, requires increasingly sophisticated geomechanical models, especially in the case of fractured reservoirs where fracture deformation is strongly coupled with its permeability change. Reservoir simulation has historically treated any geomechanical effects by means of a rock compressibility term/table, which can be improved by simulating the actual...

Some geomechanical aspects of geological CO2 sequestration

NARCIS (Netherlands)

Orlic, B.

2008-01-01

Reservoir depletion and subsequent CO 2 injection into the depleted geological reservoir induce stress changes that may mechanically damage top seal and wells, or trigger existing faults, creating the leakage pathways for CO 2 escape from the reservoir. The role of geomechanics is to assess the

Some geomechanical aspects of geological CO2 sequestration

NARCIS (Netherlands)

Orlic, B.

2009-01-01

Reservoir depletion and subsequent CO2 injection into the depleted geological reservoir induce stress changes that may mechanically damage top seal and wells, or trigger existing faults, creating the leakage pathways for CO2 escape from the reservoir. The role of geomechanics is to assess the

Geomechanical properties of lime stabilized clayey sands

International Nuclear Information System (INIS)

Arabani, M.; Karami, M. Veis

2007-01-01

Clayey sands that have low plasticity, low compressibility and high strength under loads, are suitable as a base material for any engineering construction projects as well as for roads and building construction. Decrease of plasticity and compressibility as well as increase in strength of these materials can be obtained by many different methods. Of these methods, lime stabilization is a common, applicable, and easy to use approach that can improve geomechanical and geotechnical properties of clayey sand fills. In this study some important geomechanical properties and geotechnical properties of clayey sands including compressive strength, CBR and elastic plastic behavior are investigated. A range of gradations representative of those gradations found in situ in the north of Iran were selected for testing and samples were artificially rebuilt in the laboratory. The mixes were then stabilized with hydrated lime and cured. Different mechanical tests were performed on mature materials. The stress-strain behavior of lime-stabilized mixes was plotted and a parabolic function was used to estimate the trend of stress-strain behavior. The data show that there is a correlation among the results of uniaxial load test, tensile strength, and CBR of the tested specimens. Also, results of the unconfined compression test and the indirect tensile strength test show that an increase in clay content up to a certain percent, in the clay-sand fills, tends to increase the strength of the materials in compression as well as in tension. (author)

Geomechanical Performance of Hydrate-Bearing Sediment in Offshore Environments

Energy Technology Data Exchange (ETDEWEB)

Stephen Holditch; Tad Patzek; Jonny Rutqvist; George Moridis; Richard Plumb

2008-03-31

The objective of this multi-year, multi-institutional research project was to develop the knowledge base and quantitative predictive capability for the description of geomechanical performance of hydrate-bearing sediments (hereafter referred to as HBS) in oceanic environments. The focus was on the determination of the envelope of hydrate stability under conditions typical of those related to the construction and operation of offshore platforms. We have developed a robust numerical simulator of hydrate behavior in geologic media by coupling a reservoir model with a commercial geomechanical code. We also investigated the geomechanical behavior of oceanic HBS using pore-scale models (conceptual and mathematical) of fluid flow, stress analysis, and damage propagation. The objective of the UC Berkeley work was to develop a grain-scale model of hydrate-bearing sediments. Hydrate dissociation alters the strength of HBS. In particular, transformation of hydrate clusters into gas and liquid water weakens the skeleton and, simultaneously, reduces the effective stress by increasing the pore pressure. The large-scale objective of the study is evaluation of geomechanical stability of offshore oil and gas production infrastructure. At Lawrence Berkeley National Laboratory (LBNL), we have developed the numerical model TOUGH + Hydrate + FLAC3D to evaluate how the formation and disassociation of hydrates in seafloor sediments affects seafloor stability. Several technical papers were published using results from this model. LBNL also developed laboratory equipment and methods to produce realistic laboratory samples of sediments containing gas hydrates so that mechanical properties could be measured in the laboratory. These properties are required to run TOUGH + Hydrate + FLAC3D to evaluate seafloor stability issues. At Texas A&M University we performed a detailed literature review to determine what gas hydrate formation properties had been measured and reported in the literature. We

Geomechanical/Geochemical Modeling Studies Conducted within the International DECOVALEX Project

International Nuclear Information System (INIS)

Birkholzer, J.T.; Rutqvist, J.; Sonnenthal, E.L.; Barr, D.; Chijimatsu, M.; Kolditz, O.; Liu, Q.; Oda, Y.; Wang, W.; Xie, M.; Zhang, C.

2005-01-01

The DECOVALEX project is an international cooperative project initiated by SKI, the Swedish Nuclear Power Inspectorate, with participation of about 10 international organizations. The general goal of this project is to encourage multidisciplinary interactive and cooperative research on modeling coupled thermo-hydro-mechanical-chemical (THMC) processes in geologic formations in support of the performance assessment for underground storage of radioactive waste. One of the research tasks, initiated in 2004 by the U.S. Department of Energy (DOE), addresses the long-term impact of geomechanical and geochemical processes on the flow conditions near waste emplacement tunnels. Within this task, four international research teams conduct predictive analysis of the coupled processes in two generic repositories, using multiple approaches and different computer codes. Below, we give an overview of the research task and report its current status

Geomechanical/Geochemical Modeling Studies Conducted Within the International DECOVALEX Project

International Nuclear Information System (INIS)

J.T. Birkholzer; J. Rutqvist; E.L. Sonnenthal; D. Barr; M.Chijimatsu; O. Kolditz; Q. Liu; Y. Oda; W. Wang; M. Xie; C. Zhang

2006-01-01

The DECOVALEX project is an international cooperative project initiated by SKI, the Swedish Nuclear Power Inspectorate, with participation of about 10 international organizations. The general goal of this project is to encourage multidisciplinary interactive and cooperative research on modeling coupled thermo-hydro-mechanical-chemical (THMC) processes in geologic formations in support of the performance assessment for underground storage of radioactive waste. One of the research tasks, initiated in 2004 by the U.S. Department of Energy (DOE), addresses the long-term impact of geomechanical and geochemical processes on the flow conditions near waste emplacement tunnels. Within this task, four international research teams conduct predictive analysis of the coupled processes in two generic repositories, using multiple approaches and different computer codes. Below, we give an overview of the research task and report its current status

The Amsterdam Hip Protector Study: Compliance and determinants of compliance

NARCIS (Netherlands)

van Schoor, N.M.; Asma, G.; Smit, J.H.; Bouter, L.M.; Lips, P.T.A.M.

2003-01-01

Hip protectors appear to be effective in reducing the incidence of hip fractures. However, compliance is often poor. Therefore, the objective of this study was to examine the compliance and determinants of compliance with external hip protectors. A prospective study was performed in residents from

Geomechanical Anisotropy and Rock Fabric in Shales

Science.gov (United States)

Huffman, K. A.; Connolly, P.; Thornton, D. A.

2017-12-01

Digital rock physics (DRP) is an emerging area of qualitative and quantitative scientific analysis that has been employed on a variety of rock types at various scales to characterize petrophysical, mechanical, and hydraulic rock properties. This contribution presents a generic geomechanically focused DRP workflow involving image segmentation by geomechanical constituents, generation of finite element (FE) meshes, and application of various boundary conditions (i.e. at the edge of the domain and at boundaries of various components such as edges of individual grains). The generic workflow enables use of constituent geological objects and relationships in a computational based approach to address specific questions in a variety of rock types at various scales. Two examples are 1) modeling stress dependent permeability, where it occurs and why it occurs at the grain scale; 2) simulating the path and complexity of primary fractures and matrix damage in materials with minerals or intervals of different mechanical behavior. Geomechanical properties and fabric characterization obtained from 100 micron shale SEM images using the generic DRP workflow are presented. Image segmentation and development of FE simulation composed of relatively simple components (elastic materials, frictional contacts) and boundary conditions enable the determination of bulk static elastic properties. The procedure is repeated for co-located images at pertinent orientations to determine mechanical anisotropy. The static moduli obtained are benchmarked against lab derived measurements since material properties (esp. frictional ones) are poorly constrained at the scale of investigation. Once confidence in the input material parameters is gained, the procedure can be used to characterize more samples (i.e. images) than is possible from rock samples alone. Integration of static elastic properties with grain statistics and geologic (facies) conceptual models derived from core and geophysical logs

Assessment of geomechanical properties of intact Opalinus Clay - Expert report

International Nuclear Information System (INIS)

Amann, F.; Vogelhuber, M.

2015-11-01

This comprehensive report published by the Swiss Federal Nuclear Safety Inspectorate ENSI presents an expert report published on the assessment of the geomechanical properties of intact Opalinus Clay. This review report addresses the conceptual constitutive framework for repositories in Opalinus Clay. The author addresses the geomechanical fundamentals that are necessary in order to adequately judge experiments on intact Opalinus Clay and the interpretation of the results. The report assesses in detail the various test series on intact Opalinus Clay carried out along with the interpretations made by experts and NAGRA. Further assessments are quoted including those on sample geometries tested, effective strength properties, undrained shear strength properties and elastic properties. The results of work done by other experts are also presented and discussed. The report is completed with a list of relevant literature

Assessment of geomechanical properties of intact Opalinus Clay - Expert report

Energy Technology Data Exchange (ETDEWEB)

Amann, F. [Eidgenössische Technische Hochschule ETHZ, Zürich (Switzerland); Vogelhuber, M. [Dr. von Moos AG, Geotechnisches Büro, Zürich (Switzerland)

2015-11-15

This comprehensive report published by the Swiss Federal Nuclear Safety Inspectorate ENSI presents an expert report published on the assessment of the geomechanical properties of intact Opalinus Clay. This review report addresses the conceptual constitutive framework for repositories in Opalinus Clay. The author addresses the geomechanical fundamentals that are necessary in order to adequately judge experiments on intact Opalinus Clay and the interpretation of the results. The report assesses in detail the various test series on intact Opalinus Clay carried out along with the interpretations made by experts and NAGRA. Further assessments are quoted including those on sample geometries tested, effective strength properties, undrained shear strength properties and elastic properties. The results of work done by other experts are also presented and discussed. The report is completed with a list of relevant literature.

Investigation of intact rock geomechanical parameters' effects on commercial blocks' productivity within stone reserves: A case history of some quarries in Isfahan, Iran

Science.gov (United States)

Yarahmadi, Reza; Bagherpour, Raheb; Tabaei, Morteza; Sousa, Luis M. O.

2017-10-01

One of the common methods to determine commercial blocks productivity (CBP) in reserves of dimension stone is through the study of the discontinuities' network. However, this determination remains a difficult task due to geographical heterogeneity and lack of access to all reserves' formations. This study presents a new method based on various geomechanical tests performed on intact rocks that assessed the CBP of a dimension stones' rock mass. Assuming that a dimension stone's rock mass comprised a large block of an intact rock, due to tectonics, the geomechanical properties of this block had direct effects on the discontinuities created within it. Therefore, the geomechanical properties of the intact rock may be related to the CBP of a stone reserve. Based on this factor, this study explored the relationship among some geomechanical properties, including failure angle, uniaxial compressive strength, and modulus of elasticity, and CBP by using data acquired from 21 dimension stone quarries consisting of travertine, marble, and onyx groups. According to the results obtained from the analysis of the Isfahan province's Iranian quarries, failure angle was not highly related to the reserve's CBP. In marble quarries, CBP may decrease, if the compressive strength of an intact rock exceeds 60 MPa. Among the studied parameters, the saturated-to-dry ratio's modulus of elasticity had the greatest relationship to the CBP. Generally, the presented diagrams displayed that the correlation between geomechanical properties and the CBP were an appropriate guide in determining the potential cost-effectiveness of a accessing a particular rock reserve during the early exploration phase.

Stress determination and geomechanical stability analysis of an oil ...

Indian Academy of Sciences (India)

Practical data including geomechanical parameters along with drilling data from one of Iranian oilfields, Mansouri-54 well have been utilized in this analysis. in situ stress was determined using stress polygon method and conducting hydraulic fracturing data in the field. Analytical solution using the Mogi–Coulomb and the ...

Geomechanical and petrophysical properties of mudrocks: introduction

OpenAIRE

Rutter, Ernest

2017-01-01

Mudstones (shales) are of particular importance as the source rocks for oil and gas, and increasingly so as the reservoirs for unconventional hydrocarbons. They are also the most common sedimentary rocks on Earth, and, hence, are frequently encountered in excavations and foundations for buildings. These factors point to a pressing need to develop an increased fundamental understanding of their geomechanical and petrophysical properties. The mineral content of mudstones has a dominant effect o...

Effects of Geomechanical Mechanism on the Gas Production Behavior: A Simulation Study of Class-3 Type Four-Way-Closure Ridge Hydrate Deposit Offshore Southwestern Taiwan

Science.gov (United States)

Wu, Cheng-Yueh; Chiu, Yung-Cheng; Huang, Yi-Jyun; Hsieh, Bieng-Zih

2017-04-01

The future energy police of Taiwan will heavily rely on the clean energy, including renewable energy and low-carbon energy, to meet the target of mitigating CO2 emission. In addition to developing the renewable energies like solar and wind resources, Taiwan will increase the natural gas consumption to obtain enough electrical power with low-carbon emission. The vast resources of gas hydrates recognized in southwestern offshore Taiwan makes a great opportunity for Taiwan to have own energy resources in the future. Therefore, Taiwan put significant efforts on the evaluation of gas hydrate reserves recently. Production behavior of natural gas dissociated from gas hydrate deposits is an important issue to the hydrate reserves evaluation. The depressurization method is a useful engineering recovery method for gas production from a class-3 type hydrate deposit. The dissociation efficiency will be affected by the pressure drawdown disturbance. However, when the pore pressure of hydrate deposits is depressurized for gas production, the rock matrix will surfer more stresses and the formation deformation might be occurred. The purpose of this study was to investigate the effects of geomechanical mechanism on the gas production from a class-3 hydrate deposit using depressurization method. The case of a class-3 type hydrate deposit of Four-Way-Closure Ridge was studied. In this study a reservoir simulator, STARS, was used. STARS is a multiphase flow, heat transfer, geo-chemical and geo-mechanical mechanisms coupling simulator which is capable to simulate the dissociation/reformation of gas hydrate and the deformation of hydrate reservoirs and overburdens. The simulating ability of STARTS simulator was validated by duplicating the hydrate comparison projects of National Energy Technology Lab. The study target, Four-Way-Closure (FWC) Ridge hydrate deposit, was discovered by the bottom simulating reflectors (BSRs). The geological parameters were collected from the geological and

Geomechanical time series and its singularity spectrum analysis

Czech Academy of Sciences Publication Activity Database

Lyubushin, Alexei A.; Kaláb, Zdeněk; Lednická, Markéta

2012-01-01

Roč. 47, č. 1 (2012), s. 69-77 ISSN 1217-8977 R&D Projects: GA ČR GA105/09/0089 Institutional research plan: CEZ:AV0Z30860518 Keywords : geomechanical time series * singularity spectrum * time series segmentation * laser distance meter Subject RIV: DC - Siesmology, Volcanology, Earth Structure Impact factor: 0.347, year: 2012 http://www.akademiai.com/content/88v4027758382225/fulltext.pdf

PREFACE: International Symposium on Geohazards and Geomechanics (ISGG2015)

Science.gov (United States)

Utili, S.

2015-09-01

These Conference Proceedings contain the full papers in electronic format of the International Symposium on 'Geohazards and Geomechanics', held at University of Warwick, UK, on September 10-11, 2015. The Symposium brings together the complementary expertise of world leading groups carrying out research on the engineering assessment, prevention and mitigation of geohazards. A total of 58 papers, including 8 keynote lectures cover phenomena such as landslide initiation and propagation, debris flow, rockfalls, soil liquefaction, ground improvement, hazard zonation, risk mapping, floods and gas and leachates. The techniques reported in the papers to investigate geohazards involve numerical modeling (finite element method, discrete element method, material point method, meshless methods and particle methods), experimentation (laboratory experiments, centrifuge tests and field monitoring) and analytical simplified techniques. All the contributions in this volume have been peered reviewed according to rigorous international standards. However the authors take full responsibility for the content of their papers. Agreements are in place for the edition of a special issue dedicated to the Symposium in three international journals: Engineering Geology, Computational Particle Mechanics and International Journal of Geohazards and Environment. Authors of selected papers will be invited to submit an extended version of their work to these Journals that will independently assess the papers. The Symposium is supported by the Technical Committee 'Geo-mechanics from Micro to Macro' (TC105) of the International Society for Soil Mechanics and Geotechnical Engineering (ISSMGE), 'Slope Stability in Engineering Practice' (TC208), 'Forensic Geotechnical Engineering' (TC302), the British Geotechnical Association and the EU FP7 IRSES project 'Geohazards and Geomechanics'. Also the organizers would like to thank all authors and their supporting institutions for their contributions. For any

Geomechanical modeling of the Steinernase landslide (Switzerland)

OpenAIRE

Laloui, Lyesse; Ferrari, Alessio; Bonnard, Christophe

2009-01-01

A geomechanical model was developed to analyse the behaviour of a natural slope located on the bank of the Rhine River between the towns of Stein and Mumpf in Switzerland. The slope is affected by a landslide and three strategic infrastructure assets are located at its toe. An intense monitoring campaign made it possible to identify pore water pressure evolution as the main cause for movement accelerations and to detect the presence of a multiple slip surface system. Advanced coupled finite e...

Geomechanical monitoring system at the Waste Isolation Pilot Plant, Carlsbad, New Mexico

International Nuclear Information System (INIS)

Francke, J.L.; Cook, R.F.; Carrasco, R.C.

1993-01-01

This paper describes in detail the geomechanical instrumentation system and the data base that has been established from the geomechanical monitoring program. In addition, it describes the quality assurance and control measures that are in place to ensure that the data from the underground is accurate, traceable, and defensible. The system is installed at the Waste Isolation Pilot Plant in Carlsbad, New Mexico. This facility is being developed for the disposal of transuranic nuclear wastes in underground excavations in salt 2150 feet below the surface. The purpose of the instrumentation system is to monitor the deformations and stress changes that are occurring in the rock with time. This information is needed to routinely assess conditions in the facility and to ensure that safe operating conditions are maintained

Linking Geomechanical Models with Observations of Microseismicity during CCS Operations

Science.gov (United States)

Verdon, J.; Kendall, J.; White, D.

2012-12-01

During CO2 injection for the purposes of carbon capture and storage (CCS), injection-induced fracturing of the overburden represents a key risk to storage integrity. Fractures in a caprock provide a pathway along which buoyant CO2 can rise and escape the storage zone. Therefore the ability to link field-scale geomechanical models with field geophysical observations is of paramount importance to guarantee secure CO2 storage. Accurate location of microseismic events identifies where brittle failure has occurred on fracture planes. This is a manifestation of the deformation induced by CO2 injection. As the pore pressure is increased during injection, effective stress is decreased, leading to inflation of the reservoir and deformation of surrounding rocks, which creates microseismicity. The deformation induced by injection can be simulated using finite-element mechanical models. Such a model can be used to predict when and where microseismicity is expected to occur. However, typical elements in a field scale mechanical models have decameter scales, while the rupture size for microseismic events are typically of the order of 1 square meter. This means that mapping modeled stress changes to predictions of microseismic activity can be challenging. Where larger scale faults have been identified, they can be included explicitly in the geomechanical model. Where movement is simulated along these discrete features, it can be assumed that microseismicity will occur. However, microseismic events typically occur on fracture networks that are too small to be simulated explicitly in a field-scale model. Therefore, the likelihood of microseismicity occurring must be estimated within a finite element that does not contain explicitly modeled discontinuities. This can be done in a number of ways, including the utilization of measures such as closeness on the stress state to predetermined failure criteria, either for planes with a defined orientation (the Mohr-Coulomb criteria) for

Geomechanics considerations for through-and near-salt well design

International Nuclear Information System (INIS)

Willson, S.M.; Fredrich, Joanne T.

2005-01-01

Over the next decade a significant amount of exploration and new field developments will take place in salt provinces around the world - in the deepwater Gulf of Mexico, and offshore Angola, Brazil, and North and West Africa. Salt formations provide both opportunities and challenges to the design and construction of the often complex wells to be drilled in these locations. An overview of the many geomechanical considerations necessary to ensure successful well construction when drilling in through-, sub- and near-salt environments is presented. The structural styles of deformed sediments adjacent to salt, combined with stress perturbations caused by the presence of salt, are used to assess the risk of encountering zones that might cause wellbore instability or lost-circulation problems. Well design examples are provided that show how near- and through-salt uncertainties may be included within a geomechanical well design for required mud weights while drilling. Salt is found in many hydrocarbon basins around the world. Significant deposits exist in the Gulf of Mexico (GoM), offshore West Africa and Brazil, in the Southern North Sea, Egypt, and the Middle East (Figure 1(1)). In deep water offshore North America, the GoM and offshore Nova Scotia (NE Canada) are notable areas of current oil and gas exploration and production. Significant exploration activity is also targeting areas offshore Angola and Brazil. The extent of deepwater exploration in the GoM is illustrated in Figure 2 that shows the steady march into deeper water, together with a focusing of efforts in the Sigsbee Escarpment areas of Green Canyon, Walker Ridge and Atwater Valley. The deepest wells in the GoM are reaching true vertical depths of up to 32,000 feet, with maximum-recorded downhole pressures in excess of 26,000 psi and bottomhole temperatures in excess of 400 F. Such wells may penetrate considerable thicknesses of salt - up to 20,000 feet of salt is not unheard of. With substantial discoveries

An Artificially Intelligent Technique to Generate Synthetic Geomechanical Well Logs for the Bakken Formation

Directory of Open Access Journals (Sweden)

George Parapuram

2018-03-01

Full Text Available Artificially intelligent and predictive modelling of geomechanical properties is performed by creating supervised machine learning data models utilizing artificial neural networks (ANN and will predict geomechanical properties from basic and commonly used conventional well logs such as gamma ray, and bulk density. The predictive models were created by following the approach on a large volume of data acquired from 112 wells containing the Bakken Formation in North Dakota. The studied wells cover a large surface area of the formation containing the five main producing counties in North Dakota: Burke, Mountrail, McKenzie, Dunn, and Williams. Thus, with a large surface area being analyzed in this research, there is confidence with a high degree of certainty that an extensive representation of the Bakken Formation is modelled, by training neural networks to work on varying properties from the different counties containing the Bakken Formation in North Dakota. Shear wave velocity of 112 wells is also analyzed by regression methods and neural networks, and a new correlation is proposed for the Bakken Formation. The final goal of the research is to achieve supervised artificial neural network models that predict geomechanical properties of future wells with an accuracy of at least 90% for the Upper and Middle Bakken Formation. Thus, obtaining these logs by generating it from statistical and artificially intelligent methods shows a potential for significant improvements in performance, efficiency, and profitability for oil and gas operators.

Numerical Modeling of Geomechanical Processes Related to CO{sub 2} Injection within Generic Reservoirs

Energy Technology Data Exchange (ETDEWEB)

Eckert, Andreas

2013-05-31

In this project generic anticline structures have been used for numerical modeling analyses to study the influence of geometrical parameters, fluid flow boundary conditions, in situ stress regime and inter-bedding friction coefficient on geomechanical risks such as fracture reactivation and fracture generation. The resulting stress states for these structures are also used to determine safe drilling directions and a methodology for wellbore trajection optimization is developed that is applicable for non-Andersonian stress states. The results of the fluid flow simulation show that the type of fluid flow boundary condition is of utmost importance and has significant impact on all injection related parameters. It is recommended that further research is conducted to establish a method to quantify the fluid flow boundary conditions for injection applications. The results of the geomechanical simulation show that in situ stress regime is a crucial, if not the most important, factor determining geomechanical risks. For extension and strike slip stress regimes anticline structures should be favored over horizontally layered basin as they feature higher ΔP{sub c} magnitudes. If sedimentary basins are tectonically relaxed and their state of stress is characterized by the uni-axial strain model the basin is in exact frictional equilibrium and fluids should not be injected. The results also show that low inter bedding friction coefficients effectively decouple layers resulting in lower ΔP{sub c} magnitudes, especially for the compressional stress regime.

Clay shale as host rock. A geomechanical contribution about Opalinus clay

International Nuclear Information System (INIS)

Lempp, Christof; Menezes, Flora; Sachwitz, Simon

2016-01-01

The Opalinuston is a prominent rock representing the type of organic clay shales or clay stones within the sequence of Triassic and Jurassic marine sediments in Southern Germany. The rock forms a homogenous unit some ten meters thick. The degree of consolidation of this type of pelitic rock depends mainly on the former load conditions, but is also dependent on the long-term weathering and even on the present exposition. The geomechanical parameters such as shear strength, tensional strength and permeability vary with the state of consolidation and become important when the use is discussed of such rocks for radioactive waste disposal. A tunneling project at the northern escarpment of the Swabian Alb (Southwest Germany) within the Opalinus clay offered the rare opportunity to obtain fresh unweathered rock samples in greater amounts compared to fresh drilling cores from which geomechanical investigations are usually undertaken. Consequently, the results of geomechanical laboratory testings are presented in order to compare here the results of multistep triaxial compression tests, of hydraulic fracturing laboratory tests and of some other tests for rock characterization with the corresponding results of Opalinus clay sites in Switzerland that were investigated by the Swiss Nagra Company for host rock characterization. After a discussion of the relevant state of fresh Opalinus clay, especially of suction pressure conditions and saturation state, the results of triaxial shear tests are presented. Increasing shear deformation at increasing pressure and unchanged water saturation do not result in a significant strength reduction of the Opalinus clay. The rock shows increasing cohesion and stiffness, if multiple loading has repeatedly reached the failure point. Thus there is no increased permeability with continued shearing. Only at the beginning of the shearing process is a temporarily increased permeability to be expected due to dilatation processes. An increased

Deformation Monitoring of Geomechanical Model Test and Its Application in Overall Stability Analysis of a High Arch Dam

Directory of Open Access Journals (Sweden)

Baoquan Yang

2015-01-01

Full Text Available Geomechanical model testing is an important method for studying the overall stability of high arch dams. The main task of a geomechanical model test is deformation monitoring. Currently, many types of deformation instruments are used for deformation monitoring of dam models, which provide valuable information on the deformation characteristics of the prototype dams. However, further investigation is required for assessing the overall stability of high arch dams through analyzing deformation monitoring data. First, a relationship for assessing the stability of dams is established based on the comprehensive model test method. Second, a stability evaluation system is presented based on the deformation monitoring data, together with the relationships between the deformation and overloading coefficient. Finally, the comprehensive model test method is applied to study the overall stability of the Jinping-I high arch dam. A three-dimensional destructive test of the geomechanical model dam is conducted under reinforced foundation conditions. The deformation characteristics and failure mechanisms of the dam abutments and foundation were investigated. The test results indicate that the stability safety factors of the dam abutments and foundation range from 5.2 to 6.0. These research results provide an important scientific insight into the design, construction, and operation stages of this project.

Geomechanical characterization of volcanic rocks using empirical systems and data mining techniques

Directory of Open Access Journals (Sweden)

T. Miranda

2018-02-01

Full Text Available This paper tries to characterize volcanic rocks through the development and application of an empirical geomechanical system. Geotechnical information was collected from the samples from several Atlantic Ocean islands including Madeira, Azores and Canarias archipelagos. An empirical rock classification system termed as the volcanic rock system (VRS is developed and presented in detail. Results using the VRS are compared with those obtained using the traditional rock mass rating (RMR system. Data mining (DM techniques are applied to a database of volcanic rock geomechanical information from the islands. Different algorithms were developed and consequently approaches were followed for predicting rock mass classes using the VRS and RMR classification systems. Finally, some conclusions are drawn with emphasis on the fact that a better performance was achieved using attributes from VRS.

A new approach to determine geomechanical parameters of Vertical Transverse Isotropic media using VSP data

Science.gov (United States)

Gholami, Raoof; Moradzadeh, Ali; Rasouli, Vamegh; Hanachi, Javid

2014-12-01

Conventionally, high frequency Dipole Shear sonic Imager (DSI) logs are used for anisotropic modeling where fast and slow shear wave's velocities are required. However, the results obtained from a DSI log are restricted to a specific and possibly short interval of the wellbore. The aims of this paper are to use Vertical Seismic Profile (VSP) data and show its application in geomechanical analysis of subsurface layers under anisotropic condition. After processing and separating upgoing and downgoing P- and S-waves, a methodology based Vertical Transverse Isotropic (VTI) condition was presented to determine elastic stiffness parameters. Having stiffness parameters determined, elastic modulus, strength and in-situ stress parameters were estimated and calibrated against the field and core sample data. Although the VSP based geomechanical parameters were calibrated against the real field data, the accuracy of the method cannot be as much as that of the well logs. However, the method presented in this paper may become a very good asset for geomechanical evaluation of the intervals where well log data are not available.

Geomechanical Framework for Secure CO₂ Storage in Fractured Reservoirs and Caprocks for Sedimentary Basins in theMidwest United States

Energy Technology Data Exchange (ETDEWEB)

Sminchak, Joel [Battelle, Columbus, OH (United States)

2017-09-29

and basal sandstone-Precambrian contacts at the Arches and East-Central Appalachian Basin sites. Geophysical logs were utilized to develop local-scale geologic models by determining geomechanical and petrophysical parameters within the geologic formations. These data were ported to coupled fluid-flow and reservoir geomechanics multi-phase CO₂ injection simulations. The models were developed to emphasize the geomechanical layers within the CO₂ storage zones and caprocks. A series of simulations were completed for each site to evaluate whether commercial-scale CO₂ could be safely injected into each site, given site-specific geologic and geomechanical controls. This involved analyzing the simulation results for the integrity of the caprock, intermediate, and reservoir zones, as well quantifying the areal uplift at the surface. Simulation results were also examined to ensure that the stress-stress perturbations were isolated within the subsurface, and that there was only limited upward migration of the CO₂. Simulations showed capacity to inject more than 10 million metric tons of CO₂ in a single well at the Arches and East Central Appalachian Basin sites without excessive geomechanical risks. Low-permeability rock layers at the Northern Appalachian Basin study area well resulted in very low CO₂ injection capacity. Fracture models developed for the sites suggests that the sites have sparse fracture network in the deeper Cambrian rocks. However, there were indicators in image logs of a moderate fracture matrix in the Rose Run Sandstone at the Northern Appalachian Basin site. Dual permeability fracture matrix simulations suggest the much higher injection rates may be feasible in the fractured interval. Guidance was developed for geomechanical site characterization in the areas of geophysical logging, rock core testing, well testing, and site monitoring. The guidance demonstrates that there is a suitable array

Multiple intersecting cohesive discontinuities in 3D reservoir geomechanics

OpenAIRE

Das, K. C.; Sandha, S.S.; Carol, Ignacio; Vargas, P.E.; Gonzalez, Nubia Aurora; Rodrigues, E.; Segura Segarra, José María; Lakshmikantha, Ramasesha Mookanahallipatna; Mello,, U.

2013-01-01

Reservoir Geomechanics is playing an increasingly important role in developing and producing hydrocarbon reserves. One of the main challenges in reservoir modeling is accurate and efficient simulation of arbitrary intersecting faults. In this paper, we propose a new formulation to model multiple intersecting cohesive discontinuities (faults) in reservoirs using the XFEM framework. This formulation involves construction of enrichment functions and computation of stiffness sub-matrices for bulk...

COSA II Further benchmark exercises to compare geomechanical computer codes for salt

International Nuclear Information System (INIS)

Lowe, M.J.S.; Knowles, N.C.

1989-01-01

Project COSA (COmputer COdes COmparison for SAlt) was a benchmarking exercise involving the numerical modelling of the geomechanical behaviour of heated rock salt. Its main objective was to assess the current European capability to predict the geomechanical behaviour of salt, in the context of the disposal of heat-producing radioactive waste in salt formations. Twelve organisations participated in the exercise in which their solutions to a number of benchmark problems were compared. The project was organised in two distinct phases: The first, from 1984-1986, concentrated on the verification of the computer codes. The second, from 1986-1988 progressed to validation, using three in-situ experiments at the Asse research facility in West Germany as a basis for comparison. This document reports the activities of the second phase of the project and presents the results, assessments and conclusions

Applicability of geomechanical classifications for estimation of strength properties in Brazilian rock masses.

Science.gov (United States)

Santos, Tatiana B; Lana, Milene S; Santos, Allan E M; Silveira, Larissa R C

2017-01-01

Many authors have been proposed several correlation equations between geomechanical classifications and strength parameters. However, these correlation equations have been based in rock masses with different characteristics when compared to Brazilian rock masses. This paper aims to study the applicability of the geomechanical classifications to obtain strength parameters of three Brazilian rock masses. Four classification systems have been used; the Rock Mass Rating (RMR), the Rock Mass Quality (Q), the Geological Strength Index (GSI) and the Rock Mass Index (RMi). A strong rock mass and two soft rock masses with different degrees of weathering located in the cities of Ouro Preto and Mariana, Brazil; were selected for the study. Correlation equations were used to estimate the strength properties of these rock masses. However, such correlations do not always provide compatible results with the rock mass behavior. For the calibration of the strength values obtained through the use of classification systems, ​​stability analyses of failures in these rock masses have been done. After calibration of these parameters, the applicability of the various correlation equations found in the literature have been discussed. According to the results presented in this paper, some of these equations are not suitable for the studied rock masses.

An overview of iterative coupling between geomechanical deformation and reservoir flow

International Nuclear Information System (INIS)

Tran, D.; Nghiem, L.; Buchanan, L.

2005-01-01

The coupling of a reservoir simulator to a geomechanics module has been widely applied in the petroleum industry. In a traditional reservoir simulator, subsidence can be estimated by a relatively simple formula. In a coupled simulator, flow is strongly affected by stresses and strains through porosity. Stress-dependence is ignored completely in conventional simulators, and solutions obtained from them cannot give accurate results if a stress sensitive reservoir is under consideration. In addition, thermal stresses cannot be accounted for. An iterative coupling method was presented. The basic equations for fluid flow in a porous medium consist of the equation of mass conservation, the equation of energy conservation, Darcy's law and equations of state depicting fluid characteristics. A continuum approach was used to develop the conservative equations. Material was assumed to be homogenous, isotropic and symmetric. Three test examples were used to illustrate the validity of geomechanics in reservoir simulation. The first example illustrated the difference in heave when a linear thermo-elastic constitutive model and a thermo-elastoplastic model were used. In the second example, a plastic cap model and a no-cap model were used to illustrate differences in porosity calculations. The 2 examples demonstrated that displacements and porosity calculations depend on the stress response and on the constitutive law of a material. In the third example a pseudo dilation-recompaction model showed a displacement calculation that was comparable with calculations obtained with 2-way coupling. The example illustrated the application of one-way coupling in scenarios where rigorous geomechanics calculations of subsidence are performed without the constraint of feeding back the information to a reservoir simulator. 22 refs., 13 figs

Role of geomechanically grown fractures on dispersive transport in heterogeneous geological formations

KAUST Repository

Nick, H. M.

2011-11-04

A second order in space accurate implicit scheme for time-dependent advection-dispersion equations and a discrete fracture propagation model are employed to model solute transport in porous media. We study the impact of the fractures on mass transport and dispersion. To model flow and transport, pressure and transport equations are integrated using a finite-element, node-centered finite-volume approach. Fracture geometries are incrementally developed from a random distributions of material flaws using an adoptive geomechanical finite-element model that also produces fracture aperture distributions. This quasistatic propagation assumes a linear elastic rock matrix, and crack propagation is governed by a subcritical crack growth failure criterion. Fracture propagation, intersection, and closure are handled geometrically. The flow and transport simulations are separately conducted for a range of fracture densities that are generated by the geomechanical finite-element model. These computations show that the most influential parameters for solute transport in fractured porous media are as follows: fracture density and fracture-matrix flux ratio that is influenced by matrix permeability. Using an equivalent fracture aperture size, computed on the basis of equivalent permeability of the system, we also obtain an acceptable prediction of the macrodispersion of poorly interconnected fracture networks. The results hold for fractures at relatively low density. © 2011 American Physical Society.

Role of geomechanically grown fractures on dispersive transport in heterogeneous geological formations

KAUST Repository

Nick, H. M.; Paluszny, A.; Blunt, M. J.; Matthai, S. K.

2011-01-01

A second order in space accurate implicit scheme for time-dependent advection-dispersion equations and a discrete fracture propagation model are employed to model solute transport in porous media. We study the impact of the fractures on mass transport and dispersion. To model flow and transport, pressure and transport equations are integrated using a finite-element, node-centered finite-volume approach. Fracture geometries are incrementally developed from a random distributions of material flaws using an adoptive geomechanical finite-element model that also produces fracture aperture distributions. This quasistatic propagation assumes a linear elastic rock matrix, and crack propagation is governed by a subcritical crack growth failure criterion. Fracture propagation, intersection, and closure are handled geometrically. The flow and transport simulations are separately conducted for a range of fracture densities that are generated by the geomechanical finite-element model. These computations show that the most influential parameters for solute transport in fractured porous media are as follows: fracture density and fracture-matrix flux ratio that is influenced by matrix permeability. Using an equivalent fracture aperture size, computed on the basis of equivalent permeability of the system, we also obtain an acceptable prediction of the macrodispersion of poorly interconnected fracture networks. The results hold for fractures at relatively low density. © 2011 American Physical Society.

Long-term Geomechanical Observation in the Jeroným Mine

Czech Academy of Sciences Publication Activity Database

Kaláb, Zdeněk; Lednická, Markéta

2016-01-01

Roč. 64, č. 5 (2016), s. 1513-1524 ISSN 1895-7455 R&D Projects: GA ČR GA105/09/0089 Institutional support: RVO:68145535 Keywords : abandoned mine * geomechanical observation * movements along fractures * stress tensor changes * mine water table fluctuation Subject RIV: DC - Siesmology, Volcanology, Earth Structure Impact factor: 0.968, year: 2016 http://agp.igf.edu.pl/files/64/5/Kalab-Lednicka.pdf

Development of a dynamic coupled hydro-geomechanical code and its application to induced seismicity

Science.gov (United States)

Miah, Md Mamun

This research describes the importance of a hydro-geomechanical coupling in the geologic sub-surface environment from fluid injection at geothermal plants, large-scale geological CO2 sequestration for climate mitigation, enhanced oil recovery, and hydraulic fracturing during wells construction in the oil and gas industries. A sequential computational code is developed to capture the multiphysics interaction behavior by linking a flow simulation code TOUGH2 and a geomechanics modeling code PyLith. Numerical formulation of each code is discussed to demonstrate their modeling capabilities. The computational framework involves sequential coupling, and solution of two sub-problems- fluid flow through fractured and porous media and reservoir geomechanics. For each time step of flow calculation, pressure field is passed to the geomechanics code to compute effective stress field and fault slips. A simplified permeability model is implemented in the code that accounts for the permeability of porous and saturated rocks subject to confining stresses. The accuracy of the TOUGH-PyLith coupled simulator is tested by simulating Terzaghi's 1D consolidation problem. The modeling capability of coupled poroelasticity is validated by benchmarking it against Mandel's problem. The code is used to simulate both quasi-static and dynamic earthquake nucleation and slip distribution on a fault from the combined effect of far field tectonic loading and fluid injection by using an appropriate fault constitutive friction model. Results from the quasi-static induced earthquake simulations show a delayed response in earthquake nucleation. This is attributed to the increased total stress in the domain and not accounting for pressure on the fault. However, this issue is resolved in the final chapter in simulating a single event earthquake dynamic rupture. Simulation results show that fluid pressure has a positive effect on slip nucleation and subsequent crack propagation. This is confirmed by

Multi-Site Application of the Geomechanical Approach for Natural Fracture Exploration

Energy Technology Data Exchange (ETDEWEB)

R. L. Billingsley; V. Kuuskraa

2006-03-31

In order to predict the nature and distribution of natural fracturing, Advanced Resources Inc. (ARI) incorporated concepts of rock mechanics, geologic history, and local geology into a geomechanical approach for natural fracture prediction within mildly deformed, tight (low-permeability) gas reservoirs. Under the auspices of this project, ARI utilized and refined this approach in tight gas reservoir characterization and exploratory activities in three basins: the Piceance, Wind River and the Anadarko. The primary focus of this report is the knowledge gained on natural fractural prediction along with practical applications for enhancing gas recovery and commerciality. Of importance to tight formation gas production are two broad categories of natural fractures: (1) shear related natural fractures and (2) extensional (opening mode) natural fractures. While arising from different origins this natural fracture type differentiation based on morphology is sometimes inter related. Predicting fracture distribution successfully is largely a function of collecting and understanding the available relevant data in conjunction with a methodology appropriate to the fracture origin. Initially ARI envisioned the geomechanical approach to natural fracture prediction as the use of elastic rock mechanics methods to project the nature and distribution of natural fracturing within mildly deformed, tight (low permeability) gas reservoirs. Technical issues and inconsistencies during the project prompted re-evaluation of these initial assumptions. ARI's philosophy for the geomechanical tools was one of heuristic development through field site testing and iterative enhancements to make it a better tool. The technology and underlying concepts were refined considerably during the course of the project. As with any new tool, there was a substantial learning curve. Through a heuristic approach, addressing these discoveries with additional software and concepts resulted in a stronger set

Building a 3D geomechanical model of a gas field for geohazard prediction

NARCIS (Netherlands)

Orlic, B.; Eijs, R. van; Zijl, W.; Wees, J.D. van

2002-01-01

Land subsidence, triggered earthquakes and wellbore instabilities are some examples of geohazards caused by or related to the production of subsurface natural resources and storage of energy residues in the deep subsurface. The main objective of geomechanical modelling is to effectively predict

Geomechanics in hard rock mining-Lessons from two case histories

International Nuclear Information System (INIS)

Heuze, F.E.

1982-01-01

This paper summarizes the geomechanics programs conducted in two hard rock underground mining operations in the Western United States, between 1966 and 1981. The two projects were directed towards understanding the behavior of the rock masses, at the scale of the caverns. To this end, the emphasis was put on large scale field measurements, complemented by limited laboratory testing. The results of these observations were used to build realistic finite element models of the underground chambers. In the marble mine, at Crestmore, California, the models were applied to the structural optimization of the room-and-pillar pattern. In the granite mining, at Climax, Nevada Test Site, the models explained some unusual stress changes observed during excavation. Based on the large number of geomechanical techniques employed, specific conclusions and recommendations are offered regarding the quality, applicability, and usefulness of the various methods. The two case histories clearly indicate that numerical models are extremely useful for a detailed understanding of the structural behavior of mine openings. To be realistic, these models must be based first and foremost on large scale field observations. The lessons learned on these two projects also are directly applicable to the design and analysis of nuclear waste repositories in hard rocks such as basalt, granite, and welded tuff

High Temperature Versus Geomechanical Parameters of Selected Rocks – The Present State of Research

Directory of Open Access Journals (Sweden)

Anna Sygała

2013-01-01

Full Text Available This paper presents the current state of knowledge concerning the examination of the impact of increased temperatures on changes of geomechanical properties of rocks. Based on historical data, the shape of stress–strain characteristics that illustrate the process of the destruction of rock samples as a result of load impact under uniaxial compression in a testing machine, were discussed. The results from the studies on changes in the basic strength and elasticity parameters of rocks, such as the compressive strength and Young’s modulus were compared. On their basis, it was found that temperature has a significant effect on the change of geomechanical properties of rocks. The nature of these changes also depends on other factors (apart from temperature. They are, among others: the mineral composition of rock, the porosity and density. The research analysis showed that changes in the rock by heating it at various temperatures and then uniaxially loading it in a testing machine, are different for different rock types. Most of the important processes that cause changes in the values of the strength parameters of the examined rocks occured in the temperature range of 400 to 600 °C.

Dynamic Fluid Flow and Geomechanical Coupling to Assess the CO2 Storage Integrity in Faulted Structures

Directory of Open Access Journals (Sweden)

Baroni A.

2015-04-01

Full Text Available The SiteChar research on the Southern Adriatic Sea site focused on the investigation of the geomechanical and hydrodynamic behaviour of the storage complex in the case of CO2 injection in a reservoir consisting of fractured carbonate formations. Special attention was paid to the effects that natural faults and fractures might have on CO2 migration, and the effects that injection might have on the stability of faults. This assessment was originally performed via a hydro-geomechanical one-way coupling which relies on an adequate representation of faults in the model, allowing one to simulate fluid flow along the fault plane and inside faults as well as evolution of the stress state due to CO2 injection. The geological model was populated with petrophysical and geomechanical parameters derived either from laboratory measurements performed on samples from a reservoir analogue, or published literature. Since only sparse data were available, various scenarios were simulated to take into account the uncertainties in the fluid flow and geomechanical properties of the model: the different state of faults (i.e., open or closed and various in situ stress state, commonly named geostatic stresses as the earth’s crust deformation is assumed to be slow regarding the short-term study. Various fluid flow parameters were also considered, although only one set of petrophysical data corresponding to the most realistic ones is considered here. Faults modeled as volumetric elements behave as flow pathways for fluids when they are conductive. The injected CO2 migrates inside and through the Rovesti fault, which is located near the injection well. The fluid flow also induces overpressure in the faults. The overpressure in the Rovesti fault reaches 2.2 MPa while it reaches 4.4 MPa at the bottom hole of the injector. Extending to about 30 km, the pore pressure field reaches the Gondola fault located at 15 km from the injection zone but the overpressure does not exceed

Numerical investigation of CO2 storage in hydrocarbon field using a geomechanical-fluid coupling model

Directory of Open Access Journals (Sweden)

Guang Li

2016-09-01

Full Text Available Increasing pore pressure due to CO2 injection can lead to stress and strain changes of the reservoir. One of the safely standards for long term CO2 storage is whether stress and strain changes caused by CO2 injection will lead to irreversible mechanical damages of the reservoir and impact the integrity of caprock which could lead to CO2 leakage through previously sealing structures. Leakage from storage will compromise both the storage capacity and the perceived security of the project, therefore, a successful CO2 storage project requires large volumes of CO2 to be injected into storage site in a reliable and secure manner. Yougou hydrocarbon field located in Orods basin was chosen as storage site based on it's stable geological structure and low leakage risks. In this paper, we present a fluid pressure and stress-strain variations analysis for CO2 geological storage based on a geomechanical-fluid coupling model. Using nonlinear elasticity theory to describe the geomechanical part of the model, while using the Darcy's law to describe the fluid flow. Two parts are coupled together using the poroelasticity theory. The objectives of our work were: 1 evaluation of the geomechanical response of the reservoir to different CO2 injection scenarios. 2 assessment of the potential leakage risk of the reservoir caused by CO2 injection.

Geomechanical Response of Jointed Caprock During CO2 Geological Sequestration

Science.gov (United States)

Newell, P.; Martinez, M. J.; Bishop, J. E.

2014-12-01

Geological sequestration of CO2 refers to the injection of supercritical CO2 into deep reservoirs trapped beneath a low-permeability caprock formation. Maintaining caprock integrity during the injection process is the most important factor for a successful injection. In this work we evaluate the potential for jointed caprock during injection scenarios using coupled three-dimensional multiphase flow and geomechanics modeling. Evaluation of jointed/fractured caprock systems is of particular concern to CO2 sequestration because creation or reactivation of joints (mechanical damage) can lead to enhanced pathways for leakage. In this work, we use an equivalent continuum approach to account for the joints within the caprock. Joint's aperture and non-linear stiffness of the caprock will be updated dynamically based on the effective normal stress. Effective permeability field will be updated based on the joints' aperture creating an anisotropic permeability field throughout the caprock. This feature would add another coupling between the solid and fluid in addition to basic Terzaghi's effective stress concept. In this study, we evaluate the impact of the joint's orientation and geometry of caprock and reservoir layers on geomechanical response of the CO2 geological systems. This work is supported as part of the Center for Frontiers of Subsurface Energy Security, an Energy Frontier Research Center funded by the U.S. Department of Energy, Office of Science, Office of Basic Energy Sciences under Award Number DE-SC0001114. Sandia National Laboratories is a multi-program laboratory managed and operated by Sandia Corporation, a wholly owned subsidiary of Lockheed Martin Corporation, for the U.S. Department of Energy's National Nuclear Security Administration under contract DE-AC04-94AL85000.

User's Guide of TOUGH2-EGS. A Coupled Geomechanical and Reactive Geochemical Simulator for Fluid and Heat Flow in Enhanced Geothermal Systems Version 1.0

Energy Technology Data Exchange (ETDEWEB)

Fakcharoenphol, Perapon [Colorado School of Mines, Golden, CO (United States); Xiong, Yi [Colorado School of Mines, Golden, CO (United States); Hu, Litang [Colorado School of Mines, Golden, CO (United States); Winterfeld, Philip H. [Colorado School of Mines, Golden, CO (United States); Xu, Tianfu [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States); Wu, Yu-Shu [Colorado School of Mines, Golden, CO (United States)

2013-05-01

TOUGH2-EGS is a numerical simulation program coupling geomechanics and chemical reactions for fluid and heat flows in porous media and fractured reservoirs of enhanced geothermal systems. The simulator includes the fully-coupled geomechanical (THM) module, the fully-coupled geochemical (THC) module, and the sequentially coupled reactive geochemistry (THMC) module. The fully-coupled flow-geomechanics model is developed from the linear elastic theory for the thermo-poro-elastic system and is formulated with the mean normal stress as well as pore pressure and temperature. The chemical reaction is sequentially coupled after solution of flow equations, which provides the flow velocity and phase saturation for the solute transport calculation at each time step. In addition, reservoir rock properties, such as porosity and permeability, are subjected to change due to rock deformation and chemical reactions. The relationships between rock properties and geomechanical and chemical effects from poro-elasticity theories and empirical correlations are incorporated into the simulator. This report provides the user with detailed information on both mathematical models and instructions for using TOUGH2-EGS for THM, THC or THMC simulations. The mathematical models include the fluid and heat flow equations, geomechanical equation, reactive geochemistry equations, and discretization methods. Although TOUGH2-EGS has the capability for simulating fluid and heat flows coupled with both geomechanical and chemical effects, it is up to the users to select the specific coupling process, such as THM, THC, or THMC in a simulation. There are several example problems illustrating the applications of this program. These example problems are described in details and their input data are presented. The results demonstrate that this program can be used for field-scale geothermal reservoir simulation with fluid and heat flow, geomechanical effect, and chemical reaction in porous and fractured media.

Three-dimensional Geological and Geo-mechanical Modelling of Repositories for Nuclear Waste Disposal in Deep Geological Structures

International Nuclear Information System (INIS)

Fahland, Sandra; Hofmann, Michael; Bornemann, Otto; Heusermann, Stefan

2008-01-01

To prove the suitability and safety of underground structures for the disposal of radioactive waste extensive geo-scientific research and development has been carried out by BGR over the last decades. Basic steps of the safety analysis are the geological modelling of the entire structure including the host rock, the overburden and the repository geometry as well as the geo-mechanical modelling taking into account the 3-D modelling of the underground structure. The geological models are generated using the special-construction openGEO TM code to improve the visualisation an d interpretation of the geological data basis, e.g. borehole, mine, and geophysical data. For the geo-mechanical analysis the new JIFE finite-element code has been used to consider large 3-D structures with complex inelastic material behaviour. To establish the finite-element models needed for stability and integrity calculations, the geological models are simplified with respect to homogenous rock layers with uniform material behaviour. The modelling results are basic values for the evaluation of the stability of the repository mine and the long-term integrity of the geological barrier. As an example of application, the results of geological and geo-mechanical investigations of the Morsleben repository based on 3-D modelling are presented. (authors)

Geomechanics of the Spent Fuel Test: Climax

International Nuclear Information System (INIS)

Wilder, D.G.; Yow, J.L. Jr.

1987-07-01

Three years of geomechanical measurements were made at the Spent Fuel Test-Climax (SFT-C) 1400 feet underground in fractured granitic rock. Heating of the rock mass resulted from emplacement of spent fuel as well as the heating by electrical heaters. Cooldown of the rock occurred after the spent fuel was removed and the heaters were turned off. The measurements program examines both gross and localized responses of the rock mass to thermal loading, to evaluate the thermomechanical response of sheared and fractured rock with that of relatively unfractured rock, to compare the magnitudes of displacements during mining with those induced by extensive heating of the rock mass, and to check assumptions regarding symmetry and damaged zones made in numerical modeling of the SFT-C. 28 refs., 113 figs., 10 tabs

Geomechanical characterization of volcanic rocks using empirical systems and data mining techniques

OpenAIRE

T. Miranda; L.R. Sousa; A.T. Gomes; J. Tinoco; C. Ferreira

2018-01-01

This paper tries to characterize volcanic rocks through the development and application of an empirical geomechanical system. Geotechnical information was collected from the samples from several Atlantic Ocean islands including Madeira, Azores and Canarias archipelagos. An empirical rock classification system termed as the volcanic rock system (VRS) is developed and presented in detail. Results using the VRS are compared with those obtained using the traditional rock mass rating (RMR) system....

The effects of impure CO2 on reservoir sandstones: results from mineralogical and geomechanical experiments

Science.gov (United States)

Marbler, H.; Erickson, K. P.; Schmidt, M.; Lempp, Ch.; Pöllmann, H.

2012-04-01

An experimental study of the behaviour of reservoir sandstones from deep saline aquifers during the injection and geological storage of CO2 with the inherent impurities SOX and NOX is part of the German national project COORAL*. Sample materials were taken from outcrops of possible reservoir formations of Rotliegend and Bunter Sandstones from the North German Basin. A combination of mineralogical alteration experiments and geomechanical tests was carried out on these rocks to study the potential effects of the impurities within the CO2 pore fluid. Altered rock samples after the treatment with CO2 + SOX/NOX in an autoclave system were loaded in a triaxial cell under in-situ pressure and temperature conditions in order to estimate the modifications of the geomechanical rock properties. Mineralogical alterations were observed within the sandstones after the exposure to impure supercritical (sc)CO2 and brine, mainly of the carbonatic, but also of the silicatic cements, as well as of single minerals. Besides the partial solution effects also secondary carbonate and minor silicate mineral precipitates were observed within the pore space of the treated sandstones. These alterations affect the grain structure of the reservoir rock. Results of geomechanical experiments with unaltered sandstones show that the rock strength is influenced by the degree of rock saturation before the experiment and the chemical composition of the pore fluid (scCO2 + SOX + NOX). After long-term autoclave treatment with impure scCO2, the sandstone samples exhibit modified strength parameters and elastic deformation behaviour as well as changes in porosity compared to untreated samples. Furthermore, the injected fluid volume into the pore space of sandstones from the same lithotype varies during triaxial loading depending on the chemistry of the pore fluid. CO2 with NOX and SOX bearing fluid fills a significantly larger proportion of the sandstone pore space than brine with pure scCO2. * The

Long term telemedicine study of compliance in paranoid schizophrenia.

Science.gov (United States)

Krzystanek, Marek; Krzeszowski, Dariusz; Jagoda, Karolina; Krysta, Krzysztof

2015-09-01

Low compliance is one of the crucial problems of contemporary psychiatry. Relapses, deterioration of cognitive functioning, negative symptoms, neuroleptic resistance are the examples of many consequences of noncompliance in schizophrenia The study was designed to assess the compliance in the 200 patients diagnosed with paranoid schizophrenia, all in the state of symptomatic remission and on the stable neuroleptic treatment. The compliance was assessed using a telepsychiatric system, sending reminders: 1 hour before the planned dose to remind them that drug intake is approaching, and at the moment of intake to check if they took the drug. The confirmed drug intakes were counted by the telepsychiatric system. 158 patients completed the study period. The compliance in the first month of the treatment was 44.6% and decreased over the rest of the period to the level of 33.4%. 50% of the schizophrenic patients were compliant at a level lower than 37%. This group was considered the low compliance group, and in this group the compliance increased after 6 months from 9.3% to 10.3% (p<0.0001). The compliance in the group of schizophrenic patients in remission is very low. The telemedicine system improves the compliance in the patients with the worst compliance.

Application of Reservoir Flow Simulation Integrated with Geomechanics in Unconventional Tight Play

Science.gov (United States)

Lin, Menglu; Chen, Shengnan; Mbia, Ernest; Chen, Zhangxing

2018-01-01

Multistage hydraulic fracturing techniques, combined with horizontal drilling, have enabled commercial production from the vast reserves of unconventional tight formations. During hydraulic fracturing, fracturing fluid and proppants are pumped into the reservoir matrix to create the hydraulic fractures. Understanding the propagation mechanism of hydraulic fractures is essential to estimate their properties, such as half-length. In addition, natural fractures are often present in tight formations, which might be activated during the fracturing process and contribute to the post-stimulation well production rates. In this study, reservoir simulation is integrated with rock geomechanics to predict the well post-stimulation productivities. Firstly, a reservoir geological model is built based on the field data collected from the Montney formation in the Western Canadian Sedimentary Basin. The hydraulic fracturing process is then simulated through an integrated approach of fracturing fluid injection, rock geomechanics, and tensile failure criteria. In such a process, the reservoir pore pressure increases with a continuous injection of the fracturing fluid and proppants, decreasing the effective stress exerted on the rock matrix accordingly as the overburden pressure remains constant. Once the effective stress drops to a threshold value, tensile failure of the reservoir rock occurs, creating hydraulic fractures in the formation. The early production history of the stimulated well is history-matched to validate the predicted fracture geometries (e.g., half-length) generated from the fracturing simulation process. The effects of the natural fracture properties and well bottom-hole pressures on well productivity are also studied. It has been found that nearly 40% of hydraulic fractures propagate in the beginning stage (the pad step) of the fracturing schedule. In addition, well post-stimulation productivity will increase significantly if the natural fractures are propped or

Geomechanical Simulation of Bayou Choctaw Strategic Petroleum Reserve - Model Calibration.

Energy Technology Data Exchange (ETDEWEB)

Park, Byoung [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States)

2017-02-01

A finite element numerical analysis model has been constructed that consists of a realistic mesh capturing the geometries of Bayou Choctaw (BC) Strategic Petroleum Reserve (SPR) site and multi - mechanism deformation ( M - D ) salt constitutive model using the daily data of actual wellhead pressure and oil - brine interface. The salt creep rate is not uniform in the salt dome, and the creep test data for BC salt is limited. Therefore, the model calibration is necessary to simulate the geomechanical behavior of the salt dome. The cavern volumetric closures of SPR caverns calculated from CAVEMAN are used for the field baseline measurement. The structure factor, A 2 , and transient strain limit factor, K 0 , in the M - D constitutive model are used for the calibration. The A 2 value obtained experimentally from the BC salt and K 0 value of Waste Isolation Pilot Plant (WIPP) salt are used for the baseline values. T o adjust the magnitude of A 2 and K 0 , multiplication factors A2F and K0F are defined, respectively. The A2F and K0F values of the salt dome and salt drawdown skins surrounding each SPR cavern have been determined through a number of back fitting analyses. The cavern volumetric closures calculated from this model correspond to the predictions from CAVEMAN for six SPR caverns. Therefore, this model is able to predict past and future geomechanical behaviors of the salt dome, caverns, caprock , and interbed layers. The geological concerns issued in the BC site will be explained from this model in a follow - up report .

Geomechanical applications for the Waste Isolation Pilot Plant (WIPP) project

International Nuclear Information System (INIS)

Matalucci, R.V.; Hunter, T.O.

1981-01-01

The Waste Isolation Pilot Plant (WIPP) is a research and development facility in bedded salt addressing the technical issues associated with the demonstration of disposal of radioactive waste from the defense programs of the USA. The geomechanical program includes laboratory experimentation, constitutive model and computer code development, and in-situ experimentation. Various material models, including creep for salt, and techniques for predicting room response under thermal and mechanical loads have been developed and are being applied to experiment and facility designs. A Benchmark II study has been conducted to compare the capabilities of nine structural codes to predict response of underground configuration under ambient temperature and with a thermal load of 7.5 W/m 2 . Parametric studies are being conducted to evaluate optimum room configurations. A series of in situ experiments is the next step towards validating models and predictive techniques. These experiments will be conducted in a facility in southeastern New Mexico mined at a depth of 659 m

Estimation of Sand Production Rate Using Geomechanical and Hydromechanical Models

Directory of Open Access Journals (Sweden)

Son Tung Pham

2017-01-01

Full Text Available This paper aims to develop a numerical model that can be used in sand control during production phase of an oil and gas well. The model is able to predict not only the onset of sand production using critical bottom hole pressure inferred from geomechanical modelling, but also the mass of sand produced versus time as well as the change of porosity versus space and time using hydromechanical modelling. A detailed workflow of the modelling was presented with each step of calculations. The empirical parameters were calibrated using laboratory data. Then the modelling was applied in a case study of an oilfield in Cuu Long basin. In addition, a sensitivity study of the effect of drawdown pressure was presented in this paper. Moreover, a comparison between results of different hydromechanical models was also addressed. The outcome of this paper demonstrated the possibility of modelling the sand production mass in real cases, opening a new approach in sand control in petroleum industry.

Compliance of amblyopic patients with occlusion therapy: A pilot study

Directory of Open Access Journals (Sweden)

Sana Al-Zuhaibi

2009-01-01

Materials and Methods: A total of 31 families with a child (aged 2-12 years, undergoing unilateral amblyopia treatment at the pediatric ophthalmology clinic of Sultan Qaboos University Hospital, Oman, were recruited for this one month study. Parents were interviewed and completed a closed-ended questionnaire. Clinical data including, visual acuity, refraction, diagnosis and treatment, for each patient was collected from the hospital chart and was entered in a data collection sheet. Compliance with occlusion therapy was assessed by self-report accounts of parents and was graded into good, partial, or poor. Association between various factors and degree of compliance was studied using logistic regression modeling. Results: Only 14 (45% patients showed good compliance to occlusion therapy. 17 (55% patients were noncompliant. Improvement in visual acuity strongly correlated with compliance to patching (P = 0.008. Other variables that were studied included, age at onset of therapy; gender; degree of amblyopia; type of amblyopia; use of glasses; and compliance with glasses. These did not emerge as significant predictors of compliance. All but one family with poor compliance stated that the main challenge in following the recommendation to patch for requisite hours was in getting their child to cooperate. Only in one instance, the family cited nonavailability of patches as the main hindrance to compliance. 10/31 (32% families expressed a desire for more information and 18/31 (58% parents did not understand that amblyopia meant decreased vision. Conclusion: Poor compliance is a barrier to successful amblyopia therapy in our practice. Improvement in visual acuity is associated with better compliance with patching. Parents find it difficult to comprehend and retain verbal explanations of various components regarding occlusion therapy for amblyopia. Future study with a larger sample of patients is recommended to investigate the factors affecting compliance with amblyopia

Data inversion in coupled subsurface flow and geomechanics models

International Nuclear Information System (INIS)

Iglesias, Marco A; McLaughlin, Dennis

2012-01-01

We present an inverse modeling approach to estimate petrophysical and elastic properties of the subsurface. The aim is to use the fully coupled geomechanics-flow model of Girault et al (2011 Math. Models Methods Appl. Sci. 21 169–213) to jointly invert surface deformation and pressure data from wells. We use a functional-analytic framework to construct a forward operator (parameter-to-output map) that arises from the geomechanics-flow model of Girault et al. Then, we follow a deterministic approach to pose the inverse problem of finding parameter estimates from measurements of the output of the forward operator. We prove that this inverse problem is ill-posed in the sense of stability. The inverse problem is then regularized with the implementation of the Newton-conjugate gradient (CG) algorithm of Hanke (1997 Numer. Funct. Anal. Optim. 18 18–971). For a consistent application of the Newton-CG scheme, we establish the differentiability of the forward map and characterize the adjoint of its linearization. We provide assumptions under which the theory of Hanke ensures convergence and regularizing properties of the Newton-CG scheme. These properties are verified in our numerical experiments. In addition, our synthetic experiments display the capabilities of the proposed inverse approach to estimate parameters of the subsurface by means of data inversion. In particular, the added value of measurements of surface deformation in the estimation of absolute permeability is quantified with respect to the standard history matching approach of inverting production data with flow models. The proposed methodology can be potentially used to invert satellite geodetic data (e.g. InSAR and GPS) in combination with production data for optimal monitoring and characterization of the subsurface. (paper)

Geomechanical issues of anthropogenic CO2 sequestration in exploited gas fields

International Nuclear Information System (INIS)

Ferronato, Massimiliano; Gambolati, Giuseppe; Janna, Carlo; Teatini, Pietro

2010-01-01

Anthropogenic CO 2 sequestration in deep geological formations may represent a viable option to fulfil the requirements of the 1997 Kyoto protocol on the reduction of greenhouse gas emissions. Scenarios of CO 2 sequestration through three injection wells in an exploited gas field located in the Po sedimentary basin (Italy) are simulated with the final target to understand the geomechanical consequences of the injection of carbon dioxide. Investigated scenarios include, as a hypothetical case, the long-term injection of CO 2 until the initial reservoir pressure is exceeded by as much as 40% over a period of about 100 years. The process is analyzed from the geomechanical point of view using a finite element-interface element (FE-IE) model with the following main issues addressed: (1) prediction of the possible land vertical uplift and corresponding impact on the ground infrastructures; (2) evaluation of the stress state induced in the reservoir formation with the possible generation of fractures and (3) a risk analysis for the activation of existing faults. The geomechanical constitutive law of the Northern Adriatic basin relying on the radioactive marker interpretation is implemented into the FE model, while an elasto-plastic relationship based on the Mohr-Coulomb criterion is used for the IE reproducing the fault behaviour. The in situ stress prior to the gas field exploitation is compressive with the principal horizontal stress in the direction perpendicular to the major faults equal to the vertical stress. The results show that the ground surface rebound due to the overpressure generated by the CO 2 sequestration partially mitigates the land subsidence experienced by the area because of the previous gas field depletion with differential displacements that are confined within the safety bounds suggested in the literature for the surface infrastructures. Activation of a few faults lying close to the northern reservoir boundary points to a slip of a couple of

The geomechanical characterization of the rocky mass foundation of the Tijuco Alto hydroelectric power plant, Ribeira River, Sao Paulo/Parana States, Brazil; Caracterizacao geomecanica do Macico de Fundacao da UHE Tijuco Alto (Rio Ribeira - SP/PR)

Energy Technology Data Exchange (ETDEWEB)

Figueiredo, Amarilis Lucia Casteli de

1996-07-01

This work has as its main objective the geomechanical characterization on the future rocky mass foundation of the Tijuco Alto dam, sited at the Ribeira river, in the cities of Ribeirao, Sao Paulo state and Adrianopolis, Parana state, Brazil, owned by the Companhia Brasileira de Aluminio (Brazilian company of Aluminium). To reach that target, field studies were made to qualify the geotechnical parameters of the rocky mass, in the axis area open galleries. It was also used in situ deformability and stress test results performed in those galleries, that were reinterpreted for a better adaptation of the mass values. The knowledge of the mass inherent characteristics together with the laboratories test results, allowed for the geomechanical classification applications in several different gallery sectors. The geomechanical data obtained allowed through mathematical expressions, to reach the rocky mass values correlations of interest to the work (deformability and strength), that could be compared to the in situ test results. That analysis permitted, besides the classification critical system evaluation, the geomechanical characterization of the rocky mass, focusing its ability to the dam arch construction. (author)

Geo-Mechanical Characterization of Carbonate Rock Masses by Means of Laser Scanner Technique

Science.gov (United States)

Palma, Biagio; Parise, Mario; Ruocco, Anna

2017-12-01

Knowledge of the geometrical and structural setting of rock masses is crucial to evaluate the stability and to design the most suitable stabilization works. In this work we use the Terrestrial Laser Scanning (TLS) at the site of the Grave of the Castellana Caves, a famous show cave in southern Italy. The Grave is the natural access to the cave system, produced by collapse of the vault, due to upward progression of instabilities in the carbonate rock masses. It is about 55-m high, bell-shaped, with maximum width of 120 m. Aim of the work is the characterization of carbonate rock masses from the structural and geo-mechanical standpoints through the use of innovative survey techniques. TLS survey provides a product consisting of millions of geo-referenced points, to be managed in space, to become a suitable database for the morphological and geological-structural analysis. Studying by means of TLS a rock face, partly inaccessible or located in very complex environments, allows to investigate slopes in their overall areal extent, thus offering advantages both as regards safety of the workers and time needed for the survey. In addition to TLS, the traditional approach was also followed by performing scanlines surveys along the rims of the Grave, following the ISRM recommendations for characterization of discontinuity in rock masses. A quantitative comparison among the data obtained by TLS technique and those deriving from the classical geo-mechanical survey is eventually presented, to discuss potentiality of drawbacks of the different techniques used for surveying the rock masses.

Georgia Compliance Review Self-Study FY 01.

Science.gov (United States)

Georgia State Dept. of Education, Atlanta.

Intended for evaluation of local compliance with special education federal and state legal requirements, this compliance review document includes both the compliance requirements and the criteria by which compliance is determined during the onsite compliance review of Georgia local school systems and state-operated programs. Each legal requirement…

Supporting the patient's role in guideline compliance: a controlled study.

Science.gov (United States)

Rosenberg, Stephen N; Shnaiden, Tatiana L; Wegh, Arnold A; Juster, Iver A

2008-11-01

Clinical messages alerting physicians to gaps in the care of specific patients have been shown to increase compliance with evidence-based guidelines. This study sought to measure any additional impact on compliance when alerting messages also were sent to patients. For alerts that were generated by computerized clinical rules applied to claims, compliance was determined by subsequent claims evidence (eg, that recommended tests were performed). Compliance was measured in the baseline year and the study year for 4 study group employers (combined membership >100,000) that chose to add patient messaging in the study year, and 28 similar control group employers (combined membership >700,000) that maintained physician messaging but did not add patient messaging. The impact of patient messaging was assessed by comparing changes in compliance from baseline to study year in the 2 groups. Multiple logistic regression was used to control for differences between the groups. Because a given member or physician could receive multiple alerts, generalized estimating equations with clustering by patient and physician were used. Controlling for differences in age, sex, and the severity and types of clinical alerts between the study and control groups, the addition of patient messaging increased compliance by 12.5% (P compliance with the evidence-based guidelines underlying the alerts.

The geomechanical strength of carbonate rock in Kinta valley, Ipoh, Perak Malaysia

Science.gov (United States)

Mazlan, Nur Amanina; Lai, Goh Thian; Razib, Ainul Mardhiyah Mohd; Rafek, Abdul Ghani; Serasa, Ailie Sofyiana; Simon, Norbert; Surip, Noraini; Ern, Lee Khai; Mohamed, Tuan Rusli

2018-04-01

The stability of both cut rocks and underground openings were influenced by the geomechanical strength of rock materials, while the strength characteristics are influenced by both material characteristics and the condition of weathering. This paper present a systematic approach to quantify the rock material strength characteristics for material failure and material & discontinuities failure by using uniaxial compressive strength, point load strength index and Brazilian tensile strength for carbonate rocks. Statistical analysis of the results at 95 percent confidence level showed that the mean value of compressive strength, point load strength index and Brazilian tensile strength for with material failure and material & discontinuities failure were 76.8 ± 4.5 and 41.2 ± 4.1 MPa with standard deviation of 15.2 and 6.5 MPa, respectively. The point load strength index for material failure and material & discontinuities failure were 3.1 ± 0.2 MPa and 1.8 ± 0.3 MPa with standard deviation of 0.9 and 0.6 MPa, respectively. The Brazilian tensile strength with material failure and material & discontinuities failure were 7.1 ± 0.3 MPa and 4.1 ± 0.3 MPa with standard deviation of 1.4 and 0.6 MPa, respectively. The results of this research revealed that the geomechanical strengths of rock material of carbonate rocks for material & discontinuities failure deteriorates approximately ½ from material failure.

On the fixed-stress split scheme as smoother in multigrid methods for coupling flow and geomechanics

NARCIS (Netherlands)

F.J. Gaspar Lorenz (Franscisco); C. Rodrigo (Carmen)

2017-01-01

textabstractThe fixed-stress split method has been widely used as solution method in the coupling of flow and geomechanics. In this work, we analyze the behavior of an inexact version of this algorithm as smoother within a geometric multigrid method, in order to obtain an efficient monolithic solver

A multimethod Global Sensitivity Analysis to aid the calibration of geomechanical models via time-lapse seismic data

Science.gov (United States)

Price, D. C.; Angus, D. A.; Garcia, A.; Fisher, Q. J.; Parsons, S.; Kato, J.

2018-03-01

Time-lapse seismic attributes are used extensively in the history matching of production simulator models. However, although proven to contain information regarding production induced stress change, it is typically only loosely (i.e. qualitatively) used to calibrate geomechanical models. In this study we conduct a multimethod Global Sensitivity Analysis (GSA) to assess the feasibility and aid the quantitative calibration of geomechanical models via near-offset time-lapse seismic data. Specifically, the calibration of mechanical properties of the overburden. Via the GSA, we analyse the near-offset overburden seismic traveltimes from over 4000 perturbations of a Finite Element (FE) geomechanical model of a typical High Pressure High Temperature (HPHT) reservoir in the North Sea. We find that, out of an initially large set of material properties, the near-offset overburden traveltimes are primarily affected by Young's modulus and the effective stress (i.e. Biot) coefficient. The unexpected significance of the Biot coefficient highlights the importance of modelling fluid flow and pore pressure outside of the reservoir. The FE model is complex and highly nonlinear. Multiple combinations of model parameters can yield equally possible model realizations. Consequently, numerical calibration via a large number of random model perturbations is unfeasible. However, the significant differences in traveltime results suggest that more sophisticated calibration methods could potentially be feasible for finding numerous suitable solutions. The results of the time-varying GSA demonstrate how acquiring multiple vintages of time-lapse seismic data can be advantageous. However, they also suggest that significant overburden near-offset seismic time-shifts, useful for model calibration, may take up to 3 yrs after the start of production to manifest. Due to the nonlinearity of the model behaviour, similar uncertainty in the reservoir mechanical properties appears to influence overburden

Modeling of coupled thermodynamic and geomechanical performance of underground compressed air energy storage in lined rock caverns

Energy Technology Data Exchange (ETDEWEB)

Rutqvist, Jonny; Kim, Hyung-Mok; Ryu, Dong-Woo; Synn, Joong-Ho; Song, Won-Kyong

2012-06-01

We applied coupled nonisothermal, multiphase fluid flow and geomechanical numerical modeling to study the coupled thermodynamic and geomechanical performance of underground compressed air energy storage (CAES) in concrete-lined rock caverns. The paper focuses on CAES in lined caverns at relatively shallow depth (e.g., 100 m depth) in which a typical CAES operational pressure of 5 to 8 MPa is significantly higher than both ambient fluid pressure and in situ stress. We simulated a storage operation that included cyclic compression and decompression of air in the cavern, and investigated how pressure, temperature and stress evolve over several months of operation. We analyzed two different lining options, both with a 50 cm thick low permeability concrete lining, but in one case with an internal synthetic seal such as steel or rubber. For our simulated CAES system, the thermodynamic analysis showed that 96.7% of the energy injected during compression could be recovered during subsequent decompression, while 3.3% of the energy was lost by heat conduction to the surrounding media. Our geomechanical analysis showed that tensile effective stresses as high as 8 MPa could develop in the lining as a result of the air pressure exerted on the inner surface of the lining, whereas thermal stresses were relatively smaller and compressive. With the option of an internal synthetic seal, the maximum effective tensile stress was reduced from 8 to 5 MPa, but was still in substantial tension. We performed one simulation in which the tensile tangential stresses resulted in radial cracks and air leakage though the lining. This air leakage, however, was minor (about 0.16% of the air mass loss from one daily compression) in terms of CAES operational efficiency, and did not significantly impact the overall energy balance of the system. However, despite being minor in terms of energy balance, the air leakage resulted in a distinct pressure increase in the surrounding rock that could be

Therapeutic compliance of first line disease-modifying therapies in patients with multiple sclerosis. COMPLIANCE Study.

Science.gov (United States)

Saiz, A; Mora, S; Blanco, J

2015-05-01

Non-adherence to disease-modifying therapies (DMTs) in multiple sclerosis may be associated with reduced efficacy. We assessed compliance, the reasons for non-compliance, treatment satisfaction, and quality of life (QoL) of patients treated with first-line therapies. A cross-sectional, multicenter study was conducted that included relapsing multiple sclerosis patients. Compliance in the past month was assessed using Morisky-Green test. Seasonal compliance and reasons for non-compliance were assessed by an ad-hoc questionnaire. Treatment satisfaction and QoL were evaluated by means of TSQM and PRIMUS questionnaires. A total of 220 patients were evaluated (91% relapsing-remitting); the mean age was 39.1 years, 70% were female, and the average time under treatment was 5.4 years. Subcutaneous interferon (IFN) β-1b was used in 23% of the patients, intramuscular IFN β-1a in 21%, subcutaneous IFN β-1a in 37%, and with glatiramer acetate in 19%. The overall compliance was 75%, with no significant differences related to the therapy, and 81% did not report any seasonal variation. Compliant patients had significantly lower disability scores and time of diagnosis, and greater satisfaction with treatment and its effectiveness. Discomfort and flu-like symptoms were the most frequent reasons for non-compliance. The satisfaction and QoL were associated with less disability and number of therapeutic switches. The rate of compliance, satisfaction and QoL in multiple sclerosis patients under DMTs is high, especially for those newly diagnosed, less disabled, and with fewer therapeutic switches. Discomfort and flu-like symptoms associated with injected therapies significantly affect adherence. Copyright © 2013 Sociedad Española de Neurología. Published by Elsevier España, S.L.U. All rights reserved.

Experience in ultimate storage of radwaste, illustrated by the information on geomechanics gained in the Asse storage facility

International Nuclear Information System (INIS)

Schmidt, M.W.

1981-01-01

Among the numerous variants of storing radioactive waste in the deep geological underground the storage in appropriate mineral salt formations has a couple of particular advantages. In order to effect research- and development works with regard to a safe secular storage of radioactive wastes, the former mineral salt deposit ASSE was assigned to the GSF in the year 1965. At this test plant storage technologies are developed, tested and the operational efficiency of according technical facilities is demonstrated. As a part of these duties several technical and natural scientific fields like nuclear engineering, mining, geomechanics, geochemistry or hydrogeology are worked in interdisciplinarily. Departing from the existing mine building of the shaft ASSE storage bunkers for low- and intermediate-level radioactive wastes (LAW/MAW) are presented. Accompanying geotechnical investigations are explained. An outlook alludes to an eventually possible development potential of the storage bunker arrangement from the geomechanic view. (orig./HP) [de

User's guide of TOUGH2-EGS-MP: A Massively Parallel Simulator with Coupled Geomechanics for Fluid and Heat Flow in Enhanced Geothermal Systems VERSION 1.0

Energy Technology Data Exchange (ETDEWEB)

Xiong, Yi [Colorado School of Mines, Golden, CO (United States); Fakcharoenphol, Perapon [Colorado School of Mines, Golden, CO (United States); Wang, Shihao [Colorado School of Mines, Golden, CO (United States); Winterfeld, Philip H. [Colorado School of Mines, Golden, CO (United States); Zhang, Keni [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States); Wu, Yu-Shu [Colorado School of Mines, Golden, CO (United States)

2013-12-01

TOUGH2-EGS-MP is a parallel numerical simulation program coupling geomechanics with fluid and heat flow in fractured and porous media, and is applicable for simulation of enhanced geothermal systems (EGS). TOUGH2-EGS-MP is based on the TOUGH2-MP code, the massively parallel version of TOUGH2. In TOUGH2-EGS-MP, the fully-coupled flow-geomechanics model is developed from linear elastic theory for thermo-poro-elastic systems and is formulated in terms of mean normal stress as well as pore pressure and temperature. Reservoir rock properties such as porosity and permeability depend on rock deformation, and the relationships between these two, obtained from poro-elasticity theories and empirical correlations, are incorporated into the simulation. This report provides the user with detailed information on the TOUGH2-EGS-MP mathematical model and instructions for using it for Thermal-Hydrological-Mechanical (THM) simulations. The mathematical model includes the fluid and heat flow equations, geomechanical equation, and discretization of those equations. In addition, the parallel aspects of the code, such as domain partitioning and communication between processors, are also included. Although TOUGH2-EGS-MP has the capability for simulating fluid and heat flows coupled with geomechanical effects, it is up to the user to select the specific coupling process, such as THM or only TH, in a simulation. There are several example problems illustrating applications of this program. These example problems are described in detail and their input data are presented. Their results demonstrate that this program can be used for field-scale geothermal reservoir simulation in porous and fractured media with fluid and heat flow coupled with geomechanical effects.

Geomechanical Assessments of Simultaneous Operation in the Case of Transition from Open Pit to Underground Mine in Vietnam

Science.gov (United States)

Niedbalski, Zbigniew; Nguyen, Phu Minh Vuong; Widzyk-Capehart, Eleonora

2018-03-01

Nowadays, for a number of reasons, many open pit mines are considering a transition from Open Pit (OP) to Underground (UG) to remain competitive. In OP-UG transition, UG operation is operated simultaneously with the OP operation for a certain period of time. Guidelines for the simultaneous operation of OP and UG are very difficult to establish, as there are very few case studies available. Yet, because of the OP-UG interactions; the operation has a higher safety, technical and management requirements than the OP or UG methods when considered separately. In Vietnam, Cao Son is one of many OP mines, which decided to change the operational system from OP to UG. Simultaneous operation started in 2015 and will be conducted until 2030 when the OP mine Cao Son ends its mining activities. In this paper, selected geomechanical considerations of the simultaneous operation are presented. A number of numerical modelling calculations using finitedifference software with code FLAC were carried out for calibration process, slope stability analysis and the OP-UG interaction analysis for the Cao Son - Khe Cham II-IV mine. Based on the results obtained from numerical modelling, the geomechanical assessments of simultaneous operation Cao Son - Khe Cham II-IV are discussed in this paper.

Clay shale as host rock. A geomechanical contribution about Opalinus clay; Tonstein als Wirtsgestein. Ein geomechanischer Beitrag ueber Opalinuston

Energy Technology Data Exchange (ETDEWEB)

Lempp, Christof; Menezes, Flora; Sachwitz, Simon [Halle-Wittenberg Univ., Halle (Saale) (Germany). Inst. fuer Geowissenschaften und Geographie

2016-12-15

The Opalinuston is a prominent rock representing the type of organic clay shales or clay stones within the sequence of Triassic and Jurassic marine sediments in Southern Germany. The rock forms a homogenous unit some ten meters thick. The degree of consolidation of this type of pelitic rock depends mainly on the former load conditions, but is also dependent on the long-term weathering and even on the present exposition. The geomechanical parameters such as shear strength, tensional strength and permeability vary with the state of consolidation and become important when the use is discussed of such rocks for radioactive waste disposal. A tunneling project at the northern escarpment of the Swabian Alb (Southwest Germany) within the Opalinus clay offered the rare opportunity to obtain fresh unweathered rock samples in greater amounts compared to fresh drilling cores from which geomechanical investigations are usually undertaken. Consequently, the results of geomechanical laboratory testings are presented in order to compare here the results of multistep triaxial compression tests, of hydraulic fracturing laboratory tests and of some other tests for rock characterization with the corresponding results of Opalinus clay sites in Switzerland that were investigated by the Swiss Nagra Company for host rock characterization. After a discussion of the relevant state of fresh Opalinus clay, especially of suction pressure conditions and saturation state, the results of triaxial shear tests are presented. Increasing shear deformation at increasing pressure and unchanged water saturation do not result in a significant strength reduction of the Opalinus clay. The rock shows increasing cohesion and stiffness, if multiple loading has repeatedly reached the failure point. Thus there is no increased permeability with continued shearing. Only at the beginning of the shearing process is a temporarily increased permeability to be expected due to dilatation processes. An increased

Final Scientific/Technical Report for project “Geomechanical Monitoring for CO₂ Hub Storage: Production and Injection at Kevin Dome

Energy Technology Data Exchange (ETDEWEB)

Daley, Thomas M. [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States); Vasco, Don [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States); Ajo-Franklin, Jonathan [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States); Dobeck, Laura [Montana State Univ., Bozeman, MT (United States); Spangler, Lee [Montana State Univ., Bozeman, MT (United States); Leonti, Michelle [Montana State Univ., Bozeman, MT (United States)

2017-06-27

After learning that the TDS value in the target injection formation at the Kevin Dome site is too low to qualify for an EPA Class VI CO2 injection permit, the BSCSP project was re-scoped such that injection of CO2 is no longer planned. With no injection planned, the Geomechanics project was closed. In this final report, we describe the objective and approach of the project as proposed, and the limited results obtained before stopping work. The objective of the proposed research was the development & validation of an integrated monitoring approach for quantifying the interactions between large-scale geological carbon storage (GCS) and subsurface geomechanical state, particularly perturbations relevant to reservoir integrity such as fault reactivation and induced fracturing. In the short period of work before knowing the fate of the Kevin Dome project, we (1) researched designs for both the proposed InSAR corner reflectors as well as the near-surface 3C seismic stations; (2) developed preliminary elastic geomechanical models; (3) developed a second generation deformation prediction for the BSCSP Kevin Dome injection site; and (4) completed a preliminary map of InSAR monuments and shallow MEQ wells in the vicinity of the BSCSP injection pad.

Numerical Simulation of Permeability Change in Wellbore Cement Fractures after Geomechanical Stress and Geochemical Reactions Using X-ray Computed Tomography Imaging.

Science.gov (United States)

Kabilan, Senthil; Jung, Hun Bok; Kuprat, Andrew P; Beck, Anthon N; Varga, Tamas; Fernandez, Carlos A; Um, Wooyong

2016-06-21

X-ray microtomography (XMT) imaging combined with three-dimensional (3D) computational fluid dynamics (CFD) modeling technique was used to study the effect of geochemical and geomechanical processes on fracture permeability in composite Portland cement-basalt caprock core samples. The effect of fluid density and viscosity and two different pressure gradient conditions on fracture permeability was numerically studied by using fluids with varying density and viscosity and simulating two different pressure gradient conditions. After the application of geomechanical stress but before CO2-reaction, CFD revealed fluid flow increase, which resulted in increased fracture permeability. After CO2-reaction, XMT images displayed preferential precipitation of calcium carbonate within the fractures in the cement matrix and less precipitation in fractures located at the cement-basalt interface. CFD estimated changes in flow profile and differences in absolute values of flow velocity due to different pressure gradients. CFD was able to highlight the profound effect of fluid viscosity on velocity profile and fracture permeability. This study demonstrates the applicability of XMT imaging and CFD as powerful tools for characterizing the hydraulic properties of fractures in a number of applications like geologic carbon sequestration and storage, hydraulic fracturing for shale gas production, and enhanced geothermal systems.

Geological and geomechanical properties of the carbonate rocks at the eastern Black Sea Region (NE Turkey)

Science.gov (United States)

Ersoy, Hakan; Yalçinalp, Bülent; Arslan, Mehmet; Babacan, Ali Erden; Çetiner, Gözde

2016-11-01

Turkey located in the Alpine-Himalayan Mountain Belt has 35% of the natural stone reserves of the world and has good quality marble, limestone, travertine and onyx reserves especially in the western regions of the country. The eastern Black Sea Region with a 1.4 million meters cubes reserve has a little role on the natural stone production in the country. For this reason, this paper deals with investigation on the potential of carbonate stone in the region and determination of the geological and geo-mechanical properties of these rocks in order to provide economic contribution to the national economy. While the study sites are selected among the all carbonate rock sites, the importance as well as the representative of the sites were carefully considered for the region. After representative samples were analyzed for major oxide and trace element compositions to find out petrochemical variations, the experimental program conducted on rock samples for determination of both physical and strength properties of the carbonate rocks. The results of the tests showed that there are significant variations in the geo-mechanical properties of the studied rock groups. The density values vary from 2.48 to 2.70 gr/cm3, water absorption by weight values range from 0.07 to 1.15% and the apparent porosity of the carbonate rocks are between 0.19 and 3.29%. However, the values of the UCS shows variation from 36 to 80 MPa. Tensile and bending strength values range from 3.2 to 7.5 MPa and 6.0-9.2 MPa respectively. Although the onyx samples have the lowest values of apparent porosity and water absorption by weight, these samples do not have the highest values of UCS values owing to occurrence of the micro-cracks. The UCS values of the rock samples were also found after cycling tests However, the limestone samples have less than 5% deterioration after freezing-thawing and wetting-drying tests, but travertine and onyx samples have more than 15% deterioration. Exception of the apparent

Influence of loading and heating processes on elastic and geomechanical properties of eclogites and granulites

Directory of Open Access Journals (Sweden)

Hem Bahadur Motra

2018-02-01

Full Text Available Increased knowledge of the elastic and geomechnical properties of rocks is important for numerous engineering and geoscience applications (e.g. petroleum geoscience, underground waste repositories, geothermal energy, earthquake studies, and hydrocarbon exploration. To assess the effect of pressure and temperature on seismic velocities and their anisotropy, laboratory experiments were conducted on metamorphic rocks. P- (Vp and S-wave (Vs velocities were determined on cubic samples of granulites and eclogites with an edge length of 43 mm in a triaxial multianvil apparatus using the ultrasonic pulse emission technique in dependence of changes in pressure and temperature. At successive isotropic pressure states up to 600 MPa and temperatures up to 600 °C, measurements were performed related to the sample coordinates given by the three principal fabric directions (x, y, z representing the foliation (xy-plane, the normal to the foliation (z-direction, and the lineation direction (x-direction. Progressive volumetric strain was logged by the discrete piston displacements. Cumulative errors in Vp and Vs are estimated to be <1%. Microcrack closure significantly contributes to the increase in seismic velocities and decrease in anisotropies for pressures up to 200–250 MPa. Characteristic P-wave anisotropies of about 10% are obtained for eclogite and 3–4% in a strongly retrogressed eclogite as well as granulites. The wave velocities were used to calculate the geomechanical properties (e.g. density, Poisson's ratio, volumetric strain, and elastic moduli at different pressure and temperature conditions. These results contribute to the reliable estimate of geomechanical properties of rocks.

Compliance Framing - Framing Compliance

OpenAIRE

Lutz-Ulrich Haack; Martin C. Reimann

2012-01-01

Corporations have to install various organizational measures to comply with legal as well as internal guidelines systematically. Compliance management systems have the challenging task to make use of an internal compliance-marketing approach in order to ensure not only an adequate but also effective compliance-culture. Compliance-literature and findings of persuasive goal-framing-theory give opposite implications for establishing a rather values- versus rule-based compliance-culture respectiv...

A Model to Couple Flow, Thermal and Reactive Chemical Transport, and Geo-mechanics in Variably Saturated Media

Science.gov (United States)

Yeh, G. T.; Tsai, C. H.

2015-12-01

This paper presents the development of a THMC (thermal-hydrology-mechanics-chemistry) process model in variably saturated media. The governing equations for variably saturated flow and reactive chemical transport are obtained based on the mass conservation principle of species transport supplemented with Darcy's law, constraint of species concentration, equation of states, and constitutive law of K-S-P (Conductivity-Degree of Saturation-Capillary Pressure). The thermal transport equation is obtained based on the conservation of energy. The geo-mechanic displacement is obtained based on the assumption of equilibrium. Conventionally, these equations have been implicitly coupled via the calculations of secondary variables based on primary variables. The mechanisms of coupling have not been obvious. In this paper, governing equations are explicitly coupled for all primary variables. The coupling is accomplished via the storage coefficients, transporting velocities, and conduction-dispersion-diffusion coefficient tensor; one set each for every primary variable. With this new system of equations, the coupling mechanisms become clear. Physical interpretations of every term in the coupled equations will be discussed. Examples will be employed to demonstrate the intuition and superiority of these explicit coupling approaches. Keywords: Variably Saturated Flow, Thermal Transport, Geo-mechanics, Reactive Transport.

Geomechanical Considerations for the Deep Borehole Field Test

Science.gov (United States)

Park, B. Y.

2015-12-01

Deep borehole disposal of high-level radioactive waste is under consideration as a potential alternative to shallower mined repositories. The disposal concept consists of drilling a borehole into crystalline basement rocks to a depth of 5 km, emplacement of canisters containing solid waste in the lower 2 km, and plugging and sealing the upper 3 km of the borehole. Crystalline rocks such as granites are particularly attractive for borehole emplacement because of their low permeability and porosity at depth, and high mechanical strength to resist borehole deformation. In addition, high overburden pressures contribute to sealing of some of the fractures that provide transport pathways. We present geomechanical considerations during construction (e.g., borehole breakouts, disturbed rock zone development, and creep closure), relevant to both the smaller-diameter characterization borehole (8.5") and the larger-diameter field test borehole (17"). Sandia National Laboratories is a multi-program laboratory managed and operated by Sandia Corporation, a wholly owned subsidiary of Lockheed Martin Corporation, for the U.S. Department of Energy's National Nuclear Security Administration under contract DE-AC04-94AL85000.

Impact of hydrogeological and geomechanical properties on surface uplift at a CO2 injection site: Parameter estimation and uncertainty quantification

Science.gov (United States)

Newell, P.; Yoon, H.; Martinez, M. J.; Bishop, J. E.; Arnold, B. W.; Bryant, S.

2013-12-01

It is essential to couple multiphase flow and geomechanical response in order to predict a consequence of geological storage of CO2. In this study, we estimate key hydrogeologic features to govern the geomechanical response (i.e., surface uplift) at a large-scale CO2 injection project at In Salah, Algeria using the Sierra Toolkit - a multi-physics simulation code developed at Sandia National Laboratories. Importantly, a jointed rock model is used to study the effect of postulated fractures in the injection zone on the surface uplift. The In Salah Gas Project includes an industrial-scale demonstration of CO2 storage in an active gas field where CO2 from natural gas production is being re-injected into a brine-filled portion of the structure downdip of the gas accumulation. The observed data include millimeter scale surface deformations (e.g., uplift) reported in the literature and injection well locations and rate histories provided by the operators. Our preliminary results show that the intrinsic permeability and Biot coefficient of the injection zone are important. Moreover pre-existing fractures within the injection zone affect the uplift significantly. Estimation of additional (i.e., anisotropy ratio) and coupled parameters will help us to develop models, which account for the complex relationship between mechanical integrity and CO2 injection-induced pressure changes. Uncertainty quantification of model predictions will be also performed using various algorithms including null-space Monte Carlo and polynomial-chaos expansion methods. This work will highlight that our coupled reservoir and geomechanical simulations associated with parameter estimation can provide a practical solution for designing operating conditions and understanding subsurface processes associated with the CO2 injection. This work is supported as part of the Center for Frontiers of Subsurface Energy Security, an Energy Frontier Research Center funded by the U.S. Department of Energy, Office

Improving ambulatory saliva-sampling compliance in pregnant women: a randomized controlled study.

Directory of Open Access Journals (Sweden)

Julian Moeller

Full Text Available OBJECTIVE: Noncompliance with scheduled ambulatory saliva sampling is common and has been associated with biased cortisol estimates in nonpregnant subjects. This study is the first to investigate in pregnant women strategies to improve ambulatory saliva-sampling compliance, and the association between sampling noncompliance and saliva cortisol estimates. METHODS: We instructed 64 pregnant women to collect eight scheduled saliva samples on two consecutive days each. Objective compliance with scheduled sampling times was assessed with a Medication Event Monitoring System and self-reported compliance with a paper-and-pencil diary. In a randomized controlled study, we estimated whether a disclosure intervention (informing women about objective compliance monitoring and a reminder intervention (use of acoustical reminders improved compliance. A mixed model analysis was used to estimate associations between women's objective compliance and their diurnal cortisol profiles, and between deviation from scheduled sampling and the cortisol concentration measured in the related sample. RESULTS: Self-reported compliance with a saliva-sampling protocol was 91%, and objective compliance was 70%. The disclosure intervention was associated with improved objective compliance (informed: 81%, noninformed: 60%, F(1,60  = 17.64, p<0.001, but not the reminder intervention (reminders: 68%, without reminders: 72%, F(1,60 = 0.78, p = 0.379. Furthermore, a woman's increased objective compliance was associated with a higher diurnal cortisol profile, F(2,64  = 8.22, p<0.001. Altered cortisol levels were observed in less objective compliant samples, F(1,705  = 7.38, p = 0.007, with delayed sampling associated with lower cortisol levels. CONCLUSIONS: The results suggest that in pregnant women, objective noncompliance with scheduled ambulatory saliva sampling is common and is associated with biased cortisol estimates. To improve sampling compliance, results suggest

PELAKSANAAN SHARIA COMPLIANCE PADA BANK SYARIAH (STUDI KASUS PADA BANK SYARIAH MANDIRI, JAKARTA)

OpenAIRE

Ade Sofyan Mulazid

2016-01-01

The Implementation of Sharia Compliance at Islamic Bank (Case Study on Mandiri Syariah Bank, Jakarta). This study is aimed at finding out the controlling system and the implementation of supervision of compliance of Bank Indonesia (BI) and Sharia Supervisory Board toward the Mandiri Syariah Bank; how is the implementation and its internal audit, what are the roles and responsibilities of the director of compliance for all stakeholders of compliance unit of Bank Syariah Mandiri. Th...

Geomechanical analyses to investigate wellbore/mine interactions in the Potash Enclave of Southeastern New Mexico.

Energy Technology Data Exchange (ETDEWEB)

Ehgartner, Brian L.; Bean, James E. (Sandia Staffing Alliance, LLC, Albuquerque, NM); Arguello, Jose Guadalupe, Jr.; Stone, Charles Michael

2010-04-01

Geomechanical analyses have been performed to investigate potential mine interactions with wellbores that could occur in the Potash Enclave of Southeastern New Mexico. Two basic models were used in the study; (1) a global model that simulates the mechanics associated with mining and subsidence and (2) a wellbore model that examines the resulting interaction impacts on the wellbore casing. The first model is a 2D approximation of a potash mine using a plane strain idealization for mine depths of 304.8 m (1000 ft) and 609.6 m (2000 ft). A 3D wellbore model then considers the impact of bedding plane slippage across single and double cased wells cemented through the Salado formation. The wellbore model establishes allowable slippage to prevent casing yield.

Acoustic emission/microseismic activity developed in rock materials. Petrophysical interpretation of the conditions of the geomechanical stability

International Nuclear Information System (INIS)

Montoto, M.

1984-01-01

The acoustic emission/microseismic activity, A.E./M.A., developed in rock materials under stress is described. Besides, equipment and procedures for appropriate monitoring, evaluation and location of A.E./M.A. sources are also presented. The geomechanical stability of stressed geologic materials and rock masses is evaluated by means of the petrophysical interpretation of the generated A.E./M.A. The Kaiser's effect can be used to evaluate the maximum tectonic stress who has affected a given rock massif. The fractographic study of the Stripa granite is included on account of the general interest in the high level radiactive wastes storage. Some other historic cases are also described. (author)

Patient compliance and supportive periodontal therapy: Study among young adults of Namakkal district

Directory of Open Access Journals (Sweden)

Subramanium Gokulanathan

2014-01-01

Full Text Available Aims: The aim of this study is to assess the patient compliance to supportive and maintenance periodontal therapy and to determine the reason for noncompliance among young adult patients of Namakkal district, India. Materials and Methods: This was a cross-sectional study conducted on 400 patients who underwent periodontal therapy and subsequently recalled for supportive and maintenance periodontal treatment in the Department of Periodontics, Vivekanandha Dental College for Women, Namakkal. Patients age group 25-35 years and of both gender were equally selected and grouped by occupation and socioeconomic status. According to their compliance with appointments, they are categorized as complete compliance, partially compliance and insufficient or noncompliance. Noncompliance and partially compliance patients were contacted and asked to rate their experience and reason for noncompliance. Results: In this study, 80% of patients showed complete compliance and were regular for supportive periodontal therapy appointments. Women were more regular in maintaining recall appointments than men. Salaried employers showed 84.3% complete compliance, while self-employed personals showed 77% complete compliance and 75% of nonworking personals were regular to the appointment schedule. Noncompliance person has quoted lack of time and forgetting the appointment date as a major reason for missed appointments. Conclusions: This study recommends the need for improvement in communication skills of practitioners and weekend appointment for patient undergoing periodontal maintenance therapy.

Mapping Tax Compliance

DEFF Research Database (Denmark)

Boll, Karen

2014-01-01

Tax compliance denotes the act of reporting and paying taxes in accordance with the tax laws. Current social science scholarship on tax compliance can almost entirely be divided into behavioural psychology analyses and critical tax studies. This article, which presents two cases of how tax...... compliance is constructed, challenges the explanatory reaches of today's social science approaches, arguing that an alternative approach to understanding tax compliance is worthwhile exploring. This other choice of approach, inspired by actor–network theory (ANT), adopts a more practice-oriented focus...... that studies tax compliance where it takes place as well as what it is made of. Consequently, this article argues that tax compliance is a socio-material assemblage and that complying is a distributed action. The article concludes by highlighting how an ANT approach contributes to the further theoretical...

Impacts of variability in geomechanical properties on hydrate bearing sediment responses

Science.gov (United States)

Lin, J. S.; Uchida, S.; Choi, J. H.; Seol, Y.

2017-12-01

Hydrate bearing sediments (HBS) may become unstable during the gas production operation, or from natural processes such as change in the landform or temperature. The geomechanical modeling is a rational way to assess HBS stability regardless of the process involved. At the present time, such modeling is laced with uncertainties. The uncertainties come from many sources that include the adequacy of a modeling framework to accurately project the response of HBS, the gap in the available field information, and the variability in the laboratory test results from limited samples. For a reasonable stability assessment, the impact of the various uncertainties have to be addressed. This study looks into one particular aspect of the uncertainty, namely, the uncertainty caused by the scatter in the laboratory tests and the ability of a constitutive model to adequately represent them. Specifically this study focuses on the scatter in the results from laboratory tests on high quality pressured core samples from a marine site, and use a critical state constitutive model to represent them. The study investigates how the HBS responses shift when the parameters of the constitutive model are varied to reflect the different aspects of experimental results. Also investigated are impacts on the responses by altering certain formulations of the constitutive model to suit particular sets of results.

Motivation, description, and summary status of geomechanical and geochemical modeling studies in Task D of the International DECOVALEX-THMC Project

International Nuclear Information System (INIS)

Birkholzer, J.T.; Barr, D.; Rutqvist, J.; Sonnenthal, E.

2005-01-01

The DECOVALEX project is an international cooperative project initiated by SKI, the Swedish Nuclear Power Inspectorate, with participation of about 10 international organizations. The general goal of this project is to encourage multidisciplinary interactive and cooperative research on modeling coupled thermo-hydro-mechanical-chemical (THMC) processes in geologic formations in support of the performance assessment for underground storage of radioactive waste. One of the research tasks, initiated in 2004 by the U.S. Department of Energy (DOE), addresses the long-term impact of geomechanical and geochemical processes on the flow conditions near waste emplacement tunnels. Within this task, four international research teams conduct predictive analysis of the coupled processes in two generic repositories, using multiple approaches and different computer codes. Below, we give an overview of the research task and report its current status

Automation of the Design of the Anchorage System Taking into Account the Geomechanical State of the Massif and Mining Development Schemes

Directory of Open Access Journals (Sweden)

Demin Vladimir

2018-01-01

Full Text Available The article presents the system for the automation of the design of the anchorage, which regulates the calculation of the required parameters of the fasteners for the fastening of the fastening system. The main factors affecting the operation of the anchor support are grouped in the following way: mining and geological conditions, technical characteristics of the anchor support, geomechanical conditions for conducting and operating the mine workings. Mining and geological conditions for carrying out excavations include: physical and mechanical properties of rocks, the category of roof stability, fracturing, etc. Technical characteristics of the anchor support: material of the rod, filler, filling completeness, etc. Conditions (geomechanical of carrying out and exploitation of the mine workings: the depth of the conduct, the location relative to the zone of influence of the cleaning works, the location relative to the waste zone, etc. As a result of calculations the program gives out the basic parameters of the anchor support, which coincide with the parameters adopted by the passport.

90% Compliance Pilot Studies Final Report

Energy Technology Data Exchange (ETDEWEB)

None

2013-06-01

In early 2010, the U.S. Department of Energy (DOE) announced an opportunity for states to participate in energy code compliance evaluation pilot studies. DOE worked with five Regional Energy Efficiency Organizations (REEOs, formerly referred to as Energy Efficiency Partnerships, or EEPs) to fund pilot studies covering nine states. This report details conclusions stated in individual state reports, as well as conclusions drawn by DOE based on their oversight of the pilot studies, and based on discussions held with the REEOs and representatives from the pilot study states and their contractors.

Improving physician hand hygiene compliance using behavioural theories: a study protocol

Directory of Open Access Journals (Sweden)

Squires Janet E

2013-02-01

Full Text Available Abstract Background Healthcare-associated infections affect 10% of patients in Canadian acute-care hospitals and are significant and preventable causes of morbidity and mortality among hospitalized patients. Hand hygiene is among the simplest and most effective preventive measures to reduce these infections. However, compliance with hand hygiene among healthcare workers, specifically among physicians, is consistently suboptimal. We aim to first identify the barriers and enablers to physician hand hygiene compliance, and then to develop and pilot a theory-based knowledge translation intervention to increase physicians’ compliance with best hand hygiene practice. Design The study consists of three phases. In Phase 1, we will identify barriers and enablers to hand hygiene compliance by physicians. This will include: key informant interviews with physicians and residents using a structured interview guide, informed by the Theoretical Domains Framework; nonparticipant observation of physician/resident hand hygiene audit sessions; and focus groups with hand hygiene experts. In Phase 2, we will conduct intervention mapping to develop a theory-based knowledge translation intervention to improve physician hand hygiene compliance. Finally, in Phase 3, we will pilot the knowledge translation intervention in four patient care units. Discussion In this study, we will use a behavioural theory approach to obtain a better understanding of the barriers and enablers to physician hand hygiene compliance. This will provide a comprehensive framework on which to develop knowledge translation interventions that may be more successful in improving hand hygiene practice. Upon completion of this study, we will refine the piloted knowledge translation intervention so it can be tested in a multi-site cluster randomized controlled trial.

Geomechanics for interpreting SAGD monitoring using micro-seismicity and surface tiltmeters

International Nuclear Information System (INIS)

De Pater, H.; De Koning, J.; Maxwell, S.; Walters, D.

2008-01-01

This paper described a procedures for history matching surface movements resulting from the warm-up phases of a steam assisted gravity drainage (SAGD) project in Saskatchewan. Surface movements were measured using tilt meters that covered the area influenced by the steam injection processes. A thermal reservoir model was then coupled to a geo-mechanical model in order to calculate the surface movements. Surface heave was computed by matching a minimum curvature surface to the tilt vectors. Surface heave data were extracted in order to facilitate comparisons between observed and simulated heave. Injection constraints were defined from measured injection rates in order to match pressure histories. The study showed that the coupled model accurately interpreted monitoring data. Seismic signatures indicated strike slip and potential overthrust fault slippage or casing failures. Uplift was largest at the heel of the well. Results were explained by reservoir heterogeneities. Surface heave was accurately measured using the tiltmeters. Micro-seismic data were used to constrain failure mechanisms and provide information needed to identify conformance and potential cap rock breaches. It was concluded that the model can be used effectively to optimize injection conformance and recovery. 10 refs., 4 tabs., 28 figs

Basis for in-situ geomechanical testing at the Yucca Mountain site

International Nuclear Information System (INIS)

Board, M.

1989-07-01

This report presents an analysis of the in-situ geomechanical testing needs for the Exploratory Shaft (ES) test facility at the Yucca Mountain site in Nevada. The testing needs are derived from 10CFR60 regulations and simple thermomechanical canister- and room-scale numerical studies. The testing approach suggested is based on an ''iterative'' procedure of full-scale testing combined with numerical and empirical modeling. The testing suggested is based heavily on demonstration of excavation and thermal loading of full-scale repository excavations. Numerical and/or empirical models are compared to the full-scale response, allowing for adjustment of the model and evaluation of confidence in their predictive ability. Additional testing may be specified if confidence in prediction of the rock mass response is low. It is suggested that extensive drifting be conducted within the proposed repository area, including exploration of the bounding Drill Hole Wash and Imbricate fault structures, as well as the Ghost Dance fault. This approach is opposed to an a priori statistical specification of a number of ''point'' tests which attempt to measure a given property at a specific location. 40 refs., 49 figs., 6 tabs

Geomechanics for interpreting SAGD monitoring using micro-seismicity and surface tiltmeters

Energy Technology Data Exchange (ETDEWEB)

De Pater, H.; De Koning, J.; Maxwell, S. [Pinnacle Technologies, Calgary, AB (Canada); Walters, D. [Taurus Reservoir Solutions Ltd., Calgary, AB (Canada)

2008-10-15

This paper described a procedures for history matching surface movements resulting from the warm-up phases of a steam assisted gravity drainage (SAGD) project in Saskatchewan. Surface movements were measured using tilt meters that covered the area influenced by the steam injection processes. A thermal reservoir model was then coupled to a geo-mechanical model in order to calculate the surface movements. Surface heave was computed by matching a minimum curvature surface to the tilt vectors. Surface heave data were extracted in order to facilitate comparisons between observed and simulated heave. Injection constraints were defined from measured injection rates in order to match pressure histories. The study showed that the coupled model accurately interpreted monitoring data. Seismic signatures indicated strike slip and potential overthrust fault slippage or casing failures. Uplift was largest at the heel of the well. Results were explained by reservoir heterogeneities. Surface heave was accurately measured using the tiltmeters. Micro-seismic data were used to constrain failure mechanisms and provide information needed to identify conformance and potential cap rock breaches. It was concluded that the model can be used effectively to optimize injection conformance and recovery. 10 refs., 4 tabs., 28 figs.

Studying Petrophysical and Geomechanical Properties of Utica Point-Pleasant Shale and its Variations Across the Northern Appalachian Basin

Science.gov (United States)

Raziperchikolaee, S.; Kelley, M. E.; Burchwell, A.

2017-12-01

Understanding petrophysical and geomechanical parameters of shale formations and their variations across the basin are necessary to optimize the design of a hydraulic fracturing program aimed at enhancing long term oil/gas production from unconventional wells. Dipole sonic logging data (compressional-wave and shear-wave slowness) from multiple wells across the study area, coupled with formation bulk density log data, were used to calculate dynamic elastic parameters, including shear modulus, bulk modulus, Poisson's ratio, and Young's modulus for the shale formations. The individual-well data were aggregated into a single histogram for each parameter to gain an understanding of the variation in the properties (including brittleness) of the Utica Point-Pleasant formations across the entire study area. A crossplot of the compressional velocity and bulk density and a crossplot between the compressional velocity, the shear velocity, and depth of the measurement were used for a high level petrophysical characterization of the Utica Point-Pleasant. Detailed interpretation of drilling induced fractures recorded in image logs, and an analysis of shear wave anisotropy using multi-receiver sonic logs were also performed. Orientation of drilling induced fractures was measured to determine the maximum horizontal stress azimuth. Also, an analysis of shear wave anisotropy to predict stress anisotropy around the wellbore was performed to determine the direction of maximum horizontal stress. Our study shows how the detailed interpretation of borehole breakouts, drilling induced fractures, and sonic wave data can be used to reduce uncertainty and produce a better hydraulic fracturing design in the Utica Point Pleasant formations across the northern Appalachian Basin region of Ohio.

Microstructures imply cataclasis and authigenic mineral formation control geomechanical properties of New Zealand's Alpine Fault

Science.gov (United States)

Schuck, B.; Janssen, C.; Schleicher, A. M.; Toy, V. G.; Dresen, G.

2018-05-01

The Alpine Fault is capable of generating large (MW > 8) earthquakes and is the main geohazard on South Island, NZ, and late in its 250-291-year seismic cycle. To minimize its hazard potential, it is indispensable to identify and understand the processes influencing the geomechanical behavior and strength-evolution of the fault. High-resolution microstructural, mineralogical and geochemical analyses of the Alpine Fault's core demonstrate wall rock fragmentation, assisted by mineral dissolution, and cementation resulting in the formation of a fine-grained principal slip zone (PSZ). A complex network of anastomosing and mutually cross-cutting calcite veins implies that faulting occurred during episodes of dilation, slip and sealing. Fluid-assisted dilatancy leads to a significant volume increase accommodated by vein formation in the fault core. Undeformed euhedral chlorite crystals and calcite veins that have cut footwall gravels demonstrate that these processes occurred very close to the Earth's surface. Microstructural evidence indicates that cataclastic processes dominate the deformation and we suggest that powder lubrication and grain rolling, particularly influenced by abundant nanoparticles, play a key role in the fault core's velocity-weakening behavior rather than frictional sliding. This is further supported by the absence of smectite, which is reasonable given recently measured geothermal gradients of more than 120 °C km-1 and the impermeable nature of the PSZ, which both limit the growth of this phase and restrict its stability to shallow depths. Our observations demonstrate that high-temperature fluids can influence authigenic mineral formation and thus control the fault's geomechanical behavior and the cyclic evolution of its strength.

Formalizing and appling compliance patterns for business process compliance

NARCIS (Netherlands)

Elgammal, A.; Turetken, O.; van den Heuvel, W.; Papazoglou, M.

2016-01-01

Today’s enterprises demand a high degree of compliance of business processes to meet diverse regulations and legislations. Several industrial studies have shown that compliance management is a daunting task, and organizations are still struggling and spending billions of dollars annually to ensure

Formalizing and applying compliance patterns for business process compliance

NARCIS (Netherlands)

Elgammal, A.F.S.A.; Türetken, O.; van den Heuvel, W.J.A.M.; Papazoglou, M.

Today’s enterprises demand a high degree of compliance of business processes to meet diverse regulations and legislations. Several industrial studies have shown that compliance management is a daunting task, and organizations are still struggling and spending billions of dollars annually to ensure

Assessment of geomechanical properties, maximum depth and excavation damaged zone aspects - Expert report

International Nuclear Information System (INIS)

Amann, F.; Löw, S.; Perras, M.

2015-11-01

This comprehensive report published by the Swiss National Nuclear Safety Inspectorate ENSI discusses the expert report published on the need for the assessment of geomechanical properties and maximum depth of repositories for high, medium and low-activity nuclear wastes. Also, aspects concerning excavation damaged zones (EDZ) are considered. These are all criteria for the selection of sites as part of Phase 2 of the Swiss waste disposal project. Four questions are examined: are NAGRA’s documented basic considerations and calculations on Opalinus Clay comprehensive enough and correct, are the calculations on maximum depth correct, are the proposed storage perimeters correct with respect to depth and will NAGRA be able to take possible excavation damaged zones (EDZ) into account? Literature and references concerning the subject are quoted

Integrated acoustic, mineralogy, and geomechanics characterization of the Huron shale southern West Virginia, USA

Energy Technology Data Exchange (ETDEWEB)

Franquet, J.A.; Mitra, Arijit; Warrington, D.S.; Moos, Daniel; Lacazette, Alfred [Society of Petroleum Engineers (Canada)

2011-07-01

Successful hydraulic fracturing and horizontal drilling are the key to exploiting unconventional shale gas reservoirs. Acoustic anisotropy, in-situ stress, mineralogy and organic matter content are important factors in well completion design. This paper explores an integrated acoustic, mineralogy and geomechanics characterization of the Huron shale, located in south west Virginia, USA. The study consisted of acquiring the borehole acoustic and mineralogy logging data, in addition to conventional logs, from a vertical well prior to hydraulic fracturing and microseismic monitoring. The acoustic data were processed for borehole Stoneley reflective indicators and radial velocity variations. Substantial transverse acoustic anisotropy was noticed and used to acquire vertical and horizontal dynamic elastic properties. A micromechanical constitutive model, arrived at through mineralogy and petrophysical analysis, was used to produce the stress-strain behavior of the rock. This stress profile, with accurate mineralogy and petrophysical analysis, provides important information for best selection of lateral wells and helps in the identification of natural fracture barriers.

Temperature dependence of creep compliance of highly cross-linked epoxy: A molecular simulation study

International Nuclear Information System (INIS)

Khabaz, Fardin; Khare, Ketan S.; Khare, Rajesh

2014-01-01

We have used molecular dynamics (MD) simulations to study the effect of temperature on the creep compliance of neat cross-linked epoxy. Experimental studies of mechanical behavior of cross-linked epoxy in literature commonly report creep compliance values, whereas molecular simulations of these systems have primarily focused on the Young’s modulus. In this work, in order to obtain a more direct comparison between experiments and simulations, atomistically detailed models of the cross-linked epoxy are used to study their creep compliance as a function of temperature using MD simulations. The creep tests are performed by applying a constant tensile stress and monitoring the resulting strain in the system. Our results show that simulated values of creep compliance increase with an increase in both time and temperature. We believe that such calculations of the creep compliance, along with the use of time temperature superposition, hold great promise in connecting the molecular insight obtained from molecular simulation at small length- and time-scales with the experimental behavior of such materials. To the best of our knowledge, this work is the first reported effort that investigates the creep compliance behavior of cross-linked epoxy using MD simulations

[Effect of compliance with an antibiotic prophylaxis protocol in surgical site infections in appendectomies. Prospective cohort study].

Science.gov (United States)

Sánchez-Santana, Tomás; Del-Moral-Luque, Juan Antonio; Gil-Yonte, Pablo; Bañuelos-Andrío, Luis; Durán-Poveda, Manuel; Rodríguez-Caravaca, Gil

Antibiotic prophylaxis is the most suitable tool for preventing surgical site infection. This study assessed compliance with antibiotic prophylaxis in surgery for acute appendicitis, and the effect of this compliance on surgical site infection. Prospective cohort study to evaluate compliance with antibiotic prophylaxis protocol in appendectomies. An assessment was made of the level of compliance with prophylaxis, as well as the causes of non-compliance. The incidence of surgical site infection was studied after a maximum incubation period of 30 days. The relative risk adjusted with a logistic regression model was used to assess the effect of non-compliance of prophylaxis on surgical site infection. The study included a total of 930 patients. Antibiotic prophylaxis was indicated in all patients, and administered in 71.3% of cases, with an overall protocol compliance of 86.1%. The principal cause of non-compliance was time of initiation. Cumulative incidence of surgical site infection was 4.6%. No relationship was found between inadequate prophylaxis compliance and infection (relative risk=0.5; 95% CI: 0.1-1.9) (P>.05). Compliance of antibiotic prophylaxis was high, but could be improved. No relationship was found between prophylaxis compliance and surgical site infection rate. Copyright © 2016 Academia Mexicana de Cirugía A.C. Publicado por Masson Doyma México S.A. All rights reserved.

Hand hygiene compliance in transplant and other special patient groups: an observational study.

Science.gov (United States)

Graf, Karolin; Ott, Ella; Wolny, Michael; Tramp, Nadine; Vonberg, Ralf-Peter; Haverich, Axel; Chaberny, Iris Freya

2013-06-01

This study evaluates hand hygiene behavior of health care workers in a German university hospital stratified for treatment of special patient groups (eg, transplant patients). From 2008 to 2010, comprehensive education and training of all health care workers was implemented to improve hand hygiene compliance. Consumption rates of alcohol-based hand rub and gloves were collected and evaluated. Of the 5,647 opportunities of hand disinfection evaluated, 1,607 occurred during care for transplant patients. To our knowledge, this is the largest survey of hand hygiene compliance in special patient groups on intensive care units in a university hospital in Germany. Health care workers on surgical intensive care units showed lower hand hygiene compliance compared with health care workers on other types of intensive care units. Compliance toward hand hygiene was significantly higher on hemato-oncologic and pediatric wards. In general, hand disinfection was performed significantly more frequently after an intervention than before (P hand hygiene compliance when caring for transplant patients or other patients (odds ratio, 1.16; 95% confidence interval: 0.95-1.42). Nurse's and physician's hand hygiene compliance improved because of education. Hand hygiene compliance is not increased in the care for transplant patients (despite their predisposition for nosocomial infections) compared with other patients. Additional studies will be necessary to further investigate these findings. Copyright © 2013 Association for Professionals in Infection Control and Epidemiology, Inc. Published by Mosby, Inc. All rights reserved.

Arbitrary Lagrangian-Eulerian method for non-linear problems of geomechanics

International Nuclear Information System (INIS)

Nazem, M; Carter, J P; Airey, D W

2010-01-01

In many geotechnical problems it is vital to consider the geometrical non-linearity caused by large deformation in order to capture a more realistic model of the true behaviour. The solutions so obtained should then be more accurate and reliable, which should ultimately lead to cheaper and safer design. The Arbitrary Lagrangian-Eulerian (ALE) method originated from fluid mechanics, but has now been well established for solving large deformation problems in geomechanics. This paper provides an overview of the ALE method and its challenges in tackling problems involving non-linearities due to material behaviour, large deformation, changing boundary conditions and time-dependency, including material rate effects and inertia effects in dynamic loading applications. Important aspects of ALE implementation into a finite element framework will also be discussed. This method is then employed to solve some interesting and challenging geotechnical problems such as the dynamic bearing capacity of footings on soft soils, consolidation of a soil layer under a footing, and the modelling of dynamic penetration of objects into soil layers.

Characterizing fractured rock for fluid-flow, geomechanical, and paleostress modeling: Methods and preliminary results from Yucca Mountain, Nevada

International Nuclear Information System (INIS)

Barton, C.C.; Larsen, E.; Page, W.R.; Howard, T.M.

1993-01-01

Fractures have been characterized for fluid-flow, geomechanical, and paleostress modeling at three localities in the vicinity of drill hole USW G-4 at Yucca Mountain in southwestern Nevada. A method for fracture characterization is introduced that integrates mapping fracture-trace networks and quantifying eight fracture parameters: trace length, orientation, connectivity, aperture, roughness, shear offset, trace-length density, and mineralization. A complex network of fractures was exposed on three 214- to 260-m 2 pavements cleared of debris in the upper lithophysal unit of the Tiva Canyon Member of the Miocene Paint-brush Tuff. The pavements are two-dimensional sections through the three-dimensional network of strata-bound fractures. All fractures with trace lengths greater than 0.2 m were mapped and studied

Compliance with removable orthodontic appliances.

Science.gov (United States)

Shah, Nirmal

2017-12-22

Data sourcesMedline via OVID, PubMed, Cochrane Central Register of Controlled Trials, Web of Science Core Collection, LILACS and BBO databases. Unpublished clinical trials accessed using ClinicalTrials.gov, National Research Register, ProQuest Dissertation and Thesis database.Study selectionTwo authors searched studies from inception until May 2016 without language restrictions. Quantitative and qualitative studies incorporating objective data on compliance with removable appliances, barriers to appliance wear compliance, and interventions to improve compliance were included.Data extraction and synthesisQuality of research was assessed using the Cochrane Collaboration's risk of bias tool, the risk of bias in non-randomised studies of interventions (ROBINS-I), and the mixed methods appraisal tool. Statistical heterogeneity was investigated by examining a graphic display of the estimated compliance levels in conjunction with 95% confidence intervals and quantified using the I-squared statistic. A weighted estimate of objective compliance levels for different appliances in relation to stipulated wear and self-reported levels was also calculated. Risk of publication bias was assessed using funnel plots. Meta-regression was undertaken to assess the relative effects of appliance type on compliance levels.ResultsTwenty-four studies met the inclusion criteria. Of these, 11 were included in the quantitative synthesis. The mean duration of objectively measured wear was considerably lower than stipulated wear time amongst all appliances. Headgear had the greatest discrepancy (5.81 hours, 95% confidence interval, 4.98, 6.64). Self-reported wear time was consistently higher than objectively measured wear time amongst all appliances. Headgear had the greatest discrepancy (5.02 hours, 95% confidence interval, 3.64, 6.40). Two studies found an increase in compliance with headgear and Hawley retainers when patients were aware of monitoring. Five studies found younger age groups to

Compliance of Children with Moderate to Severe Intellectual Disability to Treadmill Walking: A Pilot Study

Science.gov (United States)

Vashdi, E.; Hutzler, Y.; Roth, D.

2008-01-01

Background: Individuals with Intellectual Disability (ID) exhibit reduced levels of compliance to exercise, including treadmill walking. The purpose of this study was to measure the effects of several training conditions on compliance to participation in treadmill walking of children with moderate to severe ID. Method: Criteria for compliance were…

Effects of loadingeunloading and wettingedrying cycles on geomechanical behaviors of mudrocks in the Colombian Andes

Institute of Scientific and Technical Information of China (English)

Mario Camilo Torres-Suarez; Adolfo Alarcon-Guzman; Rafael Berdugo-De Moya

2014-01-01

The mudrocks in the Colombian Andes, particularly those exhibiting low cementation (bonding), are susceptible to degradation when the environmental conditions change, which are challenging issues for engineering works. In this paper, the changes in physico-mechanical properties of mudrocks were moni-tored in laboratory, and some influential factors on the mechanical competence of geomaterials were studied. The geotechnical characteristics and experimental designs were developed from physical, chem-ical, mechanical and compositional points of view. In the tests, the techniques such as vapor equilibrium technique (VET) were employed to apply wettingedrying cycles and to control relative humidity (suction-controlled) and loadingeunloading cycles through ultrasonic wave velocities technique. The results show that the main failure mechanisms for the laminated mudrocks start on the microscopic scale by fissures coalescence, exhibiting physico-chemical degradation as well;the global geomechanical behavior presents a state between a ductile, like rock, and a fragile, like soil. The obtained results can provide engineering values according to monitoring laboratory set, when compared with in situ conditions.

Compliance pluralisme and processes : Understanding compliance behavior in restaurants in China

NARCIS (Netherlands)

Wu, Y.

2017-01-01

This research aimed to offer a case study of dynamic compliance processes in selected Chinese restaurants with the main methods of participant observation and in-depth interviews. It applied an integrated and dynamic research approach, called descriptive analysis of compliance behavior, which

Simulating cold production by a coupled reservoir-geomechanics model with sand erosion

Energy Technology Data Exchange (ETDEWEB)

Wang, Y.; Xue, S. [Petro-Geotech Inc., Calgary, AB (Canada)

2002-06-01

This paper presents a newly developed fully coupled reservoir-geomechanics model with sand erosion. Sand production occurs during aggressive production induced by the impact of viscous fluid flow and the in situ stress concentration near a wellbore, as well as by perforation tips in poorly consolidated formations. This compromises oil production, increases well completion costs, and reduces the life cycles of equipment down hole and on the surface. The proposed model can be used for sand production studies in conventional oil/gas reservoirs such as the North Sea as well as in heavy oil reservoirs such as in northwestern Canada. Instead of generating a high permeability network in reservoirs, the enhanced oil production is determined by the increase in the effective wellbore radius. This paper presents the general model. A detailed study on the capillary pressure and the impact of multiphase flow on sanding and erosion will be conducted at a later date. It appears that 2 phase flow can be important to elastoplasticity if no significant sand erosion has occurred. It was determined that high porosity is induced by erosion and capillary pressure. Two phase flow can be important when the built-up drag force carries sand-fluid slurry into the well. It is concluded that viscosity and flow velocity can help estimate the slurry transport, sand rate and enhanced oil production. 22 refs., 3 tabs., 11 figs.

28 CFR 73.4 - Partial compliance not deemed compliance.

Science.gov (United States)

2010-07-01

... 28 Judicial Administration 2 2010-07-01 2010-07-01 false Partial compliance not deemed compliance. 73.4 Section 73.4 Judicial Administration DEPARTMENT OF JUSTICE (CONTINUED) NOTIFICATIONS TO THE ATTORNEY GENERAL BY AGENTS OF FOREIGN GOVERNMENTS § 73.4 Partial compliance not deemed compliance. The fact...

Tax Compliance Inventory: TAX-I Voluntary tax compliance, enforced tax compliance, tax avoidance, and tax evasion

Science.gov (United States)

Kirchler, Erich; Wahl, Ingrid

2010-01-01

Surveys on tax compliance and non-compliance often rely on ad hoc formulated items which lack standardization and empirical validation. We present an inventory to assess tax compliance and distinguish between different forms of compliance and non-compliance: voluntary versus enforced compliance, tax avoidance, and tax evasion. First, items to measure voluntary and enforced compliance, avoidance, and evasion were drawn up (collected from past research and newly developed), and tested empirically with the aim of producing four validated scales with a clear factorial structure. Second, findings from the first analyses were replicated and extended to validation on the basis of motivational postures. A standardized inventory is provided which can be used in surveys in order to collect data which are comparable across research focusing on self-reports. The inventory can be used in either of two ways: either in its entirety, or by applying the single scales independently, allowing an economical and fast assessment of different facets of tax compliance. PMID:20502612

Tax Compliance Inventory: TAX-I Voluntary tax compliance, enforced tax compliance, tax avoidance, and tax evasion.

Science.gov (United States)

Kirchler, Erich; Wahl, Ingrid

2010-06-01

Surveys on tax compliance and non-compliance often rely on ad hoc formulated items which lack standardization and empirical validation. We present an inventory to assess tax compliance and distinguish between different forms of compliance and non-compliance: voluntary versus enforced compliance, tax avoidance, and tax evasion. First, items to measure voluntary and enforced compliance, avoidance, and evasion were drawn up (collected from past research and newly developed), and tested empirically with the aim of producing four validated scales with a clear factorial structure. Second, findings from the first analyses were replicated and extended to validation on the basis of motivational postures. A standardized inventory is provided which can be used in surveys in order to collect data which are comparable across research focusing on self-reports. The inventory can be used in either of two ways: either in its entirety, or by applying the single scales independently, allowing an economical and fast assessment of different facets of tax compliance.

RESOLUTION STRATEGY FOR GEOMECHANICALLY-RELATED REPOSITORY DESIGN FOR THERMAL-MECHANICAL EFFECTS (RDTME)

International Nuclear Information System (INIS)

Board, M.

2003-01-01

In September of 2000, the U.S. Nuclear Regulatory Commission (NRC) issued an Issue Resolution Status Report (NRC 2000). The Key Technical Issue (KTI) agreements on Repository Design and Thermal-Mechanical Effects (RDTME) were jointly developed at the Technical Exchange and Management Meeting held on February 6-8, 2001 in Las Vegas, Nevada. In that report, a number of geomechanically-related issues were raised regarding the determination of rock properties, the estimation of the impacts of geologic variability, the use of numerical models, and the examination of drift degradation and design approach to the ground support system for the emplacement drifts. Ultimately, the primary end products of the KTI agreement resolution processes are an assessment of the preclosure stability of emplacement drifts and the associated ground support requirements. There is also an assessment of the postclosure degradation of the excavations when subjected to thermal and seismic-related stresses as well as in situ loading over time

A Retrospective Longitudinal Database Study of Persistence and Compliance with Treatment of Osteoporosis in Hungary.

Science.gov (United States)

Lakatos, Péter; Takács, István; Marton, István; Tóth, Emese; Zoltan, Cina; Lang, Zsolt; Psachoulia, Emi; Intorcia, Michele

2016-03-01

This study assessed persistence and compliance with anti-osteoporosis therapies, and associations between compliance and clinical outcomes (fracture, fracture-related hospitalization and death), in Hungarian women with postmenopausal osteoporosis. The study used the Hungarian National Health Insurance Fund Administration database and included women with PMO aged at least 50 years, for whom a prescription for anti-osteoporosis medication had been filled between 1 January 2004 and 31 December 2013 (index event). Persistence (prescription refilled within 8 weeks of the end of the previous supply) was evaluated over 2 years; good compliance (medication possession ratio ≥ 80 %) was evaluated at 1 year. Associations between compliance and clinical outcomes (data collected for up to 6 years) were assessed with adjustment for baseline covariates. A total of 296,300 women met the inclusion criteria (524,798 index events). Persistence and compliance were higher for less frequent and parenteral therapies (1- and 2-year persistence: half-yearly [parenteral] vs. daily/weekly/monthly [oral and parenteral], 81 and 38 % vs. 21-34 and 10-18 %, respectively; parenteral vs. oral, 75 and 36 % vs. 32 and 16 %; good compliance: half-yearly vs. daily/weekly/monthly, 70 vs. 24-39 %; parenteral vs. oral 78 vs. 36 %). Good compliance significantly reduced the risks of fracture, fracture-related hospitalization and death (relative risk vs. non-compliance [95 % confidence interval]: 0.77 [0.70-0.84], 0.72 [0.62-0.85] and 0.57 [0.51-0.64], respectively; P < 0.01). Improving compliance through long-interval parenteral therapies may result in clinical benefits for patients.

Effect of Pore Pressure on Slip Failure of an Impermeable Fault: A Coupled Micro Hydro-Geomechanical Model

Science.gov (United States)

Yang, Z.; Juanes, R.

2015-12-01

The geomechanical processes associated with subsurface fluid injection/extraction is of central importance for many industrial operations related to energy and water resources. However, the mechanisms controlling the stability and slip motion of a preexisting geologic fault remain poorly understood and are critical for the assessment of seismic risk. In this work, we develop a coupled hydro-geomechanical model to investigate the effect of fluid injection induced pressure perturbation on the slip behavior of a sealing fault. The model couples single-phase flow in the pores and mechanics of the solid phase. Granular packs (see example in Fig. 1a) are numerically generated where the grains can be either bonded or not, depending on the degree of cementation. A pore network is extracted for each granular pack with pore body volumes and pore throat conductivities calculated rigorously based on geometry of the local pore space. The pore fluid pressure is solved via an explicit scheme, taking into account the effect of deformation of the solid matrix. The mechanics part of the model is solved using the discrete element method (DEM). We first test the validity of the model with regard to the classical one-dimensional consolidation problem where an analytical solution exists. We then demonstrate the ability of the coupled model to reproduce rock deformation behavior measured in triaxial laboratory tests under the influence of pore pressure. We proceed to study the fault stability in presence of a pressure discontinuity across the impermeable fault which is implemented as a plane with its intersected pore throats being deactivated and thus obstructing fluid flow (Fig. 1b, c). We focus on the onset of shear failure along preexisting faults. We discuss the fault stability criterion in light of the numerical results obtained from the DEM simulations coupled with pore fluid flow. The implication on how should faults be treated in a large-scale continuum model is also presented.

Constructing reservoir-scale 3D geomechanical FE-models. A refined workflow for model generation and calculation

Energy Technology Data Exchange (ETDEWEB)

Fischer, K.; Henk, A. [Technische Univ. Darmstadt (Germany). Inst. fuer Angewandte Geowissenschaften

2013-08-01

The tectonic stress field strongly affects the optimal exploitation of conventional and unconventional hydrocarbon reservoirs. Amongst others, wellbore stability, orientation of hydraulically induced fractures and - particularly in fractured reservoirs - permeability anisotropies depend on the magnitudes and orientations of the recent stresses. Geomechanical reservoir models can provide unique insights into the tectonic stress field revealing the local perturbations resulting from faults and lithological changes. In order to provide robust predictions, such numerical models are based on the finite element (FE) method and account for the complexities of real reservoirs with respect to subsurface geometry, inhomogeneous material distribution and nonlinear rock mechanical behavior. We present a refined workflow for geomechanical reservoir modeling which allows for an easier set-up of the model geometry, high resolution submodels and faster calculation times due to element savings in the load frame. Transferring the reservoir geometry from the geological subsurface model, e.g., a Petrel {sup registered} project, to the FE model represents a special challenge as the faults are discontinuities in the numerical model and no direct interface exists between the two software packages used. Point clouds displaying faults and lithostratigraphic horizons can be used for geometry transfer but this labor-intensive approach is not feasible for complex field-scale models with numerous faults. Instead, so-called Coon's patches based on horizon lines, i.e. the intersection lines between horizons and faults, are well suited to re-generate the various surfaces in the FE software while maintaining their topology. High-resolution submodels of individual fault blocks can be incorporated into the field-scale model. This allows to consider both a locally refined mechanical stratigraphy and the impact of the large-scale fault pattern. A pressure load on top of the model represents the

Fracture Propagation, Fluid Flow, and Geomechanics of Water-Based Hydraulic Fracturing in Shale Gas Systems and Electromagnetic Geophysical Monitoring of Fluid Migration

Energy Technology Data Exchange (ETDEWEB)

Kim, Jihoon; Um, Evan; Moridis, George

2014-12-01

We investigate fracture propagation induced by hydraulic fracturing with water injection, using numerical simulation. For rigorous, full 3D modeling, we employ a numerical method that can model failure resulting from tensile and shear stresses, dynamic nonlinear permeability, leak-off in all directions, and thermo-poro-mechanical effects with the double porosity approach. Our numerical results indicate that fracture propagation is not the same as propagation of the water front, because fracturing is governed by geomechanics, whereas water saturation is determined by fluid flow. At early times, the water saturation front is almost identical to the fracture tip, suggesting that the fracture is mostly filled with injected water. However, at late times, advance of the water front is retarded compared to fracture propagation, yielding a significant gap between the water front and the fracture top, which is filled with reservoir gas. We also find considerable leak-off of water to the reservoir. The inconsistency between the fracture volume and the volume of injected water cannot properly calculate the fracture length, when it is estimated based on the simple assumption that the fracture is fully saturated with injected water. As an example of flow-geomechanical responses, we identify pressure fluctuation under constant water injection, because hydraulic fracturing is itself a set of many failure processes, in which pressure consistently drops when failure occurs, but fluctuation decreases as the fracture length grows. We also study application of electromagnetic (EM) geophysical methods, because these methods are highly sensitive to changes in porosity and pore-fluid properties due to water injection into gas reservoirs. Employing a 3D finite-element EM geophysical simulator, we evaluate the sensitivity of the crosswell EM method for monitoring fluid movements in shaly reservoirs. For this sensitivity evaluation, reservoir models are generated through the coupled flow-geomechanical

Chinese parenting and children's compliance to adults: a cross-cultural comparative study

OpenAIRE

Huang, Ching-Yu Soar

2013-01-01

The current study examined the parenting beliefs and practices of Taiwanese, Chinese immigrant (all first-generation immigrants in the UK) and English mothers, and the compliance of their young children (aged 5–7), in order to elucidate the effects of child temperament, culture and acculturation strategies on reported parenting beliefs and practices, observed parental behaviour, child behaviour, mother–child interaction dynamics and children’s compliance. The data were colle...

Compliance and treatment satisfaction of post menopausal women treated for osteoporosis. Compliance with osteoporosis treatment

Directory of Open Access Journals (Sweden)

Huas Dominique

2010-08-01

Full Text Available Abstract Background Adherence to anti-osteoporosis treatments is poor, exposing treated women to increased fracture risk. Determinants of poor adherence are poorly understood. The study aims to determine physician- and patient- rated treatment compliance with osteoporosis treatments and to evaluate factors influencing compliance. Methods This was an observational, cross-sectional pharmacoepidemiological study with a randomly-selected sample of 420 GPs, 154 rheumatologists and 110 gynaecologists practicing in France. Investigators included post-menopausal women with a diagnosis of osteoporosis and a treatment initiated in the previous six months. Investigators completed a questionnaire on clinical features, treatments and medical history, and on patient compliance. Patients completed a questionnaire on sociodemographic features, lifestyle, attitudes and knowledge about osteoporosis, treatment compliance, treatment satisfaction and quality of life. Treatment compliance was evaluated with the Morisky Medication-taking Adherence Scale. Variables collected in the questionnaires were evaluated for association with compliance using multivariate logistic regression analysis. Results 785 women were evaluated. Physicians considered 95.4% of the sample to be compliant, but only 65.5% of women considered themselves compliant. The correlation between patient and physician perceptions of compliance was low (κ: 0.11 [95% CI: 0.06 to 0.16]. Patient-rated compliance was highest for monthly bisphosphonates (79.7% and lowest for hormone substitution therapy (50.0%. Six variables were associated with compliance: treatment administration frequency, perceptions of long-term treatment acceptability, perceptions of health consequences of osteoporosis, perceptions of knowledge about osteoporosis, exercise and mental quality of life. Conclusion Compliance to anti-osteoporosis treatments is poor. Reduction of dosing regimen frequency and patient education may be useful

A Study of Nonlinear Elasticity Effects on Permeability of Stress Sensitive Shale Rocks Using an Improved Coupled Flow and Geomechanics Model: A Case Study of the Longmaxi Shale in China

Directory of Open Access Journals (Sweden)

Chenji Wei

2018-02-01

Full Text Available Gas transport in shale gas reservoirs is largely affected by rock properties such as permeability. These properties are often sensitive to the in-situ stress state changes. Accurate modeling of shale gas transport in shale reservoir rocks considering the stress sensitive effects on rock petrophysical properties is important for successful shale gas extraction. Nonlinear elasticity in stress sensitive reservoir rocks depicts the nonlinear stress-strain relationship, yet it is not thoroughly studied in previous reservoir modeling works. In this study, an improved coupled flow and geomechanics model that considers nonlinear elasticity is proposed. The model is based on finite element methods, and the nonlinear elasticity in the model is validated with experimental data on shale samples selected from the Longmaxi Formation in Sichuan Basin China. Numerical results indicate that, in stress sensitive shale rocks, nonlinear elasticity affects shale permeability, shale porosity, and distributions of effective stress and pore pressure. Elastic modulus change is dependent on not only in-situ stress state but also stress history path. Without considering nonlinear elasticity, the modeling of shale rock permeability in Longmaxi Formation can overestimate permeability values by 1.6 to 53 times.

Geomechanical, Hydraulic and Thermal Characteristics of Deep Oceanic Sandy Sediments Recovered during the Second Ulleung Basin Gas Hydrate Expedition

Directory of Open Access Journals (Sweden)

Yohan Cha

2016-09-01

Full Text Available This study investigates the geomechanical, hydraulic and thermal characteristics of natural sandy sediments collected during the Ulleung Basin gas hydrate expedition 2, East Sea, offshore Korea. The studied sediment formation is considered as a potential target reservoir for natural gas production. The sediments contained silt, clay and sand fractions of 21%, 1.3% and 77.7%, respectively, as well as diatomaceous minerals with internal pores. The peak friction angle and critical state (or residual state friction angle under drained conditions were ~26° and ~22°, respectively. There was minimal or no apparent cohesion intercept. Stress- and strain-dependent elastic moduli, such as tangential modulus and secant modulus, were identified. The sediment stiffness increased with increasing confining stress, but degraded with increasing strain regime. Variations in water permeability with water saturation were obtained by fitting experimental matric suction-water saturation data to the Maulem-van Genuchen model. A significant reduction in thermal conductivity (from ~1.4–1.6 to ~0.5–0.7 W·m−1·K−1 was observed when water saturation decreased from 100% to ~10%–20%. In addition, the electrical resistance increased quasi-linearly with decreasing water saturation. The geomechanical, hydraulic and thermal properties of the hydrate-free sediments reported herein can be used as the baseline when predicting properties and behavior of the sediments containing hydrates, and when the hydrates dissociate during gas production. The variations in thermal and hydraulic properties with changing water and gas saturation can be used to assess gas production rates from hydrate-bearing deposits. In addition, while depressurization of hydrate-bearing sediments inevitably causes deformation of sediments under drained conditions, the obtained strength and stiffness properties and stress-strain responses of the sedimentary formation under drained loading conditions

Geomechanical characterization of the Montney Shale northwest Alberta and northeast British Columbia, Canada

Science.gov (United States)

Davey, Heather

there is a strong formation influence on the progression of hydraulic fractures. The locations of interfaces between changes in rock properties and/or stress state are locations where the hydraulic fracture character will also change. It was found that energy is dissipated in heterogeneous/brittle zones, while hydraulic growth occurs in homogenous zones. However, at the intersection of a homogenous zone with a brittle zone, both hydraulic fracture growth and energy dissipation is possible. Here relatively higher production is observed. Stress shadowing amplifies the effects of energy dissipation in brittle zones. Understanding the geological factors that have the greatest influence on stimulation has proven to be a useful method of predicting productivity and efficiency in shale reservoirs. The results of this geomechanical study are calibrated with diagnostic fracture injection tests, microseismic, spinner gas data, and time-lapse multicomponent seismic to corroborate the predictions of reservoir performance in the Montney Shale.

Motivation and compliance with intraoral elastics.

Science.gov (United States)

Veeroo, Helen J; Cunningham, Susan J; Newton, Jonathon Timothy; Travess, Helen C

2014-07-01

Intraoral elastics are commonly used in orthodontics and require regular changing to be effective. Unfortunately, poor compliance with elastics is often encountered, especially in adolescents. Intention for an action and its implementation can be improved using "if-then" plans that spell out when, where, and how a set goal, such as elastic wear, can be put into action. Our aim was to determine the effect of if-then plans on compliance with elastics. To identify common barriers to compliance with recommendations concerning elastic wear, semistructured interviews were carried out with 14 adolescent orthodontic patients wearing intraoral elastics full time. Emerging themes were used to develop if-then plans to improve compliance with elastic wear. A prospective pilot study assessed the effectiveness of if-then planning aimed at overcoming the identified barriers on compliance with elastic wear. Twelve participants were randomized equally into study and control groups; the study group received information about if-then planning. The participants were asked to collect used elastics, and counts of these were used to assess compliance. A wide range of motivational and volitional factors were described by the interviewed participants, including the perceived benefits of elastics, cues to remember, pain, eating, social situations, sports, loss of elastics, and breakages. Compliance with elastic wear was highly variable among patients. The study group returned more used elastics, suggesting increased compliance, but the difference was not significant. The use of if-then plans might improve compliance with elastic wear when compared with routine clinical instructions. Copyright © 2014 American Association of Orthodontists. Published by Mosby, Inc. All rights reserved.

ENA study cites barriers to NPSG compliance.

Science.gov (United States)

2009-04-01

There are many barriers to compliance with the National Patient Safety Goals, as a recent study shows. However, emergency medicine experts say there are several strategies you can adopt to help overcome those barriers. Send the right message to your staff by establishing a culture of shared responsibility for safety. Establish scripts for talking with patients. Standardization will help ensure they are getting the correct information. Put standardized abbreviations on posters in your department, and list them on your medication reconciliation form.

Determinants of pregnant women's compliance with alcohol guidelines: a prospective cohort study

Directory of Open Access Journals (Sweden)

Anderson Amy E

2012-09-01

Full Text Available Abstract Background In 2009, Australian alcohol guidelines for pregnancy changed from low to no alcohol intake. Previous research found a high proportion of pregnant Australian women drank during pregnancy; however, there has been limited investigation of whether pregnant women comply with 2009 alcohol guidelines. The purpose of this study was to provide an assessment of pregnant women’s compliance with 2009 Australian alcohol guidelines and identify predictors of such compliance, including previous drinking behaviour. Methods Cross-sectional analysis of prospective data from the 1973–1978 cohort of the Australian Longitudinal Study on Women’s Health was conducted. Women aged 30–36 years who were pregnant at the 2009 survey and had data on alcohol use were included (n = 837. Compliance with 2009 alcohol guidelines for pregnancy was defined as no alcohol intake. Predictors of compliance were analysed using multivariate logistic regression, controlling for area of residence, in three separate models to account for multicollinearity between measures of previous alcohol intake (compliance with 2001 guidelines; frequency and quantity; bingeing. Private health insurance, household income, and illicit drug use were entered into all models and retained if significant. Results 72% of pregnant women did not comply with the 2009 alcohol guidelines and 82% of these women drank less than seven drinks per week, with no more than one or two drinks per drinking day. The odds of complying with abstinence increased by a factor of 3.48 (95% CI 2.39-5.05 for women who previously complied with the 2001 alcohol guidelines and decreased by a factor of 0.19 (95% CI 0.08-0.66 if household incomes were $36,400 or more. In other models the odds of complying were lower for women who consumed alcohol before pregnancy at least weekly (OR = 0.40, 95% CI 0.25-0.63 or binged (OR ≥ 0.18, 95% CI 0.10-0.31 and were higher for those who abstained (OR�

Regulatory Enforcement and Compliance

DEFF Research Database (Denmark)

May, Peter J.; Winter, Søren

1999-01-01

This study of municipal enforcement of agro-environmental regulations in Denmark provides an empirical understanding of how enforcement affects compliance. A key contribution is sorting out the relative influence of inspectors' different styles of enforcement and choices made by enforcement...... agencies. The latter are shown to be more important in bringing about compliance than are inspectors' enforcement styles. Municipal agencies are shown to increase compliance through the use of third parties, more frequent inspection, and setting priorities for inspection of major items. The findings about...

Instrument-Aided Assessment of the Effect of Natural and Technogenic Factors on the Geomechanical State of a Massif Enclosing an HPP Turbine Room

Energy Technology Data Exchange (ETDEWEB)

Abramov, N. N., E-mail: Abramov@goi.kolasc.net.ru; Epimakhov, Yu. A. [Russian Academy of Sciences, Mining Institute, Kola Scientific Center (Russian Federation)

2016-05-15

A package of geophysical criteria has been developed using seismic spatiotemporal tomography (SST) of a rock massif to perform an instrument-aided assessment of the effect of natural and technogenic factors on the geomechanical state of a rock massif enclosing an underground turbine room at an HPP. Results are presented for a detailed assessment for the underground turbine room at the Verkhnyaya Tuloma HPP on the Kola peninsula.

Modelling of underground geomechanical characteristics for electrophysical conversion of oil shale

International Nuclear Information System (INIS)

Bukharkin, A A; Koryashov, I A; Martemyanov, S M; Ivanov, A A

2015-01-01

Oil shale energy extraction is an urgent issue for modern science and technique. With the help of electrical discharge phenomena it is possible to create a new efficient technology for underground conversion of oil shale to shale gas and oil. This method is based on Joule heat in the rock volume. During the laboratory experiments the problem has arisen, when the significant part of a shale fragment is being heated, but the further heating is impossible due to specimen cracking. It leads to disruption in current flow and heat exchange. Evidently, in the underground conditions these failure processes will not proceed. Cement, clay and glass fiber/epoxy resin armature have been used for modelling of geomechanical underground conditions. Experiments have shown that the use of a reinforcing jacket makes it possible to convert a full rock fragment. Also, a thermal field extends radially from the centre of a tree-type structure, and it has an elliptic cross section shape. It is explained by the oil shale anisotropy connected with a rock laminar structure. Therefore, heat propagation is faster along the layers than across ones. (paper)

Timelapse ultrasonic tomography for measuring damage localization in geomechanics laboratory tests.

Science.gov (United States)

Tudisco, Erika; Roux, Philippe; Hall, Stephen A; Viggiani, Giulia M B; Viggiani, Gioacchino

2015-03-01

Variation of mechanical properties in materials can be detected non-destructively using ultrasonic measurements. In particular, changes in elastic wave velocity can occur due to damage, i.e., micro-cracking and particles debonding. Here the challenge of characterizing damage in geomaterials, i.e., rocks and soils, is addressed. Geomaterials are naturally heterogeneous media in which the deformation can localize, so that few measurements of acoustic velocity across the sample are not sufficient to capture the heterogeneities. Therefore, an ultrasonic tomography procedure has been implemented to map the spatial and temporal variations in propagation velocity, which provides information on the damage process. Moreover, double beamforming has been successfully applied to identify and isolate multiple arrivals that are caused by strong heterogeneities (natural or induced by the deformation process). The applicability of the developed experimental technique to laboratory geomechanics testing is illustrated using data acquired on a sample of natural rock before and after being deformed under triaxial compression. The approach is then validated and extended to time-lapse monitoring using data acquired during plane strain compression of a sample including a well defined layer with different mechanical properties than the matrix.

Explaining G20 and BRICS Compliance

Directory of Open Access Journals (Sweden)

Marina Larionova

2016-11-01

Full Text Available This article explores the internal and external factors influencing the compliance performance of the Group of 20 (G20 and the BRICS. The authors start with an overview of the G20 and BRICS compliance patterns using comparative data onthe number of commitments made by the two institutions, the level of institutional compliance, and distribution of commitments and compliance across issue areas. G20 compliance is traced since the leaders’ first 2008 summit in Washington. The BRICS compliance performance record includes data since the third stand alone summit in Sanya in 2011.The study then takes stock of compliance catalysts embedded in the summits’ discourse: priority placements, numerical targets, timelines, self-accountability pledges and mandates to implement and/or monitor implementation. The authors review trends in the use of catalysts in different years and issue areas and identify commonalities and differences.The analysis then turns to external causes of compliance and focuses on demand for collective actions and members’ collective power to respond and deliver on their pledges. Here the study explores whether the self-accountability mechanisms created by the institutions in response to the demand for effectiveness and legitimacy facilitate compliance.The article concludes by highlighting catalysts, causes of compliance and their combinations with the greatest power to encourage implementation, explaining trends in G20 and BRICS compliance performance. The data sets on G20 and BRICS differ in terms of scale. The G20 data set contains 1,511 commitments of which 114 have been monitored, and the BRICS data set contains 231 commitments of which 23 have been monitored.

Compliance with referrals to medical specialist care: patient and general practice determinants: a cross-sectional study.

Science.gov (United States)

van Dijk, Christel E; de Jong, Judith D; Verheij, Robert A; Jansen, Tessa; Korevaar, Joke C; de Bakker, Dinny H

2016-02-01

In a gatekeeper system, primary care physicians and patients jointly decide whether or not medical specialist care is needed. However, it is the patient who decides to actually use the referral. Referral non-compliance could delay diagnosis and treatment. The objective of this study was to assess patient compliance with a referral to medical specialist care and identify patient and practice characteristics that are associated with it. Observational study using data on 48,784 referrals to medical specialist care derived from electronic medical records of 58 general practices for the period 2008-2010. Referral compliance was based on claims data of medical specialist care. Logistic multilevel regression analyses were conducted to determine associations between patient and general practice characteristics and referral compliance. In 86.6% of the referrals, patients complied. Patient and not practice characteristics were significantly associated with compliance. Patients from deprived urban areas and patients aged 18-44 years were less likely to comply, whereas patients aged 65 years and older were more likely to comply. About 1 in 8 patients do not use their referral. These patients may not receive adequate care. Demographic and socio-economic factors appear to affect compliance. The results of this study may be used to make general practitioners more aware that some patients are more likely to be noncompliant with referrals.

Compliance and Caregiver Satisfaction in Alzheimer’s Disease: Results from the AXEPT Study

Directory of Open Access Journals (Sweden)

Roberto Bernabei

2012-10-01

Full Text Available Background/Aims: According to experimental data, a transdermal application is preferred by caregivers of Alzheimer’s disease (AD patients compared with oral medications. The AXEPT study compared compliance to treatment among community-dwelling patients with mild-to-moderate AD treated with transdermal application compared to oral medications and caregiver satisfaction in a real clinical setting. Methods: Data from 45 memory clinics in Italy were collected between September 8, 2010 and January 31, 2011. Compliance to treatment and caregiver satisfaction were measured using the Caregiver Medication Interview. Results: A total of 855 AD patients and their caregivers participated in the study. Nearly 80% of caregivers of patients on patch were not concerned about adherence to treatment compared with 64% of caregivers of patients on oral drugs. Among caregivers of patients on patch, 94% did not report any difficulties in remembering to administer treatment compared with 73% of caregivers of patients on oral medications. The highest level of compliance and satisfaction was reported by caregivers of patients on transdermal application. Conclusion: Caregivers of patients treated with a transdermal application appeared to be more satisfied and reported a higher level of compliance than caregivers of patients receiving anti-AD oral medications.

GENDER AND ETHNICITY DIFFERENCES IN TAX COMPLIANCE

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Jeyapalan Kasipillai

2006-01-01

Full Text Available The purpose of this study is to investigate whether gender and ethnicity differences occur in relation to tax compliance attitude and behavior. Prior studies on tax compliance have focused little on gender as a predictor of compliance. In Malaysia, ethnic background of a taxpayer could be a major determinant of tax compliance. A personal interview approach is used to obtain information from taxpayers in urban towns. A t-test suggests that males and females were found to have similar compliant attitude. As for ethnicity, asimilar result was observed. Results of a regression analysis indicate that gender, academic qualification, and the person preparing tax return were statistically significant as determinants of non-compliant attitude. In terms of compliant behavior, a regression analysis revealed that "attitude towards non-compliance" and "receipt of cash income" were two significant explanatory variables of tax non-compliance behavior of understating income knowingly. The findings of this study are useful for policyimplications in identifying groups that require additional attention to increase voluntary tax compliance.

GENDER AND ETHNICITY DIFFERENCES IN TAX COMPLIANCE

OpenAIRE

Jeyapalan Kasipillai; Hijattulah Abdul Jabbar

2006-01-01

The purpose of this study is to investigate whether gender and ethnicity differences occur in relation to tax compliance attitude and behavior. Prior studies on tax compliance have focused little on gender as a predictor of compliance. In Malaysia, ethnic background of a taxpayer could be a major determinant of tax compliance. A personal interview approach is used to obtain information from taxpayers in urban towns. A t-test suggests that males and females were found to have similar compliant...

340 Facility compliance assessment

International Nuclear Information System (INIS)

English, S.L.

1993-10-01

This study provides an environmental compliance evaluation of the RLWS and the RPS systems of the 340 Facility. The emphasis of the evaluation centers on compliance with WAC requirements for hazardous and mixed waste facilities, federal regulations, and Westinghouse Hanford Company (WHC) requirements pertinent to the operation of the 340 Facility. The 340 Facility is not covered under either an interim status Part A permit or a RCRA Part B permit. The detailed discussion of compliance deficiencies are summarized in Section 2.0. This includes items of significance that require action to ensure facility compliance with WAC, federal regulations, and WHC requirements. Outstanding issues exist for radioactive airborne effluent sampling and monitoring, radioactive liquid effluent sampling and monitoring, non-radioactive liquid effluent sampling and monitoring, less than 90 day waste storage tanks, and requirements for a permitted facility

Numerical investigation and Uncertainty Quantification of the Impact of the geological and geomechanical properties on the seismo-acoustic responses of underground chemical explosions

Science.gov (United States)

Ezzedine, S. M.; Pitarka, A.; Vorobiev, O.; Glenn, L.; Antoun, T.

2017-12-01

We have performed three-dimensional high resolution simulations of underground chemical explosions conducted recently in jointed rock outcrop as part of the Source Physics Experiments (SPE) being conducted at the Nevada National Security Site (NNSS). The main goal of the current study is to investigate the effects of the structural and geomechanical properties on the spall phenomena due to underground chemical explosions and its subsequent effect on the seismo-acoustic signature at far distances. Two parametric studies have been undertaken to assess the impact of different 1) conceptual geological models including a single layer and two layers model, with and without joints and with and without varying geomechanical properties, and 2) depth of bursts of the chemical explosions and explosion yields. Through these investigations we have explored not only the near-field response of the chemical explosions but also the far-field responses of the seismic and the acoustic signatures. The near-field simulations were conducted using the Eulerian and Lagrangian codes, GEODYN and GEODYN -L, respectively, while the far-field seismic simulations were conducted using the elastic wave propagation code, WPP, and the acoustic response using the Kirchhoff-Helmholtz-Rayleigh time-dependent approximation code, KHR. Though a series of simulations we have recorded the velocity field histories a) at the ground surface on an acoustic-source-patch for the acoustic simulations, and 2) on a seismic-source-box for the seismic simulations. We first analyzed the SPE3 experimental data and simulated results, then simulated SPE4-prime, SPE5, and SPE6 to anticipate their seismo-acoustic responses given conditions of uncertainties. SPE experiments were conducted in a granitic formation; we have extended the parametric study to include other geological settings such dolomite and alluvial formations. These parametric studies enabled us 1) investigating the geotechnical and geophysical key parameters

[Insufficient medication compliance in Parkinson's disease].

Science.gov (United States)

Aerts, Marjolein B; van der Eijk, Martijn; Kramers, Kees; Bloem, Bastiaan R

2011-01-01

Medication compliance is generally suboptimal, particularly in patients with complex polypharmacy. This generic treatment problem is described here for Parkinson's disease (PD). We would expect patients with PD to have good medication compliance, since missed doses immediately result in worsening of symptoms. However, recent research has revealed that PD patients demonstrate poor medication compliance. Poor medication compliance is particularly undesirable for patients with PD because regular intake of medication is required for optimal treatment effect. Possible ways of improving medication compliance are pharmacotherapeutic measures and behavioural interventions. Modern methods of communication (text message reminders) and 'smart' pill dispensers may be beneficial, but the advantages of such interventions have not yet been scientifically studied.

A study of reasons of non-compliance of psychiatric treatment and patients' attitudes towards illness and treatment in Qatar.

Science.gov (United States)

Bener, Abdulbari; Dafeeah, Elnour E; Salem, Mohamad O

2013-04-01

The aim of this study was to examine the extent of psychiatric patients' compliance and non-compliance with treatment and examine the factors that affect compliance. Patients were recruited who were between 16 and 60 years of age and who were hospitalized with a psychiatric disorder and treated in the outpatient clinics of the psychiatry department. A total of 689 patients were approached and 564 patients agreed to participate in the study, a response rate of 81.8%. Participants were asked to complete a questionnaire that asked about socio-demographic characteristics (e.g., age, gender, nationality, level of education, occupation, marital status, and life style habits); medication(s) prescribed and the participant's response; the degree of social supervision (rated subjectively by the patient as "poor," "good," or "very good"); data also were obtained from clinical records. Data analyses explored significant associations between compliance and non-compliance and a group of relevant variables. Of the 564 patients studied, 328 (58.2%) were compliant with treatment and 236 (41.8%) were non-compliant. There was no significant difference between compliance and non-compliance in terms of gender (p = 0.471). Patients between 21-30 years of age were significantly more compliant with drug treatment than not. Non-compliance was more common among patients diagnosed with schizophrenia (28.4%), followed by depression (14.4%), and bipolar affective disorder (12.7%) (p = 0.001). Only 25% of compliant patients and 26.3% of non-compliant patients used non-psychotropic medication. Social supervision (40%) was very poor in non-compliant patients whereas 49.4% of compliant patients had very good family support. Notable reasons for non-compliance were irregular attendance to clinic (55.5%), ignorance about side effects of medication (61%), free medicine (45.8%), and a lack of education about medication (58.1%). This study revealed that non-compliance rates among psychiatry patients

Environmental Compliance Mechanisms

NARCIS (Netherlands)

Merkouris, Panagiotis; Fitzmaurice, Malgosia

2017-01-01

Compliance mechanisms can be found in treaties regulating such diverse issues as human rights, disarmament law, and environmental law. In this bibliography, the focus will be on compliance mechanisms of multilateral environmental agreements (MEAs). Compliance with norms of international

A comparative study on stress and compliance based structural topology optimization

Science.gov (United States)

Hailu Shimels, G.; Dereje Engida, W.; Fakhruldin Mohd, H.

2017-10-01

Most of structural topology optimization problems have been formulated and solved to either minimize compliance or weight of a structure under volume or stress constraints, respectively. Even if, a lot of researches are conducted on these two formulation techniques separately, there is no clear comparative study between the two approaches. This paper intends to compare these formulation techniques, so that an end user or designer can choose the best one based on the problems they have. Benchmark problems under the same boundary and loading conditions are defined, solved and results are compared based on these formulations. Simulation results shows that the two formulation techniques are dependent on the type of loading and boundary conditions defined. Maximum stress induced in the design domain is higher when the design domains are formulated using compliance based formulations. Optimal layouts from compliance minimization formulation has complex layout than stress based ones which may lead the manufacturing of the optimal layouts to be challenging. Optimal layouts from compliance based formulations are dependent on the material to be distributed. On the other hand, optimal layouts from stress based formulation are dependent on the type of material used to define the design domain. High computational time for stress based topology optimization is still a challenge because of the definition of stress constraints at element level. Results also shows that adjustment of convergence criterions can be an alternative solution to minimize the maximum stress developed in optimal layouts. Therefore, a designer or end user should choose a method of formulation based on the design domain defined and boundary conditions considered.

Environmental factors and their association with emergency department hand hygiene compliance: an observational study.

Science.gov (United States)

Carter, Eileen J; Wyer, Peter; Giglio, James; Jia, Haomiao; Nelson, Germaine; Kauari, Vepuka E; Larson, Elaine L

2016-05-01

Hand hygiene is effective in preventing healthcare-associated infections. Environmental conditions in the emergency department (ED), including crowding and the use of non-traditional patient care areas (ie, hallways), may pose barriers to hand hygiene compliance. We examined the relationship between these environmental conditions and proper hand hygiene. This was a single-site, observational study. From October 2013 to January 2014, trained observers recorded hand hygiene compliance among staff in the ED according to the World Health Organization 'My 5 Moments for Hand Hygiene'. Multivariable logistic regression was used to analyse the relationship between environmental conditions and hand hygiene compliance, while controlling for important covariates (eg, hand hygiene indication, glove use, shift, etc). A total of 1673 hand hygiene opportunities were observed. In multivariable analyses, hand hygiene compliance was significantly lower when the ED was at its highest level of crowding than when the ED was not crowded and lower among hallway care areas than semiprivate care areas (OR=0.39, 95% CI 0.28 to 0.55; OR=0.73, 95% CI 0.55 to 0.97). Unique environmental conditions pose barriers to hand hygiene compliance in the ED setting and should be considered by ED hand hygiene improvement efforts. Further study is needed to evaluate the impact of these environmental conditions on actual rates of infection transmission. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/

Nagra technical report 14-02, geological basics - Dossier IV - Information on geo-mechanics; SGT Etappe 2: Vorschlag weiter zu untersuchender geologischer Standortgebiete mit zugehörigen Standortarealen für die Oberflächenanlage -- Geologische Grundlagen -- Dossier IV -- Geomechanische Unterlagen

Energy Technology Data Exchange (ETDEWEB)

Marschall, P.; Giger, S.

2014-12-15

This dossier is the fourth of a series of eight reports concerning the safety and technical aspects of locations for the disposal of radioactive wastes in Switzerland. This Dossier IV considers the documentation on geo-mechanical aspects that is available. Rock-stress conditions are looked at as are the methods and instrumentation used to establish them. The results of local analyses are presented and discussed, as are the magnitudes and long-term stability of such stress conditions. The geo-mechanical properties of Opalinus Clay as a host rock for a repository are discussed. Mountain-building models and coupled hydro-mechanical processes are also discussed.

Identification of factors involved in medication compliance: incorrect inhaler technique of asthma treatment leads to poor compliance

Directory of Open Access Journals (Sweden)

Darbà J

2016-02-01

Full Text Available Josep Darbà,1 Gabriela Ramírez,2 Antoni Sicras,3 Laura García-Bujalance,4 Saku Torvinen,5 Rainel Sánchez-de la Rosa6 1Department of Economics, Universitat de Barcelona, 2BCN Health Economics & Outcomes Research S.L., 3Department of Planning, Badalona Serveis Assistencials S.A., Barcelona, 4Market Access Department, Teva Pharmaceutical, Madrid, Spain; 5Market Access Department, Teva Pharmaceuticals Europe BV, Amsterdam, the Netherlands; 6Medical Department, Teva Pharmaceutical, Madrid, Spain Objective: To identify the impact of delivery device of inhaled corticosteroids and long-acting β2-agonist (ICS/LABA on asthma medication compliance, and investigate other factors associated with compliance. Materials and methods: We conducted a retrospective and multicenter study based on a review of medical registries of asthmatic patients treated with ICS/LABA combinations (n=2,213 whose medical devices were either dry powder inhalers (DPIs, such as Accuhaler®, Turbuhaler®, and NEXThaler® or pressurized metered-dose inhalers (pMDI. Medication compliance included persistence outcomes through 18 months and medication possession ratios. Data on potential confounders of treatment compliance such as asthma exacerbations, comorbidities, demographic characteristics, and health care resource utilization were also explored. Results: The probability of asthma medication compliance in case of DPIs was lower compared to pMDIs, which suggests that inhaler devices influence inhalation therapies. There were additional confounding factors that were considered as explanatory variables of compliance. A worse measure of airflow obstruction (forced expiration volume in 1 second, comorbidities and general practitioner (GP consultations more than once per month decreased the probability of compliance. Within comorbidities, alcoholism was positively associated with compliance. Patients of 29–39, 40–50, and 51–61 age groups or suffering from more than two

Compliance Study of Endovascular Stent Grafts Incorporated with Polyester and Polyurethane Graft Materials in both Stented and Unstented Zones

Directory of Open Access Journals (Sweden)

Ying Guan

2016-08-01

Full Text Available Compliance mismatch between stent graft and host artery may induce complications and blood flow disorders. However, few studies have been reported on stent graft compliance. This study aims to explore the deformation and compliance of stent graft in stented and unstented zones under three pressure ranges. Compliance of two stent grafts incorporated with polyurethane graft (nitinol-PU and polyester graft (nitinol-PET materials respectively were tested; the stents used in the two stent grafts were identical. For the circumferential deformation of the stent grafts under each pressure range, the nitinol-PET stent graft was uniform in both zones. The nitinol-PU stent graft was circumferentially uniform in the stented zone, however, it was nonuniform in the unstented zone. The compliance of the PU graft material was 15 times higher than that of the PET graft. No significant difference in compliance was observed between stented and unstented zones of the nitinol-PET stent graft regardless of the applied pressure range. However, for the nitinol-PU stent graft, compliance of the unstented PU region was approximately twice that of the stented region; thus, compliance along the length of the nitinol-PU stent graft was not constant and different from that of the nitinol-PET stent graft.

Going GLP: Conducting Toxicology Studies in Compliance with Good Laboratory Practices.

Science.gov (United States)

Carroll, Erica Eggers

2016-01-01

Good laboratory practice standards are US federal regulations enacted as part of the Federal Insecticide, Fungicide, and Rodenticide Act (40 CFR Part 160), the Toxic Substance Control Act (40 CFR Part 792), and the Good Laboratory Practice for Nonclinical Laboratory Studies (21 CFR Part 58) to support protection of public health in the areas of pesticides, chemicals, and drug investigations in response to allegations of inaccurate data acquisition. Essentially, good laboratory practices (GLPs) are a system of management controls for nonclinical research studies involving animals to ensure the uniformity, consistency, reliability, reproducibility, quality, and integrity of data collected as part of chemical (including pharmaceuticals) tests, from in vitro through acute to chronic toxicity tests. The GLPs were established in the United States in 1978 as a result of the Industrial Bio-Test Laboratory scandal which led to congressional hearings and actions to prevent fraudulent data reporting and collection. Although the establishment of infrastructure for GLPs compliance is labor-intensive and time-consuming, achievement and maintenance of GLP compliance ensures the accuracy of the data collected from each study, which is critical for defending results, advancing science, and protecting human and animal health. This article describes how and why those in the US Army Medical Department responsible for protecting the public health of US Army and other military personnel made the policy decision to have its toxicology laboratory achieve complete compliance with GLP standards, the first such among US Army laboratories. The challenges faced and how they were overcome are detailed.

The creep compliance, the relaxation modulus and the complex compliance of linear viscoelastic, homogeneous, isotropic materials

International Nuclear Information System (INIS)

Wong, P.K.

1989-01-01

This paper reports on a study to obtain the creep compliance, the relaxation modulus and the complex compliance derived from the concept of mechanical resistance for the constitutive equation of a class of linear viscoelastic, homogeneous, isotropic materials

ENHANCING VOLUNTARY COMPLIANCE BY REDUCING COMPLIANCE COSTS: A TAXPAYER SERVICE APPROACH

OpenAIRE

Glenn Jenkins; EDWIN FORLEMU

1993-01-01

In this paper an overview is made of the determinants of voluntary tax compliance. Unlike previous treatments of this subject, the cost of taxpayer compliance is considered as an important determinant of overall level of voluntary compliance in a country. A number of ways that tax authorities reduce compliance are discussed, and the most common uses of information technology in providing taxpayer service is described. Finally, the paper considers some of the ways that such activities might be...

Perspectives on compliance: non-compliance with environmental licenses in the Netherlands

NARCIS (Netherlands)

van Snellenberg, A.H.L.M.; van de Peppel, R.A.

2002-01-01

Compliance with environmental law is not self-evident. In many instances enforcement of environmental regulations is a necessary means for achieving compliance. Assuming that an enforcement strategy, in order to be effective, has to fit the type of non-compliance, we integrate six different

Investigating compliance with SME-friendly procurement policy

OpenAIRE

Flynn, Anthony

2016-01-01

This study investigates compliance with SME-friendly policy in public procurement. Two research questions guide the investigation. The first is the extent to which policy is being complied with. The results, which are based on 349 public buyer survey responses, reveal compliance to be moderate; indicated by a mean score of 14.54 out of 22 on the compliance index. The second question concerns the impact of institutional forces on policy compliance. A predictive model informed by institutional ...

INDONESIA SHARI'AH COMPLIANCE STOCK RETURN BEHAVIOUR

Directory of Open Access Journals (Sweden)

Helma Malini

2017-04-01

Full Text Available This study aims to measures the behaviour of Indonesia Shari'ah compliance stock return. The measurement of return behaviour toward volatility will proved the capability of Indonesia Shari'ah compliance toward volatility that happened in Indonesia during the period of observation. Investing in Shari'ah compliance is quite different than investing in conventional stock which followed the capital market set of rules and law, Shari'ah compliance follows not only the capital market set of laws and but also the Islamic principles of principles. Most of the previous studies examine issues related to the conventional stocks and market. The present study take one step further by investigating issue related to Shari'ah compliance instrument. In the case of Shari'ah stock price in Indonesia, the dynamics volatility of the stock price can be minimized by taking an integrated screening process to the listed company, as precautions steps toward volatility

Criminal Compliance

Directory of Open Access Journals (Sweden)

Cristina Antonella Andretta

2015-10-01

The article discusses the concepts of both compliance and criminal compliance, its main components and structure as well as the main rules relating to its global application, and finally his emergence in the Ecuadorian legal system.

The Strategic Nature of Compliance

DEFF Research Database (Denmark)

König, Thomas; Mäder, Lars Kai

2014-01-01

by the anticipated enforcement decision of the monitoring agency and whether this agency is responsive to the probability of enforcement success and the potential sanctioning costs produced by noncomplying implementers. Compared to other monitoring systems, the centralized monitoring system of the European Union (EU......This compliance study models correct and timely implementation of policies in a multilevel system as a strategic game between a central monitoring agency and multiple implementers and evaluates statistically the empirical implications of this model. We test whether compliance is determined......) is praised for exemplary effectiveness, but our findings reveal that the monitoring agency refrains from enforcing compliance when the probability of success is low, and the sanctioning costs are high. This results in a compliance deficit, even though the selective enforcement activities of the monitoring...

Compliance with occlusion therapy for childhood amblyopia.

Science.gov (United States)

Wallace, Michael P; Stewart, Catherine E; Moseley, Merrick J; Stephens, David A; Fielder, Alistair R

2013-09-17

Explore compliance with occlusion treatment of amblyopia in the Monitored and Randomized Occlusion Treatment of Amblyopia Studies (MOTAS and ROTAS), using objective monitoring. Both studies had a three-phase protocol: initial assessment, refractive adaptation, and occlusion. In the occlusion phase, participants were instructed to dose for 6 hours/day (MOTAS) or randomized to 6 or 12 hour/day (ROTAS). Dose was monitored continuously using an occlusion dose monitor (ODM). One hundred and fifty-two patients (71 male, 81 female; 122 Caucasian, 30 non-Caucasian) of mean ± SD age 68 ± 18 months participated. Amblyopia was defined as an interocular acuity difference of at least 0.1 logMAR and was associated with anisometropia in 50, strabismus in 44, and both (mixed) in 58. Median duration of occlusion was 99 days (interquartile range 72 days). Mean compliance was 44%, mean proportion of days with no patch worn was 42%. Compliance was lower (39%) on weekends compared with weekdays (46%, P = 0.04), as was the likelihood of dosing at all (52% vs. 60%, P = 0.028). Compliance was lower when attendance was less frequent (P amblyopia type, and severity were not associated with compliance. Mixture modeling suggested three subpopulations of patch day doses: less than 30 minutes; doses that achieve 30% to 80% compliance; and doses that achieve around 100% compliance. This study shows that compliance with patching treatment averages less than 50% and is influenced by several factors. A greater understanding of these influences should improve treatment outcome. (ClinicalTrials.gov number, NCT00274664).

A Review of Factors for Tax Compliance

Directory of Open Access Journals (Sweden)

Nicoleta BARBUTA-MISU

2011-03-01

Full Text Available The aim of this paper is to identify the variables of tax compliance analysed by researchers from various countries and adapting them to the Romanian conditions to create a model to include factors that influence decision of tax compliance. Tax compliance has been studied in economics by analysing the individual decision of a representative person between paying taxes and evading taxes. In the research of tax compliance have been done many empirical studies that emphasized the impact of a wide variety of potential determinants of voluntary compliance with individual income/profit tax filing and reporting obligations. The most important determinants identified are: economic factors as the level of income, audit probabilities, tax audit, tax rate, tax benefits, penalties, fines and other non-economic factors as attitudes toward taxes, personal, social and national norms, perceived fairness etc.

Population compliance with national dietary recommendations and its determinants: findings from the ORISCAV-LUX study.

Science.gov (United States)

Alkerwi, Ala'a; Sauvageot, Nicolas; Nau, Anne; Lair, Marie-Lise; Donneau, Anne-Françoise; Albert, Adelin; Guillaume, Michèle

2012-12-14

The objective of the present study was to determine the proportion of adults meeting national recommendations for food and nutrient intake and to identify the demographic, socio-economic and behavioural factors that may contribute to weaken dietary compliance. ORISCAV-LUX is a cross-sectional study that took place in Luxembourg (2007-8). A representative stratified random sample of 1352 adults aged 18-69 years participated in the nationwide cardiovascular health survey. A FFQ was used to estimate food intake. Radar charts were built to compare graphically the compliance of the participants with different key dietary guidelines on the same set of axes. The thirteen food- and nutrient-based recommendations were scored and summed to create a recommendation compliance index (range -0·5 to 14). Ordinal logistic regression analyses were performed to determine the factors contributing to poor dietary compliance. Several food- and nutrient-based guidelines were insufficiently respected compared with others. The greatest gaps occurred in the adherence to grain and dairy product consumption guidelines, as well as to total fat and notably to SFA recommendations. Age, country of birth, economic status, smoking status and subject's awareness of the importance of balanced meals emerged as independently associated with weak dietary compliance. Obese subjects conformed more to dietary recommendations compared with normal-weight subjects. The findings underscore the need for specific nutrition education messages along with targeted interventions. Efforts should be continued to increase population awareness of the importance of a healthy lifestyle and a balanced diet.

The acute (immediate) effects of reflexology on arterial compliance in healthy volunteers: A randomised study.

OpenAIRE

Rollinson, K; Jones, J; Scott, N; Megson, IL; Leslie, SJ

2016-01-01

BACKGROUND: Reflexology is a widely used complementary therapy. The effects of reflexology on the cardiovascular system are not well characterised. Arterial stiffness (compliance) is a marker of vascular health. This study aimed to evaluate the effects of reflexology on arterial compliance in healthy volunteers. METHODS: 12 healthy volunteers (1 male; 11 female; mean age 44.8 ± 10.8 yrs) received 10 min of reflexology on each foot in a single-blind randomised study. The main outcome measures ...

International Criminal Justice and the Politics of Compliance

NARCIS (Netherlands)

Lamont, Christopher

2010-01-01

International Criminal Justice and the Politics of Compliance provides a comprehensive study of compliance with legal obligations derived from the International Criminal Tribunal for the former Yugoslavia's (ICTY) Statute and integrates theoretical debates on compliance into international justice

A care study exploring a patient's non-compliance to haemodialysis.

Science.gov (United States)

Murphy, Fiona

This care study is based on the nursing assessment of a 26-year-old man (MT) who attends a local haemodialysis unit for treatment using Gordon's (1994) functional health patterns. There will be a discussion of this framework and the methods used to assess this patient including an exploration of one of the problem areas identified--that of non-compliance.

Diagnostic information for compliance checking of temporal compliance requirements

NARCIS (Netherlands)

Ramezani Taghiabadi, E.; Fahland, D.; Dongen, van B.F.; Aalst, van der W.M.P.; Salinesi, C.; Norrie, M.C.; Pastor, O.

2013-01-01

Compliance checking is gaining importance as today’s organizations need to show that operational processes are executed in a controlled manner while satisfying predefined (legal) requirements or service level agreements. Deviations may be costly and expose an organization to severe risks. Compliance

Geomechanical Simulation of CO₂ Leakage and Cap Rock Remediation

Energy Technology Data Exchange (ETDEWEB)

Nygaard, Runar [Univ. of Missouri, Rolla, MO (United States); Bai, Baojun [Univ. of Missouri, Rolla, MO (United States); Eckert, Andreas [Univ. of Missouri, Rolla, MO (United States)

2012-09-30

CO₂ sequestration into porous and permeable brine filled aquifers is seen as one of the most likely near-term solutions for reducing greenhouse gases. Safely storing injected CO₂, which is less dense than water, requires trapping the CO₂ under an impermeable rock which would act as a seal. One of the concerns with CO₂ sequestration is the generation of new fractures or reactivation of existing fractures and faults caused by CO₂ injection into the sealing formation. Mitigation strategies must be developed to remediate potentially leaking faults or fractures. This project evaluated potential storage scenarios in the state of Missouri and developed coupled reservoir and geomechanic simulations to identify storage potential and leakage risks. Further, several injectable materials used to seal discontinuities were evaluated under subsurface conditions. The four sealant materials investigated were paraffin wax, silica based gel, polymer based gel, and micro-cement, which all significantly reduced the fracture permeability. However, the micro-cement was the most effective sealing agent and the only sealant able to withstand the large differential pressure caused by CO₂ or brine injection and create a strong seal to prevent further fracturing.

Perception on justice, trust and tax compliance behavior in Malaysia

Directory of Open Access Journals (Sweden)

Sellywati Mohd Faizal

2017-09-01

Full Text Available The relationship between justice and trust with tax compliance behavior in Malaysia was studied. Previous studies have acknowledged the perception that justice does have an impact on tax compliance. This study distinguishes justice into procedural justice, distributive justice, and retributive justice. Therefore, this study examined the effect of these three types of justice on tax compliance. Trust also influences the act of tax compliance and it also has a relationship to the element of justice. Perceptions from individual taxpayers were gathered using questionnaires from previous studies. The findings suggest only procedural justice and trust affect tax compliance and procedural justice was positively and significantly correlated to trust. However, trust does not mediate the relationship between justice and compliance. This research will contribute to the tax literature with widened scope on justice in Malaysia.

Levels and drivers of fishers' compliance with marine protected areas

Directory of Open Access Journals (Sweden)

Adrian Arias

2015-12-01

Full Text Available Effective conservation depends largely on people's compliance with regulations. We investigate compliance through the lens of fishers' compliance with marine protected areas (MPAs. MPAs are widely used tools for marine conservation and fisheries management. Studies show that compliance alone is a strong predictor of fish biomass within MPAs. Hence, fishers' compliance is critical for MPA effectiveness. However, there are few empirical studies showing what factors influence fishers' compliance with MPAs. Without such information, conservation planners and managers have limited opportunities to provide effective interventions. By studying 12 MPAs in a developing country (Costa Rica, we demonstrate the role that different variables have on fishers' compliance with MPAs. Particularly, we found that compliance levels perceived by resource users were higher in MPAs (1 with multiple livelihoods, (2 where government efforts against illegal fishing were effective, (3 where fishing was allowed but regulated, (4 where people were more involved in decisions, and (5 that were smaller. We also provide a novel and practical measure of compliance: a compound variable formed by the number illegal fishers and their illegal fishing effort. Our study underlines the centrality of people's behavior in nature conservation and the importance of grounding decision making on the social and institutional realities of each location.

Reduction in exhaled nitric oxide tracks improved patient inhaler compliance in difficult asthma-a case study.

Science.gov (United States)

Hunt, Eoin; Flynn, Deirdre; MacHale, Elaine; Costello, Richard W; Murphy, Desmond M

2017-12-26

Exhaled nitric oxide is believed be a useful surrogate for airways inflammation while non-adherence with therapy is known to be associated with worsening of asthma control. We present the case of a 49-year-old female with steroid-dependent asthma and an exacerbation rate of >20/year. She was enrolled in a 3-month-long prospective study using a validated diagnostic inhaler device that provided objective evidence of inhaler compliance. Fractional exhaled nitric oxide (FeNO), peak expiratory flow rates, asthma control questionnaires were measured throughout the study period. Peripheral eosinophil count was obtained prior to the study, during the study, and immediately afterwards. Improvement in compliance at the end of the study led to significant improvements in lung function peak expiratory flow rate (PEFR), and objective scores of asthma. There was an observed improvement in PEFR after 4 weeks, with an associated decrease in FeNO from 92 to 9 ppb that plateaued over the remainder of the study. Her eosinophil count was 0.79 × 10 9 /litre prior to starting in the study, 0.37 × 10 9 /litre after 2 months, and 0.1 × 10 9 /litre at the end of the study. We believe that this is the first case study to objectively prove that improvements in compliance can lead to dramatic reductions in the overall inflammatory airway response and in particular that improvements in patient compliance are mirrored by marked reduction in FeNO levels. These changes occurred in tandem with an observed clinical improvement in our patient.

The acute (immediate) effects of reflexology on arterial compliance in healthy volunteers: A randomised study.

Science.gov (United States)

Rollinson, Kirsty; Jones, Jenny; Scott, Norma; Megson, Ian L; Leslie, Stephen J

2016-02-01

Reflexology is a widely used complementary therapy. The effects of reflexology on the cardiovascular system are not well characterised. Arterial stiffness (compliance) is a marker of vascular health. This study aimed to evaluate the effects of reflexology on arterial compliance in healthy volunteers. 12 healthy volunteers (1 male; 11 female; mean age 44.8 ± 10.8 yrs) received 10 min of reflexology on each foot in a single-blind randomised study. The main outcome measures were measurements of cardiovascular parameters including heart rate, blood pressure and arterial compliance (augmentation index). Reflexology had no significant effect on heart rate, blood pressure or augmentation index (all p > 0.05). In healthy volunteers, there were no consistent changes in haemodynamic parameters with a single brief reflexology treatment. Thus from a cardiovascular point of view, reflexology (as delivered) would appear to have a limited (if any) effect on the cardiovascular system. Copyright © 2015 Elsevier Ltd. All rights reserved.

Impact of Electronic Tax Registers on VAT Compliance: A Study of ...

African Journals Online (AJOL)

The purpose of this study was to assess the impact of use of Electronic Tax Registers (ETRs ) on Value Added Tax (VAT) compliance among private business firms in Kisumu city, Kenya. A sample of 233 private firms was selected from a population of 590 private firms using stratified sampling technique. The data was ...

Multiple Drivers of Local (Non- Compliance in Community-Based Marine Resource Management: Case Studies from the South Pacific

Directory of Open Access Journals (Sweden)

Janne R. Rohe

2017-05-01

Full Text Available The outcomes of marine conservation and related management interventions depend to a large extent on people's compliance with these rule systems. In the South Pacific, community-based marine resource management (CBMRM has gained wide recognition as a strategy for the sustainable management of marine resources. In current practice, CBMRM initiatives often build upon customary forms of marine governance, integrating scientific advice and management principles in collaboration with external partners. However, diverse socio-economic developments as well as limited legal mandates can challenge these approaches. Compliance with and effective (legally-backed enforcement of local management strategies constitute a growing challenge for communities—often resulting in considerable impact on the success or failure of CBMRM. Marine management arrangements are highly dynamic over time, and similarly compliance with rule systems tends to change depending on context. Understanding the factors contributing to (non- compliance in a given setting is key to the design and function of adaptive management approaches. Yet, few empirical studies have looked in depth into the dynamics around local (non- compliance with local marine tenure rules under the transforming management arrangements. Using two case studies from Solomon Islands and Fiji, we investigate what drives local (non- compliance with CBMRM and what hinders or supports its effective enforcement. The case studies reveal that non-compliance is mainly driven by: (1 diminishing perceived legitimacy of local rules and rule-makers; (2 increased incentives to break rules due to market access and/ or lack of alternative income; and (3 relatively weak enforcement of local rules (i.e., low perceptions of risk from sanctions for rule-breaking. These drivers do not stand alone but can act together and add up to impair effective management. We further analyze how enforcement of CBMRM is challenged through a range of

Geomechanical Model Calibration Using Field Measurements for a Petroleum Reserve

Science.gov (United States)

Park, Byoung Yoon; Sobolik, Steven R.; Herrick, Courtney G.

2018-03-01

A finite element numerical analysis model has been constructed that consists of a mesh that effectively captures the geometries of Bayou Choctaw (BC) Strategic Petroleum Reserve (SPR) site and multimechanism deformation (M-D) salt constitutive model using the daily data of actual wellhead pressure and oil-brine interface location. The salt creep rate is not uniform in the salt dome, and the creep test data for BC salt are limited. Therefore, the model calibration is necessary to simulate the geomechanical behavior of the salt dome. The cavern volumetric closures of SPR caverns calculated from CAVEMAN are used as the field baseline measurement. The structure factor, A 2, and transient strain limit factor, K 0, in the M-D constitutive model are used for the calibration. The value of A 2, obtained experimentally from BC salt, and the value of K 0, obtained from Waste Isolation Pilot Plant salt, are used for the baseline values. To adjust the magnitude of A 2 and K 0, multiplication factors A 2 F and K 0 F are defined, respectively. The A 2 F and K 0 F values of the salt dome and salt drawdown skins surrounding each SPR cavern have been determined through a number of back analyses. The cavern volumetric closures calculated from this model correspond to the predictions from CAVEMAN for six SPR caverns. Therefore, this model is able to predict behaviors of the salt dome, caverns, caprock, and interbed layers. The geotechnical concerns associated with the BC site from this analysis will be explained in a follow-up paper.

Pilot Study to Evaluate Compliance and Tolerability of Cranberry Capsules in Pregnancy for the Prevention of Asymptomatic Bacteriuria.

Science.gov (United States)

Wing, Deborah A; Rumney, Pamela J; Hindra, Sasha; Guzman, Lizette; Le, Jennifer; Nageotte, Michael

2015-11-01

To evaluate the compliance with and tolerability of daily cranberry capsule ingestion for asymptomatic bacteriuria (ASB) prevention in pregnancy. A total of 49 pregnant women from two sites were randomly assigned to cranberry or matching placebo, two doses daily, at gestational ages less than 16 weeks. Patients were followed monthly for urinary tract infection until delivery. Up to seven monthly visits were scheduled for each patient. Delivery data were evaluated. Of 38 evaluable patients, the mean compliance rate over the study period was 82% (range, 20%-100%). This compliance rate and the 74% of patients achieving good (≥75%) compliance were similar between those who received cranberry capsules and placebo. Compliance evaluation revealed that most patients stopped capsule consumption after 34-38 weeks of participation. Multivariate logistic regression and longitudinal analysis showed a significant interaction time effect with cranberry treatment. However, cranberry consumption was not a significant predictor of gastrointestinal intolerance or study withdrawal. Although 30% of patients withdrew for various reasons, only 1 withdrew because of intolerance to the cranberry capsules. Loss to follow-up was mostly due to provider change (9 of 49 [18%]) and therapy disinterest (4 of 49 [8%]). Seven cases of ASB occurred in 5 patients: 2 of 24 (8%) in the cranberry group and 3 of 25 (12%) in the placebo group. No cases of cystitis or pyelonephritis were observed. One third of pregnant women could not complete the study protocol for various reasons. Compliance with and tolerability of cranberry capsule ingestion appear good; these capsules provide a potentially effective means to prevent ASB in pregnancy. Further studies with large samples are necessary to confirm the findings.

Factors Impacting On Patient Compliance with Medical Advice: Empirical Study

Directory of Open Access Journals (Sweden)

Krot Katarzyna

2017-06-01

Full Text Available The purpose of this paper to identify factors which have a bearing on compliance with medical advice in various age groups. The survey was conducted, using the CAWI method, on a representative sample of 1000 respondents who declared having used healthcare services in the previous six months. Control of competences is one of the strongest factors which is common for the oldest and youngest groups. Interestingly, trust in the integrity and honesty of doctors is significant for the youngest patients, i.e., the higher is the level of trust, the lower is the tendency to non-comply. Another type of trust is related to the benevolence of doctors and is significant to patients of the middle age group. Satisfaction is a significant predictor in the two oldest groups of patients. High levels of satisfaction seem to deter people from non-adherence to recommended treatment regimens. The results of the present study provide knowledge about the nature and diversity of factors behind patient compliance in various age groups.

The elderly on dialysis: some considerations in compliance.

Science.gov (United States)

McKevitt, P M; Jones, J F; Lane, D A; Marion, R R

1990-10-01

Compliance with scheduled treatments, dietary and fluid restrictions, and multiple medications is an important component in the care and well-being of end-stage renal disease (ESRD) patients. Given the rigorus and complex demands of dialysis, it is important to examine the issue of compliance, focusing on a large and ever-increasing segment of our patient population, the elderly. The ESRD literature reflects efforts to define and measure levels of compliance, identify factors that influence and predict compliance, and develop intervention strategies to improve adherence to treatment regimens. While limited attention has been focused specifically on the elderly, there are studies suggesting that age may be a factor associated with improved adherence and that social support may be a significant contributor to compliance in this patient group. In an effort to examine the current status and needs of the dialysis elderly, research is in progress at Chromalloy American Kidney Center, Washington University, which replicates a study of 5 years ago. Eighty-four patients age 60 and over, on dialysis for a minimum of 6 months, were identified. Sociodemographic, treatment, compliance, and functional capacity data were collected; additional mental and psychological testing was completed on patients willing and able to participate. Preliminary data suggest the current elderly population is larger and significantly older than that of 5 years ago. Other sociodemographic data indicate the population is increasingly female, black, and more socioeconomically disadvantaged. In regard to compliance, the vast majority of elderly demonstrate good compliance as measured by serum potassium, fair to good compliance with phosphorus, and fair to poor compliance with fluid restrictions.(ABSTRACT TRUNCATED AT 250 WORDS)

Reactive Transport Models with Geomechanics to Mitigate Risks of CO2 Utilization and Storage

Energy Technology Data Exchange (ETDEWEB)

Deo, Milind [Univ. of Utah, Salt Lake City, UT (United States); Huang, Hai [Univ. of Utah, Salt Lake City, UT (United States); Kweon, Hyukmin [Univ. of Utah, Salt Lake City, UT (United States); Guo, Luanjing [Univ. of Utah, Salt Lake City, UT (United States)

2016-03-28

revealed that an initial high-permeability pathway facilitated the formation of wormholes. The peak cation concentrations and general trends were matched using Toughreact. Batch reactor modeling showed that the geometric factors obtained using powder data that related effective surface area to the BET surface area had to be reduced for fractured samples and cores. This indicates that the available surface area in consolidated samples is lower than that deduced from powder experiments. Field-scale modeling of reactive transport and geomechanics was developed in parallel at Idaho National Laboratory. The model is able to take into account complex chemistry, and consider interactions of natural fractures and faults. Poroelastic geomechanical considerations are also included in the model.

Hydro-bio-geomechanical properties of hydrate-bearing sediments from Nankai Trough

Science.gov (United States)

Santamarina, J.C.; Dai, Shifeng; Terzariol, M.; Jang, Jeonghwan; Waite, William F.; Winters, William J.; Nagao, J.; Yoneda, J.; Konno, Y.; Fujii, T.; Suzuki, K.

2015-01-01

Natural hydrate-bearing sediments from the Nankai Trough, offshore Japan, were studied using the Pressure Core Characterization Tools (PCCTs) to obtain geomechanical, hydrological, electrical, and biological properties under in situ pressure, temperature, and restored effective stress conditions. Measurement results, combined with index-property data and analytical physics-based models, provide unique insight into hydrate-bearing sediments in situ. Tested cores contain some silty-sands, but are predominantly sandy- and clayey-silts. Hydrate saturations Sh range from 0.15 to 0.74, with significant concentrations in the silty-sands. Wave velocity and flexible-wall permeameter measurements on never-depressurized pressure-core sediments suggest hydrates in the coarser-grained zones, the silty-sands where Sh exceeds 0.4, contribute to soil-skeletal stability and are load-bearing. In the sandy- and clayey-silts, where Sh < 0.4, the state of effective stress and stress history are significant factors determining sediment stiffness. Controlled depressurization tests show that hydrate dissociation occurs too quickly to maintain thermodynamic equilibrium, and pressure–temperature conditions track the hydrate stability boundary in pure-water, rather than that in seawater, in spite of both the in situ pore water and the water used to maintain specimen pore pressure prior to dissociation being saline. Hydrate dissociation accompanied with fines migration caused up to 2.4% vertical strain contraction. The first-ever direct shear measurements on never-depressurized pressure-core specimens show hydrate-bearing sediments have higher sediment strength and peak friction angle than post-dissociation sediments, but the residual friction angle remains the same in both cases. Permeability measurements made before and after hydrate dissociation demonstrate that water permeability increases after dissociation, but the gain is limited by the transition from hydrate saturation

[Drug compliance of patients on anticoagulant treatment].

Science.gov (United States)

Gadó, Klára; Kocsis, Eszter; Zelkó, Romána; Hankó, Balázs; Kovácsné Balogh, Judit; Forczig, Mónika; Domján, Gyula

2015-08-09

Despite several therapeutic possibilities the morbidity and mortality of thromboembolic disorders remain high. Improving drug compliance - i. e. keeping up the doctor's prescriptions - may be an effective tool to reach better results. To improve patients' compliance, the risk factors of non-compliance should be recognized. Among these patients' fear of adverse effects of drugs, their lack of knowledge about their illness and medication, forgetfulness, and other social, economic factors may be the most important. Furthermore, adherence may be worsened when the patient feels that the decision has been made over his/her head. Sustained medical adherence is important because anticoagulation may be a life-long treatment. The new oral anticoagulants make the matter of compliance to be current. These new type of drugs do not need regular laboratory monitoring and, therefore, compliance cannot be strictly followed. There are several studies concerning drug compliance to anticoagulant medications. Improvement of adherence is based on regular patient education after reviewing the factors of non-compliance, which needs teamwork with important roles of doctors, pharmacists, dietetics and nurses. Careful and accurate work of the participants of primary care might be complemented by the activity of anticoagulant clinics.

Adolescents' Compliance-Resistance: Effects of Parents' Compliance Strategy and Gender.

Science.gov (United States)

White, Kim D.; And Others

1989-01-01

Examined choice of compliance-resisting behaviors among adolescents. Findings from 118 high school students revealed significant differences in resistance strategy the adolescent selected on basis of parent gender, adolescent gender, and compliance-gaining strategy (manipulation, nonnegotiation, emotional appeal, personal rejection, empathic…

Compliance checking of data-aware and resource-aware compliance requirements

NARCIS (Netherlands)

Ramezani Taghiabadi, E.; Gromov, V.; Fahland, D.; Aalst, van der W.M.P.; Meersman, R.; Panetto, H.; Dillon, T.; Missikoff, M.; Liu, L.; Pastor, O.; Cuzzocrea, A.; Sllis, T.

2014-01-01

Compliance checking is gaining importance as today’s organizations need to show that their business practices are in accordance with predefined (legal) requirements. Current compliance checking techniques are mostly focused on checking the control-flow perspective of business processes. This paper

Compliance status

International Nuclear Information System (INIS)

Black, D.G.

1995-01-01

This section of the 1994 Hanford Site Environmental Report summarizes the activities conducted to ensure that the Hanford Site is in compliance with federal environmental protection statutes and related Washington State and local environmental protection regulations and the status of Hanford's compliance with these requirements. Environmental permits required under the environmental protection regulations are discussed under the applicable statute

Influence of social competence of physicians on patient compliance with osteoporosis medications--a study on Polish postmenopausal women.

Science.gov (United States)

Bryl, Nadia; Horst-Sikorska, Wanda; Ignaszak-Szczepaniak, Magdalena; Marcinkowska, Michalina; Michalak, Michał; Sewerynek, Ewa

2012-07-01

The aim of the study was to examine the impact of social competence of physicians on the effectiveness of patient compliance and persistence with therapy. The study included physicians and their patients, previously diagnosed with osteoporosis, and eligible to receive pharmacological treatment. The physicians were evaluated with the social competence questionnaire involving three dimensions: social exposure, intimacy and assertiveness, as well as in the combined scale. All patients in the study group were prescribed the same medication: alendronate once a week. Compliance and persistence of the patients were juxtaposed with social interaction skills of physicians during 7 scheduled appointments at 2-month intervals. Doctor's effectiveness in situations demanding close interpersonal contact was higher in the group with good compliance--group A (p fear and

Cognitive Dissonance Theory and the Induced-Compliance Paradigm: Concerns for Teaching Religious Studies

Science.gov (United States)

Burns, Charlene P. E.

2006-01-01

Cognitive Dissonance Theory and the Induced-Compliance Paradigm pose some interesting questions for those teaching religious studies in publicly funded colleges and universities. Given that religious beliefs can be challenged by the historical-critical study of scriptures, for example, and that the cognitive dissonance generated when this occurs…

Hacking a Bridge: An Exploratory Study of Compliance-Based Information Security Management in Banking Organization

Directory of Open Access Journals (Sweden)

Tesleem Fagade

2017-10-01

Full Text Available This work is approached through the lens of compliant security by drawing on the concepts of neutralization theory, a prominent postulation in the criminology domain and the 'big five' personality construct. This research is conducted based on a case study of ISO/IEC27001 Standard certified banks, to empirically evaluate the link between cybersecurity protocols violation and how employees rationalise security behaviour. We propose that compliance-based security has the propensity for a heightened sense of false security and vulnerability perception; by showing that systemic security violation in compliance-based security models can be explained by the level of linkages from the personality construct and the neutralization theory. Building on the survey responses from banking organization employees and the application of partial least square structural equation modelling (PLS-SME analysis to test the hypotheses and validate survey samples, we draw a strong inference to support the importance of individual security scenario effect as a vital complementary element of compliance-based security. Based on our initial findings, conceptual principles and practical guidelines for reducing insider threats and improving employees' compliance is presented. We then suggest how information security protocol violations can be addressed in that context.

Job Burnout Reduces Hand Hygiene Compliance Among Nursing Staff.

Science.gov (United States)

Manomenidis, Georgios; Panagopoulou, Efharis; Montgomery, Anthony

2017-10-13

Health professional burnout has been associated with suboptimal care and reduced patient safety. However, the extent to which burnout influences hand hygiene compliance among health professionals has yet to be explored. The aim of the study was to examine whether job burnout reduces hand washing compliance among nursing staff. A diary study was conducted. Forty registered nurses working in a general city hospital in Thessaloniki, Greece, completed a questionnaire, while they were monitored for hand hygiene compliance following the World Health Organization protocol for hand hygiene assessment. Burnout was measured using validated items from the Maslach Burnout Inventory. Data were collected from September to October 2015. Multiple regression analysis showed that controlling for years in practice, burnout was negatively associated with hand hygiene compliance (R = 0.322, F(3,36) = 5.704, P compliance to hand hygiene among nurses. Given the crucial role of hand hygiene compliance for the prevention of in-hospital infections, this study highlights the need for interventions targeting the prevention of burnout among nursing staff.

Compliance status

Energy Technology Data Exchange (ETDEWEB)

Black, D.G.

1995-06-01

This section of the 1994 Hanford Site Environmental Report summarizes the activities conducted to ensure that the Hanford Site is in compliance with federal environmental protection statutes and related Washington State and local environmental protection regulations and the status of Hanford`s compliance with these requirements. Environmental permits required under the environmental protection regulations are discussed under the applicable statute.

Performing compliance

DEFF Research Database (Denmark)

Wimmelmann, Camilla Lawaetz

2017-01-01

the local policy workers front-staged some practices in the implementation process and back-staged others. The local policy workers deliberately performed ‘guideline compliance’ by using information control and impression management techniques. The findings suggest that local guideline compliance should...... be regarded as a staged performance in which deliberate techniques are used to produce and manage certain impressions of compliance....

DOTS Compliance by Tuberculosis Patients in District Raipur (Chhattisgarh

Directory of Open Access Journals (Sweden)

Teeku Sinha

2010-10-01

Full Text Available Background: Compliance to therapy is one of the important factors that affect the outcome. Non-compliance to self administered multi drug tuberculosis treatment regimens is an important cause of failure of initial therapy and relapse as well as acquired drug resistance, requiring more prolonged and expensive therapy. Objective: To know the compliance of DOTS therapy in TB patients in District Raipur and to find out the reasons of non-compliance of DOTS therapy among the patients. Study Design: Cross sectional observational community based study. Study Setting: Microscopic Centers in District Raipur. Participants: 695 patients of Tuberculosis. Result: Study revealed that 65.93% patients had complied with the DOTS therapy and 33.38% were non compliant. Conclusion: Most of the reasons of non-Compliance can be averted by proper counseling of target group. Hence to achieve the goal of RNTCP, proper counseling of target group must be given top priority.

Assessment of public perception and environmental compliance at a pulp and paper facility: a Canadian case study.

Science.gov (United States)

Hoffman, Emma; Bernier, Meagan; Blotnicky, Brenden; Golden, Peter G; Janes, Jeffrey; Kader, Allison; Kovacs-Da Costa, Rachel; Pettipas, Shauna; Vermeulen, Sarah; Walker, Tony R

2015-12-01

Communities across Canada rely heavily on natural resources for their livelihoods. One such community in Pictou County, Nova Scotia, has both benefited and suffered, because of its proximity to a pulp and paper mill (currently owned by Northern Pulp). Since production began in 1967, there have been increasing impacts to the local environment and human health. Environmental reports funded by the mill were reviewed and compared against provincial and federal regulatory compliance standards. Reports contrasted starkly to societal perceptions of local impacts and independent studies. Most environmental monitoring reports funded by the mill indicate some levels of compliance in atmospheric and effluent emissions, but when compliance targets were not met, there was a lack of regulatory enforcement. After decades of local pollution impacts and lack of environmental compliance, corporate social responsibility initiatives need implementing for the mill to maintain its social licence to operate.

Analysis of variables affecting drug compliance in schizophrenia

Directory of Open Access Journals (Sweden)

Shakeel Ansari

2014-01-01

Full Text Available Context: As compliance of the patient during management of schizophrenia is crucial, the current study was conducted to find out the factors that affected compliance. Aims: The aim of the study was to analyze the prevalence of noncompliance and to find out different factors affecting compliance in schizophrenic patients. Materials and Methods: Observational cross-sectional study was conducted on 100 adult schizophrenic patients. Noncompliance was assessed using the rating of medication influence (ROMI scale. Severity of illness was measured using positive and negative syndrome scale (PANSS. Results: Prevalence of noncompliance was 37%. Using ROMI scale; positive relationship with psychiatrist, family pressure for taking medications, stigma, and substance abuse were found to be significant factors. Severity of illness was also found as determining factor. Conclusion: To improve the compliance in schizophrenia patients, roles of both psychiatrists and family members are crucial.

Electronic compliance monitoring of topical treatment after ophthalmic surgery.

Science.gov (United States)

Hermann, Manuel Marcel; Ustündag, Can; Diestelhorst, Michael

2010-08-01

The success of many medical treatments is built on compliance. Electronic monitoring is the most accurate tool to quantify compliance by measuring adherence. In order to assess the efficiency of a recently introduced miniature monitoring device for eye drop application, we evaluated adherence in ophthalmic patients undergoing post-operative short-term topical treatment. This pilot study enrolled 30 outpatients (mean age 61.8 +/- 18.5 years) after cataract (n = 24) and glaucoma filtration surgery (n = 6) applying fixed-combination eye drops containing prednisolone and gentamicin five times daily for 2 weeks. Patients received eye drops in conventional bottles each equipped with a miniature monitoring device recording events of application. Two patients failed to bring back the monitoring device; therefore data collected from only 28 patients could be examined. Data showed highly variable results with a mean dose compliance of 50.2%. Dose compliance was below 25% in approximately one out of five patients. Four cataract patients, but no glaucoma patient, discontinued therapy prematurely. The observed mean dosage interval was calculated for each patient and ranged 4.6-19.7 h. Thirty percent of analysed dosage intervals exceeded 12.0 h. Different patterns of compliance behaviour-like early non-persistence, drug holiday and low treatment frequency could be identified and illustrated using electronic data. Age or gender did not significantly influence compliance rates. Our pilot study demonstrates successful electronic compliance monitoring using a technology capable of continuous data recording over weeks of treatment. The low compliance rate for a relevant part of the patients demonstrates the necessity to study and improve compliance in ophthalmology. In future, new application methods and electronic application devices may improve treatment response in eye care.

Coupled Flow and Geomechanics Modeling of Slow Earthquakes: Application to Slow Slip Events (SSE) in the Guerrero Gap, Mexico

Science.gov (United States)

Alves da Silva Junior, J.; Frank, W.; Castineira, D.; Jha, B.; Juanes, R.

2016-12-01

Three major cycles of slow slip events (SSE) have been reported since the early 2000s in the Guerrero gap, Mexico, on the boundary between the Cocos and North American plates. Analysis of teleseismic waveforms recorded on a dense temporary seismic network in the Guerrero gap have found low S-wave velocity and high Vp/Vs ratios at the depths corresponding to the sources of SSE, implying the possible presence of fluids and thus an active dewatering process that may result in near-lithostatic pore pressure at the plate interface. Here we use coupled flow and geomechanics analysis of the Guerrero gap to model transient changes in the stress field in the subduction zone as a result of pore pressure fluctuations and potential fluid flow along the subduction interface. Our computational modeling approach couples a multiphase flow simulator with a mechanical simulator using the unconditionally stable fixed stress scheme for the sequential solution of the two-way coupling between flow and geomechanics (Jha and Juanes, 2014). We assume quasi-static mechanical deformation and neglect the inertial term in the solid momentum balance equation—an approximation that is valid to model SSE assuming aseismic slip. We represent the subducting Cocos fault as a surface embedded in a three-dimensional medium, and use zero thickness interface elements to accurately model stick-slip behavior under dynamically evolving fluid pressure and fault strength. We employ the rate- and state-dependent friction model in the evolution of the coefficient of friction. We calibrate our model using two distinct datasets—GPS data and tremor catalogs in the area of Guerrero gap—and by separately constraining the rate of water production from a model of mineral hydration with depth. Our quantitative modeling approach furnishes a mechanistic understanding of the relationship between pore pressure evolution, stress transfer and tremor migration, and helps elucidate the origin of SSE in this area.

An observational study of compliance with the Scandinavian guidelines for management of minimal, mild and moderate head injury

DEFF Research Database (Denmark)

Heskestad, Ben; Waterloo, Knut; Ingebrigtsen, Tor

2012-01-01

The Scandinavian guidelines for management of minimal, mild and moderate head injuries were developed to provide safe and cost effective assessment of head injured patients. In a previous study conducted one year after publication and implementation of the guidelines (2003), we showed low...... compliance, involving over-triage with computed tomography (CT) and hospital admissions. The aim of the present study was to investigate guideline compliance after an educational intervention....

Hip protector compliance: a 13-month study on factors and cost in a long-term care facility.

Science.gov (United States)

Burl, Jeffrey B; Centola, James; Bonner, Alice; Burque, Colleen

2003-01-01

To determine if a high compliance rate for wearing external hip protectors could be achieved and sustained in a long-term care population. A 13-month prospective study of daytime use of external hip protectors in an at-risk long-term care population. One hundred-bed not-for-profit long-term care facility. Thirty-eight ambulatory residents having at least 1 of 4 risk factors (osteoporosis, recent fall, positive fall screen, previous fracture). The rehabilitation department coordinated an implementation program. Members of the rehabilitation team met with eligible participants, primary caregivers, families, and other support staff for educational instruction and a description of the program. The rehabilitation team assumed overall responsibility for measuring and ordering hip protectors and monitoring compliance. By the end of the third month, hip protector compliance averaged greater than 90% daily wear. The average number of falls per month in the hip protector group was 3.9 versus 1.3 in nonparticipants. Estimated total indirect staff time was 7.75 hours. The total cost of the study (hip protectors and indirect staff time) was 6,300 US dollars. High hip protector compliance is both feasible and sustainable in an at-risk long-term care population. Achieving high compliance requires an interdisciplinary approach with one department acting as a champion. The cost of protectors could be a barrier to widespread use. Facilities might be unable to cover the cost until the product is paid for by third-party payers.

A study of pedestrian compliance with traffic signals for exclusive and concurrent phasing.

Science.gov (United States)

Ivan, John N; McKernan, Kevin; Zhang, Yaohua; Ravishanker, Nalini; Mamun, Sha A

2017-01-01

This paper describes a comparison of pedestrian compliance at traffic signals with two types of pedestrian phasing: concurrent, where both pedestrians and vehicular traffic are directed to move in the same directions at the same time, and exclusive, where pedestrians are directed to move during their own dedicated phase while all vehicular traffic is stopped. Exclusive phasing is usually perceived to be safer, especially by senior and disabled advocacy groups, although these safety benefits depend upon pedestrians waiting for the walk signal. This paper investigates whether or not there are differences between pedestrian compliance at signals with exclusive pedestrian phasing and those with concurrent phasing and whether these differences continue to exist when compliance at exclusive phasing signals is evaluated as if they had concurrent phasing. Pedestrian behavior was observed at 42 signalized intersections in central Connecticut with both concurrent and exclusive pedestrian phasing. Binary regression models were estimated to predict pedestrian compliance as a function of the pedestrian phasing type and other intersection characteristics, such as vehicular and pedestrian volume, crossing distance and speed limit. We found that pedestrian compliance is significantly higher at intersections with concurrent pedestrian phasing than at those with exclusive pedestrian phasing, but this difference is not significant when compliance at exclusive phase intersections is evaluated as if it had concurrent phasing. This suggests that pedestrians treat exclusive phase intersections as though they have concurrent phasing, rendering the safety benefits of exclusive pedestrian phasing elusive. No differences were observed for senior or non-senior pedestrians. Published by Elsevier Ltd.

Interventions to improve hand hygiene compliance in patient care.

Science.gov (United States)

Gould, Dinah J; Moralejo, Donna; Drey, Nicholas; Chudleigh, Jane H; Taljaard, Monica

2017-09-01

Health care-associated infection is a major cause of morbidity and mortality. Hand hygiene is regarded as an effective preventive measure. This is an update of a previously published review. To assess the short- and long-term success of strategies to improve compliance to recommendations for hand hygiene, and to determine whether an increase in hand hygiene compliance can reduce rates of health care-associated infection. We conducted electronic searches of the Cochrane Register of Controlled Trials, PubMed, Embase, and CINAHL. We conducted the searches from November 2009 to October 2016. We included randomised trials, non-randomised trials, controlled before-after studies, and interrupted time series analyses (ITS) that evaluated any intervention to improve compliance with hand hygiene using soap and water or alcohol-based hand rub (ABHR), or both. Two review authors independently screened citations for inclusion, extracted data, and assessed risks of bias for each included study. Meta-analysis was not possible, as there was substantial heterogeneity across studies. We assessed the certainty of evidence using the GRADE approach and present the results narratively in a 'Summary of findings' table. This review includes 26 studies: 14 randomised trials, two non-randomised trials and 10 ITS studies. Most studies were conducted in hospitals or long-term care facilities in different countries, and collected data from a variety of healthcare workers. Fourteen studies assessed the success of different combinations of strategies recommended by the World Health Organization (WHO) to improve hand hygiene compliance. Strategies consisted of the following: increasing the availability of ABHR, different types of education for staff, reminders (written and verbal), different types of performance feedback, administrative support, and staff involvement. Six studies assessed different types of performance feedback, two studies evaluated education, three studies evaluated cues such

Understanding Compliance in Patriarchal Religions: Mormon Women and the Latter Day Saints Church as a Case Study

Directory of Open Access Journals (Sweden)

Reid Leamaster

2018-04-01

Full Text Available Defining compliance as acquiescence in situations of inequality, this article explores patterns of compliance to gender traditionalism from the analysis of interviews with Mormon women. Analysis reveals that Mormon women face unique, context-specific mechanisms for stifling resistance to gender traditionalism. Additionally, many of the Mormon women interviewed who do not comply with traditional gender expectations regarding motherhood still accept and defend gender traditionalism. We explain this pattern with a concept that we call ideological compensation, which means that women in gender traditional religions defend gender traditionalism even if they do not live it as a way to compensate for their non-compliance. Finally, we find that some of the women frame their compliance to Mormon gender traditionalism as a statement of resistance against the broader society. We describe this phenomenon with a concept known as subcultural resistance. Overall, this study sheds light on how Mormon women interpret traditional gender expectations and the mechanisms that are put in place to stifle resistance.

Environmental Compliance Guide

International Nuclear Information System (INIS)

1981-02-01

The Guide is intended to assist Department of Energy personnel by providing information on the NEPA process, the processes of other environmental statutes that bear on the NEPA process, the timing relationships between the NEPA process and these other processes, as well as timing relationships between the NEPA process and the development process for policies, programs, and projects. This information should be helpful not only in formulating environmental compliance plans but also in achieving compliance with NEPA and various other environmental statutes. The Guide is divided into three parts with related appendices: Part I provides guidance for developing environmental compliance plans for DOE actions; Part II is devoted to NEPA with detailed flowcharts depicting the compliance procedures required by CEQ regulations and Department of Energy NEPA Guidelines; and Part III contains a series of flowcharts for other Federal environmental requirements that may apply to DOE projects

Environmental Compliance Guide

Energy Technology Data Exchange (ETDEWEB)

None

1981-02-01

The Guide is intended to assist Department of Energy personnel by providing information on the NEPA process, the processes of other environmental statutes that bear on the NEPA process, the timing relationships between the NEPA process and these other processes, as well as timing relationships between the NEPA process and the development process for policies, programs, and projects. This information should be helpful not only in formulating environmental compliance plans but also in achieving compliance with NEPA and various other environmental statutes. The Guide is divided into three parts with related appendices: Part I provides guidance for developing environmental compliance plans for DOE actions; Part II is devoted to NEPA with detailed flowcharts depicting the compliance procedures required by CEQ regulations and Department of Energy NEPA Guidelines; and Part III contains a series of flowcharts for other Federal environmental requirements that may apply to DOE projects.

Choices that increase compliance

International Nuclear Information System (INIS)

Edwards, P.R.

1991-01-01

A compliance model is developed and tested using a survey of corporate officials and the regulatory arena of equal employment opportunity. Findings support the economic model of compliance in its conclusion that probability of detection and probable level of sanctions influence compliance decisions. Results also indicate that adjustments to the model that account for bounded rationality are valid. The key outcome, however, is that although all types of investigations play some role in enhancing compliance, those that stress sanctions and thus severity rather than certainty of detection may have the greatest positive influence on compliance. Enforcement programs attempting to operate simply as investigators of small-scale complaints will have less success than those with different types of investigations or a balanced type of single investigation. The results also suggest a more complex cognitive process on the part of regulated individuals than initially theorized. 34 refs., 3 tabs

The effective compliance of spatially evolving planar wing-cracks

Science.gov (United States)

Ayyagari, R. S.; Daphalapurkar, N. P.; Ramesh, K. T.

2018-02-01

We present an analytic closed form solution for anisotropic change in compliance due to the spatial evolution of planar wing-cracks in a material subjected to largely compressive loading. A fully three-dimensional anisotropic compliance tensor is defined and evaluated considering the wing-crack mechanism, using a mixed-approach based on kinematic and energetic arguments to derive the coefficients in incremental compliance. Material, kinematic and kinetic parametric influences on the increments in compliance are studied in order to understand their physical implications on material failure. Model verification is carried out through comparisons to experimental uniaxial compression results to showcase the predictive capabilities of the current study.

Compliance to antihypertensive therapy

International Nuclear Information System (INIS)

Almas, A.; Hameed, A.; Ahmed, B.; Islam, M.

2006-01-01

Objective: To determine compliance, factors affecting compliance to antihypertensive therapy and to compare compliant and non-compliant groups, in a tertiary care setting. Study Design: Analytical (cross-sectional) study. Place and Duration of Study: The outpatient clinics at the Aga Khan University from May 2004 to February 2005. Patients and Methods: Two hundred patients presenting to the outpatients clinic were included. All patients 18 years and above, who had stage 1 and 2 hypertension, had one clinic visit to a medicine clinic, 6 months prior to presentation and started on antihypertensive medicines, were included. Results: Sixty-six percent were males and 33.5 % were females. Mean age was 58.1 ( +- 12) years and mean duration of hypertension was 7.2 (+- 6.7) years. Fifty-seven percent were compliant and 43% were noncompliant. In the noncompliant group, 53.4 % had mild noncompliance, 24.4 % had severe non-compliance, while 22% had moderate noncompliance. Factors of noncompliance were 56.8% missed doses due to forgetfulness, 12.7% deliberately missed their doses, 11.6% could not take the medicine due to side effects, 10.4% did not take the dose due to increased number of tablets, 4.6% were not properly counseled by the physician and 3.48% did not take medicines due to cost issues. The mean systolic blood pressure was 126 +- 19.2 mmHg in the compliant group while it was 133 +- 16.5 mmHg in the noncompliant group (p-value 0.004). The mean diastolic blood pressure in the compliant group was 76 +- 11.9 mmHg, while in the noncompliant group it was 81.9 +- 10.9 mmHg (p-value 0.001). Conclusion: Compliance to antihypertensive therapy in a tertiary care center is significantly good. Forgetfulness was the major reason for noncompliance. The mean blood pressure control was better in the compliant group. (author)

Compliance Performance: Effects of a Provider Incentive Program and Coding Compliance Plan

National Research Council Canada - National Science Library

Tudela, Joseph A

2004-01-01

The purpose of this project is to study provider and coder related performance, i.e., provider compliance rate and coder productivity/accuracy rates and average dollar difference between coder and auditor, at Brooke Army Medical Center...

Increased arterial compliance in decompensated cirrhosis

DEFF Research Database (Denmark)

Henriksen, Jens Henrik Sahl; Møller, Søren; Schifter, S

1999-01-01

of the vasodilator, calcitonin gene-related peptide (CGRP) and mean arterial blood pressure (MAP). METHODS: Arterial compliance (COMPart=deltaV/deltaP) was determined as the stroke volume relative to pulse pressure (i.e. systolic minus diastolic blood pressure) during a haemodynamic evaluation of portal hypertension......BACKGROUND/AIMS: In patients with cirrhosis, the systemic circulation is hyperdynamic with low arterial blood pressure and reduced systemic vascular resistance. The present study was undertaken to estimate the compliance of the arterial tree in relation to severity of cirrhosis, circulating level...... of CGRP (r=0.34, parterial compliance in cirrhosis is directly related to the severity of the disease and to the elevated level of circulating vasodilator peptide CGRP, and inversely related...

Interventions to improve hand hygiene compliance in patient care.

Science.gov (United States)

Gould, Dinah J; Moralejo, Donna; Drey, Nicholas; Chudleigh, Jane H

2010-09-08

Health care-associated infection is a major cause of morbidity and mortality. Hand hygiene is regarded as an effective preventive measure. To update the review done in 2007, to assess the short and longer-term success of strategies to improve hand hygiene compliance and to determine whether a sustained increase in hand hygiene compliance can reduce rates of health care-associated infection. We conducted electronic searches of: the Cochrane Central Register of Controlled Trials; the Cochrane Effective Practice and Organisation of Care Group specialised register of trials; MEDLINE; PubMed; EMBASE; CINAHL; and the BNI. Originally searched to July 2006, for the update databases were searched from August 2006 until November 2009. Randomised controlled trials, controlled clinical trials, controlled before and after studies, and interrupted time series analyses meeting explicit entry and quality criteria used by the Cochrane Effective Practice and Organisation of Care Group were eligible for inclusion. Studies reporting indicators of hand hygiene compliance and proxy indicators such as product use were considered. Self-reported data were not considered a valid measure of compliance. Studies to promote hand hygiene compliance as part of a care bundle approach were included, providing data relating specifically to hand hygiene were presented separately. Studies were excluded if hand hygiene was assessed in simulations, non-clinical settings or the operating theatre setting. Two reviewers independently extracted data and assessed data quality. Four studies met the criteria for the review: two from the original review and two from the update. Two studies evaluated simple education initiatives, one using a randomized clinical trial design and the other a controlled before and after design. Both measured hand hygiene compliance by direct observation. The other two studies were both interrupted times series studies. One study presented three separate interventions within the

Therapy optimization in multiple sclerosis: a prospective observational study of therapy compliance and outcomes.

Science.gov (United States)

Coyle, Patricia K; Cohen, Bruce A; Leist, Thomas; Markowitz, Clyde; Oleen-Burkey, MerriKay; Schwartz, Marc; Tullman, Mark J; Zwibel, Howard

2014-03-13

Data sources for MS research are numerous but rarely provide an objective measure of drug therapy compliance coupled with patient-reported health outcomes. The objective of this paper is to describe the methods and baseline characteristics of the Therapy Optimization in MS (TOP MS) study designed to investigate the relationship between disease-modifying therapy compliance and health outcomes. TOP MS was designed as a prospective, observational, nationwide patient-focused study using an internet portal for data entry. The protocol was reviewed and approved by Sterling IRB. The study was registered with ClinicalTrials.gov. It captured structured survey data monthly from MS patients recruited by specialty pharmacies. Data collection included the clinical characteristics of MS such as MS relapses. Disability, quality of life and work productivity and activity impairment were assessed quarterly with well-validated scales. When events like severe fatigue or new or worsening depression were reported, feedback was provided to treating physicians. The therapy compliance measure was derived from pharmacy drug shipment records uploaded to the study database. The data presented in this paper use descriptive statistics. The TOP MS Study enrolled 2966 participants receiving their disease-modifying therapy (DMT) from specialty pharmacies. The mean age of the sample was 49 years, 80.4% were female, 89.9% were Caucasian and 55.7% were employed full or part time. Mean time since first symptoms was 11.5 years; mean duration since diagnosis was 9.5 years. Patient-reported EDSS was 3.5; 72.2% had a relapsing-remitting disease course. The most commonly reported symptoms at the time of enrollment were fatigue (74.7%), impaired coordination or balance (61.8%) and numbness and tingling (61.2%). Half of the sample was using glatiramer acetate and half was using beta-interferons. Demographic and clinical characteristics of the TOP MS sample at enrollment are consistent with other community

Deadline Compliance Status Reports

Data.gov (United States)

Department of Housing and Urban Development — These monthly Deadline Compliance Status Reports assist Participating Jurisdictions and HUD Field Offices in monitoring compliance with the 2-year commitment and...

Compliance. Regulatory policy P-211

International Nuclear Information System (INIS)

2001-05-01

This regulatory policy describes the basic principles and directives for establishing and conducting the Canadian Nuclear Safety Commission (CNSC) Compliance Program. The program is aimed at securing compliance by regulated persons with regulatory requirements made under the Nuclear Safety and Control Act ('the Act'). The policy applies to persons who are regulated by the CNSC through the Act, regulations and licences, as well as by decisions and orders made under the Act. The policy applies to officers and employees of the CNSC, and its authorized representatives or agents, who are involved in developing and carrying out compliance activities. Compliance, in the context of this policy, means conformity by regulated persons with the legally binding requirements of the Act, and the CNSC regulations, licences, decisions, and orders made under the Act. Compliance activities are CNSC measures of promotion, verification and enforcement aimed at securing compliance by regulated person with the applicable legally binding requirements. (author)

Inverse Problem for 3D coupled Flow-Geomechanics Models and Induced Seismicity: Application to Subsurface Characterization and Seismicity Forecasting in Geologic CO2 Storage

Science.gov (United States)

Castineira, D.; Jha, B.; Juanes, R.

2016-12-01

Carbon Capture and Sequestration (CCS) is regarded as a promising technology to mitigate rising CO2 concentrations in the atmosphere from industrial emissions. However, as a result of the inherent uncertainty that is present in geological structures, assessing the stability of geological faults and quantifying the potential for induced seismicity is a fundamental challenge for practical implementation of CCS. Here we present a formal framework for the solution of the inverse problem associated with coupled flow and geomechanics models of CO2 injection and subsurface storage. Our approach builds from the application of Gaussian Processes, MCMC and posterior predictive analysis to evaluate relevant earthquake attributes (earthquake time, location and magnitude) in 3D synthetic models of CO2 storage under geologic, observational and operational uncertainty. In our approach, we first conduct hundreds of simulations of a high-fidelity 3D computational model for CO2 injection into a deep saline aquifer, dominated by an anticline structure and a fault. This ensemble of realizations accounts for uncertainty in the model parameters (including fault geomechanical and rock properties) and observations (earthquake time, location and magnitude). We apply Gaussian processes (GP) to generate a valid surrogate that closely approximates the behavior of the high fidelity (and computationally intensive) model, and apply hyperparameter optimization and cross-validation techniques in the solution of this multidimensional data-fit problem. The net result of this process is the generation of a fast model that can be effectively used for Bayesian analysis. We then implement Markov chain Monte Carlo (MCMC) to determine the posterior distribution of the model uncertain parameters (given some prior distributions for those parameters and given the likelihood defined in this case by the GP model). Our results show that the resulting posterior distributions correctly converge towards the "true

Measuring hand hygiene compliance rates at hospital entrances.

Science.gov (United States)

Vaidotas, Marina; Yokota, Paula Kiyomi Onaga; Marra, Alexandre R; Camargo, Thiago Zinsly Sampaio; Victor, Elivane da Silva; Gysi, Deisy Morselli; Leal, Flavio; Santos, Oscar Fernando Pavão dos; Edmond, Michael B

2015-07-01

Despite the importance of hand hygiene in the health care setting, there are no studies evaluating hand hygiene compliance at hospital entrances. The study was prospectively performed over a 33-week period from March 30, 2014-November 15, 2014, to evaluate hand hygiene compliance in 2 hospital reception areas. We compared electronic handwash counters with the application of radiofrequency identification (GOJO SMARTLINK) (electronic observer) that counts each activation of alcohol gel dispensers to direct observation (human observer) via remote review of video surveillance. We found low hand hygiene compliance rates of 2.2% (99/4,412) and 1.7% (140/8,277), respectively, at reception areas A and D, detected by direct observation. Using the electronic observer, we measured rates of 17% (15,624/91,724) and 7.1% (51,605/730,357) at reception areas A and D, respectively. For the overall time period of simultaneous electronic and human observation, the human observer captured 1% of the hand hygiene episodes detected by the electronic observer. Our study showed very low hand hygiene compliance in hospital reception areas, and we found an electronic hand hygiene system to be a useful method to monitor hand hygiene compliance. Copyright © 2015 Association for Professionals in Infection Control and Epidemiology, Inc. Published by Elsevier Inc. All rights reserved.

THE ROLE OF LOCAL WISDOM TO TAX COMPLIANCE

Directory of Open Access Journals (Sweden)

I Nyoman Darmayasa

2016-04-01

Full Text Available Abstrak: Peran Kearifan Lokal Terhadap Kepatuhan Pajak. Penelitian ini bertujuan untuk memahami peran kearifan lokal terhadap kepatuhan pajak berdasar Self Assessment System (SAS di Lembaga Perkreditan Desa (LPD Legian Bali. Melalui paradigma interpretif dengan metode studi kasus, hasil penelitian menunjukkan bahwa makna kepatuhan pajak dideskripsikan sebagai kesadaran LPD untuk membayar pajak yang ditunjukkan melalui CSR berdasar Tri Hita Karana (THK. Implikasi teoretis dari penelitian ini terkait dengan makna dan perilaku kepatuhan pajak dari perspektif kearifan lokal. Hasil penelitian dapat dijadikan pertimbangan pembuat kebijakan untuk mempertimbangkan kearifan lokal dalam rangka meningkatkan kepatuhan pajak. Abstract: The Role of Local Wisdom on Tax Compliance. This study is intended to deepen our understanding about the meaning of the role of local wisdom on tax compliance in a village financing institution (LPD at Legian Bali. The research employed interpretive paradigm through case study. Results show that the meaning of tax compliance is described as awareness of LPD to pay taxes that is manifested in the implementation of CSR based on Tri Hita Karana (THK as local wisdom. Theoretical implications of this research is an alternative meaning and behavior of tax compliance from the perspective of local wisdom. The results can be used as consideration for taxation policy makers to raise local wisdom to encourage tax compliance.

Compliance with Corporate Governance Principles: Australian Evidence

Directory of Open Access Journals (Sweden)

Maryam Safari

2015-12-01

Full Text Available This study investigates the association between the level of compliance of Australian listed companies with Australian corporate governance principles, in aggregate, and the level of discretionary accruals using the modified Jones model. It is hypothesised that higher levels of compliance would be associated with lower levels of discretionary accruals. Data from a random sample of 214 Australian listed companies for the years 2009 and 2010 were used to test the hypothesis. The results demonstrate a significant negative relationship indicating that companies with higher levels of compliance engage in lower levels of earnings management via discretionary accruals.

12 CFR 1710.19 - Compliance and risk management programs; compliance with other laws.

Science.gov (United States)

2010-01-01

... OVERSIGHT, DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT SAFETY AND SOUNDNESS CORPORATE GOVERNANCE Corporate Practices and Procedures § 1710.19 Compliance and risk management programs; compliance with other laws. (a...

Geomechanical Simulations of CO2 Storage Integrity using the Livermore Distinct Element Method

Energy Technology Data Exchange (ETDEWEB)

Morris, J P; Johnson, S M; Friedmann, S J

2008-07-11

Large-scale carbon capture and sequestration (CCS) projects involving annual injections of millions of tons of CO{sub 2} are a key infrastructural element needed to substantially reduce greenhouse gas emissions. The large rate and volume of injection will induce pressure and stress gradients within the formation that could activate existing fractures and faults, or drive new fractures through the caprock. We will present results of an ongoing investigation to identify conditions that will activate existing fractures/faults or make new fractures within the caprock using the Livermore Distinct Element Code (LDEC). LDEC is a multiphysics code, developed at LLNL, capable of simulating dynamic fracture of rock masses under a range of conditions. As part of a recent project, LDEC has been extended to consider fault activation and dynamic fracture of rock masses due to pressurization of the pore-space. We will present several demonstrations of LDEC functionality and applications of LDEC to CO{sub 2} injection scenarios including injection into an extensively fractured rockmass. These examples highlight the advantages of explicitly including the geomechanical response of each interface within the rockmass. We present results from our investigations of Teapot Dome using LDEC to study the potential for fault activation during injection. Using this approach, we built finite element models of the rock masses surrounding bounding faults and explicitly simulated the compression and shear on the fault interface. A CO{sub 2} injection source was introduced and the area of fault activation was predicted as a function of injection rate. This work presents an approach where the interactions of all locations on the fault are considered in response to specific injection scenarios. For example, with LDEC, as regions of the fault fail, the shear load is taken up elsewhere on the fault. The results of this study are consistent with previous studies of Teapot Dome and indicate

An educational intervention to improve hand hygiene compliance in Vietnam.

Science.gov (United States)

Phan, Hang Thi; Tran, Hang Thi Thuy; Tran, Hanh Thi My; Dinh, Anh Pham Phuong; Ngo, Ha Thanh; Theorell-Haglow, Jenny; Gordon, Christopher J

2018-03-07

Hand hygiene compliance is the basis of infection control programs. In developing countries models to improve hand hygiene compliance to reduce healthcare acquired infections are required. The aim of this study was to determine hand hygiene compliance following an educational program in an obstetric and gynecological hospital in Vietnam. Health care workers from neonatal intensive care, delivery suite and a surgical ward from Hung Vuong Hospital, Ho Chi Minh City, Vietnam undertook a 4-h educational program targeting hand hygiene. Compliance was monitored monthly for six months following the intervention. Hand hygiene knowledge was assessed at baseline and after six months of the study. There were 7124 opportunities over 370 hand hygiene recording sessions with 1531 opportunities at baseline and 1620 at 6 months following the intervention. Hand hygiene compliance increased significantly from baseline across all sites (43.6% [95% Confidence interval CI: 41.1-46.1] to 63% [95% CI: 60.6-65.3]; p hygiene compliance increased significantly after intervention (p hygiene compliance for an extended period of time. Hand hygiene knowledge increased during the intervention. This hand hygiene model could be used in developing countries were resources are limited.

Compliance with barrier precautions during paediatric trauma resuscitations.

Science.gov (United States)

Kelleher, Deirdre C; Carter, Elizabeth A; Waterhouse, Lauren J; Burd, Randall S

2013-03-01

Barrier precautions protect patients and providers from blood-borne pathogens. Although barrier precaution compliance has been shown to be low among adult trauma teams, it has not been evaluated during paediatric resuscitations in which perceived risk of disease transmission may be low. The purpose of this study was to identify factors associated with compliance with barrier precautions during paediatric trauma resuscitations. Video recordings of resuscitations performed on injured children (compliance with an established policy requiring gowns and gloves. Depending on activation level, trauma team members included up to six physicians, four nurses, and a respiratory therapist. Multivariate logistic regression was used to determine the effect of team role, resuscitation factors, and injury mechanism on barrier precaution compliance. Over twelve weeks, 1138 trauma team members participated in 128 resuscitations (4.7% penetrating injuries, 9.4% highest level activations). Compliance with barrier precautions was 81.3%, with higher compliance seen among roles primarily at the bedside compared to positions not primarily at the bedside (90.7% vs. 65.1%, pcompliance, while surgical attendings (20.8%) had the lowest (prole, increased compliance was observed during resuscitations of patients with penetrating injuries (OR=3.97 [95% CI: 1.35-11.70], p=0.01), during resuscitations triaged to the highest activation level (OR=2.61 [95% CI: 1.34-5.10], p=0.005), and among team members present before patient arrival (OR=4.14 [95% CI: 2.29-7.39], pCompliance with barrier precautions varies by trauma team role. Team members have higher compliance when treating children with penetrating and high acuity injuries and when arriving before the patient. Interventions integrating barrier precautions into the workflow of team members are needed to reduce this variability and improve compliance with universal precautions during paediatric trauma resuscitations. Copyright © 2012 Elsevier

A Two-Wave Observational Study of Compliance With Youth Access and Tobacco Advertising Provisions of the Cigarettes and Other Tobacco Products Act in India.

Science.gov (United States)

Mead, Erin L; Rimal, Rajiv N; Cohen, Joanna E; Turner, Monique M; Lumby, Elena C; Feighery, Ellen C; Shah, Vandana

2016-05-01

The Indian Cigarettes and Other Tobacco Products Act prohibits youths' access to tobacco products at points-of-sale and near educational institutions, requires signage stating these restrictions in these venues, and bans outdoor advertisements. This observational study examined compliance with these provisions, changes in compliance over 1 year, and factors associated with compliance. Data were collected in 2012 and 2013 from points-of-sale (n = 555 in 2012, n = 718 in 2013), educational institutions (n = 277 in 2012, n = 276 in 2013), and neighborhoods (n = 104 in 2012, n = 125 in 2013) in 25 urban and rural towns in five states. Compliance across years was compared using chi-square tests. Multilevel regression equations assessed factors associated with compliance at Wave 2 and change in compliance from Wave 1 to Wave 2. Most points-of-sale had no/low compliance, with little change over time (58% to 63%, P = .108). The proportion of educational institutions observing just 1-2 provisions increased (39% to 52%, P = .002). Most neighborhoods complied with the advertisement ban at both waves (91% to 96%, P = .172). In the multilevel analysis, point-of-sale compliance increased in small cities; compliance decreased at points-of-sale and increased at institutions in mid-sized cities. Changes in point-of-sale compliance were due to compliance with access restrictions and signage requirements; changes in educational institution compliance were due to compliance with the sales ban. Compliance with provisions regarding the sale and display of tobacco products is moderate, while compliance with the advertisement ban remains high in these five Indian states. Greater enforcement will further reduce youths' exposure to tobacco products. The study adds to the literature on compliance and changes in compliance with policy to prohibit youth access to tobacco products in India, a country that has large geographic disparities in youth smoking prevalence. The findings highlight

14 CFR 26.49 - Compliance plan.

Science.gov (United States)

2010-01-01

... 14 Aeronautics and Space 1 2010-01-01 2010-01-01 false Compliance plan. 26.49 Section 26.49... Data for Repairs and Alterations § 26.49 Compliance plan. (a) Compliance plan. Except for applicants... January 11, 2008, each person identified in §§ 26.43, 26.45, and 26.47, must submit a compliance plan...

Compliance with the workplace-smoking ban in the Netherlands.

Science.gov (United States)

Verdonk-Kleinjan, Wendy M I; Rijswijk, Pieter C P; de Vries, Hein; Knibbe, Ronald A

2013-02-01

In 2004 the Dutch government instituted a workplace-smoking ban. This study focuses on differences in compliance over time and between occupational sectors, and describes the background variables. Telephone interviews were conducted with company employees across industry, public and service sectors in 2004 (n=705), 2006 (n=2201) and 2008 (n=2034). The questions concerned smoking policy, aspects of awareness and motivation to implement this ban. Compliance rates increased between 2006 (83%) and 2008 (96%) after an initial stagnation in the rate of compliance between 2004 and 2006. The increase in compliance was accompanied by a less negative attitude and an increase in confidence in one's ability to comply (self-efficacy). Differences in compliance between sectors with the highest compliance (public sector) and the lowest compliance (industry) decreased from about 20% to nearly 4%. Simultaneously, in the industry there was a stronger increase for risk perception of enforcement, social influence and self-efficacy. The initial stagnation in increase of compliance might be due to the lack of a (new) coherent package of policy measures to discourage smoking. Over the entire period there was a stronger increase in compliance in the industry sector, probably due to the intensification of enforcement activities and additional policy like legislation, which might increase awareness and social support. Copyright © 2012 Elsevier Ireland Ltd. All rights reserved.

Motivation for Compliance with Environmental Regulation

DEFF Research Database (Denmark)

Winter, Søren; May, Peter J.

2001-01-01

A combination of calculated, normative, and social motivations as well as awareness of rules and capacity to comply are thought to foster compliance with regulations. Hypotheses about these factors were tested with data concerning Danish farmers’ compliance with agro-environmental regulations....... Three key findings emerge: that farmers’ awareness of rules plays a critical role; that normative and social motivations are as influential as calculated motivations in enhancing compliance; and that inspectors’ enforcement style affects compliance differently from that posited in much of the literature...... compliance with social and environmental regulations....

Compliance with air quality regulations

International Nuclear Information System (INIS)

Steen, D.V.; Tackett, D.L.

1990-01-01

Due to the probable passage of Clean Air Act Amendments in 1990, electric utilities throughout the United States are faced with numerous choices to comply with the new acid rain regulations, expected in 1991. The choice of a compliance plan is not a simple task. Every compliance option will be costly. At Ohio Edison, deliberations are quite naturally influenced by past compliance with air quality regulations. This paper discusses compliance with air quality regulations in the 1970's, clean coal technologies and advanced scrubbers, and compliance with air quality regulations in 1995 - 2000. The choice of a compliance strategy for many utilities will involve serving customer loads through some combination of scrubbers, clean coal technologies, fuel switching, fuel blending, redispatch of units, and emissions trading. Whatever the final choice, it must be economic while providing sufficient flexibility to accommodate the critical uncertainties of load growth, state regulatory treatment, markets for emission allowances, advancements in control technologies, additional federal requirements for air emissions, equipment outages and fuel supply disruptions.s

Varying the Quality of Business Communication Caused by Compliance of Different Accounting Rules

Directory of Open Access Journals (Sweden)

Agus Setyadi

2009-06-01

Full Text Available This study examines the extent of Indonesian companies‟ compliance with the Indonesian accounting regulations (IARC of inventory, fixed assets, and depreciation by analyzing 160 Indonesian listed companies‟ 2006 annual reports. This study also looks at potential factors that explain the level of this compliance. Analysis reveals a high level of 71.63% inventory compliance, 51.13% fixed assets compliance, and 99.69% depreciation compliance with accounting rules. T-test and regression analysis show that firm size is a significant predictor of accounting compliance. Importantly, ownership and governance structures do not influence the level of compliance. Although Indonesian firms complied with more than 50% of the key accounting rule provisions, regulatory intervention appears needed to improve compliance. Such regulation might include sanctions as promulgated by multilateral financial organizations (World Bank 2005.

The monitoring of relative changes in compartmental compliances of brain

International Nuclear Information System (INIS)

Kim, Dong-Joo; Carrera, Emmanuel; Castellani, Gianluca; Zweifel, Christian; Smielewski, Peter; Pickard, John D; Czosnyka, Marek; Kasprowicz, Magdalena; Lavinio, Andrea; Sutcliffe, Michael P F

2009-01-01

The study aimed to develop a computational method for assessing relative changes in compartmental compliances within the brain: the arterial bed and the cerebrospinal space. The method utilizes the relationship between pulsatile components in the arterial blood volume, arterial blood pressure (ABP) and intracranial pressure (ICP). It was verified by using clinical recordings of intracranial pressure plateau waves, when massive vasodilatation accompanying plateau waves produces changes in brain compliances of the arterial bed (C a ) and compliance of the cerebrospinal space (C i ). Ten patients admitted after head injury with a median Glasgow Coma Score of 6 were studied retrospectively. ABP was directly monitored from the radial artery. Changes in the cerebral arterial blood volume were assessed using Transcranial Doppler (TCD) ultrasonography by digital integration of inflow blood velocity. During plateau waves, ICP increased (P = 0.001), CPP decreased (P = 0.001), ABP remained constant (P = 0.532), blood flow velocity decreased (P = 0.001). Calculated compliance of the arterial bed C a increased significantly (P = 0.001); compliance of the CSF space C i decreased (P = 0.001). We concluded that the method allows for continuous monitoring of relative changes in brain compartmental compliances. Plateau waves affect the balance between vascular and CSF compartments, which is reflected by the inverse change of compliance of the cerebral arterial bed and global compliance of the CSF space

Agent Architectures for Compliance

Science.gov (United States)

Burgemeestre, Brigitte; Hulstijn, Joris; Tan, Yao-Hua

A Normative Multi-Agent System consists of autonomous agents who must comply with social norms. Different kinds of norms make different assumptions about the cognitive architecture of the agents. For example, a principle-based norm assumes that agents can reflect upon the consequences of their actions; a rule-based formulation only assumes that agents can avoid violations. In this paper we present several cognitive agent architectures for self-monitoring and compliance. We show how different assumptions about the cognitive architecture lead to different information needs when assessing compliance. The approach is validated with a case study of horizontal monitoring, an approach to corporate tax auditing recently introduced by the Dutch Customs and Tax Authority.

Buckling up in Singapore: residency and other risk factors for seatbelt non-compliance - a cross-sectional study based on trauma registry data.

Science.gov (United States)

Wong, Ting Hway; Lim, Gek Hsiang; Chow, Khuan Yew; Zaw, Nyi Nyi; Nguyen, Hai Van; Chin, Hoong Chor; Ong, Marcus Eng Hock

2016-05-14

Seatbelt non-compliance is a problem in middle income countries, and little is known about seatbelt compliance in populations with a high proportion of non-residents. This study analyses the profile of seatbelt non-compliance in Singapore based on trauma registry data from five of the six public hospitals. This is a cross-sectional study of seatbelt compliance of patients aged over 18 years, attending the emergency departments of five public hospitals in Singapore after road collisions from 2011-2014. Seatbelt data was obtained from paramedic and patient history. There were 4,576 patients studied. Most were Singapore citizens (83.4 %) or permanent residents (2.4 %), with the largest non-resident groups from Malaysia, India, and China. Overall seatbelt compliance was 82.1 %. On univariate analysis, seatbelt compliance was higher in older patients (OR 1.02, 95 % CI 1.001-1.021, p < 0.0001); drivers, followed by front passengers (OR 0.65, 95 % CI 0.51-0.83, p < 0.0001), were more compliant than rear passengers (OR 0.08, 0.06-0.09, p < 0.0001); occupants of larger vehicle types (buses, heavy transport vehicles, minibuses and vans) were more non-compliant compared to occupants of private cars and taxis. Morning peak travel (0700 h-0900 h) and being a non-resident were other risk factors for non-compliance. On multivariable analysis, older age (OR 1.01, 95 % CI 1.001-1.014, p = 0.03) was associated with compliance, while non-residents from China (OR 0.43, 95 % CI 0.18-0.99, p = 0.05), seat position (front passenger compared to driver, OR 0.64, 95 % CI 0.48-0.85, p = 0.002; rear passenger compared to driver, OR 0.067, 95 % CI 0.05-0.09, p < 0.0001), vehicle type (bus compared to car, OR 0.04, 95 % CI 0.017-0.11, p < 0.0001, van compared to car, OR 0.55, 95 % CI 0.36-0.83, p = 0.004), and travel at morning peak periods were independent predictors of seatbelt non-compliance. When the sub-group of drivers was analysed, only

Compliance with the Dietary Approaches to Stop Hypertension (DASH diet: a systematic review.

Directory of Open Access Journals (Sweden)

Mandy Wing-Man Kwan

Full Text Available BACKGROUND: The Dietary Approaches to Stop Hypertension (DASH diet has been recognized as effective to lower blood pressure in feeding trials, but compliance with the diet must be persistent to maximize health benefits in clinical practice. This paper reports a systematic review of the latest evidence on the method to assess DASH compliance and the corresponding patients' compliance in interventional settings. METHODS: The databases including MEDLINE, EBM Reviews, EMBASE, and CINAHL Plus were searched for original research studies published in the period of January 1992-December 2012 that evaluated compliance with DASH diet. Studies written in English language, with DASH intervention, with complete documentation of the degree of DASH compliance and the assessment method used were included in this review. The search terms included: dietary approaches to stop hypertension, DASH, compliance, adherence, consistency, and concordance. RESULTS: Nine studies were included. Different types of interventions were identified, ranging from feeding trial to dietary counseling. These studies differed in the assessment methods used to evaluate DASH compliance, which included objective approaches like measurement of urinary excretion, and subjective approaches like dietary intake assessment for DASH target comparison and construction of DASH scoring systems. Compliance levels were lower in educational interventions than that of the original DASH feeding trial. CONCLUSIONS: To conclude, although no consensus existed regarding the best approach to assess DASH compliance, its suboptimal compliance warrants attention. This study implied a need to investigate effective approaches to sustain the DASH dietary pattern beyond counselling alone.

Compliance of zinc supplementation by care givers of children suffering from diarrhea

Directory of Open Access Journals (Sweden)

Smita S Valekar

2014-12-01

Full Text Available Background: Over 2 million children die as a result of diarrhea and dehydration every year. A new ORS formula and introduction of Zinc supplementation offers much improved outcomes for the treatment of childhood diarrhea. Aims: To assess the compliance of Zinc supplementation by caregivers Objectives: 1. To assess the compliance of Zinc supplementation by caregivers, 2. To find out the reason for non-compliance 3. To study the association of socio-demographic variables and non-compliance of children suffering from diarrhea Materials & Method:  Study Design: Cross-sectional survey Study Period: from 1st Sept. 2014 to 31st Oct. 2014 Study Area: Pediatric Outpatient department of Tertiary Care Hospital Inclusion Criteria: Under five children suffering from diarrhea attending Pediatric OPD Study Tool: Questionnaire was administered to care givers and follow up was done on 3rd, 7th & 14th day of Zinc supplementation. Result: 84% of non-compliance was seen in this study. Conclusion: The compliance of Zinc supplementation is poor among caretakers of children suffering from diarrhea.

The Impact of Religiosity on Tax Compliance among Turkish Self-Employed Taxpayers

Directory of Open Access Journals (Sweden)

Serkan Benk

2016-04-01

Full Text Available The aim of this study is to explore the impact between religiosity and voluntary tax compliance and enforced tax compliance for self-employed taxpayers in Turkey, where Islam is the predominant religion. A questionnaire survey was administrated to 375 male and 28 female self-employed taxpayers. In this paper, two dimensions of religiosity, namely interpersonal and intrapersonal religiosity, were studied. Factor analysis and ordinary least squares regression methods were used for data analyses. The results of the study illustrate that general religiosity has a statistically positive impact on both voluntary and enforced tax compliance. When we consider the dimensions of religiosity, only intrapersonal religiosity appears to be a significant contributor only to voluntary tax compliance. Nevertheless, interpersonal religiosity has no significant statistical effect on both voluntary and enforced tax compliance. This is one of the pioneer studies of its kind, and investigates the relationship between religiosity and tax compliance from the perspective of developing countries, particularly, Turkey.

Relationship between Income Size, Inspection and VAT Compliance ...

African Journals Online (AJOL)

Many developing nations in around the globe, Kenya included are struggling with the problem of tax non-compliance by the taxpayers. In Kenya, the problem of tax non compliance among business firms constrains the realization of revenue collection targets by Kenya Revenue Authority (KRA). This study aimed at ...

The role of trust in nurturing compliance: a study of accused tax avoiders.

Science.gov (United States)

Murphy, Kristina

2004-04-01

Why an institution's rules and regulations are obeyed or disobeyed is an important question for regulatory agencies. This paper discusses the findings of an empirical study that shows that the use of threat and legal coercion as a regulatory tool--in addition to being more expensive to implement--can sometimes be ineffective in gaining compliance. Using survey data collected from 2,292 taxpayers accused of tax avoidance, it will be demonstrated that variables such as trust need to be considered when managing noncompliance. If regulators are seen to be acting fairly, people will trust the motives of that authority, and will defer to their decisions voluntarily. This paper therefore argues that to shape desired behavior, regulators will need to move beyond motivation linked purely to deterrence. Strategies directed at reducing levels of distrust between the two sides may prove particularly effective in gaining voluntary compliance with an organization's rules and regulations.

Compliance and Enforcement Actions (CEA) -

Data.gov (United States)

Department of Transportation — Compliance and Enforcement Actions application provides process assistance / improvements for conducting investigation and enforcement activities. The Compliance and...

Performance Assessment Position Paper: Time for Compliance

International Nuclear Information System (INIS)

Wilhite, E.L.

2003-01-01

This study lays out the historical development of the time frame for a low-level waste disposal facility to demonstrate compliance with the DOE performance objectives and requirements. The study recommends that 1,000 years should be used as the time for compliance for all of the performance objectives and requirements (i.e., for the all-pathways, air pathway, radon emanation, water resource protection and inadvertent intruder analyses) for all low-level waste disposal facility performance assessments at the Savannah River Site

THE EFFECT OF TAX SIMPLIFICATION ON TAXPAYERS’ COMPLIANCE BEHAVIOR: RELIGIOSITY AS MODERATING VARIABLE

Directory of Open Access Journals (Sweden)

Muslichah Muslichah

2017-03-01

Full Text Available Tax compliance was an important issue for nations around the world as governments searched for revenue tomeet public needs. The importance of tax simplification had long been known as a determinant of compliancebehavior and it became an important issue in taxation research. The primary objective of this study was toinvestigate the effect of tax simplification and religiosity on compliance behavior. This study was conducted inMalang, East Java. Survey questionnaires were sent to 200 taxpayers and only 122 responded. Consistentwith the prior research, this study suggested that the effect of religiosity on compliance behavior was positiveand significant. Religiosity acted as moderating role on the relationship between tax simplification andcompliance behavior. This study was contributed to the compliance literature. The present study also providedpractical significance because the empirical result provided information about compliance behavior to helpgovernment to develop strategies toward increasing voluntary compliance.

Strategisk compliance og regulering

DEFF Research Database (Denmark)

Kühn Pedersen, Mogens

2016-01-01

Denne artikel introducerer strategisk compliance og påpeger dens samspil med klassiske og nyere former for reguleringer i digital værdiskabelse. Konteksten er den digitale økonomi, som vokser frem imellem den materielle økonomis bærepiller: Virksomheder og markeder, men består af en helt ny...... materialitet, som er det digitale univers og dets modsvarighed i nye krav til compliance. Den nye materialitet stiller nye krav, hvad angår digitale processer og transaktioner. Klassisk regulering, som aktører ikke selv kan ændre, støder på egenregulering, hvor aktørerne selv opsætter regler for at skabe...... digital værdi. Dette kalder på strategisk compliance. Med digitalisering er strategisk compliance sat på dagsordnen i reguleringsdebatten. Vi hævder, at regulering og egenregulering kan komme til at virke komplementært i det post-industrielle, digitaliserede samfund....

The Critical Role of Pulmonary Arterial Compliance in Pulmonary Hypertension

Science.gov (United States)

Prins, Kurt W.; Pritzker, Marc R.; Scandurra, John; Volmers, Karl; Weir, E. Kenneth

2016-01-01

The normal pulmonary circulation is a low-pressure, high-compliance system. Pulmonary arterial compliance decreases in the presence of pulmonary hypertension because of increased extracellular matrix/collagen deposition in the pulmonary arteries. Loss of pulmonary arterial compliance has been consistently shown to be a predictor of increased mortality in patients with pulmonary hypertension, even more so than pulmonary vascular resistance in some studies. Decreased pulmonary arterial compliance causes premature reflection of waves from the distal pulmonary vasculature, leading to increased pulsatile right ventricular afterload and eventually right ventricular failure. Evidence suggests that decreased pulmonary arterial compliance is a cause rather than a consequence of distal small vessel proliferative vasculopathy. Pulmonary arterial compliance decreases early in the disease process even when pulmonary artery pressure and pulmonary vascular resistance are normal, potentially enabling early diagnosis of pulmonary vascular disease, especially in high-risk populations. With the recognition of the prognostic importance of pulmonary arterial compliance, its impact on right ventricular function, and its contributory role in the development and progression of distal small-vessel proliferative vasculopathy, pulmonary arterial compliance is an attractive target for the treatment of pulmonary hypertension. PMID:26848601

ETHICS AND COMPLIANCE IN BUSINESS

Directory of Open Access Journals (Sweden)

ANDREESCU Nicoleta Alina

2015-05-01

Full Text Available In this paper, we have studied the evolution of the business ethics concept through the prism of definitions from some renowned authors in the field and through the approach model of the business ethics and by implementing it in the company level. We have found out that in the last 40 years this concept has evolved from a theoretical aspect, as well as a practical one. Companies are motivated to implement ethics and compliance programs in business so that they can manage the changes that come from society. If, until recently, all that mattered for a company was profit, in the last decades, the situation changed. In order to develop a durable business, it is essential to have a good reputation. Owning and implementing an ethics and compliance program in business has become an imperative for companies, regardless of their activity sector. The role of the compliance department becomes more pregnant in each company: the employees need safety, the existence of communication lines provides comfort. From the partners in business’ point of view, owning such a program is a necessity, a condition, and not conforming to the principles of business ethics can lead to the isolation of the company. The ethics and compliance programs in business are instruments that protect the company by implementing certain proactive identification mechanisms that ensure the development of an ethical organizational culture.

Payer leverage and hospital compliance with a benchmark: a population-based observational study

Directory of Open Access Journals (Sweden)

DeMonner Sonya

2007-07-01

Full Text Available Abstract Background Since 1976, Medicare has linked reimbursement for hospitals performing organ transplants to the attainment of certain benchmarks, including transplant volume. While Medicare is a stakeholder in all transplant services, its role in renal transplantation is likely greater, given its coverage of end-stage renal disease. Thus, Medicare's transplant experience allows us to examine the role of payer leverage in motivating hospital benchmark compliance. Methods Nationally representative discharge data for kidney (n = 29,272, liver (n = 7,988, heart (n = 3,530, and lung (n = 1,880 transplants from the Nationwide Inpatient Sample (1993 – 2003 were employed. Logistic regression techniques with robust variance estimators were used to examine the relationship between hospital volume compliance and Medicare market share; generalized estimating equations were used to explore the association between patient-level operative mortality and hospital volume compliance. Results Medicare's transplant market share varied by organ [57%, 28%, 27%, and 18% for kidney, lung, heart, and liver transplants, respectively (P P Conclusion These data highlight the influence of payer leverage–an important contextual factor in value-based purchasing initiatives. For uncommon diagnoses, these data suggest that at least 30% of a provider's patients might need to be "at risk" for an incentive to motivate compliance.

Applying the Analytic Hierarchy Process to Oil Sands Environmental Compliance Risk Management

Science.gov (United States)

Roux, Izak Johannes, III

Oil companies in Alberta, Canada, invested $32 billion on new oil sands projects in 2013. Despite the size of this investment, there is a demonstrable deficiency in the uniformity and understanding of environmental legislation requirements that manifest into increased project compliance risks. This descriptive study developed 2 prioritized lists of environmental regulatory compliance risks and mitigation strategies and used multi-criteria decision theory for its theoretical framework. Information from compiled lists of environmental compliance risks and mitigation strategies was used to generate a specialized pairwise survey, which was piloted by 5 subject matter experts (SMEs). The survey was validated by a sample of 16 SMEs, after which the Analytic Hierarchy Process (AHP) was used to rank a total of 33 compliance risks and 12 mitigation strategy criteria. A key finding was that the AHP is a suitable tool for ranking of compliance risks and mitigation strategies. Several working hypotheses were also tested regarding how SMEs prioritized 1 compliance risk or mitigation strategy compared to another. The AHP showed that regulatory compliance, company reputation, environmental compliance, and economics ranked the highest and that a multi criteria mitigation strategy for environmental compliance ranked the highest. The study results will inform Alberta oil sands industry leaders about the ranking and utility of specific compliance risks and mitigations strategies, enabling them to focus on actions that will generate legislative and public trust. Oil sands leaders implementing a risk management program using the risks and mitigation strategies identified in this study will contribute to environmental conservation, economic growth, and positive social change.

Effect of a system-oriented intervention on compliance problems in schizophrenia

DEFF Research Database (Denmark)

Skarsholm, Hanne; Støvring, Henrik; Nielsen, Bent

2014-01-01

Background. Numerous studies have been conducted with a view to developing strategies for improvement of medical compliance in patients with schizophrenia. All of the studies conducted so far have had an individual approach to compliance based on the assumption that noncompliance is determined...... individually due to inappropriate behavior in the patient. We conducted a pragmatic controlled trial with a system-oriented approach, to provide a new perspective on compliance and test the efficacy of a multifactorial intervention at the system level in a routine clinical setting, an approach that has...... not previously been used for the improvement of compliance. Methods. 30 patients were allocated to the system-oriented therapy and 40 patients were allocated to the reference intervention, which consisted of individually based compliance therapy. The follow-up period was six months. Primary endpoint...

An empirical investigation of compliance and enforcement problems

DEFF Research Database (Denmark)

Kronbak, Lone Grønbæk; Jensen, Frank

2011-01-01

contributes to the literature by investigating compliance and enforcement in the empirical case of a mixed trawl fishery targeting Norway lobster in Kattegat and Skagerrak located north of Denmark with help from a simulated model. The paper presents results from two simulation models of the case study: one....... Another conclusion from the case study is that only small welfare effects are obtained by increasing enforcement efforts to reduce non-compliance....

A multifaceted hospital-wide intervention increases hand hygiene compliance.

Science.gov (United States)

Patel, B; Engelbrecht, H; McDonald, H; Morris, V; Smythe, W

2016-03-07

Hand hygiene is an important and basic practice that should be used by all healthcare staff to protect both themselves and their patients against infection. Unfortunately hand hygiene compliance remains poor. To show an improvement in hand hygiene compliance using a multifaceted approach. This was a quasiexperimental pre-post intervention study design with a number of standardised interventions to promote hand hygiene. The World Health Organization hand hygiene multimodal (five-step) intervention approach was used. The study ran from June 2015 to August 2015 in 11 selected wards of a 975-bed tertiary and quaternary care public hospital (Groote Schuur Hospital, Cape Town, South Africa). The outcome was to assess improvement in hand hygiene compliance monthly over the 3 months, compared with non-intervention wards and compared with the wards' own performance measured in 2014. The study included both descriptive and analytical components. Post intervention, hand hygiene compliance showed a statistically significant improvement for before patient contact from 34% in 2014 to 76% in 2015 (p<0.05) and for after patient contact from 47% in 2014 to 82% in 2015 (p<0.05). The intervention improved hand hygiene compliance and can easily be replicated in other wards, resulting in sustaining a culture of hand hygiene improvement and behavioural change throughout the hospital.

Managing business compliance using model-driven security management

Science.gov (United States)

Lang, Ulrich; Schreiner, Rudolf

Compliance with regulatory and governance standards is rapidly becoming one of the hot topics of information security today. This is because, especially with regulatory compliance, both business and government have to expect large financial and reputational losses if compliance cannot be ensured and demonstrated. One major difficulty of implementing such regulations is caused the fact that they are captured at a high level of abstraction that is business-centric and not IT centric. This means that the abstract intent needs to be translated in a trustworthy, traceable way into compliance and security policies that the IT security infrastructure can enforce. Carrying out this mapping process manually is time consuming, maintenance-intensive, costly, and error-prone. Compliance monitoring is also critical in order to be able to demonstrate compliance at any given point in time. The problem is further complicated because of the need for business-driven IT agility, where IT policies and enforcement can change frequently, e.g. Business Process Modelling (BPM) driven Service Oriented Architecture (SOA). Model Driven Security (MDS) is an innovative technology approach that can solve these problems as an extension of identity and access management (IAM) and authorization management (also called entitlement management). In this paper we will illustrate the theory behind Model Driven Security for compliance, provide an improved and extended architecture, as well as a case study in the healthcare industry using our OpenPMF 2.0 technology.

Nurses' perceptions of reasons for persistent low rates in hand hygiene compliance.

Science.gov (United States)

Sadule-Rios, Nohemi; Aguilera, Graciela

2017-10-01

The purpose of this study was to explore nurses' perceptions of reasons for persistent low rates in hand hygiene compliance in the Critical Care Unit and their recommendations for improvement. This study used an exploratory, descriptive survey design to identify critical care nurses' perceptions of barriers to hand hygiene compliance in the unit and their recommendations for improvement. Nurses selected high workload, understaffing and suggested lack of time as the main problems with hand hygiene compliance in the critical care unit. Second to that, they identified difficulty accessing sinks and lack of appropriately located hand sanitisers at the point of care complemented by suggestions of not enough sinks and inconveniently located hand sanitiser as major barriers to hand hygiene compliance. Results of this study indicate that high workload and understaffing added to difficulty accessing hand hygiene resources contribute to low rates of hand hygiene compliance in the critical care unit. Addressing nursing understaffing and workload and making some environmental modifications to allow easy access to sinks and hand sanitisers may facilitate nurses hand hygiene compliance in this setting. Further studies on the relationship between nurses' workload, unit staffing, and hand hygiene compliance rates are needed. Copyright © 2017 Elsevier Ltd. All rights reserved.

Buckling up in Singapore: residency and other risk factors for seatbelt non-compliance – a cross-sectional study based on trauma registry data

Directory of Open Access Journals (Sweden)

Ting Hway Wong

2016-05-01

Full Text Available Abstract Background Seatbelt non-compliance is a problem in middle income countries, and little is known about seatbelt compliance in populations with a high proportion of non-residents. This study analyses the profile of seatbelt non-compliance in Singapore based on trauma registry data from five of the six public hospitals. Methods This is a cross-sectional study of seatbelt compliance of patients aged over 18 years, attending the emergency departments of five public hospitals in Singapore after road collisions from 2011–2014. Seatbelt data was obtained from paramedic and patient history. Results There were 4,576 patients studied. Most were Singapore citizens (83.4 % or permanent residents (2.4 %, with the largest non-resident groups from Malaysia, India, and China. Overall seatbelt compliance was 82.1 %. On univariate analysis, seatbelt compliance was higher in older patients (OR 1.02, 95 % CI 1.001–1.021, p < 0.0001; drivers, followed by front passengers (OR 0.65, 95 % CI 0.51–0.83, p < 0.0001, were more compliant than rear passengers (OR 0.08, 0.06–0.09, p < 0.0001; occupants of larger vehicle types (buses, heavy transport vehicles, minibuses and vans were more non-compliant compared to occupants of private cars and taxis. Morning peak travel (0700 h-0900 h and being a non-resident were other risk factors for non-compliance. On multivariable analysis, older age (OR 1.01, 95 % CI 1.001–1.014, p = 0.03 was associated with compliance, while non-residents from China (OR 0.43, 95 % CI 0.18–0.99, p = 0.05, seat position (front passenger compared to driver, OR 0.64, 95 % CI 0.48–0.85, p = 0.002; rear passenger compared to driver, OR 0.067, 95 % CI 0.05–0.09, p < 0.0001, vehicle type (bus compared to car, OR 0.04, 95 % CI 0.017–0.11, p < 0.0001, van compared to car, OR 0.55, 95 % CI 0.36–0.83, p = 0.004, and travel at morning peak periods were independent predictors of seatbelt

Bridging recommendation and adaptation: Generic Adaptation Framework - Twittomender compliance study

NARCIS (Netherlands)

Hannon, J.; Knutov, E.; De Bra, P.M.E.; Pechenizkiy, M.; McCarthy, K.; Smyth, B.; Pechenizkiy, M.; Knutov, E.; Yudelson, M.; Abel, F.; Houben, G.J.P.M.; Herder, E.

2012-01-01

In this paper we consider Recommender System (RS) modeling in terms of Adaptive Hypermedia Systems (AHS) and investigate AHS and RS functionality compliance in terms of common features, functionality, building blocks and composition of the system. We bring up complementary aspects of adaptation,

Extrinsic incentives and tax compliance

OpenAIRE

Sour, Laura; Gutiérrez Andrade, Miguel Ángel

2011-01-01

This paper models the impact of extrinsic incentives in a tax compliance model. It also provides experimental evidence that confirms the existence of a positive relationship between rewards and tax compliance. If individuals are audited, rewards for honest taxpayers are effective in increasing the level of tax compliance. These results are particularly relevant in countries where there is little respect for tax law since rewards can contribute to crowding in the intrinsic motivation to comply.

Compliance monitoring in business processes: Functionalities, application, and tool-support.

Science.gov (United States)

Ly, Linh Thao; Maggi, Fabrizio Maria; Montali, Marco; Rinderle-Ma, Stefanie; van der Aalst, Wil M P

2015-12-01

In recent years, monitoring the compliance of business processes with relevant regulations, constraints, and rules during runtime has evolved as major concern in literature and practice. Monitoring not only refers to continuously observing possible compliance violations, but also includes the ability to provide fine-grained feedback and to predict possible compliance violations in the future. The body of literature on business process compliance is large and approaches specifically addressing process monitoring are hard to identify. Moreover, proper means for the systematic comparison of these approaches are missing. Hence, it is unclear which approaches are suitable for particular scenarios. The goal of this paper is to define a framework for Compliance Monitoring Functionalities (CMF) that enables the systematic comparison of existing and new approaches for monitoring compliance rules over business processes during runtime. To define the scope of the framework, at first, related areas are identified and discussed. The CMFs are harvested based on a systematic literature review and five selected case studies. The appropriateness of the selection of CMFs is demonstrated in two ways: (a) a systematic comparison with pattern-based compliance approaches and (b) a classification of existing compliance monitoring approaches using the CMFs. Moreover, the application of the CMFs is showcased using three existing tools that are applied to two realistic data sets. Overall, the CMF framework provides powerful means to position existing and future compliance monitoring approaches.

22 CFR 209.6 - Compliance information.

Science.gov (United States)

2010-04-01

... 22 Foreign Relations 1 2010-04-01 2010-04-01 false Compliance information. 209.6 Section 209.6... § 209.6 Compliance information. (a) Cooperation and assistance. The Administrator shall to the fullest... and accurate compliance reports at such times, and in such form and containing such information, as...

Empowerment and BYOx: Towards Improved IS Security Compliance

DEFF Research Database (Denmark)

Welck, Maximilian von; Trenz, Manuel; Jensen, Tina Blegind

2017-01-01

Non-compliant employees continue to pose a serious threat to information systems security. Most attempts to increase compliant behavior rely on measures that reduce employees’ latitude. However, recent studies suggest that this indeed eventuates in less compliance due to adverse behaviors...... outline how this novel approach to improve IS security compliance can be developed and investigated further....

The USAID Environmental Compliance Database

Data.gov (United States)

US Agency for International Development — The Environmental Compliance Database is a record of environmental compliance submissions with their outcomes. Documents in the database can be found by visiting the...

Hand hygiene compliance in a universal gloving setting.

Science.gov (United States)

Kuruno, Noriko; Kasahara, Kei; Mikasa, Keiichi

2017-08-01

The use of gloves for every patient contact (ie, universal gloving) has been suggested as an infection prevention adjunct and alternative to contact precautions. However, gloves may carry organisms unless they are changed properly. In addition, hand hygiene is required before donning and after removing gloves, and there are scarce data regarding glove changing and hand hygiene in a universal gloving setting. This nonrandomized observational before-after study evaluated the effect of education and feedback regarding hand hygiene. Compliance with hand hygiene and glove use was directly observed in a universal gloving setting at a 10-bed intensive care unit in a Japanese tertiary care university teaching hospital. A total of 6,050 hand hygiene opportunities were identified. Overall, hand hygiene compliance steadily increased from study period 1 (16.1%) to period 5 (56.8%), although there were indication-specific differences in the baseline compliance, the degree of improvement, and the reasons for noncompliance. There were decreases in the compliance with universal gloving and the incidence of methicillin-resistant Staphylococcus aureus. It is difficult to properly perform glove use and hand hygiene in a universal gloving setting, given its complexity. Direct observation with specific feedback and education may be effective in improving compliance. Copyright © 2017 Association for Professionals in Infection Control and Epidemiology, Inc. Published by Elsevier Inc. All rights reserved.

Sarbanes Oxley section 404 costs of compliance : A case study

NARCIS (Netherlands)

Sneller, Lineke; Langendijk, H.P.A.J.

2007-01-01

In 2002 US Congress approved the Sarbanes Oxley Act (SOX). Section 404 requires companies to assess their internal controls and acquire an attestation of this assessment from their external auditor. In this paper, we investigate the costs of compliance of this assessment and attestation. The

Sarbanes Oxely Section 404 costs of compliance: a case study

NARCIS (Netherlands)

Sneller, L.; Langendijk, H.

2007-01-01

In 2002 US Congress approved the Sarbanes Oxley Act (SOX). Section 404 requires companies to assess their internal controls and acquire an attestation of this assessment from their external auditor. In this paper, we investigate the costs of compliance of this assessment and attestation. The

A geomechanical model of a sinkhole formation

Science.gov (United States)

Danchiv, Alexandru; Zamfirescu, Florian; Mocuta, Marius; Popa, Iulian; Zlibut, Alexandru; Huggenberger, Peter; Zechner, Eric; Dresmann, Horst; Scheidler, Stefan; Wiesmeier, Stefan

2016-04-01

On December 2010 a sinkhole was suddenly formed close to the eastern flank of Ocna-Mures salt dome. Soon after the collapse the sinkhole was filled with brine forming a salt lake called Plus Lake. The total volume of sinkhole of about 100000 m3 remained constant since February 2011. The Ocna Mures salt dome is situated on the western border of the Transylvanian basin (Romania) and has been exploited for a long time. The ceilings of some shallow mine chambers are now collapsed and filled with brine. Along the eastern flank of the salt dome there is a disturbed zone due to diapirism. Its presence is suggested by the strong fragmentation of rock in the boreholes drilled along the salt-sterile contact, as it resulted from the low values of RQD index. The sinkhole is probably due to a pressure increase along the diapir flank. The causes of this sudden increase of pressure are not well known. Most probably it is due to the damage of the tubing of a flank borehole as mentioned in a technical report of the exploiting company. The injected fresh water expelled through the breaches of the damaged borehole and, due to the high pressure flushed up the crushed material of the disturbed zone. In order to better understand the setting up of the Plus Lake joint research efforts were performed by teams from Bucharest and Basel Universities since 2013. For the geomechanical approach a numerical model was performed using the Flac 7.0 code. In a first stage the creep behavior of salt was analyzed considering a Norton creep law. It resulted that after 100 years the salt reached equilibrium, the creep could be neglected and in a first approximation mechanical equilibrium could be analyzed considering only an elasto-plastic behavior of both the salt and the sterile. For both the salt and the surrounding sedimentary rocks the Mohr-Coulomb criterion was considered. The properties of sterile rocks were estimated following the GSI system. Due to poor rock quality the strength parameters have

24 CFR 107.40 - Compliance meeting.

Science.gov (United States)

2010-04-01

... 24 Housing and Urban Development 1 2010-04-01 2010-04-01 false Compliance meeting. 107.40 Section... NONDISCRIMINATION AND EQUAL OPPORTUNITY IN HOUSING UNDER EXECUTIVE ORDER 11063 § 107.40 Compliance meeting. (a... allegedly in violation (respondent) shall be sent a Notice of Compliance Meeting and requested to attend a...

Managing compliance risk after Mifid

OpenAIRE

P. Musile Tanzi; G. Gabbi; D. Previati; P. Schwizer

2013-01-01

Purpose – The purpose of this paper is to focus on changes in the compliance function within major European banks and other financial intermediaries and on the effects of Markets in Financial Instruments Directive (MiFID) implementation. Design/methodology/approach – The four areas of research seek to answer the following questions: Is the positioning of the compliance function “at the top” of the organizational structure? Are the roles attributed to the compliance function, th...

Compliance with Corporate Governance Principles: Australian Evidence

OpenAIRE

Maryam Safari; Soheila Mirshekary; Victoria Wise

2015-01-01

This study investigates the association between the level of compliance of Australian listed companies with Australian corporate governance principles, in aggregate, and the level of discretionary accruals using the modified Jones model. It is hypothesised that higher levels of compliance would be associated with lower levels of discretionary accruals. Data from a random sample of 214 Australian listed companies for the years 2009 and 2010 were used to test the hypothesis. The results demonst...

An observational study of compliance with North Dakota's smoke-free law among retail stores that sell electronic smoking devices.

Science.gov (United States)

Buettner-Schmidt, Kelly; Miller, Donald R

2017-07-01

To determine whether retail stores selling electronic smoking devices or liquid nicotine were compliant with North Dakota's smoke-free law. During June 2015, retail stores selling electronic smoking devices or liquid nicotine (n=16), but not legally required to be licensed to sell tobacco products, were assessed for compliance with North Dakota's smoke-free law by observing for smoking or e-smoking, or evidence of such, in prohibited areas and for the presence of required no-smoking signs. Use of e-cigarettes, or evidence of use, was observed inside 8 (50%) stores required to be smoke-free. On the basis of all indicators of compliance assessed, compliance with the state's smoke-free law was low, with only 6% and 44% of stores compliant with all indoor and outdoor requirements, respectively. To the best of our knowledge, this is the first U.S. study assessing retail stores selling electronic smoking devices or liquid nicotine for compliance with the smoke-free law. The use of e-cigarettes, or evidence of use, occurred in the stores where it is prohibited by law. Overall compliance with the smoke-free law was low. These stores should be licensed by the state, as are other tobacco retailers, because this may assist in education, enforcement and compliance with the law and increase public health protection. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/.

The effect of business characteristics on tax compliance costs

Directory of Open Access Journals (Sweden)

Popi Fauziati

2018-05-01

Full Text Available Compliance fee is the cost incurred by the taxpayers in fulfilling the taxation requirements imposed on the taxpayers by the law and the authority of the country. The company expects to incur the minimum tax costs associated with fulfilling its tax obligations. Research on the influence of business characteristics to tax compliance cost is still scanty. This research examined the effect of business characteristics (age, size, sector and risk management on tax compliance costs. The research design adopted in this study is survey design. The questionnaires were distributed to the members of De-partment of Cooperatives and Micro Small-Medium Enterprises in Padang City. The non-probability sampling was used as the sampling method and 92 respondents participated in this re-search. The data obtained were analyzed using Statistical Package for Social Sciences (SPSS. The research findings indicate that age, size and sector have no effect on tax compliance costs while risk management has an effect on tax compliance costs.

24 CFR 108.25 - Compliance meeting.

Science.gov (United States)

2010-04-01

... 24 Housing and Urban Development 1 2010-04-01 2010-04-01 false Compliance meeting. 108.25 Section... COMPLIANCE PROCEDURES FOR AFFIRMATIVE FAIR HOUSING MARKETING § 108.25 Compliance meeting. (a) Scheduling meeting. If an applicant fails to comply with requirements under § 108.15 or § 108.20 or it appears that...

Science to compliance: The WIPP success story

International Nuclear Information System (INIS)

Howarth, S.M.; Chu, M.S.; Shephard, L.E.

1997-01-01

The Waste Isolation Pilot Plant (WIPP) in southeast New Mexico has been studied as a transuranic waste repository for the past 23 years. During this time, an extensive site characterization, design, construction, and experimental program was completed to provide in-depth understanding of the dominant processes that are most likely to influence the containment of radionuclides for 10,000 years. The success of the program, however, is defined by the regulator in the context of compliance with performance criteria, rather than by the in-depth technical understanding typical of most scientific programs. The WIPP project was successful in making a transformation from science to compliance by refocusing and redirecting programmatic efforts toward the singular goal of meeting regulatory compliance requirements while accelerating the submittal of the Compliance Certification Application (CCA) by two months from the April 1994 Disposal Decision Plan (DDP) date of December 1996, and by reducing projected characterization costs by more than 40%. This experience is unparalleled within the radioactive waste management community and has contributed to numerous lessons learned from which the entire community can benefit

Patient compliance with exercise: different theoretical approaches to short-term and long-term compliance.

NARCIS (Netherlands)

Sluijs, E.M.; Knibbe, J.J.

1991-01-01

Compliance with exercise regimens is difficult to obtain as is compliance with other medical regimens. In analyzing noncompliance, two problems exist: (I) current theories only partly explain patients’ noncompliance; (2) health care providers seldom act according to the recommendations derived from

A quasi-experimental study to determine the effects of a multifaceted educational intervention on hand hygiene compliance in a radiography unit.

Science.gov (United States)

O'Donoghue, Margaret; Ng, Suk-Hing; Suen, Lorna Kp; Boost, Maureen

2016-01-01

Whilst numerous studies have investigated nurses' compliance with hand hygiene and use of alcohol-based hand rub (ABHR), limited attention has been paid to these issues in allied health staff. Reports have linked infections to breaches in infection control in the radiography unit (RU). With advances in medical imaging, a higher proportion of patients come into contact with RU staff increasing the need for good hand hygiene compliance. This study aimed to evaluate effectiveness on compliance of an intervention to improve awareness of hand hygiene in the RU of a district hospital. A quasi-experimental study design including questionnaires assessing knowledge and attitudes of hand hygiene and direct observation of participants was used to evaluate an educational programme on hand hygiene of the RU of a large district hospital. All healthcare workers (HCW), comprising 76 radiographers, 17 nurses, and nine healthcare assistants (HCA), agreed to participate in the study. Of these, 85 completed the initial and 76 the post-test anonymous questionnaire. The hand hygiene compliance of all 102 HCW was observed over a 3-week period prior to and after the intervention. The 2-month intervention consisted of talks on hand hygiene and benefits of ABHR, provision of visual aids, wall-mounted ABHR dispensers, and personal bottles of ABHR. Before the intervention, overall hand hygiene compliance was low (28.9 %). Post-intervention, compliance with hand hygiene increased to 51.4 %. This improvement was significant for radiographers and HCA. Additionally, knowledge and attitudes improved in particular, understanding that ABHR can largely replace handwashing and there is a need to perform hand hygiene after environmental contact. The increased use of ABHR allowed HCW to feel they had enough time to perform hand hygiene. The educational intervention led to increased awareness of hand hygiene opportunities and better acceptance of ABHR use. The reduced time needed to perform hand

A quasi-experimental study to determine the effects of a multifaceted educational intervention on hand hygiene compliance in a radiography unit

Directory of Open Access Journals (Sweden)

Margaret O’Donoghue

2016-10-01

Full Text Available Abstract Background Whilst numerous studies have investigated nurses’ compliance with hand hygiene and use of alcohol-based hand rub (ABHR, limited attention has been paid to these issues in allied health staff. Reports have linked infections to breaches in infection control in the radiography unit (RU. With advances in medical imaging, a higher proportion of patients come into contact with RU staff increasing the need for good hand hygiene compliance. This study aimed to evaluate effectiveness on compliance of an intervention to improve awareness of hand hygiene in the RU of a district hospital. Methods A quasi-experimental study design including questionnaires assessing knowledge and attitudes of hand hygiene and direct observation of participants was used to evaluate an educational programme on hand hygiene of the RU of a large district hospital. All healthcare workers (HCW, comprising 76 radiographers, 17 nurses, and nine healthcare assistants (HCA, agreed to participate in the study. Of these, 85 completed the initial and 76 the post-test anonymous questionnaire. The hand hygiene compliance of all 102 HCW was observed over a 3-week period prior to and after the intervention. The 2-month intervention consisted of talks on hand hygiene and benefits of ABHR, provision of visual aids, wall-mounted ABHR dispensers, and personal bottles of ABHR. Results Before the intervention, overall hand hygiene compliance was low (28.9 %. Post-intervention, compliance with hand hygiene increased to 51.4 %. This improvement was significant for radiographers and HCA. Additionally, knowledge and attitudes improved in particular, understanding that ABHR can largely replace handwashing and there is a need to perform hand hygiene after environmental contact. The increased use of ABHR allowed HCW to feel they had enough time to perform hand hygiene. Conclusions The educational intervention led to increased awareness of hand hygiene opportunities and better

SPEED COMPLIANCE IN FREEWAY VARIABLE SPEED LIMIT SYSTEM – CASE STUDY OF THE PRAGUE CITY RING

Directory of Open Access Journals (Sweden)

Michał MATOWICKI

2016-03-01

Full Text Available Many previous studies have confirmed the strong relationship between speed compliance and the frequency and severity of traffic accidents. Variable speed limit (VSL system as a measure to improve traffic safety enables the freeway system to change its posted speed limit based on various traffic and environmental conditions. Such system helps drivers to recognize the upcoming events, to adjust their driving style and in such way to address speed variation of the traffic flow. This is called speed harmonization. Although many studies researching the effect of VSL system on the traffic stream can be found, there are only few addressing its influence on the drivers behavior, particularly focusing on their tolerance limit and compliance, which has crucial meaning for future design of controlling algorithms. This study was prepared to inspect this grey area by studying the data from the VSL system at Prague city ring, describing the influence of the highway management system and its influence on drivers.

Effect of hand sanitizer location on hand hygiene compliance.

Science.gov (United States)

Cure, Laila; Van Enk, Richard

2015-09-01

Hand hygiene is the most important intervention to prevent infection in hospitals. Health care workers should clean their hands at least before and after contact with patients. Hand sanitizer dispensers are important to support hand hygiene because they can be made available throughout hospital units. The aim of this study was to determine whether the usability of sanitizer dispensers correlates with compliance of staff in using the sanitizer in a hospital. This study took place in a Midwest, 404-bed, private, nonprofit community hospital with 15 inpatient care units in addition to several ambulatory units. The usability and standardization of sanitizers in 12 participating inpatient units were evaluated. The hospital measured compliance of staff with hand hygiene as part of their quality improvement program. Data from 2010-2012 were analyzed to measure the relationship between compliance and usability using mixed-effects logistic regression models. The total usability score (P = .0046), visibility (P = .003), and accessibility of the sanitizer on entrance to the patient room (P = .00055) were statistically associated with higher observed compliance rates. Standardization alone showed no significant impact on observed compliance (P = .37). Hand hygiene compliance can be influenced by visibility and accessibility of dispensers. The sanitizer location should be part of multifaceted interventions to improve hand hygiene. Copyright © 2015 Association for Professionals in Infection Control and Epidemiology, Inc. Published by Elsevier Inc. All rights reserved.

Reducing fluxes of faecal indicator compliance parameters to bathing waters from diffuse agricultural sources: The Brighouse Bay study, Scotland

International Nuclear Information System (INIS)

Kay, D.; Aitken, M.; Crowther, J.; Dickson, I.; Edwards, A.C.; Francis, C.; Hopkins, M.; Jeffrey, W.; Kay, C.; McDonald, A.T.; McDonald, D.; Stapleton, C.M.; Watkins, J.; Wilkinson, J.; Wyer, M.D.

2007-01-01

The European Water Framework Directive requires the integrated management of point and diffuse pollution to achieve 'good' water quality in 'protected areas'. These include bathing waters, which are regulated using faecal indicator organisms as compliance parameters. Thus, for the first time, European regulators are faced with the control of faecal indicator fluxes from agricultural sources where these impact on bathing water compliance locations. Concurrently, reforms to the European Union (EU) Common Agricultural Policy offer scope for supporting on-farm measures producing environmental benefits through the new 'single farm payments' and the concept of 'cross-compliance'. This paper reports the first UK study involving remedial measures, principally stream bank fencing, designed to reduce faecal indicator fluxes at the catchment scale. Considerable reduction in faecal indicator flux was observed, but this was insufficient to ensure bathing water compliance with either Directive 76/160/EEC standards or new health-evidence-based criteria proposed by WHO and the European Commission. - Diffuse microbiological pollution from farming activities can be reduced by protected riparian zones

A Study to Determine the Correlation between Continuity of Care and Patient Medication Compliance

Science.gov (United States)

1984-08-01

U (III FILE ’Y TO DETERMINE THE CORRELATION BETWEEN CONTINUITY OF CARE AND PATIENT MEDICATION COMPLIANCE IA Graduate Research Project Submitted to...43 APPENDIX A. PATIENT MEDICATION COMPLIANCE QUESTIONNAIRE . . . . . 45 B. COMPUTER CODED INPUT FORMAT . . . . . . . ...... 48 C. RESEARCH DATA...and that adhered to by the patient . This failure to comply with medical recommendations results in a waste of health resources, frustration to the

Oral hygiene compliance in orthodontic patients: a randomized controlled study on the effects of a post-treatment communication.

Science.gov (United States)

Cozzani, Mauro; Ragazzini, Giulia; Delucchi, Alessia; Mutinelli, Sabrina; Barreca, Carlo; Rinchuse, Daniel J; Servetto, Roberto; Piras, Vincenzo

2016-12-01

Several studies have recently demonstrated that a post-treatment communication to explain the importance of an oral hygiene can improve the orthodontic patients' compliance over a period of 66 days. The main goal of this study is to evaluate the effects of a structured follow-up communication after orthodontic appliance application on oral hygiene compliance after 30-40 days. Eighty-four orthodontic participants enrolled from patients who were beginning fixed orthodontic treatment at the Orthodontic Department, Gaslini Hospital, Genova, between July and October 2014 were randomly assigned to one of three trial arms. Before the bonding, all patients underwent a session of oral hygiene aimed at obtaining an plaque index of "zero." At the following orthodontic appointment, the plaque index was calculated for each patient in order to assess oral hygiene compliance. The first group served as control and did not receive any post-procedure communication, the second group received a structured text message giving reassurance, and the third group received a structured telephone call. Participants were blinded to group assignment and were not made aware that the text message or the telephone call was part of the study. (The research protocol was approved by the Italian Comitato Etico Regionale della Liguria-sezione 3^ c/o IRCCS-Istituto G. Gaslini 845/2014, and it is not registered in the trial's register.) RESULTS: Thirty patients were randomly assigned to the control group, 28 participants to the text message group, and 26 to the telephone group. Participants who received a post-treatment communication reported higher level of oral hygiene compliance than participants in the control group. The plaque index was 0.3 (interquartile range (Iqr), 0.60) and 0.75 (Iqr, 1.30), respectively, with a significant difference (P = 0.0205). A follow-up procedure after orthodontic treatment may be an effective tool to increase oral hygiene compliance also over a short period.

Oral hygiene compliance in orthodontic patients: a randomized controlled study on the effects of a post-treatment communication

Directory of Open Access Journals (Sweden)

Mauro Cozzani

2016-12-01

Full Text Available Abstract Background Several studies have recently demonstrated that a post-treatment communication to explain the importance of an oral hygiene can improve the orthodontic patients’ compliance over a period of 66 days. The main goal of this study is to evaluate the effects of a structured follow-up communication after orthodontic appliance application on oral hygiene compliance after 30–40 days. Methods Eighty-four orthodontic participants enrolled from patients who were beginning fixed orthodontic treatment at the Orthodontic Department, Gaslini Hospital, Genova, between July and October 2014 were randomly assigned to one of three trial arms. Before the bonding, all patients underwent a session of oral hygiene aimed at obtaining an plaque index of “zero.” At the following orthodontic appointment, the plaque index was calculated for each patient in order to assess oral hygiene compliance. The first group served as control and did not receive any post-procedure communication, the second group received a structured text message giving reassurance, and the third group received a structured telephone call. Participants were blinded to group assignment and were not made aware that the text message or the telephone call was part of the study. (The research protocol was approved by the Italian Comitato Etico Regionale della Liguria-sezione 3^ c/o IRCCS-Istituto G. Gaslini 845/2014, and it is not registered in the trial’s register. Results Thirty patients were randomly assigned to the control group, 28 participants to the text message group, and 26 to the telephone group. Participants who received a post-treatment communication reported higher level of oral hygiene compliance than participants in the control group. The plaque index was 0.3 (interquartile range (Iqr, 0.60 and 0.75 (Iqr, 1.30, respectively, with a significant difference (P = 0.0205. Conclusions A follow-up procedure after orthodontic treatment may be an effective tool to

Architecture-based regulatory compliance argumentation

DEFF Research Database (Denmark)

Mihaylov, Boyan; Onea, Lucian; Hansen, Klaus Marius

2016-01-01

Standards and regulations are difficult to understand and map to software, which makes compliance with them challenging to argue for software products and development process. This is problematic since lack of compliance may lead to issues with security, safety, and even to economic sanctions....... An increasing number of applications (for example in healthcare) are expected to have to live up to regulatory requirements in the future, which will lead to more software development projects having to deal with such requirements. We present an approach that models regulations such that compliance arguments...... the approach on the migration of the telemedicine platform Net4Care to the cloud, where certain regulations (for example privacy) should be concerned. The approach has the potential to support simpler compliance argumentation with the eventual promise of safer and more secure applications....

Directory of certificates of compliance for radioactive materials packages. Certificates of compliance

International Nuclear Information System (INIS)

1979-10-01

This volume contains all Certificates of Compliance for radioactive material packages effective September 14, 1979. Purpose of this directory is to make available a convenient source of information on packagings which have been approved by the US Nuclear Regulatory Commission. To assist in identifying packaging, an index by Model Number and corresponding Certificate of Compliance number is included at the back of each volume of the directory

42 CFR 124.503 - Compliance level.

Science.gov (United States)

2010-10-01

... 42 Public Health 1 2010-10-01 2010-10-01 false Compliance level. 124.503 Section 124.503 Public... Unable To Pay § 124.503 Compliance level. (a) Annual compliance level. Subject to the provisions of this... persons unable to pay if it provides for the fiscal year uncompensated services at a level not less than...

Aortic compliance in patients with aortic regurgitation. Evaluation with magnetic resonance imaging

International Nuclear Information System (INIS)

Murai, Sachiko; Hamada, Seiki; Ueguchi, Takashi

2005-01-01

The purpose of this study was to assess by means of cine magnetic resonance imaging (MRI) aortic compliance before and after aortic valve replacement (AVR with SJM (St. Jude Medical, St paul, MN) valve) in patients with aortic regurgitation (AR). Two groups (healthy controls and patients with severe isolated AR) of 10 subjects each were included in this study. Cine MRI was performed at three locations of the aorta, and aortic compliance was calculated by dividing the maximum change in the aortic area by pulse pressure. Cine MRI is useful to assess abnormalities of aortic compliance in patients with AR. Compared with the control group, aortic compliance in the AR group was significantly less in the ascending aorta (p<0.05), decreasing in order of aortic location. After AVR, aortic compliance improved for all locations. Cine MRI enables assessment of aortic biophysical properties such as a compliance for evaluating the progression of AR and the efficacy of treatment. (author)

Compliance in rheumatoid arthritis and the role of formal patient education

NARCIS (Netherlands)

Brus, H.L.M.; Brus, Herman; van de Laar, Mart A F J; Taal, Erik; Rasker, Johannes J.; Wiegman, O.

1997-01-01

Objective: This study was performed to determine the compliance with the basic treatments for rheumatoid arthritis (RA; medication, physical therapy, and ergonomic measures), to study psychological factors that influence compliance in light of the social learning theory, to learn whether patient

A Study on Corporate Security Awareness and Compliance Behavior Intent

Science.gov (United States)

Clark, Christine Y.

2013-01-01

Understanding the drivers to encourage employees' security compliance behavior is increasingly important in today's highly networked environment to protect computer and information assets of the company. The traditional approach for corporations to implement technology-based controls, to prevent security breaches is no longer sufficient.…

Improving compliance in remote healthcare systems through smartphone battery optimization.

Science.gov (United States)

Alshurafa, Nabil; Eastwood, Jo-Ann; Nyamathi, Suneil; Liu, Jason J; Xu, Wenyao; Ghasemzadeh, Hassan; Pourhomayoun, Mohammad; Sarrafzadeh, Majid

2015-01-01

Remote health monitoring (RHM) has emerged as a solution to help reduce the cost burden of unhealthy lifestyles and aging populations. Enhancing compliance to prescribed medical regimens is an essential challenge to many systems, even those using smartphone technology. In this paper, we provide a technique to improve smartphone battery consumption and examine the effects of smartphone battery lifetime on compliance, in an attempt to enhance users' adherence to remote monitoring systems. We deploy WANDA-CVD, an RHM system for patients at risk of cardiovascular disease (CVD), using a wearable smartphone for detection of physical activity. We tested the battery optimization technique in an in-lab pilot study and validated its effects on compliance in the Women's Heart Health Study. The battery optimization technique enhanced the battery lifetime by 192% on average, resulting in a 53% increase in compliance in the study. A system like WANDA-CVD can help increase smartphone battery lifetime for RHM systems monitoring physical activity.

HWVP compliance with the Hanford site solid waste acceptance criteria

International Nuclear Information System (INIS)

Bromm, R.; Ornelas, J.; Fundingsland, S.; Shah, K.

1993-01-01

In order to ensure that the Hanford Waste Vitrification Project (HWVP) will meet solid waste acceptance criteria, a review of the criteria was performed. The primary purpose of the study was to evaluate the modifications that will be required to bring the HWVP into compliance for secondary waste which will be generated during normal operations of the facility. To accomplish this objective, the current HWVP design was evaluated based on the criteria established. Once the non-compliance areas and potentially non-compliance areas were identified, alternative plant design modifications were proposed. This paper summarizes the results and recommendations of that study

Consistent lithological units and its influence on geomechanical stratification in shale reservoir: case study from Baltic Basin, Poland.

Science.gov (United States)

Pachytel, Radomir; Jarosiński, Marek; Bobek, Kinga

2017-04-01

Geomechanical investigations in shale reservoir are crucial to understand rock behavior during hydraulic fracturing treatment and to solve borehole wall stability problem. Anisotropy should be considered as key mechanical parameter while trying to characterize shale properties in variety of scales. We are developing a concept of step-by-step approach to characterize and upscale the Consistent Lithological Units (CLU) at several scales of analysis. We decided that the most regional scale model, comparable to lithostratigraphic formations, is too general for hydraulic fracture propagation study thus a more detailed description is needed. The CLU's hierarchic model aims in upscale elastic properties with their anisotropy based on available data from vertical borehole. For the purpose of our study we have an access to continuous borehole core profile and full set of geophysical logging from several wells in the Pomeranian part of the Ordovician and Silurian shale complex belongs to the Baltic Basin. We are focused on shale properties that might be crucial for mechanical response to hydraulic fracturing: mineral components, porosity, density, elastic parameters and natural fracture pattern. To prepare the precise CLU model we compare several methods of determination and upscaling every single parameter used for consistent units secretion. Mineralogical data taken from ULTRA log, GEM log, X-ray diffraction and X-ray fluorescence were compared with Young modulus from sonic logs and Triaxial Compressive Strength Tests. The results showed the impact of clay content and porosity increase on Young's modulus reduction while carbonates (both calcite and dolomite) have stronger impact on elastic modulus growth, more than quartz, represented here mostly by detrital particles. Comparing the shales of similar composition in a few wells of different depths we concluded that differences in diagenesis and compaction due to variation in formation depth in a range of 1 km has negligible

Compliance with physical exercise

DEFF Research Database (Denmark)

Gram, Anne Sofie; Bønnelycke, Julie; Rosenkilde Larsen, Mads

2014-01-01

Aims: Sixty-one healthy, sedentary, moderately overweight young men participated in a randomised controlled trial to examine the effects of two different doses of endurance exercise on health behaviour and exercise compliance. Methods: Participants were randomised to a sedentary control group......), a post hoc thematic analysis was conducted to connect qualitative and quantitative data in a joint analysis. Results: Of the subjects interviewed, exercise compliance expressed as 95% CI was [96.8; 103%] in the MOD group and [82.9; 99.6%] in the HIGH group. The different doses of daily exercise equally...... or quantitative methodology alone. The preconditions of the TBP were fulfilled, and it represents a methodological model to explain the high degree of compliance and motivation to exercise....

ADA Compliance and Accessibility of Fitness Facilities in Western Wisconsin.

Science.gov (United States)

Johnson, Marquell J; Stoelzle, Hannah Y; Finco, Kristi L; Foss, Sadie E; Carstens, Katie

2012-01-01

The study expands the research on fitness facility accessibility by determining how compliant fitness facilities in rural western Wisconsin were with Title III of the Americans with Disabilities Act (ADA). Comparisons were made with 4 other studies that were conducted in different geographical regions. The study also examined fitness professionals' disability knowledge and awareness. An ADA fitness facility compliance instrument and a fitness professional disability awareness survey were used. Direct observation and physical measurements were taken during on-site visits to 16 of 36 eligible fitness facilities in rural western Wisconsin. Ten fitness professionals from participating facilities completed an online survey. Frequencies were used to analyze the results. None of the participating facilities were in 100% compliance with ADA. Customer service desk (84%) and path of travel throughout the facility (72%) were the highest compliance areas. Telephone (6%) and locker rooms (32%) were the lowest compliance areas. No fitness professional was trained in wheelchair transfers and very few had received training in providing services to individuals with disabilities. Fitness facility accessibility remains a concern nationally. Continued efforts need to be made to raise the awareness of ADA compliance among fitness professionals across the United States, especially in rural areas where fitness facility availability is limited.

Do alcohol compliance checks decrease underage sales at neighboring establishments?

Science.gov (United States)

Erickson, Darin J; Smolenski, Derek J; Toomey, Traci L; Carlin, Bradley P; Wagenaar, Alexander C

2013-11-01

Underage alcohol compliance checks conducted by law enforcement agencies can reduce the likelihood of illegal alcohol sales at checked alcohol establishments, and theory suggests that an alcohol establishment that is checked may warn nearby establishments that compliance checks are being conducted in the area. In this study, we examined whether the effects of compliance checks diffuse to neighboring establishments. We used data from the Complying with the Minimum Drinking Age trial, which included more than 2,000 compliance checks conducted at more than 900 alcohol establishments. The primary outcome was the sale of alcohol to a pseudo-underage buyer without the need for age identification. A multilevel logistic regression was used to model the effect of a compliance check at each establishment as well as the effect of compliance checks at neighboring establishments within 500 m (stratified into four equal-radius concentric rings), after buyer, license, establishment, and community-level variables were controlled for. We observed a decrease in the likelihood of establishments selling alcohol to underage youth after they had been checked by law enforcement, but these effects quickly decayed over time. Establishments that had a close neighbor (within 125 m) checked in the past 90 days were also less likely to sell alcohol to young-appearing buyers. The spatial effect of compliance checks on other establishments decayed rapidly with increasing distance. Results confirm the hypothesis that the effects of police compliance checks do spill over to neighboring establishments. These findings have implications for the development of an optimal schedule of police compliance checks.

State regulatory issues in acid rain compliance

International Nuclear Information System (INIS)

Solomon, B.D.; Brick, S.

1992-01-01

This article discusses the results of a US EPA workshop for state regulators and commission staff on acid rain compliance concerns. The topics of the article include the results of market-based emissions control, how emissions trading is expected to reduce emissions, public utility commissions approval of compliance plans, the purposes of the workshop, market information, accounting issues, regulatory process and utility planning, multi-state compliance planning, and relationship to other compliance issues

Diagnostic information in compliance checking

NARCIS (Netherlands)

Ramezani Taghiabadi, E.; Fahland, D.; Aalst, van der W.M.P.

2012-01-01

Compliance checking is gaining importance as today's organizations need to show that operational processes are executed in a controlled manner while satisfying predefined (legal) requirements. Deviations may be costly and expose the organization to severe risks. Compliance checking is of growing

Patient compliance with drug therapy for postmenopausal osteoporosis

International Nuclear Information System (INIS)

Ahmad, A.; Khan, M.Y.

2007-01-01

To determine compliance and factors affecting compliance to antiresorptive drugs in osteoporosis, and to compare compliant and non compliant groups in a tertiary care setting. A total of 800 patients with postmenopausal osteoporosis were included in the study. The demographic and reproductive characteristics of all the patients were recorded. Type of antiresorptive drugs prescribed, degree of compliance, time and reasons for discontinuation were studied and analyzed. The mean age of the patients was 64 (+-9) years and their mean duration of follow-up 18 (+-5) months. The prevalence of risk factors for osteoporosis were evenly distributed among treatment groups; 73% patients had a co-morbidity besides osteoporosis while 27% were osteoporotic alone. One or more previous vertebral fractures due to osteoporosis was reported by 14.5% of patients, whereas 35.5% had at least one non-vertebral fracture in their medical history. Out of the total patients 21.5% discontinued the prescribed drug before attending the bone mass re-evaluations, more than half of these within first six months of starting the drugs. The medication that was most frequently discontinued within one year was calcium and vitamin-D (33.7%, p<0.01) while the least discontinued medication was Alendronate (5.9%, p < 0.01) which is taken once a week. In this study the most important determinant of compliance was the type of drug prescribed and its dose frequency, with a definite preference for Alendronate once a week. Treatment compliance was particularly poor for calcium and vitamin-D regimen, thereby emphasizing the need to find new ways of administering supplements, particularly for vitamin-D. (author)

Successful NEPA compliance at the superconducting super collider laboratory: A case study

International Nuclear Information System (INIS)

Corning, B.C.; Wiebe, R.G.

1992-01-01

In January, 1970, the President signed the National Environmental Policy Act (NEPA) into law. NEPA has become the basic policy-setting federal law relating to protection of the environment and has provided the initiative for passage of other federal and state environmental statutes. Although many of these statutes have unique requirements, there is a need to coordinate NEPA compliance with review requirements of the other environmental statutes in order to avoid delays that can be caused by proceeding separately under each statute. Because of its multi-purpose scope, the NEPA process is an excellent means for accomplishing the required coordination. The Director of the Superconducting Super Collider Laboratory has committed the Laboratory to Total Environmental Compliance. Environmental Compliance involves a dynamic set of factors-requiring system maintenance with integrated planning and control-that by design will identify requirements, ensure implementation of mitigative actions, track follow-on efforts, and plan for future requirements. The Record of Decision to proceed with the building of the SSC required that several mitigation actions be addressed. Identifying these requirements, their sources, and whether they can be addressed within the context of existing policies and procedures is required to ensure appropriate and timely mitigative actions. Applicable requirements may include federal, state, and local regulations, applicable Department of Energy Orders, best management practices, Laboratory requirements, and the adequacy and effectiveness of DOE and contractor management programs. Mitigative action is a principal aspect of total environmental compliance, conducted at all levels of the Laboratory, not just as an environmental function. Identified requirements are prioritized. Goals and objectives are set for implementing and successfully completing each mitigative action. Feedback mechanisms required for tracking the progress of each action are developed

Compliance with Environmental and Social Legislation in Certified Forestry Companies

Directory of Open Access Journals (Sweden)

Marcos Vinicius Santana Leite

2017-12-01

Full Text Available ABSTRACT The objective of this study was to evaluate the contribution of the FSC forestry certification system to improve the forestry sector, in terms of compliance to environmental and social laws and improvements in working conditions resulting from the certification process. Thirty-seven auditing reports from five Brazilian forestry companies were evaluated, throughout the 2006-2013 period. Non-compliance and observations were analyzed and organized into categories, which identified the main performance issues found in certified forestry organizations. 301 instances of non-compliance and 138 observations of audit reports were verified, where 48 and 57% respectively, were linked to the two principles studied. For obtaining and/or maintaining the certificate it is necessary for all violations to be resolved. Therefore, it was concluded that forest certification contributes to the advancement of the forestry sector in Brazil, in relation to compliance with legal, social and labor issues.

Scrubbers: A popular Phase I compliance strategy

International Nuclear Information System (INIS)

Fink, C.E.; Bissell, P.E.; Koch, B.J.; Rutledge, G.D.

1992-01-01

As utilities commit to compliance plans to meet the Phase I requirements of the Clean Air Act Amendments of 1990, there are indications that scrubbing may account for up to 50 percent of the total SO 2 reductions in Phase I. This paper presents and analyzes the critical reasons that explain how and why scrubber-based compliance strategies have developed into the least-cost option in Phase I for many utilities. A hypothetical utility system was simulated to study the impacts of various technological, legislative, and regulatory issues on compliance decisions and costs. Issues evaluated using the hypothetical system include the emissions cap, Clean Air Act and state incentives to scrub, improvements in scrubber technology and costs, and the integration of Phase I and II compliance strategies by the phased installation of scrubbers. In combination, these considerations increase the attractiveness of scrubbers during the 1995-1999 Phase I period. Other considerations that will ultimately influence the amount of Phase I scrubbing capacity include the additional power generation costs associated with fuel switching, the uncertainty of low-sulfur coal price projections, fuel supply flexibility, scrubber market aspects, and socioeconomic considerations

A Theory of Compliance with Minimum Wage Law

OpenAIRE

Asongu Simplice; Jellal Mohamed

2014-01-01

Purpose – In this paper, we introduce firm heterogeneity in the context of a model of non-compliance with minimum wage legislation. Design/methodology/approach – Theoretical modeling under government compliance policy and wages & employment under non compliance. Findings – The introduction of heterogeneity in the ease with which firms can be monitored for non compliance allows us to show that non-compliance will persist in sectors which are relatively difficult to monitor, despite the governm...

Does educating nurses with ventilator-associated pneumonia prevention guidelines improve their compliance?

Science.gov (United States)

Aloush, Sami M

2017-09-01

This study aimed to compare the compliance with ventilator-associated pneumonia (VAP)-prevention guidelines between nurses who underwent an intensive educational program and those who did not, and to investigate other factors that influence nurses' compliance. A 2-group posttest design was used to examine the effect of the VAP-prevention guidelines education on nurses' compliance. Participants were randomly assigned to experimental and control groups. The overall nurses' compliance scores were moderate. There was no statistically significant difference in compliance between the nurses who received VAP education and those who did not (t[100] = -1.43; P = .15). The number of beds in the unit and the nurse-patient ratio were found to influence nurses' compliance. Education in VAP-prevention guidelines will not improve nurses' compliance unless other confounding factors, such as their workload, are controlled. It is imperative to reduce nurses' workload to improve their compliance and enhance the effectiveness of education. Copyright © 2017 Association for Professionals in Infection Control and Epidemiology, Inc. Published by Elsevier Inc. All rights reserved.

Compliance with diphtheria, tetanus, and pertussis immunisation in Bangladesh

DEFF Research Database (Denmark)

Zeitlyn, S; Rahman, A K; Nielsen, B H

1992-01-01

OBJECTIVE: To evaluate factors associated with non-compliance with having second vaccination against diphtheria, tetanus, and pertussis in a treatment centre in Dhaka to determine which children were most at risk of not completing immunisation. DESIGN: Cohort study of infants given first dose...... of the vaccine and followed up six weeks later to ascertain compliance with having second dose. Factors associated with non-compliance were evaluated. SETTING: Dhaka treatment centre of the International Centre for Diarrhoeal Disease Research, Bangladesh. SUBJECTS: 136 unimmunised children aged 6 weeks to 23...... of immunisation, and she was given clear instructions to bring the child back after four weeks for the second dose. MAIN OUTCOME MEASURE: Rate of non-compliance with advice to return child for second vaccination. RESULTS: 46 of 113 children (41%) received the second dose of the vaccine. Factors most closely...

Type B Package Radioactive Material Contents Compliance

International Nuclear Information System (INIS)

HENSEL, STEVE

2006-01-01

Implementation of packaging and transportation requirements can be subdivided into three categories; contents compliance, packaging closure, and transportation or logistical compliance. This paper addresses the area of contents compliance within the context of regulations, DOE Orders, and appropriate standards. Common practices and current pitfalls are also discussed

Compliance with smoke-free legislation and smoking behaviour: observational field study from Punjab, India.

Science.gov (United States)

Goel, Sonu; Sharma, Deepak; Gupta, Rakesh; Mahajan, Vini

2017-08-10

Indian smoke-free legislation requires prohibition of smoking at public places and owners of public places to display 'no smoking' signages. The study aims to assess the compliance of public places with smoke-free legislation and determine the factors associated with active smoking in public places. This was a cross-sectional analytic observational quantitative survey conducted by a team of trained field investigators using a structured observational checklist across 6875 public places in Punjab state of India. The study was carried out over a period of 3 years. A total of 6875 public places across 22 districts of Punjab were observed. The overall compliance to smoke-free law in Punjab was 83.8%. The highest overall compliance was observed in healthcare facilities (89.6%) and least in transit stations (78.8%). Less active smoking was observed in public places where display of 'no smoking' signage compliant with smoke-free law of India was present (adjusted OR 0.6). Further, there was a positive association between active smoking and places where the owner of public places smoked (OR 5.2, CI 2.5 to 11.1). More than 80% of the public places in a jurisdiction in north India were compliant with the smoke-free legislation of India. 'No smoking' signages displayed as per legislation have an effect on curbing smoking behaviours at public places. It is recommended that policymakers should focus more on implementing the smoke-free law at transit sites and structured training sessions should be organised for owners of workplaces. © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2017. All rights reserved. No commercial use is permitted unless otherwise expressly granted.

Relationship between geochemical and geomechanical properties of magnesia building material. Final report; Zusammenhang von Chemismus und mechanischen Eigenschaften des MgO-Baustoffs. Abschlussbericht

Energy Technology Data Exchange (ETDEWEB)

Freyer, Daniela [Technische Univ. Bergakademie Freiberg (Germany). Inst. fuer Anorganische Chemie; Gruner, Matthias [Technische Univ. Bergakademie Freiberg (Germany). Inst. fuer Bergbau und Spezialtiefbau; Popp, Till [Institut fuer Gebirgsmechanik GmbH (IFG), Leipzig (Germany); and others

2015-06-15

Long-term isolation of radioactive wastes from the biosphere imposes particular demands an potential building materials for engineered barrier systems (EBS). Due to its proposed longterm stability in salt formations MgO-based (''Sorel'') mortar or concrete is the preferred material option for construction of dam or shaft seals based and more than 100 years practical experiences. Fundamental investigations concerning geochemical and geomechanical properties of the Sorel-building material were performed in the framework of an interdisciplinary research project of the IfAC (Institut fuer Anorganische Chemie) and the IfBUS (Institut fuer Bergbau und Spezialtiefbau) both of University TU Bergakademie Freiberg in cooperation with the IfG Leipzig (Institut fuer Gebirgsmechanik GmbH). The sophisticated investigation approach consisting of a step-by-step procedure, which delivers a comprehensive understanding of the strongly interrelated aspects and processes. This facilitates development of tailored building material mixtures for all technical purposes, e.g. for shotcrete or site concrete applications. Chemical phase formation and stability of sorel binder phases of the magnesia building material were investigated focusing and the solubility equilibria in the basic system Mg(OH){sub 2} - MgCI{sub 2} - H{sub 2}O and Mg(OH){sub 2} - MgSO{sub 4} - H{sub 2}.Two building material mixtures were developed. Both mixtures are optimized under consideration of their flow and solidification behavior and the rheology of the binder suspension, which was modified by adding filler materials. In particular, the used magnesium oxide reactivity was found to be the prime factor for the temporary binder phase formation and heat supply, e.g. too reactive MgO leads to earlier and higher setting temperatures correlating to earlier hardening which affects the material workability. The reliability of results was proven by comparisons with measured properties during large in situ

Stress field sensitivity analysis within Mesozoic successions in the Swiss Alpine foreland using 3-D-geomechanical-numerical models

Science.gov (United States)

Reiter, Karsten; Hergert, Tobias; Heidbach, Oliver

2016-04-01

The in situ stress conditions are of key importance for the evaluation of radioactive waste repositories. In stage two of the Swiss site selection program, the three siting areas of high-level radioactive waste are located in the Alpine foreland in northern Switzerland. The sedimentary succession overlays the basement, consisting of variscan crystalline rocks as well as partly preserved Permo-Carboniferous deposits in graben structures. The Mesozoic sequence represents nearly the complete era and is covered by Cenozoic Molasse deposits as well as Quaternary sediments, mainly in the valleys. The target horizon (designated host rock) is an >100 m thick argillaceous Jurassic deposit (Opalinus Clay). To enlighten the impact of site-specific features on the state of stress within the sedimentary succession, 3-D-geomechanical-numerical models with elasto-plastic rock properties are set up for three potential siting areas. The lateral extent of the models ranges between 12 and 20 km, the vertical extent is up to a depth of 2.5 or 5 km below sea level. The sedimentary sequence plus the basement are separated into 10 to 14 rock mechanical units. The Mesozoic succession is intersected by regional fault zones; two or three of them are present in each model. The numerical problem is solved with the finite element method with a resolution of 100-150 m laterally and 10-30 m vertically. An initial stress state is established for all models taking into account the depth-dependent overconsolidation ratio in Opalinus Clay in northern Switzerland. The influence of topography, rock properties, friction on the faults as well as the impact of tectonic shortening on the state of stress is investigated. The tectonic stress is implemented with lateral displacement boundary conditions, calibrated on stress data that are compiled in Northern Switzerland. The model results indicate that the stress perturbation by the topography is significant to depths greater than the relief contrast. The

Mobile Source Emissions Regulatory Compliance Data

Data.gov (United States)

U.S. Environmental Protection Agency — The Engine and Vehicle Compliance Certification and Fuel Economy Inventory contains measured emissions and fuel economy compliance information for all types of...

The Rotterdam AMblyopia Screening Effectiveness Study (RAMSES): compliance and predictive value in the first 2 years

NARCIS (Netherlands)

R.E. Juttmann (Rikard)

2001-01-01

textabstractBACKGROUND: RAMSES is a 7 year follow up study, aiming at the evaluation of the effectiveness and the efficiency of screening for amblyopia. In this first report, concerning the first 2 years of life, the compliance with the prevention programme and the positive

Factors associated with compliance of prenatal iron folate supplementation among women in Mecha district, Western Amhara: a cross-sectional study.

Science.gov (United States)

Taye, Bekele; Abeje, Gedefaw; Mekonen, Alemetsehaye

2015-01-01

Iron and folate supplementation can effectively control and prevent anaemia in pregnancy. In Ethiopia, all pregnant women are prescribed iron folate during their ANC visit. However, limited adherence is thought to be a major reason for the low effectiveness of iron supplementation programs. Therefore this study was done to investigate factors associated with compliance of prenatal iron folate supplementation among women who gave birth in the last 12 months before the survey in Mecha district. Community based cross sectional study design was employed in Mecha district from June 25 - July 15/2013. A sample of 634 women who gave birth 12 months before the survey was included in the study. Study participants were selected by systematic random sampling technique after allocating the total sample to each kebele proportionally. Data were collected using a pre-tested structured Amharic questionnaire. Collected data were edited, coded and entered to Epi info version 3.1 and exported to' SPSS version 16. Bivariate and multivariable analysis was computed. A total of 628 women who gave birth twelve months before the survey were enrolled. In this study only 20.4% of participants were compliant with iron foliate supplementation. In multivariable analysis, age of the mother, educational status of the mother, knowledge of anaemia and iron folate tablets, and history of anaemia during pregnancy were significantly associated with compliance to iron folate supplementation (Ptablets would harm the baby and fear of side effects were the major reasons given for noncompliance. Compliance to iron folate supplementation is very low in the study area. Increasing female education and increasing knowledge of women about anaemia and iron folate tablets are recommended to increase compliance to iron folate supplementation.

Prognostic value of physicians' assessment of compliance regarding all-cause mortality in patients with type 2 diabetes: primary care follow-up study

Directory of Open Access Journals (Sweden)

Rüter Gernot

2006-07-01

Full Text Available Abstract Background Whether the primary care physician's assessment of patient compliance is a valuable prognostic marker to identify patients who are at increased risk of death, or merely reflects measurement of various treatment parameters such as HbA1C or other laboratory markers is unclear. The objective of this prospective cohort study was to investigate the prognostic value of the physicians' assessment of patient compliance and other factors with respect to all-cause mortality during a one year follow-up period. Methods A prospective cohort study was conducted among 1014 patients with type 2 diabetes aged 40 and over (mean age 69 years, SD 10.4, 45% male who were under medical treatment in 11 participating practices of family physicians and internists working in primary care in a defined region in South Germany between April and June 2000. Baseline data were gathered from patients and physicians by standardized questionnaire. The physician's assessment of patient compliance was assessed by means of a 4-point Likert scale (very good, rather good, rather bad, very bad. In addition, we carried out a survey among physicians by means of a questionnaire to find out which aspects for the assessment of patient compliance were of importance to make this assessment. Active follow-up of patients was conducted after one year to determine mortality. Results During the one year follow-up 48 (4.7% of the 1014 patients died. Among other factors such as patient type (patients presenting at office, nursing home or visited patients, gender, age and a history of macrovascular disease, the physician's assessment of patient compliance was an important predictor of all-cause mortality. Patients whose compliance was assessed by the physician as "very bad" (6% were significantly more likely to die during follow-up (OR = 2.67, 95% CI 1.02–6.97 after multivariable adjustment compared to patients whose compliance was assessed as "rather good" (45% or "very good

Post Implementation of Goods and Services Tax (GST in Malaysia: Tax Agents’ Perceptions on Clients’ Compliance Behaviour and Tax Agents’ Roles in Promoting Compliance

Directory of Open Access Journals (Sweden)

Muhammad Izlawanie

2017-01-01

Full Text Available The Malaysian government introduced the Goods and Services Tax (GST starting from 1 April 2015 to enhance the revenue collections and mitigate the transfer pricing manipulation. Tax agents play a significant role to help businesses to comply with GST law and regulations. After one year of GST implementation, it is vital to understand tax agents’ perceptions on clients’ compliance behaviour and tax agents’ roles in influencing compliance. A total of 30 registered tax agents completed a survey questionnaire. The analysis shows that tax agents devote their time to provide advice to their clients on meeting their GST requirements, and recording and reporting of GST transactions. Tax agents assert that clients pass on their GST responsibilities to tax agents to some extent. Tax agents also perceive that clients’ compliance level is low because clients occasionally submit GST03 after the deadline, compromise the accuracy of GST03 in order to get it done on time and intentionally make errors in their records. In terms of tax agents’ role in promoting compliance, the tax agents strongly agree that it is important for them to act as trusted advisors for their clients. After one year of GST implementation, this is the first study that explores tax agents’ perceptions on clients’ compliance and tax agents’ roles in promoting compliance. The findings benefit the Royal Malaysian Customs Department (RMCD in assisting tax agents and the public for future compliance. Similar study should be adopted by countries that have recently implemented GST (for example, India and it should be conducted to other GST players (i.e. taxpayers and RMCD officers on annual basis to analyse the behavioural trends and identify weaknesses in GST administration.

Compliance among soft contact lens wearers.

Science.gov (United States)

Kuzman, Tomislav; Kutija, Marija Barisić; Masnec, Sanja; Jandroković, Sonja; Mrazovac, Danijela; Jurisić, Darija; Skegro, Ivan; Kalauz, Miro; Kordić, Rajko

2014-12-01

Contact lens compliance is proven to be crucial for preventing lens wear-related complications because of the interdependence of the steps in lens care regime and their influence on lens system microbial contamination. Awareness of the patients' lens handling compliance as well as correct recognition of non-compliant behaviours is the basis for creating more targeted strategies for patient education. The aim of this study was to investigate compliance among soft contact lens (SCL) wearers in different aspects of lens care handling and wearing habits. In our research 50 asymptomatic lens wearers filled out a questionnaire containing demographic data, lens type, hygiene and wearing habits, lenses and lens care system replacement schedule and self-evaluation of contact lens handling hygiene. We established criteria of compliance according to available manufacturer's recommendations, prior literature and our clinical experience. Only 2 (4%) of patients were fully compliant SCL wearers. The most common non-compliant behaviours were insufficient lens solution soaking time (62%), followed by failure to daily exchange lens case solution and showering while wearing lenses. 44% of patients reported storing lenses in saline solution. Mean lens storage case replacement was 3.6 months, with up to 78% patients replacing lens case at least once in 3 months. Average grade in self evaluating level of compliance was very good (4 +/- 0.78) (from 1-poor level of hygiene to 5-great level of hygiene). Lens wearers who reported excessive daily lens wear and more than 10 years of lens wearing experience were also found to be less compliant with other lens system care procedures. (t = -2.99, df=47, p rate, self grading was relatively high. Therefore, these results indicate the need for patient education and encouragement of better lens wearing habits and all of the lens maintenance steps at each patient visit.

Non-compliance to anti-hypertensive medication and its associated factors among hypertensives

International Nuclear Information System (INIS)

Bilal, A.; Riaz, M.; Shafiq, N.U.; Ahmed, M.; Sheikh, S.; Rasheed, S.

2015-01-01

Non-compliance to anti-hypertensive drugs can have negative impact on cardiovascular outcome. Various studies have been conducted on the issue but the factors are not yet explored properly, particularly in Pakistan. This study was conducted to determine the frequency and factors associated with non-compliance to anti-hypertensive medications in Karachi. Methods: This descriptive cross sectional study was conducted on 113 indoor hypertensive patients included by purposive sampling, aged 30 years and above diagnosed at least 6 months back in public sector tertiary care institutes of Karachi from March to October 2011. Data was collected through a questionnaire in Urdu. Demographic data, hypertension diagnosis, medical co-morbidity, current number of anti-hypertensive medicines, frequency of missing prescribed antihypertensive therapy and other factors affecting compliance pertaining to medicines, patient, physician and health care centre were included in the questionnaire. Results: This study revealed that 68.14% patients were non-compliant. Non-compliance was found to be associated with gender and socioeconomic status. Duration of hypertension, duration between follow up visits to physician, number of drugs, careless attitude, role of physician and limiting access to health care center are found to be important factors in non-compliance. Conclusions: Multiple factors including patients, medicine and health care system related, which can be prevented with simple measures, were found responsible for higher prevalence of non-compliance against anti-hypertensive medicines. (author)

Geomechanical effects on CO₂ leakage through fault zones during large-scale underground injection

Energy Technology Data Exchange (ETDEWEB)

Rinaldi, Antonio P. [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States); Rutqvist, Jonny [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States); Cappa, Frédéric [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States); Univ. of Nice Sophia-Antipolis, Nice (France). Cote d' Azur Observatory. GeoAzur

2013-12-01

The importance of geomechanics—including the potential for faults to reactivate during large-scale geologic carbon sequestration operations—has recently become more widely recognized. However, notwithstanding the potential for triggering notable (felt) seismic events, the potential for buoyancy-driven CO₂ to reach potable groundwater and the ground surface is actually more important from public safety and storage-efficiency perspectives. In this context, this paper extends the previous studies on the geomechanical modeling of fault responses during underground carbon dioxide injection, focusing on the short-term integrity of the sealing caprock, and hence on the potential for leakage of either brine or CO₂ to reach the shallow groundwater aquifers during active injection. We consider stress/strain-dependent permeability and study the leakage through the fault zone as its permeability changes during a reactivation, also causing seismicity. We analyze several scenarios related to the volume of CO₂ injected (and hence as a function of the overpressure), involving both minor and major faults, and analyze the profile risks of leakage for different stress/strain-permeability coupling functions. We conclude that whereas it is very difficult to predict how much fault permeability could change upon reactivation, this process can have a significant impact on the leakage rate. Moreover, our analysis shows that induced seismicity associated with fault reactivation may not necessarily open up a new flow path for leakage. Results show a poor correlation between magnitude and amount of fluid leakage, meaning that a single event is generally not enough to substantially change the permeability along the entire fault length. Finally, and consequently, even if some changes in permeability occur, this does not mean that the CO₂ will migrate up along the entire fault, breaking through the caprock to enter the overlying aquifer.

Patching compliance with full-time vs. part-time occlusion therapy.

Science.gov (United States)

Kane, Jessica; Biernacki, Ron; Fraine, Lisa; Fukuda, Neva; Haskins, Kelsie; Morrison, David G

2013-01-01

Amblyopia is commonly treated with part-time occlusion (PTO) therapy. We have made two anecdotal observations regarding this therapy. First, children undergoing full-time occlusion seem to have better success and compliance rates. Secondly, a subset of children exists that fail PTO but can improve with more aggressive therapy. A retrospective review where treatment, visual outcome, and compliance scores were recorded. Compliance was graded on percent adherence reported by family. Patients scored “1” (for no compliance), “2” (for 1–25% of prescribed treatment performed), “3” (for 26–50%), “4” (for 51–75%), or “5” (for 76–100%). Seventy-six children were enrolled in the study: forty-five were treated with part-time occlusion, twenty-two were treated with full time occlusion (FTO), and nine had a history of failed PTO and were subsequently treated with FTO. Visual outcomes for FTO versus PTO were not statistically significant (P = 0.82). However, compliance rates in FTO were significantly better (P = 0.02). Of the nine patients that failed PTO, four improved an average of three lines with full-time occlusion, and five had no change with more aggressive patching. This study confirms previous reports of similar visual outcomes between PTO and FTO. However, compliance rates for FTO seem to be higher and some children who have failed PTO may improve with FTO.

Pilot study: Assessing the effect of continual position monitoring technology on compliance with patient turning protocols.

Science.gov (United States)

Schutt, Suann Cirigliano; Tarver, Christine; Pezzani, Michelle

2018-01-01

The study aim was to evaluate if continual patient position monitoring, taking into account self-turns and clinician-assisted turns, would increase the percentage of time a patient's position changed at least every 2 hr. While patient turning has clinical benefits, current models to help staff remember to turn patients, such as "turn clocks" and timers, have not resulted in high compliance with turning protocols. In addition, reminders are based on arbitrary 2-hr windows (such as turning on "even" hours) rather than on individual patient activity, including self-turns. This is a first inpatient, non-randomized, pre-/postintervention study. Data collection occurred from May 2013-February 2014 on a 39-bed medical unit in a community hospital. Baseline patient turning data were recorded by a sensor; however, the patient data were not displayed at the nurses' station to establish compliance with the hospital's turning protocol. Postintervention, patient position information was wirelessly displayed on nurses' station computer monitors in real time. A Student t test was used to compare baseline to postintervention "mean time in compliance." Data from 138 patients ( N  =   7,854 hr of monitoring) were collected. The baseline phase yielded 4,322 hr of position monitoring data and the postintervention phase yielded 3,532 hr of data. Statistically significant improvement was demonstrated in the percentage of time a patient's position changed at least every 2 hr from baseline to postintervention.

Federal facilities compliance act waste management

International Nuclear Information System (INIS)

Bowers, J.; Gates-Anderson, D.; Hollister, R.; Painter, S.

1999-01-01

Site Treatment Plans (STPs) developed through the Federal Facilities Compliance Act pose many technical and administrative challenges. Legacy wastes managed under these plans require Land Disposal Restriction (LDR) compliance through treatment and ultimate disposal. Although capacity has been defined for most of the Department of Energy wastes, many waste streams require further characterization and many need additional treatment and handling beyond LDR criteria to be able to dispose of the waste. At Lawrence Livermore National Laboratory (LLNL), the Hazardous Waste Management Division has developed a comprehensive Legacy Waste Program. The program directs work to manage low level and mixed wastes to ensure compliance with nuclear facility rules and its STP. This paper provides a survey of work conducted on these wastes at LLNL. They include commercial waste treatment and disposal, diverse forms of characterization, inventory maintenance and reporting, on-site treatment, and treatability studies. These activities are conducted in an integrated fashion to meet schedules defined in the STP. The processes managing wastes are dynamic due to required integration of administrative, regulatory, and technical concerns spanning the gamut to insure safe proper disposal

Year 2000 compliance issues.

Science.gov (United States)

1999-03-01

This month, we continue our coverage of the year 2000 (Y2K) problem as it affects healthcare facilities and the professionals who work in them. We present the following articles: "Checking PCs for Y2K Compliance"--In this article, we describe the probable sources of Y2K-related errors in PCs and present simple procedures for testing the Y2K compliance of PCs and application software. "Y2K Assessment Equipment Expectations"--In this article, we review the Y2K compliance data from a small sampling of hospitals to help answer the question "What percentage of medical equipment will likely be susceptible to Y2K problems?" "Y2K Labeling of Medical Devices"--In this article, we discuss the pros and cons of instituting a program to label each medical device with its Y2K status. Also in this section, we present an updated list of organizations that support ECRI's Position Statement on the testing of medical devices for Y2K compliance, which we published in the December 1998 issue of Health Devices (27[12]). And we remind readers of the services ECRI can offer to help healthcare institutions cope with the Y2K problem.

Magnified Bacteria Powerful Motivator for Hand Hygiene Compliance.

Science.gov (United States)

Gregory, Ashley

2016-08-01

Infection prevention specialists at Henry Ford Hospital in Detroit have found that showing healthcare workers magnified pictures of bacteria found ontheir hands and in their surrounding units can be a powerful motivator for improved hand hygiene compliance. When tested in four units during a one-month period, the intervention boosted hand hygiene compliance by an average of 24%. Investigators note that to be successful, the intervention must be paired with an effective compliance monitoring program. For the study, investigators visited each unit twice per week, during which they would swab various items as well as employees' hands using and adenosine triphosphate (ATP) meter, a hand-held device that measures living organisms. During each unit visit, infection prevention specialists would show unit personnel pictures from a compilation of 12 magnified images of bacteria that had been lifted from the unit. This was to demonstrate what the bacteria would look like under a microscope. The unsavory pictures produced immediate increases in had hygiene compliance, and prompted healthcare workers to see who could produce the best ATP meter readings on subsequent infection prevention specialist visits.

Effect of Safety Education on Knowledge of and Compliance with ...

African Journals Online (AJOL)

Objective: Compliance with road safety signs is important in the reduction of motorcycle accidents. The aim of this study was to implement health education intervention and assess its impact on the knowledge of and compliance with road safety signs among commercial motorcyclists in Uyo, Southern Nigeria. Method: This ...

review of compliance to anti tuberculosis treatment and risk factors ...

African Journals Online (AJOL)

Background: The aim of this study is to assess anti TB treatment compliance and the factors predictive for poor adherence in Sub-Saharan Africa in the last 10 years. Methods: We searched Medline for articles written in English using the terms: "Patient Compliance"[Mesh] OR "Medication Adherence"[Mesh])) AND ...

The impact of an electronic monitoring and reminder device on patient compliance with antihypertensive therapy

DEFF Research Database (Denmark)

Christensen, Arne; Christrup, Lona Louring; Fabricius, Paul Erik

2010-01-01

. In the first half of the study, patients using the device reported 91% compliance versus 85% in the control group. This difference diminished after crossover (88 versus 86%). BP was not affected. Electronic monitoring data on compliance revealed taking, dosing and timing compliance between 45 and 52% in study...... to be effective in improving patient compliance to some extent, but the combined effect has not been documented. OBJECTIVE: To assess the impact of an electronic reminder and monitoring device on patient compliance and BP control. METHODS: All patients received medical treatment with telmisartan once daily...... and were randomized to either electronic compliance monitoring with a reminder and monitoring device or standard therapy for 6 months. Both groups were crossed over after 6 months. Intervention effectiveness was assessed using self-reported compliance and BP. RESULTS: Data from 398 patients were analysed...

Compliance or patient empowerment in online communities

DEFF Research Database (Denmark)

Wentzer, Helle; Bygholm, Ann

2010-01-01

New technologies enable a different organization of the public’s admission to health care services. The article discusses whether online support groups in patient treatment are to be understood in the light of patient empowerment or within the tradition of compliance. The back-ground material...... of opening up health care to the critical voice of the public, the quantitative and qualitative studies surprisingly point to a synthesis of the otherwise opposite positions of empowerment and compliance in patient care. Thereby the critical potential of online communities in health care services seems...

An Integrative Behavioral Model of Information Security Policy Compliance

Directory of Open Access Journals (Sweden)

Sang Hoon Kim

2014-01-01

Full Text Available The authors found the behavioral factors that influence the organization members’ compliance with the information security policy in organizations on the basis of neutralization theory, Theory of planned behavior, and protection motivation theory. Depending on the theory of planned behavior, members’ attitudes towards compliance, as well as normative belief and self-efficacy, were believed to determine the intention to comply with the information security policy. Neutralization theory, a prominent theory in criminology, could be expected to provide the explanation for information system security policy violations. Based on the protection motivation theory, it was inferred that the expected efficacy could have an impact on intentions of compliance. By the above logical reasoning, the integrative behavioral model and eight hypotheses could be derived. Data were collected by conducting a survey; 194 out of 207 questionnaires were available. The test of the causal model was conducted by PLS. The reliability, validity, and model fit were found to be statistically significant. The results of the hypotheses tests showed that seven of the eight hypotheses were acceptable. The theoretical implications of this study are as follows: (1 the study is expected to play a role of the baseline for future research about organization members’ compliance with the information security policy, (2 the study attempted an interdisciplinary approach by combining psychology and information system security research, and (3 the study suggested concrete operational definitions of influencing factors for information security policy compliance through a comprehensive theoretical review. Also, the study has some practical implications. First, it can provide the guideline to support the successful execution of the strategic establishment for the implement of information system security policies in organizations. Second, it proves that the need of education and training

An integrative behavioral model of information security policy compliance.

Science.gov (United States)

Kim, Sang Hoon; Yang, Kyung Hoon; Park, Sunyoung

2014-01-01

The authors found the behavioral factors that influence the organization members' compliance with the information security policy in organizations on the basis of neutralization theory, Theory of planned behavior, and protection motivation theory. Depending on the theory of planned behavior, members' attitudes towards compliance, as well as normative belief and self-efficacy, were believed to determine the intention to comply with the information security policy. Neutralization theory, a prominent theory in criminology, could be expected to provide the explanation for information system security policy violations. Based on the protection motivation theory, it was inferred that the expected efficacy could have an impact on intentions of compliance. By the above logical reasoning, the integrative behavioral model and eight hypotheses could be derived. Data were collected by conducting a survey; 194 out of 207 questionnaires were available. The test of the causal model was conducted by PLS. The reliability, validity, and model fit were found to be statistically significant. The results of the hypotheses tests showed that seven of the eight hypotheses were acceptable. The theoretical implications of this study are as follows: (1) the study is expected to play a role of the baseline for future research about organization members' compliance with the information security policy, (2) the study attempted an interdisciplinary approach by combining psychology and information system security research, and (3) the study suggested concrete operational definitions of influencing factors for information security policy compliance through a comprehensive theoretical review. Also, the study has some practical implications. First, it can provide the guideline to support the successful execution of the strategic establishment for the implement of information system security policies in organizations. Second, it proves that the need of education and training programs suppressing

Geomechanical Modeling of Fault Responses and the Potential for Notable Seismic Events during Underground CO2 Injection

Science.gov (United States)

Rutqvist, J.; Cappa, F.; Mazzoldi, A.; Rinaldi, A.

2012-12-01

The importance of geomechanics associated with large-scale geologic carbon storage (GCS) operations is now widely recognized. There are concerns related to the potential for triggering notable (felt) seismic events and how such events could impact the long-term integrity of a CO2 repository (as well as how it could impact the public perception of GCS). In this context, we review a number of modeling studies and field observations related to the potential for injection-induced fault reactivations and seismic events. We present recent model simulations of CO2 injection and fault reactivation, including both aseismic and seismic fault responses. The model simulations were conducted using a slip weakening fault model enabling sudden (seismic) fault rupture, and some of the numerical analyses were extended to fully dynamic modeling of seismic source, wave propagation, and ground motion. The model simulations illustrated what it will take to create a magnitude 3 or 4 earthquake that would not result in any significant damage at the groundsurface, but could raise concerns in the local community and could also affect the deep containment of the stored CO2. The analyses show that the local in situ stress field, fault orientation, fault strength, and injection induced overpressure are critical factors in determining the likelihood and magnitude of such an event. We like to clarify though that in our modeling we had to apply very high injection pressure to be able to intentionally induce any fault reactivation. Consequently, our model simulations represent extreme cases, which in a real GCS operation could be avoided by estimating maximum sustainable injection pressure and carefully controlling the injection pressure. In fact, no notable seismic event has been reported from any of the current CO2 storage projects, although some unfelt microseismic activities have been detected by geophones. On the other hand, potential future commercial GCS operations from large power plants

40 CFR 73.35 - Compliance.

Science.gov (United States)

2010-07-01

... 40 Protection of Environment 16 2010-07-01 2010-07-01 false Compliance. 73.35 Section 73.35... ALLOWANCE SYSTEM Allowance Tracking System § 73.35 Compliance. (a) Allowance transfer deadline. No allowance... in § 73.34(a) of this part, the Administrator will deduct allowances for each source with excess...

Compliance of feed limits, does not mean compliance of food limits

Directory of Open Access Journals (Sweden)

van Raamsdonk LWD.

2009-01-01

Full Text Available The carry-over of contaminants from feed to animal food products is an important aspect of the animal production chain. For a proper containment, limits for feed as well food products are fixed for a series of chemicals, e.g. dioxins and dioxin-like PCBs, lead, cadmium, some chlorinated pesticides, and aflatoxin B1 (and its metabolite M1 in milk. The relationship between feed and food limits is an important issue. An ideal goal is to assure that compliance to a feed limits automatically results in compliance to food limits. In order to collect information about this relationship, several simulation models and a large database on transfer factors have been developed. An optimal choice between either a model or an application of data from the Transfer Database is based on both the knowledge level, and on the circumstances of the specific situation. To reach and validate such an optimal choice an Expert System Carry-Over is currently in development, containing four different modules: 1 the different calculation models and the Transfer Database, 2 a decision tree for choosing the optimal strategy, 3 data tables indicating knowledge levels of compound/animal/product parameters, and 4 supporting databases containing information on consumption and composition of daily diets, animal parameters, and amounts of (daily production. Calculations indicate that for dioxins compliance to feed levels does not necessarily mean that food limits are complied as well. Besides an estimation of the compliance to limits, the expert system is a tool for feed related risk assessments, and for planning of future research.

Randomized, double blind comparison of brand and generic antibiotic suspensions: II. A study of taste and compliance in children.

Science.gov (United States)

El-Chaar, G M; Mardy, G; Wehlou, K; Rubin, L G

1996-01-01

The taste of oral liquid medications influences compliance in children. Generic preparations are prescribed to reduce cost and may taste worse than brand name products. This was a prospective, randomized, double blind, crossover trial of the differences in taste and compliance between brand and generic antibiotic suspensions in children 3 to 14 years of age. Verbal and visual assessment methods were used to assess taste, and compliance was measured by the amount of drug returned after use. Ten children in each of the cephalexin and erythromycin-sulfisoxazole groups did not report that the brand and generic formulations tasted differently. Fifteen children thought that brand trimethoprim-sulfamethoxazole tasted better than the generic preparation. Brand name oral liquid antibiotics do not necessarily taste better than their generic counterparts. Despite preference for the taste of brand trimethoprim-sulfamethoxazole, all of the children in this study were compliant with both brand and generic medications.

Monitoring compliance with requirements during site characterization

International Nuclear Information System (INIS)

Herrington, C.C.; Jennetta, A.R.; Dobson, D.C.

1991-01-01

The question of when a program of Regulatory Compliance should be applied and what it should be applied to, when the subject of compliance is a High Level Radioactive Waste Repository, defies resolution by merely relating to past practices of licensees of the US Nuclear Regulatory Commission (NRC). NRC regulations governing the disposal of High Level Waste include interactions with the potential applicant (US DOE) during the pre-license application phase of the program when the basis for regulatory compliance is not well defined. To offset this shortcoming, the DOE will establish an expanded basis for regulatory compliance, keeping the NRC apprised of the basis as it develops. As a result, the preapplication activities of DOE will assume the added benefit of qualification to a suitable Regulatory Compliance monitoring and maintenance plan

Intervention Effects on Safety Compliance and Citizenship Behaviors: Evidence from the Work, Family, and Health Study

Science.gov (United States)

Hammer, Leslie B.; Johnson, Ryan C.; Crain, Tori L.; Bodner, Todd; Kossek, Ellen Ernst; Davis, Kelly; Kelly, Erin L.; Buxton, Orfeu M.; Karuntzos, Georgia; Chosewood, L. Casey; Berkman, Lisa

2015-01-01

We tested the effects of a work-family intervention on employee reports of safety compliance and organizational citizenship behaviors in 30 healthcare facilities using a group-randomized trial. Based on Conservation of Resources theory and the Work-Home Resources Model, we hypothesized that implementing a work-family intervention aimed at increasing contextual resources via supervisor support for work and family and employee control over work time would lead to improved personal resources and increased employee performance on the job in the form of self-reported safety compliance and organizational citizenship behaviors. Multilevel analyses used survey data from 1,524 employees at baseline, 6-month and 12-month post-intervention follow-ups. Significant intervention effects were observed for safety compliance at the 6-month and organizational citizenship behaviors at the 12-month follow-ups. More specifically, results demonstrate that the intervention protected against declines in employee self-reported safety compliance and organizational citizenship behaviors, compared to employees in the control facilities. The hypothesized mediators of perceptions of family supportive supervisor behaviors, control over work time, and work-family conflict (work-to-family conflict, family-to-work conflict) were not significantly improved by the intervention. However, baseline perceptions of family supportive supervisor behaviors, control over work time, and work-family climate were significant moderators of the intervention effect on the self-reported safety compliance and organizational citizenship behavior outcomes. PMID:26348479

A systematic review of compliance with palivizumab administration for RSV immunoprophylaxis.

Science.gov (United States)

Frogel, Michael P; Stewart, Dan L; Hoopes, Michael; Fernandes, Ancilla W; Mahadevia, Parthiv J

2010-01-01

;and an abstract database, Medical Intelligence Solution, for citations through April 2008. Specific search terms used were palivizumab with patient compliance, patient adherence, or patient persistence. Twenty-five articles and abstracts met the inclusion criteria. Available studies were mostly retrospective or observational prospective.Compliance, defined in various ways across the studies, varied between 25% and 100%, and 12 studies identified some of the factors related to noncompliance. Compliance generally was lower among Medicaid patients,African American patients, and other minorities. Ten studies (3 manuscripts and 7 abstracts) investigated the association of administration of prophylaxis through monthly home visits by a health professional with parental compliance with therapy. Most of the home-based programs were associated with higher compliance rates compared with clinic or office programs.Rates as high as 94% and 64% were achieved when Medicaid infants and infants of minority descent, respectively, received their doses through a home health program. When these infants received their doses at a clinic or office, depending on the definition of compliance, rates were 61%-100% for Medicaid infants and 44% for infants of minority descent. Reminder telephone calls to parents or caregivers, comprehensive multidisciplinary programs that included extensive counseling of parents, calendars with sticker reminders, and education in the language native to parents also were associated with increased compliance, although statistical significance was reported in only 1 study. Several studies recommended educating parents on the benefits of RSV prophylaxis, alleviating transportation and language difficulties, recognizing cultural differences and biases, and clarifying misperception of RSV illness severity. Home health programs had lower rates of RSV hospitalizations than office-based programs in 3 analyses conducted in 2 studies. In 4 other abstracts, the rates of RSV

Understanding and managing compliance in the nature conservation context.

Science.gov (United States)

Arias, Adrian

2015-04-15

Nature conservation relies largely on peoples' rule adherence. However, noncompliance in the conservation context is common: it is one of the largest illegal activities in the world, degrading societies, economies and the environment. Understanding and managing compliance is key for ensuring effective conservation, nevertheless crucial concepts and tools are scattered in a wide array of literature. Here I review and integrate these concepts and tools in an effort to guide compliance management in the conservation context. First, I address the understanding of compliance by breaking it down into five key questions: who?, what?, when?, where? and why?. A special focus is given to 'why?' because the answer to this question explains the reasons for compliance and noncompliance, providing critical information for management interventions. Second, I review compliance management strategies, from voluntary compliance to coerced compliance. Finally, I suggest a system, initially proposed for tax compliance, to balance these multiple compliance management strategies. This paper differs from others by providing a broad yet practical scope on theory and tools for understanding and managing compliance in the nature conservation context. Copyright © 2015 Elsevier Ltd. All rights reserved.

ICF's Plant Compliance Assessment System

International Nuclear Information System (INIS)

Baker, S.M.

1989-01-01

Government and private industrial facilities must manage wastes that are both radioactive and (chemically) hazardous. Until recently, these mixed wastes have been managed under rules established under the Atomic Energy Act (AEA) and the Low-Level Waste Policy At, and rules that derive from environmental legislation have not been applied. Both sets of rules now apply to mixed wastes, creating situations in which significant changes to waste steams must be made in order to bring them into compliance with environmental regulations. The first step in bringing waste streams into compliance is to determine their status with respect to the newly-applicable regulations. This process of compliance assessment is difficult because requirements to minimize human exposure to radiation can conflict with requirements of environmental regulations, many regulations are potentially applicable, the regulations are changing rapidly, and because waste streams designed to operate under AEA rules frequently cannot be easily modified to incorporate the additional regulations. Modern personal computer (PC) tools are being developed to help regulatory analysts manage the large amounts of information required to asses the compliance status of complex process plants. This paper presents the Plant Compliance Assessment System (PCAS), which performs this function by relating a database containing references to regulatory requirements to databases created to describe relevant aspects of the facility to be assessed

Non-compliance with growth hormone treatment in children is common and impairs linear growth.

Directory of Open Access Journals (Sweden)

Wayne S Cutfield

Full Text Available BACKGROUND: GH therapy requires daily injections over many years and compliance can be difficult to sustain. As growth hormone (GH is expensive, non-compliance is likely to lead to suboptimal growth, at considerable cost. Thus, we aimed to assess the compliance rate of children and adolescents with GH treatment in New Zealand. METHODS: This was a national survey of GH compliance, in which all children receiving government-funded GH for a four-month interval were included. Compliance was defined as ≥ 85% adherence (no more than one missed dose a week on average to prescribed treatment. Compliance was determined based on two parameters: either the number of GH vials requested (GHreq by the family or the number of empty GH vials returned (GHret. Data are presented as mean ± SEM. FINDINGS: 177 patients were receiving GH in the study period, aged 12.1 ± 0.6 years. The rate of returned vials, but not number of vials requested, was positively associated with HVSDS (p < 0.05, such that patients with good compliance had significantly greater linear growth over the study period (p<0.05. GHret was therefore used for subsequent analyses. 66% of patients were non-compliant, and this outcome was not affected by sex, age or clinical diagnosis. However, Maori ethnicity was associated with a lower rate of compliance. INTERPRETATION: An objective assessment of compliance such as returned vials is much more reliable than compliance based on parental or patient based information. Non-compliance with GH treatment is common, and associated with reduced linear growth. Non-compliance should be considered in all patients with apparently suboptimal response to GH treatment.

Compliance with RSV prophylaxis: Global physicians’ perspectives

Directory of Open Access Journals (Sweden)

Kari S Anderson

2009-07-01

Full Text Available Kari S Anderson, Victoria M Mullally, Linda M Fredrick, Andrew L CampbellAbbott Laboratories, Abbott Park, IL, USAAbstract: Respiratory syncytial virus (RSV is a significant cause of morbidity in high-risk infants. Palivizumab is proven to prevent serious RSV disease, but compliance with prophylaxis (monthly doses during the RSV season is essential to ensure protection. We invited 453 pediatricians to participate in a survey to identify their perspectives of barriers to compliance and interventions to improve compliance with palivizumab prophylaxis schedules. One hundred physicians from five continents completed the survey, identifying caregiver inconvenience, distance to clinic, cost of prophylaxis, and lack of understanding of the severity of RSV as the most common reasons for noncompliance. They recommended provision of educational materials about RSV, reminders from hospital or clinic, and administration of prophylaxis at home to increase compliance. Globally, physicians recognize several obstacles to prophylaxis compliance. This survey suggests that focused proactive interventions such as empowering caregivers with educational materials and reducing caregiver inconvenience may be instrumental to increase compliance.Keywords: medication adherence, respiratory syncytial virus infections, infant, premature, immunization, passive

Compliance and Subjective Patient Responses to Eyelid Hygiene.

Science.gov (United States)

Alghamdi, Yousef A; Camp, Andrew; Feuer, William; Karp, Carol L; Wellik, Sarah; Galor, Anat

2017-07-01

Lid hygiene is a commonly prescribed first-line therapy in patients with lid margin disease, yet compliance with therapy is not well characterized. The goals of this study were to assess patient compliance with lid hygiene and evaluate which factors predict a favorable symptomatic response to treatment. This was a cross-sectional study of patients seen in the Miami Veterans Affairs eye clinic between August and December 2014. An evaluation was performed to assess dry eye symptoms and lid margin signs. All patients were then instructed to perform warm compresses and lid scrubs. A follow-up phone survey assessed compliance and subjective therapeutic response 6 weeks later. Two hundred seven of 211 (98%) patients (94% male, 60% white) completed the survey. Of the 207 patients, 188 (91%) completed the follow-up survey. Compliance with therapy was reported in 104 patients (55%); 66 reported complete improvement, 30 partial improvement, and 8 no improvement in symptoms. Patients who self-reported dry eye symptoms at first visit (n=86, 74%) were more likely to be compliant with lid hygiene than those who did not report symptoms (n=18, 25%) (Phygiene was longer time of self-reported dry eye symptoms. None of the other signs studied, including the presence of skin rosacea and lid margin telangiectasia, were associated with a differential response to lid hygiene. Patients with dry eye symptoms were moderately compliant with lid hygiene, and patients who performed the routine noted improvement in symptoms.

7 CFR 772.3 - Compliance.

Science.gov (United States)

2010-01-01

... SPECIAL PROGRAMS SERVICING MINOR PROGRAM LOANS § 772.3 Compliance. (a) Requirements. No Minor Program... parts 15d and 15e. (b) Reviews. In accordance with Title VI of the Civil Rights Act of 1964, the Agency will conduct a compliance review of all Minor Program borrowers, to determine if a borrower has...

Estimation of the compliance of the human capacitance vessels using radionuclide plethysmography. Comparison of the compliance with the NYHA functional classification

Energy Technology Data Exchange (ETDEWEB)

Takatsu, Hisato; Gotoh, Kohshi; Suzuki, Takahiko and others

1988-01-01

Radionuclide (RN) plethysmography with Tc-99m RBC was performed in 32 patients with heart disease with the purpose of obtaining compliance of human capacitance vessels. When equilibrium was achieved, RN counts of the region of interest and venous pressure in the forearm were sequentially recorded when the vein of the upper arm was occluded with a cuff inflator. Based on the RN count-venous pressure curve, the specific compliance of the forearm vein and compliance of systemic venous system (SVS) were estimated. In the group of the NYHA functional classification I, which is recognized as hemodynamically ''normal'', the compliance of SVS was 129.8 +- 25.9 ml center dot mmHg/sup -1/ (mean +- SD; n = 9). In comparing the NYHA functional classification and the compliance of SVS, the compliance of SVS was significantly decreased for severer heart failure. Tongue administration of nitroglycerin (0.6 mg) significantly increased the compliance of SVS (p < 0.01). (Namekawa, K.).

Impact of SO2 emissions cap on Phase I compliance decisions

International Nuclear Information System (INIS)

Bissell, P.E.; Fink, C.E.; Koch, B.J.; Chomka, P.A.

1990-01-01

The SO 2 emissions cap provisions of impending clean air legislation will dramatically affect Phase I and Phase II compliance decisions by electric utilities. Technology-based SO 2 reduction alternatives could become the keystone of most compliance strategies as utilities attempt to achieve lower and lower SO 2 emission rates. Compliance with the Phase II emissions cap will require technological solutions for many utilities which must meet system-wide SO 2 emission rates well below those achievable with low-sulfur eastern coals and, in many instances, western coals. The emissions cap provision, however, will also induce more scrubbing during the Phase I compliance period. The power generation dispatch capability of a hypothetical utility system was simulated to study the impacts of an SO 2 emission cap on compliance strategies in Phase I. The effects of the cap were quantified for generation costs, total SO 2 emissions, and effective emission rates. The results show that achieving compliance by installing state-of-the-art high SO 2 removal scrubbers becomes increasingly attractive as utilities become constrained under the SO 2 cap, even in Phase I

Predicting compliance with command hallucinations: anger, impulsivity and appraisals of voices' power and intent.

Science.gov (United States)

Bucci, Sandra; Birchwood, Max; Twist, Laura; Tarrier, Nicholas; Emsley, Richard; Haddock, Gillian

2013-06-01

Command hallucinations are experienced by 33-74% of people who experience voices, with varying levels of compliance reported. Compliance with command hallucinations can result in acts of aggression, violence, suicide and self-harm; the typical response however is non-compliance or appeasement. Two factors associated with such dangerous behaviours are anger and impulsivity, however few studies have examined their relationship with compliance to command hallucinations. The current study aimed to examine the roles of anger and impulsivity on compliance with command hallucinations in people diagnosed with a psychotic disorder. The study was a cross-sectional design and included individuals who reported auditory hallucinations in the past month. Subjects completed a variety of self-report questionnaire measures. Thirty-two people experiencing command hallucinations, from both in-patient and community settings, were included. The tendency to appraise the voice as powerful, to be impulsive, to experience anger and to regulate anger were significantly associated with compliance with command hallucinations to do harm. Two factors emerged as significant independent predictors of compliance with command hallucinations; omnipotence and impulsivity. An interaction between omnipotence and compliance with commands, via a link with impulsivity, is considered and important clinical factors in the assessment of risk when working with clients experiencing command hallucinations are recommended. The data is highly suggestive and warrants further investigation with a larger sample. Copyright © 2013 Elsevier B.V. All rights reserved.

Directory of certificates of compliance for radioactive materials packages: Certificates of compliance

International Nuclear Information System (INIS)

1987-11-01

This directory contains a Summary Report of the US Nuclear Regulatory Commission's Certificates of Compliance (Volume 2) for Radioactive Material Packages effective October 1, 1987. This directory makes available a convenient source of information on packagings which have been approved by the US Nuclear Regulatory Commission. To assist in identifying packaging, an index by Model Number and corresponding Certificate of Compliance Number is included at the back of Volume 2 of the directory. A listing by packaging types is included in the back of Volume 2

Frequent Evaluation To Improve Compliance In Patients Treated With Occlusion For Amblyopia: A Randomized controlled Trial.

Science.gov (United States)

Iturriaga, Hernan; Zanolli, Mario; Damm, Constanza; Oporto, Jorge; Acuna, Olga; Valenzuela, Felipe

2012-01-01

The benefits of occlusion treatment for amblyopia are well established.True compliance can be difficult to assess and is usually based on patient history. We hypothesize that more visits to the physician provides more chances to improve compliance. We conducted a prospective, comparative, blind trial in which 30 children with amblyopia were randomly assigned to be followed up more frequently (every 4 to 6 weeks) (study group) or as established on our standard regular basis (month intervals based on age in years) (control group). The primary outcome was to study differences in treatment compliance between these groups. The secondary outcome was to report compliance in a group of Chilean children and to compare survey results with adherence, to assess concordance between them. Baseline clinical characteristics were similar in the two groups. 30 patients were recruited. Mean compliance for all patients was 82%. Study group compliance was 83% versus 76% in control group (p = 0.5). Without epidemiology, intention to treat analysis (ITT), study group compliance was 97% compared to 76% in control group (p = 0.049). Pearson correlation between negative responses to a parental survey after treatment, of the percentage of adherence and compliance, was -0.57 and statistically significant (p = 0.013). There were no differences in patient compliance comparing more frequent evaluation versus a follow up evaluation based in an age according scheme. There is a high compliance to occlusion therapy in this group of Chilean children. If parents reported more negative adherence aspects in the survey, the worse the compliance.

Clean Air Markets - Compliance Query Wizard

Data.gov (United States)

U.S. Environmental Protection Agency — The Compliance Query Wizard is part of a suite of Clean Air Markets-related tools that are accessible at http://ampd.epa.gov/ampd/. The Compliance module provides...

A systematic review on hand hygiene knowledge and compliance in student nurses.

Science.gov (United States)

Labrague, L J; McEnroe-Petitte, D M; van de Mortel, T; Nasirudeen, A M A

2017-10-27

Hand hygiene competence is one of the critical outcomes in nursing education. Ensuring nursing students recognize the what, when and how of hand hygiene is critical in the light of the increasing rates of healthcare-associated infections. To systematically appraise and synthesize articles on hand hygiene knowledge and compliance among nursing students. This is a systematic review of scientific articles published from 2006 to 2016. The primary databases used were as follows: PubMed, Embase, Cumulative Index to Nursing & Allied Health Literature, Proquest and PsychINFO. Key search terms utilized were as follows: 'handwashing', 'hand hygiene', 'compliance', 'knowledge', 'practice' and 'nursing students'. Nineteen studies met the review criteria. The findings revealed a low-to-moderate knowledge of and compliance with hand hygiene among nursing students. In addition, there were significantly higher rates of hand hygiene compliance in nursing students when compared to medical students. Relatively few studies attempted to identify predictors of hand hygiene knowledge and compliance. This review demonstrated suboptimal knowledge and compliance to hand hygiene among student nurses. In addition, this review also highlighted the paucity of studies that examined individual and organizational factors, which influence nursing students hand hygiene knowledge and compliance. The findings of this review emphasized the role of nurse educators in enhancing hand hygiene competence in nursing students. Implementation of empirically tested strategies such as utilizing multidimensional interventions, scenario-based hand hygiene simulation activities and hand hygiene education programmes that would enhance nursing students' hand hygiene knowledge and compliance is an asset. Hospital and nursing administrators should ensure continuous support and monitoring to guarantee that hand hygiene programmes are institutionalized in every healthcare setting by every healthcare worker. © 2017

Compliance Issues in Higher Education

Science.gov (United States)

Benedek, Petra

2016-01-01

Efficiency in the 1980's, quality in the 1990's, compliance in the 2010's - private sector management techniques and mechanisms find their way to public services. This paper facilitates the understanding of how compliance management controls can improve operations and prevent or detect failure or wrong doing. The last few years' empirical research…

Compliance als Schutz vor Verbandsverantwortlichkeit?

Directory of Open Access Journals (Sweden)

Alexander Tipold

2016-05-01

Full Text Available Compliance bedeutet nicht nur Einhaltung und Beachtung von Vorschriften, sondern betrifft auch Maßnahmen, die die Einhaltung der Rechtsnormen absichern sollen und läuft somit auf eine Übererfüllung von Verpflichtungen hinaus. Wenn es keinen klaren Maßstab für Kontroll- und Überwachungspflichten gibt, besteht die Gefahr, dass Strafverfolgungsbehörden die Compliance-Maßnahmen als Maßstab heranziehen und so eine Verschärfung der Pflichten erzeugen. Nach den Regeln des Verbandsverantwortlichkeitsgesetzes schließt im Übrigen das beste Compliance-System nicht zwingend die Verbandsverantwortlichkeit aus, steht aber unter Umständen einem Verfahren gegen den Verband entgegen.

Individual differences in compliance and agreement for sleep logs and wrist actigraphy: A longitudinal study of naturalistic sleep in healthy adults.

Directory of Open Access Journals (Sweden)

Steven M Thurman

Full Text Available There is extensive laboratory research studying the effects of acute sleep deprivation on biological and cognitive functions, yet much less is known about naturalistic patterns of sleep loss and the potential impact on daily or weekly functioning of an individual. Longitudinal studies are needed to advance our understanding of relationships between naturalistic sleep and fluctuations in human health and performance, but it is first necessary to understand the efficacy of current tools for long-term sleep monitoring. The present study used wrist actigraphy and sleep log diaries to obtain daily measurements of sleep from 30 healthy adults for up to 16 consecutive weeks. We used non-parametric Bland-Altman analysis and correlation coefficients to calculate agreement between subjectively and objectively measured variables including sleep onset time, sleep offset time, sleep onset latency, number of awakenings, the amount of wake time after sleep onset, and total sleep time. We also examined compliance data on the submission of daily sleep logs according to the experimental protocol. Overall, we found strong agreement for sleep onset and sleep offset times, but relatively poor agreement for variables related to wakefulness including sleep onset latency, awakenings, and wake after sleep onset. Compliance tended to decrease significantly over time according to a linear function, but there were substantial individual differences in overall compliance rates. There were also individual differences in agreement that could be explained, in part, by differences in compliance. Individuals who were consistently more compliant over time also tended to show the best agreement and lower scores on behavioral avoidance scale (BIS. Our results provide evidence for convergent validity in measuring sleep onset and sleep offset with wrist actigraphy and sleep logs, and we conclude by proposing an analysis method to mitigate the impact of non-compliance and measurement

Increased arterial compliance in decompensated cirrhosis

DEFF Research Database (Denmark)

Henriksen, Jens Henrik; Møller, Søren; Schifter, S

1999-01-01

BACKGROUND/AIMS: In patients with cirrhosis, the systemic circulation is hyperdynamic with low arterial blood pressure and reduced systemic vascular resistance. The present study was undertaken to estimate the compliance of the arterial tree in relation to severity of cirrhosis, circulating level...... of the vasodilator, calcitonin gene-related peptide (CGRP) and mean arterial blood pressure (MAP). METHODS: Arterial compliance (COMPart=deltaV/deltaP) was determined as the stroke volume relative to pulse pressure (i.e. systolic minus diastolic blood pressure) during a haemodynamic evaluation of portal hypertension...... of CGRP (r=0.34, pcompliance in cirrhosis is directly related to the severity of the disease and to the elevated level of circulating vasodilator peptide CGRP, and inversely related...

77 FR 31371 - Public Workshop: Privacy Compliance Workshop

Science.gov (United States)

2012-05-25

... presentations, including the privacy compliance fundamentals, privacy and data security, and the privacy... DEPARTMENT OF HOMELAND SECURITY Office of the Secretary Public Workshop: Privacy Compliance... Homeland Security Privacy Office will host a public workshop, ``Privacy Compliance Workshop.'' DATES: The...

Ratemaking and accounting for allowances and compliance costs

International Nuclear Information System (INIS)

Anon.

1992-01-01

The regulatory treatment of compliance costs and allowances will significantly affect both the utility's CAAA compliance decisions and the cost of compliance. Sections in this chapter include ratemaking treatment of allowances, utility buy-ins, the market test of compliance costs and utility incentive, FERC account classification, measuring the value of allowances, inventory methods for allowances, expense recognition of allowances, regulatory-created assets and liabilities, and application of the FERC proposal. 8 refs., 1 tab

Role of illness perceptions and medication beliefs on medication compliance of elderly hypertensive cohorts.

Science.gov (United States)

Rajpura, Jigar R; Nayak, Rajesh

2014-02-01

Poor compliance with antihypertensive medications is one possible reason why its success in clinical trials has not been translated into everyday practice. In addition, medication noncompliance in elderly leads to increased hospitalizations, physician visits, and higher health care costs. The study assessed influence of illness perceptions and medications beliefs on medication compliance of elderly hypertensive cohorts. A cross-sectional survey research design, utilizing self-administered health surveys, was adapted to address key study objectives. Conceptualized associations among the study variables were explored to assess their individual as well as their collective impact on the medication compliance. A total of 78 (66%) study samples were found to be noncompliant with their medications. Analysis revealed that perceptions about illness and beliefs about medication jointly played a significant role in the prediction of medication compliance (F = 5.966, P compliance building in elderly populations having hypertension by incorporating the value and importance of patient perceptions of illness and medications in order to achieve desired patient outcomes.

Intervention effects on safety compliance and citizenship behaviors: Evidence from the Work, Family, and Health Study.

Science.gov (United States)

Hammer, Leslie B; Johnson, Ryan C; Crain, Tori L; Bodner, Todd; Kossek, Ellen Ernst; Davis, Kelly D; Kelly, Erin L; Buxton, Orfeu M; Karuntzos, Georgia; Chosewood, L Casey; Berkman, Lisa

2016-02-01

We tested the effects of a work-family intervention on employee reports of safety compliance and organizational citizenship behaviors in 30 health care facilities using a group-randomized trial. Based on conservation of resources theory and the work-home resources model, we hypothesized that implementing a work-family intervention aimed at increasing contextual resources via supervisor support for work and family, and employee control over work time, would lead to improved personal resources and increased employee performance on the job in the form of self-reported safety compliance and organizational citizenship behaviors. Multilevel analyses used survey data from 1,524 employees at baseline and at 6-month and 12-month postintervention follow-ups. Significant intervention effects were observed for safety compliance at the 6-month, and organizational citizenship behaviors at the 12-month, follow-ups. More specifically, results demonstrate that the intervention protected against declines in employee self-reported safety compliance and organizational citizenship behaviors compared with employees in the control facilities. The hypothesized mediators of perceptions of family-supportive supervisor behaviors, control over work time, and work-family conflict (work-to-family conflict, family-to-work conflict) were not significantly improved by the intervention. However, baseline perceptions of family-supportive supervisor behaviors, control over work time, and work-family climate were significant moderators of the intervention effect on the self-reported safety compliance and organizational citizenship behavior outcomes. (c) 2016 APA, all rights reserved).

Using environmental engineering to increase hand hygiene compliance: a cross-over study protocol.

Science.gov (United States)

Schmidtke, Kelly Ann; Aujla, Navneet; Marshall, Tom; Hussain, Abid; Hodgkinson, Gerard P; Arheart, Kristopher; Marti, Joachim; Birnbach, David J; Vlaev, Ivo

2017-09-11

Compliance with hand hygiene recommendations in hospital is typically less than 50%. Such low compliance inevitably contributes to hospital-acquired infections that negatively affect patients' well-being and hospitals' finances. The design of the present study is predicated on the assumption that most people who fail to clean their hands are not doing so intentionally, they just forget. The present study will test whether psychological priming can be used to increase the number of people who clean their hands on entering a ward. Here, we present the protocol for this study. The study will use a randomised cross-over design. During the study, each of four wards will be observed during four conditions: olfactory prime, visual prime, both primes and neither prime. Each condition will be experienced for 42 days followed by a 7-day washout period (total duration of trial=189 days). We will record the number of people who enter each ward and whether they clean their hands during observation sessions, the amount of cleaning material used from the dispensers each week and the number of hospital-acquired infections that occur in each period. The outcomes will be compared using a regression analysis. Following the initial trail, the most effective priming condition will be rolled out for 3 months in all the wards. Research ethics approval was obtained from the South Central-Oxford C Research Ethics Committee (16/SC/0554), the Health Regulatory Authority and the sponsor. ISRCTN (15397624); Edge ID 86357. © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2017. All rights reserved. No commercial use is permitted unless otherwise expressly granted.

Effect of compliance during periodontal maintenance therapy on levels of bacteria associated with periodontitis: A 6-year prospective study.

Science.gov (United States)

Costa, Fernando Oliveira; Vieira, Thaís Riberal; Cortelli, Sheila Cavalca; Cota, Luís Otávio Miranda; Costa, José Eustáquio; Aguiar, Maria Cássia Ferreira; Cortelli, José Roberto

2018-05-01

It is well established that regular compliance during periodontal maintenance therapy (PMT) maintains the stability of periodontal clinical parameters obtained after active periodontal therapy (APT). However, compliance during PMT has not yet been related to subgingival bacterial levels. Thus, this study followed individuals in PMT over 6 years and longitudinally evaluated the effects of compliance on periodontitis-associated bacterial levels and its relation to periodontal status. From a 6-year prospective cohort study with 212 individuals in PMT, 91 were determined to be eligible. From this total, 28 regular compliers (RC) were randomly selected and matched for age and sex with 28 irregular compliers (IC). Complete periodontal examination and microbiological samples were obtained 5 times: T1 (prior to APT), T2 (after APT), T3 (2 years), T4 (4 years), and T5 (6 years). Total bacteria counts and levels of Actinomyces naeslundii, Porphyromonas gingivalis, Tannerella forsythia, and Treponema denticola were evaluated through quantitative polymerase chain reaction. RC had less tooth loss and better clinical and microbiological conditions over time when compared with IC. IC had higher total bacterial counts and higher levels of T. denticola. Moreover, among IC, total bacterial counts were positively associated with plaque index and bleeding on probing, while levels of A. naeslundii, T. forsythia, and T. denticola were negatively associated with clinical attachment loss (4 to 5 mm) among RC. Compliance positively influenced subgingival microbiota and contributed to stability of periodontal clinical status. Regular visits during PMT sustained microbiological benefits provided by APT over a 6-year period. © 2018 American Academy of Periodontology.

Better together: reduced compliance after sequential versus simultaneous bilateral hearing aids fitting.

Science.gov (United States)

Lavie, Limor; Banai, Karen; Attias, Joseph; Karni, Avi

2014-03-01

The purpose of this study was to determine the effects of sequential versus simultaneous bilateral hearing aids fitting on patient compliance. Thirty-six older adults with hearing impairment participated in this study. Twelve were fitted with bilateral hearing aids simultaneously. The remaining participants were fitted sequentially: One hearing aid (to the left or to the right ear) was used initially; 1 month later, the other ear was also fitted with a hearing aid for bilateral use. Self-reports on usefulness and compliance were elicited after the first and second months of hearing aid use. In addition, the number of hours the hearing aids were used was extracted from the data loggings of each device. Simultaneous fitting resulted in high levels of compliance and consistent usage throughout the study period. Sequential fitting resulted in abrupt reduction in compliance and hours of use once the second hearing aid was added, both in the clinical scoring and in the data loggings. Simultaneous fitting of bilateral hearing aids results in better compliance compared with sequential fitting. The addition of a second hearing aid after a relatively short period of monaural use may lead to inconsistent use of both hearing aids.

Serum lithium as a compliance marker for food and supplement intake

NARCIS (Netherlands)

Roos, de N.; Vries, de J.H.M.; Katan, M.B.

2001-01-01

Analyzing 24-h urine for lithium after consumption of lithium-tagged foods or supplements provides a validated compliance marker but is laborious. Objective: Most studies involve blood sampling; therefore, we tested whether serum lithium concentration could be used as a compliance marker. Design: We

Laboratory analysis of phacoemulsifier compliance and capacity.

Science.gov (United States)

Nejad, Mitra; Injev, Valentine P; Miller, Kevin M

2012-11-01

To compare the compliance and capacity of 7 fluidics modules used by 6 phacoemulsifiers from 3 manufacturers. Jules Stein Eye Institute, Los Angeles, California, USA. Experimental study. Previous-model and current-model phacoemulsifiers from 3 manufacturers were subjected to laboratory analysis of compliance and capacity. Previous-generation models tested included the Legacy Advantec, Whitestar Sovereign Phacoemulsification System, and Millennium Microsurgical System. Current models tested were the Infiniti Vision System with standard and Intrepid cassettes, Whitestar Signature Phacoemulsification System, and Stellaris Vision Enhancement System. To measure compliance, the aspiration line was connected to an electronic pressure transducer and small volumes of fluid were injected or aspirated. To measure capacity, the space between the distal end of the aspiration line and the pump was filled with methylene blue-dyed fluid. The Legacy was the most compliant phacoemulsifier. The old and new Whitestar systems, Millennium system, and Stellaris system showed similar midrange compliances. The Infiniti Vision System with the Intrepid fluidic management system was the least compliant. The Infiniti cassettes had the greatest capacity, which is a detriment from a surge-control perspective, and Signature cassettes had the least capacity. The Infiniti Intrepid system had the lowest compliance of the 6 units tested, which is optimum from a surge-control perspective. All other things being equal, the Infiniti should have the safest occlusion-break surge response. Mr. Injev is an employee of Alcon Laboratories. Dr. Miller is a consultant to and investigator for Alcon Laboratories. Ms. Nejad has no financial or proprietary interest in any material or method mentioned. Copyright © 2012 ASCRS and ESCRS. Published by Elsevier Inc. All rights reserved.

Information security policy development for compliance

CERN Document Server

Williams, Barry L

2013-01-01

Although compliance standards can be helpful guides to writing comprehensive security policies, many of the standards state the same requirements in slightly different ways. Information Security Policy Development for Compliance: ISO/IEC 27001, NIST SP 800-53, HIPAA Standard, PCI DSS V2.0, and AUP V5.0 provides a simplified way to write policies that meet the major regulatory requirements, without having to manually look up each and every control. Explaining how to write policy statements that address multiple compliance standards and regulatory requirements, the book will he

Utilization of handheld computing to simplify compliance

International Nuclear Information System (INIS)

Galvin, G.; Rasmussen, J.; Haines, A.

2008-01-01

Monitoring job site performance and building a continually improving organization is an ongoing challenge for operators of process and power generation facilities. Stakeholders need to accurately capture records of quality and safety compliance, job progress, and operational experiences (OPEX). This paper explores the use of technology-enabled processes as a means for simplifying compliance to quality, safety, administrative, maintenance and operations activities. The discussion will explore a number of emerging technologies and their application to simplifying task execution and process compliance. This paper will further discuss methodologies to further refine processes through trending improvements in compliance and continually optimizing and simplifying through the use of technology. (author)

Compliance officers and legal advisers in power supply companies. interactions between compliance, risk management and the employer-employee relationship; Compliance-Beauftragte und Justitiare in EVU. Wechselwirkungen von Compliance, Risikomanagement und Arbeitsverhaeltnis

Energy Technology Data Exchange (ETDEWEB)

Gold, Juergen [Sozietaet Becker Buettner Held, Muenchen (Germany); Schaefer, Ralf; Bussmann, Sandra [Sozietaet Becker Buettner Held, Koeln (Germany)

2011-06-15

An inevitable task of any employee who has been appointed compliance officer, head of the legal department or internal auditor is to ensure that the company is protected against detriment through breaches of law or regulations. Another of his or her tasks, however, and one which might not be as obvious, is to ensure that parties outside the company are protected against detriment through his or her own employer. In order to deal appropriately with these and related questions some basic considerations on the necessity and function of compliance surveillance and its relationship with risk management must first be made. Using two significant court decisions for illustration the authors make a close examination of the liability issues involved in this area of potential conflict. They identify some salient points which should be considered in framing the contractual relationship between a compliance officer and his or her employer.

THE IMPLICATIONS OF TAX MORALE ON TAX COMPLIANCE BEHAVIOR

Directory of Open Access Journals (Sweden)

Nichita Ramona-Anca

2012-07-01

Full Text Available The present paper focuses on the analysis of tax compliance behavior from the tax morale standpoint. We grounded our research on the idea that empirical studies constantly invalidating the assumptions of theoretical models of tax evasion show there are more factors influencing compliance than just the economic ones (e.g., audit probability, fine, tax rate, income. Giving the fact that audit probabilities are generally very low and that tax evasion is not as high as one could expect, tax morale might have to do with the high degrees of tax compliance registered around the world. In a stream of articles on taxation published beginning with the late 60n#8217;s, tax morale defined as the intrinsic motivation to comply or n#8220;internalised obligation to pay taxn#8221; (Braithwaite and Ahmed 2005 has been found to positively relate to tax compliance and negatively relate to shadow economy. This paper attempts to offer a broader view on the influence of tax morale on compliance behavior, covering articles ranging from national and cross-cultural surveys to experimental games. Moreover, the aim of the article is to emphasize the policy implications of tax morale research and the changes governments could make in order to raise the amount of public levies.

Contemplating compliance: European compliance mechanisms in international perspective

NARCIS (Netherlands)

Koops, C.E.

2014-01-01

How can international organizations make their Member States comply with the rules of the organization? Which is the more effective method: to coax and entice, to argue and persuade, or to threaten and punish? On the basis of which criteria should a compliance mechanism be construed and applied,

COMPLIANCE AS FACTORING BUSINESS RISK MANAGEMENT: CONTROL ASPECTS

Directory of Open Access Journals (Sweden)

V.K. Makarovych

2016-03-01

Full Text Available Indetermination of modern economy conditions and the lack of theoretical knowledge gained by domestic scientists about risk in factoring business actualize the research concerning the methodology and technique of factoring companies’ risk management. The article examines compliance which is the technology innovative for Ukrainian market of factoring risk management technologies. It is determined that the compliance is the risk management process directed to free will correspondence to state, international legislation as well as to the ethics standards accepted in the field of regulated legal relations and to the traditions of business circulation to sustain the necessary regulations and standards of market behaviour, and to consolidate the image of a factoring company. Compliance risks should be understood as the risks of missed profit or losses caused by the conflicts of interests and the discrepancy of employees’ actions to internal and external standard documents. The attention is paid to the control over the compliance. The author singles out 3 kinds of the compliance control such as institutional, operational and the compliance control over the observance of conducting business professional ethics regulations which are necessary for providing of efficient management of factoring business risks. The paper shows the organizing process of factoring business compliance control (by the development of internal standard documents, a compliance program, the foundation of compliance control subdivision, monitoring of the risks cause the choice, made by management entities of a factoring company, of the management methods of risks for their business. The development of new and improvement of existed forms of compliance control organizing process help satisfy users’ information needs and requests of the risk management factoring company department. The suggestions proposed create the grounds for the transformation and improvement of factoring

[Insufficient medication compliance in Parkinson's disease

NARCIS (Netherlands)

Aerts, M.B.; Eijk, M. van der; Kramers, C.; Bloem, B.R.

2011-01-01

Medication compliance is generally suboptimal, particularly in patients with complex polypharmacy. This generic treatment problem is described here for Parkinson's disease (PD). We would expect patients with PD to have good medication compliance, since missed doses immediately result in worsening of

Ethical and professional standards compliance among practicing ...

African Journals Online (AJOL)

This study investigated ethical and professional standards compliance among practicing librariansin university libraries in Benue State. The purpose of the study was todetermine the extent to which librarians in university libraries comply with ethics and professional standards in librarianship. The study adopted a descriptive ...

Poor compliance with child safety restraint use while travelling.

LENUS (Irish Health Repository)

Fallon, R

2011-02-01

Road traffic accidents are a leading cause of death of children. It is the law that all children should be appropriately secured when traveling in vehicles. The aim of this study was to evaluate parental conformity with these regulations and to test if advice given at a Paediatric outpatient clinic could improve compliance. Two groups were assigned, an intervention group (parents given an information leaflet and a clear explanation about appropriate restraints for their children) and a non-intervention group (received no information). They were contacted again after 2 months and asked regarding compliance. A total of 394 children from 186 families were initially given the questionnaire. Nearly one third of children (29.2%) were not using any restraint while travelling rising to 35.3% on follow up. This study concluded that once off parental education made negligible difference to an already inconsistent and haphazard approach to compliance with safety regulations.

Deep boreholes; Tiefe Bohrloecher

Energy Technology Data Exchange (ETDEWEB)

Bracke, Guido [Gesellschaft fuer Anlagen- und Reaktorsicherheit gGmbH Koeln (Germany); Charlier, Frank [NSE international nuclear safety engineering gmbh, Aachen (Germany); Geckeis, Horst [Karlsruher Institut fuer Technologie (Germany). Inst. fuer Nukleare Entsorgung; and others

2016-02-15

The report on deep boreholes covers the following subject areas: methods for safe enclosure of radioactive wastes, requirements concerning the geological conditions of possible boreholes, reversibility of decisions and retrievability, status of drilling technology. The introduction covers national and international activities. Further chapters deal with the following issues: basic concept of the storage in deep bore holes, status of the drilling technology, safe enclosure, geomechanics and stability, reversibility of decisions, risk scenarios, compliancy with safe4ty requirements and site selection criteria, research and development demand.

Disabled Children and Home Exercises: Barriers to Compliance with Recommendations of Therapists

Directory of Open Access Journals (Sweden)

Samaneh Ali-Abadi

2012-04-01

Full Text Available Objective: Family Compliance to therapists’ recommendations on home exercise has an important role in success of rehabilitation programs for disabled children. This study intends to determine barriers to compliance of parents with prescribed home exercises. Materials & Methods: In present survey, parents of all of the 60 disabled children who were receiving occupational therapy, speech therapy or physiotherapy at Birjand’s rehabilitation clinics during September 2009 were interviewed. Data was collected using a semi-structured questionnaire, developed and validated by the researchers, containing questions about compliance and 21 barriers to compliance with recommended home exercises. Pearson chi-square test and Fisher exact test were used to explore the risk of parental non-compliance to recommendations in case of facing each of the barriers. Independent sample t-test was used to explore the correlation of number of barriers with degree of parental compliance. Results: According to the study, the four main know abstacles consisting "lack of exercises devices in home" (P=0.003 "child’s (or cartaker’s unwillingness to do the home exercises" (P=0.024. parent’s (or cartaker’s concerns about child harming due to exercises (P=0.027, and Lack of necessary skills to perform the exercises (P=0.047 significantly increases the parents incompliance to home exercises. There was also a significant relationship between the number of perceived barriers and the degree of compliance (P=0.008. Conclusion: It seems that designing exercises in a way that children would love them and emphasizing on helping parents to acquire the tools, knowledge and expertise would improve parental compliance to home exercise.

Business process compliance management : an integrated proactive approach

NARCIS (Netherlands)

Elgammal, A.; Sebahi, S.; Turetken, O.; Hacid, M.-S.; Papazoglou, M.; van den Heuvel, W.; Soliman, K.S.

2014-01-01

Today’s enterprises demand a high degree of compliance of business processes to meet regulations, such as Sarbanes-Oxley and Basel I-III. To ensure continuous guaranteed compliance, compliance management should be considered during all phases of the business process lifecycle; from the analysis and

An investigation of the factors which influence and deter the compliance behaviour of Australian individual taxpayers

OpenAIRE

Devos, Ken Neil Harry

2017-01-01

The tax compliance literature indicates that many factors, including economic, social, psychological and demographic factors, have an impact on the compliance behaviour of taxpayers. Of the two main compliance theories, the economic deterrence theory model and social/fiscal psychology theory model, this study has adopted the latter. The aim of this study was to examine whether or not a relationship exists between selected tax compliance variables (both economic and non-economic) and the attit...

Compliance with Antimalaria Chemoprophylaxis in a Combat Zone

Science.gov (United States)

Brisson, Michael; Brisson, Paul

2012-01-01

Compliance with malaria chemoprophylaxis by military service members (MSMs) is notoriously low, ranging from 30% to 56%. Our objective was to determine the rate of compliance and reasons for non-compliance with malaria chemoprophylaxis among healthy US MSMs in Afghanistan. An eight-question, anonymous online survey was used to collect data regarding the compliance of healthy MSMs with malaria chemoprophylaxis. E-mail surveys were sent to 1,200 MSMs; 528 (44%) MSMs completed the survey. One-time daily doxycycline was the most commonly prescribed chemoprophylaxis (90%); 60% (N = 318) responded that they were compliant with their chemoprophylaxis as prescribed, whereas 40% (N = 221) indicated that they were not compliant. Compliance with daily dosing was 61% and weekly dosing was 38%. The most common reasons for non-compliance were gastrointestinal effects (39%), forgetfulness (31%), and low perception of risk (24%). Malaria chemoprophylaxis compliance by healthy MSMs in Afghanistan is poor. Side effects, forgetfulness, and lack of education are contributing factors. Commanders bear the primary responsibility for the health of their soldiers, and the individual MSM bears personal responsibility; however, additional public health interventions could possibly have a positive impact on prevention. PMID:22492140

The everyday elasticity of compliance in a symptomless disease

DEFF Research Database (Denmark)

Felde, Lina Hoel

2011-01-01

Medically, compliance refers to the extent to which a patient's response to medical advice coincides with doctors' orders. Rather than this absolute standard, this article treats compliance as an institutionally available discourse continually figured in practice. The aim of this article is to de......Medically, compliance refers to the extent to which a patient's response to medical advice coincides with doctors' orders. Rather than this absolute standard, this article treats compliance as an institutionally available discourse continually figured in practice. The aim of this article...... give-and-take. This elasticity of compliance reveals a reflexive critique of medical compliance as a moral standard and leads us to discuss how people are adequately compliant in everyday moral contexts....

Measuring User Compliance and Cost Effectiveness of Safe Drinking Water Programs: A Cluster-Randomized Study of Household Ultraviolet Disinfection in Rural Mexico.

Science.gov (United States)

Reygadas, Fermín; Gruber, Joshua S; Dreizler, Lindsay; Nelson, Kara L; Ray, Isha

2018-03-01

Low adoption and compliance levels for household water treatment and safe storage (HWTS) technologies have made it challenging for these systems to achieve measurable health benefits in the developing world. User compliance remains an inconsistently defined and poorly understood feature of HWTS programs. In this article, we develop a comprehensive approach to understanding HWTS compliance. First, our Safe Drinking Water Compliance Framework disaggregates and measures the components of compliance from initial adoption of the HWTS to exclusive consumption of treated water. We apply this framework to an ultraviolet (UV)-based safe water system in a cluster-randomized controlled trial in rural Mexico. Second, we evaluate a no-frills (or "Basic") variant of the program as well as an improved (or "Enhanced") variant, to test if subtle changes in the user interface of HWTS programs could improve compliance. Finally, we perform a full-cost analysis of both variants to assess their cost effectiveness (CE) in achieving compliance. We define "compliance" strictly as the habit of consuming safe water. We find that compliance was significantly higher in the groups where the UV program variants were rolled out than in the control groups. The Enhanced variant performed better immediately postintervention than the Basic, but compliance (and thus CE) degraded with time such that no effective difference remained between the two versions of the program.

Physician Verbal Compliance-Gaining Strategies and Patient Satisfaction

Science.gov (United States)

Olynick, Janna; Iliopulos, Alexandra; Li, Han Z.

2017-01-01

Purpose: The patient healthcare experience is a complex phenomenon, as is encouraging patient compliance with medical advice. To address this multifaceted relationship, the purpose of this paper is to explore the ways resident physicians verbally encourage patient compliance and the relationship between these compliance-seeking strategies and…

A study at Manchester Dental Hospital, of the compliance of IV sedation patients and their escorts.

Science.gov (United States)

Lightfoot, Kate

2014-01-01

Oral surgery, under intravenous sedation, is carried out on a daily basis at Manchester Dental Hospital. This essay discusses the background of conscious sedation in the dental setting and looks at the compliance of patients (and escorts) when having intravenous sedation. The patient journey, from pre-operative assessment through to treatment is considered. Hospital instructions indicate an obligation for patients to attend with a responsible adult (eighteen or over) who remains with them throughout their treatment, escorts them home,and arranges their care for the next twenty-four hours. By following these instructions the patient should receive optimal care. Two questionnaires were devised and given to patients/escorts to assess their compliance with Manchester Dental Hospital postoperative protocols. 100% compliance was the set standard, with results presented as pie charts. This work began during the undergraduate summer vacation of 2012 and continued over a five-month period. Initial results suggested that compliance was generally good but certain improvements could be made. Suggestions for future development are presented. These aim to give clarity to all patients/escorts and their specific roles in the anticipated treatment.

Geochemical and geomechanical solid-solutions interactions in unsaturated media. Prospects for the storage of nuclear waste

International Nuclear Information System (INIS)

Bouzid, M.

2010-01-01

Porous materials, especially the unsaturated ones, are complex systems in which several physicochemical parameters interact (eg relative humidity, T C, pore solution composition, geometry of the pore network). The precipitation of secondary phases inside and the associated changes (e.g. topology of the porous spaces) are important to understand for several applied topics: civil engineering, soil science or geology of deep wastes disposal. This experimental work was undertaken to better understand the mechanisms linking geochemical phase transitions and physicochemical properties of multiphasic porous media. The precipitation of salts in porous synthetic materials allowed us to identify two types of geochemistry-geomechanics coupling: the crystallization pressure (compression phenomenon, already known in the literature), and the capillary traction. These secondary precipitates are also responsible for a porous networks heterogenization which modifies the transfer functions. But we also show that the portions of liquid may be isolated by salts 'corks' and thus develop new thermochemical properties. In particular, we have observed cavitation events in some of these occluded solutions which indicate that they underwent a metastable superheated state. Finally, differential extraction experiments showed that the solubility changes with the pore size, and an interpretation based on pore geometry (solid curvature) has been proposed. Some evidence that these phenomena may actually be active in natural processes were collected, and this extension to the natural environment must now be treated extensively. (authors)

Hydro-geomechanical behaviour of gas-hydrate bearing soils during gas production through depressurization and CO2 injection

Science.gov (United States)

Deusner, C.; Gupta, S.; Kossel, E.; Bigalke, N.; Haeckel, M.

2015-12-01

Results from recent field trials suggest that natural gas could be produced from marine gas hydrate reservoirs at compatible yields and rates. It appears, from a current perspective, that gas production would essentially be based on depressurization and, when facing suitable conditions, be assisted by local thermal stimulation or gas hydrate conversion after injection of CO2-rich fluids. Both field trials, onshore in the Alaska permafrost and in the Nankai Trough offshore Japan, were accompanied by different technical issues, the most striking problems resulting from un-predicted geomechanical behaviour, sediment destabilization and catastrophic sand production. So far, there is a lack of experimental data which could help to understand relevant mechanisms and triggers for potential soil failure in gas hydrate production, to guide model development for simulation of soil behaviour in large-scale production, and to identify processes which drive or, further, mitigate sand production. We use high-pressure flow-through systems in combination with different online and in situ monitoring tools (e.g. Raman microscopy, MRI) to simulate relevant gas hydrate production scenarios. Key components for soil mechanical studies are triaxial systems with ERT (Electric resistivity tomography) and high-resolution local strain analysis. Sand production control and management is studied in a novel hollow-cylinder-type triaxial setup with a miniaturized borehole which allows fluid and particle transport at different fluid injection and flow conditions. Further, the development of a large-scale high-pressure flow-through triaxial test system equipped with μ-CT is ongoing. We will present results from high-pressure flow-through experiments on gas production through depressurization and injection of CO2-rich fluids. Experimental data are used to develop and parametrize numerical models which can simulate coupled process dynamics during gas-hydrate formation and gas production.

[The role of patient compliance in the management of glaucoma].

Science.gov (United States)

Popović Suić, Smiljka; Cerovski, Branimir; Jukić, Tomislav

2008-02-01

The aim of the study was to evaluate patient cooperation in glaucoma treatment. We evaluated data collected by an anonymous questionnare from 98 glaucoma patients who answered 6 questions regarding their compliance and persistence in glaucoma treatment. Study results revealed 50% of patients to fail taking their antiglaucoma therapy regularly. Patients on monotherapy showed better compliance and higher level of satisfaction with treatment than those on combination antiglaucoma therapy consisting of 2 or 3 eyedrops. Discontinuation of persistence was recorded in 31% of patients, whereas 51% of patients did not present for control visits every six months as suggested by their ophthalmologist. Patients are more compliant and persistent with antiglaucoma monotherapy than with combined therapy. Greater compliance and persistence with ocular hypotensive therapy may improve the outcomes in glaucoma.

Personal and social factors regarding medical non-compliance in cardiac failure patients

International Nuclear Information System (INIS)

Mujtaba, S.F.; Masood, T.; Khalid, D.

2011-01-01

Objective: To determine the frequency and association of various personal and social factors with medical non-compliance in cardiac failure patients. Study Design: Cross-sectional, observational study. Place and Duration of Study: National Institute of Cardiovascular Diseases (NICVD), Karachi from January to August 2010. Methodology: Patients admitted in the medical wards of NICVD, who were being treated for cardiac failure, were included. Information regarding basic demographics, education level, self engagement in therapy and status of compliance was obtained by questionnaire. Statistical analysis was carried out by using Fisher's exact test and chi-square. Level of significance was < 0.05. Data was analyzed using SPSS V-15. Out of 267 patients, 73 (27.3%) were compliant while 194 (72.7%) were non-compliant. Educated, self caring patient, and those who knew names of their medications were more compliant than the rest. Conclusion: Medical non-compliance is very common in heart failure patients. Illiteracy and no self engagement in therapy are associated with non-compliance. (author)

VoIP for Telerehabilitation: A Pilot Usability Study for HIPAA Compliance

Directory of Open Access Journals (Sweden)

Valerie R. Watzlaf

2012-06-01

Full Text Available Consumer-based, free Voice and video over the Internet Protocol (VoIP software systems such as Skype and others are used by health care providers to deliver telerehabilitation and other health-related services to clients. Privacy and security applications as well as HIPAA compliance within these protocols have been questioned by practitioners, health information managers, and other healthcare entities. This pilot usability study examined whether four respondents who used the top three, free consumer-based, VoIP software systems perceived these VoIP technologies to be private, secure, and HIPAA compliant;  most did not.  While the pilot study limitations include the number of respondents and systems assessed, the protocol can be applied to future research and replicated for instructional purposes.  Recommendations are provided for VoIP companies, providers, and users. 

Rocky Flats Compliance Program

International Nuclear Information System (INIS)

1994-02-01

The Department of Energy (DOE) established the Office of Technology Development (EM-50) (OTD) as an element of Environmental Restoration and Waste Management (EM) in November 1989. The primary objective of the Office of Technology Development, Rocky Flats Compliance Program (RFCP), is to develop altemative treatment technologies for mixed low-level waste (wastes containing both hazardous and radioactive components) to use in bringing the Rocky Flats Plant (RFP) into compliance with Federal and state regulations and agreements. Approximately 48,000 cubic feet of untreated low-level mixed waste, for which treatment has not been specified, are stored at the RFP. The cleanup of the Rocky Flats site is driven by agreements between DOE, the Environmental Protection Agency (EPA), and the Colorado Department of Health (CDH). Under these agreements, a Comprehensive Treatment and Management Plan (CTMP) was drafted to outline the mechanisms by which RFP will achieve compliance with the regulations and agreements. This document describes DOE's strategy to treat low-level mixed waste to meet Land Disposal Restrictions and sets specific milestones related to the regulatory aspects of technology development. These milestones detail schedules for the development of technologies to treat all of the mixed wastes at the RFP. Under the Federal Facilities Compliance Act (FFCA), the CTMP has been incorporated into Rocky Flats Plant Conceptual Site Treatment Plan (CSTP). The CSTP will become the Rocky Flats Plant site Treatment Plan in 1995 and will supersede the CTMP

Family compliance with counseling for children traveling to the tropics.

Science.gov (United States)

Caillet-Gossot, Stéphanie; Laporte, Rémi; Noël, Guilhem; Gautret, Philippe; Soula, Georges; Delmont, Jean; Faucher, Benoit; Parola, Philippe; Osei, Lindsay; Minodier, Philippe

2013-01-01

The number of people, both adults and children, traveling abroad, is on the rise. Some seek counseling at travel medicine centers before departure. A prospective study was conducted among children travel medicine center in Marseille, France, from February 2010 to February 2011. Parents were contacted by telephone 4 weeks after their return, and asked about compliance with pre-travel advice. One hundred sixty-seven children were evaluated after their trip. Compliance with immunizations, malaria chemoprophylaxis, and food-borne disease prevention was 71, 66, and 31%, respectively. Compliance with malaria chemoprophylaxis varied significantly with destination, and was higher for African destinations. Significant features associated with poor compliance with chemoprophylaxis were a trip to Asia or the Indian Ocean, age travel counseling in children traveling overseas was achieved only for drinking bottled water, using repellents, a routine vaccine update, and yellow fever immunization. © 2013 International Society of Travel Medicine.

14 CFR 431.83 - Compliance monitoring.

Science.gov (United States)

2010-01-01

... 14 Aeronautics and Space 4 2010-01-01 2010-01-01 false Compliance monitoring. 431.83 Section 431.83 Aeronautics and Space COMMERCIAL SPACE TRANSPORTATION, FEDERAL AVIATION ADMINISTRATION, DEPARTMENT... Requirements-Reusable Launch Vehicle Mission License Terms and Conditions § 431.83 Compliance monitoring. A...

14 CFR 437.93 - Compliance monitoring.

Science.gov (United States)

2010-01-01

... 14 Aeronautics and Space 4 2010-01-01 2010-01-01 false Compliance monitoring. 437.93 Section 437.93 Aeronautics and Space COMMERCIAL SPACE TRANSPORTATION, FEDERAL AVIATION ADMINISTRATION, DEPARTMENT....93 Compliance monitoring. A permittee must allow access by, and cooperate with, federal officers or...

14 CFR 420.49 - Compliance monitoring.

Science.gov (United States)

2010-01-01

... 14 Aeronautics and Space 4 2010-01-01 2010-01-01 false Compliance monitoring. 420.49 Section 420.49 Aeronautics and Space COMMERCIAL SPACE TRANSPORTATION, FEDERAL AVIATION ADMINISTRATION, DEPARTMENT... Compliance monitoring. A licensee shall allow access by and cooperate with federal officers or employees or...

40 CFR 425.05 - Compliance dates.

Science.gov (United States)

2010-07-01

... 40 Protection of Environment 29 2010-07-01 2010-07-01 false Compliance dates. 425.05 Section 425.05 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) EFFLUENT GUIDELINES AND STANDARDS LEATHER TANNING AND FINISHING POINT SOURCE CATEGORY General Provisions § 425.05 Compliance dates...

Diagnostic information in temporal compliance checking

NARCIS (Netherlands)

Ramezani Taghiabadi, E.; Fahland, D.; Dongen, van B.F.; Aalst, van der W.M.P.

2012-01-01

Compliance checking is gaining importance as today’s organizations need to show that operational processes are executed in a controlled manner while satisfying prede¿ned (legal) requirements. Deviations may be costly and expose the organization to severe risks. Compliance checking is of growing

34 CFR 1200.170 - Compliance procedures.

Science.gov (United States)

2010-07-01

... 34 Education 3 2010-07-01 2010-07-01 false Compliance procedures. 1200.170 Section 1200.170 Education Regulations of the Offices of the Department of Education (Continued) NATIONAL COUNCIL ON... agency shall notify the Architectural and Transportation Barriers Compliance Board upon receipt of any...

Types of suggestibility: Relationships among compliance, indirect, and direct suggestibility.

Science.gov (United States)

Polczyk, Romuald; Pasek, Tomasz

2006-10-01

It is commonly believed that direct suggestibility, referring to overt influence, and indirect suggestibility, in which the intention to influence is hidden, correlate poorly. This study demonstrates that they are substantially related, provided that they tap similar areas of influence. Test results from 103 students, 55 women and 48 men, were entered into regression analyses. Indirect suggestibility, as measured by the Sensory Suggestibility Scale for Groups, and compliance, measured by the Gudjonsson Compliance Scale, were predictors of direct suggestibility, assessed with the Barber Suggestibility Scale. Spectral analyses showed that indirect suggestibility is more related to difficult tasks on the BSS, but compliance is more related to easy tasks on this scale.

Wall compliance and violin cavity modes.

Science.gov (United States)

Bissinger, George

2003-03-01

Violin corpus wall compliance, which has a substantial effect on cavity mode frequencies, was added to Shaw's two-degree-of-freedom (2DOF) network model for A0 ("main air") and A1 (lowest length mode included in "main wood") cavity modes. The 2DOF model predicts a V(-0.25) volume dependence for A0 for rigid violin-shaped cavities, to which a semiempirical compliance correction term, V(-x(c)) (optimization parameter x(c)) consistent with cavity acoustical compliance and violin-based scaling was added. Optimizing x(c) over A0 and A1 frequencies measured for a Hutchins-Schelleng violin octet yielded x(c) approximately 0.08. This markedly improved A0 and A1 frequency predictions to within approximately +/- 10% of experiment over a range of about 4.5:1 in length, 10:1 in f-hole area, 3:1 in top plate thickness, and 128:1 in volume. Compliance is a plausible explanation for A1 falling close to the "main wood" resonance, not increasingly higher for the larger instruments, which were scaled successively shorter compared to the violin for ergonomic and practical reasons. Similarly incorporating compliance for A2 and A4 (lowest lower-/upper-bout modes, respectively) improves frequency predictions within +/-20% over the octet.

Can E-Filing Reduce Tax Compliance Costs in Developing Countries?

OpenAIRE

Yilmaz, Fatih; Coolidge, Jacqueline

2013-01-01

The purpose of this study is to investigate the association between electronic filing (e-filing) and the total tax compliance costs incurred by small and medium size businesses in developing countries, based on survey data from South Africa, Ukraine, and Nepal. A priori, most observers expect that use of e-filing should reduce tax compliance costs, but this analysis suggests that the assum...

Geomechanical Analysis of Underground Coal Gasification Reactor Cool Down for Subsequent CO2 Storage

Science.gov (United States)

Sarhosis, Vasilis; Yang, Dongmin; Kempka, Thomas; Sheng, Yong

2013-04-01

Underground coal gasification (UCG) is an efficient method for the conversion of conventionally unmineable coal resources into energy and feedstock. If the UCG process is combined with the subsequent storage of process CO2 in the former UCG reactors, a near-zero carbon emission energy source can be realised. This study aims to present the development of a computational model to simulate the cooling process of UCG reactors in abandonment to decrease the initial high temperature of more than 400 °C to a level where extensive CO2 volume expansion due to temperature changes can be significantly reduced during the time of CO2 injection. Furthermore, we predict the cool down temperature conditions with and without water flushing. A state of the art coupled thermal-mechanical model was developed using the finite element software ABAQUS to predict the cavity growth and the resulting surface subsidence. In addition, the multi-physics computational software COMSOL was employed to simulate the cavity cool down process which is of uttermost relevance for CO2 storage in the former UCG reactors. For that purpose, we simulated fluid flow, thermal conduction as well as thermal convection processes between fluid (water and CO2) and solid represented by coal and surrounding rocks. Material properties for rocks and coal were obtained from extant literature sources and geomechanical testings which were carried out on samples derived from a prospective demonstration site in Bulgaria. The analysis of results showed that the numerical models developed allowed for the determination of the UCG reactor growth, roof spalling, surface subsidence and heat propagation during the UCG process and the subsequent CO2 storage. It is anticipated that the results of this study can support optimisation of the preparation procedure for CO2 storage in former UCG reactors. The proposed scheme was discussed so far, but not validated by a coupled numerical analysis and if proved to be applicable it could

Tax compliance costs: a business administration perspective

OpenAIRE

Eichfelder, Sebastian; Schorn, Michael

2009-01-01

The paper analyses the relationship of tax compliance costs and business strategy. Due to instruments, like information technology, simplified cash accounting or outsourcing compliance activities to tax advisers, private businesses have a set of strategies to optimize their tax compliance cost burden. Under the assumption of rational choice a private business should choose a cost-optimal administration strategy. In spite of that we find empirical evidence for small German businesses using onl...

Compliance With Infection Prevention Guidelines By Health Care ...

African Journals Online (AJOL)

revealed varied levels of compliance on different components of infection prevention. The highest level of compliance (100%) was with single use of needles and syringes while the lowest (35.1) was with decontamination of needles and syringes with 0.5% chlorine solution prior to disposal. Compliance with hand hygiene ...

30 CFR 773.11 - Review of compliance history.

Science.gov (United States)

2010-07-01

... 30 Mineral Resources 3 2010-07-01 2010-07-01 false Review of compliance history. 773.11 Section... REGULATORY PROGRAMS REQUIREMENTS FOR PERMITS AND PERMIT PROCESSING § 773.11 Review of compliance history. (a... histories of compliance with the Act or the applicable State regulatory program, and any other applicable...

Compliance to two city convenience store ordinance requirements

Science.gov (United States)

Menéndez, Cammie K Chaumont; Amandus, Harlan E; Wu, Nan; Hendricks, Scott A

2015-01-01

Background Robbery-related homicides and assaults are the leading cause of death in retail businesses. Robbery reduction approaches focus on compliance to Crime Prevention Through Environmental Design (CPTED) guidelines. Purpose We evaluated the level of compliance to CPTED guidelines specified by convenience store safety ordinances effective in 2010 in Dallas and Houston, Texas, USA. Methods Convenience stores were defined as businesses less than 10 000 square feet that sell grocery items. Store managers were interviewed for store ordinance requirements from August to November 2011, in a random sample of 594 (289 in Dallas, 305 in Houston) convenience stores that were open before and after the effective dates of their city’s ordinance. Data were collected in 2011 and analysed in 2012–2014. Results Overall, 9% of stores were in full compliance, although 79% reported being registered with the police departments as compliant. Compliance was consistently significantly higher in Dallas than in Houston for many requirements and by store type. Compliance was lower among single owner-operator stores compared with corporate/franchise stores. Compliance to individual requirements was lowest for signage and visibility. Conclusions Full compliance to the required safety measures is consistent with industry ‘best practices’ and evidence-based workplace violence prevention research findings. In Houston and Dallas compliance was higher for some CPTED requirements but not the less costly approaches that are also the more straightforward to adopt. PMID:26337569

Real-world evaluation of compliance and preference in Alzheimer’s disease treatment: an observational study in Taiwan 

Directory of Open Access Journals (Sweden)

Lai TH

2016-03-01

Full Text Available Tzu-Hsien Lai,1,2,* Wen-Fu Wang,3,* Bak-Sau Yip,4 Yu-Wan Yang,5 Giia-Sheun Peng,6 Shih-Jei Tsai,7,8 Yi-Chu Liao,9 Ming-Chyi Pai10,111Section of Neurology, Department of Internal Medicine, Far Eastern Memorial Hospital, New Taipei, 2Department of Neurology, National Yang-Ming University School of Medicine, Taipei, 3Department of Neurology, Changhua Christian Hospital, Changhua, 4Department of Neurology, National Taiwan University Hospital Hsin-Chu Branch, Hsinchu, 5Department of Neurology, China Medical University Hospital, Taichung, 6Department of Neurology, Tri-Service General Hospital, National Defense Medical Center, Taipei, 7Department of Neurology, Chung Shan Medical University Hospital, Taichung, 8School of Medicine, Chung Shan Medical University, Taichung, 9Department of Neurology, Neurological Institute, Taipei Veterans General Hospital, Taipei, 10Division of Behavioral Neurology, Department of Neurology, 11Alzheimer’s Disease Research Center, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan City, Taiwan *These authors contributed equally to this workPurpose: Among the medications approved for Alzheimer’s disease (AD, rivastigmine is the only one available as transdermal patch. The aim of this study was to evaluate compliance and caregivers’ preference with oral and transdermal (rivastigmine monotherapy in patients with mild-to-moderate AD from Taiwan.Methods: Real-world Evaluation of Compliance And Preference in Alzheimer’s disease treatment (RECAP in Taiwan was a prospective, noninterventional, observational study with a 24-week (±8 weeks observational period for each participant. Eligible patients were grouped into one of the two treatment cohorts based on the baseline AD therapy: oral (donepezil, galantamine, rivastigmine, or memantine or transdermal (rivastigmine patch. The primary end points were caregiver preference and caregiver assessment of patients’ compliance to

Caregivers' compliance with referral advice

DEFF Research Database (Denmark)

Lal, Sham; Ndyomugenyi, Richard; Paintain, Lucy

2018-01-01

BACKGROUND: Several malaria endemic countries have implemented community health worker (CHW) programmes to increase access to populations underserved by health care. There is considerable evidence on CHW adherence to case management guidelines, however, there is limited evidence on the compliance...... in the control arm were trained to treat malaria with ACTs based on fever symptoms. Caregivers' referral forms were linked with CHW treatment forms to determine whether caregivers complied with the referral advice. Factors associated with compliance were examined with logistic regression. RESULTS: CHW saw 18......,497 child visits in the moderate-to-high transmission setting and referred 15.2% (2815/18,497) of all visits; in the low-transmission setting, 35.0% (1135/3223) of all visits were referred. Compliance to referral was low, in both settings

49 CFR 28.170 - Compliance procedures.

Science.gov (United States)

2010-10-01

... 49 Transportation 1 2010-10-01 2010-10-01 false Compliance procedures. 28.170 Section 28.170 Transportation Office of the Secretary of Transportation ENFORCEMENT OF NONDISCRIMINATION ON THE BASIS OF HANDICAP IN PROGRAMS OR ACTIVITIES CONDUCTED BY THE DEPARTMENT OF TRANSPORTATION § 28.170 Compliance...

Mobile Source Emissions Regulatory Compliance Data Inventory

Data.gov (United States)

U.S. Environmental Protection Agency — The Mobile Source Emissions Regulatory Compliance Data Inventory data asset contains measured summary compliance information on light-duty, heavy-duty, and non-road...

75 FR 70881 - Designation of a Chief Compliance Officer; Required Compliance Policies; and Annual Report of a...

Science.gov (United States)

2010-11-19

... example, partnerships and limited liability companies) that may have forms of governing bodies other than... function subject to regulation by the Commission; if a limited liability company or limited liability... chief compliance officers to administer compliance policies that include, but are not limited to, all...

Blood glucose control and compliance of diabetic children

Directory of Open Access Journals (Sweden)

F. P. R. de Villiers

1997-03-01

Full Text Available Non-compliance is an important factor hindering good control in diabetics. The aim of this study was to identify areas of poor compliance with the diabetes management regimen in the children attending our clinic. A questionnaire was administered to 57 patients who attend the Paediatric Diabetes Clinic. It was designed to elicit socio-demographic data and information about the diabetic regimen. Prior to the administration of the questionnaire, patients were classified as being well, satisfactorily or poorly controlled, based on their average glycosylated Haemoglobin results over the past year.

Characterizing Excavation Damaged Zone and Stability of Pressurized Lined Rock Caverns for Underground Compressed Air Energy Storage

Science.gov (United States)

Kim, Hyung-Mok; Rutqvist, Jonny; Jeong, Ju-Hwan; Choi, Byung-Hee; Ryu, Dong-Woo; Song, Won-Kyong

2013-09-01

In this paper, we investigate the influence of the excavation damaged zone (EDZ) on the geomechanical performance of compressed air energy storage (CAES) in lined rock caverns. We conducted a detailed characterization of the EDZ in rock caverns that have been excavated for a Korean pilot test program on CAES in (concrete) lined rock caverns at shallow depth. The EDZ was characterized by measurements of P- and S-wave velocities and permeability across the EDZ and into undisturbed host rock. Moreover, we constructed an in situ concrete lining model and conducted permeability measurements in boreholes penetrating the concrete, through the EDZ and into the undisturbed host rock. Using the site-specific conditions and the results of the EDZ characterization, we carried out a model simulation to investigate the influence of the EDZ on the CAES performance, in particular related to geomechanical responses and stability. We used a modeling approach including coupled thermodynamic multiphase flow and geomechanics, which was proven to be useful in previous generic CAES studies. Our modeling results showed that the potential for inducing tensile fractures and air leakage through the concrete lining could be substantially reduced if the EDZ around the cavern could be minimized. Moreover, the results showed that the most favorable design for reducing the potential for tensile failure in the lining would be a relatively compliant concrete lining with a tight inner seal, and a relatively stiff (uncompliant) host rock with a minimized EDZ. Because EDZ compliance depends on its compressibility (or modulus) and thickness, care should be taken during drill and blast operations to minimize the damage to the cavern walls.

Federal Facilities Compliance Act, Draft Site Treatment Plan: Compliance Plan Volume. Part 2, Volume 2

International Nuclear Information System (INIS)

1994-01-01

This document presents the details of the implementation of the Site Treatment Plan developed by Ames Laboratory in compliance with the Federal Facilities Compliance Act. Topics discussed in this document include: implementation of the plan; milestones; annual updates to the plan; inclusion of new waste streams; modifications of the plan; funding considerations; low-level mixed waste treatment plan and schedules; and TRU mixed waste streams

Polymerization stress evolution of a bulk-fill flowable composite under different compliances.

Science.gov (United States)

Guo, Yongwen; Landis, Forrest A; Wang, Zhengzhi; Bai, Ding; Jiang, Li; Chiang, Martin Y M

2016-04-01

To use a compliance-variable instrument to simultaneously measure and compare the polymerization stress (PS) evolution, degree of conversion (DC), and exotherm of a bulk-fill flowable composite to a packable composite. A bulk-fill flowable composite (Filtek Bulk-fill, FBF) and a conventional packable composite (Filtek Z250, Z250) purchased from 3M ESPE were investigated. The composites were studied using a cantilever-beam based instrument equipped with an in situ near infrared (NIR) spectrometer and a microprobe thermocouple. The measurements were carried out under various instrumental compliances (ranging from 0.3327μm/N to 12.3215μm/N) that are comparable to the compliances of clinically prepared tooth cavities. Correlations between the PS and temperature change as well as the DC were interpreted. The maximum PS of both composites at 10min after irradiation decreased with the increase in the compliance of the cantilever beam. The FBF composite generated a lower final stress than the Z250 sample under instrumental compliances less than ca. 4μm/N; however, both materials generated statistically similar PS values at higher compliances. The reaction exotherm and the DC of both materials were found to be independent of compliance. The DC of the FBF sample was slightly higher than that of the packable Z250 composite while the peak exotherm of FBF was almost double that of the Z250 composite. For FBF, a characteristic drop in the PS was observed during the early stage of polymerization for all compliances studied which was not observed in the Z250 sample. This drop was shown to relate to the greater exotherm of the less-filled FBF sample relative to the Z250 composite. While the composites with lower filler content (low viscosity) are generally considered to have lower PS than the conventional packable composites, a bulk-fill flowable composite was shown to produce lower PS under a lower compliance of constraint as would be experienced if the composite was used as

Methodology of reducing rock bump hazard during room and rillar mining of North Ural deep bauxite deposits

Directory of Open Access Journals (Sweden)

Д. В. Сидоров

2017-03-01

Full Text Available The article describes practical experience of using room and pillar mining (RAPM under conditions of deep horizons and dynamic overburden pressure. It was identified that methods of rock pressure control efficient at high horizons do not meet safety requirements when working at existing depths, that is explained by changes in geodynamic processes during mining. With deeper depth, the geodynamic processes become more intensive and number of pillar and roof failures increase. When working at 800 m the breakage of mine structures became massive and unpredictable, which paused a question of development and implementation of tools for compliance assessment of used elements of RAPM and mining, geological, technical and geodynamic conditions of North Ural bauxite deposits and further development of guidelines for safe mining under conditions of deep horizons and dynamic rock pressure.It describes reasons of mine structure failures in workings depending on natural and man-caused factors, determines possible hazards and objects of geomechanic support. It also includes compliance assessment of tools used for calculations of RAPM structures, forecast and measures for rock tectonic bursts at mines of OAO “Sevuralboksitruda” (SUBR. It describes modernization and development of new geomechanic support of RAPM considering natural and technogenic hazards. The article presents results of experimental testing of new parameters of RAPM construction elements of SUBR mines. It has data on industrial implementation of developed regulatory and guideline documents at these mines for identification of valid parameters of RAPM elements at deep depths.

Baseline evaluation of hand hygiene compliance in three major hospitals, Isfahan, Iran.

Science.gov (United States)

Ataei, B; Zahraei, S M; Pezeshki, Z; Babak, A; Nokhodian, Z; Mobasherizadeh, S; Hoseini, S G

2013-09-01

Hand hygiene is the mainstay of nosocomial infection prevention. This study was a baseline survey to assess hand hygiene compliance of healthcare workers by direct observation in three major hospitals of Isfahan, Iran. The use of different hand hygiene products was also evaluated. In 3078 potential opportunities hand hygiene products were available on 2653 occasions (86.2%). Overall compliance was 6.4% (teaching hospital: 7.4%; public hospital: 6.2%; private hospital: 1.4%). Nurses (8.4%) had the highest rates of compliance. Poor hand hygiene compliance in Isfahan hospitals necessitates urgent interventions to improve both hospital infrastructure and staff knowledge. © 2013 The Healthcare Infection Society. Published by Elsevier Ltd. All rights reserved.

30 CFR 90.207 - Compliance sampling.

Science.gov (United States)

2010-07-01

... MANDATORY HEALTH STANDARDS-COAL MINERS WHO HAVE EVIDENCE OF THE DEVELOPMENT OF PNEUMOCONIOSIS Sampling Procedures § 90.207 Compliance sampling. (a) The operator shall take five valid respirable dust samples for... 30 Mineral Resources 1 2010-07-01 2010-07-01 false Compliance sampling. 90.207 Section 90.207...

5 CFR 900.406 - Compliance information.

Science.gov (United States)

2010-01-01

... 5 Administrative Personnel 2 2010-01-01 2010-01-01 false Compliance information. 900.406 Section... Compliance information. (a) Cooperation and assistance. OPM, to the fullest extent practicable, shall seek... at the times, and in the form and containing the information OPM may determine necessary to enable it...

49 CFR 27.121 - Compliance information.

Science.gov (United States)

2010-10-01

... 49 Transportation 1 2010-10-01 2010-10-01 false Compliance information. 27.121 Section 27.121 Transportation Office of the Secretary of Transportation NONDISCRIMINATION ON THE BASIS OF DISABILITY IN PROGRAMS OR ACTIVITIES RECEIVING FEDERAL FINANCIAL ASSISTANCE Enforcement § 27.121 Compliance information. (a) Cooperation and assistance. The...

Effect of Contract Compliance Rate to a Fourth-Generation Telehealth Program on the Risk of Hospitalization in Patients With Chronic Kidney Disease: Retrospective Cohort Study.

Science.gov (United States)

Hung, Chi-Sheng; Lee, Jenkuang; Chen, Ying-Hsien; Huang, Ching-Chang; Wu, Vin-Cent; Wu, Hui-Wen; Chuang, Pao-Yu; Ho, Yi-Lwun

2018-01-24

Chronic kidney disease (CKD) is prevalent in Taiwan and it is associated with high all-cause mortality. We have shown in a previous paper that a fourth-generation telehealth program is associated with lower all-cause mortality compared to usual care with a hazard ratio of 0.866 (95% CI 0.837-0.896). This study aimed to evaluate the effect of renal function status on hospitalization among patients receiving this program and to evaluate the relationship between contract compliance rate to the program and risk of hospitalization in patients with CKD. We retrospectively analyzed 715 patients receiving the telehealth care program. Contract compliance rate was defined as the percentage of days covered by the telehealth service before hospitalization. Patients were stratified into three groups according to renal function status: (1) normal renal function, (2) CKD, or (3) end-stage renal disease (ESRD) and on maintenance dialysis. The outcome measurements were first cardiovascular and all-cause hospitalizations. The association between contract compliance rate, renal function status, and hospitalization risk was analyzed with a Cox proportional hazards model with time-dependent covariates. The median follow-up duration was 694 days (IQR 338-1163). Contract compliance rate had a triphasic relationship with cardiovascular and all-cause hospitalizations. Patients with low or very high contract compliance rates were associated with a higher risk of hospitalization. Patients with CKD or ESRD were also associated with a higher risk of hospitalization. Moreover, we observed a significant interaction between the effects of renal function status and contract compliance rate on the risk of hospitalization: patients with ESRD, who were on dialysis, had an increased risk of hospitalization at a lower contract compliance rate, compared with patients with normal renal function or CKD. Our study showed that there was a triphasic relationship between contract compliance rate to the

[Study on the use of a smart pillbox to improve treatment compliance].

Science.gov (United States)

Morales Suárez-Varela, María Teresa

2009-04-01

To assess the usefulness of the Practidose individualised dispensing and dosing pillbox system in improving treatment compliance (TC). Open-labelled, randomised, clinical trial. Cordoba province from April to September 2005. A total of 220 patients 70 years diagnosed with ineffective management of treatment regime, polymedicated with no cognitive deterioration or limited mobility. Enrolment was carried out by block random assignment. Each district linking nurse was assigned 10 interviews, 5 from the intervention group and 5 from a control group. To give a smart pillbox with instructions. MEASUREMENTS AND PRIMARY OUTCOMES: The response variable was the TC measured using the Morisky-Green questionnaire at the beginning and at 2 months. The independent variables were: age, sex, education level, number of people living in the home and mean age, diabetes, hypertension, heart disease, COPD, number of medications, number of daily and weekly doses self-medication, and interest in the patient information leaflet. A descriptive analysis and a multiple logistic regression were performed on the data. A total of 182 patients finished the study. The TC improved by 6.74% in the intervention group and by 2.15% in the control group. To look after the medications and suffer from COPD lead to better TC, and was less so when there was interest in the patient information leaflet. The improvement in treatment compliance with the Practidose Pillbox was not statistically significant, although a positive tendency was observed.

Barriers to compliance with evidence-based care in trauma.

Science.gov (United States)

Rayan, Nadine; Barnes, Sunni; Fleming, Neil; Kudyakov, Rustam; Ballard, David; Gentilello, Larry M; Shafi, Shahid

2012-03-01

We have preciously demonstrated that trauma patients receive less than two-thirds of the care recommended by evidence-based medicine. The purpose of this study was to identify patients least likely to receive optimal care. Records of a random sample of 774 patients admitted to a Level I trauma center (2006-2008) with moderate to severe injuries (Abbreviated Injury Scale score ≥3) were reviewed for compliance with 25 trauma-specific processes of care (T-POC) endorsed by Advanced Trauma Life Support, Eastern Association for the Surgery of Trauma, the Brain Trauma Foundation, Surgical Care Improvement Project, and the Glue Grant Consortium based on evidence or consensus. These encompassed all aspects of trauma care, including initial evaluation, resuscitation, operative care, critical care, rehabilitation, and injury prevention. Multivariate logistic regression was used to identify patients likely to receive recommended care. Study patients were eligible for a total of 2,603 T-POC, of which only 1,515 (58%) were provided to the patient. Compliance was highest for T-POC involving resuscitation (83%) and was lowest for neurosurgical interventions (17%). Increasing severity of head injuries was associated with lower compliance, while intensive care unit stay was associated with higher compliance. There was no relationship between compliance and patient demographics, socioeconomic status, overall injury severity, or daily volume of trauma admissions. Little over half of recommended care was delivered to trauma patients with moderate to severe injuries. Patients with increasing severity of traumatic brain injuries were least likely to receive optimal care. However, differences among patient subgroups are small in relation to the overall gap between observed and recommended care. II.

[Psychological factors associated to patient's treatment compliance in Chilean diabetic teenagers].

Science.gov (United States)

Ortiz, Manuel; Ortiz, Eugenia

2005-03-01

Treatment compliance among patients with type 1 diabetes mellitus, is low in 50% of diabetic teenagers, becoming a social and medical problem. To determine psycho-social factors associated to treatment compliance among Chilean diabetic type 1 teenagers. A non experimental study of 61 diabetic teenagers (age 14.9+/-1.9 years, 37 male). The number of blood glucose determinations, socioeconomic level and practice of sports was measured. Psychological tests were applied to analyze self-efficiency, motivation of achievement, self-esteem and knowledge of the illness and its treatment. As a measure of patient compliance, glycosilated hemoglobin (HB1Ac) was measured. Six patients had a good control of diabetes (HB1Ac <7%), 24 had HB1Ac values between 7 and 8.9, and 31 (51%) had values of 9% or more, considered as a poor diabetes control. The intensified insulin treatment scheme, the knowledge of the illness and its treatment and the sense of self-efficiency, were the factors associated with a better compliance with treatment. Teenagers of higher socio-economical levels had a better compliance with treatment. Fifty percent of Chilean diabetic teenagers in this sample had a poor control of the disease and the variable knowledge about the disease is the better predictor of patient compliance.

Methods for verifying compliance with low-level radioactive waste acceptance criteria

Energy Technology Data Exchange (ETDEWEB)

NONE

1993-09-01

This report summarizes the methods that are currently employed and those that can be used to verify compliance with low-level radioactive waste (LLW) disposal facility waste acceptance criteria (WAC). This report presents the applicable regulations representing the Federal, State, and site-specific criteria for accepting LLW. Typical LLW generators are summarized, along with descriptions of their waste streams and final waste forms. General procedures and methods used by the LLW generators to verify compliance with the disposal facility WAC are presented. The report was written to provide an understanding of how a regulator could verify compliance with a LLW disposal facility`s WAC. A comprehensive study of the methodology used to verify waste generator compliance with the disposal facility WAC is presented in this report. The study involved compiling the relevant regulations to define the WAC, reviewing regulatory agency inspection programs, and summarizing waste verification technology and equipment. The results of the study indicate that waste generators conduct verification programs that include packaging, classification, characterization, and stabilization elements. The current LLW disposal facilities perform waste verification steps on incoming shipments. A model inspection and verification program, which includes an emphasis on the generator`s waste application documentation of their waste verification program, is recommended. The disposal facility verification procedures primarily involve the use of portable radiological survey instrumentation. The actual verification of generator compliance to the LLW disposal facility WAC is performed through a combination of incoming shipment checks and generator site audits.

Methods for verifying compliance with low-level radioactive waste acceptance criteria

International Nuclear Information System (INIS)

1993-09-01

This report summarizes the methods that are currently employed and those that can be used to verify compliance with low-level radioactive waste (LLW) disposal facility waste acceptance criteria (WAC). This report presents the applicable regulations representing the Federal, State, and site-specific criteria for accepting LLW. Typical LLW generators are summarized, along with descriptions of their waste streams and final waste forms. General procedures and methods used by the LLW generators to verify compliance with the disposal facility WAC are presented. The report was written to provide an understanding of how a regulator could verify compliance with a LLW disposal facility's WAC. A comprehensive study of the methodology used to verify waste generator compliance with the disposal facility WAC is presented in this report. The study involved compiling the relevant regulations to define the WAC, reviewing regulatory agency inspection programs, and summarizing waste verification technology and equipment. The results of the study indicate that waste generators conduct verification programs that include packaging, classification, characterization, and stabilization elements. The current LLW disposal facilities perform waste verification steps on incoming shipments. A model inspection and verification program, which includes an emphasis on the generator's waste application documentation of their waste verification program, is recommended. The disposal facility verification procedures primarily involve the use of portable radiological survey instrumentation. The actual verification of generator compliance to the LLW disposal facility WAC is performed through a combination of incoming shipment checks and generator site audits

Scoliosis brace design: influence of visual aesthetics on user acceptance and compliance.

Science.gov (United States)

Law, Derry; Cheung, Mei-Chun; Yip, Joanne; Yick, Kit-Lun; Wong, Christina

2017-06-01

Adolescent idiopathic scoliosis is a common condition found in adolescents. A rigid brace is often prescribed as the treatment for this spinal deformity, which negatively affects user compliance due to the discomfort caused by the brace, and the psychological distress resulting from its appearance. However, the latter, which is the impact of visual aesthetics, has not been thoroughly studied for scoliosis braces. Therefore, a qualitative study with in-depth interviews has been carried out with 10 participants who have a Cobb angle of 20°-30° to determine the impact of visual aesthetics on user acceptance and compliance towards the brace. It is found that co-designing with patients on the aesthetic aspects of the surface design of the brace increases the level of user compliance and induces positive user perception. Therefore, aesthetic preferences need to be taken into consideration in the design process of braces. Practitioner Summary: The impact of visual aesthetics on user acceptance and compliance towards a rigid brace for scoliosis is investigated. The findings indicate that an aesthetically pleasing brace and the involvement of patients in the design process of the brace are important for increasing user compliance and addressing psychological issues during treatment.

Diagnosis of compliance of health care product processing in Primary Health Care

Directory of Open Access Journals (Sweden)

Camila Eugenia Roseira

Full Text Available ABSTRACT Objective: identify the compliance of health care product processing in Primary Health Care and assess possible differences in the compliance among the services characterized as Primary Health Care Service and Family Health Service. Method: quantitative, observational, descriptive and inferential study with the application of structure, process and outcome indicators of the health care product processing at ten services in an interior city of the State of São Paulo - Brazil. Results: for all indicators, the compliance indices were inferior to the ideal levels. No statistically significant difference was found in the indicators between the two types of services investigated. The health care product cleaning indicators obtained the lowest compliance index, while the indicator technical-operational resources for the preparation, conditioning, disinfection/sterilization, storage and distribution of health care products obtained the best index. Conclusion: the diagnosis of compliance of health care product processing at the services assessed indicates that the quality of the process is jeopardized, as no results close to ideal levels were obtained at any service. In addition, no statistically significant difference in these indicators was found between the two types of services studied.

Suboptimal compliance with evidence-based guidelines in patients with traumatic brain injuries.

Science.gov (United States)

Shafi, Shahid; Barnes, Sunni A; Millar, D; Sobrino, Justin; Kudyakov, Rustam; Berryman, Candice; Rayan, Nadine; Dubiel, Rosemary; Coimbra, Raul; Magnotti, Louis J; Vercruysse, Gary; Scherer, Lynette A; Jurkovich, Gregory J; Nirula, Raminder

2014-03-01

Evidence-based management (EBM) guidelines for severe traumatic brain injuries (TBIs) were promulgated decades ago. However, the extent of their adoption into bedside clinical practices is not known. The purpose of this study was to measure compliance with EBM guidelines for management of severe TBI and its impact on patient outcome. This was a retrospective study of blunt TBI (11 Level I trauma centers, study period 2008-2009, n = 2056 patients). Inclusion criteria were an admission Glasgow Coma Scale score ≤ 8 and a CT scan showing TBI, excluding patients with nonsurvivable injuries-that is, head Abbreviated Injury Scale score of 6. The authors measured compliance with 6 nonoperative EBM processes (endotracheal intubation, resuscitation, correction of coagulopathy, intracranial pressure monitoring, maintaining cerebral perfusion pressure ≥ 50 cm H2O, and discharge to rehabilitation). Compliance rates were calculated for each center using multivariate regression to adjust for patient demographics, physiology, injury severity, and TBI severity. The overall compliance rate was 73%, and there was wide variation among centers. Only 3 centers achieved a compliance rate exceeding 80%. Risk-adjusted compliance was worse than average at 2 centers, better than average at 1, and the remainder were average. Multivariate analysis showed that increased adoption of EBM was associated with a reduced mortality rate (OR 0.88; 95% CI 0.81-0.96, p < 0.005). Despite widespread dissemination of EBM guidelines, patients with severe TBI continue to receive inconsistent care. Barriers to adoption of EBM need to be identified and mitigated to improve patient outcomes.

Joint seismic, hydrogeological, and geomechanical investigations of a fracture zone in the Grimsel Rock Laboratory, Switzerland

International Nuclear Information System (INIS)

Majer, E.L.; Myer, L.R.; Peterson, J.E. Jr.; Karasaki, K.; Long, J.C.S.; Martel, S.J.; Bluemling, P.; Vomvoris, S.

1990-06-01

This report is one of a series documenting the results of the Nagra-DOE Cooperative (NDC-I) research program in which the cooperating scientists explore the geological, geophysical, hydrological, geochemical, and structural effects anticipated from the use of a rock mass as a geologic repository for nuclear waste. From 1987 to 1989 the United States Department of Energy (DOE) and the Swiss Cooperative for the Storage of Nuclear Waste (Nagra) participated in an agreement to carryout experiments for understanding the effect of fractures in the storage and disposal of nuclear waste. As part of this joint work field and laboratory experiments were conducted at a controlled site in the Nagra underground Grimsel test site in Switzerland. The primary goal of these experiments in this fractured granite was to determine the fundamental nature of the propagation of seismic waves in fractured media, and to relate the seismological parameters to the hydrological parameters. The work is ultimately aimed at the characterization and monitoring of subsurface sites for the storage of nuclear waste. The seismic experiments utilizes high frequency (1000 to 10,000 Hertz) signals in a cross-hole configuration at scales of several tens of meters. Two-, three-, and four-sided tomographic images of the fractures and geologic structure were produced from over 60,000 raypaths through a 10 by 21 meter region bounded by two nearly horizontal boreholes and two tunnels. Intersecting this region was a dominant fracture zone which was the target of the investigations. In addition to these controlled seismic imaging experiments, laboratory work using core from this region were studied for the relation between fracture content, saturation, and seismic velocity and attenuation. In-situ geomechanical and hydrologic tests were carried out to determine the mechanical stiffness and conductivity of the fractures. 20 refs., 90 figs., 6 tabs

Corporate compliance: framework and implementation.

Science.gov (United States)

Fowler, N

1999-01-01

The federal government has created numerous programs to combat fraud and abuse. The government now encourages healthcare facilities to have a corporate compliance program (CCP), a plan that reduces the chances that the facility will violate laws or regulations. A CCP is an organization-wide program comprised of a code of conduct and written policies, internal monitoring and auditing standards, employee training, feedback mechanisms and other features, all designed to prevent and detect violations of governmental laws, regulations and policies. It is a system or method ensuring that employees understand and will comply with laws that apply to what they do every day. Seven factors, based on federal sentencing guidelines, provide the framework for developing a CCP. First, a facility must establish rules that are reasonably capable of reducing criminal conduct. Second, high-level personnel must oversee the compliance effort. Third, a facility must use due care in delegating authority in the compliance initiative. Fourth, standards must be communicated effectively to employees, and fifth, a facility must take reasonable steps to achieve compliance. Sixth, standards must be enforced consistently across the organization and last, standards must be modified or changed for reported concerns, to ensure they are not repeated. PROMINA Health System, Inc. in Atlanta, Ga., designed a program to meet federal guidelines. It started with a self-assessment to define its areas or risk. Next, it created the internal structure and assigned organizational responsibility for running the CCP. PROMINA then developed standards of business and professional conduct, established vehicles of communication and trained employees on the standards. Finally, it continues to develop evidence of the program's effectiveness by monitoring and documenting its compliance activities.

14 CFR 417.23 - Compliance monitoring.

Science.gov (United States)

2010-01-01

... 14 Aeronautics and Space 4 2010-01-01 2010-01-01 false Compliance monitoring. 417.23 Section 417... Compliance monitoring. (a) A launch operator must allow access by, and cooperate with, Federal officers or... launch operator must provide the FAA with a console for monitoring the progress of the countdown and...

45 CFR 80.6 - Compliance information.

Science.gov (United States)

2010-10-01

... 45 Public Welfare 1 2010-10-01 2010-10-01 false Compliance information. 80.6 Section 80.6 Public... THE CIVIL RIGHTS ACT OF 1964 § 80.6 Compliance information. (a) Cooperation and assistance. The... reports at such times, and in such form and containing such information, as the responsible Department...

A comparison of medication administration errors from original medication packaging and multi-compartment compliance aids in care homes: A prospective observational study.

Science.gov (United States)

Gilmartin-Thomas, Julia Fiona-Maree; Smith, Felicity; Wolfe, Rory; Jani, Yogini

2017-07-01

No published study has been specifically designed to compare medication administration errors between original medication packaging and multi-compartment compliance aids in care homes, using direct observation. Compare the effect of original medication packaging and multi-compartment compliance aids on medication administration accuracy. Prospective observational. Ten Greater London care homes. Nurses and carers administering medications. Between October 2014 and June 2015, a pharmacist researcher directly observed solid, orally administered medications in tablet or capsule form at ten purposively sampled care homes (five only used original medication packaging and five used both multi-compartment compliance aids and original medication packaging). The medication administration error rate was calculated as the number of observed doses administered (or omitted) in error according to medication administration records, compared to the opportunities for error (total number of observed doses plus omitted doses). Over 108.4h, 41 different staff (35 nurses, 6 carers) were observed to administer medications to 823 residents during 90 medication administration rounds. A total of 2452 medication doses were observed (1385 from original medication packaging, 1067 from multi-compartment compliance aids). One hundred and seventy eight medication administration errors were identified from 2493 opportunities for error (7.1% overall medication administration error rate). A greater medication administration error rate was seen for original medication packaging than multi-compartment compliance aids (9.3% and 3.1% respectively, risk ratio (RR)=3.9, 95% confidence interval (CI) 2.4 to 6.1, ppackaging (from original medication packaging-only care homes) and multi-compartment compliance aids (RR=2.3, 95%CI 1.1 to 4.9, p=0.03), and between original medication packaging and multi-compartment compliance aids within care homes that used a combination of both medication administration

Compliance to two city convenience store ordinance requirements.

Science.gov (United States)

Chaumont Menéndez, Cammie K; Amandus, Harlan E; Wu, Nan; Hendricks, Scott A

2016-04-01

Robbery-related homicides and assaults are the leading cause of death in retail businesses. Robbery reduction approaches focus on compliance to Crime Prevention Through Environmental Design (CPTED) guidelines. We evaluated the level of compliance to CPTED guidelines specified by convenience store safety ordinances effective in 2010 in Dallas and Houston, Texas, USA. Convenience stores were defined as businesses less than 10 000 square feet that sell grocery items. Store managers were interviewed for store ordinance requirements from August to November 2011, in a random sample of 594 (289 in Dallas, 305 in Houston) convenience stores that were open before and after the effective dates of their city's ordinance. Data were collected in 2011 and analysed in 2012-2014. Overall, 9% of stores were in full compliance, although 79% reported being registered with the police departments as compliant. Compliance was consistently significantly higher in Dallas than in Houston for many requirements and by store type. Compliance was lower among single owner-operator stores compared with corporate/franchise stores. Compliance to individual requirements was lowest for signage and visibility. Full compliance to the required safety measures is consistent with industry 'best practices' and evidence-based workplace violence prevention research findings. In Houston and Dallas compliance was higher for some CPTED requirements but not the less costly approaches that are also the more straightforward to adopt. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/

Impact of physician empathy on migraine disability and migraineur compliance

Directory of Open Access Journals (Sweden)

Hatim S Attar

2012-01-01

Full Text Available Aims: We aim to establish the role that perceived physician empathy plays in determining migraineurs′ outcomes and compliance with migraine management plans. We checked for associations between perceived physician empathy and clinical outcomes as well as compliance with management plans. Materials and Methods: 63 migraineurs were enrolled between July and September 2011. Questionnaire administered at the time of inclusion into the study included self-assessment of disability due to migraine (Migraine Disability Assessment Test followed by migraineurs′ assessment of physician empathy (Consultation and Relational Empathy Measure. Three months later, a telephonic questionnaire ascertained changes in disability due to migraine and compliance with migraine treatment. Statistical Analysis: Data was entered in Microsoft Excel 2010 and analyzed using SPSS 17. Pearson′s correlation was employed to analyze the significance of relationship between variables. P-value of less than 0.05 has been considered statistically significant. Results: Statistically significant positive Pearson′s correlations are seen between perceived empathy and decrease in migraine disability and symptoms over three months (P < 0.05. Significant positive relationships are also seen between perceived empathy and compliance with diet/meal timings, exercising, de-stressing/sleep pattern modification and medications (P < 0.05. Self-reported compliance is significantly correlated with improved patient outcomes (P < 0.05. Conclusions: Substantial positive associations are found between perceived physician empathy and migraineurs′ outcomes and compliance with management plans. This emphasizes the importance of empathy in migraineur-physician communication.

Preventive Neuromuscular Training for Young Female Athletes: Comparison of Coach and Athlete Compliance Rates.

Science.gov (United States)

Sugimoto, Dai; Mattacola, Carl G; Bush, Heather M; Thomas, Staci M; Foss, Kim D Barber; Myer, Gregory D; Hewett, Timothy E

2017-01-01

 Fewer athletic injuries and lower anterior cruciate ligament injury incidence rates were noted in studies of neuromuscular-training (NMT) interventions that had high compliance rates. However, several groups have demonstrated that preventive NMT interventions were limited by low compliance rates.  To descriptively analyze coach and athlete compliance with preventive NMT and compare the compliance between study arms as well as among school levels and sports.  Randomized, controlled clinical trial.  Middle and high school athletic programs. Participants or Other Participants: A total of 52 teams, comprising 547 female athletes, were randomly assigned to the experimental or control group and followed for 1 athletic season.  The experimental group (n = 30 teams [301 athletes]: 12 basketball teams [125 athletes], 6 soccer teams [74 athletes], and 12 volleyball teams [102 athletes]) participated in an NMT program aimed at reducing traumatic knee injuries through a trunk-stabilization and hip-strengthening program. The control group (n = 22 teams [246 athletes]: 11 basketball teams [116 athletes], 5 soccer teams [68 athletes], and 6 volleyball teams [62 athletes]) performed a resistive rubber-band running program.  Compliance with the assigned intervention protocols (3 times per week during the preseason [mean = 3.4 weeks] and 2 times per week in-season [mean = 11.9 weeks] of coaches [coach compliance] and athletes [athlete compliance]) was measured descriptively. Using an independent t test, we compared coach and athlete compliance between the study arms. A 2-way analysis of variance was calculated to compare differences between coach and athlete compliance by school level (middle and high schools) and sport (basketball, soccer, and volleyball).  The protocols were completed at a mean rate of 1.3 ± 1.1 times per week during the preseason and 1.2 ± 0.5 times per week in-season. A total of 88.4% of athletes completed 2/3 of the intervention sessions

Science Research Group Leader's Power and Members' Compliance and Satisfaction with Supervision

Science.gov (United States)

Meng, Yi; He, Jia; Luo, Changkun

2014-01-01

This study investigated the correlations between science research group members' perceptions of power bases used by their group (lab, team) leader (coercive, reward, legitimate, expert and referent) and the effect of those perceptions on group members' attitudinal compliance, behavioral compliance, and satisfaction with supervision. Participants…

Economic impact of compliance to treatment with antidiabetes medication in type 2 diabetes mellitus: a review paper.

Science.gov (United States)

Breitscheidel, L; Stamenitis, S; Dippel, F-W; Schöffski, O

2010-03-01

Suboptimal compliance and failure to persist with antidiabetes therapies are of potential economic significance. The present research aims to describe the impact of poor compliance and persistence with antidiabetes medications on the cost of healthcare or its components for patients with type 2 diabetes mellitus (T2DM). Literature search was conducted in PubMed for relevant articles published in the period between 1 January 2000 and 30 April 2009. Thus, it is possible that relevant articles not listed in PubMed, but available in other databases are not included in the current review. Studies describing economic consequence of compliance and/or persistence with pharmaceutical antidiabetes treatment were identified. The variability in the studies reviewed was high, making it extremely difficult to make a comparison between them. Of 449 articles corresponding to the primary search algorithm, 12 studies (all conducted in USA) fulfilled the inclusion criteria regarding the economic impact of compliance and/or persistence with treatment on the overall cost of T2DM care or its components. Compliance was assessed via medication possession ratio (MPR) in ten studies, where it ranged from 0.52 to 0.93 depending on regimen. Persistence was assessed in one study. Mean total annual costs per T2DM patient varied between the studies, ranging from $4570 to $17338. In seven studies, medication compliance was inversely associated with total healthcare costs, while in four other studies inverse associations between medication compliance and hospitalisation costs were reported. In one study increased adherence did not change overall healthcare costs. Improved compliance may lead to reductions of the total healthcare costs in T2DM, Further research is needed in countries other than the US to assess impact of compliance and persistence to pharmacotherapy on T2DM costs in country-specific settings.

Study effective factors on customer compliance in high contact services based on Bandura social - Cognitive theory

OpenAIRE

zahra asadi; bahman hajipour

2014-01-01

In today's competitive world, all market participants ranging from individuals, organizations should be looking for ways to success in the market. The secret to success high contact service providers as important part of market participants is, compliance and follow customers of high contact service providers the instructions and guidance. In this paper, a model based on Bandura social - Cognitive theory has Provided to customer compliance . According Bandura social - Cognitive theory and t...

Compliance with building energy regulations for new-build dwellings

International Nuclear Information System (INIS)

Pan, Wei; Garmston, Helen

2012-01-01

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

Report: ECHO Data Quality Audit – Phase I Results: The Integrated Compliance Information System Needs Security Controls to Protect Significant Non-Compliance Data

Science.gov (United States)

Report #09-P-0226, August 31, 2009. End users of the Permit Compliance System and Integrated Compliance Information System National Pollutant Discharge Elimination System can override the Significant Non-Compliance data field without more access controls.

22 CFR 141.5 - Compliance information.

Science.gov (United States)

2010-04-01

... 22 Foreign Relations 1 2010-04-01 2010-04-01 false Compliance information. 141.5 Section 141.5... DEPARTMENT OF STATE-EFFECTUATION OF TITLE VI OF THE CIVIL RIGHTS ACT OF 1964 § 141.5 Compliance information... such information, as a responsible Departmental official or his designee may determine to be necessary...

49 CFR 21.9 - Compliance information.

Science.gov (United States)

2010-10-01

... 49 Transportation 1 2010-10-01 2010-10-01 false Compliance information. 21.9 Section 21.9 Transportation Office of the Secretary of Transportation NONDISCRIMINATION IN FEDERALLY-ASSISTED PROGRAMS OF THE DEPARTMENT OF TRANSPORTATION-EFFECTUATION OF TITLE VI OF THE CIVIL RIGHTS ACT OF 1964 § 21.9 Compliance information. (a) Cooperation and...

Influence of Self-Efficacy on Compliance to Workplace Exercise

DEFF Research Database (Denmark)

Pedersen, Mette Merete; Zebis, Mette K; Jørgensen, Henning Langberg

2013-01-01

the influence of exercise-specific self-efficacy on compliance to workplace physical exercise. PURPOSE: To determine the influence of exercise-specific self-efficacy on compliance to specific strength exercises during working hours for laboratory technicians. METHODS: We performed a cluster...... of compliance to exercises during 20 weeks, but found self-efficacy to be a predictor of compliance in a private sector setting. Workplace-specific differences might be present and should be taken into account....

Patient Compliance With Electronic Patient Reported Outcomes Following Shoulder Arthroscopy.

Science.gov (United States)

Makhni, Eric C; Higgins, John D; Hamamoto, Jason T; Cole, Brian J; Romeo, Anthony A; Verma, Nikhil N

2017-11-01

To determine the patient compliance in completing electronically administered patient-reported outcome (PRO) scores following shoulder arthroscopy, and to determine if dedicated research assistants improve patient compliance. Patients undergoing arthroscopic shoulder surgery from January 1, 2014, to December 31, 2014, were prospectively enrolled into an electronic data collection system with retrospective review of compliance data. A total of 143 patients were included in this study; 406 patients were excluded (for any or all of the following reasons, such as incomplete follow-up, inaccessibility to the order sets, and inability to complete the order sets). All patients were assigned an order set of PROs through an electronic reporting system, with order sets to be completed prior to surgery, as well as 6 and 12 months postoperatively. Compliance rates of form completion were documented. Patients who underwent arthroscopic anterior and/or posterior stabilization were excluded. The average age of the patients was 53.1 years, ranging from 20 to 83. Compliance of form completion was highest preoperatively (76%), and then dropped subsequently at 6 months postoperatively (57%) and 12 months postoperatively (45%). Use of research assistants improved compliance by approximately 20% at each time point. No differences were found according to patient gender and age group. Of those completing forms, a majority completed forms at home or elsewhere prior to returning to the office for the clinic visit. Electronic administration of PRO may decrease the amount of time required in the office setting for PRO completion by patients. This may be mutually beneficial to providers and patients. It is unclear if an electronic system improves patient compliance in voluntary completion PRO. Compliance rates at final follow-up remain a concern if data are to be used for establishing quality or outcome metrics. Level IV, case series. Copyright © 2017 Arthroscopy Association of North

THE ROLE OF COMPLIANCE IN AN ORGANIZATION. WAYS OF IMPLEMENTATION

Directory of Open Access Journals (Sweden)

Andreescu Nicoleta Alina

2014-07-01

Full Text Available In this paper we analyzed the importance of ethical and conduct codes in implementing the compliance programs in an organization. We presented the assumptions that were the basis for the forming of ethic and compliance programs, as well as their evolution in the last decades. In the first part of this paper we highlighted the legislation that outlined principles required for organizations to implement their compliance programs and business ethics. This legislation came as a response to corporate scandals relating to bribery, fraud and corruption in the 70s, and governments of the affected countries were forced to react in order to prevent, detect inappropriate behaviour, as well as improve corporate behaviour. After coming into force of the Federal Law "The Foreign Corrupt Practices Act of 1977" (FCPA, 1977, there was an increase in the number of codes of conduct and corporate involvement in adopting a conduct supported by consumers and stakeholders and to redefine the standards and values, to create a new image corresponding to the new market requirements. In the Guidelines 2002 basic principles are set out in order to efficiently implement a compliance and ethics program in business. The case study was materialized in the analysis of ethics and compliance codes, and the method used for implementing them in three Romanian companies. Analyzing the three ethics and conduct codes, we can conclude that the most important factor to successfully implement ethics and compliance within an organization is "tone from the top". CEO conduct is one that has a direct effect on members of the organization. Furthermore, we followed capturing developments in the rules governing the international business ethics and evaluated the legal framework regulating these issues. The primary aim was to assess how rules are implemented throughout business ethics compliance programs developed at company level and to identify ways to promote - at an organizational level �

On the quality of compliance mechanisms in the Kyoto Protocol

International Nuclear Information System (INIS)

Nentjes, Andries; Klaassen, Ger

2004-01-01

In this paper we evaluate the compliance mechanisms in the Kyoto Protocol as agreed at the seventh Conference of Parties to the United Nations Framework Convention on Climate Change (UNFCCC) in Marrakech. We differ from the literature since we concentrate on the complete set of compliance rules agreed in Marrakech and, as a new element, we systematically discuss these compliance incentives in conjunction with the implicit compliance incentives: reputation protection, emission trading and banking. We conclude that effectiveness and efficiency go hand in hand for all explicit and implicit compliance incentives except one--emission trading. Trading improves efficiency but this can also occur at the cost of increasing non-compliance

Low Compliance to Handwashing Program and High Nosocomial Infection in a Brazilian Hospital

OpenAIRE

Borges, Lizandra Ferreira de Almeida e; Rocha, Lilian Alves; Nunes, Maria José; Gontijo Filho, Paulo Pinto

2012-01-01

Background. It is a fact that hand hygiene prevents nosocomial infection, but compliance with recommended instructions is commonly poor. The purpose of this study was to implement a hand hygiene program for increase compliance with hand hygiene and its relationship with nosocomial infection (NI) and MRSA infection/colonization rates. Methods. Compliance to hand hygiene was evaluated in a hospital by direct observation and measured of health care-associated infections, including methicillin re...

Parental compliance - an emerging problem in Liverpool community child health surveys 1991-2006

Directory of Open Access Journals (Sweden)

Koshy Gibby

2012-04-01

Full Text Available Abstract Background Compliance is a critical issue for parental questionnaires in school based epidemiological surveys and high compliance is difficult to achieve. The objective of this study was to determine trends and factors associated with parental questionnaire compliance during respiratory health surveys of school children in Merseyside between 1991 and 2006. Methods Four cross-sectional respiratory health surveys employing a core questionnaire and methodology were conducted in 1991, 1993, 1998 and 2006 among 5-11 year old children in the same 10 schools in Bootle and 5 schools in Wallasey, Merseyside. Parental compliance fell sequentially in consecutive surveys. This analysis aimed to determine the association of questionnaire compliance with variation in response rates to specific questions across surveys, and the demographic profiles for parents of children attending participant schools. Results Parental questionnaire compliance was 92% (1872/2035 in 1991, 87.4% (3746/4288 in 1993, 78.1% (1964/2514 in 1998 and 30.3% (1074/3540 in 2006. The trend to lower compliance in later surveys was consistent across all surveyed schools. Townsend score estimations of socio-economic status did not differ between schools with high or low questionnaire compliance and were comparable across the four surveys with only small differences between responders and non-responders to specific core questions. Respiratory symptom questions were mostly well answered with fewer than 15% of non-responders across all surveys. There were significant differences between mean child age, maternal and paternal smoking prevalence, and maternal employment between the four surveys (all p Conclusion Methodological differences or changes in socio-economic status of respondents between surveys were unlikely to explain compliance differences. Changes in maternal employment patterns may have been contributory. This analysis demonstrates a major shift in community parental

Interventions for enhancing medication compliance/adherence with benefits in treatment outcomes

Directory of Open Access Journals (Sweden)

Hagen, Anja

2007-01-01

Full Text Available Scientific background: Poor compliance or adherence in drug therapy can cause increased morbidity, mortality and enormous costs in the healthcare system (in Germany annually approximately 10 billion euros. Different methods are used for enhancing the compliance or adherence. Research questions: The evaluation addresses the questions about existence, efficacy, cost-benefit relation as well as ethical-social and juridical implications of strategies for enhancing compliance or adherence in drug therapy with concomitant improvements in treatment outcomes. Methods: A systematic literature search was conducted in the medical, also health economic relevant, literature databases in January 2007, beginning from 2002. Systematic reviews on the basis of (randomised controlled trials (RCT concerning interventions to enhance compliance or adherence with regard to treatment outcomes as well as systematic reviews of health economic analyses were included in the evaluation. Additionally, it was also searched for publications which primarily considered ethical-social and juridical aspects of these interventions for the German context. Results: One systematic review with data for 57 RCT was included in the medical evaluation and one systematic review with data for six studies into the health economic evaluation. No publication primary concerning ethical-social or juridical implications could be identified. A significant positive effect on the treatment outcome was reported for 22 evaluated interventions. For many interventions the results can be classified as reliable: counseling with providing an information leaflet and compliance diary chart followed by phone consultation for helicobacter pylori positive patients, repeated counseling for patients with acute asthma symptoms, telephone calls to establish the level of compliance and to make recommendations based on that for the therapy of cardiovascular diseases, calls of an automated telephone system with phone

Compliance with recommended care at trauma centers: association with patient outcomes.

Science.gov (United States)

Shafi, Shahid; Barnes, Sunni A; Rayan, Nadine; Kudyakov, Rustam; Foreman, Michael; Cryer, H Gil; Alam, Hasan B; Hoff, William; Holcomb, John

2014-08-01

State health departments and the American College of Surgeons focus on the availability of optimal resources to designate hospitals as trauma centers, with little emphasis on actual delivery of care. There is no systematic information on clinical practices at designated trauma centers. The objective of this study was to measure compliance with 22 commonly recommended clinical practices at trauma centers and its association with in-hospital mortality. This retrospective observational study was conducted at 5 Level I trauma centers across the country. Participants were adult patients with moderate to severe injuries (n = 3,867). The association between compliance with 22 commonly recommended clinical practices and in-hospital mortality was measured after adjusting for patient demographics and injuries and their severity. Compliance with individual clinical practices ranged from as low as 12% to as high as 94%. After adjusting for patient demographics and injury severity, each 10% increase in compliance with recommended care was associated with a 14% reduction in the risk of death. Patients who received all recommended care were 58% less likely to die (odds ratio = 0.42; 95% CI, 0.28-0.62) compared with those who did not. Compliance with commonly recommended clinical practices remains suboptimal at designated trauma centers. Improved adoption of these practices can reduce mortality. Copyright © 2014 American College of Surgeons. Published by Elsevier Inc. All rights reserved.

Compliance to topical anti-glaucoma medications among patients at a tertiary hospital in North India

Directory of Open Access Journals (Sweden)

Ketaki Rajurkar

2018-06-01

Full Text Available Purpose: The present study aims to estimate the prevalence of non-compliance and improper drop administration technique among glaucoma patients and describe common obstacles to medication compliance. Methods: A hospital-based cross-sectional study, using standardized questionnaire and direct observation by study personnel was conducted among glaucoma patients aged 18 years and above at a tertiary care charitable eye hospital in North India. 151 consecutive glaucoma patients on medical therapy following up at the glaucoma clinics for at least 6 months were recruited. Non-compliance was defined as missing at-least one drop of medication per week and (or the inability to accurately describe the medication regimen. Study personnel also assessed drop administration technique during application of eye drops by patients treating ophthalmologist-provided information, including measures of disease stability. Factors such as socioeconomic status, presence of caregiver, and number of medications with their effect on compliance were studied using chi-square statistics. Results: Among 151 patients interviewed, around 49% of patients reported problems in using glaucoma medications, with 16% of them reporting total non-compliance. 35% of patients demonstrated improper drop administration technique. Forgetfulness was cited as the main reason for being non-compliant and had a significant association with non-compliance (P = 0.00. Paying patients were more compliant as compared to subsidized patients (P = 0.05. Disease was more stable in compliant patients compared to non-compliant patients (P = 0.05. No other factor had significant association with compliance (P > 0.05. Conclusions: Over 50% of the patients surveyed were non-compliant, and 35% demonstrated improper administration technique. Glaucoma patients should be educated on the importance of compliance and aids that minimize forgetfulness, and delivery systems facilitating the delivery of

An effective group psychoeducational intervention for improving compliance with vaginal dilation: A randomized controlled trial

International Nuclear Information System (INIS)

Jeffries, Sherryl A.; Robinson, John W.; Craighead, Peter S.; Keats, Melanie R.

2006-01-01

Purpose: Although vaginal dilation is often recommended to minimize or prevent vaginal scarring after pelvic radiotherapy, compliance with this recommendation has historically been very low. Therefore, effective intervention strategies are needed to enhance compliance with vaginal dilation after radiotherapy for gynecologic cancer. Methods and Materials: This study was a randomized controlled clinical trial of a psychoeducational intervention specifically designed to increase compliance with vaginal dilation. The information-motivation-behavioral skills model of enhancing compliance with behavioral change was the basis for the intervention design. Forty-two sexually active women, 21 to 65 years of age, diagnosed with Stages Ic-III cervical or endometrial cancer, who received pelvic radiotherapy, were randomized to either the experimental psychoeducational group or the information-only control group. Assessment via questionnaire occurred before treatment and at 6-week, 6-month, 12-month, 18-month, and 24-month follow-up. Assessment via interview also occurred at 6-month, 12-month, 18-month, and 24-month follow-up. Results: The psychoeducational intervention was successful in increasing compliance with vaginal dilation. Conclusions: This study is the first randomized controlled study to demonstrate the effectiveness of an intervention in increasing compliance with the use of vaginal dilators

Uncertainties and demonstration of compliance with numerical risk standards

International Nuclear Information System (INIS)

Preyssl, C.; Cullingford, M.C.

1987-01-01

When dealing with numerical results of a probabilistic risk analysis performed for a complex system, such as a nuclear power plant, one major objective may be to deal with the problem of compliance or non-compliance with a prefixed risk standard. The uncertainties in the risk results associated with the consequences and their probabilities of occurrence may be considered by representing the risk as a risk band. Studying the area and distance between the upper and lower bound of the risk band provides consistent information on the uncertainties in terms of risk, not by means of scalars only but also by real functions. Criteria can be defined for determining compliance with a numerical risk standard, and the 'weighting functional' method, representing a possible tool for testing compliance of risk results, is introduced. By shifting the upper confidence bound due to redefinition, part of the risk band may exceed the standard without changing the underlying results. Using the concept described it is possible to determine the amount of risk, i.e. uncertainty, exceeding the standard. The mathematical treatment of uncertainties therefore allows probabilistic risk assessment results to be compared. A realistic example illustrates the method. (author)

Empowering surgical nurses improves compliance rates for antibiotic prophylaxis after caesarean birth.

Science.gov (United States)

Shimoni, Zvi; Kama, Naama; Mamet, Yaakov; Glick, Joseph; Dusseldorp, Natan; Froom, Paul

2009-11-01

Empowering surgical nurses improves compliance rates for antibiotic prophylaxis after caesarean birth. This paper is a report of a study of the effect of empowering surgical nurses to ensure that patients receive antibiotic prophylaxis after caesarean birth. Despite the consensus that single dose antibiotic prophylaxis is beneficial for women have either elective or non-elective caesarean delivery, hospitals need methods to increase compliance rates. In a study in Israel in 2007 surgical nurses were empowered to ensure that a single dose of cefazolin was given to the mother after cord clamping. A computerized system was used to identify women having caesarean births, cultures sent and culture results. Compliance was determined by chart review. Rates of compliance, suspected wound infections, and confirmed wound infections in 2007 were compared to rates in 2006 before the policy change. Relative risks were calculated dividing 2007 rates by those in 2006, and 95% confidence intervals were calculated using Taylor's series that does not assume a normal distribution. Statistical significance was assessed using the chi-square test. The compliance rate was increased from 25% in 2006 to 100% in 2007 (chi-square test, P rates decreased from 16.8% (186/1104) to 12.6% (137/1089) after the intervention (relative risk 0.75, 95% confidence interval, 0.61-0.92). Surgical nurses can ensure universal compliance for antibiotic prophylaxis in women after caesarean birth, leading to a reduction in wound infections.

Impact of smoke-free housing policy lease exemptions on compliance, enforcement and smoking behavior: A qualitative study

Directory of Open Access Journals (Sweden)

Pamela Kaufman

2018-06-01

Full Text Available This paper investigates the impacts of smoke-free housing policies on compliance, enforcement and smoking behavior. From 2012 to 2014, we studied two affordable housing providers in Canada with comprehensive smoke-free policies: Waterloo Regional Housing that required new leases to be non-smoking and exempted existing leases, and Yukon Housing Corporation that required all leases (existing and new to be non-smoking. Focus groups and key informant interviews were conducted with 31 housing and public health staff involved in policy development and implementation, and qualitative interviews with 56 tenants. Both types of smoke-free policies helped tenants to reduce and quit smoking. However, exempting existing tenants from the policy created challenges for monitoring compliance and enforcing the policy, and resulted in ongoing tobacco smoke exposure. Moreover, some new tenants were smoking in exempted units, which undermined the policy and maintained smoking behavior. Our findings support the implementation of complete smoke-free housing policies that do not exempt existing leases to avoid many of the problems experienced by staff and tenants. In jurisdictions where exempting existing leases is still required by law, adequate staff resources for monitoring and enforcement, along with consistent and clear communication (particularly regarding balconies, patios and outdoor spaces will encourage compliance. Keywords: Smoke-free policy, Housing, Tobacco smoke pollution, Smoking cessation, Qualitative research

Assessing Potential Energy Cost Savings from Increased Energy Code Compliance in Commercial Buildings

Energy Technology Data Exchange (ETDEWEB)

Rosenberg, Michael I.; Hart, Philip R.; Athalye, Rahul A.; Zhang, Jian; Wang, Weimin

2016-02-15

The US Department of Energy’s most recent commercial energy code compliance evaluation efforts focused on determining a percent compliance rating for states to help them meet requirements under the American Recovery and Reinvestment Act (ARRA) of 2009. That approach included a checklist of code requirements, each of which was graded pass or fail. Percent compliance for any given building was simply the percent of individual requirements that passed. With its binary approach to compliance determination, the previous methodology failed to answer some important questions. In particular, how much energy cost could be saved by better compliance with the commercial energy code and what are the relative priorities of code requirements from an energy cost savings perspective? This paper explores an analytical approach and pilot study using a single building type and climate zone to answer those questions.

Geomechanical characterization of the Upper Carboniferous under thermal stress for the evaluation of a High Temperature - Mine Thermal Energy Storage (HT-MTES)