WorldWideScience

Sample records for current study implemented

  1. Current conveyors variants, applications and hardware implementations

    CERN Document Server

    Senani, Raj; Singh, A K

    2015-01-01

    This book serves as a single-source reference to Current Conveyors and their use in modern Analog Circuit Design. The authors describe the various types of current conveyors discovered over the past 45 years, details of all currently available, off-the-shelf integrated circuit current conveyors, and implementations of current conveyors using other, off-the-shelf IC building blocks. Coverage includes prominent bipolar/CMOS/Bi-CMOS architectures of current conveyors, as well as all varieties of starting from third generation current conveyors to universal current conveyors, their implementations and applications. •Describes all commercially available off-the-shelf IC current conveyors, as well as hardware implementations of current conveyors using other off-the-shelf ICs; • Describes numerous variants of current conveyors evolved over the past forty five years; • Describes a number of Bipolar/CMOS/Bi-CMOS architectures of current conveyors, along with their characteristic features; • Includes a comprehe...

  2. Surveying the Commons: Current Implementation of Information Commons Web sites

    Science.gov (United States)

    Leeder, Christopher

    2009-01-01

    This study assessed the content of 72 academic library Information Commons (IC) Web sites using content analysis, quantitative assessment and qualitative surveys of site administrators to analyze current implementation by the academic library community. Results show that IC Web sites vary widely in content, design and functionality, with few…

  3. The Exposure Assessment in Current Time Study: Implementation, Feasibility, and Acceptability of Real-Time Data Collection in a Community Cohort of Illicit Drug Users

    Directory of Open Access Journals (Sweden)

    Gregory D. Kirk

    2013-01-01

    Full Text Available Objective. We describe the study design and evaluate the implementation, feasibility, and acceptability of an ecological momentary assessment (EMA study of illicit drug users. Design. Four sequential field trials targeting observation of 30 individuals followed for a four week period. Participants. Participants were recruited from an ongoing community-cohort of current or former injection drug users. Of 113 individuals enrolled, 109 completed study procedures during four trials conducted from November 2008 to May 2013. Methods. Hand-held electronic diaries used in the initial trials were transitioned to a smartphone platform for the final trial with identical data collection. Random-prompts delivered five times daily assessed participant location, activity, mood, and social context. Event-contingent data collection involved participant self-reports of illicit drug use and craving. Main Outcome Measures. Feasibility measures included participant retention, days of followup, random-prompt response rates, and device loss rate. Acceptability was evaluated from an end-of-trial questionnaire. Sociodemographic, behavioral, clinical, and trial characteristics were evaluated as correlates of weekly random-prompt response rates ≥80% using logistic regression with generalized estimating equations. Results. Study participants were a median of 48.5 years old, 90% African American, 52% male, and 59% HIV-infected with limited income and educational attainment. During a median followup of 28 days, 78% of 11,181 random-prompts delivered were answered (mean of 2.8 responses daily, while 2,798 participant-initiated events were reported (30% drug use events; 70% craving events. Self-reported acceptability to study procedures was uniformly favorable. Device loss was rare (only 1 lost device every 190 person-days of observation. Higher educational attainment was consistently associated with a higher response rate to random-prompts, while an association of HIV

  4. The exposure assessment in current time study: implementation, feasibility, and acceptability of real-time data collection in a community cohort of illicit drug users.

    Science.gov (United States)

    Kirk, Gregory D; Linas, Beth S; Westergaard, Ryan P; Piggott, Damani; Bollinger, Robert C; Chang, Larry W; Genz, Andrew

    2013-01-01

    Objective. We describe the study design and evaluate the implementation, feasibility, and acceptability of an ecological momentary assessment (EMA) study of illicit drug users. Design. Four sequential field trials targeting observation of 30 individuals followed for a four week period. Participants. Participants were recruited from an ongoing community-cohort of current or former injection drug users. Of 113 individuals enrolled, 109 completed study procedures during four trials conducted from November 2008 to May 2013. Methods. Hand-held electronic diaries used in the initial trials were transitioned to a smartphone platform for the final trial with identical data collection. Random-prompts delivered five times daily assessed participant location, activity, mood, and social context. Event-contingent data collection involved participant self-reports of illicit drug use and craving. Main Outcome Measures. Feasibility measures included participant retention, days of followup, random-prompt response rates, and device loss rate. Acceptability was evaluated from an end-of-trial questionnaire. Sociodemographic, behavioral, clinical, and trial characteristics were evaluated as correlates of weekly random-prompt response rates ≥80% using logistic regression with generalized estimating equations. Results. Study participants were a median of 48.5 years old, 90% African American, 52% male, and 59% HIV-infected with limited income and educational attainment. During a median followup of 28 days, 78% of 11,181 random-prompts delivered were answered (mean of 2.8 responses daily), while 2,798 participant-initiated events were reported (30% drug use events; 70% craving events). Self-reported acceptability to study procedures was uniformly favorable. Device loss was rare (only 1 lost device every 190 person-days of observation). Higher educational attainment was consistently associated with a higher response rate to random-prompts, while an association of HIV infection with lower

  5. Current Automotive Holometry Studies

    Science.gov (United States)

    Marchi, Mitchell M.; Snyder, D. S.

    1990-04-01

    Holometry studies of automotive body and powertrain components have become a very useful high resolution test methodology to knowledgeable Ford engineering personnel. Current examples of studies that represent the static or dynamic operational conditions of the automotive test component are presented. Continuous wave laser holometry, computer aided holometry (CAH) and pulsed laser holometry were the holometric techniques used to study the following subjects: (1) body in prime (BIP) vibration modes, (2) transmission flexplate stud-torque converter deformation due to engine torque pulses, (3) engine cylinder head and camshaft support structure deformation due to cylinder pressure and (4) engine connecting rod/cap lift-off. Static and dynamic component loading and laboratory techniques required to produce usable and valid test results are discussed along with possible conclusions for the engineering concerns.

  6. Using Current Resources to Implement Wellness Programming for Preschoolers

    Science.gov (United States)

    Cirignano, Sherri M.

    2013-01-01

    Currently, there is a nationwide effort to include preschool-aged children in wellness efforts for the prevention of obesity. National resources include guidelines, best practices, and tip sheets to assist in the implementation of these interventions. The Let's Move! Child Care Checklist is a resource that can be used to assess the level at…

  7. Current Strategic Business Plan for the Implementation of Digital Systems.

    Science.gov (United States)

    Library of Congress, Washington, DC. National Library Service for the Blind and Physically Handicapped.

    This document presents a current strategic business plan for the implementation of digital systems and services for the free national library program operated by the National Library Service for the Blind and Physically Handicapped, Library of Congress, its network of cooperating regional and local libraries, and the United States Postal Service.…

  8. Cardiovascular pharmacogenomics; state of current knowledge and implementation in practice.

    Science.gov (United States)

    Shahabi, Payman; Dubé, Marie-Pierre

    2015-04-01

    Pharmacogenomics (PGx) is the science that examines how an individual's genetic make-up affects the safety and efficacy of therapeutic drugs. PGx of response to cardiovascular (CV) medications is of the most successfully translated branches of PGx into the clinical workout. However, the clinical implementation of PGx of CV drugs is yet far beyond the growth of our understanding of the role of genetics in drug therapy. A considerable amount of efforts have been devoted by the regulatory agents like the food and drug administration (FDA) as well as the expert-based networks such as the Clinical Pharmacogenetics Implementation Consortium (CPIC) to overcome the existing barriers. This has been done, at least in part, for some of the most widely prescribed CV drugs, including clopidogrel, warfarin and simvastatin for which the PGx knowledge have been satisfactorily robust to provoke the CPIC to issue the guidelines for these drugs and the FDA to update the drugs' labeling, both strongly recommended the use of genotype-guided dosing for these medications, provided that the genetic data are available. For other drugs, however, studies have produced contradictory results and further large and well-designed clinical trials are required to expand and confirm the clinical utility of their PGx data. This review paper presents the current state of knowledge in the field of PGx of CV medications and describes the facilities assisting to the translation of PGx data into the clinical practice. Afterward, the existing body of PGx literature of the most-commonly used CV medications is comprehensively discussed.

  9. National Authentication Framework Implementation Study

    Science.gov (United States)

    2009-12-01

    mapped to the user at the SP end. b. Criterion #2 In terms of criteron 2, for the Centralized Model, the use of a global identifier may require a...PPI to map currently-existing IDs with SPs to the new global identifier. The nature of the Federated Model supports this requirement organically...at 10 cm. Large-scale implementations include the Octopus Card in Hong Kong and the Ezylink card in Singapore. While the cost of a contactless smart

  10. Assessing the current implementation of communicative language for English language teachers in Ethiopian Universities

    NARCIS (Netherlands)

    Anto, A.G.; Coenders, Ferdinand G.M.; Voogt, Joke

    2012-01-01

    This study has attempted to assess the current implementation of communicative language teaching (CLT) approach in two Ethiopian universities to identify professional development (PD) needs of English language teachers. A cross-sectional study using teachers, students and management as sources of in

  11. Current studies on megapode phylogeny

    NARCIS (Netherlands)

    Brom, T.G.; Dekker, R.W.R.J.

    1992-01-01

    Hypotheses regarding the phylogenetic relationships between megapodes and other birds are reviewed, and it is concluded that the available evidence supports a sistergroup relationship between megapodes and all other galliforms. Current studies in this direction are discussed. The resolvement of intr

  12. [Osteoarthrosis: implementation of current diagnostic and therapeutic algorithms].

    Science.gov (United States)

    Meza-Reyes, Gilberto; Aldrete-Velasco, Jorge; Espinosa-Morales, Rolando; Torres-Roldán, Fernando; Díaz-Borjón, Alejandro; Robles-San Román, Manuel

    2017-01-01

    In the modern world, among the different clinical presentations of osteoarthritis, gonarthrosis and coxarthrosis exhibit the highest prevalence. In this paper, the characteristics of osteoarthritis and the different scales of assessment and classification of this pathology are exposed, to provide an exhibition of current evidence generated around diagnostic algorithms and treatment of osteoarthritis, with emphasis set out in the knee and hip, as these are the most frequent; a rational procedure for monitoring patients with osteoarthritis based on characteristic symptoms and the severity of the condition is also set. Finally, reference is made to the therapeutic benefits of the recent introduction of viscosupplementation with Hylan GF-20.

  13. Development and implementation of a rail current optimization program

    Energy Technology Data Exchange (ETDEWEB)

    King, T.L.; Dharamshi, R. [Univ. of Houston, TX (United States). Dept. of Electrical and Computer Engineering; Kim, K.; Zhang, J.; Tompkins, M.W.; Anderson, M.A.; Feng, Q. [Univ. of Illinois, Urbana, IL (United States). Dept. of Electrical and Computer Engineering

    1997-01-01

    Efforts are underway to automate the operation of a railgun hydrogen pellet injector for fusion reactor refueling. A plasma armature is employed to avoid the friction produced by a sliding metal armature and, in particular, to prevent high-Z impurities from entering the tokamak. High currents are used to achieve high accelerations, resulting in high plasma temperatures. Consequently, the plasma armature ablates and accumulates material from the pellet and gun barrel. This increases inertial and viscous drag, lowering acceleration. A railgun model has been developed to compute the acceleration in the presence of these losses. In order to quantify these losses, the ablation coefficient, {alpha}, and drag coefficient, C{sub d}, must be determined. These coefficients are estimated based on the pellet acceleration. The sensitivity of acceleration to {alpha} and C{sub d} has been calculated using the model. Once {alpha} and C{sub d} have been determined, their values are applied to the model to compute the appropriate current pulse width. An optimization program was written in LabVIEW software to carry out this procedure. This program was then integrated into the existing code used to operate the railgun system. Preliminary results obtained after test firing the gun indicate that the program computes reasonable values for {alpha} and C{sub d} and calculates realistic pulse widths.

  14. [Current studies in myotonic dystrophy].

    Science.gov (United States)

    Zhao, Yimeng; Ishiura, Shoichi

    2014-03-01

    Myotonic dystrophy (DM) is a genetic, progressive, multisystemic disease with muscular disorder as its primary symptom. There are two types of DM (DM1 and DM2) caused by mutations in different genes, and in Japan, DM occurs with an incidence of approximately 1 in 20,000. The pathogenic mechanism underlying the disease is RNA toxicity caused by transcripts of aberrantly elongated CTG or CCTG repeats located in the 3' untranslated region or in the intron. The current treatments for DM is limited to symptomatic care. In this review, we will discuss several new therapeutic strategies based on recent studies of RNA toxicity.

  15. Implementation of superconducting fault current limiter for flexible operation in the power substation

    Energy Technology Data Exchange (ETDEWEB)

    Song, Chong Suk, E-mail: chong_suk@korea.ac.kr [School of Electrical Engineering, Korea University, Anam dong, Seonbukgu, Seoul 136-713 (Korea, Republic of); Lee, Hansang [School of Railway and Electrical Engineering, Kyungil University, Hayang-eup, Gyeongsan-si, Gyeongsangbuk-do 712-701 (Korea, Republic of); Cho, Yoon-sung [Department of Electric and Energy Engineering, Catholic University of Daegu, Hayang-eup, Gyeongsan-si, Gyeongsangbuk-do 712-702 (Korea, Republic of); Suh, Jaewan [School of Electrical Engineering, Korea University, Anam dong, Seonbukgu, Seoul 136-713 (Korea, Republic of); Jang, Gilsoo, E-mail: gjang@korea.ac.kr [School of Electrical Engineering, Korea University, Anam dong, Seonbukgu, Seoul 136-713 (Korea, Republic of)

    2014-09-15

    Highlights: • The power load concentrated in load centers results in high levels of fault current. • This paper introduces a fault current reduction scheme using SFCLs in substations. • The SFCL is connected in parallel to the bus tie between the two busbars. • The fault current mitigation using SFCLs is verified through PSS/e simulations. - Abstract: The concentration of large-scale power loads located in the metropolitan areas have resulted in high fault current levels during a fault thereby requiring the substation to operate in the double busbar configuration mode. However, the double busbar configuration mode results in deterioration of power system reliability and unbalanced power flow in the adjacent transmission lines which may result in issues such as overloading of lines. This paper proposes the implementation of the superconducting fault current limiter (SFCL) to be installed between the two substation busbars for a more efficient and flexible operation of the substation enabling both single and double busbar configurations depending on the system conditions for guaranteeing power system reliability as well as fault current limitations. Case studies are being performed for the effectiveness of the SFCL installation and results are compared for the cases where the substation is operating in single and double busbar mode and with and without the installation of the SFCL for fault current mitigation.

  16. Current Approaches in Implementing Citizen Science in the Classroom.

    Science.gov (United States)

    Shah, Harsh R; Martinez, Luis R

    2016-03-01

    Citizen science involves a partnership between inexperienced volunteers and trained scientists engaging in research. In addition to its obvious benefit of accelerating data collection, citizen science has an unexplored role in the classroom, from K-12 schools to higher education. With recent studies showing a weakening in scientific competency of American students, incorporating citizen science initiatives in the curriculum provides a means to address deficiencies in a fragmented educational system. The integration of traditional and innovative pedagogical methods to reform our educational system is therefore imperative in order to provide practical experiences in scientific inquiry, critical thinking, and problem solving for school-age individuals. Citizen science can be used to emphasize the recognition and use of systematic approaches to solve problems affecting the community.

  17. Current Approaches in Implementing Citizen Science in the Classroom

    Directory of Open Access Journals (Sweden)

    Harsh R. Shah

    2015-12-01

    Full Text Available Citizen science involves a partnership between inexperienced volunteers and trained scientists engaging in research. In addition to its obvious benefit of accelerating data collection, citizen science has an unexplored role in the classroom, from K–12 schools to higher education. With recent studies showing a weakening in scientific competency of American students, incorporating citizen science initiatives in the curriculum provides a means to address deficiencies in a fragmented educational system. The integration of traditional and innovative pedagogical methods to reform our educational system is therefore imperative in order to provide practical experiences in scientific inquiry, critical thinking, and problem solving for school-age individuals. Citizen science can be used to emphasize the recognition and use of systematic approaches to solve problems affecting the community.

  18. Studying the implementation of public programs

    Energy Technology Data Exchange (ETDEWEB)

    Yin, R.K.

    1980-02-01

    This report describes and critically assesses approaches that have been employed to study the implementation of public programs. Implementation is defined as the process by which new policies and/or practices are installed in organizations. The report was produced because of the increased interest among researchers and policy makers alike in the linkages between policy and outcome. The study of implementation has barely begun, and it was recognized that methodological issues of a particularly complex nature arise because of certain unique characteristics of the implementation processes: (1) they involve a series of decisions that occur over a long period of time, with no clear beginning or end points; (2) their outcomes have direct or indirect implications that are too complex for single-factor theories; (3) they involve a large number of participants; and (4) they involve situations that are rather unique in terms of agency context, historical moment in time, and other key elements. The approach employed in the report was to examine the methods that have been used in a number of exemplary studies of implementation. These studies are commonly cited in publications and informally in research circles. Descriptive material from each study was used to address three questions: (1) How is evidence collected in studies of implementation; (2) How is evidence analyzed; (3) What are the reasons for believing the conclusions from such studies. The report concludes with recomendations for the conduct of future studies of implementation.

  19. [Current status of autism studies].

    Science.gov (United States)

    Kurita, H

    2001-01-01

    The current status of autism studies was reviewed based on English articles published during the 1990s. Although the concepts of autism and pervasive developmental disorders (PDD) are established, diagnostic criteria of PDDNOS or atypical autism, which is frequently difficult to differentiate from autism, need to be established. The prevalence of autism has been estimated as about 0.05% in the U.S and many European countries, while it was reported to be 0.1% or higher in Japan and some European countries, though the reasons for this difference are unclear. High-functioning (IQ > or = 70) autism may not be as rare a condition as previously thought and both its difference from and similarity to Asperger's syndrome, the highest functioning PDD subtype, need clarification. About 20 to 40% of children with autism lose meaningful words by the age of 2 years and display autistic symptoms thereafter. Such autism, called the setback type in Japan, has been demonstrated to have a poorer adolescent/adult outcome compared to autism without setback and its relationship with childhood disintegrative disorder, which displays a clearer regression after normal development for at least the first 2 years of life, needs to be addressed. The etiology of autism is now considered mostly genetic for reasons, such as the significantly higher concordance rate of autism in identical twin pairs (60-80%) than in fraternal twin pairs (0-10%) and an 3-5% incidence of autism among sibs of an autism proband, 30 to 100 times higher than that in the general population. The involvement of several genes is implicated to create susceptibility for autism, yet the responsible genes have not been identified. Although there is no medication to cure autism, some psychotropic drugs, such as antipsychotics and SSRIs, seem effective for behavior problems in autism patients. Psychosocial treatments are the main therapeutic approach to autism, though they are yet to be well systematized. It is important to

  20. 78 FR 9929 - Current Traumatic Brain Injury State Implementation Partnership Grantees; Non-Competitive One...

    Science.gov (United States)

    2013-02-12

    ...-Competitive One-Year Extension Funds for Current Traumatic Brain Injury (TBI) State Implementation Partnership... Traumatic Brain Injury Act of 2008 (Pub. L. 110- 206). Under this authority, the HRSA TBI Program is charged... HUMAN SERVICES Health Resources and Services Administration Current Traumatic Brain Injury......

  1. 现行经济适用房制度存在高效实施障碍的原因探析%Study on the Reasons of the Current Economy Applicable Room System Existing Efficient Implementation Obstacles

    Institute of Scientific and Technical Information of China (English)

    李芳

    2011-01-01

    Economy applicable room system has become an important component of our housing assurance system. It plays an important role in solving low-income family house issue. However, with the deepening of our housing system reform, economy applicable room system has shown some problems in its implementation and it affects its affordable housing functions effectively play. This articlc analyses the reasons why the current economy applicable room system can't work efficiently, and through the corresponding measures to improve economy applicable room system and meet the basic low-income family housing demand better.%经济适用房制度是我国住房保障制度的一个重要组成部分,为解决我国中低收入家庭住房问题发挥了重要作用.但是,随着住房改革的不断深入,经济适用房制度在实施中也显现出一些问题,影响了其保障性住房功能的有效发挥.本文浅析了我国现行经济适用房制度不能高效运行的原因,以期通过采取相应的措施以完善经济适用房制度,更好地满足中低收入家庭的基本住房需求.

  2. Uniform physical theory of diffraction equivalent edge currents for implementation in general computer codes

    DEFF Research Database (Denmark)

    Johansen, Peter Meincke

    1996-01-01

    New uniform closed-form expressions for physical theory of diffraction equivalent edge currents are derived for truncated incremental wedge strips. In contrast to previously reported expressions, the new expressions are well-behaved for all directions of incidence and observation and take a finit...... value for zero strip length. Consequently, the new equivalent edge currents are, to the knowledge of the author, the first that are well-suited for implementation in general computer codes...

  3. Implementations of artificial neural networks using current-mode pulse width modulation technique.

    Science.gov (United States)

    El-Masry, E I; Yang, H K; Yakout, M A

    1997-01-01

    The use of a current-mode pulse width modulation (CM-PWM) technique to implement analog artificial neural networks (ANNs) is presented. This technique can be used to efficiently implement the weighted summation operation (WSO) that are required in the realization of a general ANN. The sigmoidal transformation is inherently performed by the nonlinear transconductance amplifier, which is a key component in the current integrator used in the realization of WSO. The CM-PWM implementation results in a minimum silicon area, and therefore is suitable for very large scale neural systems. Other pronounced features of the CM-PWM implementation are its easy programmability, electronically adjustable gains of neurons, and modular structures. In this paper, all the current-mode CMOS circuits (building blocks) required for the realization of CM-PWM ANNs are presented and simulated. Four modules for modular design of ANNs are introduced. Also, it is shown that the CM-PWM technique is an efficient method for implementing discrete-time cellular neural networks (DT-CNNs). Two application examples are given: a winner-take-all circuit and a connected component detector.

  4. High-frequency, three-phase current controller implementation in an FPGA

    Energy Technology Data Exchange (ETDEWEB)

    Hartmann, M.; Round, S. D.; Kolar, J. W.

    2008-07-01

    Three phase rectifiers with switching frequencies of 500 kHz or more require high speed current controllers. At such high switching frequencies analog controllers as well as high speed digital signal processing (DSP) systems have limited performance. In this paper, two high speed current controller implementations using two different field-programmable gate arrays (FPGA) - one for switching frequencies up to 1 MHz and one for switching frequencies beyond 1 MHz - are presented to overcome this performance limitation. Starting with the digital system design all the blocks of the signal chain, containing analog-to-digital (A/D) interface, digital controller implementation using HW-multipliers and implementation of a novel high speed, high resolution pulse width modulation (PWM) are discussed and compared. Final measurements verify the performance of the controllers. (author)

  5. Implementation issues on the design of current loops based on resonant regulators for isolated microgrids

    DEFF Research Database (Denmark)

    Federico, de Bosio; Pastorelli, Michele; Antonio DeSouza Ribeiro, Luiz;

    2016-01-01

    This paper analyzes the influence of state feedback coupling between the capacitor voltage and inductor current in voltage source inverters (VSI) operating in stand-alone microgrids. A decoupling technique is proposed as an effective measure to enhance the dynamics. Further implementation issues ...

  6. Evaluation of reference current extraction methods for DSP implementation in active power filters

    Energy Technology Data Exchange (ETDEWEB)

    Vardar, K.; Akpinar, E.; Suergevil, T. [Dokuz Eylul University, Department of Electrical and Electronics Engineering, Kaynaklar Kampusu, 35160 Buca, Izmir (Turkey)

    2009-10-15

    Generation of current references constitutes an important part in the control of active power filters (APFs) used in power system, since any inaccuracy in reference currents yields to incorrect compensation. In this paper, harmonic detection methods for generating reference currents have been evaluated on the basis of three-phase balanced and unbalanced load currents processed in the digital signal processor (DSP). The advantages and disadvantages of several methods found in the literature have been discussed on the basis of simulation results. Three of these methods have been programmed in the TMS320F2812 digital signal processor (DSP) unit and their performances are evaluated from the viewpoint of practical considerations. Finally, instantaneous reactive power method to estimate the APF reference currents is implemented and its practical results obtained under balanced and unbalanced loads are given. (author)

  7. Implementing Product Platforms: A Case Study

    DEFF Research Database (Denmark)

    Nielsen, Ole Fiil; Mortensen, Niels Henrik

    2006-01-01

    The paper describes a case study dealing with the process of creating and implementing a product platform. The paper espessially deals with the fact that to obtain the benefits of platforms a permanent change in behaviour in product development must be ensured. This change in behaviour requires...... acceptance and approval from the organisation in general and the commitment from management to enforce agreed-upon decisions. The case study itself was performed in the Danish company LEGO Group. The case study had two objectives: To create a technical architecture and align this architecture...

  8. Sensor Data Qualification System (SDQS) Implementation Study

    Science.gov (United States)

    Wong, Edmond; Melcher, Kevin; Fulton, Christopher; Maul, William

    2009-01-01

    The Sensor Data Qualification System (SDQS) is being developed to provide a sensor fault detection capability for NASA s next-generation launch vehicles. In addition to traditional data qualification techniques (such as limit checks, rate-of-change checks and hardware redundancy checks), SDQS can provide augmented capability through additional techniques that exploit analytical redundancy relationships to enable faster and more sensitive sensor fault detection. This paper documents the results of a study that was conducted to determine the best approach for implementing a SDQS network configuration that spans multiple subsystems, similar to those that may be implemented on future vehicles. The best approach is defined as one that most minimizes computational resource requirements without impacting the detection of sensor failures.

  9. Evaluation of current care effectiveness: a survey of hypertension guideline implementation in Finnish health centres

    DEFF Research Database (Denmark)

    Alanen, Seija I; Johannala-Kemppainen, Riitta; Ijäs, Jarja J;

    2007-01-01

    OBJECTIVE: To assess the extent and style of implementation of the Hypertension Guideline (HT Guideline) in Finnish primary health centres, and to identify a scale of contrasting implementation styles in the health centres (with the two ends of the scale being referred to as information implement......OBJECTIVE: To assess the extent and style of implementation of the Hypertension Guideline (HT Guideline) in Finnish primary health centres, and to identify a scale of contrasting implementation styles in the health centres (with the two ends of the scale being referred to as information...... implementers or disseminators respectively). DESIGN: A cross-sectional study. Development of a questionnaire and criteria for assessing the extent and style of implementation of the HT Guideline. SETTING: Primary healthcare. SUBJECTS: All head physicians and senior nursing officers in Finnish health centres (n...... =290). MAIN OUTCOME MEASURES: The extent of adoption of the HT Guideline in health centres and the characteristics associated with the implementation style. RESULTS: Responses were received from 410 senior medical staff (246 senior nursing officers and 164 head physicians) representing altogether 264...

  10. Implementation of lng as marine fuel in current vessels : Perspectives and improvements on their environmental efficiency

    OpenAIRE

    Sastre Buades, Llorenç

    2017-01-01

    Liquefied Natural Gas (LNG) as marine fuel currently appears to be an attractive, potential and technically feasible option for new building vessels to comply with air pollution regulations. Consequently, the implementation of LNG on board vessels has been conducted together with the development of LNG-fuelled engines, LNG fuel tanks, gas supply systems and LNG infrastructure. LNG-fuelled vessels are equipped principally with lean-burn gas engines or dual-fuel (DF) engines, vacuum insulated C...

  11. AN EMPIRICAL STUDY OF CURRENT RATIO

    Directory of Open Access Journals (Sweden)

    Atanas Delev

    2014-10-01

    Full Text Available This work aims to address problems of liquidity and in particular the values and factors that influenced the values of the coefficient of total liquidity sixty Bulgarian public companies for the period 2013 - 2007 year. In the analysis it was found that some businesses fail to achieve favorable values of the ratio between current assets and current liabilities. It was found that plants have a low level of total liquidity, which can create problems in repayment of short-term liabilities. It can be seen that there are companies with very high liquidity, which is not so good phenomenon, ie the retention of a high level of resources required. Businesses should conduct a thorough analysis and implement appropriate measures to correct adverse changes. The financial management of the companies surveyed had worked towards improving the state of the enterprise, thereby seeking to reduce liquidity risk.

  12. RHIC 12x150A current lead temperature controller: design and implementation

    Energy Technology Data Exchange (ETDEWEB)

    Mi, C.; Seberg, S.; Ganetis, Hamdi, K.; Louie, W.; Heppner, G.; Jamilkowski, J.; Bruno, D.; DiLieto, A.; Sirio, C.; Tuozzolo, J.; Sandberg, J.; Unger, K.

    2011-03-28

    There are 60 12 x 150A current leads distributed in six RHIC service buildings; each lead delivers power supply current from room temperature to cryogenic temperature in RHIC. Due to the humid environment, condensation occurs frequently and ice forms quickly during operation, especially during an extensive storage period. These conditions generate warnings and alarms to which personnel must respond and establish temporary solutions to keep the machine operating. In here, we designed a temperature control system to avoid such situations. This paper discusses its design, implementation, and some results. There are six service buildings in the RHIC complex; each building has two valve boxes that transfer room-temperature current cables from the power supplies into superconducting leads, and then transport them into the RHIC tunnel. In there, the transition between the room-temperature lead into superconducting lead is critical and essential; smooth running during the physics store is crucial for the machine's continuing operation. One of the problems that often occurred previously was the icing of these current leads that could result in a potential leakage current onto ground, thereby preventing a continuous supply of physics store. Fig. 1 illustrates a typical example on a power lead. Among the modifications of the design of the valve box, we list below the new requirements for designing the temperature controller to prevent icing occurring: (1) Remotely control, monitor, and record each current lead's temperature in real time. Prevent icing or overheating of a power lead. (2) Include a temperature alarm for the high/low level threshold. In this paper we discuss the design, implementation, upgrades to, and operation of this new system.

  13. Critical report of current fisheries management measures implemented for the North Sea mixed demersal fisheries

    DEFF Research Database (Denmark)

    Nielsen, J. Rasmus; Ulrich, Clara; Hegland, Troels J.

    The present report is an EU-FP7-SOCIOEC Report giving an overview and critical evaluation of the current management measures implemented for the North Sea mixed demersal fisheries and the fish stocks involved in this. Also, this involves review and critical evaluation of the scientific advice sup...... to distinguish specific effects and impacts of each individual measures implemented. Accordingly, it is also very difficult to make scientific management evaluation and advice associated to the individual measures......The present report is an EU-FP7-SOCIOEC Report giving an overview and critical evaluation of the current management measures implemented for the North Sea mixed demersal fisheries and the fish stocks involved in this. Also, this involves review and critical evaluation of the scientific advice....... The prevailing management system and principle has been landing quotas (TAC, Total Allowable Catch) mainly based on the EU principle of relative stability in the international sharing of the TAC. Also, general effort limitations and technical measures are set for the EU and Norwegian fisheries on top of the TAC...

  14. Study of longshore current equations for currents in Visakhapatnam beach

    Digital Repository Service at National Institute of Oceanography (India)

    Chandramohan, P.; Rao, T.V.N.

    Longshore currents were measured along the Visakhapatnam Beach, Andhra Pradesh, India at weekly intervals from March 1978 to March 1979. Visual observations on breaker characteristics were also made during this period. Using modified Longuet...

  15. Studies of Current Dependent Effects at ANKA

    CERN Document Server

    Müller, A S; Huttel, E; Pérez, F; Pont, M; Zimmermann, Frank

    2004-01-01

    The ANKA electron storage ring is operated at energies between 0.5 and 2.5 GeV. A major requirement for a synchrotron light source, such as ANKA, is to achieve a high beam current. A multitude of mostly impedance related effects depend on either bunch or total beam current. This paper gives an overview over the various beam studies performed at ANKA in this context, specifically the observation of current dependent detuning, the determination of the bunch length change with current from a measurement of the ratio between coherent and incoherent synchrotron tune and an assessment of the effective longitudinal loss factor from the current dependent horizontal closed orbit distortion.

  16. Including Alternative Resources in State Renewable Portfolio Standards: Current Design and Implementation Experience

    Energy Technology Data Exchange (ETDEWEB)

    Heeter, J.; Bird, L.

    2012-11-01

    Currently, 29 states, the District of Columbia, and Puerto Rico have instituted a renewable portfolio standard (RPS). An RPS sets a minimum threshold for how much renewable energy must be generated in a given year. Each state policy is unique, varying in percentage targets, timetables, and eligible resources. This paper examines state experience with implementing renewable portfolio standards that include energy efficiency, thermal resources, and non-renewable energy and explores compliance experience, costs, and how states evaluate, measure, and verify energy efficiency and convert thermal energy. It aims to gain insights from the experience of states for possible federal clean energy policy as well as to share experience and lessons for state RPS implementation.

  17. Current state of musculoskeletal ultrasound training and implementation in Europe: results of a survey of experts and scientific societies

    DEFF Research Database (Denmark)

    Naredo, Esperanza; D'Agostino, Maria A; Conaghan, Philip G

    2010-01-01

    To document the current state of musculoskeletal US (MSUS) training and extent of implementation among rheumatologists in the member countries of EULAR.......To document the current state of musculoskeletal US (MSUS) training and extent of implementation among rheumatologists in the member countries of EULAR....

  18. Operational Implementation of the Healthy Communities Study

    Science.gov (United States)

    John, Lisa V.; Gregoriou, Maria; Pate, Russell R.; Fawcett, Stephen B.; Crawford, Patricia B.; Strauss, Warren; Frongillo, Edward A.; Ritchie, Lorrene D.; Loria, Catherine M.; Kelley, Melinda; Fishbein, Howard; Arteaga, S. Sonia

    2015-01-01

    The Healthy Communities Study (HCS) is examining how characteristics of community programs and policies targeting childhood obesity are related to childhood diet, physical activity, and obesity outcomes. The study involves selected districts and public schools in 130 communities; families recruited through schools; and data collected at the community, school, household, and child levels. Data collection took place in two waves—Wave 1 in Spring 2012 and Wave 2 from 2013 to 2015—with analysis to be completed by August 2016. This paper describes operational elements of the HCS, including recruitment activities, field operations, training of data collectors, human subjects protection, and quality assurance and quality control procedures. Experienced trainers oversaw and conducted all training, including training of: (1) district and school recruitment staff; (2) telephone interviewers for household screening and recruitment; (3) field data collectors for conducting household data collection; and (4) community liaisons for conducting key informant interviews, document abstraction, and community observations. The study team developed quality assurance and quality control procedures that were implemented for all aspects of the study. Planning and operationalizing a study of this complexity and magnitude, with multiple functional teams, required frequent communication and strong collaboration among all study partners to ensure timely and effective decision making. PMID:26384933

  19. Current-mode implementation of processing modules in ART-based neural networks

    Science.gov (United States)

    Lopez-Alcantud, Jose-Alejandro; Hauer, Hans; Diaz-Madrid, Jose-Angel; Ruiz-Merino, Ramon

    2003-04-01

    This paper describes implementation of neural network processing layers using basic current-mode operating modules. The research work has been focused on the implementation of neural networks based on the Adaptive Resonance Theory, developed by S. Grossberg and G.A. Carpenter. The ART-based neural network whose operating modules have been choosen for development is the one called MART, proposed by F. Delgado, because of its complex architecture, auto--adaptive self-learning process, able to discard unmeaningful cathegories. Our presentation starts introducing the behaviour of MART with an analysis of its structure. The development described by this research work is focused on the monochannel block included in the main signal processing part of the MART neural network. The description of the computing algorithm of the layers inside a monochannel block are also provided in order to show what operational current-mode modules are needed (multiplier, divider, square-rooter, adder, substractor, absolute value, maximum and minimum evaluator...). Descriptions at schematic and layout levels of all the processing layers are given. All of them have been designed using AMS 0.35 micron technology with a supply voltage of 3.3 volts. The modules are designed to deal with input currents in the range of 20 to 50 microamps, showing a lineal behaviour and an output error of less than 10%, which is good enough for neural signal processing systems. The maximum frecuency of operation is around 200 kHz. Simulation results are included to show that the operation performed by the hardware designed matches the behaviour described by the MART neural network. For testing purposes we show the design of a monochannel block hardware implementation restricted to five inputs and three cathegories.

  20. ERP implementation in hospitals: a case study.

    Science.gov (United States)

    Agarwal, Divya; Garg, Poonam

    2012-01-01

    In a competitive healthcare sector, hospitals have to focus on their processes in order to deliver high-quality care while at the same time reducing costs. Many hospitals have decided to adopt one or another Enterprise Resource Planning (ERP) system to improve their businesses, but implementing an ERP system can be a demanding endeavour. The systems are so difficult to implement that some are successful; many have failed, causing multimillion dollar losses. The challenge of ERP solutions lie in implementation because they are complex, time consuming and expensive too. This paper describes the various process workflows and phases of ERP implementation at Fortis Hospital Cunningham Road, Bangalore, India. This knowledge will provide valuable insights for the researchers and practitioners to understand the different process workflows and to make informed decisions when implementing ERP in any hospital.

  1. Design and Implementation of Digital Current Mode Controller for DC-DC Converters

    DEFF Research Database (Denmark)

    Taeed, Fazel

    to be regulated by a closed-loop controller. The Peak Current Mode Control (PCMC) is one of the most promising control methods for dc-dc converters. It has been known for high bandwidth (speed), and inherent current protection. Increasing the controller bandwidth decreases the output filter size and cost. Analog...... a bandwidth of 1/10 of the switching frequency. In the current state-of-the-art, the best reported digital PCMC has crossover frequency of 1/15 of the switching frequency. In this PhD study a novel digital PCMC with negligible delay in the inner current loop has been proposed. The proposed solution has...... are eliminated in current mode control; applying the current mode control in high efficiency dc-dc converters results in much higher controller bandwidth....

  2. Quality Management System Implementation at KELTEC-A Case Study

    Directory of Open Access Journals (Sweden)

    S. Aniyan

    2002-10-01

    Full Text Available The scenario of quality is expanding exponentially. In the present-day world, quality is now in the driver's seat. With this globalisation of industrial products, many problems and opportunities have risen, primarily due to inconsistent standards existing in the market. The International Standards Organisation has tried (and seem to be very successful in doing so to standardise a minimum level of quality norms. These norms act as the foundation to implements total quality management (TQM. TQM has been identified as a philosophy of interdependent characteristics, such as customer focus, commitment, measurement, systematic support, and continuous improvement. This paper presents a case study on the implementation of ISO 9002: 1994 at Kerala Hitech Industries (KELTEC, with the benefits, hurdles faced, and shortcomings. Upgradation of KELTEC's quality management system to the requirements of ISO 9001: 2000 is currently under progress.

  3. CURRENT STATE AND EVOLUTION PERSPECTIVES FOR MANAGEMENT ACCOUNTING IN THE ENERGY SECTOR BY IMPLEMENTING THE ABC METHOD

    Directory of Open Access Journals (Sweden)

    Rof Letitia Maria

    2011-07-01

    Full Text Available Based on a controversial issue, namely determining and controlling costs in the energy sector, the present study falls within the scope of management accounting and control. This scientific approach was initiated as a result of personal research concerns in the area of accounting, starting from the need to know and quantify costs in a sector of the economy that is less exploited. The main objective of this scientific approach is to address the evolution of the energy sector in a national and international context, in terms of economy and finances, with the aim to underline the need to organize and conduct management accounting in this sector. We will present a few particularities of the energy system, the current status of implementation of a medium and long term strategy aimed at developing the energy sector, as well as the need to adopt modern costing methods in this sector, which ensure operative cost control and performance growth of the entities that operate in this sector. Information on the reviewed topic was conducted by studying the national and international literature in the field, by analyzing the associated legislation, by consulting specialized web-sites and various articles in the database. The main research methods used in this scientific approach were analysis and synthesis, and qualitative research was the type of used research. The results of the research will materialize in providing the necessary conditions for designing an econometric model for implementing the ABC method, the conceptual and ideological delimitation of the ABC method, the deepening of the positive and negative aspects that the implementation of the Activity Based Costing involves. The major implication for the researched field is ensuring success for the implementation of a modern costing method in the energy sector, underlining the shortcomings of the traditional costing methods. The added value of the paper consists in conducting a rigorous study of the

  4. Bulgarian Seismological and GPS/GNSS networks-current status and practical implementation

    Science.gov (United States)

    Solakov, Dimcho; Simeonova, Stela; Georgiev, Ivan; Dimitrova, Lilia; Slavcheva, Krasimira; Raykova, Plamena

    2016-04-01

    The scientific information is the latest and one of the best bedrock on which effective policy to combat and cope with natural disasters have to be built. Understanding, monitoring and information for future natural disasters are the way to assist the government and society. Different types of networks provide reliable information on various natural disasters. For example, one of the main priorities of the networks are directed to study seismicity of the Earth, its physical phenomena and fields - with an emphasis on tectonic movements and related risk processes, global changes, rotation and position of the Earth in space. Therefore seismological network using advanced electronic systems and digital seismographs transmission of signals from seismic stations to the centres and the registration, processing and archiving of information is carried out by a specialized computer system. Thus improve the monitoring and analysis of seismicity in the whole plan. Another type networks as permanent GPS/GNSS networks are associated with processing and data analysis, as well as monitoring of recent movements of the earth crust. In this study we focus on Seismological and GPS/GNSS networks on the territory in Bulgaria. At present NIGGG-BAS runs both Bulgarian seismological and GPS/GNSS networks. The Bulgarian seismological network - NOTSSI (National Operative Telemetric System for Seismological Information) was founded at the end of 1980. The network comprises today 15 permanent seismic stations spanning the entire territory of the country and two local net works that are deployed around the town of Provadia and Kozloduy Nuclear Power Plant in Bulgaria. Since 2005-2006, real-time data exchange between Bulgaria and Greece, Romania, Serbia, Macedonia, Slovakia, Slovenia, Austria and other regional and national seismological data centers was implemented. NIGGG, respectively NOTSSI, is responsible for rapid earthquake determination, public information trough media, and information of

  5. Multiscale Study of Currents Affected by Topography

    Science.gov (United States)

    2015-09-30

    boundary layers to influence the ambient larger-scale flow. We have studied these issues through ocean model simulations, adjoint sensitivity...circulation be monitored from pressure gauges, temperature sensors, current meters, or other measurements near the feature? • The influence of the

  6. Comparing the Current Situation versus Desirable Perspective of Academic Libraries in Yazd University in Implementation of Total Quality Management

    Directory of Open Access Journals (Sweden)

    Fathemeh Makkizadeh

    2012-02-01

    Full Text Available : Implementation of total quality management plays an important role as a progressive phenomenon in educational and cultural organizations. The main objective of this study is to compare the current situation versus desirable perspective of academic libraries in Yazd University in implementation of total quality management evaluated by managers and staff of the libraries. Independent t-test results suggested the managers have estimated the situation (M= 3.33. The independent t-test results to assess the difference in employees' attitudes about the desirable situation, was obtained as 4.33, compared with that of the managers which was 4.22. Apparently, the employees have higher expectations over the desirable situation rather than the managers. The dependent t-test results to assess the difference in managers’ attitudes about the current versus desirable situation, showed a meaningful difference of (p<0.01. The employees’ attitude towards the desirable situation (s= 0.39, M= 4.15 had a meaningful difference with their attitudes towards the current situation (s= 0.65, M= 3.04. People’s attitudes towards the current and desirable situation, had a high meaningfulness among all the eleven principles of quality management (p< 0.01. Meaningful differences were observed in multivariate analysis of variance aiming at assessing the effects of position and qualifications on the current eleven principles (p< 0.05. The results of multivariate analysis of variance to assess the effects of position and qualifications on the current eleven principles suggested that the effect of position on the components of desirable situation was not meaningful. Meanwhile, the results in effects of qualification suggested that individuals with different qualifications and university degrees had diverse attitudes towards the principles regarding the desirable situation.

  7. Tobin Tax: Arguments and Current Derivative Studies

    Directory of Open Access Journals (Sweden)

    Ozekicioglu Seda

    2015-04-01

    Full Text Available Tobin Tax and its derivative applications have started to be discussed again in many platforms as the issue regarding taxation of short-term capital movements has become an agenda among international communities such as European Union (EU and G20 since the beginning of 2000s. In this study, Tobin Tax, which is the first significant step towards taxation of foreign currency transactions, has been discussed theoretically and considering its possible effects on application. Also, in this context, the initiatives of countries such as USA, Belgium, France and Austria regarding international implementation of Tobin Tax and its derivatives are being evaluated. The intended use of the taxes, determination of transactions exempt from tax and international cooperation in the implementation of taxation are possible problems that can be faced regarding Tobin Tax. In this study the conclusion, which the effects of Tobin Tax in developing and developed countries will be different but imposing such tax regarding cyclic balance of the world economy will be a positive improvement, has been reached.

  8. The ENIQ pilot study: current status

    Energy Technology Data Exchange (ETDEWEB)

    Lemaitre, P.; Eriksen, B.; Crutzen, S. [European Commission, DG Joint Research Centre, Petten (Netherlands); Hansch, M. [Preussische Elektrizitaets-AG (Preussenelektra), Hannover (Germany); Whittle, J. [AEA Technology, Warrington (United Kingdom)

    1998-11-01

    A pilot study is currently being carried out by ENIQ (European Network for Inspection Qualification) in order to explore the issues involved in inspection qualification applied along the general principles of the European methodology. The components selected for the pilot study are austenitic pipe to pipe and pipe to elbows welds typical of those in BWR recirculation loops. A range of defect parameters has been defined. A suitable inspection procedure designed to find the designated defects will be applied to geometrically representative test pieces. The procedure/equipment will be qualified through open trials and technical justification. The personnel qualification will be done in a blind way. Once all features of the inspection system will have been qualified an in-service inspection will be simulated in order to test the feasibility of the qualification approach followed. In this paper the current status of this pilot study is discussed. (orig.)

  9. Implementing Business Intelligence System - Case Study

    Directory of Open Access Journals (Sweden)

    Yasser AL-HADAD

    2016-08-01

    Full Text Available Understanding and analysis data is essential for making decision within a system. Any analytical tasks can be implemented directly by the transactional system but it becomes more difficult as the transactional system grows. Analytical systems and their extension appear as a solution for complex and large datasets. We think that it's time for medium companies to get the benefit from such systems as analytical systems become more variant and in hand for every possible user. In this paper, we propose an architecture of analytical system that can adapt and integrate with existent transactional system of timber export company. The proposed analytical system should have the ability of implementing the tasks required by the decision makers of the system. Also, we try to explore the ability of SQL server of implementing our proposed architecture.

  10. Implementation of an active instructional design for teaching the concepts of current, voltage and resistance

    Science.gov (United States)

    Orlaineta-Agüero, S.; Del Sol-Fernández, S.; Sánchez-Guzmán, D.; García-Salcedo, R.

    2017-01-01

    In the present work we show the implementation of a learning sequence based on an active learning methodology for teaching Physics, this proposal tends to promote a better learning in high school students with the use of a comic book and it combines the use of different low-cost experimental activities for teaching the electrical concepts of Current, Resistance and Voltage. We consider that this kind of strategy can be easily extrapolated to higher-education levels like Engineering-college/university level and other disciplines of Science. To evaluate this proposal, we used some conceptual questions from the Electric Circuits Concept Evaluation survey developed by Sokoloff and the results from this survey was analysed with the Normalized Conceptual Gain proposed by Hake and the Concentration Factor that was proposed by Bao and Redish, to identify the effectiveness of the methodology and the models that the students presented after and before the instruction, respectively. We found that this methodology was more effective than only the implementation of traditional lectures, we consider that these results cannot be generalized but gave us the opportunity to view many important approaches in Physics Education; finally, we will continue to apply the same experiment with more students, in the same and upper levels of education, to confirm and validate the effectiveness of this methodology proposal.

  11. [Current registry studies of acute ischemic stroke].

    Science.gov (United States)

    Veltkamp, R; Jüttler, E; Pfefferkorn, T; Purrucker, J; Ringleb, P

    2012-10-01

    Study registries offer the opportunity to evaluate the effects of new therapies or to observe the consequences of new treatments in clinical practice. The SITS-MOST registry confirmed the validity of findings from randomized trials on intravenous thrombolysis concerning safety and efficacy in the clinical routine. Current study registries concerning new interventional thrombectomy techniques suggest a high recanalization rate; however, the clinical benefit can only be evaluated in randomized, controlled trials. Similarly, the experiences of the BASICS registry on basilar artery occlusion have led to the initiation of a controlled trial. The benefit of hemicraniectomy in malignant middle cerebral artery infarction has been demonstrated by the pooled analysis of three randomized trials. Numerous relevant aspects are currently documented in the DESTINY-R registry. Finally, the recently started RASUNOA registry examines diagnostic and therapeutic aspects of ischemic and hemorrhagic stroke occurring during therapy with new oral anticoagulants.

  12. Islamic Education: Its Concepts and Their Implementation in the Current Context

    Directory of Open Access Journals (Sweden)

    Syihabuddin Syihabuddin

    2016-02-01

    Full Text Available Abstract The research discusses the concept and strategies of Islamic Education and their implementations in a global context. It aims to formulate concepts of contextual Islamic education implemented in higher education institutions in Indonesia, with the expectation that it will contribute to the solving of moral crisis currently experienced by Indonesia. In order to meet the aim, a mixed of quantitative and qualitative approaches was employed, with explanatory design. Data were collected from 54 lecturers and experts of Islamic education. The research has successfully formulated that a Muslim has to be educated by ethical teachers with exemplary method, scientific method, and ijtihâd method through the development of al-akhlâq al-karîmah course content, critical thinking skills, and development of democratic and universal values, supported by information and communication technology and evaluated with an authentic approach. These findings ascertain educators on the importance of al-akhlâq al-karîmah content, the  teachers as role models, and the revitalization of ijtihâd tradition in the classroom. Abstrak Penelitian ini membahas konsep dan strategi Pendidikan Islam dan implementasinya dalam konteks global. Hal ini bertujuan untuk merumuskan konsep pendidikan Islam kontekstual untuk diterapkan di lembaga pendidikan tinggi di Indonesia, harapannya penelitian ini akan memberikan kontribusi pada penyelesaian krisis moral saat ini dialami Indonesia. Dalam rangka memenuhi tujuan penelitian, pendekatan campuran dari kuantitatif dan kualitatif diterapkan, dengan desain explanatory. Data dikumpulkan dari 54 dosen dan ahli pendidikan Islam. Penelitian ini telah berhasil merumuskan bahwa seorang Muslim harus dididik oleh guru yang berakhlak dengan metode teladan, metode ilmiah, dan metode ijtihad. Metode tersebut dirumuskan melalui pengembangan al-akhlaq al-karimah tertentu, keterampilan berpikir kritis, dan pengembangan nilai-nilai demokrasi

  13. Implementing Pre-Vocational Studies in Venezuela.

    Science.gov (United States)

    Kim, Young Mi

    This paper describes prevocational education in Venezuela on each educational level. First, it sets a historical context by identifying aspects of technical education that emerged at different times in its development; then it identifies certain strategies created to support the implementation of prevocationalization, and finally it concludes by…

  14. Implementing the Current Science and Citizenship Mandates: A Learning Theory Analysis and Set of Recommendations

    Directory of Open Access Journals (Sweden)

    Lisa Erikson

    2009-01-01

    Full Text Available Problem statement: The purpose of this research was to use learning theory to analyze the relationships between current views of citizenship, citizenship education, science and science education to develop a reasonably coherent and integrated view and approach to science and citizenship mandates that can be successfully implemented in our schools. Approach: The three models of citizenship education currently competing for dominance in our schools were: The national forging approach, the global education approach and the deliberative democratic approach. Results: Our conclusion was that it was only the use of the nation forging approach (teaching a common core of foundational knowledge and skills in both citizenship and science education at the elementary school level that was going to foster and help students develop the cognitive schemas and reasoning skills that are the necessary prerequisites for the Deliberative democracy approach. Conclusion: If and when students do develop the high level of knowledge and reasoning ability required to engage in deliberative democracy approach, possibly at the secondary level of schooling, then the DDA approach will, most definitely, foster and help students develop the common core cultural and deliberative skills and values that will, in turn, then allow the global education approach, with its multicultural (or rather more differentiated, nuanced and subtle if fuzzy views, to be pursued at the post-secondary level, producing informed and deliberative citizens for this country and the world. The implications of these analyses, findings and conclusions were discussed.

  15. Implementation of the Framework Convention on Tobacco Control in Africa: Current Status of Legislation

    Directory of Open Access Journals (Sweden)

    Jacqueline Tumwine

    2011-11-01

    Full Text Available Objective: To describe, as of July 2011, the status of tobacco control legislation in Africa in three key areas of the Framework Convention on Tobacco Control (FCTC—(1 Protection from exposure to tobacco smoke, (2 Packaging and labelling of tobacco products, and (3 Tobacco advertising, promotion and sponsorship. Methods: Review and analysis of tobacco control legislation in Africa, media reports, journal articles, tobacco industry documents and data published in the 2011 WHO Report on the Global Tobacco Epidemic. Results: Modest progress in FCTC implementation in Africa with many countries having legislation or policies on the protection from exposure to tobacco smoke, however, only a handful of countries meet the standards of the FCTC Article 8 and its Guidelines particularly with regards to designated smoking areas. Little progress on packaging and labelling of tobacco products, with few countries having legislation meeting the minimum standards of the FCTC Article 11 and its Guidelines. Mauritius is the only African country with graphic or pictorial health warnings in place and has the largest warning labels in Africa. Slightly better progress in banning tobacco advertising, promotion and sponsorship has been shown by African countries, although the majority of legislation falls short of the standards of the FCTC Article 13 and its Guidelines. Despite their efforts, African countries’ FCTC implementation at national level has not matched the strong regional commitment demonstrated during the FCTC treaty negotiations. Conclusion: This study highlights the need for Africa to step up efforts to adopt and implement effective tobacco control legislation that is fully compliant with the FCTC. In order to achieve this, countries should prioritise resources for capacity building for drafting strong FCTC compliant legislation, research to inform policy and boost political will, and countering the tobacco industry which is a major obstacle to FCTC

  16. A Case Study on Leadership for Secondary Response to Intervention Implementation

    Science.gov (United States)

    Alexander, Sherri A.

    2012-01-01

    There is currently little research to guide leaders implementing Response to Intervention (RTI) at the secondary level. The problem is that research that does exist focuses on limited settings and demographics. The focus of this multiple-case, qualitative study was to investigate leadership skills necessary for RTI implementation at a suburban…

  17. Virtual Classrooms in the Workplace: an Implementation Study

    Directory of Open Access Journals (Sweden)

    Angela Walsh

    2014-06-01

    Full Text Available The use of e-learning by corporate organisations as a means to deliver training to employees has grown significantly in recent years. Improvements in technology have meant that corporate Learning and Development (L&D departments now have more options available to them and the use of web 2.0 technologies is increasingly being explored as a method of delivering training to employees both asynchronously and synchronously. Research into elearning in workplaces is limited and tends to consist of anecdotal accounts from organisations with a US focus (Newton & Ellis, 2005. This case study explores the implementation of web conferencing software as a means to deliver training both synchronously and asynchronously within an Irish insurance company. The case study was undertaken during an eight month period prior to the planned launch of the technology and it provides a perspective on the challenges encountered during implementation and how issues affecting the production of high quality e-learning content were overcome. The research was undertaken using an exploratory case study approach. Data was collected through direct observation, participant observation and interviews with trainers and managers who were directly or indirectly involved with the implementation of previous and current e-learning strategies. The research finds that the presence of the championing factors: leadership, learning culture, technology infrastructure and financial support, contributed towards the successful implementation of learning technology within the organisation. In addition the study illustrates that emphasises within the organisation has shifted from producing as much e-learning content as possible to producing high quality e-learning content. Further research is warranted to evaluate the transfer of knowledge and behavioural change achieved as a result of the content generated during the study. The study has relevance for corporate L&D departments considering the

  18. Water Sensitive Urban Design: An Investigation of Current Systems, Implementation Drivers, Community Perceptions and Potential to Supplement Urban Water Services

    Directory of Open Access Journals (Sweden)

    Ashok K. Sharma

    2016-06-01

    Full Text Available Large scale centralised water, wastewater and stormwater systems have been implemented for over 100 years. These systems have provided a safe drinking water supply, efficient collection and disposal of wastewater to protect human health, and the mitigation of urban flood risk. The sustainability of current urban water systems is under pressure from a range of challenges which include: rapid population growth and resulting urbanisation, climate change impacts, and infrastructure that is ageing and reaching capacity constraints. To address these issues, urban water services are now being implemented with Integrated Urban Water Management (IUWM and Water Sensitive Urban Design (WSUD approaches. WSUD systems can deliver multiple benefits including water conservation, stormwater quality improvement, flood control, landscape amenity and a healthy living environment. These systems can be provided as stand-alone systems or in combination with centralised systems. These systems are still novel and thus face knowledge gaps that are impeding their mainstream uptake. Knowledge gaps cover technical, economic, social, and institutional aspects of their implementation. This paper is based on the outcomes of a comprehensive study conducted in South Australia which investigated impediments for mainstream uptake of WSUD, community perceptions of WSUD and potential of WSUD to achieve water conservation through the application of alternative resources, and in flood management. The outcomes are discussed in this paper for the benefit of water professionals engaged with WSUD planning, implementation, community consultation and regulation. Although the paper is based on a study conducted in South Australia, the comprehensive framework developed to conduct this detailed study and investigation can be adopted in any part of the world.

  19. Presal36: a high resolution ocean current model for Brazilian pre-salt area: implementation and validation results

    Energy Technology Data Exchange (ETDEWEB)

    Schoellkopf, Jacques P. [Advanced Subsea do Brasil Ltda., Rio de Janeiro, RJ (Brazil)

    2012-07-01

    The PRESAL 36 JIP is a project for the development of a powerful Ocean Current Model of 1/36 of a degree resolution, nested in an existing Global Ocean global Model, Mercator PSY4 (1/12-a-degree resolution ), with tide corrections, improved bathymetry accuracy and high frequency atmospheric forcing (every 3 hours). The simulation outputs will be the 3 dimensional structure of the velocity fields (u,v,w) at 50 vertical levels over the water column, including geostrophic, Ekman and tidal currents, together with Temperature, Salinity and sea surface height at a sub-mesoscale spatial resolution. Simulations will run in hindcast, nowcast and forecast modes, with a temporal resolution of 3 hours . This Ocean current model will allow to perform detailed statistical studies on various areas using conditions analysed using hindcast mode, short term operational condition prediction for various surface and sub sea operations using realtime and Forecast modes. The paper presents a publication of significant results of the project, in term of pre-sal zoomed model implementation, and high resolution model validation. It demonstrate the capability to properly describe ocean current phenomenon at beyond mesoscale frontier. This project demonstrate the feasibility of obtaining accurate information for engineering studies and operational conditions, based on a 'zoom technique' starting from global ocean models. (author)

  20. Objective 1: Extend Life, Improve Performance, and Maintain Safety of the Current Fleet Implementation Plan

    Energy Technology Data Exchange (ETDEWEB)

    Robert Youngblood

    2011-02-01

    Nuclear power has reliably and economically contributed almost 20% of electrical generation in the United States over the past two decades. It remains the single largest contributor (more than 70%) of non-greenhouse-gas-emitting electric power generation in the United States. By the year 2030, domestic demand for electrical energy is expected to grow to levels of 16 to 36% higher than 2007 levels. At the same time, most currently operating nuclear power plants will begin reaching the end of their 60 year operating licenses. Figure E 1 shows projected nuclear energy contribution to the domestic generating capacity. If current operating nuclear power plants do not operate beyond 60 years, the total fraction of generated electrical energy from nuclear power will begin to decline—even with the expected addition of new nuclear generating capacity. The oldest commercial plants in the United States reached their 40th anniversary in 2009. The U.S. Department of Energy Office of Nuclear Energy’s Research and Development (R&D) Roadmap has organized its activities in accordance with four objectives that ensure nuclear energy remains a compelling and viable energy option for the United States. The objectives are as follows: (1) develop technologies and other solutions that can improve the reliability, sustain the safety, and extend the life of the current reactors; (2) develop improvements in the affordability of new reactors to enable nuclear energy to help meet the Administration’s energy security and climate change goals; (3) develop sustainable nuclear fuel cycles; and (4) understand and minimize risks of nuclear proliferation and terrorism. The Light Water Reactor Sustainability (LWRS) Program is the primary programmatic activity that addresses Objective 1. This document describes how Objective 1 and the LWRS Program will be implemented. The existing U.S. nuclear fleet has a remarkable safety and performance record and today accounts for 70% of the low greenhouse

  1. Objective 1: Extend Life, Improve Performance, and Maintain Safety of the Current Fleet Implementation Plan

    Energy Technology Data Exchange (ETDEWEB)

    Robert Youngblood

    2011-01-01

    Nuclear power has reliably and economically contributed almost 20% of electrical generation in the United States over the past two decades. It remains the single largest contributor (more than 70%) of non-greenhouse-gas-emitting electric power generation in the United States. By the year 2030, domestic demand for electrical energy is expected to grow to levels of 16 to 36% higher than 2007 levels. At the same time, most currently operating nuclear power plants will begin reaching the end of their 60 year operating licenses. Figure E 1 shows projected nuclear energy contribution to the domestic generating capacity. If current operating nuclear power plants do not operate beyond 60 years, the total fraction of generated electrical energy from nuclear power will begin to decline—even with the expected addition of new nuclear generating capacity. The oldest commercial plants in the United States reached their 40th anniversary in 2009. The U.S. Department of Energy Office of Nuclear Energy’s Research and Development (R&D) Roadmap has organized its activities in accordance with four objectives that ensure nuclear energy remains a compelling and viable energy option for the United States. The objectives are as follows: (1) develop technologies and other solutions that can improve the reliability, sustain the safety, and extend the life of the current reactors; (2) develop improvements in the affordability of new reactors to enable nuclear energy to help meet the Administration’s energy security and climate change goals; (3) develop sustainable nuclear fuel cycles; and (4) understand and minimize risks of nuclear proliferation and terrorism. The Light Water Reactor Sustainability (LWRS) Program is the primary programmatic activity that addresses Objective 1. This document describes how Objective 1 and the LWRS Program will be implemented. The existing U.S. nuclear fleet has a remarkable safety and performance record and today accounts for 70% of the low greenhouse

  2. Guidelines for Implementing Change: A Case Study

    Science.gov (United States)

    Masekela, Belinda; Nienaber, Rita

    To attain and sustain a competitive advantage organizations are continually faced with the need to change their structures, processes and technologies. Converting to new technology and implementing a new information management system in an organization results in inevitable changes in organizational procedures impacting on the people involved. A major problem encountered during this process is resistance to change, which may contribute to total failure of this system. Change management is the process that can be used to negate this impact and assist employees in transitioning to a new way of doing things.

  3. A study of model bivalve siphonal currents

    Science.gov (United States)

    Monismith, Stephen G.; Koseff, Jeffrey R.; Thompson, Janet K.; O'Riordan, Catherine A.; Nepf, Heidi M.

    1990-01-01

    We carried out experiments studying the hydrodynamics of bivalve siphonal currents in a laboratory flume. Rather than use living animals, we devised a simple, model siphon pair connected to a pump. Fluorescence-based flow visualization was used to characterize siphon-jet flows for several geometric configurations and flow speeds. These measurements show that the boundary-layer velocity profile, siphon height, siphon pair orientation, and size of siphon structure all affect the vertical distribution of the excurrent flow downstream of the siphon pair and the fraction of excurrent that is refiltered. The observed flows may effect both the clearance rate of an entire population of siphonate bivalves as well as the efficiency of feeding of any individual. Our results imply that field conditions are properly represented in laboratory flume studies of phytoplankton biomass losses to benthic bivalves when the shear velocity and bottom roughness are matched to values found in the field. Numerical models of feeding by a bivalve population should include an effective sink distribution which is created by the combined incurrent-excurrent flow field. Near-bed flows need to be accounted for to properly represent these benthic-pelagic exchanges. We also present velocity measurements made with a laser-Doppler anemometer (LDA) for a single configuration (siphons flush with bed, inlet downstream) that show that the siphonal currents have a significant local effect on the properties of a turbulent boundary layer.

  4. FIRE (facilitating implementation of research evidence: a study protocol

    Directory of Open Access Journals (Sweden)

    Seers Kate

    2012-03-01

    Full Text Available Abstract Background Research evidence underpins best practice, but is not always used in healthcare. The Promoting Action on Research Implementation in Health Services (PARIHS framework suggests that the nature of evidence, the context in which it is used, and whether those trying to use evidence are helped (or facilitated affect the use of evidence. Urinary incontinence has a major effect on quality of life of older people, has a high prevalence, and is a key priority within European health and social care policy. Improving continence care has the potential to improve the quality of life for older people and reduce the costs associated with providing incontinence aids. Objectives This study aims to advance understanding about the contribution facilitation can make to implementing research findings into practice via: extending current knowledge of facilitation as a process for translating research evidence into practice; evaluating the feasibility, effectiveness, and cost-effectiveness of two different models of facilitation in promoting the uptake of research evidence on continence management; assessing the impact of contextual factors on the processes and outcomes of implementation; and implementing a pro-active knowledge transfer and dissemination strategy to diffuse study findings to a wide policy and practice community. Setting and sample Four European countries, each with six long-term nursing care sites (total 24 sites for people aged 60 years and over with documented urinary incontinence Methods and design Pragmatic randomised controlled trial with three arms (standard dissemination and two different programmes of facilitation, with embedded process and economic evaluation. The primary outcome is compliance with the continence recommendations. Secondary outcomes include proportion of residents with incontinence, incidence of incontinence-related dermatitis, urinary tract infections, and quality of life. Outcomes are assessed at baseline

  5. A western boundary current eddy characterisation study

    Science.gov (United States)

    Ribbe, Joachim; Brieva, Daniel

    2016-12-01

    The analysis of an eddy census for the East Australian Current (EAC) region yielded a total of 497 individual short-lived (7-28 days) cyclonic and anticyclonic eddies for the period 1993 to 2015. This was an average of about 23 eddies per year. 41% of the tracked individual cyclonic and anticyclonic eddies were detected off southeast Queensland between about 25 °S and 29 °S. This is the region where the flow of the EAC intensifies forming a swift western boundary current that impinges near Fraser Island on the continental shelf. This zone was also identified as having a maximum in detected short-lived cyclonic eddies. A total of 94 (43%) individual cyclonic eddies or about 4-5 per year were tracked in this region. The census found that these potentially displaced entrained water by about 115 km with an average displacement speed of about 4 km per day. Cyclonic eddies were likely to contribute to establishing an on-shelf longshore northerly flow forming the western branch of the Fraser Island Gyre and possibly presented an important cross-shelf transport process in the life cycle of temperate fish species of the EAC domain. In-situ observations near western boundary currents previously documented the entrainment, off-shelf transport and export of near shore water, nutrients, sediments, fish larvae and the renewal of inner shelf water due to short-lived eddies. This study found that these cyclonic eddies potentially play an important off-shelf transport process off the central east Australian coast.

  6. Preparing for successful surgery: an implementation study.

    Science.gov (United States)

    Diaz, Manuel; Larsen, Brad

    2005-01-01

    To evaluate the implementation of a mind-body program for surgical patients in a community hospital, assessing patient participation, patient perception, and program impact on anxiety, pain, and quality of sleep during the perioperative period. Two hundred thirty patients having total hip replacement, total knee replacement, hysterectomy, or colectomy participated in this investigation. One hundred fifteen patients were assigned to the control group before the start of the mind-body program and received routine care. The subsequent 115 patients were assigned to the intervention group and were given an audio CD (containing guided imagery, affirmations, and relaxation music) and a brochure three to seven days before surgery. The brochure recommended that patients listen to the CD twice a day before and after surgery. Anxiety, pain at rest, pain with movement, quality of sleep, and program participation were assessed for the first two postoperative days, and patient perception of the program was assessed at the end of the two days. Anxiety scores were lower in the intervention group on the evening of surgery. Despite a trend toward lower pain scores in the intervention group, no difference between the intervention and control groups reached statistical significance, including quality of sleep. Of patients in the intervention group, 74% listened to the CD at least once after surgery, and 37% listened to the program three or more times. Most patients who used the CD at least once rated it as helpful, and 87% said they would use it for future operations. Patient response to a perioperative mind-body program was favorable. Most patients listened to the program CD at least once, and a third used the CD repeatedly, as recommended. The majority of patients who used the CD felt it had been helpful and would use it again. Program participants experienced less anxiety on the night of surgery.

  7. Current short circuit implementation for performance improvement and lifetime extension of proton exchange membrane fuel cell

    Science.gov (United States)

    Zhan, Yuedong; Guo, Youguang; Zhu, Jianguo; Li, Li

    2014-12-01

    To improve its performance, extend its lifetime, and overcome the problem of the slow dynamic during the start-up and the operation process of a proton exchange membrane fuel cell (PEMFC), this paper presents current short circuit and smart energy management approaches for a main PEMFC with auxiliary PEMFC, battery and supercapacitor as hybrid power source in parallel with an intelligent uninterrupted power supply (UPS) system. The hybrid UPS system consists of two low-cost 63-cell 300 W PEMFC stacks, 3-cell lead-acid battery, and 20-cell series-connected supercapacitors. Based on the designed intelligent hybrid UPS system, experimental tests and theoretical studies are conducted. Firstly, the modeling of PEMFC is obtained and evaluated. Then the performance improvement mechanism of the current short circuit is proposed and analyzed based on the Faradaic process and non-Faradaic process of electrochemical theory. Finally, the performances of the main PEMFC with the auxiliary PEMFC/battery/supercapacitor hybrid power source and intelligent energy management are experimentally measured and analyzed. The proposed current short circuit method can significantly extend the lifetime, improve the performance of PEMFC and decrease the size of the main FC for stationary, backup power sources and vehicular applications.

  8. Recent Advances in Studies of Current Noise

    Science.gov (United States)

    Blanter, Yaroslav M.

    This is a brief review of recent activities in the field of current noise intended for newcomers. We first briefly discuss main properties of shot noise in nanostructures, and then turn to recent developments, concentrating on issues related to experimental progress: non-symmetrized cumulants and quantum noise; counting statistics; super-Poissonian noise; current noise and interferometry

  9. Implementation of IEC Standard Models for Power System Stability Studies

    DEFF Research Database (Denmark)

    Margaris, Ioannis; Hansen, Anca Daniela; Bech, John

    2012-01-01

    This paper presents the implementation of the generic wind turbine generator (WTG) electrical simulation models proposed in the IEC 61400-27 standard which is currently in preparation. A general overview of the different WTG types is given while the main focus is on Type 4B WTG standard models...

  10. The implementation of customer profitability analysis: A case study

    NARCIS (Netherlands)

    Raaij, van Erik M.; Vernooij, Maarten J.A.; Triest, van Sander

    2003-01-01

    By using customer profitability analysis (CPA), firms can determine the profit contribution of customer segments and/or individual customers. This article presents an approach for the implementation of CPA. The implementation process is illustrated using a case study of a firm producing and selling

  11. Effective enterprise systems implementation. Case studies in Indonesian organisations

    NARCIS (Netherlands)

    Govindaraju, Rajesri; Govindaraju, R.; de Bruijn, E.J.; Fisscher, O.A.M.

    2002-01-01

    The research reported in this paper aims to get a better understanding of how the implementation process of enterprise systems (ES) can be managed, by studying the process from an organisational perspective. A review of the literature on previous research in ES implementation has been carried out

  12. The implementation of customer profitability analysis: a case study

    NARCIS (Netherlands)

    van Raaij, E.M.; Vernooij, M.J.A.; Vernooij, Maarten J.A.; van Triest, S.P.

    2003-01-01

    By using customer profitability analysis (CPA), firms can determine the profit contribution of customer segments and/or individual customers. This article presents an approach for the implementation of CPA. The implementation process is illustrated using a case study of a firm producing and selling

  13. Low-Cost Digital Implementation of Proportional-Resonant Current Controllers for PV Inverter Applications Using Delta Operator

    DEFF Research Database (Denmark)

    Será, Dezsö; Kerekes, Tamas; Lungeanu, Marian

    2005-01-01

    of the P+Resonant controller with selective harmonic compensation on a low-cost fixed-point DSP. The resonant part of the P+R has been implemented as a second order filter based on Delta operator. The current controller, together with harmonic compensation for the 3rd, 5th, and 7th harmonics has been......The performances of the P+Resonant controller in case of current control for a single phase grid connected inverter have been proved to be superior to the PI controller, since it is able to remove the phase error of the control at the fundamental frequency of the grid. It offers also...... the possibility of selective harmonic compensation. However, in case of digital implementation on a low-cost fixedpoint DSP, the limited computational power and the limited numerical representation precision can restrict the utilization of it. The present paper proposes a different way of digital implementation...

  14. Design and implementation of a bidirectional current-controlled voltage-regulated DC-DC switched-mode converter

    CSIR Research Space (South Africa)

    Coetzer, A

    2016-01-01

    Full Text Available The design and implementation of a bidirectional current-controlled voltage-regulated DC-DC converter is presented. The converter is required to connect a battery of electrochemical cells (the battery) to an asynchronous motor-drive unit via a...

  15. An exploration of how guideline developer capacity and guideline implementability influence implementation and adoption: study protocol

    Directory of Open Access Journals (Sweden)

    Lemieux-Charles Louise

    2009-07-01

    Full Text Available Abstract Background Practice guidelines can improve health care delivery and outcomes but several issues challenge guideline adoption, including their intrinsic attributes, and whether and how they are implemented. It appears that guideline format may influence accessibility and ease of use, which may overcome attitudinal barriers of guideline adoption, and appear to be important to all stakeholders. Guideline content may facilitate various forms of decision making about guideline adoption relevant to different stakeholders. Knowledge and attitudes about, and incentives and capacity for implementation on the part of guideline sponsors may influence whether and how they develop guidelines containing these features, and undertake implementation. Examination of these issues may yield opportunities to improve guideline adoption. Methods The attributes hypothesized to facilitate adoption will be expanded by thematic analysis, and quantitative and qualitative summary of the content of international guidelines for two primary care (diabetes, hypertension and institutional care (chronic ulcer, chronic heart failure topics. Factors that influence whether and how guidelines are implemented will be explored by qualitative analysis of interviews with individuals affiliated with guideline sponsoring agencies. Discussion Previous research examined guideline implementation by measuring rates of compliance with recommendations or associated outcomes, but this produced little insight on how the products themselves, or their implementation, could be improved. This research will establish a theoretical basis upon which to conduct experimental studies to compare the cost-effectiveness of interventions that enhance guideline development and implementation capacity. Such studies could first examine short-term outcomes predictive of guideline utilization, such as recall, attitude toward, confidence in, and adoption intention. If successful, then long-term objective

  16. Study and Implementation of Advanced Neuroergonomic Techniques

    Directory of Open Access Journals (Sweden)

    B.F.Momin

    2012-08-01

    Full Text Available Research in the area of neuroergonomics has blossomed in recent years with the emergence of noninvasive techniques for monitoring human brain function that can be used to study various aspects of human behavior in relation to technology and work, including mental workload, visual attention, working memory, motor control, human-automation interaction, and adaptive automation. Consequently, this interdisciplinary field is concerned with investigations of the neural bases of human perception,cognition, and performance in relation to systems and technologies in the real world -- for example, in the use of computers and various other machines at home or in the workplace, and in operating vehiclessuch as aircraft, cars, trains, and ships. We will look at recent trends in functional magnetic resonance imaging (fMRI, with a special focus on the questions that have been addressed. This focus is particularly important for functional neuroimaging, whose contributions will be measured by the depth of the questions asked. The ever-increasing understanding of the brain and behavior at work in the real world, the development of theoretical underpinnings, and the relentless spread of facilitative technology in the West and abroad are inexorably broadening the substrates for this interdisciplinary area of research and practice. Neuroergonomics blends neuroscience and ergonomics to the mutual benefit of both fields, and extends the study of brain structure and function beyond the contrived laboratory settings often used in neuropsychological, psychophysical, cognitive science, and other neurosciencerelated fields. Neuroergonomics is providing rich observations of the brain and behavior at work, at home, in transportation, and in other everyday environments in human operators who see, hear, feel, attend, remember, decide, plan, act, move, or manipulate objects among other people and technology in diverse,real-world settings. The neuroergonomics approach is

  17. The Current Canon in British Romantics Studies.

    Science.gov (United States)

    Linkin, Harriet Kramer

    1991-01-01

    Describes and reports on a survey of 164 U.S. universities to ascertain what is taught as the current canon of British Romantic literature. Asserts that the canon may now include Mary Shelley with the former standard six major male Romantic poets, indicating a significant emergence of a feminist perspective on British Romanticism in the classroom.…

  18. Current systematic carbon cycle observations and needs for implementing a policy-relevant carbon observing system

    Directory of Open Access Journals (Sweden)

    P. Ciais

    2013-07-01

    Full Text Available A globally integrated carbon observation and analysis system is needed to improve the fundamental understanding of the global carbon cycle, to improve our ability to project future changes, and to verify the effectiveness of policies aiming to reduce greenhouse gas emissions and increase carbon sequestration. Building an integrated carbon observation system requires transformational advances from the existing sparse, exploratory framework towards a dense, robust, and sustained system in all components: anthropogenic emissions, the atmosphere, the ocean, and the terrestrial biosphere. The goal of this study is to identify the current state of carbon observations and needs for a global integrated carbon observation system that can be built in the next decade. A key conclusion is the substantial expansion (by several orders of magnitude of the ground-based observation networks required to reach the high spatial resolution for CO2 and CH4 fluxes, and for carbon stocks for addressing policy relevant objectives, and attributing flux changes to underlying processes in each region. In order to establish flux and stock diagnostics over remote areas such as the southern oceans, tropical forests and the Arctic, in situ observations will have to be complemented with remote-sensing measurements. Remote sensing offers the advantage of dense spatial coverage and frequent revisit. A key challenge is to bring remote sensing measurements to a level of long-term consistency and accuracy so that they can be efficiently combined in models to reduce uncertainties, in synergy with ground-based data. Bringing tight observational constraints on fossil fuel and land use change emissions will be the biggest challenge for deployment of a policy-relevant integrated carbon observation system. This will require in-situ and remotely sensed data at much higher resolution and density than currently achieved for natural fluxes, although over a small land area (cities, industrial

  19. Implementation and modification of a three-dimensional radiation stress formulation for surf zone and rip-current applications

    Science.gov (United States)

    Kumar, N.; Voulgaris, G.; Warner, J.C.

    2011-01-01

    Regional Ocean Modeling System (ROMS v 3.0), a three-dimensional numerical ocean model, was previously enhanced for shallow water applications by including wave-induced radiation stress forcing provided through coupling to wave propagation models (SWAN, REF/DIF). This enhancement made it suitable for surf zone applications as demonstrated using examples of obliquely incident waves on a planar beach and rip current formation in longshore bar trough morphology (Haas and Warner, 2009). In this contribution, we present an update to the coupled model which implements a wave roller model and also a modified method of the radiation stress term based on Mellor (2008, 2011a,b,in press) that includes a vertical distribution which better simulates non-conservative (i.e., wave breaking) processes and appears to be more appropriate for sigma coordinates in very shallow waters where wave breaking conditions dominate. The improvements of the modified model are shown through simulations of several cases that include: (a) obliquely incident spectral waves on a planar beach; (b) obliquely incident spectral waves on a natural barred beach (DUCK'94 experiment); (c) alongshore variable offshore wave forcing on a planar beach; (d) alongshore varying bathymetry with constant offshore wave forcing; and (e) nearshore barred morphology with rip-channels. Quantitative and qualitative comparisons to previous analytical, numerical, laboratory studies and field measurements show that the modified model replicates surf zone recirculation patterns (onshore drift at the surface and undertow at the bottom) more accurately than previous formulations based on radiation stress (Haas and Warner, 2009). The results of the model and test cases are further explored for identifying the forces operating in rip current development and the potential implication for sediment transport and rip channel development. Also, model analysis showed that rip current strength is higher when waves approach at angles of 5

  20. SIMULATION AND IMPLEMENTATION OF CURRENT CONTROL OF BRUSHLESS DC MOTOR BASED ON A COMMON DC SIGNAL

    Directory of Open Access Journals (Sweden)

    J.Karthikeyan

    2010-06-01

    Full Text Available The objective of this project is to build a simple current controlled modulation technique for brushless dc motors. In electric traction and most other applications, a wide range of speed and torque control of the electric motor is required. The dc machine fulfills these requirements, but the dc machine requires constant maintenance. But the brushless permanent magnet motors do not have brushes and so they require less maintenance only. Brushless dc motors are widely used in applications which require wide range of speed and torque control because of its low inertia, fast response, high reliability and maintenance free. This current controlled technique is based on the generation of quasi- square wave currents using only one controller for the three phases. The current control strategy uses a triangular carrier for the power transistors which is simpler and more accuratethan any other options. The advantages of this technique are: a The stator currents are completely characterized by their maximum amplitude , b The three phases are controlled with the same dc component , and then the phase currents are kept at exactly the same magnitude I max, c The dc link current measurement is not required .d phase currents are kept balanced and phase over currents are eliminated.

  1. Implementation of the WHO Multicentre Growth Reference Study in Brazil.

    Science.gov (United States)

    Araújo, Cora L; Albernaz, Elaine; Tomasi, Elaine; Victora, Cesar G

    2004-03-01

    The World Health Organization (WHO) Multicentre Growth Reference Study (MGRS) South American site was Pelotas, Brazil. The sample for the longitudinal component was drawn from three hospitals that account for approximately 90% of the city's deliveries. The cross-sectional sample was drawn from a community survey based on households that participated in the longitudinal sample. One of the criteria for site selection was the availability of a large, community based sample of children whose growth was unconstrained by socioeconomic conditions. Local work done in 1993 demonstrated that children of families with incomes at least six times the minimum wage had a stunting rate of 2.5%. Special public relations and implementation activities were designed to promote the acceptance of the study by the community and its successful completion. Among the major challenges of the site were serving as the MGRS pilot site, low baseline breastfeeding initiation and maintenance rates, and reluctance among pediatricians to acknowledge the relevance of current infant feeding recommendations to higher socioeconomic groups.

  2. Design and implementation of adaptive slope compensation in current mode DC-DC converter

    Energy Technology Data Exchange (ETDEWEB)

    Guo Zhongjie; Wu Longsheng; Liu Youbao, E-mail: guozhongjie4213@126.com [Xi' an Microelectronic Technology Institute, Xi' an 710054 (China)

    2010-12-15

    To improve the compensation for the inherent instability in a current mode converter, the adaptive slope compensation, giving attention to the problems of the traditional compensation on compensation accuracy, loading capability and turning jitter, is presented. Based on the analysis of current loop, by detecting the input and output voltage, converting the adaptive slope compensation current, the compensation of the current loop is optimized successfully. It can not only improve the compensation accuracy but also eliminate the over compensation, the turning jitter and the poor loading capability in the reported slope compensation. A power supply chip with adaptive slope compensation has been fabricated in a 0.35 {mu}m CMOS process. The measurement results show that the chip starts up and operates steadily with the constant current limit under conditions of 5 V input voltage, from 10% to 100% duty cycle. (semiconductor integrated circuits)

  3. Feasibility Implementation of Voltage-Current Waveform Telemetry System in Power Delivery System

    Science.gov (United States)

    Furukawa, Tatsuya; Akagi, Keita; Fukumoto, Hisao; Itoh, Hideaki; Wakuya, Hiroshi; Hirata, Kenji; Ohchi, Masashi

    The electric power is indispensable for modern life. However, there is a problem of harmonic disturbance when the harmonic power runs into electronic devices. To overcome the problem and realize a stable supply of the electric power is an important issue. In this study, we have developed a voltage-current waveform telemetry system for the remote measurement of the harmonics in the power delivery lines. The system consists of sensors, preamplifiers, a single board computer, and power collectors. Improvements are made on all of these components except the sensors. The power collector is a coil that can be placed around the same power line that we measure. We have designed the power collector by a finite element method(FEM) so that it can provide enough electricity for the computer to work properly. Thus, no other power source such as a battery except the secondary rechargeable battery for the recovery is necessary at the measurement place. The preamplifier in the new system is a single-supply differential amplifier circuit, and the single board computer has an inexpensive SH-3 CPU. Through experiments, we have confirmed that the power collector can provide sufficient electricity and that the new system can successfully measure the waveforms and the harmonics in power delivery systems.

  4. Factors Manipulate ERP Implementation: An Experiential Study from Pakistan

    Directory of Open Access Journals (Sweden)

    Muhammad Jamil Anjum

    2015-03-01

    Full Text Available ERP (Enterprise Resource Planning is a foremost improvement in the arena of organizational management and information system. ERP has the ability to integrate and assimilate the information in an efficient way. ERP is an utmost extensive business management system that presents real-time competences and flawless presentation of information for organizations and businesses. Nevertheless, not all the ERP implementation projects are successful. Implementation of ERP affects the overall processes of organizations. The organizations implementing ERP systems may face various challenges. The objective of this study is to identify the critical success factors of ERP implementation in Pakistani organizations using ERP systems. The study was conducted by developing a survey questionnaire. The questionnaires distributed among the ERP users of Pakistani organizations. For further analysis total 422 responded were. The study founds a significant association of technological, strategic, project management, people, top management support and communication factor with ERP implementation. The results of the study are beneficial to the ERP vendors and professionals to formulate particular strategies to overwhelm the misfit between ERP systems and organizations implementing ERP systems in developing countries like Pakistan. Additionally, the managers and organizations might increase their understanding regarding the complications essential in the ERP installation to evade hurdles and escalate the chances of ERP success.

  5. Current Status of the Jupiter Europa Orbiter (JEO): Science & Science Implementation

    Science.gov (United States)

    Pappalardo, Robert T.; Blanc, M.; Clark, K.; Greeley, R.; Hendrix, A.; Lebreton, J.; Prockter, L.; Joint Jupiter Science Definition Team

    2008-09-01

    The Jupiter-Europa Orbiter (JEO) is one component of the proposed multi-spacecraft Europa Jupiter System Mission (EJSM). The overarching goal of JEO is to explore Europa to investigate its habitability. Europa is believed to shelter an ocean between its geodynamically active icy shell and its rocky mantle, where the conditions for habitability may be fulfilled. With a warm, salty, water ocean and plausible chemical energy sources, Europa is the astrobiological archetype for icy satellite habitability. It is also a geophysical wonderland of interrelated ice shell processes that are intimately related to the ocean and tides, and of complex interactions among its interior, surface, atmosphere, and magnetospheric environments. A mission to Europa has been studied for a decade and has strong links to and recommendations from NASA reports. The conditions at Europa are well-understood, and JEO is prepared for the radiation environment at Europa. Europa science is mature, and hypotheses are well-formed. Five broad investigations have been defined to address the overarching goal: the Ocean, the Ice Shell, Chemistry, Geology and the Jupiter System. Measuring Europa's tides provides a simple and definitive test of the existence of an internal ocean - and the ocean and ice shell can be studied and characterized. Composition and chemistry form the linkages that enable understanding Europa's potential for life and habitability in the context of geologic processes, probe the interior structure, and record the evolution of the surface under the influence of internal and external processes. The search for recent or current geologic activity is important for understanding the origin of landforms, and especially significant for understanding Europa's potential for habitability. Understanding the Jupiter system as a whole is critical for placing Europa in its context as a member of the Jovian satellite system and for understanding the origin and evolution of the system, including

  6. Current Status of the Jupiter Europa Orbiter (JEO): Science and Science Implementation

    Science.gov (United States)

    Pappalardo, R. T.; Blanc, M.; Clark, K.; Greeley, R.; Hendrix, A. R.; Lebreton, J.; Prockter, L.; JEO Definition Team

    2008-12-01

    The Jupiter-Europa Orbiter (JEO) is one component of the proposed multi-spacecraft Europa Jupiter System Mission (EJSM). The overarching goal of JEO is to explore Europa to investigate its habitability. Europa is believed to shelter an ocean between its geodynamically active icy shell and its rocky mantle, where the conditions for habitability may be fulfilled. With a warm, salty, water ocean and plausible chemical energy sources, Europa is the astrobiological archetype for icy satellite habitability. It is also a geophysical wonderland of interrelated ice shell processes that are intimately related to the ocean and tides, and of complex interactions among its interior, surface, atmosphere, and magnetospheric environments. A mission to Europa has been studied for a decade and has strong links to and recommendations from NASA reports. The conditions at Europa are well-understood, and JEO is prepared for the radiation environment at Europa. Europa science is mature, and hypotheses are well-formed. Five broad investigations have been defined to address the overarching goal: the Ocean, the Ice Shell, Chemistry, Geology and the Jupiter System. Measuring Europa's tides provides a simple and definitive test of the existence of an internal ocean - and the ocean and ice shell can be studied and characterized. Composition and chemistry form the linkages that enable understanding Europa's potential for life and habitability in the context of geologic processes, probe the interior structure, and record the evolution of the surface under the influence of internal and external processes. The search for recent or current geologic activity is important for understanding the origin of landforms, and especially significant for understanding Europa's potential for habitability. Understanding the Jupiter system as a whole is critical for placing Europa in its context as a member of the Jovian satellite system and for understanding the origin and evolution of the system, including

  7. Current challenges of implementing anthropogenic land-use and land-cover change in models contributing to climate change assessments

    Directory of Open Access Journals (Sweden)

    R. Prestele

    2017-05-01

    Full Text Available Land-use and land-cover change (LULCC represents one of the key drivers of global environmental change. However, the processes and drivers of anthropogenic land-use activity are still overly simplistically implemented in terrestrial biosphere models (TBMs. The published results of these models are used in major assessments of processes and impacts of global environmental change, such as the reports of the Intergovernmental Panel on Climate Change (IPCC. Fully coupled models of climate, land use and biogeochemical cycles to explore land use–climate interactions across spatial scales are currently not available. Instead, information on land use is provided as exogenous data from the land-use change modules of integrated assessment models (IAMs to TBMs. In this article, we discuss, based on literature review and illustrative analysis of empirical and modeled LULCC data, three major challenges of this current LULCC representation and their implications for land use–climate interaction studies: (I provision of consistent, harmonized, land-use time series spanning from historical reconstructions to future projections while accounting for uncertainties associated with different land-use modeling approaches, (II accounting for sub-grid processes and bidirectional changes (gross changes across spatial scales, and (III the allocation strategy of independent land-use data at the grid cell level in TBMs. We discuss the factors that hamper the development of improved land-use representation, which sufficiently accounts for uncertainties in the land-use modeling process. We propose that LULCC data-provider and user communities should engage in the joint development and evaluation of enhanced LULCC time series, which account for the diversity of LULCC modeling and increasingly include empirically based information about sub-grid processes and land-use transition trajectories, to improve the representation of land use in TBMs. Moreover, we suggest

  8. Current challenges of implementing anthropogenic land-use and land-cover change in models contributing to climate change assessments

    Science.gov (United States)

    Prestele, Reinhard; Arneth, Almut; Bondeau, Alberte; de Noblet-Ducoudré, Nathalie; Pugh, Thomas A. M.; Sitch, Stephen; Stehfest, Elke; Verburg, Peter H.

    2017-05-01

    Land-use and land-cover change (LULCC) represents one of the key drivers of global environmental change. However, the processes and drivers of anthropogenic land-use activity are still overly simplistically implemented in terrestrial biosphere models (TBMs). The published results of these models are used in major assessments of processes and impacts of global environmental change, such as the reports of the Intergovernmental Panel on Climate Change (IPCC). Fully coupled models of climate, land use and biogeochemical cycles to explore land use-climate interactions across spatial scales are currently not available. Instead, information on land use is provided as exogenous data from the land-use change modules of integrated assessment models (IAMs) to TBMs. In this article, we discuss, based on literature review and illustrative analysis of empirical and modeled LULCC data, three major challenges of this current LULCC representation and their implications for land use-climate interaction studies: (I) provision of consistent, harmonized, land-use time series spanning from historical reconstructions to future projections while accounting for uncertainties associated with different land-use modeling approaches, (II) accounting for sub-grid processes and bidirectional changes (gross changes) across spatial scales, and (III) the allocation strategy of independent land-use data at the grid cell level in TBMs. We discuss the factors that hamper the development of improved land-use representation, which sufficiently accounts for uncertainties in the land-use modeling process. We propose that LULCC data-provider and user communities should engage in the joint development and evaluation of enhanced LULCC time series, which account for the diversity of LULCC modeling and increasingly include empirically based information about sub-grid processes and land-use transition trajectories, to improve the representation of land use in TBMs. Moreover, we suggest concentrating on the

  9. Patient-Centered Personal Health Record and Portal Implementation Toolkit for Ambulatory Clinics: A Feasibility Study.

    Science.gov (United States)

    Nahm, Eun-Shim; Diblasi, Catherine; Gonzales, Eva; Silver, Kristi; Zhu, Shijun; Sagherian, Knar; Kongs, Katherine

    2017-04-01

    Personal health records and patient portals have been shown to be effective in managing chronic illnesses. Despite recent nationwide implementation efforts, the personal health record and patient portal adoption rates among patients are low, and the lack of support for patients using the programs remains a critical gap in most implementation processes. In this study, we implemented the Patient-Centered Personal Health Record and Patient Portal Implementation Toolkit in a large diabetes/endocrinology center and assessed its preliminary impact on personal health record and patient portal knowledge, self-efficacy, patient-provider communication, and adherence to treatment plans. Patient-Centered Personal Health Record and Patient Portal Implementation Toolkit is composed of Patient-Centered Personal Health Record and Patient Portal Implementation Toolkit-General, clinic-level resources for clinicians, staff, and patients, and Patient-Centered Personal Health Record and Patient Portal Implementation Toolkit Plus, an optional 4-week online resource program for patients ("MyHealthPortal"). First, Patient-Centered Personal Health Record and Patient Portal Implementation Toolkit-General was implemented, and all clinicians and staff were educated about the center's personal health record and patient portal. Then general patient education was initiated, while a randomized controlled trial was conducted to test the preliminary effects of "MyHealthPortal" using a small sample (n = 74) with three observations (baseline and 4 and 12 weeks). The intervention group showed significantly greater improvement than the control group in patient-provider communication at 4 weeks (t56 = 3.00, P = .004). For other variables, the intervention group tended to show greater improvement; however, the differences were not significant. In this preliminary study, Patient-Centered Personal Health Record and Patient Portal Implementation Toolkit showed potential for filling the gap in the current

  10. Quantitative Myocardial Perfusion with Dynamic Contrast-Enhanced Imaging in MRI and CT: Theoretical Models and Current Implementation

    Directory of Open Access Journals (Sweden)

    G. J. Pelgrim

    2016-01-01

    Full Text Available Technological advances in magnetic resonance imaging (MRI and computed tomography (CT, including higher spatial and temporal resolution, have made the prospect of performing absolute myocardial perfusion quantification possible, previously only achievable with positron emission tomography (PET. This could facilitate integration of myocardial perfusion biomarkers into the current workup for coronary artery disease (CAD, as MRI and CT systems are more widely available than PET scanners. Cardiac PET scanning remains expensive and is restricted by the requirement of a nearby cyclotron. Clinical evidence is needed to demonstrate that MRI and CT have similar accuracy for myocardial perfusion quantification as PET. However, lack of standardization of acquisition protocols and tracer kinetic model selection complicates comparison between different studies and modalities. The aim of this overview is to provide insight into the different tracer kinetic models for quantitative myocardial perfusion analysis and to address typical implementation issues in MRI and CT. We compare different models based on their theoretical derivations and present the respective consequences for MRI and CT acquisition parameters, highlighting the interplay between tracer kinetic modeling and acquisition settings.

  11. Exploratory study on Marine SDI implementation in Malaysia

    Science.gov (United States)

    Tarmidi, Zakri; Mohd Shariff, Abdul Rashid; Rodzi Mahmud, Ahmad; Zaiton Ibrahim, Zelina; Halim Hamzah, Abdul

    2016-06-01

    This paper discusses the explanatory study of the implementation of spatial data sharing between Malaysia's marine organisations. The survey method was selected with questionnaire as an instrument for data collection and analysis. The aim of the questionnaire was to determine the critical factors in enabling marine spatial data sharing in Malaysia, and the relationship between these indicators. A questionnaire was sent to 48 marine and coastal organisations in Malaysia, with 84.4% of respondents answering the questionnaire. The respondents selected were people who involved directly with GIS application in the organisations. The results show there are three main issues in implementing spatial data sharing; (1) GIS planning and implementation in the organisation, (2) spatial data sharing knowledge and implementation in the organisation and (3) collaboration to enable spatial data sharing within and between organisations. To improve GIS implementation, spatial data sharing implementation and collaboration in enabling spatial data sharing, a conceptual collaboration model was proposed with components of marine GIS strategic planning, spatial data sharing strategies and collaboration strategy.

  12. Current Research on Chinese Students Studying Abroad

    Science.gov (United States)

    Henze, Jurgen; Zhu, Jiani

    2012-01-01

    As a result of China's growing participation and importance in the process of internationalization and globalization a continuously rising number of Chinese students has gone abroad for further study. By the end of the last decade the number of Chinese students abroad made up the largest group of international students in the USA (surpassing those…

  13. Current Research on Chinese Students Studying Abroad

    Science.gov (United States)

    Henze, Jurgen; Zhu, Jiani

    2012-01-01

    As a result of China's growing participation and importance in the process of internationalization and globalization a continuously rising number of Chinese students has gone abroad for further study. By the end of the last decade the number of Chinese students abroad made up the largest group of international students in the USA (surpassing those…

  14. Advancing Implementation of Evidence-Based Public Health in China: An Assessment of the Current Situation and Suggestions for Developing Regions.

    Science.gov (United States)

    Shi, Jianwei; Jiang, Chenghua; Tan, Duxun; Yu, Dehua; Lu, Yuan; Sun, Pengfei; Pan, Ying; Zhang, Hanzhi; Wang, Zhaoxin; Yang, Beilei

    2016-01-01

    Objective. Existing research shows a serious scarcity of EBPH practice in China and other developing regions; as an exploratory study, this study aimed to assess the current EBPH implementation status in Shanghai of China qualitatively. Methods. Using semistructured key informant interviews, we examined the status of and impediments to the lagging EBPH in China. Data were analyzed based on the Consolidated Framework for Implementation Research (CFIR). Results. Chinese public health practitioners knew more about evidence-based medicine but less about EBPH. The situation was worse in community healthcare centers. Participants perceived that evidence sources were limited and the quality of evidence was low. Concerning the inner setting factors, the structural characteristics, networks and communications, implementation climate, and leadership engagement were confronted with many problems. Among the outer setting factors, external government policies and incentives and low patient compliance were the key problems. Additionally, public health practitioners in Shanghai lacked sufficient awareness of EBPH. Furthermore, the current project-based EBPH lacks a systematic implementation system. Conclusions. Existing practical perspectives on EBPH indicate a lag in the advocacy of this new ideology in China. It would be advisable for healthcare institutions to take the initiative to explore feasible and multiple methods of EBPH promotion.

  15. Advancing Implementation of Evidence-Based Public Health in China: An Assessment of the Current Situation and Suggestions for Developing Regions

    Directory of Open Access Journals (Sweden)

    Jianwei Shi

    2016-01-01

    Full Text Available Objective. Existing research shows a serious scarcity of EBPH practice in China and other developing regions; as an exploratory study, this study aimed to assess the current EBPH implementation status in Shanghai of China qualitatively. Methods. Using semistructured key informant interviews, we examined the status of and impediments to the lagging EBPH in China. Data were analyzed based on the Consolidated Framework for Implementation Research (CFIR. Results. Chinese public health practitioners knew more about evidence-based medicine but less about EBPH. The situation was worse in community healthcare centers. Participants perceived that evidence sources were limited and the quality of evidence was low. Concerning the inner setting factors, the structural characteristics, networks and communications, implementation climate, and leadership engagement were confronted with many problems. Among the outer setting factors, external government policies and incentives and low patient compliance were the key problems. Additionally, public health practitioners in Shanghai lacked sufficient awareness of EBPH. Furthermore, the current project-based EBPH lacks a systematic implementation system. Conclusions. Existing practical perspectives on EBPH indicate a lag in the advocacy of this new ideology in China. It would be advisable for healthcare institutions to take the initiative to explore feasible and multiple methods of EBPH promotion.

  16. Advancing Implementation of Evidence-Based Public Health in China: An Assessment of the Current Situation and Suggestions for Developing Regions

    Science.gov (United States)

    Shi, Jianwei; Tan, Duxun; Yu, Dehua; Lu, Yuan; Sun, Pengfei; Pan, Ying; Zhang, Hanzhi; Yang, Beilei

    2016-01-01

    Objective. Existing research shows a serious scarcity of EBPH practice in China and other developing regions; as an exploratory study, this study aimed to assess the current EBPH implementation status in Shanghai of China qualitatively. Methods. Using semistructured key informant interviews, we examined the status of and impediments to the lagging EBPH in China. Data were analyzed based on the Consolidated Framework for Implementation Research (CFIR). Results. Chinese public health practitioners knew more about evidence-based medicine but less about EBPH. The situation was worse in community healthcare centers. Participants perceived that evidence sources were limited and the quality of evidence was low. Concerning the inner setting factors, the structural characteristics, networks and communications, implementation climate, and leadership engagement were confronted with many problems. Among the outer setting factors, external government policies and incentives and low patient compliance were the key problems. Additionally, public health practitioners in Shanghai lacked sufficient awareness of EBPH. Furthermore, the current project-based EBPH lacks a systematic implementation system. Conclusions. Existing practical perspectives on EBPH indicate a lag in the advocacy of this new ideology in China. It would be advisable for healthcare institutions to take the initiative to explore feasible and multiple methods of EBPH promotion. PMID:27597958

  17. Implementing the Health Promoting School in Denmark: A Case Study

    Science.gov (United States)

    Nordin, Lone Lindegaard

    2016-01-01

    Purpose: The purpose of this paper is to provide insight into teachers' practice in implementing school-based health promotion. Design/methodology/approach: This qualitative research was designed as a multiple case study. The study involved five schools, 233 pupils in the age 12-16 and 23 teachers. The primary data generation method were focus…

  18. The Implementation of Media Literacy in the Social Studies Curriculum

    Science.gov (United States)

    Youngbauer, Vincent W.

    2011-01-01

    In 2009, the National Council for the Social Studies released a position statement calling for the implementation of media literacy in social studies education. If today's students are to become engaged citizens as adults, they must acquire the skills and knowledge associated with media literacy. Using this position statement as foundation, I…

  19. Current studies on myofascial pain syndrome.

    Science.gov (United States)

    Kuan, Ta-Shen

    2009-10-01

    Recent studies have clarified the nature of myofascial trigger points (MTrPs). In an MTrP region, multiple hyperirritable loci can be found. The sensory components of the MTrP locus are sensitized nociceptors that are responsible for pain, referred pain, and local twitch responses. The motor components are dysfunctional endplates that are responsible for taut band formation as a result of excessive acetylcholine (ACh) leakage. The concentrations of pain- and inflammation-related substances are increased in the MTrP region. It has been hypothesized that excessive ACh release, sarcomere shortening, and release of sensitizing substances are three essential features that relate to one another in a positive feedback cycle. This MTrP circuit is the connection among spinal sensory (dorsal horn) neurons responsible for the MTrP phenomena. Recent studies suggest that measurement of biochemicals associated with pain and inflammation in the MTrP region, the sonographic study of MTrPs, and the magnetic resonance elastography for taut band image are potential tools for the diagnosis of MTrPs. Many methods have been used to treat myofascial pain, including laser therapy, shockwave therapy, and botulinum toxin type A injection.

  20. [Implementation of quality management in medical rehabilitation--current challenges for rehabilitation facilities].

    Science.gov (United States)

    Enge, M; Koch, A; Müller, T; Vorländer, T

    2010-12-01

    The legal responsibilities imposed upon rehabilitation facilities under section 20 (2a) SGB IX, necessitate fundamental decisions to be taken regarding the development of quality management systems over and above the existing framework. This article is intended to provide ideas and suggestions to assist rehabilitation facilities in implementing a quality management system, which is required in addition to participation in the quality assurance programmes stipulated by the rehabilitation carriers. In this context, the additional internal benefit a functioning quality management system can provide for ensuring a high level of quality and for maintaining the competitiveness of the rehabilitation facility should be taken into account. The core element of these observations, hence, is a list of requirements which enables assessment of the quality of consultants' performance in setting up a quality management system.

  1. A Study of Network Traffic Pattern and its Impact on Performance in Implementation of Web Services

    Directory of Open Access Journals (Sweden)

    K. Velmurugan

    2012-01-01

    Full Text Available Problem statement: Currently it is evident that the web service is emerging as a solution for business applications and deployment of web services witnesses exponential growth. Web services rely on networks particularly internet for implementing and consuming them in different applications. Whenever a network is involved in a software system, network traffic payload measurement and communication pattern play a key role in determining and enhancing performance of the software system. Thus, this study emphasizes the need for network traffic payload measurement in evaluating performance of implementation of web services. Approach: Further empirical measurement of the network traffic payload in implementation of web services is carried out to analyze performance of realization of web services. In this work, the web service realization is done through a model with three-tier approach which is suitable for business applications. Results and Conclusion: This study reports empirical results of network traffic involved in different implementations of web services.

  2. Implementation of a Novel Algorithm on Acoustic Doppler Current Profiler Signal Processing System

    Institute of Scientific and Technical Information of China (English)

    ZHU Hao; LIU Wenyao

    2005-01-01

    Acoustic Doppler current profiler (ADCP) uses acoustic energy directed along narrow beams for current measurement. In conventional method, the quantity of sampling affects the precision of fast Fourier transform (FFT) algorithm, and the algorithm needs a large amount of data to process. A novel frequency estimator,enhanced least mean square (ELMS) algorithm for a single complex sinusoid in complex white Gaussian noise, is proposed in ADCP system. As sampling frequency equals 120 krad/s and the sampling number equals 240, the minimum resolving is 0.5 krad/s. All variances keep 11.11%. ELMS algorithm needs less data than FFT. And the robust algorithm can estimate the spectrum true value to 99.9% when the signal to noise ratio (SNR) is equal to 0 dB. Experiments prove that the estimation values will diverge much from the ideal when SNR is less than -6 dB.

  3. Biquads Based on Single Negative Impedance Converter Implemented by Classical Current Conveyor

    Directory of Open Access Journals (Sweden)

    V. Axman

    2007-09-01

    Full Text Available The paper deals with continuous-time ARC biquadratic (second-order filters based on the single classical three-port current conveyors, so called second generation CC II. A unique application of the CC II is discussed, when the terminals Y and Z are connected together. Using this way a negative impedance converter is obtained as a suitable building block in synthesis of several biquads, including notch filters.

  4. Ocular biomechanics study: current state and perspectives

    Directory of Open Access Journals (Sweden)

    S. Yu. Petrov

    2015-03-01

    Full Text Available Despite the fact that the eye represents a challenge for biomechanical research due to its size, over the last two decades, much data on ocular biomechanics were accumulated. Scleral and lamina cribrosa biomechanics contribute to our understanding of myopia and open-angle glaucoma; iris and trabecular meshwork biomechanics to that of angle-closure glaucoma; vitreous biomechanics to that of retinal detachment and ocular drug delivery; corneal biomechanics to that of keratoconus; and lens capsule biomechanics to that of cataract. This paper offers a general overview of recent advances in corneal, scleral, crystalline lens, and lamina cribrosa biomechanics and summarizes the results of experimental and clinical studies. Ocular biomechanics abnormalities affect etiology of many eye diseases. Ocular biomechanics plays an important role in the development of novel diagnostic methods, therapeutic and surgical procedures. Corneal biomechanics impacts etiology and pathogenesis of keratoconus as well as tonometry accuracy and explains corneal refractive surgery effect. Scleral biomechanics is associated with IOP and progressive myopia. Accommodative apparatus (ciliary body and crystalline lens is an important anatomic physiological structure. Recent studies uncovered the causes of agerelated loss of accommodation as a result of lens involution. Optic nerve head abnormalities due to IOP fluctuations are the key factor of glaucomatous neuropathy. They are directly associated with ocular biomechanics as well.

  5. Ocular biomechanics study: current state and perspectives

    Directory of Open Access Journals (Sweden)

    S. Yu. Petrov

    2015-01-01

    Full Text Available Despite the fact that the eye represents a challenge for biomechanical research due to its size, over the last two decades, much data on ocular biomechanics were accumulated. Scleral and lamina cribrosa biomechanics contribute to our understanding of myopia and open-angle glaucoma; iris and trabecular meshwork biomechanics to that of angle-closure glaucoma; vitreous biomechanics to that of retinal detachment and ocular drug delivery; corneal biomechanics to that of keratoconus; and lens capsule biomechanics to that of cataract. This paper offers a general overview of recent advances in corneal, scleral, crystalline lens, and lamina cribrosa biomechanics and summarizes the results of experimental and clinical studies. Ocular biomechanics abnormalities affect etiology of many eye diseases. Ocular biomechanics plays an important role in the development of novel diagnostic methods, therapeutic and surgical procedures. Corneal biomechanics impacts etiology and pathogenesis of keratoconus as well as tonometry accuracy and explains corneal refractive surgery effect. Scleral biomechanics is associated with IOP and progressive myopia. Accommodative apparatus (ciliary body and crystalline lens is an important anatomic physiological structure. Recent studies uncovered the causes of agerelated loss of accommodation as a result of lens involution. Optic nerve head abnormalities due to IOP fluctuations are the key factor of glaucomatous neuropathy. They are directly associated with ocular biomechanics as well.

  6. Implementation salvage experiences from the Melbourne diabetes prevention study

    Directory of Open Access Journals (Sweden)

    Dunbar James

    2012-09-01

    Full Text Available Abstract Background Many public health interventions based on apparently sound evidence from randomised controlled trials encounter difficulties when being scaled up within health systems. Even under the best of circumstances, implementation is exceedingly difficult. In this paper we will describe the implementation salvage experiences from the Melbourne Diabetes Prevention Study, which is a randomised controlled trial of the effectiveness and cost-effectiveness nested in the state-wide Life! Taking Action on Diabetes program in Victoria, Australia. Discussion The Melbourne Diabetes Prevention Study sits within an evolving larger scale implementation project, the Life! program. Changes that occurred during the roll-out of that program had a direct impact on the process of conducting this trial. The issues and methods of recovery the study team encountered were conceptualised using an implementation salvage strategies framework. The specific issues the study team came across included continuity of the state funding for Life! program and structural changes to the Life! program which consisted of adjustments to eligibility criteria, referral processes, structure and content, as well as alternative program delivery for different population groups. Staff turnover, recruitment problems, setting and venue concerns, availability of potential participants and participant characteristics were also identified as evaluation roadblocks. Each issue and corresponding salvage strategy is presented. Summary The experiences of conducting such a novel trial as the preliminary Melbourne Diabetes Prevention Study have been invaluable. The lessons learnt and knowledge gained will inform the future execution of this trial in the coming years. We anticipate that these results will also be beneficial to other researchers conducting similar trials in the public health field. We recommend that researchers openly share their experiences, barriers and challenges when

  7. Iterative current mode per pixel ADC for 3D SoftChip implementation in CMOS

    Science.gov (United States)

    Lachowicz, Stefan W.; Rassau, Alexander; Lee, Seung-Minh; Eshraghian, Kamran; Lee, Mike M.

    2003-04-01

    Mobile multimedia communication has rapidly become a significant area of research and development constantly challenging boundaries on a variety of technological fronts. The processing requirements for the capture, conversion, compression, decompression, enhancement, display, etc. of increasingly higher quality multimedia content places heavy demands even on current ULSI (ultra large scale integration) systems, particularly for mobile applications where area and power are primary considerations. The ADC presented in this paper is designed for a vertically integrated (3D) system comprising two distinct layers bonded together using Indium bump technology. The top layer is a CMOS imaging array containing analogue-to-digital converters, and a buffer memory. The bottom layer takes the form of a configurable array processor (CAP), a highly parallel array of soft programmable processors capable of carrying out complex processing tasks directly on data stored in the top plane. This paper presents a ADC scheme for the image capture plane. The analogue photocurrent or sampled voltage is transferred to the ADC via a column or a column/row bus. In the proposed system, an array of analogue-to-digital converters is distributed, so that a one-bit cell is associated with one sensor. The analogue-to-digital converters are algorithmic current-mode converters. Eight such cells are cascaded to form an 8-bit converter. Additionally, each photo-sensor is equipped with a current memory cell, and multiple conversions are performed with scaled values of the photocurrent for colour processing.

  8. Study of high current commutation by explosive switch

    Science.gov (United States)

    Usuba, S.; Kakudate, Y.; Yoshida, M.; Fujiwara, S.; Miyamoto, M.; Morita, T.; Kubota, A.; den, M.

    1993-01-01

    The study presents the basic experimental data obtained with a large current opening switch for current commutation using explosives. It is shown that currents up to a maximum of 40 kA can be completely interrupted within 30 microsec. The mechanism of current interruption using a thin conductor plate and methods of measuring interrupting current with a pickup coil and taking photographs with a high-speed camera (one frame per microsec) are discussed.

  9. Current status of implementation of IFRS in the preparation of financial statements of peruvian companies

    Directory of Open Access Journals (Sweden)

    Oscar Alfredo Diaz Becerra

    2010-12-01

    Full Text Available For investors and other users of financial information to be able to act with full transparency and reliability it is necessary, among other things, that it be prepared according to a regulatory framework that is based on international standards that in turn adapt to new requirements of the global economy. The high level of globalization of the world economy has led the International Financial Reporting Standards (IFRS to become the highest international standards applicable throughout the world and in the case of Peru, these standards have been made mandatory in preparing the financial statements of companies incorporated under the scope of the General Corporate law. Thus, the main purpose of this research , having an exploratory design, is ro have an initial approach on the compliance with the, implementation of IFRS in the preparation and presentation of financial statements of Peruvian companies that are not under the supervision of the National Supervisory Commission for Companies and Securities (CONASEV. To this end, first ít presents a general review of the theoretical framework of financial reporting and secondly, an analysis of the Peruvian Setting Accounting Standards related to the preparation and presentation of financial statements. The third part of this work presents and describes the methodological aspects used in the development of this research, for which it has developed a survey that includes eighteen closed questions and two open ended questions, structured according to our main and specific objectives of this research. The survey was distributed to a sample of companies selected from the universe defined in the research. The results are set out in the fourth section of the article, entitled, research results and which analyzes the responses to each of the survey questions. Finally, we present the conclusions and recommendations that can be reached, highlighting among the main ones, a high incidence of tax and legal aspects

  10. [Guideline implementation study on asthma: Results of a pragmatic implementation approach].

    Science.gov (United States)

    Redaèlli, Marcus; Vollmar, Horst Christian; Simic, Dusan; Maly-Schürer, Cornelia; Löscher, Susanne; Koneczny, Nikolaus

    2015-01-01

    Knowledge transfer from theory to practice in healthcare systems poses a challenge worldwide. Typical examples include national disease management guidelines. The present study contributes towards improving implementation strategies for an asthma guideline. A guideline implementation strategy was examined in a four-armed, non-randomised, controlled intervention study with an additional control group. The study participants were general practitioners and paediatricians recruited from primary care quality circles. All study participants attended an interactive seminar on the evidence-based recommendations for patients with asthma. In addition, the participants were asked to choose among the following options: no further intervention, additional e-learning, training of their practice nurses, or e-learning and training of their practice nurses. The success of the intervention was measured by questionnaire (and the success rate expressed as a percentage). About one third of all participants (n=313) opted for the combination of an interactive seminar and a training of practice nurses; two third preferred the classic way of continuing medical education with an interactive seminar without a further intervention. Just 10 % of the physicians participated in e-learning. Independently of their choice for continuing medical education, all participants demonstrated an increase in knowledge about asthma and an improvement in the management of asthma. The physicians exhibited an average increase in both categories of about 10 % of the percentage values, compared to an increase of about 28 % among the practice nurses without continuing medical education. The physicians' free choice of the educative modules might be an integral part of successful implementation strategies. However, this will require a change of focus from general continuing medical education packages to a more individualised culture of continuing professional development in Germany. Copyright © 2015. Published by

  11. Current use and barriers and facilitators for implementation of standardised measures in physical therapy in the Netherlands

    Directory of Open Access Journals (Sweden)

    Wittink Harriet

    2011-05-01

    Full Text Available Abstract Background In many countries, the need for physical therapists to use standardised measures has been recognised and is recommended in clinical practice guidelines. Research has shown a lack of clinimetric knowledge and clinical application of measurement instruments in daily practice may hamper implementation of these guidelines. Objectives The aims of our study were a to investigate the current use of measurement instruments by Dutch physical therapists; b to investigate the facilitators and barriers in using measurement instruments. Methods To get a complete and valid overview of relevant barriers and facilitators, different methods of data collection were used. We conducted a literature search, semi-structured interviews with 20 physical therapists and an online survey. Results Facilitators are the fact that most therapists indicated a positive attitude and were convinced of the advantages of the use of measurement instruments. The most important barriers to the use of measurement instruments included physical therapists' competence and problems in changing behaviour, practice organisation (no room; no time and the unavailability and feasibility of measurement instruments. Furthermore, physical therapists indicated the need to have a core set of measurement instruments with a short user's instruction on application, scoring and interpretation. Conclusions The main barriers are on the level of the physical therapist (lack of knowledge; not focusing on the use of outcome measures and organisation (lack of time; availability; lack of management support. There seems to be a disparity between what physical therapists say and what they do. The majority of participating physical therapists indicated a positive attitude and were convinced of the advantages of the use of measurement instruments. However, the main problem for physical therapists is when to use which instrument for what patient (lack of knowledge. Furthermore, physical

  12. DSP Based Control Implementation of an AC/DC Converter with Improved Input Current Distortion

    Directory of Open Access Journals (Sweden)

    WISUTMETHEEKORN, P.

    2011-05-01

    Full Text Available This paper presents a digital signal processor based control of an AC/DC converter with nearly unity power factor. Normally, the output voltage of a single-phase AC/DC converter comprises a voltage ripple with twice line-frequency. This affects the voltage control loop and leads to the converter input current distortion. The purposed method is designed to avoid the effect of the output voltage ripple. To verify the proposed control method, MATLAB/Simulink is used for system simulation. A hardware prototype is setup. A low cost digital signal processing chip dsPIC30F4011 is employed as a digital controller to control a CUK AC/DC converter. The converter specifications are 48V output voltage and 250W output power. From the simulation and the experimental results shown that the input current distortion of the purposed system is reduced and lower than the AC/DC converter that controlled by the conventional proportional-integral controller.

  13. Study of hardware implementations of fast tracking algorithms

    Science.gov (United States)

    Song, Z.; De Lentdecker, G.; Dong, J.; Huang, G.; Léonard, A.; Robert, F.; Wang, D.; Yang, Y.

    2017-02-01

    Real-time track reconstruction at high event rates is a major challenge for future experiments in high energy physics. To perform pattern-recognition and track fitting, artificial retina or Hough transformation methods have been introduced in the field which have to be implemented in FPGA firmware. In this note we report on a case study of a possible FPGA hardware implementation approach of the retina algorithm based on a Floating-Point core. Detailed measurements with this algorithm are investigated. Retina performance and capabilities of the FPGA are discussed along with perspectives for further optimization and applications.

  14. Implementation of Potential of the Transdisciplinary Approaches in Economic Studies

    Science.gov (United States)

    Stepanova, Tatiana E.; Manokhina, Nadeghda V.; Konovalova, Maria E.; Kuzmina, Olga Y.; Andryukhina, Lyudmila M.

    2016-01-01

    The relevance of the researched problem is caused by the increasing interest in using potential of transdisciplinary approaches, and mathematical methods, which include the game theory in analysis of public and economic processes. The aim of the article is studying a possibility of implementation of the transdisciplinary approaches in economic…

  15. Implementing Open Access Policy:First case studies

    Institute of Scientific and Technical Information of China (English)

    Chris; Armbruster

    2010-01-01

    When implementing open access,policy pioneers and flagship institutions alike have faced considerable challenges in meeting their own aims and achieving a recognized success.Legitimate authority,sufficient resources and the right timing are crucial,but the professionals charged with implementing policy still need several years to accomplish significant progress.This study defines a methodological standard for evaluating the first generation of open access policies.Evaluating implementation establishes evidence,enables reflection,and may foster the emergence of a second generation of open access policies.While the study is based on a small number of cases,these case studies cover most of the pioneer institutions,present the most significant issues and offer an international overview.Each case is reconstructed individually on the basis of public documents and background information,and supported by interviews with professionals responsible for open access implementation.This article presents the highlights from each case study.The results are utilized to indicate how a second generation of policies might define open access as a key component of digital research infrastructures that provide inputs and outputs for research,teaching and learning in real time.

  16. The training of coaching skills: An implementation study

    NARCIS (Netherlands)

    Veenman, S.

    1995-01-01

    In this study, the implementation effects of a programme for the training of coaching skills with Dutch school counsellors are described. These school counsellors are expected to provide help and support to primary school teachers. Coaching is a form of in-class support intended to provide teachers

  17. Study on UPF Harmonic Current Detection Method Based on DSP

    Energy Technology Data Exchange (ETDEWEB)

    Zhao, H J [Northwestern Polytechnical University, Xi' an 710072 (China); Pang, Y F [Xi' an University of Technology, Xi' an 710048 (China); Qiu, Z M [Xi' an University of Technology, Xi' an 710048 (China); Chen, M [Northwestern Polytechnical University, Xi' an 710072 (China)

    2006-10-15

    Unity power factor (UPF) harmonic current detection method applied to active power filter (APF) is presented in this paper. The intention of this method is to make nonlinear loads and active power filter in parallel to be an equivalent resistance. So after compensation, source current is sinusoidal, and has the same shape of source voltage. Meanwhile, there is no harmonic in source current, and the power factor becomes one. The mathematic model of proposed method and the optimum project for equivalent low pass filter in measurement are presented. Finally, the proposed detection method applied to a shunt active power filter experimental prototype based on DSP TMS320F2812 is developed. Simulation and experiment results indicate the method is simple and easy to implement, and can obtain the real-time calculation of harmonic current exactly.

  18. A Qualitative Assessment of Current CCF Guidance Based on a Review of Safety System Digital Implementation Changes with Evolving Technology

    Energy Technology Data Exchange (ETDEWEB)

    Korsah, Kofi [Oak Ridge National Lab. (ORNL), Oak Ridge, TN (United States); Muhlheim, Michael David [Oak Ridge National Lab. (ORNL), Oak Ridge, TN (United States); Wood, Richard [Oak Ridge National Lab. (ORNL), Oak Ridge, TN (United States)

    2016-04-01

    The US Nuclear Regulatory Commission (NRC) is initiating a new rulemaking project to develop a digital system common-cause failure (CCF) rule. This rulemaking will review and modify or affirm the NRC's current digital system CCF policy as discussed in the Staff Requirements Memorandum to the Secretary of the Commission, Office of the NRC (SECY) 93-087, Policy, Technical, and Licensing Issues Pertaining to Evolutionary and Advanced Light Water Reactor (ALWR) Designs, and Branch Technical Position (BTP) 7-19, Guidance on Evaluation of Defense-in-Depth and Diversity in Digital Computer-Based Instrumentation and Control Systems, as well as Chapter 7, Instrumentation and Controls, in NRC Regulatory Guide (NUREG)-0800, Standard Review Plan for Review of Safety Analysis Reports for Nuclear Power Plants (ML033580677). The Oak Ridge National Laboratory (ORNL) is providing technical support to the NRC staff on the CCF rulemaking, and this report is one of several providing the technical basis to inform NRC staff members. For the task described in this report, ORNL examined instrumentation and controls (I&C) technology implementations in nuclear power plants in the light of current CCF guidance. The intent was to assess whether the current position on CCF is adequate given the evolutions in digital safety system implementations and, if gaps in the guidance were found, to provide recommendations as to how these gaps could be closed.

  19. Current implementation of site-specific technologies in U.S. cotton production

    Science.gov (United States)

    Barnes, Edward M.

    2004-11-01

    The initial adoption of site-specific management for cotton production was slower than by commodities grown in the mid-west. Part of the delayed adoption can be explained by the lack of functional cotton yield monitors. Now that yield monitors are commercially available, cotton producers are beginning to find many applications for geospatial technologies. The emphasis of this paper is on applications that are being implemented at some level on commercial farms. Traditional grid-based soil sampling has found some use for pre-plant application of fertilizer, and soil conductivity mapping has been used to apply variable rate soil amendments in the west. During the growing season, vegetation indices such as the normalized difference vegetation index (NDVI) have been used as a tool to direct scouting for insect infestations. The scouting information and NDVI are combined to create variable rate insecticide application maps. A catalyst to this approach has been the recent development of aerial variable rate application technology. In some production regions, it is necessary to control cotton's vegetative development rate with plant growth regulators (PGRs). Vegetation indices are very useful for defining areas of the field where PGRs are needed. Research is also being conducted on the use of imagery for the development of defoliation application maps before harvest. In the short-term, simple vegetation indices can meet many of management information needs for cotton when combined with directed scouting of the field. However, to be ultimately successful, dependable and frequent sources of imagery will be required. Near-real time delivery is essential, as a majority of the management decisions are often made on a daily basis. Most producer-based applications of these data have been from airborne platforms managed by local image providers where flexible image acquisition schedules are possible.

  20. The voltage-current relationship and equivalent circuit implementation of parallel flux-controlled memristive circuits

    Institute of Scientific and Technical Information of China (English)

    Bao Bo-Cheng; Feng Fei; Dong Wei; Pan Sai-Hu

    2013-01-01

    A flux-controlled memristor characterized by smooth cubic nonlinearity is taken as an example,upon which the voltage-current relationships (VCRs) between two parallel memristive circuits-a parallel memristor and capacitor circuit (the parallel MC circuit),and a parallel memristor and inductor circuit (the parallel ML circuit)-are investigated.The results indicate that the VCR between these two parallel memristive circuits is closely related to the circuit parameters,and the frequency and amplitude of the sinusoidal voltage stimulus.An equivalent circuit model of the memristor is built,upon which the circuit simulations and experimental measurements of both the parallel MC circuit and the parallel ML circuit are performed,and the results verify the theoretical analysis results.

  1. Implementation of anaphylaxis management guidelines: a register-based study.

    Directory of Open Access Journals (Sweden)

    Linus Grabenhenrich

    Full Text Available BACKGROUND: Anaphylaxis management guidelines recommend the use of intramuscular adrenaline in severe reactions, complemented by antihistamines and corticoids; secondary prevention includes allergen avoidance and provision of self-applicable first aid drugs. Gaps between recommendations and their implementation have been reported, but only in confined settings. Hence, we analysed nation-wide data on the management of anaphylaxis, evaluating the implementation of guidelines. METHODS: Within the anaphylaxis registry, allergy referral centres across Germany, Austria and Switzerland provided data on severe anaphylaxis cases. Based on patient records, details on reaction circumstances, diagnostic workup and treatment were collected via online questionnaire. Report of anaphylaxis through emergency physicians allowed for validation of registry data. RESULTS: 2114 severe anaphylaxis patients from 58 centres were included. 8% received adrenaline intravenously, 4% intramuscularly; 50% antihistamines, and 51% corticoids. Validation data indicated moderate underreporting of first aid drugs in the Registry. 20% received specific instructions at the time of the reaction; 81% were provided with prophylactic first aid drugs at any time. CONCLUSION: There is a distinct discrepancy between current anaphylaxis management guidelines and their implementation. To improve patient care, a revised approach for medical education and training on the management of severe anaphylaxis is warranted.

  2. Implementation of CLIL in Lithuanian Secondary Schools: a Case Study

    Directory of Open Access Journals (Sweden)

    Vilma Bijeikienė

    2015-06-01

    Full Text Available In view of the existing research into the implementation of CLIL in Lithuania, it can be claimed that this wellestablished and globally applied teaching and learning methodology has already had some due appreciation in Lithuanian secondary schools. Nevertheless, there still exist numerous obstacles to the broader and more intensive application of CLIL which is strongly lagging behind in comparison to many other countries in Europe and world-wide. The present study aims at exploring the rich experience in CLIL implementation accumulated by Šiauliai Didždvario gymnasium and examining their multifaceted CLIL module which could be an important source of knowledge and practical know-how for other Lithuanian secondary education institutions planning to start implementing CLIL. The research follows a synthesis of qualitative and quantitative methodology including interviews with CLIL teachers, students and school administration. The study results in a SWOT analysis of implementing CLIL in Lithuania on the basis of CLIL practices at Šiauliai Didždvario gymnasium and sets forth some guidelines for its further advancement.

  3. An Evaluation and Implementation Guide for Current Groundwater Mass Flux Measurement Practices

    Science.gov (United States)

    2008-03-01

    the TCW, R is the radius of influence, and Sw is the maximum allowable drawdown ( Mandalas et al, 1998). For this study, the rw is assumed to be 0.1...Applied Geophysics, 38(2), 105-114, 1997. Mandalas , G. C., Christ, J. A., & Goltz, M. N. Screening software for an innovative in situ

  4. Current implementation and future plans on new code architecture, programming language and user interface

    Energy Technology Data Exchange (ETDEWEB)

    Brun, B. [Commissariat a l`Energie Atomique, Grenoble (France)

    1997-07-01

    Computer technology has improved tremendously during the last years with larger media capacity, memory and more computational power. Visual computing with high-performance graphic interface and desktop computational power have changed the way engineers accomplish everyday tasks, development and safety studies analysis. The emergence of parallel computing will permit simulation over a larger domain. In addition, new development methods, languages and tools have appeared in the last several years.

  5. Implementation of PV plants in Spain: A case study

    Energy Technology Data Exchange (ETDEWEB)

    Diez-Mediavilla, M.; Alonso-Tristan, C. [Dpto. Ingenieria Electromecanica, Escuela Politecnica Superior. Universidad de Burgos, Avda. Cantabria s/n, 09006 Burgos (Spain); Rodriguez-Amigo, M.C.; Garcia-Calderon, T. [Dpto. Matematicas y Computacion Escuela Politecnica Superior. Universidad de Burgos, Avda. Cantabria s/n, 09006 Burgos (Spain)

    2010-05-15

    The implementation process of a photovoltaic system and its connection to the national grid in Spain is examined from an economic, an administrative and a legal standpoint. In the first place, this case study describes the solar farm, and it goes on to examine the economic aspects of electricity production, its associated costs, and relevant grants and financial subsidies. Finally, problems related to the administration of the project and the issuing of permits by local and regional authorities are discussed. (author)

  6. Developing Critical Implementations of Technology-Rich Innovations: A Cross-Case Study of the Implementation of Quest Atlantis

    Science.gov (United States)

    Thomas, Michael K.; Barab, Sasha A.; Tuzun, Hakan

    2009-01-01

    This study examined the tensions surrounding the implementation of a technology-rich educational innovation called Quest Atlantis (QA) in a local public elementary school. Three qualitative case studies of three classrooms implementing the innovation and a subsequent cross-case analysis were undertaken to illuminate: 1) the reasons why teachers…

  7. Challenges of implementation and implementation research: Learning from an intervention study designed to improve tumor registry reporting

    Directory of Open Access Journals (Sweden)

    Ann Scheck McAlearney

    2016-08-01

    Full Text Available Objectives: Implementation of interventions designed to improve the quality of medical care often proceeds differently from what is planned. Improving existing conceptual models to better understand the sources of these differences can help future projects avoid these pitfalls and achieve desired effectiveness. To inform an adaptation of an existing theoretical model, we examined unanticipated changes that occurred in an intervention designed to improve reporting of adjuvant therapies for breast cancer patients at a large, urban academic medical center. Methods: Guided by the complex innovation implementation conceptual framework, our study team observed and evaluated the implementation of an intervention designed to improve reporting to a tumor registry. Findings were assessed against the conceptual framework to identify boundary conditions and modifications that could improve implementation effectiveness. Results: The intervention successfully increased identification of the managing medical oncologist and treatment reporting. During implementation, however, unexpected external challenges including hospital acquisitions of community practices and practices’ responses to government incentives to purchase electronic medical record systems led to unanticipated changes and associated threats to implementation. We present a revised conceptual model that incorporates the sources of these unanticipated challenges. Conclusion: This report of our experience highlights the importance of monitoring implementation over time and accounting for changes that affect both implementation and measurement of intervention impact. In this article, we use our study to examine the challenges of implementation research in health care, and our experience can help future implementation efforts.

  8. Theoretical studies of non inductive current drive in compact toroids

    NARCIS (Netherlands)

    Farengo, R; Lifschitz, AF; Caputi, KI; Arista, NR; Clemente, RA

    2002-01-01

    Three non inductive current drive methods that can be applied to compact toroids axe studied. The use of neutral beams to drive current in field reversed configurations and spheromaks is studied using a Monte Carlo code that includes a complete ionization package and follows the exact particle orbit

  9. A Step Prior to REDD+ Implementation: A Socioeconomic Study

    Directory of Open Access Journals (Sweden)

    Anne Bernard

    2014-01-01

    Full Text Available Phase 2 of the United Nations’ REDD+ climate change mitigation initiative is underway in the Democratic Republic of Congo. Meanwhile, activities are being implemented to assess the reduction of emissions from deforestation and forest degradation. REDD+ projects need to include a social dimension; thus, the aim of this research was to understand how land-use relationships vary across communities in an area where a REDD+ project is planned. Specifically, we aimed to identify the primary income-generating activities, the variation in access to land, the potential for the development of community projects, and the implementation of alternative income-generating activities. In the summer of 2013, we assessed a REDD+ pilot project in and around the Luki Biosphere Reserve, Bas-Congo Province. We used participatory rural appraisal (PRA methods in four communities located both inside and outside the reserve. We found that current subsistence income activities led to the destruction of forest habitat due to population pressure and a lack of alternative income-generating activities. Customary land tenures overlay statutory rights, which can often mean that community rights are threatened. To achieve their targets, REDD+ projects should consider the actual land-use patterns of local communities in order to generate sustainable income from the land.

  10. Internationalization of the animal science undergraduate curriculum: a survey of its current status, barriers to its implementation and its value.

    Science.gov (United States)

    Forsberg, N E; Taur, J S; Xiao, Y; Chesbrough, H

    2003-04-01

    The goal of this project was to identify the current level at which internationalization has been adopted as a theme in the North American animal science curriculum and to identify its value and the barriers to its implementation. We surveyed animal, dairy, and poultry science departments across Canada and the United States. One hundred twenty-four surveys were mailed and 60% were returned. Associations between aspects of internationalization and student outcomes (admission to veterinary and graduate schools and starting salaries) were examined. Although administrators strongly believed internationalization had value, implementation was limited. The most common practices included international content in core animal science classes, advising, international internships, and participation of faculty in international scholarly activities. Few departments have incorporated internationalization into their mission statements or developed a specific international-themed class, scholarships devoted to international activities, or roles for international students. Few departments reported participation of students in international programs. Barriers included finances and limited commitment from higher administration. Student outcomes were positively associated with faculty size, percentage of international faculty, the ratio of international students to the total student population, international content in core animal science classes, a specific international-themed class, availability of international internships, and exchange of class material internationally via the Internet. Departments that did not offer international opportunities had a negative association (r = -0.79) with starting salary, but these relationships may not be causal. Alternatively, progressive departments may attract and retain exceptional students. The analysis indicated an awareness of the value of international programs, positive impacts in student outcomes, and financial barriers to implementation.

  11. Artificial interfaces ("AI") in surgery: historic development, current status and program implementation in the public health sector.

    Science.gov (United States)

    Healy, Donagh A; Murphy, Shane P; Burke, John P; Coffey, John C

    2013-06-01

    The past two decades have seen considerable advances in the application of artificial interfaces (AI) in surgery. Several have been developed including AESOP (Automated Endoscopic System for Optimal Positioning), Zeus and the Da Vinci Surgical System (DVSS). Whilst each has advantages DVSS is being used increasingly across multiple surgical specialities. These developments generate many challenges in an era where the emphasis is increasingly on safer and cost-effective surgery. Whilst the role of DVSS is firmly established in urologic and gynaecologic surgery, the role of DVSS in gastrointestinal surgery is evolving. Recent data indicate that it is at least as oncologically effective, whilst providing numerous benefits (e.g. reduced conversion and complication rates) over traditional laparoscopic approaches. The increasing adoption of AI/DVSS worldwide places institutes and health sectors under increasing pressure to adopt and develop such programs. This article provides (1) an update on the current status of AI in surgery in general and in colorectal surgery and (2) an appraisal of the cost implications of the establishment and implementation of AI/DVSS-based provisions in the public health sector. The numerous challenges faced generate many opportunities in the implementation of present and future surgical technologies.

  12. Implementing common data elements across studies to advance research.

    Science.gov (United States)

    Cohen, Marlene Z; Thompson, Cheryl Bagley; Yates, Bernice; Zimmerman, Lani; Pullen, Carol H

    2015-01-01

    Challenges arise in building the knowledge needed for evidence-based practice partially because obtaining clinical research data is expensive and complicated, and many studies have small sample sizes. Combining data from several studies may have the advantage of increasing the impact of the findings or expanding the population to which findings may be generalized. The use of common data elements will allow this combining and, in turn, create big data, which is an important approach that may accelerate knowledge development. This article discusses the philosophy of using common data elements across research studies and illustrates their use by the processes in a developmental center grant funded by the National Institutes of Health. The researchers identified a set of data elements and used them across several pilot studies. Issues that need to be considered in the adoption and implementation of common data elements across pilot studies include theoretical framework, purpose of the common measures, respondent burden, teamwork, managing large data sets, grant writing, and unintended consequences. We describe these challenges and solutions that can be implemented to manage them.

  13. Cost-of-illness studies : a review of current methods.

    Science.gov (United States)

    Akobundu, Ebere; Ju, Jing; Blatt, Lisa; Mullins, C Daniel

    2006-01-01

    The number of cost-of-illness (COI) studies has expanded considerably over time. One outcome of this growth is that the reported COI estimates are inconsistent across studies, thereby raising concerns over the validity of the estimates and methods. Several factors have been identified in the literature as reasons for the observed variation in COI estimates. To date, the variation in the methods used to calculate costs has not been examined in great detail even though the variations in methods are a major driver of variation in COI estimates. The objective of this review was to document the variation in the methodologies employed in COI studies and to highlight the benefits and limitations of these methods. The review of COI studies was implemented following a four-step procedure: (i) a structured literature search of MEDLINE, JSTOR and EconLit; (ii) a review of abstracts using pre-defined inclusion and exclusion criteria; (iii) a full-text review using pre-defined inclusion and exclusion criteria; and (iv) classification of articles according to the methods used to calculate costs. This review identified four COI estimation methods (Sum_All Medical, Sum_Diagnosis Specific, Matched Control and Regression) that were used in categorising articles. Also, six components of direct medical costs and five components of indirect/non-medical costs were identified and used in categorising articles.365 full-length articles were reflected in the current review following the structured literature search. The top five cost components were emergency room/inpatient hospital costs, outpatient physician costs, drug costs, productivity losses and laboratory costs. The dominant method, Sum_Diagnosis Specific, was a total costing approach that restricted the summation of medical expenditures to those related to a diagnosis of the disease of interest. There was considerable variation in the methods used within disease subcategories. In several disease subcategories (e.g. asthma, dementia

  14. Implementation of renewable technologies - Opportunities and barriers. Zimbabwe country study

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2001-07-01

    Renewable Energy Technologies (RETS) have over the years become an integral part of the energy supply chain in most developed countries. Recent projections show that 13.5% of the world's primary energy supply comes from renewable and this figure has an aggregated annual growth rate of 16%. Wind has the highest annual growth rate of 22% while the least annual growth rate of 2% is for hydropower. The main push for renewable like wind in the OECD countries are environmental concerns and the business aspect in power generation. The situation is however completely different in Africa, where the thrust for RETs is developmental based. Although the continent has abundant renewable energy resources like solar, biomass, wind and hydro potential, they have remained largely unexploited. Several efforts have been made to help African countries like Zimbabwe to exploit such resources. The main objectives of this country study included review of Zimbabwe's development of past RETs, establish barriers related lessons learnt from such projects and currently running RETs projects, identify barriers experienced by other projects and then select a few barrier removal projects and then develop them with the help of all stake holders in the country. The methodology of this study involved a review of past RETs projects to establish barriers faced and barriers related lessons learnt. An examination of the policy instruments related to RETs was done to establish how they promote the dissemination of the technologies as well as their adequacy. A survey of all possible RETs projects in the country was carried out and in this survey the end-users were visited and interviewed by the research team. An initial workshop, which was attended by all stake holders, was held in November 1999. An Advisory committee on RETs in Zimbabwe was then set up comprising of various stake holders from government, the private sector, research institutions, interviewed end-users and the NGO community

  15. The feasibility of implementing recovery, psychosocial and pharmacological interventions for psychosis: comparison study.

    Science.gov (United States)

    van der Krieke, Lian; Bird, Victoria; Leamy, Mary; Bacon, Faye; Dunn, Rebecca; Pesola, Francesca; Janosik, Monika; Le Boutillier, Clair; Williams, Julie; Slade, Mike

    2015-05-23

    Clinical guidelines for the treatment of people experiencing psychosis have existed for over a decade, but implementation of recommended interventions is limited. Identifying influences on implementation may help to reduce this translational gap. The Structured Assessment of Feasibility (SAFE) measure is a standardised assessment of implementation blocks and enablers. The aim of this study was to characterise and compare the implementation blocks and enablers for recommended psychosis interventions. SAFE was used to evaluate and compare three groups of interventions recommended in the 2014 NICE psychosis guideline: pharmacological (43 trials testing 5 interventions), psychosocial (65 trials testing 5 interventions), and recovery (19 trials testing 5 interventions). The 127 trial reports rated with SAFE were supplemented by published intervention manuals, research protocols, trial registrations and design papers. Differences in the number of blocks and enablers across the three interventions were tested statistically, and feasibility profiles were generated. There was no difference between psychosocial and recovery interventions in the number of blocks or enablers to implementation. Pharmacological interventions (a) had fewer blocks than both psychosocial interventions (χ (2)(3) = 133.77, p recovery interventions (χ (2)(3) = 104.67, p recovery interventions (χ (2)(3) = 0.74, p = 0.863) but had fewer enablers than psychosocial interventions (χ (2)(3) = 28.92, p recovery and psychosocial interventions. Feasibility profiles show that pharmacological interventions are relatively easy to implement but can sometimes involve risks. Psychosocial and recovery interventions are relatively complex but tend to be more flexible and more often manualised. SAFE ratings can contribute to tackling the current implementation challenges in mental health services, by providing a reporting guideline structure for researchers to maximise the potential for

  16. Japan Diabetic Nephropathy Cohort Study: study design, methods, and implementation.

    Science.gov (United States)

    Furuichi, Kengo; Shimizu, Miho; Toyama, Tadashi; Koya, Daisuke; Koshino, Yoshitaka; Abe, Hideharu; Mori, Kiyoshi; Satoh, Hiroaki; Imanishi, Masahito; Iwano, Masayuki; Yamauchi, Hiroyuki; Kusano, Eiji; Fujimoto, Shouichi; Suzuki, Yoshiki; Okuda, Seiya; Kitagawa, Kiyoki; Iwata, Yasunori; Kaneko, Shuichi; Nishi, Shinichi; Yokoyama, Hitoshi; Ueda, Yoshihiko; Haneda, Masakazu; Makino, Hirofumi; Wada, Takashi

    2013-12-01

    Diabetic nephropathy, leading to end-stage renal disease, has a considerable impact on public health and the social economy. However, there are few national registries of diabetic nephropathy in Japan. The aims of this prospective cohort study are to obtain clinical data and urine samples for revising the clinical staging of diabetic nephropathy, and developing new diagnostic markers for early diabetic nephropathy. The Japanese Society of Nephrology established a nationwide, web-based, and prospective registry system. On the system, there are two basic registries; the Japan Renal Biopsy Registry (JRBR), and the Japan Kidney Disease Registry (JKDR). In addition to the two basic registries, we established a new prospective registry to the system; the Japan Diabetic Nephropathy Cohort Study (JDNCS), which collected physical and laboratory data. We analyzed the data of 321 participants (106 female, 215 male; average age 65 years) in the JDNCS. Systolic and diastolic blood pressure was 130.1 and 72.3 mmHg, respectively. Median estimated glomerular filtration rate (eGFR) was 33.3 ml/min/1.73 m(2). Proteinuria was 1.8 g/gCr, and serum levels of albumin were 3.6 g/dl. The majority of the JDNCS patients presented with preserved eGFR and low albuminuria or low eGFR and advanced proteinuria. In the JRBR and JKDR registries, 484 and 125 participants, respectively, were enrolled as having diabetes mellitus. In comparison with the JRBR and JKDR registries, the JDNCS was characterized by diabetic patients presenting with low proteinuria with moderately preserved eGFR. There are few national registries of diabetic nephropathy to evaluate prognosis in Japan. Future analysis of the JDNCS will provide clinical insights into the epidemiology and renal and cardiovascular outcomes of type 2 diabetic patients in Japan.

  17. A codesign case study: implementing arithmetic functions in FPGAs

    DEFF Research Database (Denmark)

    Klotchkov, I. V.; Pedersen, Steen

    1996-01-01

    Different ways of implementing and designing arithmetic functions for 16/32 bit integers in FPGA technology are studied. A comparison of four different design methods is also included. The results are used to increase the overall system performance in a dedicated 3D image analysis prototype system...... by moving a vector length calculation from software to hardware. The conclusion is that by adding one relatively simple board containing two FPGAs in the prototype setup, the total computing time is reduced by 30%. The total amount of image data, in this case 300 Mbyte, which has to be transmitted via...

  18. Implementing RFID in a hospital library: a scoping study.

    Science.gov (United States)

    Norwood, Joseph; Skinner, Ben

    2012-06-01

    This article discusses a scoping study on implementing radio frequency identification device (RFID) in a hospital library context, conducted by Joseph Norwood for his MA dissertation at the University of Brighton. The study was carried out during the summer of 2011 to support possible RFID implementation at the Brighton and Sussex University Hospitals (BSUH) Trust, and the library staff were able to use the findings to good effect to create a business plan. This article also acts as the template for the new Dissertations into Practice feature, which was introduced in the March issue (Marshall, A. Health Information and Libraries Journal 2012, 29, 72). The dissertation highlighted here is very practical in nature and had immediate and quantifiable benefits for the Trust library. Future feature articles are likely to reflect the range of health-related dissertation topics which students choose and will include studies on user information behaviour, information services related to mental health and well-being, as well as the impact of technology on health-related library or information services.AM.

  19. Study of a fibre optics current sensor for the measurement of plasma current in ITER

    Science.gov (United States)

    Wuilpart, Marc; Vanus, Benoit; Andrasan, Alina; Gusarov, Andrei; Moreau, Philippe; Mégret, Patrice

    2016-05-01

    In this article, we study the feasibility of using a fibre-optics current sensor (FOCS) for the measurement of plasma current in the future fusion reactor ITER. The sensor is based on a classical FOCS interrogator involving the measurement of the state of polarization rotation undergone by the light in presence of a magnetic field (Faraday effect) in an optical fibre surrounding the current and terminated by a Faraday mirror. We considered a uniformly spun optical fibre as the sensing element and we used the Stokes formalism to simulate the sensor. The objective of the simulations is to quantify the ratio LB/SP (beat length over the spun period of the spun fibre) enabling a measurement error in agreement with the ITER specifications. The simulator takes into account the temperature variations undergone by the measurement system under ITER operation. The simulation work showed that a LB/SP ratio of 19.2 is adequate.

  20. Experimental study of the dynamics of a thin current sheet

    Science.gov (United States)

    Gekelman, W.; DeHaas, T.; Van Compernolle, B.; Daughton, W.; Pribyl, P.; Vincena, S.; Hong, D.

    2016-05-01

    Many plasmas in natural settings or in laboratory experiments carry currents. In magnetized plasmas the currents can be narrow field-aligned filaments as small as the electron inertial length ≤ft(\\tfrac{c}{{ω }pe}\\right) in the transverse dimension or fill the entire plasma column. Currents can take the form of sheets, again with the transverse dimension the narrow one. Are laminar sheets of electric current in a magnetized plasma stable? This became an important issue in the 1960s when current-carrying plasmas became key in the quest for thermonuclear fusion. The subject is still under study today. The conditions necessary for the onset for tearing are known, the key issue is that of the final state. Is there a final state? One possibility is a collection of stable tubes of current. On the other hand, is the interaction between the current filaments which are the byproduct endless, or does it go on to become chaotic? The subject of three-dimensional current systems is intriguing, rich in a variety of phenomena on multiple scale sizes and frequencies, and relevant to fusion studies, solar physics, space plasmas and astrophysical phenomena. In this study a long (δz = 11 m) and narrow (δx = 1 cm, δy = 20 cm) current sheet is generated in a background magnetoplasma capable of supporting Alfvén waves. The current is observed to rapidly tear into a series of magnetic islands when viewed in a cross-sectional plane, but they are in essence three-dimensional flux ropes. At the onset of the current, magnetic field line reconnection is observed between the flux ropes. The sheet on the whole is kink-unstable, and after kinking exhibits large-scale, low-frequency (f ≪ f ci ) rotation about the background field with an amplitude that grows with distance from the source of the current. Three-dimensional data of the magnetic and electric fields is acquired throughout the duration of the experiment and the parallel resistivity is derived from it. The parallel

  1. Exploring barriers of enterprise search implementation: a qualitative user study

    DEFF Research Database (Denmark)

    Stocker, Alexander; Richter, Alexander; Kaiser, Christian

    2015-01-01

    and scope, the chosen research approach of generating qualitative findings from a single case, and the size of the involved sample of engineers. Implications address measures to increase enterprise search adoption. Practical implications – This study provides project managers with knowledge to take...... existing studies primarily focus on advancing the technical perspective of search in organizations, the author elaborate on the under-investigated social and organizational aspects. The author furthermore stress the importance of user-centered approaches for enterprise search adoption....... to explore user-centric barriers of enterprise search implementation in order to increase user satisfaction. Design/methodology/approach – Results are built on a qualitative user study in an R & D organization. Findings are gained from think-aloud observations introduced by semi-structured interviews...

  2. Implementation of the external cephalic version in breech delivery. Dutch national implementation study of external cephalic version

    Directory of Open Access Journals (Sweden)

    Papatsonis Dimitri N

    2010-05-01

    Full Text Available Abstract Background Breech presentation occurs in 3 to 4% of all term pregnancies. External cephalic version (ECV is proven effective to prevent vaginal breech deliveries and therefore it is recommended by clinical guidelines of the Royal Dutch Organisation for Midwives (KNOV and the Dutch Society for Obstetrics and Gynaecology (NVOG. Implementation of ECV does not exceed 50 to 60% and probably less. We aim to improve the implementation of ECV to decrease maternal and neonatal morbidity and mortality due to breech presentations. This will be done by defining barriers and facilitators of implementation of ECV in the Netherlands. An innovative implementation strategy will be developed based on improved patient counselling and thorough instructions of health care providers for counselling. Method/design The ultimate purpose of this implementation study is to improve counselling of pregnant women and information of clinicians to realize a better implementation of ECV. The first phase of the project is to detect the barriers and facilitators of ECV. The next step is to develop an implementation strategy to inform and counsel pregnant women with a breech presentation, and to inform and educate care providers. In the third phase, the effectiveness of the developed implementation strategy will be evaluated in a randomised trial. The study population is a random selection of midwives and gynaecologists from 60 to 100 hospitals and practices. Primary endpoints are number of counselled women. Secondary endpoints are process indicators, the amount of fetes in cephalic presentation at birth, complications due to ECV, the number of caesarean sections and perinatal condition of mother and child. Cost effectiveness of the implementation strategy will be measured. Discussion This study will provide evidence for the cost effectiveness of a structural implementation of external cephalic versions to reduce the number of breech presentations at term. Trial

  3. Implementation of Risk Management in Malaysian Construction Industry: Case Studies

    Directory of Open Access Journals (Sweden)

    Hamzah Abdul-Rahman

    2015-01-01

    Full Text Available Construction industries are exposed to wide array of risks, such as financial, design, and contractual ones, which might have a direct impact on their performance toward achieving the desired objectives. Risk Management is a proactive decision-making process used to minimize and manage the risks in the most efficient and appropriate manner. However, most construction firms in Malaysia do not apply formal risk management in their projects. Thus, this study aims to identify the actual process of risk management that is being applied in the construction projects and to determine the effects of risk management implementation on the performance of the construction projects in terms of time and cost. The data were obtained from four case studies in Kuala Lumpur, Malaysia, through semistructured interviews. It was found that the implementation of risk management process in Malaysian construction industry is still at a low level, mainly due to the fact that most of the construction employees involved in risk management are not fully aware of the available risk management techniques that can be applied in construction projects.

  4. Study and Implementation of MUX Based FPGA in QCA Technology

    Directory of Open Access Journals (Sweden)

    E.N.Ganesh

    2011-06-01

    Full Text Available This paper presents a simple Multiplexer based Field programmable gate arrays with interconnectsbased on quantum cellular automata technology. Quantum cellular automata (QCA technology is apromising nanotechnology of the future. QCA based 4:1 Multiplexer are designed and constructed as amodule in a FPGA. Multiplexer based designs are used to implement complex Boolean functions andeach module can act as a logic element or simple Multiplexer. We have studied here, NOR based logic toimplement Sum function of an adder in a QCA FPGA. Finally we have designed and simulated the MUXbased logic elements to construct QCA FPGA. This study can be useful for building complexConfigurable logic blocks to design a complete FPGA.

  5. Glass Property Models and Constraints for Estimating the Glass to be Produced at Hanford by Implementing Current Advanced Glass Formulation Efforts

    Energy Technology Data Exchange (ETDEWEB)

    Vienna, John D.; Kim, Dong-Sang; Skorski, Daniel C.; Matyas, Josef

    2013-07-31

    Recent glass formulation and melter testing data have suggested that significant increases in waste loading in HLW and LAW glasses are possible over current system planning estimates. The data (although limited in some cases) were evaluated to determine a set of constraints and models that could be used to estimate the maximum loading of specific waste compositions in glass. It is recommended that these models and constraints be used to estimate the likely HLW and LAW glass volumes that would result if the current glass formulation studies are successfully completed. It is recognized that some of the models are preliminary in nature and will change in the coming years. Plus the models do not currently address the prediction uncertainties that would be needed before they could be used in plant operations. The models and constraints are only meant to give an indication of rough glass volumes and are not intended to be used in plant operation or waste form qualification activities. A current research program is in place to develop the data, models, and uncertainty descriptions for that purpose. A fundamental tenet underlying the research reported in this document is to try to be less conservative than previous studies when developing constraints for estimating the glass to be produced by implementing current advanced glass formulation efforts. The less conservative approach documented herein should allow for the estimate of glass masses that may be realized if the current efforts in advanced glass formulations are completed over the coming years and are as successful as early indications suggest they may be. Because of this approach there is an unquantifiable uncertainty in the ultimate glass volume projections due to model prediction uncertainties that has to be considered along with other system uncertainties such as waste compositions and amounts to be immobilized, split factors between LAW and HLW, etc.

  6. Glass Property Models and Constraints for Estimating the Glass to be Produced at Hanford by Implementing Current Advanced Glass Formulation Efforts

    Energy Technology Data Exchange (ETDEWEB)

    Vienna, John D. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Kim, Dong-Sang [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Skorski, Daniel C. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Matyas, Josef [Pacific Northwest National Lab. (PNNL), Richland, WA (United States)

    2013-07-01

    Recent glass formulation and melter testing data have suggested that significant increases in waste loading in HLW and LAW glasses are possible over current system planning estimates. The data (although limited in some cases) were evaluated to determine a set of constraints and models that could be used to estimate the maximum loading of specific waste compositions in glass. It is recommended that these models and constraints be used to estimate the likely HLW and LAW glass volumes that would result if the current glass formulation studies are successfully completed. It is recognized that some of the models are preliminary in nature and will change in the coming years. Plus the models do not currently address the prediction uncertainties that would be needed before they could be used in plant operations. The models and constraints are only meant to give an indication of rough glass volumes and are not intended to be used in plant operation or waste form qualification activities. A current research program is in place to develop the data, models, and uncertainty descriptions for that purpose. A fundamental tenet underlying the research reported in this document is to try to be less conservative than previous studies when developing constraints for estimating the glass to be produced by implementing current advanced glass formulation efforts. The less conservative approach documented herein should allow for the estimate of glass masses that may be realized if the current efforts in advanced glass formulations are completed over the coming years and are as successful as early indications suggest they may be. Because of this approach there is an unquantifiable uncertainty in the ultimate glass volume projections due to model prediction uncertainties that has to be considered along with other system uncertainties such as waste compositions and amounts to be immobilized, split factors between LAW and HLW, etc.

  7. Study on Fault Current of DFIG during Slight Fault Condition

    OpenAIRE

    Xiangping Kong; Zhe Zhang; Xianggen Yin; Zhenxing Li

    2013-01-01

    In order to ensure the safety of DFIG when severe fault happens, crowbar protection is adopted. But during slight fault condition, the crowbar protection will not trip, and the DFIG is still excited by AC-DC-AC converter. In this condition, operation characteristics of the converter have large influence on the fault current characteristics of DFIG. By theoretical analysis and digital simulation, the fault current characteristics of DFIG during slight voltage dips are studied. And the influenc...

  8. The Waste Management in Romania. A Case Study: WMS Implementation

    Directory of Open Access Journals (Sweden)

    OROIAN I.

    2009-12-01

    Full Text Available The present study aims to discuss issues related to the degree of implementation of national waste managementstrategy by emphasizing progress in waste management at national level in three years after its development. In 2004,Romania has developed national policy documents as Waste Management Strategy and National Waste ManagementPlan (WMS, WMSP based on the ”waste hierarchy”. In the four years after the initiation of this process resultsdemonstrate the advantages of using this system in ensuring a sustainable solution to eliminate pollution from waste.Also, the amount of waste recovered at the start of the period - 2004, occupies a proportion of 5.08% of total while inthe end of 2007, the degree of recovery reached 7%. Concerning waste disposal, this was achieved by storage. Thereason is the lack of incinerators for thermal treatment of waste. Traditional collection of household and similar waste inthe mixture, is the most common, accounting for a share of about 97%.

  9. Implementation of e-commerce in developing countries: impact and its limitations-Albanian Case study

    Directory of Open Access Journals (Sweden)

    Genti Çela

    2016-07-01

    Full Text Available The implementation of Electronic Commerce (hereinafter referred to as "e-Commerce" in developed countries has been proven as an indisputable potential to ameliorate the efficiency and productivity in different areas, therefore, its implementation is attracting significant attention in developing countries. Despite its opportunities established in developed countries, there were many doubts about the e-commerce implementation in developing countries. That reluctance is heightened by the limited number of studies on e-commerce and the lack of legislation. This paper aims to contribute on filling the research gap by highlighting the e-commerce implementation in Albania as a developing country, its importance, the level of trust, its benefits, its positive or negative impacts and its limitations. This study will be continuously and accordingly updated with new evidence based on research results, along with future developments of Albania’s economic, political, social and demographic environment. This is because different areas represent different infrastructure and different social and economic characteristics, different levels of trust on transactions, different attitudes towards institutions. We have also take into consideration that different communities have different attitudes toward the acceptance and developments of e-Commerce system. In this paper, we present a comprehensive approach to e-commerce, concentrating specifically on Albanian case. Firstly we analyze the current situation of e-Commerce. Secondly we pay attention to the benefits and legal strategies for its implementation. The third step consists in presenting the relevant objectives. We believe and insist that the development of e-commerce in developing nations, - including Albania, has a positive perspective, if the government, companies and the public can better understand and implement e-Commerce.

  10. Current methodology and methods in psychophysiological studies of creative thinking.

    Science.gov (United States)

    Bechtereva, N P; Danko, S G; Medvedev, S V

    2007-05-01

    Important points on methodology and detailed description of methods used in polymodal psychophysiological studies of human verbal creative thinking are presented. The psychophysiological studies were conducted with healthy volunteers during implementations of specially developed and adapted psychological tests aimed to bring the subjects into states of verbal creative thinking. Four different task sets ("story composition", "associative chains", "original definitions", "proverb sense flipping") were developed and applied. Positron emission tomography of regional cerebral blood flow (rCBF) and state-related quantitative electroencephalography (power and coherence evaluated) were used. The effectiveness of the methods is illustrated with figures.

  11. Study of the weak charged hadronic current in b decays

    Science.gov (United States)

    Acciarri, M.; Adriani, O.; Aguilar-Benitez, M.; Ahlen, S.; Alpat, B.; Alcaraz, J.; Alemanni, G.; Allaby, J.; Aloisio, A.; Alverson, G.; Alviggi, M. G.; Ambrosi, G.; Anderhub, H.; Andreev, V. P.; Angelescu, T.; Anselmo, F.; Antreasyan, D.; Arefiev, A.; Azemoon, T.; Aziz, T.; Bagnaia, P.; Baksay, L.; Ball, R. C.; Banerjee, S.; Banicz, K.; Barillère, R.; Barone, L.; Bartalini, P.; Baschirotto, A.; Basile, M.; Battiston, R.; Bay, A.; Becattini, F.; Becker, U.; Behner, F.; Berdugo, J.; Berges, P.; Bertucci, B.; Betev, B. L.; Bhattacharya, S.; Biasini, M.; Biland, A.; Bilei, G. M.; Blaising, J. J.; Blyth, S. C.; Bobbink, G. J.; Bock, R.; Böhm, A.; Borgia, B.; Boucham, A.; Bourilkov, D.; Bourquin, M.; Boutigny, D.; Branson, J. G.; Brigljevic, V.; Brock, I. C.; Buffini, A.; Buijs, A.; Burger, J. D.; Burger, W. J.; Busenitz, J.; Buytenhuijs, A.; Cai, X. D.; Campanelli, M.; Capell, M.; Romeo, G. Cara; Caria, M.; Carlino, G.; Cartacci, A. M.; Casaus, J.; Castellini, G.; Cavallari, F.; Cavallo, N.; Cecchi, C.; Cerrada, M.; Cesaroni, F.; Chamizo, M.; Chan, A.; Chang, Y. H.; Chaturvedi, U. K.; Chemarin, M.; Chen, A.; Chen, G.; Chen, G. M.; Chen, H. F.; Chen, H. S.; Chen, M.; Chiefari, G.; Chien, C. Y.; Choi, M. T.; Cifarelli, L.; Cindolo, F.; Civinini, C.; Clare, I.; Clare, R.; Cohn, H. O.; Coignet, G.; Colijn, A. P.; Colino, N.; Commichau, V.; Costantini, S.; Cotorobai, F.; de La Cruz, B.; Csilling, A.; Dai, T. S.; D'Alessandro, R.; de Asmundis, R.; de Boeck, H.; Degré, A.; Deiters, K.; Denes, P.; Denotaristefani, F.; Dibitonto, D.; Diemoz, M.; van Dierendonck, D.; di Lodovico, F.; Dionisi, C.; Dittmar, M.; Dominguez, A.; Doria, A.; Dorne, I.; Dova, M. T.; Drago, E.; Duchesneau, D.; Duinker, P.; Duran, I.; Dutta, S.; Easo, S.; Efremenko, Yu.; El Mamouni, H.; Engler, A.; Eppling, F. J.; Erné, F. C.; Ernenwein, J. P.; Extermann, P.; Fabre, M.; Faccini, R.; Falciano, S.; Favara, A.; Fay, J.; Fedin, O.; Felcini, M.; Fenyi, B.; Ferguson, T.; Fernandez, D.; Ferroni, F.; Fesefeldt, H.; Fiandrini, E.; Field, J. H.; Filthaut, F.; Fisher, P. H.; Forconi, G.; Fredj, L.; Freudenreich, K.; Furetta, C.; Galaktionov, Yu.; Ganguli, S. N.; Garcia-Abia, P.; Gau, S. S.; Gentile, S.; Gerald, J.; Gheordanescu, N.; Giagu, S.; Goldfarb, S.; Goldstein, J.; Gong, Z. F.; Gougas, A.; Gratta, G.; Gruenewald, M. W.; Gupta, V. K.; Gurtu, A.; Gutay, L. J.; Hartmann, B.; Hasan, A.; Hatzifotiadou, D.; Hebbeker, T.; Hervé, A.; van Hoek, W. C.; Hofer, H.; Hoorani, H.; Hou, S. R.; Hu, G.; Innocente, V.; Janssen, H.; Jenkes, K.; Jin, B. N.; Jones, L. W.; de Jong, P.; Josa-Mutuberria, I.; Kasser, A.; Khan, R. A.; Kamrad, D.; Kamyshkov, Yu.; Kapustinsky, J. S.; Karyotakis, Y.; Kaur, M.; Kienzle-Focacci, M. N.; Kim, D.; Kim, J. K.; Kim, S. C.; Kim, Y. G.; Kinnison, W. W.; Kirkby, A.; Kirkby, D.; Kirkby, J.; Kiss, D.; Kittel, W.; Klimentov, A.; König, A. C.; Korolko, I.; Koutsenko, V.; Kraemer, R. W.; Krenz, W.; Kuijten, H.; Kunin, A.; de Guevara, P. Ladron; Landi, G.; Lapoint, C.; Lassila-Perini, K.; Laurikainen, P.; Lebeau, M.; Lebedev, A.; Lebrun, P.; Lecomte, P.; Lecoq, P.; Le Coultre, P.; Lee, J. S.; Lee, K. Y.; Leggett, C.; Le Goff, J. M.; Leiste, R.; Leonardi, E.; Levtchenko, P.; Li, C.; Lieb, E.; Lin, W. T.; Linde, F. L.; Lista, L.; Liu, Z. A.; Lohmann, W.; Longo, E.; Lu, W.; Lu, Y. S.; Lübelsmeyer, K.; Luci, C.; Luckey, D.; Luminari, L.; Lustermann, W.; Ma, W. G.; Maity, M.; Majumder, G.; Malgeri, L.; Malinin, A.; Maña, C.; Mangla, S.; Marchesini, P.; Marin, A.; Martin, J. P.; Marzano, F.; Massaro, G. G. G.; McNally, D.; Mele, S.; Merola, L.; Meschini, M.; Metzger, W. J.; von der Mey, M.; Mi, Y.; Mihul, A.; van Mil, A. J. W.; Mirabelli, G.; Mnich, J.; Molnar, P.; Monteleoni, B.; Moore, R.; Morganti, S.; Moulik, T.; Mount, R.; Müller, S.; Muheim, F.; Nagy, E.; Nahn, S.; Napolitano, M.; Nessi-Tedaldi, F.; Newman, H.; Niessen, T.; Nippe, A.; Nisati, A.; Nowak, H.; Opitz, H.; Organtini, G.; Ostonen, R.; Pandoulas, D.; Paoletti, S.; Paolucci, P.; Park, H. K.; Pascale, G.; Passaleva, G.; Patricelli, S.; Paul, T.; Pauluzzi, M.; Paus, C.; Pauss, F.; Peach, D.; Pei, Y. J.; Pensotti, S.; Perret-Gallix, D.; Petrak, S.; Pevsner, A.; Piccolo, D.; Pieri, M.; Pinto, J. C.; Piroué, P. A.; Pistolesi, E.; Plyaskin, V.; Pohl, M.; Pojidaev, V.; Postema, H.; Produit, N.; Prokofiev, D.; Rahal-Callot, G.; Rancoita, P. G.; Rattaggi, M.; Raven, G.; Razis, P.; Read, K.; Ren, D.; Rescigno, M.; Reucroft, S.; van Rhee, T.; Riemann, S.; Riemers, B. C.; Riles, K.; Rind, O.; Ro, S.; Robohm, A.; Rodin, J.; Rodriguez, F. J.; Roe, B. P.; Romero, L.; Rosier-Lees, S.; Rosselet, Ph.; van Rossum, W.; Roth, S.; Rubio, J. A.; Rykaczewski, H.; Salicio, J.; Sanchez, E.; Santocchia, A.; Sarakinos, M. E.; Sarkar, S.; Sassowsky, M.; Sauvage, G.; Schäfer, C.; Schegelsky, V.; Schmidt-Kaerst, S.; Schmitz, D.; Schmitz, P.; Schneegans, M.; Scholz, N.; Schopper, H.; Schotanus, D. J.; Schwenke, J.; Schwering, G.; Sciacca, C.; Sciarrino, D.; Sens, J. C.; Servoli, L.; Shevchenko, S.; Shivarov, N.; Shoutko, V.; Shukla, J.; Shumilov, E.; Shvorob, A.; Siedenburg, T.; Son, D.; Sopczak, A.; Soulimov, V.; Smith, B.; Spillantini, P.; Steuer, M.; Stickland, D. P.; Stone, H.; Stoyanov, B.; Straessner, A.; Strauch, K.; Sudhakar, K.; Sultanov, G.; Sun, L. Z.; Susinno, G. F.; Suter, H.; Swain, J. D.; Tang, X. W.; Tauscher, L.; Taylor, L.; Ting, Samuel C. C.; Ting, S. M.; Tonutti, M.; Tonwar, S. C.; Tóth, J.; Tully, C.; Tuchscherer, H.; Tung, K. L.; Uchida, Y.; Ulbricht, J.; Uwer, U.; Valente, E.; van de Walle, R. T.; Vesztergombi, G.; Vetlitsky, I.; Viertel, G.; Vivargent, M.; Völkert, R.; Vogel, H.; Vogt, H.; Vorobiev, I.; Vorobyov, A. A.; Vorvolakos, A.; Wadhwa, M.; Wallraff, W.; Wang, J. C.; Wang, X. L.; Wang, Z. M.; Weber, A.; Wittgenstein, F.; Wu, S. X.; Wynhoff, S.; Xu, J.; Xu, Z. Z.; Yang, B. Z.; Yang, C. G.; Yao, X. Y.; Ye, J. B.; Yeh, S. C.; You, J. M.; Zalite, An.; Zalite, Yu.; Zemp, P.; Zeng, Y.; Zhang, Z.; Zhang, Z. P.; Zhou, B.; Zhou, Y.; Zhu, G. Y.; Zhu, R. Y.; Zichichi, A.; Ziegler, F.

    1997-02-01

    Charged and neutral particle multiplicities of jets associated with identified semileptonic and hadronic b decays are studied. The observed differences between these jets are used to determine the inclusive properties of the weak charged hadronic current. The average charged particle multiplicity of the weak charged hadronic current in b decays is measured for the first time to be 2.69+/-0.07 (stat.)+/-0.14(syst.). This result is in good agreement with the JETSET hadronization model of the weak charged hadronic current if 40+/-17% of the produced mesons are light-flavored tensor (L=1) mesons. This level of tensor meson production is consistent with the measurement of the π0 multiplicity in the weak charged hadronic current in b decays.

  12. Study of the Weak Charged Hadronic Current in b Decays

    CERN Document Server

    Acciarri, M; Aguilar-Benítez, M; Ahlen, S P; Alpat, B; Alcaraz, J; Alemanni, G; Allaby, James V; Aloisio, A; Alverson, G; Alviggi, M G; Ambrosi, G; Anderhub, H; Andreev, V P; Angelescu, T; Anselmo, F; Antreasyan, D; Arefev, A; Azemoon, T; Aziz, T; Bagnaia, P; Baksay, L; Ball, R C; Banerjee, S; Banicz, K; Barillère, R; Barone, L; Bartalini, P; Baschirotto, A; Basile, M; Battiston, R; Bay, A; Becattini, F; Becker, U; Behner, F; Berdugo, J; Berges, P; Bertucci, B; Betev, B L; Bhattacharya, S; Biasini, M; Biland, A; Bilei, G M; Blaising, J J; Blyth, S C; Bobbink, Gerjan J; Böck, R K; Böhm, A; Borgia, B; Boucham, A; Bourilkov, D; Bourquin, Maurice; Boutigny, D; Branson, J G; Brigljevic, V; Brock, I C; Buffini, A; Buijs, A; Burger, J D; Burger, W J; Busenitz, J K; Buytenhuijs, A O; Cai, X D; Campanelli, M; Capell, M; Cara Romeo, G; Caria, M; Carlino, G; Cartacci, A M; Casaus, J; Castellini, G; Cavallari, F; Cavallo, N; Cecchi, C; Cerrada-Canales, M; Cesaroni, F; Chamizo-Llatas, M; Chan, A; Chang, Y H; Chaturvedi, U K; Chemarin, M; Chen, A; Chen, G; Chen, G M; Chen, H F; Chen, H S; Chen, M; Chiefari, G; Chien, C Y; Choi, M T; Cifarelli, Luisa; Cindolo, F; Civinini, C; Clare, I; Clare, R; Cohn, H O; Coignet, G; Colijn, A P; Colino, N; Commichau, V; Costantini, S; Cotorobai, F; de la Cruz, B; Csilling, Akos; Dai, T S; D'Alessandro, R; De Asmundis, R; De Boeck, H; Degré, A; Deiters, K; Denes, P; De Notaristefani, F; DiBitonto, Daryl; Diemoz, M; Van Dierendonck, D N; Di Lodovico, F; Dionisi, C; Dittmar, Michael; Dominguez, A; Doria, A; Dorne, I; Dova, M T; Drago, E; Duchesneau, D; Duinker, P; Durán, I; Dutta, S; Easo, S; Efremenko, Yu V; El-Mamouni, H; Engler, A; Eppling, F J; Erné, F C; Ernenwein, J P; Extermann, Pierre; Fabre, M; Faccini, R; Falciano, S; Favara, A; Fay, J; Fedin, O; Felcini, Marta; Fenyi, B; Ferguson, T; Fernández, D; Ferroni, F; Fesefeldt, H S; Fiandrini, E; Field, J H; Filthaut, Frank; Fisher, P H; Forconi, G; Fredj, L; Freudenreich, Klaus; Furetta, C; Galaktionov, Yu; Ganguli, S N; García-Abia, P; Gau, S S; Gentile, S; Gerald, J; Gheordanescu, N; Giagu, S; Goldfarb, S; Goldstein, J; Gong, Z F; Gougas, Andreas; Gratta, Giorgio; Grünewald, M W; Gupta, V K; Gurtu, A; Gutay, L J; Hartmann, B; Hasan, A; Hatzifotiadou, D; Hebbeker, T; Hervé, A; Van Hoek, W C; Hofer, H; Hoorani, H; Hou, S R; Hu, G; Innocente, Vincenzo; Janssen, H; Jenkes, K; Jin, B N; Jones, L W; de Jong, P; Josa-Mutuberria, I; Kasser, A; Khan, R A; Kamrad, D; Kamyshkov, Yu A; Kapustinsky, J S; Karyotakis, Yu; Kaur, M; Kienzle-Focacci, M N; Kim, D; Kim, J K; Kim, S C; Kim, Y G; Kinnison, W W; Kirkby, A; Kirkby, D; Kirkby, Jasper; Kiss, D; Kittel, E W; Klimentov, A; König, A C; Korolko, I; Koutsenko, V F; Krämer, R W; Krenz, W; Kuijten, H; Kunin, A; Ladrón de Guevara, P; Landi, G; Lapoint, C; Lassila-Perini, K M; Laurikainen, P; Lebeau, M; Lebedev, A; Lebrun, P; Lecomte, P; Lecoq, P; Le Coultre, P; Lee Jae Sik; Lee, K Y; Leggett, C; Le Goff, J M; Leiste, R; Leonardi, E; Levchenko, P M; Li Chuan; Lieb, E H; Lin, W T; Linde, Frank L; Lista, L; Liu, Z A; Lohmann, W; Longo, E; Lu, W; Lü, Y S; Lübelsmeyer, K; Luci, C; Luckey, D; Luminari, L; Lustermann, W; Ma Wen Gan; Maity, M; Majumder, G; Malgeri, L; Malinin, A; Maña, C; Mangla, S; Marchesini, P A; Marin, A; Martin, J P; Marzano, F; Massaro, G G G; McNally, D; Mele, S; Merola, L; Meschini, M; Metzger, W J; Von der Mey, M; Mi, Y; Mihul, A; Van Mil, A J W; Mirabelli, G; Mnich, J; Molnár, P; Monteleoni, B; Moore, R; Morganti, S; Moulik, T; Mount, R; Müller, S; Muheim, F; Nagy, E; Nahn, S; Napolitano, M; Nessi-Tedaldi, F; Newman, H; Nippe, A; Nisati, A; Nowak, H; Opitz, H; Organtini, G; Ostonen, R; Pandoulas, D; Paoletti, S; Paolucci, P; Park, H K; Pascale, G; Passaleva, G; Patricelli, S; Paul, T; Pauluzzi, M; Paus, C; Pauss, Felicitas; Peach, D; Pei, Y J; Pensotti, S; Perret-Gallix, D; Petrak, S; Pevsner, A; Piccolo, D; Pieri, M; Pinto, J C; Piroué, P A; Pistolesi, E; Plyaskin, V; Pohl, M; Pozhidaev, V; Postema, H; Produit, N; Prokofev, D; Prokofiev, D O; Rahal-Callot, G; Rancoita, P G; Rattaggi, M; Raven, G; Razis, P A; Read, K; Ren, D; Rescigno, M; Reucroft, S; Van Rhee, T; Riemann, S; Riemers, B C; Riles, K; Rind, O; Ro, S; Robohm, A; Rodin, J; Rodríguez-Calonge, F J; Roe, B P; Romero, L; Rosier-Lees, S; Rosselet, P; Van Rossum, W; Roth, S; Rubio, Juan Antonio; Rykaczewski, H; Salicio, J; Sánchez, E; Santocchia, A; Sarakinos, M E; Sarkar, S; Sassowsky, M; Sauvage, G; Schäfer, C; Shchegelskii, V; Schmidt-Kärst, S; Schmitz, D; Schmitz, P; Schneegans, M; Scholz, N; Schopper, Herwig Franz; Schotanus, D J; Schwenke, J; Schwering, G; Sciacca, C; Sciarrino, D; Sens, Johannes C; Servoli, L; Shevchenko, S; Shivarov, N; Shoutko, V; Shukla, J; Shumilov, E; Shvorob, A V; Siedenburg, T; Son, D; Sopczak, André; Soulimov, V; Smith, B; Spillantini, P; Steuer, M; Stickland, D P; Stone, H; Stoyanov, B; Strässner, A; Strauch, K; Sudhakar, K; Sultanov, G G; Sun, L Z; Susinno, G F; Suter, H; Swain, J D; Tang, X W; Tauscher, Ludwig; Taylor, L; Ting, Samuel C C; Ting, S M; Tonutti, M; Tonwar, S C; Tóth, J; Tully, C; Tuchscherer, H; Tung, K L; Uchida, Y; Ulbricht, J; Uwer, U; Valente, E; Van de Walle, R T; Vesztergombi, G; Vetlitskii, I; Viertel, Gert M; Vivargent, M; Völkert, R; Vogel, H; Vogt, H; Vorobev, I; Vorobyov, A A; Vorvolakos, A; Wadhwa, M; Wallraff, W; Wang, J C; Wang, X L; Wang, Z M; Weber, A; Wittgenstein, F; Wu, S X; Wynhoff, S; Xu, J; Xu, Z Z; Yang, B Z; Yang, C G; Yao, X Y; Ye, J B; Yeh, S C; You, J M; Zalite, A; Zalite, Yu; Zemp, P; Zeng, Y; Zhang, Z; Zhang, Z P; Zhou, B; Zhou, Y; Zhu, G Y; Zhu, R Y; Zichichi, Antonino; Ziegler, F

    1997-01-01

    Charged and neutral particle multiplicities of jets associated with identified semileptonic and hadronic b decays are studied. The observed differences between these jets are used to determine the inclusive properties of the weak charged hadronic current. The average charged particle multiplicity of the weak charged hadronic current in b decays is measured for the first time to be 2.69$\\pm$0.07(stat.)$\\pm$0.14(syst.). This result is in good agreement with the JETSET hadronization model of the weak charged hadronic current if 40$\\pm$17\\% of the produced mesons are light--flavored tensor (L=1) mesons. This level of tensor meson production is consistent with the measurement of the $\\pi^0$ multiplicity in the weak charged hadronic current in b decays. \\end{abstract}

  13. Implementation of Network Leader Sponsored Supply Chain Management Systems: A Case Study of Supplier IT Business Value

    Science.gov (United States)

    Miller, Mark S.

    2010-01-01

    This qualitative multiple-case study was conducted to explore and understand how the implementation of required relationship-specific supply chain management system (SCMS) dictated by the network leader within a supplier network affects a supplier organization. The study, on a very broad sense, attempted to research the current validity of how the…

  14. Implementation of Network Leader Sponsored Supply Chain Management Systems: A Case Study of Supplier IT Business Value

    Science.gov (United States)

    Miller, Mark S.

    2010-01-01

    This qualitative multiple-case study was conducted to explore and understand how the implementation of required relationship-specific supply chain management system (SCMS) dictated by the network leader within a supplier network affects a supplier organization. The study, on a very broad sense, attempted to research the current validity of how the…

  15. Critical current studies of a HTS rectangular coil

    Energy Technology Data Exchange (ETDEWEB)

    Zhong, Z. [Department of Engineering, University of Cambridge (United Kingdom); Chudy, M., E-mail: Michal.chudy@stuba.sk [Graduate School of Technology Management, University of Pretoria (South Africa); Institute of Power and Applied Electrical Engineering, Slovak University of Technology in Bratislava (Slovakia); Ruiz, H.S. [Department of Engineering, University of Leicester, Leicester LE1 7RH (United Kingdom); Zhang, X.; Coombs, T. [Department of Engineering, University of Cambridge (United Kingdom)

    2017-05-15

    Highlights: • Unique square pancake coil was manufactured. • Measurements in relatively high magnetic field were performed. • Different sections of the coil were characterized. • Parts of the coil which are limiting critical current were identified. - Abstract: Nowadays, superconducting high field magnets are used in numerous applications due to their superior properties. High temperature superconductors (HTS) are usually used for production of circular pancake or racetrack coils. However different geometries of HTS coils might be required for some specific applications. In this study, the HTS coil wound on a rectangular frame was fully characterized in homogeneous DC background field. The study contains measurements of critical current angular dependencies. The critical current of the entire coil and two selected strands under different magnitudes and orientations of external magnetic fields are measured. The critical regions of the coil in different angular regimes are determined. This study brings better understanding of the in- field performance of HTS coils wound on frames with right-angles.

  16. Case Study: Implementing Employment Equity at Carleton University.

    Science.gov (United States)

    Farquhar, Robin H.; And Others

    Carleton University (Ontario, Canada) has implemented an employment equity plan and has received a federal merit award for this program. The program has involved a concrete investment of time and resources for training, review of employment systems, implementation and monitoring, and ongoing attention at the senior policy level. At the outset the…

  17. Determinants of successful telemedicine implementations: a literature study.

    Science.gov (United States)

    Broens, Tom H F; Huis in't Veld, Rianne M H A; Vollenbroek-Hutten, Miriam M R; Hermens, Hermie J; van Halteren, Aart T; Nieuwenhuis, Lambert J M

    2007-01-01

    Telemedicine implementations often remain in the pilot phase and do not succeed in scaling-up to robust products that are used in daily practice. We conducted a qualitative literature review of 45 conference papers describing telemedicine interventions in order to identify determinants that had influenced their implementation. The identified determinants, which would influence the future implementation of telemedicine interventions, can be classified into five major categories: (1) Technology, (2) Acceptance, (3) Financing, (4) Organization and (5) Policy and Legislation. Each category contains determinants that are relevant to different stakeholders in different domains. We propose a layered implementation model in which the primary focus on individual determinants changes throughout the development life cycle of the telemedicine implementation. For success, a visionary approach is required from the multidisciplinary stakeholders, which goes beyond tackling specific issues in a particular development phase. Thus the right philosophy is: 'start small, think big'.

  18. Main barriers to effective implementation of stroke care pathways in France: a qualitative study.

    Science.gov (United States)

    Gache, Kristel; Leleu, Henri; Nitenberg, Gérard; Woimant, France; Ferrua, Marie; Minvielle, Etienne

    2014-02-28

    Stroke Care Pathways (SCPs) aim to improve quality of care by providing better access to stroke units, rehabilitation centres, and home care for dependent patients. The objective of this study was to identify the main barriers to effective implementation of SCPs in France. We selected 4 types of SCPs currently implemented in France that differed in terms of geographical location, population size, socio-economic conditions, and available health care facilities. We carried out 51 semi-structured interviews of 44 key health professionals involved in these SCPs and used the interview data to (i) create a typology of the organisational barriers to effective SCP implementation by axial coding, (ii) define barrier contents by vertical coding. The typology was validated by a panel of 15 stroke care professionals. Four main barriers to effective SCP implementation were identified: lack of resources (31/44 interviewees), coordination problems among staff (14/44) and among facilities (27/44), suboptimal professional and organisational practices (16/44), and inadequate public education about stroke (13/44). Transposition of the findings onto a generic SCP highlighted alternative care options and identified 10 to 17 barriers that could disrupt continuity of care. Lack of resources was considered to be the chief obstacle to effective SCP implementation. However, the main weakness of existing SCPs was poor communication and cooperation among health professionals and among facilities. We intend to use this knowledge to construct a robust set of quality indicators for use in SCP quality improvement initiatives, in comparisons between SCPs, and in the assessment of the effective implementation of clinical practice guidelines.

  19. The concept of "intercultural opening": the development of an assessment tool for the appraisal of its current implementation in the mental health care system.

    Science.gov (United States)

    Penka, S; Kluge, U; Vardar, A; Borde, T; Ingleby, D

    2012-06-01

    The German concept of "intercultural opening" is an approach to facilitating migrants' access to the health care system and improving the care they receive. No data exist concerning the current status of the implementation of this approach in Germany, and the concept has never been analysed in practice. To assess the status of "intercultural opening" in the German mental health care system and to further analyse the concept, we developed a tool by combining pre-existing instruments. In order to review the preliminary tool we combined experts' knowledge by carrying out a consensusoriented, expert-based Delphi process with actual practice by piloting the instrument in each type of institution to be assessed. The assessment tool thus developed(1) is the first one to evaluate the current status of "intercultural opening" in the community mental health care system in Germany from a broad perspective. This paper is intended to present the development process of our assessment tool for demonstrating the benefits of this approach and as a model for future studies, as well as to increase transparency in relation to the current German approach to health care structures in dealing with migrants. Copyright © 2012 Elsevier Masson SAS. All rights reserved.

  20. Current research projects on traffic conflicts technique studies.

    NARCIS (Netherlands)

    Hondel, M. van den & and Kraay, J.H.

    1979-01-01

    A review of current research concerning the development, evaluation and use of the traffic conflicts technique is presented. The 32 studies, selected from the IRRD data base, are listed alphabetically by names of countries and under countries by names of research organizations. The IRRD descriptions

  1. Subminiature eddy current transducers for studying boride coatings

    Science.gov (United States)

    Dmitriev, S. F.; Ishkov, A. V.; Malikov, V. N.; Sagalakov, A. M.

    2016-07-01

    Strengthening of parts and units of machines, increased reliability and longer service life is an important task of modern mechanical engineering. The main objects of study in the work were selected steel 65G and 50HGA, wear-resistant boride coatings ternary system Fe-B-Fe n B which were investigated by scanning electron microscopy and eddy-current nondestructive methods.

  2. A study of eddy current measurement (1986-1987)

    Energy Technology Data Exchange (ETDEWEB)

    Ramachandran, R.S.; Armstrong, K.P.

    1989-06-22

    A study was conducted in 1986 to evaluate a modified eddy current system for measuring copper thickness on Kapton. Results showed a measurement error of 0.42 {mu}in. for a thickness range of 165 to 170 {mu}in. and a measurement variability of 3.2 {mu}in.

  3. Cartography and Population Geography as Current Events: A Case Study

    Science.gov (United States)

    Comenetz, Joshua

    2003-01-01

    The Sanders housing lawsuit in Pennsylvania provides a case study of how to incorporate current events into the teaching of cartography or population geography at the high school or college level. Settlement of the Sanders case resulted in the release of information about the segregation of public housing by race in the Pittsburgh area. The issues…

  4. A Study Of Elearning Implementation Readiness In Togolese Higher Education Institutes HEIS

    Directory of Open Access Journals (Sweden)

    Djeri Memene

    2015-02-01

    Full Text Available Abstract Global communications and online technology are dramatically increasing opportunities for institutions and organizations in the world. With the spread of Information Communication and Technology ICT infrastructure and cellular telephony in Africa institutions of higher education organizations and communities will increasingly rely on information and communications technologies for efficiency and higher performance in their activities. In this study the modified Center for International Development CIDs Readiness for the Networked World survey published by Harvard University in 2000 as a guide for developing countries 2 was used to assess Togolese Higher Education Intuitions ICT implementation readiness regarding a physical infrastructure high bandwidth reliability b integrated current ICT skills and technology capabilities throughout schools and institutions c a commitment to universal access and d security and policies. Each information technology category was scored on whether the surveyed Togo higher educational institutions were at the Implementation and Integration Stage 100 defined by full access usage management and understanding of the complexity of IT implications including security and policy the Development Stage 75 how far through the implementation has progressed and how much further development may still be required the Enhancement Stage 50 the technical skills technology capabilities and processes of the implementation

  5. How team-based reflection affects quality improvement implementation: a qualitative study.

    Science.gov (United States)

    Shaw, Eric K; Howard, Jenna; Etz, Rebecca S; Hudson, Shawna V; Crabtree, Benjamin F

    2012-01-01

    Quality improvement (QI) interventions in health care organizations have produced mixed results with significant questions remaining about how QI interventions are implemented. Team-based reflection may be an important element for understanding QI implementation. Extensive research has focused on individual benefits of reflection including links between reflection, learning, and change. There are currently no published studies that explore how team-based reflection impact QI interventions. We selected 4 primary care practices participating in a QI trial that used a facilitated, team-based approach to improve colorectal cancer screening rates. Trained facilitators met with a team of practice members for up to eleven 1-hour meetings. Data include audio-recorded team meetings and associated fieldnotes. We used a template approach to code transcribed data and an immersion/crystallization technique to identify patterns and themes. Three types of team-based reflection and how each mattered for QI implementation were identified: organizational reflection promoted buy-in, motivation, and feelings of inspiration; process reflection enhanced team problem solving and change management; and relational reflection enhanced discussions of relational dynamics necessary to implement desired QI changes. If QI interventions seek to make changes where collaboration and coordination of care is required, then deliberately integrating team-based reflection into interventions can provide opportunities to facilitate change processes.

  6. Implementing Monitoring Systems in Mobile Applications – a Case Study

    Directory of Open Access Journals (Sweden)

    Octavian DOSPINESCU

    2014-01-01

    Full Text Available During the last years, the evolution of mobile applications allowed the developers to become more and more creative. In this way, we can imagine many applications models with a real impact in the real life. In this article we are trying to present a case study for a monitoring sys-tem using the Android platform and the benefits of computer networks. We use the power of mobile sockets and mobile threads, integrating them in a complex architecture in order to ob-tain a real monitoring system. As an immediate application, we propose a baby monitoring sys-tems so that the children could be remotely supervised by their parents. The case study is based on an Android mobile client-server architecture and also uses the capabilities offered by the phone’s speaker and microphone. We intend to have a robust application and that’s why we in-itially preferred Network Service Discovery and Android P2P, but these functionalities are im-plemented starting with Android 4.1. So, we emulated all these functionalities by using a model based on sockets and server sockets.

  7. Hypertension Improvement Project (HIP: study protocol and implementation challenges

    Directory of Open Access Journals (Sweden)

    Pollak Kathryn I

    2009-02-01

    providers and the challenges faced during study implementation are presented. The HIP interventions may improve blood pressure control and lower cardiovascular disease risk in a primary care practice setting by addressing key components of the chronic care model. The study design allows an assessment of the effectiveness and cost of physician and patient interventions separately, so that health care organizations can make informed decisions about implementation of 1 or both interventions in the context of local resources. Trial registration ClinicalTrials.gov identifier NCT00201136

  8. Implementation of total quality management Case study: British Airways

    Directory of Open Access Journals (Sweden)

    Anca MADAR

    2015-06-01

    Full Text Available Total Quality Management (TQM has an important role in any company, since the implementation of this program companies can continuously improve their performance. Thus, organizations will be able to considerably meet their internal and external clients' needs in terms of services and products quality, and they will also be able to develop an efficient and profitable business. The paper analyzes how this concept was implemented by the British Airways airline, since it is among the first companies that have implemented such a program.

  9. Differential Thermostimulated Discharge Current Method for Studying Electrets

    Science.gov (United States)

    Mekishev, G. A.; Yovcheva, T. A.; Viraneva, A. P.; Gencheva, E. A.

    2010-01-01

    The thermostimulated discharge current method (TSDC) is widely used for the study of charge storage mechanisms in electrets. A new discharged technique, called differential, which consists in discharging a charged sample through an otherwise identical but uncharged one, has been proposed by J.-P. Reboul and A. Toureille. In the present paper a new version of the differential thermostimulated discharge current method is advanced. In contrast to the differential technique described earlier, the measuring cell allows to realize typical differential technique. In this case the measuring system records the difference of the thermostimulated currents of two samples which have been preliminary charged (or thermally treated) under the same or different conditions. Samples of 0.85 mm thick polymethylmethacrylate are used to demonstrate an operation of the developed differential TSDC method.

  10. Study on Fault Current of DFIG during Slight Fault Condition

    Directory of Open Access Journals (Sweden)

    Xiangping Kong

    2013-04-01

    Full Text Available In order to ensure the safety of DFIG when severe fault happens, crowbar protection is adopted. But during slight fault condition, the crowbar protection will not trip, and the DFIG is still excited by AC-DC-AC converter. In this condition, operation characteristics of the converter have large influence on the fault current characteristics of DFIG. By theoretical analysis and digital simulation, the fault current characteristics of DFIG during slight voltage dips are studied. And the influence of controller parameters of converter on the fault current characteristics is analyzed emphatically. It builds a basis for the construction of relay protection which is suitable for the power gird with accession of DFIG.

  11. Interorganizational Policy Studies: Lessons Drawn from Implementation Research

    NARCIS (Netherlands)

    O'Toole Jr, Laurence J.

    1993-01-01

    Contingency approaches to organizing suggest that policy objectives are more likely to be achieved if the structures employed for implementation mesh with the policy objectives being sought. Interorganizational arrangements are used increasingly in carrying out public programs, and contingency logic

  12. implementation and comparative study of a high speed multimode ...

    African Journals Online (AJOL)

    SUMAN HALDAR, SOUMITA HALDAR CHAKRABORTY, PRADIPTAMAITI, PRATIK KUMAR SINHA, PIJUSH BISWAS, Dr. AMITAVA SINHA

    2016-07-07

    Jul 7, 2016 ... The key feature of the work is reduced power and simple circuitry, without ... Keywords: Digital Communication, Multimode Modulator, High Speed ..... Implementation of Universal Modulator using Co-ordinate Rotation Digital ...

  13. Factors Manipulate ERP Implementation: An Experiential Study from Pakistan

    OpenAIRE

    Muhammad Jamil Anjum; Saif-ur-rehman Khan

    2015-01-01

    ERP (Enterprise Resource Planning) is a foremost improvement in the arena of organizational management and information system. ERP has the ability to integrate and assimilate the information in an efficient way. ERP is an utmost extensive business management system that presents real-time competences and flawless presentation of information for organizations and businesses. Nevertheless, not all the ERP implementation projects are successful. Implementation of ERP affects the overall processe...

  14. Partial and Iterative Lean Implementation: Two Case Studies

    OpenAIRE

    Bamford, David; Forrester, Paul; Dehe, Benjamin; Leese, Rebecca

    2015-01-01

    Purpose of this paper\\ud This paper explores the implementation of lean within two contrasting UK based organizations; a food manufacturer and a healthcare organization. The different contexts provide insight to the strategic desire for efficiency gains and tactical issues and challenges of lean execution and implementation.\\ud Design / methodology / approach\\ud The research questions developed from the review of the literature were tested using evidence from field-based, action research with...

  15. Optimizability of OGC Standards Implementations - a Case Study

    Science.gov (United States)

    Misev, D.; Baumann, P.

    2012-04-01

    Why do we shop at Amazon? Because they have a unique offering that is nowhere else available? Certainly not. Rather, Amazon offers (i) simple, yet effective search; (ii) very simple payment; (iii) extremely rapid delivery. This is how scientific services will be distinguished in future: not for their data holding (there will be manifold choice), but for their service quality. We are facing the transition from data stewardship to service stewardship. One of the OGC standards which particularly enables flexible retrieval is the Web Coverage Processing Service (WCPS). It defines a high-level query language on large, multi-dimensional raster data, such as 1D timeseries, 2D EO imagery, 3D x/y/t image time series and x/y/z geophysical data, 4D x/y/z/t climate and ocean data. We have implemented WCPS based on an Array Database Management System, rasdaman, which is available in open source. In this demonstration, we study WCPS queries on 2D, 3D, and 4D data sets. Particular emphasis is placed on the computational load queries generate in such on-demand processing and filtering. We look at different techniques and their impact on performance, such as adaptive storage partitioning, query rewriting, and just-in-time compilation. Results show that there is significant potential for effective server-side optimization once a query language is sufficiently high-level and declarative.

  16. Implementation of Advanced Warehouses in a Hospital Environment - Case study

    Science.gov (United States)

    Costa, J.; Sameiro Carvalho, M.; Nobre, A.

    2015-05-01

    In Portugal, there is an increase of costs in the healthcare sector due to several factors such as the aging of the population, the increased demand for health care services and the increasing investment in new technologies. Thus, there is a need to reduce costs, by presenting the effective and efficient management of logistics supply systems with enormous potential to achieve savings in health care organizations without compromising the quality of the provided service, which is a critical factor, in this type of sector. In this research project the implementation of Advanced Warehouses has been studied, in the Hospital de Braga patient care units, based in a mix of replenishment systems approaches: the par level system, the two bin system and the consignment model. The logistics supply process is supported by information technology (IT), allowing a proactive replacement of products, based on the hospital services consumption records. The case study was developed in two patient care units, in order to study the impact of the operation of the three replenishment systems. Results showed that an important inventory holding costs reduction can be achieved in the patient care unit warehouses while increasing the service level and increasing control of incoming and stored materials with less human resources. The main conclusion of this work illustrates the possibility of operating multiple replenishment models, according to the types of materials that healthcare organizations deal with, so that they are able to provide quality health care services at a reduced cost and economically sustainable. The adoption of adequate IT has been shown critical for the success of the project.

  17. Design and implementation of integrated solid wastes management pattern in industrial zones, case study of Shahroud, Iran.

    Science.gov (United States)

    Saeid, Nazemi; Roudbari, Aliakbar; Yaghmaeian, Kamyar

    2014-01-14

    The aim of the study was to design and implementation of integrated solid wastes management pattern in Shahroud industrial zone, evaluates the results and determine possible performance problems. This cross - sectional study was carried out for 4 years in Shahroud industrial zone and the implementation process included:1- Qualitative and quantitative analysis of all solid waste generated in the city, 2- determine the current state of solid waste management in the zone and to identify programs conducted, 3- Design and implementation of integrated solid wastes management pattern including design and implementation of training programs, laws, penalties and incentives and explain and implement programs for all factories and 4- The monitoring of the implementation process and determine the results. Annually, 1,728 tons of solid wastes generated in the town including 1603 tons of industrial wastes and 125 tons of municipal wastes. By implementing this pattern, the two separated systems of collection and recycling of domestic and industrial wastes was launched in this zone. Also consistent with the goals, the amount of solid wastes generated and disposed in 2009 was 51.5 and 28.6 kg per 100 million Rials production, respectively. Results showed that implementation of pattern of separated collection, training programs, capacity building, providing technical services, completing chain of industries and strengthening the cooperation between industrial estate management and industrial units could greatly reduce the waste management problems.

  18. Challenges to Successful Total Quality Management Implementation in Public Secondary Schools: A Case Study of Kohat District, Pakistan

    Science.gov (United States)

    Suleman, Qaiser; Gul, Rizwana

    2015-01-01

    The current study explores the challenges faced by public secondary schools in successful implementation of total quality management (TQM) in Kohat District. A sample of 25 heads and 75 secondary school teachers selected from 25 public secondary schools through simple random sampling technique was used. Descriptive research designed was used and a…

  19. Critical challenges in ERP implementation: A qualitative case study in the Canadian oil and gas industry

    Science.gov (United States)

    Menon, Sreekumar A.

    This exploratory qualitative single-case study examines critical challenges encountered during ERP implementation based on individual perspectives in four project roles: senior leaders, project managers, project team members, and business users, all specifically in Canadian oil and gas industry. Data was collected by interviewing participants belonging to these categories, and by analyzing project documentation about ERP implementation. The organization for the case study was a leading multinational oil and gas company having a substantial presence in the energy sector in Canada. The study results were aligned with the six management questions regarding critical challenges in ERP: (a) circumstances to implement ERP, (b) benefits and process improvements achieved, (c) best practices implemented, (d) critical challenges encountered, (e) strategies and mitigating actions used, and (f) recommendations to improve future ERP implementations. The study results highlight six key findings. First, the study provided valid circumstances for implementing ERP systems. Second, the study underscored the importance of benefits and process improvements in ERP implementation. Third, the study highlighted that adoption of best practices is crucial for ERP Implementation. Fourth, the study found that critical challenges are encountered in ERP Implementation and are significant during ERP implementation. Fifth, the study found that strategies and mitigating actions can overcome challenges in ERP implementation. Finally, the study provided ten major recommendations on how to improve future ERP implementations.

  20. Experimental Study on Current Decay Characteristics of Persistent Current HTS Magnet by Alternating Magnetic Field

    Science.gov (United States)

    Park, Young Gun; Lee, Chang Young; Hwang, Young Jin; Lee, Woo Seung; Lee, Jiho; Jo, Hyun Chul; Chung, Yoon Do; Ko, Tae Kuk

    This paper deals with a current decay characteristics of a high temperature superconducting (HTS) magnet operated in persistent current mode (PCM). In superconducting synchronous machine applications such as linear synchronous motor (LSM), the superconducting coil is designed to operate in the PCM to obtain steady magnetic field with DC transport current. This superconducting magnet operates on a direct current, but it can be exposed to alternating magnetic field due to the armature winding. When the magnet is subjected to an external time-varying magnetic field, it is possible to result in a decay of the current in PCM system due to AC loss. In this research, a PCM system with armature coil which generates time-varying magnetic field was fabricated to verify current decay characteristics by external alternating magnetic field. The current decay rate was measured by using a hall sensor as functions of amplitude and frequency of armature coil.

  1. Design, Implementation, and Study Protocol of a Kindergarten-Based Health Promotion Intervention

    Directory of Open Access Journals (Sweden)

    Susanne Kobel

    2017-01-01

    Full Text Available Inactivity and an unhealthy diet amongst others have led to an increased prevalence of overweight and obesity even in young children. Since most health behaviours develop during childhood health promotion has to start early. The setting kindergarten has been shown as ideal for such interventions. “Join the Healthy Boat” is a kindergarten-based health promotion programme with a cluster-randomised study focussing on increased physical activity, reduced screen media use, and sugar-sweetened beverages, as well as a higher fruit and vegetable intake. Intervention and materials were developed using Bartholomew’s Intervention Mapping approach considering Bandura’s social-cognitive theory and Bronfenbrenner’s ecological framework for human development. The programme is distributed using a train-the-trainer approach and currently implemented in 618 kindergartens. The effectiveness of this one-year intervention with an intervention and a control group will be examined in 62 kindergartens using standardised protocols, materials, and tools for outcome and process evaluation. A sample of 1021 children and their parents provided consent and participated in the intervention. Results of this study are awaited to give a better understanding of health behaviours in early childhood and to identify strategies for effective health promotion. The current paper describes development and design of the intervention and its implementation and planned evaluation. Trial Registration. The study is registered at the German Clinical Trials Register (DRKS, Freiburg University, Germany, ID: DRKS00010089.

  2. Design, Implementation, and Study Protocol of a Kindergarten-Based Health Promotion Intervention

    Science.gov (United States)

    Wartha, Olivia; Dreyhaupt, Jens; Lämmle, Christine; Friedemann, Eva-Maria; Kelso, Anne; Kutzner, Claire; Hermeling, Lina

    2017-01-01

    Inactivity and an unhealthy diet amongst others have led to an increased prevalence of overweight and obesity even in young children. Since most health behaviours develop during childhood health promotion has to start early. The setting kindergarten has been shown as ideal for such interventions. “Join the Healthy Boat” is a kindergarten-based health promotion programme with a cluster-randomised study focussing on increased physical activity, reduced screen media use, and sugar-sweetened beverages, as well as a higher fruit and vegetable intake. Intervention and materials were developed using Bartholomew's Intervention Mapping approach considering Bandura's social-cognitive theory and Bronfenbrenner's ecological framework for human development. The programme is distributed using a train-the-trainer approach and currently implemented in 618 kindergartens. The effectiveness of this one-year intervention with an intervention and a control group will be examined in 62 kindergartens using standardised protocols, materials, and tools for outcome and process evaluation. A sample of 1021 children and their parents provided consent and participated in the intervention. Results of this study are awaited to give a better understanding of health behaviours in early childhood and to identify strategies for effective health promotion. The current paper describes development and design of the intervention and its implementation and planned evaluation. Trial Registration. The study is registered at the German Clinical Trials Register (DRKS), Freiburg University, Germany, ID: DRKS00010089. PMID:28303253

  3. Digital Implementation of Method for Discontinuous Current Mode Compensation Of High-Performance Line-Commutated Converters

    CERN Document Server

    Maestri, S; Uicich, G; Gomez Costa, J; Petrocelli, R; CERN. Geneva. TE Department

    2010-01-01

    Many high-performance power converters at CERN are implemented with thyristors, mostly in CCM (Continuous Conduction Mode) due to their better dynamic response. In DCM (Discontinuous Conduction Mode), the converter reduces its small-signal gain, producing a degraded time response which can lead to instability. Several of these converters use digital regulation, allowing the implementation of complex non- linear control techniques. Therefore, a strategy to control the converters in DCM (Discontinuous Conduction Mode) can be implemented, bearing in mind that their standard operation (sampling time, measured signals, acquisition system) can not be drastically changed. This report presents the implementation of a new method to control line-commutated converters in discontinuous conduction mode (DCM). The method is based on the modfication of the thyristor's ring angle _ using a linear approximation, yielding nearly the same dynamic performance as in continuous conduction mode. The _ring angle is corrected by addi...

  4. Current methods for studying dynamic processes in the ionosphere

    Science.gov (United States)

    Filipp, Nikolai D.; Blaunshtein, Natan Sh.; Erukhimov, Lev M.; Ivanov, Vladimir A.; Uriadov, Valerii P.

    Current experimental and theoretical data relevant to the study of dynamic processes in the ionospheric plasma using state-of-the-art methods are summarized. The methods used include linear FM sounding, partial radio wave reflection, oblique-incidence radio wave scattering, radio wave heating of the ionosphere, plasma injection, and computer simulation of physical processes. For each specific method, experimental data are compared against theoretical predictions and numerical calculations.

  5. Pancreatic exocrine studies in intact animals: historic and current methods.

    Science.gov (United States)

    Niebergall-Roth, E; Teyssen, S; Singer, M V

    1997-12-01

    This report presents a review of the historic and current methods for performing pancreatic exocrine studies in intact animals. Special emphasis is given to the various surgical procedures--pancreatic fistulas, duodenal pouches, and duodenal fistulas--and practice of collecting pancreatic secretion in dogs. Procedures in other animal species--rat, cat, pig, rabbit, cattle, sheep, and horse--also are specified. The advantages and disadvantages, as well as the indications and limitations of the distinct methods, are discussed.

  6. Implementation of an electronic medical record in family practice: a case study

    Directory of Open Access Journals (Sweden)

    Marie-Pierre Gagnon

    2010-03-01

    Conclusions This study underscores the importance of a champion for successful EMR implementation. It proposes a set of roles and characteristics that could be found in a champion as well as other elements for a successful EMR implementation strategy.

  7. The Implementation of RSBY in Chhattisgarh, India: A study of the Durg district

    Directory of Open Access Journals (Sweden)

    S Nandi

    2012-03-01

    Full Text Available The Rashtriya Swasthya Bima Yojana (RSBY scheme is a health insurance model currently being implemented by the Indian government. It is a model, however, still in nascent state, subject to tensions and value testing. Very few studies have hitherto assessed the scheme’s implementation and whether the stated objectives of the government initiative are being fulfilled. This short study undertaken in the Durg district of Chhattisgarh reveals that RSBY fails to cover the population living Below the Poverty Line (BPL. Likewise there is discrepancy in the consistency of information and knowledge regarding the scheme among the beneficiaries who are themselves continuing to incur high out-of-pocket expenses. There are thus severe issues in transparency and accountability within the RSBY scheme. Unless the public health delivery system is strengthened and the private sector regulated and indeed monitored, the scheme will not yield the desired results, and the cost of healthcare will further escalate for the poor. In the absence of regulated health services there needs to be more debate, and indeed greater research, on the implementation and the design of RSBY. 

  8. Implementing a Grant Proposal Writing Exercise in Undergraduate Science Courses to Incorporate Real-World Applications and Critical Analysis of Current Literature

    Science.gov (United States)

    Cole, Kathryn E.; Inada, Maki; Smith, Andrew M.; Haaf, Michael P.

    2013-01-01

    Writing is an essential part of a successful career in science. As such, many undergraduate science courses have begun to implement writing assignments that reflect "real-world" applications and focus on a critical analysis of current literature; these assignments are often in the form of a review or a research proposal. The…

  9. Sodium-Bearing Waste Treatment Alternatives Implementation Study

    Energy Technology Data Exchange (ETDEWEB)

    Charles M. Barnes; James B. Bosley; Clifford W. Olsen

    2004-07-01

    The purpose of this document is to discuss issues related to the implementation of each of the five down-selected INEEL/INTEC radioactive liquid waste (sodium-bearing waste - SBW) treatment alternatives and summarize information in three main areas of concern: process/technical, environmental permitting, and schedule. Major implementation options for each treatment alternative are also identified and briefly discussed. This report may touch upon, but purposely does not address in detail, issues that are programmatic in nature. Examples of these include how the SBW will be classified with respect to the Nuclear Waste Policy Act (NWPA), status of Waste Isolation Pilot Plant (WIPP) permits and waste storage availability, available funding for implementation, stakeholder issues, and State of Idaho Settlement Agreement milestones. It is assumed in this report that the SBW would be classified as a transuranic (TRU) waste suitable for disposal at WIPP, located in New Mexico, after appropriate treatment to meet transportation requirements and waste acceptance criteria (WAC).

  10. Implementation of a production Ada project: The GRODY study

    Science.gov (United States)

    Godfrey, Sara; Brophy, Carolyn Elizabeth

    1989-01-01

    The use of the Ada language and design methodologies that encourage full use of its capabilities have a strong impact on all phases of the software development project life cycle. At the National Aeronautics and Space Administration/Goddard Space Flight Center (NASA/GSFC), the Software Engineering Laboratory (SEL) conducted an experiment in parallel development of two flight dynamics systems in FORTRAN and Ada. The differences observed during the implementation, unit testing, and integration phases of the two projects are described and the lessons learned during the implementation phase of the Ada development are outlined. Included are recommendations for future Ada development projects.

  11. The Implementation Of Solid State Switches In A Parallel Configuration To Gain Output Current Capacity In A High Current Capacitive Discharge Unit (CDU).

    Energy Technology Data Exchange (ETDEWEB)

    Chaves, Mario Paul [Univ. of New Mexico, Albuquerque, NM (United States)

    2017-07-01

    For my project I have selected to research and design a high current pulse system, which will be externally triggered from a 5V pulse. The research will be conducted in the region of paralleling the solid state switches for a higher current output, as well as to see if there will be any other advantages in doing so. The end use of the paralleled solid state switches will be used on a Capacitive Discharge Unit (CDU). For the first part of my project, I have set my focus on the design of the circuit, selection of components, and simulation of the circuit.

  12. Current Status of Integral Medical Study on Endometriosis

    Institute of Scientific and Technical Information of China (English)

    YU Chao-qin (俞超芹); YU Jin (俞瑾)

    2003-01-01

    @@ Endometriosis (EM), an estrogen dependent disease that comes from the planting of endometrial gland and stroma outside the uterine cavity, is characterized by invasiveness, wide planting and liability to relapse. It has been proved by recent studies that the pathogenesis of EM has its genetic background and is closely related with neuro-, endocrino- and immuno-factors. There has been great progress in the treatment of EM, but the clinical effect is not yet satisfactory. Traditional Chinese medicine (TCM) has definitely played its role in EM treatment. In this article, the current status of integral medical study on EM is reviewed.

  13. Robot-assisted and computer-enhanced therapies for children with cerebral palsy: current state and clinical implementation.

    Science.gov (United States)

    Meyer-Heim, Andreas; van Hedel, Hubertus J A

    2013-06-01

    The field of pediatric neurorehabilitation has rapidly evolved with the introduction of technological advancements over recent years. Rehabilitation robotics and computer-assisted systems can complement conventional physiotherapeutics or occupational therapies. These systems appear promising, especially in children, where exciting and challenging virtual reality scenarios could increase motivation to train intensely in a playful therapeutic environment. Despite promising experience and a large acceptance by the patients and parents, so far, only a few therapy systems have been evaluated in children, and well-designed randomized controlled studies in this field are still lacking. This narrative review aims to provide an overview about the to-date robot-assisted and computer-based therapies and the current level of evidence and to share the authors experience about the clinical implication of these new technologies available for children with cerebral palsy.

  14. Implementation of a Matrix Organizational Structure: A Case Study.

    Science.gov (United States)

    Whorton, David M.

    The implementation of a matrix structure as an alternative to the traditional collegial/bureaucratic form at a college of education in a medium-size state university is described. Matrix organizational structures are differentiated from hierarchical bureaucratic structures by dividing the organization's tasks into functional units across which an…

  15. Barriers to Implementing E-Learning: A Kuwaiti Case Study

    Science.gov (United States)

    Ali, Ghadah Essa; Magalhaes, Rodrigo

    2008-01-01

    The paper reports on a research project that encompasses two key objectives: (1) finding out about the barriers affecting or preventing e-learning from being adopted by companies as an integral part of their workforce's training and learning processes and (2) establishing a comparison between the barriers and the e-learning implementation models…

  16. Science Fiction in Education: Case Studies from Classroom Implementations

    Science.gov (United States)

    Vrasidas, Charalambos; Avraamidou, Lucy; Theodoridou, Katerina; Themistokleous, Sotiris; Panaou, Petros

    2015-01-01

    This manuscript reports on findings from the implementation of the EU project "Science Fiction in Education" (Sci-Fi-Ed). The project provides teachers with tools, training, and guidance that will assist them in enhancing their teaching, making science more attractive to students, connecting it with real-life issues such as the…

  17. Determinants of successful telemedicine implementations: a literature study

    NARCIS (Netherlands)

    Broens, Tom H.F.; Huis in 't Veld, Rianne M.H.A.; Vollenbroek-Hutten, Miriam M.R.; Hermens, Hermie J.; Halteren, van Aart; Nieuwenhuis, Lambert J.M.

    2007-01-01

    Telemedicine implementations often remain in the pilot phase and do not succeed in scaling-up to robust products that are used in daily practice. We conducted a qualitative literature review of 45 conference papers describing telemedicine interventions in order to identify determinants that had infl

  18. Implementation science in the real world: a case study of HIV rapid testing.

    Science.gov (United States)

    Knapp, H; Anaya, H D

    2013-01-01

    Implementation science theories offer technical principles for carrying out activities designed to create or improve systems; however, such theories tend not to provide pragmatic or streamlined guidance when it comes to executing the actual implementation. We assembled a streamlined and comprehensive six-step theory-based implementation science model (ADAPTS - Assessment, Deliverables, Activate, Pretraining, Training, Sustainability) derived from the methods we have used to successfully execute multiple self-sustaining implementation efforts within the Veteran's Affairs Healthcare System. This paper provides a case study of our ADAPTS implementation science model, using a complex multisite HIV rapid testing implementation project as an exemplar.

  19. A Model of Microteaching Lesson Study Implementation in the Prospective History Teacher Education

    Science.gov (United States)

    Utami, Indah Wahyu Puji; Mashuri; Nafi'ah, Ulfatun

    2016-01-01

    Microteaching lesson study is a model to improve prospective teacher quality by incorporating several element of microteaching and lesson study. This study concern on the implementation of microteaching lesson study in prospective history teacher education. Microteaching lesson study model implemented in this study consist of three stages: plan,…

  20. Implementing supported self-management for asthma: a systematic review and suggested hierarchy of evidence of implementation studies.

    Science.gov (United States)

    Pinnock, Hilary; Epiphaniou, Eleni; Pearce, Gemma; Parke, Hannah; Greenhalgh, Trish; Sheikh, Aziz; Griffiths, Chris J; Taylor, Stephanie J C

    2015-06-01

    Asthma self-management remains poorly implemented in clinical practice despite overwhelming evidence of improved healthcare outcomes, reflected in guideline recommendations over three decades. To inform delivery in routine care, we synthesised evidence from implementation studies of self-management support interventions. We systematically searched eight electronic databases (1980 to 2012) and research registers, and performed snowball and manual searches for studies evaluating implementation of asthma self-management in routine practice. We included, and adapted systematic review methodology to reflect, a broad range of implementation study designs. We extracted data on study characteristics, process measures (for example, action plan ownership), asthma control (for example, patient reported control questionnaires, days off school/work, symptom-free days) and use of health services (for example, admissions, emergency department attendances, unscheduled consultations). We assessed quality using the validated Downs and Black checklist, and conducted a narrative synthesis informed by Kennedy's whole systems theoretical approach (considering patient, practitioner and organisational components and the interaction between these). We included 18 studies (6 randomised trials, 2 quasi-experimental studies, 8 with historical controls and 3 with retrospective comparators) from primary, secondary, community and managed care settings serving a total estimated asthma population of 800,000 people in six countries. In these studies, targeting professionals (n = 2) improved process, but had no clinically significant effect on clinical outcomes. Targeting patients (n = 6) improved some process measures, but had an inconsistent impact on clinical outcomes. Targeting the organisation (n = 3) improved process measures, but had little/no effect on clinical outcomes. Interventions that explicitly addressed patient, professional and organisational factors (n = 7) showed the most

  1. Design, Analysis and Implementation of a new topology of multi phase synchronous buck converter under current mode control

    Directory of Open Access Journals (Sweden)

    Nittala S K Sastry

    2012-06-01

    Full Text Available This paper presents a new PWM Multi phase DC-DC converter under current mode control with an auxiliary circuit which provides zero voltage switching in order to meet the power supply requirements of the processors of modern electronic equipments like laptops, mobiles, and PDAs etc which require more than 70 A current, lower voltage and better transient response.The multi phase topology benefits in high current, good efficiency and better current transient response. High current multi phase buck converters found applications in advanced data control, solid state lasers, communication equipment and Pentium processors etc. In this paper designed of three phase DC-DC converter 100W, 12V/1V under current mode control is discussed in detail and the simulation results are presented to support the theoretical analysis.

  2. Interorganizational health care systems implementations: an exploratory study of early electronic commerce initiatives.

    Science.gov (United States)

    Payton, F C; Ginzberg, M J

    2001-01-01

    Changing business practices, customers needs, and market dynamics have driven many organizations to implement interorganizational systems (IOSs). IOSs have been successfully implemented in the banking, cotton, airline, and consumer-goods industries, and recently attention has turned to the health care industry. This article describes an exploratory study of health care IOS implementations based on the voluntary community health information network (CHIN) model.

  3. Implementing new product development: A study of personal characteristics among managers

    DEFF Research Database (Denmark)

    Jespersen, Kristina Risom; Bysted, Rune

    2016-01-01

    Strategy implementation is an important aspect of innovation, as only 30% of planned strategies are matched by realised innovation outcomes. The present study investigates this in a setting of strategic implementation of New Product Development (NPD). In the implementation process, the managers...

  4. Qualitative study on the implementation of professional pharmacy services in Australian community pharmacies using framework analysis.

    Science.gov (United States)

    Moullin, Joanna C; Sabater-Hernández, Daniel; Benrimoj, Shalom I

    2016-08-25

    Multiple studies have explored the implementation process and influences, however it appears there is no study investigating these influences across the stages of implementation. Community pharmacy is attempting to implement professional services (pharmaceutical care and other health services). The use of implementation theory may assist the achievement of widespread provision, support and integration. The objective was to investigate professional service implementation in community pharmacy to contextualise and advance the concepts of a generic implementation framework previously published. Purposeful sampling was used to investigate implementation across a range of levels of implementation in community pharmacies in Australia. Twenty-five semi-structured interviews were conducted and analysed using a framework methodology. Data was charted using implementation stages as overarching themes and each stage was thematically analysed, to investigate the implementation process, the influences and their relationships. Secondary analyses were performed of the factors (barriers and facilitators) using an adapted version of the Consolidated Framework for Implementation Research (CFIR), and implementation strategies and interventions, using the Expert Recommendations for Implementing Change (ERIC) discrete implementation strategy compilation. Six stages emerged, labelled as development or discovery, exploration, preparation, testing, operation and sustainability. Within the stages, a range of implementation activities/steps and five overarching influences (pharmacys' direction and impetus, internal communication, staffing, community fit and support) were identified. The stages and activities were not applied strictly in a linear fashion. There was a trend towards the greater the number of activities considered, the greater the apparent integration into the pharmacy organization. Implementation factors varied over the implementation stages, and additional factors were added

  5. Paying research participants: a study of current practices in Australia.

    Science.gov (United States)

    Fry, C L; Ritter, A; Baldwin, S; Bowen, K J; Gardiner, P; Holt, T; Jenkinson, R; Johnston, J

    2005-09-01

    To examine current research payment practices and to inform development of clearer guidelines for researchers and ethics committees. Exploratory email based questionnaire study of current research participant reimbursement practices. A diverse sample of organisations and individuals were targeted. Australia. Contacts in 84 key research organisations and select electronic listservers across Australia. A total of 100 completed questionnaires were received with representations from a variety of research areas (for example, market, alcohol and drug, medical, pharmaceutical and social research). Open-ended and fixed alternative questions about type of research agency; type of research; type of population under study; whether payment is standard; amounts and mechanisms of payment; factors taken into account when deciding on payment practices; and whether payment policies exist. Reimbursement practice is highly variable. Where it occurs (most commonly for drug dependent rather than health professional or general population samples) it is largely monetary and is for time and out-of-pocket expenses. Ethics committees were reported to be often involved in decision making around reimbursement. Research subject payment practices vary in Australia. Researchers who do provide payments to research participants generally do so without written policy and procedures. Ethics committees have an important role in developing guidelines in this area. Specific guidelines are needed considering existing local policies and procedures; payment models and their application in diverse settings; case study examples of types and levels of reimbursement; applied definitions of incentive and inducement; and the rationale for diverse payment practices in different settings.

  6. Quality Management System Implementation at KELTEC-A Case Study

    OpenAIRE

    Aniyan, S.

    2002-01-01

    The scenario of quality is expanding exponentially. In the present-day world, quality is now in the driver's seat. With this globalisation of industrial products, many problems and opportunities have risen, primarily due to inconsistent standards existing in the market. The International Standards Organisation has tried (and seem to be very successful in doing so) to standardise a minimum level of quality norms. These norms act as the foundation to implements total quality management (...

  7. Current Mathematical Methods Used in QSAR/QSPR Studies

    Directory of Open Access Journals (Sweden)

    Peixun Liu

    2009-04-01

    Full Text Available This paper gives an overview of the mathematical methods currently used in quantitative structure-activity/property relationship (QASR/QSPR studies. Recently, the mathematical methods applied to the regression of QASR/QSPR models are developing very fast, and new methods, such as Gene Expression Programming (GEP, Project Pursuit Regression (PPR and Local Lazy Regression (LLR have appeared on the QASR/QSPR stage. At the same time, the earlier methods, including Multiple Linear Regression (MLR, Partial Least Squares (PLS, Neural Networks (NN, Support Vector Machine (SVM and so on, are being upgraded to improve their performance in QASR/QSPR studies. These new and upgraded methods and algorithms are described in detail, and their advantages and disadvantages are evaluated and discussed, to show their application potential in QASR/QSPR studies in the future.

  8. Current management of bronchiectasis: review and 3 case studies.

    Science.gov (United States)

    Silverman, Enid; Ebright, Linda; Kwiatkowski, Marianne; Cullina, Joanne

    2003-01-01

    Bronchiectasis is the abnormal, irreversible dilatation of diseased bronchi. Permanently dilated airways, usually in the medium-sized bronchi, are inflamed and often obstructed with thick, purulent secretions. Known causative factors include postinfection bronchial damage, postinhalation injury, hypersensitivity reactions, and congenital airway obstructive disorders. Typical symptoms include sputum overproduction, fever, pleurisy, dyspnea, and chronic cough. Diagnosis involves radiographic studies and pulmonary function testing. Treatment includes oral, aerosolized, or intravenous antibiotic therapy according to the severity of the exacerbation, and mucus clearance by means of bronchial hygiene assistive devices, chest physiotherapy, postural drainage, and high-frequency chest compression. We present a review of bronchiectasis and offer 3 case studies illustrating current management of different presentations, including use of aerosolized antibiotics for patients infected with Pseudomonas aeruginosa. Although an adjunctive program of pulmonary rehabilitation may be useful for patients with bronchiectasis, no confirming studies have been performed to date, and additional research in this area is warranted.

  9. National study of an early parenting intervention: implementation differences on parent and child outcomes: parenting program implementation.

    Science.gov (United States)

    Nicholson, Jan M; Berthelsen, Donna; Williams, Kate E; Abad, Vicky

    2010-12-01

    Sing & Grow is a 10-week group music therapy intervention to promote positive parenting and child development for marginalized parents of birth to 3-year-old children. This paper examined whether changes from pre to post intervention varied according to implementation site, when the intervention was taken to scale nationally. Outcomes for 850 participants were compared for the site where the program was first established against three new locations; one site where implementation processes were more favorable relative to the other two sites. Overall, the findings provided only limited support for differential outcomes by site of implementation. Participants showed significant improvements in parent-reported parenting and child outcomes from pre to post that were similar across all sites. For clinician-reported outcomes, improvements over time were generally greater in the original site and the well-supported site compared to the sites where there were more implementation difficulties. These differences were partly accounted for by differences in the characteristics of participants receiving programs in different sites and differences in the clinicians' ratings of program quality and the levels of support and training provided. However, confounding by the source of measurement requires cautious interpretation of clinician data. This study further highlights the potential for music therapy as an early parenting intervention, and the need for more rigorous evaluations in this field.

  10. Implementation workshop of WHO guidelines on evaluation of malaria vaccines: Current regulatory concepts and issues related to vaccine quality, Pretoria, South Africa 07 Nov 2014.

    Science.gov (United States)

    Ho, Mei Mei; Baca-Estrada, Maria; Conrad, Christoph; Karikari-Boateng, Eric; Kang, Hye-Na

    2015-08-26

    The current World Health Organization (WHO) guidelines on the quality, safety and efficacy of recombinant malaria vaccines targeting the pre-erythrocytic and blood stages of Plasmodium falciparum were adopted by the WHO Expert Committee on Biological Standardization in 2012 to provide guidance on the quality, nonclinical and clinical aspects of recombinant malaria vaccines. A WHO workshop was organised to facilitate implementation into African (national/regional) regulatory practices, of the regulatory evaluation principles outlined in the guidelines regarding quality aspects. The workshop was used also to share knowledge and experience on regulatory topics of chemistry, manufacturing and control with a focus on vaccines through presentations and an interactive discussion using a case study approach. The basic principles and concepts of vaccine quality including consistency of production, quality control and manufacturing process were presented and discussed in the meeting. By reviewing and practicing a case study, better understanding on the relationship between consistency of production and batch release tests of an adjuvanted pre-erythrocytic recombinant malaria vaccine was reached. The case study exercise was considered very useful to understand regulatory evaluation principles of vaccines and a suggestion was made to WHO to provide such practices also through its Global Learning Opportunities for Vaccine Quality programme.

  11. The Implementation of Lesson Study in English Language Learning: A Case Study

    Directory of Open Access Journals (Sweden)

    Wakhid Nashruddin

    2016-12-01

    Full Text Available Lesson Study as a growing interest in the education world has attracted educators, experts, and professionals in the area to make use of it in improving the lessons—it also happens in Indonesia. Originally applied in the teaching of mathematics in Japan, now it turns to be used in other fields, and English is one of them. This paper highlights the guideline on Lesson Study and pictures its application in a private senior high school in Malang, East Java, Indonesia. The adaptation of Lesson Study is interesting since Japan and Indonesia have different cultural background. How Lesson Study is usually implemented in Japan and the US and how it is applied in Indonesia will be seen here. As this is a case study, it will only focus on a school and the result should not be used to generalize Lesson Study applications in Indonesia. Interview and observation were instruments used in this study. The interview was used to gain information on how Lesson Study was normally conducted and observation (and the researchers’ involvements was used to see the real implementation of Lesson Study. What happened during the implementation of Lesson Study and during the teaching and learning process become a great attention here.

  12. SEMICONDUCTOR INTEGRATED CIRCUITS Design and implementation of adaptive slope compensation in current mode DC—DC converter

    Science.gov (United States)

    Zhongjie, Guo; Longsheng, Wu; Youbao, Liu

    2010-12-01

    To improve the compensation for the inherent instability in a current mode converter, the adaptive slope compensation, giving attention to the problems of the traditional compensation on compensation accuracy, loading capability and turning jitter, is presented. Based on the analysis of current loop, by detecting the input and output voltage, converting the adaptive slope compensation current, the compensation of the current loop is optimized successfully. It can not only improve the compensation accuracy but also eliminate the over compensation, the turning jitter and the poor loading capability in the reported slope compensation. A power supply chip with adaptive slope compensation has been fabricated in a 0.35 μm CMOS process. The measurement results show that the chip starts up and operates steadily with the constant current limit under conditions of 5 V input voltage, from 10% to 100% duty cycle.

  13. Simulation studies of direct-current microdischarges for electric propulsion

    Science.gov (United States)

    Deconinck, Thomas Dominique

    The structure of direct-current microdischarges is investigated using a detailed two-dimensional multi-species continuum model. Microdischarges are direct-current discharges that operate at a relatively high pressure of about 100 Torr and geometric dimensions in the 10-100 micrometer range. Our motivation for the study of microdischarges comes from a potential application of these devices in microthrusters for small satellite propulsion. The Micro Plasma Thruster (MPT) concept consists of a direct-current microdischarge in a geometry comprising a constant area flow section followed by a diverging exit nozzle. A detailed description of the plasma dynamics inside the MPT including power deposition, ionization, coupling of the plasma phenomena with high-speed flow, and propulsion system performance is reported in this study. A two-dimensional model is developed as part of this study. The model consists of a plasma module coupled to a flow module and is solved on a hybrid unstructured mesh framework. The plasma module provides a self-consistent, multi-species, multi-temperature description of the microdischarge phenomena while the flow module provides a description of the low Reynolds number compressible flow through the system. The plasma module solves conservation equations for plasma species continuity and electron energy, and Poisson's equation for the self-consistent electric field. The flow module solves mass, bulk gas momentum and energy equations. The coupling of energy from the electrostatic field to the plasma species is modeled by the Joule heating term which appears in the electron and heavy species energy equations. Discretization of the Joule heating term on unstructured meshes requires special attention. We propose a new robust method for the numerical discretization of the Joule heating term on such meshes using a cell-centered, finite volume approach. A prototypical microhollow cathode discharge (MHCD) is studied to guide and validate the modeling

  14. The SeaWiFS Bio-Optical Archive and Storage System (SeaBASS): Current Architecture and Implementation

    Science.gov (United States)

    Werdell, P. Jeremy; Fargion, Giulietta S. (Editor); McClain, Charles R. (Editor); Bailey, Sean W.

    2002-01-01

    Satellite ocean color missions require an abundance of high-quality in situ measurements for bio-optical and atmospheric algorithm development and post-launch product validation and sensor calibration. To facilitate the assembly of a global data set, the NASA Sea-viewing Wide Field-of-view (SeaWiFS) Project developed the Seafaring Bio-optical Archive and Storage System (SeaBASS), a local repository for in situ data regularly used in their scientific analyses. The system has since been expanded to contain data sets collected by the NASA Sensor Intercalibration and Merger for Biological and Interdisciplinary Oceanic Studies (SIMBIOS) Project, as part of NASA Research Announcements NRA-96-MTPE-04 and NRA-99-OES-99. SeaBASS is a well moderated and documented hive for bio-optical data with a simple, secure mechanism for locating and extracting data based on user inputs. Its holdings are available to the general public with the exception of the most recently collected data sets. Extensive quality assurance protocols, comprehensive data and system documentation, and the continuation of an archive and relational database management system (RDBMS) suitable for bio-optical data all contribute to the continued success of SeaBASS. This document provides an overview of the current operational SeaBASS system.

  15. Current Conceptual Challenges in the Study of Rhythm Processing Deficits

    Directory of Open Access Journals (Sweden)

    Pauline eTranchant

    2015-06-01

    Full Text Available Interest in the study of rhythm processing deficits (RPD is currently growing in the cognitive neuroscience community, as this type of investigation constitutes a powerful tool for the understanding of normal rhythm processing. Because this field is in its infancy, it still lacks a common conceptual vocabulary to facilitate effective communication between different researchers and research groups. In this commentary, we provide a brief review of recent reports of RPD through the lens of one important empirical issue: the method by which beat perception is measured, and the consequences of method selection for the researcher’s ability to specify which mechanisms are impaired in RPD. This critical reading advocates for the importance of matching measurement tools to the putative neurocognitive mechanisms under study, and reveals the need for effective and specific assessments of the different aspects of rhythm perception and synchronization.

  16. Surface integral formulation of Maxwell's equations for simulation of non-destructive testing by eddy currents. Preliminary study on the implementation of the fast multipole method; Formulation integrale surfacique des equations de Maxwell pour la simulation de controles non destructifs par courant de Foucault. Etude preliminaire a la mise en oeuvre de la methode multipole rapide.

    Energy Technology Data Exchange (ETDEWEB)

    Lim, T.

    2011-04-28

    To simulate numerically a non-destructive by eddy current testing (NDT-CF), the sensor response can be modeled through a semi-analytical approach by volume integral equations. Faster than the finite element method, this approach is however restricted to the study of plane or cylindrical parts (without taking into account the edge effects) because of the complexity of the expression of the dyadic Green function for more general configurations. However, there is an industrial demand to extend the capabilities of the CF model in complex configurations (deformed plates, edges effects...). We were thus brought to formulate the electromagnetic problem differently, by setting ourselves the goal of maintaining a semi-analytical approach. The surface integral equation (SIE) expresses the volume problem by an equivalent transmission one at the interfaces (2D) between homogeneous sub-domains. This problem is approached by a linear system (by the method of moments), whose number of unknowns is reduced due to the nature of the surfacic mesh. Therefore, this system can be solved by a direct solver for small configurations. That enabled us to treat several various positions of the sensor for only one inversion of the impedance matrix. The numerical results obtained using this formulation involve plates with consideration of edge effects such as edge and corner. They are consistent with results obtained by the finite element method. For larger configurations, we conducted a preliminary study for the adaptation of an acceleration method of the matrix vector product involved in an iterative solver (fast multipole method or FMM) to define the conditions under which the FMM calculation works correctly (accuracy, convergence...) in the NDT's domain. A special attention has been given to the choice of basis functions (which have to satisfy an Hdiv conforming property) and on the evaluation of near interactions (which are weakly singular). (author) [French] Pour simuler

  17. CURRENT STUDY ON THE FUNDING SOURCES COVERAGE OF CURRENT ASSETS TO COMPANIES LISTED ON THE BUCHAREST STOCK EXCHANGE

    Directory of Open Access Journals (Sweden)

    Teodor HADA

    2014-06-01

    Full Text Available This paper presents issues about the coverage with financing sources of current assets for 64 companies listed on the Bucharest Stock Exchange. The aim of the study is to see how to calculate indicators specific to current assets and the general framework offered as whole analysis of the financing sources of current assets. The introduction of the paper presents the objective, the research methodology and the novelties brought by this study. Further on, this study shows the various views of the authors about the concept of "current assets", financing sources of current assets, the calculation of net working capital, setting the limits of the normal working capital and determining the speed of rotation. After that was done, based on the theory, a case study was performed, for companies covered in this study. Conclusions focused on determining the final data about what was detailed in the previous paragraphs.

  18. Implementation of Organizational Change in the Air Force: a Case Study

    Science.gov (United States)

    1989-09-01

    ve) Lfl DTIC &’ELECTE IMPLEMENTATION OF ORGANIZATIONAL CHANGE IN THE AIR FORCE: A CASE STUDY THESIS Ronald D. Taylor First Lieutenant, USAF AFIT/GLM...022 AFIT/GLM/LSR/89S-66 IMPLEMENTATION OF ORGANIZATIONAL CHANGE IN THE AIR FORCE: A CASE STUDY THESIS Ronald D. Taylor First Lieutenant, USAF AFIT/GLM...Department of Defense. AFIT/GLM/LSR/89S-66 IMPLEMENTATION OF ORGANIZATIONAL CHANGE IN THE AIR FORCE: A CASE STUDY THESIS Presented to the Faculty of the

  19. Experimental study of blockage of monochromatic waves by counter currents

    NARCIS (Netherlands)

    Suastika, I.K.

    1999-01-01

    Blockage of waves by a current can occur if waves are propagating on a spatially varying opposing current in which the velocity is increasing in the wave propagation direction. The ongoing waves become shorter and steeper while they are propagating against the current. Blocking occurs at the

  20. Study protocol for "Study of Practices Enabling Implementation and Adaptation in the Safety Net (SPREAD-NET)": a pragmatic trial comparing implementation strategies.

    Science.gov (United States)

    Gold, Rachel; Hollombe, Celine; Bunce, Arwen; Nelson, Christine; Davis, James V; Cowburn, Stuart; Perrin, Nancy; DeVoe, Jennifer; Mossman, Ned; Boles, Bruce; Horberg, Michael; Dearing, James W; Jaworski, Victoria; Cohen, Deborah; Smith, David

    2015-10-16

    Little research has directly compared the effectiveness of implementation strategies in any setting, and we know of no prior trials directly comparing how effectively different combinations of strategies support implementation in community health centers. This paper outlines the protocol of the Study of Practices Enabling Implementation and Adaptation in the Safety Net (SPREAD-NET), a trial designed to compare the effectiveness of several common strategies for supporting implementation of an intervention and explore contextual factors that impact the strategies' effectiveness in the community health center setting. This cluster-randomized trial compares how three increasingly hands-on implementation strategies support adoption of an evidence-based diabetes quality improvement intervention in 29 community health centers, managed by 12 healthcare organizations. The strategies are as follows: (arm 1) a toolkit, presented in paper and electronic form, which includes a training webinar; (arm 2) toolkit plus in-person training with a focus on practice change and change management strategies; and (arm 3) toolkit, in-person training, plus practice facilitation with on-site visits. We use a mixed methods approach to data collection and analysis: (i) baseline surveys on study clinic characteristics, to explore how these characteristics impact the clinics' ability to implement the tools and the effectiveness of each implementation strategy; (ii) quantitative data on change in rates of guideline-concordant prescribing; and (iii) qualitative data on the "how" and "why" underlying the quantitative results. The outcomes of interest are clinic-level results, categorized using the Reach, Effectiveness, Adoption, Implementation, Maintenance (RE-AIM) framework, within an interrupted time-series design with segmented regression models. This pragmatic trial will compare how well each implementation strategy works in "real-world" practices. Having a better understanding of how different

  1. Optical timing studies of isolated neutron stars: Current Status

    CERN Document Server

    Mignani, R P

    2010-01-01

    Being fast rotating objects, Isolated Neutron Stars (INSs) are natural targets for high-time resolution observations across the whole electromagnetic spectrum. With the number of objects detected at optical (plus ultraviolet and infrared) wavelengths now increased to 24, high-time resolution observations of INSs at these wavelengths are becoming more and more important. While classical rotation-powered radio pulsars, like the Crab and Vela pulsars, have been the first INSs studied at high-time resolution in the optical domain, observations performed in the last two decades have unveiled potential targets in other types of INSs which are not rotation powered, although their periodic variability is still related to the neutron star rotation. In this paper I review the current status of high-time resolution observations of INSs in the optical domain for different classes of objects: rotation-powered pulsars, magnetars, thermally emitting neutron stars, and rapid radio transients, I describe their timing properti...

  2. Numerical Study on the Bifurcation of the North Equatorial Current

    Institute of Scientific and Technical Information of China (English)

    LIU Yulong; WANG Qi; SONG Jun; ZHU Xiande; GONG Xiaoqing; WU Fang

    2011-01-01

    A 1.5-layer reduced-gravity model forced by wind stress is used to study the bifurcations of the North Equatorial Current (NEC).The authors found that after removing the Ekman drift,the modelled circulations can serve well as a proxy of the SODA circulations on the σθ=25.0kgm-3 potential density surface based on available long-term reanalysis wind stress data.The modelled results show that the location of the western boundary bifurcation of the NEC depends on both zonal averaged and local zero wind stress curl latitude.The effects of the anomalous wind stress curl added in different areas are also investigated and it is found that they can change the strength of the Mindanao Eddy (ME),and then influence the interior pathway.

  3. Predicting implementation from organizational readiness for change: a study protocol.

    Science.gov (United States)

    Helfrich, Christian D; Blevins, Dean; Smith, Jeffrey L; Kelly, P Adam; Hogan, Timothy P; Hagedorn, Hildi; Dubbert, Patricia M; Sales, Anne E

    2011-07-22

    There is widespread interest in measuring organizational readiness to implement evidence-based practices in clinical care. However, there are a number of challenges to validating organizational measures, including inferential bias arising from the halo effect and method bias - two threats to validity that, while well-documented by organizational scholars, are often ignored in health services research. We describe a protocol to comprehensively assess the psychometric properties of a previously developed survey, the Organizational Readiness to Change Assessment. Our objective is to conduct a comprehensive assessment of the psychometric properties of the Organizational Readiness to Change Assessment incorporating methods specifically to address threats from halo effect and method bias. We will conduct three sets of analyses using longitudinal, secondary data from four partner projects, each testing interventions to improve the implementation of an evidence-based clinical practice. Partner projects field the Organizational Readiness to Change Assessment at baseline (n = 208 respondents; 53 facilities), and prospectively assesses the degree to which the evidence-based practice is implemented. We will conduct predictive and concurrent validities using hierarchical linear modeling and multivariate regression, respectively. For predictive validity, the outcome is the change from baseline to follow-up in the use of the evidence-based practice. We will use intra-class correlations derived from hierarchical linear models to assess inter-rater reliability. Two partner projects will also field measures of job satisfaction for convergent and discriminant validity analyses, and will field Organizational Readiness to Change Assessment measures at follow-up for concurrent validity (n = 158 respondents; 33 facilities). Convergent and discriminant validities will test associations between organizational readiness and different aspects of job satisfaction: satisfaction with leadership

  4. Predicting implementation from organizational readiness for change: a study protocol

    Directory of Open Access Journals (Sweden)

    Kelly P Adam

    2011-07-01

    Full Text Available Abstract Background There is widespread interest in measuring organizational readiness to implement evidence-based practices in clinical care. However, there are a number of challenges to validating organizational measures, including inferential bias arising from the halo effect and method bias - two threats to validity that, while well-documented by organizational scholars, are often ignored in health services research. We describe a protocol to comprehensively assess the psychometric properties of a previously developed survey, the Organizational Readiness to Change Assessment. Objectives Our objective is to conduct a comprehensive assessment of the psychometric properties of the Organizational Readiness to Change Assessment incorporating methods specifically to address threats from halo effect and method bias. Methods and Design We will conduct three sets of analyses using longitudinal, secondary data from four partner projects, each testing interventions to improve the implementation of an evidence-based clinical practice. Partner projects field the Organizational Readiness to Change Assessment at baseline (n = 208 respondents; 53 facilities, and prospectively assesses the degree to which the evidence-based practice is implemented. We will conduct predictive and concurrent validities using hierarchical linear modeling and multivariate regression, respectively. For predictive validity, the outcome is the change from baseline to follow-up in the use of the evidence-based practice. We will use intra-class correlations derived from hierarchical linear models to assess inter-rater reliability. Two partner projects will also field measures of job satisfaction for convergent and discriminant validity analyses, and will field Organizational Readiness to Change Assessment measures at follow-up for concurrent validity (n = 158 respondents; 33 facilities. Convergent and discriminant validities will test associations between organizational readiness and

  5. IMPLEMENTATION AND STUDY OF BLDC MOTOR DRIVE SYSTEM

    OpenAIRE

    2016-01-01

    The BLDC motor  is an electronically commutated dc motor becoming very popular in many applications. There are various speed control methods used for BLDC motor. The performance of BLDC motor drives can be improved using sensored control techniques over sensorless technology. This paper presents Brushless Direct Current motor drive system and its sensored speed control technique with PWM.  Advantages and limitations of sensorless techniques are reviewed and then, sensored speed cont...

  6. COBIT 5 Implementation COBIT 5 Case Study in Aetna Inc.

    OpenAIRE

    Buenaire Zambrano, Tammy

    2017-01-01

    Nowadays, the significance of information and the pervasiveness of information technology – IT are increasingly widespread within every aspect of business environment and of public life. They become key resources for the companies within the governance1 and management. So that the governance of enterprise IT – GEIT is currently considered as integral part of governance. GEIT mainly focuses on the benefit realization, risk optimization and resource optimization while establishing that the curr...

  7. Implementing Intranet 2.0: A Study of Knowledge Requirements for External Consultants in Enterprise Systems

    OpenAIRE

    Hustad, Eli; Vikstøl, Thomas

    2014-01-01

    This paper reports on a case study focusing on intranet implementation projects seen from a consultancy lens. SharePoint is an Intranet 2.0 platform which is a user-centric system based on functionalities adapted from Web 2.0 technologies. Intranet implementation projects are accompanied by a complex socio-technical organizational environment, and require changes in organizational structure and culture. While former studies mainly have focused on challenges seen from the implementing organiza...

  8. Development, implementation and preliminary study of a PDA-based tuberculosis result collection system.

    Science.gov (United States)

    Blaya, Joaquin; Fraser, Hamish S F

    2006-01-01

    Partners In Health (PIH) and its sister organization in Lima, Peru, Socios En Salud (SES), treat a majority of multidrug-resistant tuberculosis (MDR-TB) patients in Peru, in conjunction with the Peruvian National TB Program (NTP). Monthly bacteriology tests, which must be collected from health establishments located across this major city, are an integral part of this treatment. Currently, a SES employee visits each health establishment to collect this information by hand, process it and type it into an electronic medical record system (PIH-EMR). In this paper, we describe the development and implementation of a personal digital assistant (PDA)-based electronic system to collect, verify and upload monthly bacteriology data into the PIH-EMR. After an initial implementation period, we performed a pilot study to test the use of this system. We completed a baseline assessment in two health districts and then implemented the electronic system in one of the districts while the control site continued to use the paper-based system during the same period. The PDA-based system had a processing time of 6.2 days, significantly lower than measurements for both the baseline [54.8] and control sites [64.4] (both p<0.0001). It was also able to reduce the frequency of discrepancy from 10.1% to 2.8% (p<0.0001) and receive positive feedback from the users. Finally, the system's cost would be recuperated in three months from time savings due to increased work efficiency. This system will be the subject of a larger study to determine its impact on delays, errors and costs.

  9. Development, implementation and preliminary study of a PDA-based bacteriology collection system

    Science.gov (United States)

    Blaya, Joaquin; Fraser, Hamish SF

    2006-01-01

    Partners In Health (PIH) and its sister organization in Lima, Peru, Socios En Salud (SES), treat a majority of multidrug-resistant tuberculosis (MDR-TB) patients in Peru, in conjunction with the Peruvian National TB Program (NTP). Monthly bacteriology tests, which must be collected from health establishments located across this major city, are an integral part of this treatment. Currently, a SES employee visits each health establishment to collect this information by hand, process it and type it into an electronic medical record system (PIH-EMR). In this paper, we describe the development and implementation of a personal digital assistant (PDA)-based electronic system to collect, verify and upload monthly bacteriology data into the PIH-EMR. After an initial implementation period, we performed a pilot study to test the use of this system. We completed a baseline assessment in two health districts and then implemented the electronic system in one of the districts while the control site continued to use the paper-based system during the same period. The PDA-based system had a processing time of 6.2 days, significantly lower than measurements for both the baseline [54.8] and control sites [64.4] (both p<0.0001). It was also able to reduce the frequency of discrepancy from 10.1% to 2.8% (p<0.0001) and receive positive feedback from the users. Finally, the system’s cost would be recuperated in three months from time savings due to increased work efficiency. This system will be the subject of a larger study to determine its impact on delays, errors and costs. PMID:17238299

  10. Public Service Quality and Building Coordinated Policy: An Analytical Study of Jamkesmas And Jamkesda Implementation

    Directory of Open Access Journals (Sweden)

    Hevi Kurnia Hardini

    2013-08-01

    Full Text Available This study will examine the implementation of Jamkesmas (Jaminan Kesehatan Masyarakat-Health Insurance Scheme for People and Jamkedsa (Jaminan Kesehatan Masyarakat Daerah-Health Insurance Scheme for Local People. Both are inno-vative policies in term of health financing, since they reflect more the spirit of insurance compared to the previous policies which were merely about financial aid. However, these policies do not reflect the ideals of policy coordination. Several theoretical reviews about social health insurance are applied to figure out the spirit of Indonesian health insurance socio-logically and culturally. The Colebatch’s framework of vertical and horizontal dimensions of policy is used as the main tool of analysis for measuring whether both Jamkesmas and Jamkesda are categorized as coordinated policies or not. Qualitative research approach is used as the method in order to gain in-depth information about the current polemic of Jamkesmas and Jamkesda implementations. Qualitative analysis method is applied during the process of analysis. The secondary data will be collected, sorted, coded and analyzed. Those several steps aim to cross check the validity of each data for answering the research questions. The result of this study shows that Jamkesmas and Jamkedsa lack of coordination during the process of policy making which has led to complicated problems at the implementation stage namely: the lawsuit/multiple interpretations of the law, unstructured policy stages at the vertical level, complicated problems at horizontal stages and conflict among institutional governments. Moreover, the nature of policy coordination in Indonesia is still reactive. This fact causes policy inconsistency which has the effect of law uncertainty and poor quality of public services.

  11. Experimental Study on Current-Driven Domain Wall Motion

    Science.gov (United States)

    Ono, T.; Yamaguchi, A.; Tanigawa, H.; Yano, K.; Kasai, S.

    2006-06-01

    Current-driven domain wall (DW) motion for a well-defined single DW in a micro-fabricated magnetic wire with submicron width was investigated by real-space observation with magnetic force microscopy. Magnetic force microscopy visualizes that a single DW introduced in a wire is displaced back and forth by positive and negative pulsed-current, respectively. Effect of the Joule heating, reduction of the threshold current density by shape control, and magnetic ratchet effect are also presented.

  12. Study of toroidal current penetration during current ramp in JIPP T-IIU with fast response Zeeman polarimeter

    Energy Technology Data Exchange (ETDEWEB)

    Kuramoto, H.; Hiraki, N. [Kyushu Inst. of Tech., Kitakyushu, Fukuoka (Japan); Toi, K. [and others

    1997-01-01

    The toroidal current penetration is studied in current ramp experiments of the JIPP T-IIU tokamak. The poloidal magnetic field profile in the peripheral region of a plasma (0.5 {<=} {rho} {<=} 1.0) has been measured directly with a newly developed fast response Zeeman polarimeter. The experimental results indicate that an obvious skin effect of toroidal current density is clearly observed during both the current ramp-up and ramp-down experiments. The experimentally obtained toroidal current density profiles are well described by the profiles calculated on the assumption of the neoclassical electrical conductivity. Quasi-linear {Delta}`-analysis of tearing modes for the measured current density profile is consistent with time behaviour of coherent MHD modes such as m=4/n=1 or m=3/n=1 (m: poloidal mode number, n: toroidal mode number) often observed during the current ramp-up phase. The effect of these MHD modes on current penetration during the current ramp-up discharges is studied. (author)

  13. Current state of the hydrothermal geochemistry studies at Cerro Prieto

    Energy Technology Data Exchange (ETDEWEB)

    Fausto L, J.J.; Jimenez S, M.E.; Esquer P, I.

    1981-01-01

    The current state of hydrothermal geochemistry studies being carried out at the field are reported. These studies are based on the results of chemical analysis of water samples collected during 1979 and 1980 at the geothermal wells of the area known as Cerro Prieto I, as well as from those located in the Cerro Prieto II and Cerro Prieto III areas, some of which have only recently started flowing. Data are presented on the chemical variations of the main chemical constituents dissolved in the waters, as well as on the Na/K and Na-K-Ca chemical relations and the temperatures calculated from them and from SiO/sub 2/. Fluid recharge into the reservoir and its direction of flow are interpreted from isotherm contour maps of the field prepared from Na/K and Na-K-Ca geothermometry and from concentration contour maps of some of the main chemical constituents. Well M-43 is discussed as an example of a well affected by well completion problems in its production casing. Its behavior is explained on the basis of the chemical characteristics of the produced water. The chemical changes that have taken place in some of the wells during production are explained by correlating the chemistry with the production mechanisms of the well (steam-water production rates).

  14. Current Advances in the Metabolomics Study on Lotus Seeds.

    Science.gov (United States)

    Zhu, Mingzhi; Liu, Ting; Guo, Mingquan

    2016-01-01

    Lotus (Nelumbo nucifera), which is distributed widely throughout Asia, Australia and North America, is an aquatic perennial that has been cultivated for over 2,000 years. It is very stimulating that almost all parts of lotus have been consumed as vegetable as well as food, especially the seeds. Except for the nutritive values of lotus, there has been increasing interest in its potential as functional food due to its rich secondary metabolites, such as flavonoids and alkaloids. Not only have these metabolites greatly contributed to the biological process of lotus seeds, but also have been reported to possess multiple health-promoting effects, including antioxidant, anti-amnesic, anti-inflammatory, and anti-tumor activities. Thus, comprehensive metabolomic profiling of these metabolites is of key importance to help understand their biological activities, and other chemical biology features. In this context, this review will provide an update on the current technological platforms, and workflow associated with metabolomic studies on lotus seeds, as well as insights into the application of metabolomics for the improvement of food safety and quality, assisting breeding, and promotion of the study of metabolism and pharmacokinetics of lotus seeds; meanwhile it will also help explore new perspectives and outline future challenges in this fast-growing research subject.

  15. Solar cycle in current reanalyses: (nonlinear attribution study

    Directory of Open Access Journals (Sweden)

    A. Kuchar

    2014-12-01

    Full Text Available This study focusses on the variability of temperature, ozone and circulation characteristics in the stratosphere and lower mesosphere with regard to the influence of the 11 year solar cycle. It is based on attribution analysis using multiple nonlinear techniques (Support Vector Regression, Neural Networks besides the traditional linear approach. The analysis was applied to several current reanalysis datasets for the 1979–2013 period, including MERRA, ERA-Interim and JRA-55, with the aim to compare how this type of data resolves especially the double-peaked solar response in temperature and ozone variables and the consequent changes induced by these anomalies. Equatorial temperature signals in the lower and upper stratosphere were found to be sufficiently robust and in qualitative agreement with previous observational studies. The analysis also pointed to the solar signal in the ozone datasets (i.e. MERRA and ERA-Interim not being consistent with the observed double-peaked ozone anomaly extracted from satellite measurements. Consequently the results obtained by linear regression were confirmed by the nonlinear approach through all datasets, suggesting that linear regression is a relevant tool to sufficiently resolve the solar signal in the middle atmosphere. Furthermore, the seasonal dependence of the solar response was also discussed, mainly as a source of dynamical causalities in the wave propagation characteristics in the zonal wind and the induced meridional circulation in the winter hemispheres. The hypothetical mechanism of a weaker Brewer Dobson circulation was reviewed together with discussion of polar vortex stability.

  16. Solar cycle in current reanalyses: (non)linear attribution study

    Science.gov (United States)

    Kuchar, A.; Sacha, P.; Miksovsky, J.; Pisoft, P.

    2014-12-01

    This study focusses on the variability of temperature, ozone and circulation characteristics in the stratosphere and lower mesosphere with regard to the influence of the 11 year solar cycle. It is based on attribution analysis using multiple nonlinear techniques (Support Vector Regression, Neural Networks) besides the traditional linear approach. The analysis was applied to several current reanalysis datasets for the 1979-2013 period, including MERRA, ERA-Interim and JRA-55, with the aim to compare how this type of data resolves especially the double-peaked solar response in temperature and ozone variables and the consequent changes induced by these anomalies. Equatorial temperature signals in the lower and upper stratosphere were found to be sufficiently robust and in qualitative agreement with previous observational studies. The analysis also pointed to the solar signal in the ozone datasets (i.e. MERRA and ERA-Interim) not being consistent with the observed double-peaked ozone anomaly extracted from satellite measurements. Consequently the results obtained by linear regression were confirmed by the nonlinear approach through all datasets, suggesting that linear regression is a relevant tool to sufficiently resolve the solar signal in the middle atmosphere. Furthermore, the seasonal dependence of the solar response was also discussed, mainly as a source of dynamical causalities in the wave propagation characteristics in the zonal wind and the induced meridional circulation in the winter hemispheres. The hypothetical mechanism of a weaker Brewer Dobson circulation was reviewed together with discussion of polar vortex stability.

  17. Identification of factors that support successful implementation of care bundles in the acute medical setting: a qualitative study.

    Science.gov (United States)

    Green, Stuart A; Bell, Derek; Mays, Nicholas

    2017-02-07

    Clinical guidelines offer an accessible synthesis of the best evidence of effectiveness of interventions, providing recommendations and standards for clinical practice. Many guidelines are relevant to the diagnosis and management of the acutely unwell patient during the first 24-48 h of admission. Care bundles are comprised of a small number of evidence-based interventions that when implemented together aim to achieve better outcomes than when implemented individually. Care bundles that are explicitly developed from guidelines to provide a set of related evidence-based actions have been shown to improve the care of many conditions in emergency, acute and critical care settings. This study aimed to review the implementation of two distinct care bundles in the acute medical setting and identify the factors that supported successful implementation. Two initiatives that had used a systematic approach to quality improvement to successfully implement care bundles within the acute medical setting were selected as case studies. Contemporaneous data generated during the initiatives included the review reports, review minutes and audio recordings of the review meetings at different time points. Data were subject to deductive analysis using three domains of the Consolidated Framework for Implementation Research to identify factors that were important in the implementation of the care bundles. Several factors were identified that directly influenced the implementation of the care bundles. Firstly, the availability of resources to support initiatives, which included training to develop quality improvement skills within the team and building capacity within the organisation more generally. Secondly, the perceived sustainability of changes by stakeholders influenced the embedding new care processes into existing clinical systems, maximising their chance of being sustained. Thirdly, senior leadership support was seen as critical not just in supporting implementation but also in

  18. A Study of the Impact of Implementing 5s on Efficiency and Effectiveness of Constabularies' Workers

    Directory of Open Access Journals (Sweden)

    Milad Aghaee

    2013-01-01

    Full Text Available IntroductionPeople always seek ways for improving and using optimally the current facilities which are available. KAIZEN is a Japanese expression which means improvement. In fact, KAIZEN is a continuous improvement which encompasses all people, managers and employees alike, and its philosophy is based on continuous improvement in lifestyle of human beings. Like an umbrella, KAIZEN encompasses all principles for moving to promotion and organizational excellence. 5s is one of these principles, which is an abbreviation for 5 Japanese values, including a set of standards and activities directed at creating a systemic, clean, enjoyable and creative environment. What causes 5s to be included in KAIZEN is implementation of changes and having small but continuous improvements; an improvement which keeps business in competition and helps increase the competitive power of the organization to perform effective and efficient improvements. This research aims to consider the impact of 5s on the efficiency and effectiveness of police forces. In other words, this research is based on considering the relationships between 5s and police force efficiency and effectiveness. Material & MethodsThis research examines a new conceptual model using scientific resources. This is a practical research from the point of its goal. Also, it is a descriptive and survey research which considers the impact of one variable on other variables. So, two groups from two constabularies were selected and a special educational course was implemented relating to the main topic of the research (5s implementation for workers of these constabularies. The data of research were analyzed using SPSS software. Statistical society of this research include all employees in 134 and 140 of the Great Tehran Police Commanding Center. The volume of sample is selected by KOKRAN formula which is a sample volume determination technique. Totally, 132 individuals were chosen from police forces for

  19. Particle Image Velocimetry Study of Density Current Fronts

    Science.gov (United States)

    Martin, Juan Ezequiel

    2009-01-01

    Gravity currents are flows that occur when a horizontal density difference causes fluid to move under the action of gravity; density currents are a particular case, for which the scalar causing the density difference is conserved. Flows with a strong effect of the horizontal density difference, even if only partially driven by it--such as the…

  20. Rural health professionals' experiences in implementing advance care planning: a focus group study.

    Science.gov (United States)

    Fletcher, Sophie; Sinclair, Craig; Rhee, Joel; Goh, Desiree; Auret, Kirsten

    2015-09-02

    Advance care planning (ACP) is described as an ongoing discussion between a patient, their family and healthcare professionals (HCPs) to understand a patient's wishes for future health care. Legislation supporting ACP in Western Australia is relatively new and HCPs are still learning about the process and implementation. This study aimed to provide a rich description of rural health professionals' perceptions and experiences with ACP within the context of their professional role and to identify systemic issues and training needs. Ten focus groups were conducted throughout 2014 with a total of 55 rural participants including general practitioners (n = 15), general practice registrars (n = 6), practice nurses (n = 18), community nurses (n = 4) and hospital nurses (n = 12) in the south-western regions of Western Australia. Thematic analysis has identified the following themes regarding ACP: benefits to patients and families; professional roles in ACP; barriers and enablers; and systems for communicating ACP. HCPs have self-determined their roles in the ACP process, which currently leaves some components of the process unaccounted for, suggesting that collaboration between HCPs working together in a rural health setting and a standardised system for distributing these documents may assist with the implementation of ACP.

  1. A Case Study: Implementing an Interactive Video Instruction System in Teaching Electronics and Industrial Maintenance.

    Science.gov (United States)

    Shipe, Ron; And Others

    A study examined the development and implementation of an interactive video instruction system for teaching electronics and industrial maintenance at the University of Tennessee. The specific purposes of the study were to document unusual problems that may be encountered when this new technology is implemented, suggest corrective actions, and…

  2. Proposal for a holistic research approach to studying the implementation of IT

    DEFF Research Database (Denmark)

    Wit, Camilla Kølsen de

    The paper is a proposal to how we can study the work process of implementing IT in radical organizational innovation projects through the use of the Critical Incident Technique (CIT).......The paper is a proposal to how we can study the work process of implementing IT in radical organizational innovation projects through the use of the Critical Incident Technique (CIT)....

  3. Implementation of an Effective Fault Current Limiter for 1.5 MW DFIG in Wind Power Systems

    Directory of Open Access Journals (Sweden)

    M. Panneerselvam

    2014-05-01

    Full Text Available With the continuous increase of power demand, the capacities of renewable energy generation systems are being expanded. With the increased penetration of wind energy as a renewable energy source, there is a need to keep wind turbines connected to the grid during grid faults. The ability of WTGS (Wind Turbine Generation System to remain connected to the grid during faults is termed as Fault-Ride Through capability (FRT of the system. In this paper, the use of superconducting fault current limiter (SFCL is proposed to improve the FRT capability of WTGS thus improving reliability of the system. A Doubly-Fed Induction Generator (DFIG is considered as a wind-turbine generator for analysis. Detailed simulation results are obtained with and without SFCL considering the stator and rotor currents. Also, the voltage profile, real and reactive power magnitudes are analyzed. The computed results ensure that SFCL is effective in mitigating the fault current magnitude which would enhance the reliability and stability of the system as a whole.

  4. Implementing RDA Data Citation Recommendations: Case Study in South Africa

    Science.gov (United States)

    Hugo, Wim

    2016-04-01

    SAEON operates a shared research data infrastructure for its own data sets and for clients and end users in the Earth and Environmental Sciences domain. SAEON has a license to issue Digital Object Identifiers via DataCite on behalf of third parties, and have recently concluded development work to make a universal data deposit, description, and DOI minting facility available. This facility will be used to develop a number of end user gateways, including DataCite South Africa (in collaboration with National Research Foundation and addressing all grant-funded research in the country), DIRISA (Data-intensive Research Infrastructure for South Africa - in collaboration with Meraka Institute and Department of Science and Technology), and SASDI (South African Spatial Data Infrastructure). The RDA recently published Data Citation Recommendations [1], and this was used as a basis for specification of Digital Object Identifier implementation, raising two significant challenges: 1. Synchronisation of frequently harvested meta-data sets where version management practice did not align with the RDA recommendations, and 2. Handling sub-sets of and queries on large, continuously updated data sets. In the first case, we have developed a set of tests that determine the logical course of action when discrepancies are found during synchronization, and we have incorporated these into meta-data harvester configurations. Additionally, we have developed a state diagram and attendant workflow for meta-data that includes problem states emanating from DOI management, reporting services for data depositors, and feedback to end users in respect of synchronisation issues. In the second case, in the absence of firm guidelines from DataCite, we are seeking community consensus and feedback on an approach that caches all queries performed and subsets derived from data, and provide these with anchor-style extensions linked to the dataset's original DOI. This allows extended DOIs to resolve to a meta

  5. Study on electrical current variations in electromembrane extraction process: Relation between extraction recovery and magnitude of electrical current.

    Science.gov (United States)

    Rahmani, Turaj; Rahimi, Atyeh; Nojavan, Saeed

    2016-01-15

    This contribution presents an experimental approach to improve analytical performance of electromembrane extraction (EME) procedure, which is based on the scrutiny of current pattern under different extraction conditions such as using different organic solvents as supported liquid membrane, electrical potentials, pH values of donor and acceptor phases, variable extraction times, temperatures, stirring rates, different hollow fiber lengths and the addition of salts or organic solvents to the sample matrix. In this study, four basic drugs with different polarities were extracted under different conditions with the corresponding electrical current patterns compared against extraction recoveries. The extraction process was demonstrated in terms of EME-HPLC analyses of selected basic drugs. Comparing the obtained extraction recoveries with the electrical current patterns, most cases exhibited minimum recovery and repeatability at the highest investigated magnitude of electrical current. . It was further found that identical current patterns are associated with repeated extraction efficiencies. In other words, the pattern should be repeated for a successful extraction. The results showed completely different electrical currents under different extraction conditions, so that all variable parameters have contributions into the electrical current pattern. Finally, the current patterns of extractions from wastewater, plasma and urine samples were demonstrated. The results indicated an increase in the electrical current when extracting from complex matrices; this was seen to decrease the extraction efficiency.

  6. Thermally stimulated depolarization current studies of sulfonated polystyrene ionomers

    Science.gov (United States)

    Carvalho, Antonio José Felix; Viana, Vicente Galber Freitas; Faria, Roberto Mendonça

    2009-12-01

    A detailed study of thermally stimulated depolarization current (TSDC) was carried out to investigate dipolar relaxation and the charge storage phenomenon in films of sulfonated polystyrene (SPS) ionomers having lithium or potassium as counterions. Differential scanning calorimetry measurements were also applied as a complementary technique, mainly to follow the change of the glass transition temperature with the amount of sulfonated groups. It was observed that, since the glass transition does not change significantly with the amount of sulfonated groups, a cluster of multiplets is expected not to be formed in the range used in this work. TSDC of SPS samples polarized at temperatures higher than the glass transition temperature showed three peaks: one at lower temperature (peak β), an intermediate peak (peak α), and a third that appeared at a temperature coincident with the polarization temperature (peak ρ). Quantitative information about trapping-detrapping and dipolar relaxation and their corresponding activation energies was determined by fittings of the deconvoluted peaks with kinetic relaxation processes.

  7. Thermally stimulated depolarization current studies of sulfonated polystyrene ionomers

    Energy Technology Data Exchange (ETDEWEB)

    Carvalho, Antonio Jose Felix [Universidade Federal de Sao Carlos, Laboratory of Polymers and Renewable Materials, Sorocaba, SP (Brazil); Viana, Vicente Galber Freitas [Universidade Federal do Piaui, Centro de Ciencias da Natureza, Teresina, PI (Brazil); Faria, Roberto Mendonca [USP, Instituto de Fisica de Sao Carlos, SP (Brazil)

    2009-12-15

    A detailed study of thermally stimulated depolarization current (TSDC) was carried out to investigate dipolar relaxation and the charge storage phenomenon in films of sulfonated polystyrene (SPS) ionomers having lithium or potassium as counterions. Differential scanning calorimetry measurements were also applied as a complementary technique, mainly to follow the change of the glass transition temperature with the amount of sulfonated groups. It was observed that, since the glass transition does not change significantly with the amount of sulfonated groups, a cluster of multiplets is expected not to be formed in the range used in this work. TSDC of SPS samples polarized at temperatures higher than the glass transition temperature showed three peaks: one at lower temperature (peak {beta}), an intermediate peak (peak {alpha}), and a third that appeared at a temperature coincident with the polarization temperature (peak {rho}). Quantitative information about trapping-detrapping and dipolar relaxation and their corresponding activation energies was determined by fittings of the deconvoluted peaks with kinetic relaxation processes. (orig.)

  8. Factors influencing the implementation of the guideline triage in emergency departments: a qualitative study.

    Science.gov (United States)

    Janssen, Maaike A P; van Achterberg, Theo; Adriaansen, Marian J M; Kampshoff, Caroline S; Schalk, Donna M J; Mintjes-de Groot, Joke

    2012-02-01

    The objectives are: (1) to identify factors that influence the implementation of the guideline Triage in emergency departments [2004] in emergency departments in the Netherlands, and (2) to develop tailored implementation strategies for implementation of this guideline. Guideline dissemination is no guarantee for guideline implementation. In 2004 the guideline Triage in Emergency Departments was disseminated in Dutch hospitals. Guideline revision was scheduled in 2008. Prior to the revision, factors which influenced the implementation of the guideline [2004] were studied to be addressed at the implementation of the revised guideline. This is an exploratory study using a qualitative design including: a questionnaire sent to all emergency departments in the Netherlands (n = 108): four focus group interviews, including nurses and ward managers and in-depth interviews with ward managers and doctors. Based on the results, tailored implementation strategies and activities were suggested which target the identified influencing factors. Various factors at individual, social context and organisational level were identified as influencing the implementation of the 2004 version of the guideline, namely: level of knowledge; insight and skills; work preferences; motivation and/or commitment; support; informed doctors; preliminary work and arrangements for implementation; description of tasks and responsibilities; workload and resources. Ward managers, nurses and doctors mentioned similar as well as different factors. Consequently, tailored implementation strategies and activities related to education, maintenance of change, motivation and consensus-building, information, organisation and facilitation were suggested. Nurses, ward managers and doctors broadly indicated similar influencing factors, although the importance of these factors differed for the different groups. For nurses, resistance and lack of resources are most important, ward managers mentioned culture and doctors

  9. MODEL STUDY OF THE DOUBLE FED MACHINE WITH CURRENT CONTROL

    Directory of Open Access Journals (Sweden)

    A. S. Lyapin

    2016-07-01

    Full Text Available The paper deals with modeling results of the double fed induction machine with current control in the rotor circuit. We show the most promising applications of electric drives on the basis of the double fed induction machine and their advantages. We present and consider functional scheme of the electric drive on the basis of the double fed induction machine with current control. Equations are obtained for creation of such machine mathematical model. Expressions for vector projections of rotor current are given. According to the obtained results, the change of the vector projections of rotor current ensures operation of the double fed induction machine with the specified values of active and reactive stator power throughout the variation range of sliding motion. We consider static characteristics of double fed machine with current control. Energy processes proceeding in the machine are analyzed. We confirm the operationpossibility of double fed induction machine with current controlin the rotor circuit with given values of active and reactive stator power. The presented results can be used for creation of mathematical models and static characteristics of double fed machines with current control of various capacities.

  10. Teaching with Online Case Studies: Implementation and Evaluation Issues.

    Science.gov (United States)

    Vinaja, Robert; Raisinghani, Mahesh S.

    The case study is one of the most widely used tools in many disciplines including Information Management. At the same time the new Internet revolution has promoted online distance learning courses as never before. Many online courses are also incorporating the benefits of case studies into their course content. Case studies are now available…

  11. Excerpts from the 1st international NTNU symposium on current and future clinical biomarkers of cancer: innovation and implementation, June 16th and 17th 2016, Trondheim, Norway.

    Science.gov (United States)

    Robles, Ana I; Olsen, Karina Standahl; Tsui, Dana W T; Georgoulias, Vassilis; Creaney, Jenette; Dobra, Katalin; Vyberg, Mogens; Minato, Nagahiro; Anders, Robert A; Børresen-Dale, Anne-Lise; Zhou, Jianwei; Sætrom, Pål; Nielsen, Boye Schnack; Kirschner, Michaela B; Krokan, Hans E; Papadimitrakopoulou, Vassiliki; Tsamardinos, Ioannis; Røe, Oluf D

    2016-10-19

    The goal of biomarker research is to identify clinically valid markers. Despite decades of research there has been disappointingly few molecules or techniques that are in use today. The "1st International NTNU Symposium on Current and Future Clinical Biomarkers of Cancer: Innovation and Implementation", was held June 16th and 17th 2016, at the Knowledge Center of the St. Olavs Hospital in Trondheim, Norway, under the auspices of the Norwegian University of Science and Technology (NTNU) and the HUNT biobank and research center. The Symposium attracted approximately 100 attendees and invited speakers from 12 countries and 4 continents. In this Symposium original research and overviews on diagnostic, predictive and prognostic cancer biomarkers in serum, plasma, urine, pleural fluid and tumor, circulating tumor cells and bioinformatics as well as how to implement biomarkers in clinical trials were presented. Senior researchers and young investigators presented, reviewed and vividly discussed important new developments in the field of clinical biomarkers of cancer, with the goal of accelerating biomarker research and implementation. The excerpts of this symposium aim to give a cutting-edge overview and insight on some highly important aspects of clinical cancer biomarkers to-date to connect molecular innovation with clinical implementation to eventually improve patient care.

  12. Study of wavelet transform type high-current transformer

    Institute of Scientific and Technical Information of China (English)

    卢文科; 朱长纯; 刘君华; 张建军

    2002-01-01

    The wavelet transformation is applied to the high-current transformer.The high-current transformer elaborated in the paper is mainly applied to the measurement of AC/DC high-current.The principle of the transformer is the Hall direct-measurement principle.The transformer has the following three characteristics:firstly, the effect of the remnant field of the iron core on the measurement is decreased;secondly,because the temperature compensation is adopted,the transformer has good temperature charactreristic;thirdly,be-cause the wavelet transfomation technology is adopted,the transformer has the capacity of good antijanming.

  13. Critical Success Factors for Enterprise Resource Planning System Implementation: A Case Study in Malaysian SME

    Directory of Open Access Journals (Sweden)

    Feybi Ariani Goni

    2011-01-01

    Full Text Available Implementing Enterprise Resource Planning (ERP system for Malaysian Small to Medium Enterprises (SMEs is not just a technological challenge. It is a socio-technological endeavour which mandates modifying existing applications and redesigning business processes to facilitate ERP system implementation. Most Malaysian SMEs cannot afford to adopt an existing ERP system due to the extremely high cost and complex implementation. The ERP system implementation literature contains many case studies of organizations that have implemented ERP system successfully. However, many Malaysian SMEs do not achieve success in their ERP system implementation. There are very few studies have represented and developed critical success factors of ERP system implementation projects highlighted for SMEs. This research seeks to explore the critical success factors for successful ERP system implementation in Malaysian SMEs. The research method is based on a case study within Malaysian SME to perform a critical success factors model of ERP system implementation adoption which has validated by a number of SMEs in Malaysia. The proposed model will help outline the critical factors that should be considered by Malaysian SMEs in uccessfully adopting ERP system.

  14. Factors related to leader implementation of a nationally disseminated community-based exercise program: a cross-sectional study

    Directory of Open Access Journals (Sweden)

    Economos Christina D

    2008-12-01

    Full Text Available Abstract Background The benefits of community-based health programs are widely recognized. However, research examining factors related to community leaders' characteristics and roles in implementation is limited. Methods The purpose of this cross-sectional study was to use a social ecological framework of variables to explore and describe the relationships between socioeconomic, personal/behavioral, programmatic, leadership, and community-level social and demographic characteristics as they relate to the implementation of an evidence-based strength training program by community leaders. Eight-hundred fifty-four trained program leaders in 43 states were invited to participate in either an online or mail survey. Corresponding community-level characteristics were also collected. Programmatic details were obtained from those who implemented. Four-hundred eighty-seven program leaders responded to the survey (response rate = 57%, 78% online and 22% by mail. Results Of the 487 respondents, 270 implemented the program (55%. One or more factors from each category – professional, socioeconomic, personal/behavioral, and leadership characteristics – were significantly different between implementers and non-implementers, determined by chi square or student's t-tests as appropriate. Implementers reported higher levels of strength training participation, current and lifetime physical activity, perceived support, and leadership competence (all p Conclusion Among this sample of trained leaders, several factors within the professional, socioeconomic, personal/behavioral, and leadership categories were related to whether they implemented a community-based exercise program. It may benefit future community-based physical activity program disseminations to consider these factors when selecting and training leaders.

  15. Durability Study of SOFCs Under Cycling Current Load Conditions

    DEFF Research Database (Denmark)

    Hagen, Anke; Hendriksen, Peter Vang; Frandsen, Henrik Lund;

    2009-01-01

    In fuel cell applications, the cells must be able to withstand varying operating conditions. Anode supported solid oxide fuel cells were tested under cycling current load in order to determine the durability and possibly identify degradation mechanisms. At 750 °C and a cycling between zero and 0.......75 A cm-2, the cell voltage degradation rate was similar to tests with the corresponding high constant current density. However, by analyzing the impedance spectra it was found that anode degradation was becoming more important when going from constant to cycling conditions. Running the cycling load tests...... at 850 °C, the cells degraded similarly as under the corresponding constant current load whereas, in some cases, cells failed mechanically after a few hundred hours. These cells did not experience severe additional degradation due to the cycling of the current density until the point of failure...

  16. Implementing condition-based maintenance using modeling and simulation: a case study of a permanent magnet synchronous motor

    Directory of Open Access Journals (Sweden)

    Jabid Quiroga Méndez

    2011-05-01

    Full Text Available  This paper introduces condition-based maintenance (CBM architecture regarding an electrical application. Appropriate and efficient fault detection constitutes one of the major challenges associated with CBM and a model-based approach constitutes the way to achieve it. A case study using a permanent magnet synchronous motor (PMSM is presented to illustrate implementing CBM using a neural network motor model. CBM may be implemented in real time using Matlab and dSpace. The difference between line currents' negative sequence components, predicted by a multilayer neural network, and the current values acquired from the motor is used as fault indicator. Experimental results have shown the efficiency of the proposed model in detecting several stator winding short faults in differing load conditions and fault severity, obtaining up to 95% reliability. 

  17. Study of lower hybrid current drive for the demonstration reactor

    Energy Technology Data Exchange (ETDEWEB)

    Molavi-Choobini, Ali Asghar [Dept. of Physics, Faculty of Engineering, Islamic Azad University, Shahr-e-kord Branch, Shahr-e-kord (Iran, Islamic Republic of); Naghidokht, Ahmed [Dept. of Physics, Urmia University, Urmia (Iran, Islamic Republic of); Karami, Zahra [Dept. of Engineering, Islamic Azad University, Zanjan Branch, Zanjan (Iran, Islamic Republic of)

    2016-06-15

    Steady-state operation of a fusion power plant requires external current drive to minimize the power requirements, and a high fraction of bootstrap current is required. One of the external sources for current drive is lower hybrid current drive, which has been widely applied in many tokamaks. Here, using lower hybrid simulation code, we calculate electron distribution function, electron currents and phase velocity changes for two options of demonstration reactor at the launched lower hybrid wave frequency 5 GHz. Two plasma scenarios pertaining to two different demonstration reactor options, known as pulsed (Option 1) and steady-state (Option 2) models, have been analyzed. We perceive that electron currents have major peaks near the edge of plasma for both options but with higher efficiency for Option 1, although we have access to wider, more peripheral regions for Option 2. Regarding the electron distribution function, major perturbations are at positive velocities for both options for flux surface 16 and at negative velocities for both options for flux surface 64.

  18. Implementing Japanese Lesson Study in a Higher Education Context

    Science.gov (United States)

    Demir, Kadir; Czerniak, Charlene M.; Hart, Lynn C.

    2013-01-01

    The purpose of this article is to describe a reform model of instructional collaboration, Japanese lesson study, which has been shown in previous research to enhance reform-based teaching. Japanese lesson study is a method of professional development in which teachers collaborate with peers and other specialists to improve teaching and learning.…

  19. Implementing Japanese Lesson Study in Foreign Countries: Misconceptions Revealed

    Science.gov (United States)

    Fujii, Toshiakira

    2014-01-01

    This paper is based on data gathered during visits to Uganda and Malawi, conducted by the International Math-teacher Professionalization Using Lesson Study (IMPULS) project and the Japanese International Cooperation Agency (JICA). The author's observations and experiences highlighted misconceptions about lesson study. The paper concludes that some…

  20. Implementing brief cognitive behavioral therapy in primary care: A pilot study.

    Science.gov (United States)

    Mignogna, Joseph; Hundt, Natalie E; Kauth, Michael R; Kunik, Mark E; Sorocco, Kristen H; Naik, Aanand D; Stanley, Melinda A; York, Kaki M; Cully, Jeffrey A

    2014-06-01

    Effective implementation strategies are needed to improve the adoption of evidence-based psychotherapy in primary care settings. This study provides pilot data on the test of an implementation strategy conducted as part of a multisite randomized controlled trial examining a brief cognitive-behavioral therapy versus usual care for medically ill patients in primary care, using a hybrid (type II) effectiveness/implementation design. The implementation strategy was multifaceted and included (1) modular-based online clinician training, (2) treatment fidelity auditing with expert feedback, and (3) internal and external facilitation to provide ongoing consultation and support of practice. Outcomes included descriptive and qualitative data on the feasibility and acceptability of the implementation strategy, as well as initial indicators of clinician adoption and treatment fidelity. Results suggest that a comprehensive implementation strategy to improve clinician adoption of a brief cognitive-behavioral therapy in primary care is feasible and effective for reaching high levels of adoption and fidelity.

  1. EPA Study Finds Electronics Recycling Standards are Well Implemented and Makes Recommendations for Further Improvement

    Science.gov (United States)

    WASHINGTON -- The U.S. Environmental Protection Agency (EPA) today released a study assessing the implementation of the two third-party certification programs for electronic waste recyclers in the United States. EPA's study found that the certificat

  2. Current systematic carbon-cycle observations and the need for implementing a policy-relevant carbon observing system

    Science.gov (United States)

    Ciais, P.; Dolman, A. J.; Bombelli, A.; Duren, R.; Peregon, A.; Rayner, P. J.; Miller, C.; Gobron, N.; Kinderman, G.; Marland, G.; Gruber, N.; Chevallier, F.; Andres, R. J.; Balsamo, G.; Bopp, L.; Bréon, F.-M.; Broquet, G.; Dargaville, R.; Battin, T. J.; Borges, A.; Bovensmann, H.; Buchwitz, M.; Butler, J.; Canadell, J. G.; Cook, R. B.; DeFries, R.; Engelen, R.; Gurney, K. R.; Heinze, C.; Heimann, M.; Held, A.; Henry, M.; Law, B.; Luyssaert, S.; Miller, J.; Moriyama, T.; Moulin, C.; Myneni, R. B.; Nussli, C.; Obersteiner, M.; Ojima, D.; Pan, Y.; Paris, J.-D.; Piao, S. L.; Poulter, B.; Plummer, S.; Quegan, S.; Raymond, P.; Reichstein, M.; Rivier, L.; Sabine, C.; Schimel, D.; Tarasova, O.; Valentini, R.; Wang, R.; van der Werf, G.; Wickland, D.; Williams, M.; Zehner, C.

    2014-07-01

    A globally integrated carbon observation and analysis system is needed to improve the fundamental understanding of the global carbon cycle, to improve our ability to project future changes, and to verify the effectiveness of policies aiming to reduce greenhouse gas emissions and increase carbon sequestration. Building an integrated carbon observation system requires transformational advances from the existing sparse, exploratory framework towards a dense, robust, and sustained system in all components: anthropogenic emissions, the atmosphere, the ocean, and the terrestrial biosphere. The paper is addressed to scientists, policymakers, and funding agencies who need to have a global picture of the current state of the (diverse) carbon observations. We identify the current state of carbon observations, and the needs and notional requirements for a global integrated carbon observation system that can be built in the next decade. A key conclusion is the substantial expansion of the ground-based observation networks required to reach the high spatial resolution for CO2 and CH4 fluxes, and for carbon stocks for addressing policy-relevant objectives, and attributing flux changes to underlying processes in each region. In order to establish flux and stock diagnostics over areas such as the southern oceans, tropical forests, and the Arctic, in situ observations will have to be complemented with remote-sensing measurements. Remote sensing offers the advantage of dense spatial coverage and frequent revisit. A key challenge is to bring remote-sensing measurements to a level of long-term consistency and accuracy so that they can be efficiently combined in models to reduce uncertainties, in synergy with ground-based data. Bringing tight observational constraints on fossil fuel and land use change emissions will be the biggest challenge for deployment of a policy-relevant integrated carbon observation system. This will require in situ and remotely sensed data at much higher

  3. Air Quality Study Using Satellites - Current Capability and Future Plans

    Science.gov (United States)

    Bhartia, Pawan K.; Joiner, Joanna; Gleason, James; Liu, Xiong; Torres, Omar; Krotkov, Nickolay; Ziemke, Jerry; Chandra, Sushil

    2008-01-01

    Satellite instruments have had great success in monitoring the stratospheric ozone and in understanding the processes that control its daily to decadal scale variations. This field is now reaching its zenith with a number of satellite instruments from the US, Europe and Canada capping several decades of active research in this field. The primary public policy imperative of this research was to make reliable prediction of increases in biologically active surface UV radiation due to human activity. By contrast retrieval from satellite data of atmospheric constituents and photo-chemically active radiation that affect air quality is a new and growing field that is presenting us with unique challenges in measurement and data interpretation. A key distinction compared to stratospheric sensors is the greatly enhanced role of clouds, aerosols, and surfaces (CAS) in determining the quality and quantity of useful data that is available for air quality research. In our presentation we will use data from several sensors that are currently flying on the A-train satellite constellation, including OMI, MODIS, CLOUDSAT, and CALIPSO, to highlight that CAS can have both positive and negative effects on the information content of satellite measurements. This is in sharp contrast to other fields of remote sensing where CAS are usually considered an interference except in those cases when they are the primary subject of study. Our analysis has revealed that in the reflected wavelengths one often sees much further down into the atmosphere, through most cirrus, than one does in the emitted wavelengths. The lower level clouds provide a nice background against which one can track long-range transport of trace gases and aerosols. In addition, differences in trace gas columns estimated over cloudy and adjacent clear pixels can be used to measure boundary layer trace gases. However, in order to take full advantage of these features it will be necessary to greatly advance our understanding of

  4. Opening the black box: a study of the process of NICE guidelines implementation.

    Science.gov (United States)

    Spyridonidis, Dimitrios; Calnan, Michael

    2011-10-01

    This study informs 'evidence-based' implementation by using an innovative methodology to provide further understanding of the implementation process in the English NHS using two distinctly different NICE clinical guidelines as exemplars. The implementation process was tracked retrospectively and prospectively using a comparative case-study and longitudinal design. 74 unstructured interviews were carried out with 48 key informants (managers and clinicians) between 2007 and 2009. This study has shown that the NICE guidelines implementation process has both planned and emergent components, which was well illustrated by the use of the prospective longitudinal design in this study. The implementation process might be characterised as strategic and planned to begin with but became uncontrolled and subject to negotiation as it moved from the planning phase to adoption in everyday practice. The variations in the implementation process could be best accounted for in terms of differences in the structure and nature of the local organisational context. The latter pointed to the importance of managers as well as clinicians in decision-making about implementation. While national priorities determine the context for implementation the shape of the process is influenced by the interactions between doctors and managers, which influence the way they respond to external policy initiatives such as NICE guidelines. NICE and other national health policy-makers need to recognise that the introduction of planned change 'initiatives' in clinical practice are subject to social and political influences at the micro level as well as the macro level. Copyright © 2011 Elsevier Ireland Ltd. All rights reserved.

  5. Reform Implementation and the Realities within which Teachers Work: A Namibian Case Study.

    Science.gov (United States)

    O'Sullivan, Margo C.

    2002-01-01

    Discusses a three year research study in Namibia. Suggests that the failure of policy makers to take into account teaching conditions led to teachers' inability to implement English language teaching reforms. Explores objective and subjective classroom reality implementation factors. Provides guidelines from which to draw conclusions. (CAJ)

  6. Factors Associated with Differences in Patterns of Program Implementation: A Three Year Study.

    Science.gov (United States)

    Vaughan, Eva D.; And Others

    Purposes of this study were: (1) to examine patterns of implementation of an innovative educational program with a built-in staff development component over a period of three years; (2) to compare patterns of implementation of the Adaptive Learning Environments Model's (ALEM) three types of teaching skills, including generic, adaptive, and program…

  7. A Case Study of IGE Implementation at the John Ridgeway Public School, Columbia, Missouri.

    Science.gov (United States)

    Ciaglia, Edmund R.; And Others

    This historical case study of the Ridgeway Elementary School from initial community contact through the completion of the first year of Individually Guided Education (IGE) assesses the attitudes of the parents; evaluates the cost factors associated with implementing the program; assesses the effects of IGE implementation on the local community;…

  8. System implementation: managing project and post project stage - case study in an Indonesian company

    NARCIS (Netherlands)

    Govindaraju, Rajesri; Bruijn, de Erik Joost; Fisscher, Olaf M.; Laptaned, U.

    2007-01-01

    The research reported in this paper aims to get a better understanding of how the implementation process of enterprise systems (ES) can be managed, by studying the process from an organisational perspective. A review of the literature on previous research in ES implementation has been carried out an

  9. Internet-Based Parent-Implemented Intervention for Young Children with Autism: A Pilot Study

    Science.gov (United States)

    Meadan, Hedda; Snodgrass, Melinda R.; Meyer, Lori E.; Fisher, Kim W.; Chung, Moon Y.; Halle, James W.

    2016-01-01

    Both naturalistic communication and parent-implemented interventions are evidence-based practices for young children with disabilities, but demonstrations of effective methods for teaching parents to implement naturalistic interventions successfully with their children are still warranted. The purpose of this study was to examine the effects of a…

  10. Barriers of clinical practice guidelines development and implementation in developing countries: a case study in iran.

    Science.gov (United States)

    Baradaran-Seyed, Zahra; Nedjat, Sima; Yazdizadeh, Bahareh; Nedjat, Saharnaz; Majdzadeh, Reza

    2013-03-01

    Knowledge products such as clinical practice guidelines (CPG) are vitally required for evidence-based medicine (EBM). Although the EBM, to some extent, has been attended during recent years, no result has achieved thus far. The current qualitative study is to identify the barriers to establishing development system and implementation of CPGs in Iran. Twelve semi-structured, in-depth interviews were conducted with a purposive sample of health policy and decision makers, the experts of development and or adaptation of CPGs, and the experts of EBM education and development. In addition, 11 policy-makers, decision-makers, and managers of the health system participated in a focus group discussion. The analysis of the study data was undertaken by thematic framework approach. Six themes emerged in order of their frequency include practice environment, evidence-based health care system, individual professional, politician and political context, innovation (CPG) and patients. Most of the indications in the treatment environment focused on such sub-themes as regulations and rules, economical factors, organizational context, and social context. While the barriers related to the conditions of treatment environment, service provider and the features of innovation and patients had been identified before in other studies, very little attention has been paid to the evidence-based health care system and politician and political context. The lack of an evidence-based healthcare system and a political macro support are mentioned as the key barriers in Iran as a developing country. The establishment of a system of development and implementation of CPGs as the evidence-based practice tools will not be possible, unless the barriers are removed.

  11. CogChamps - a model of implementing evidence-based care in hospitals: study protocol.

    Science.gov (United States)

    Travers, Catherine; Graham, Frederick; Henderson, Amanda; Beattie, Elizabeth

    2017-03-14

    Delirium and dementia (cognitive impairment; CI), are common in older hospital patients, and both are associated with serious adverse outcomes. Despite delirium often being preventable, it is frequently not recognized in hospital settings, which may be because hospital nurses have not received adequate education or training in recognizing or caring for those with CI. However, the most effective way of increasing nurses' awareness about delirium and dementia, and initiating regular patient screening and monitoring to guide best practices for these patients in hospital settings is not known. Hence this current project, conducted in 2015-2017, aims to redress this situation by implementing a multi-component non-pharmacological evidence-based intervention for patients with CI, through educating and mentoring hospital nurses to change their practice. The development of the practice change component is informed by recent findings from implementation science that focuses on facilitation as the active ingredient in knowledge uptake and utilization. This component focuses on educating and empowering experienced nurses to become Cognition Champions (CogChamps) across six wards in a large Australian tertiary referral hospital. The CogChamps will, in turn, educate other nursing team members to more effectively care for patients with CI. The hospital leadership team are supportive of the project and are directly involved in selecting the CogChamps. CogChamps will be provided with comprehensive education in evidence-based delirium assessment, prevention and management, and practice change management skills. They will receive continuing support from research and education staff about raising awareness, upskilling other staff in delirium assessment and in the adoption of best practices for preventing and managing delirium. Both qualitative and quantitative data are being collected at multiple time-points to evaluate process, impact and outcome, and to provide clarity regarding the

  12. The epidemiology of dengue infection: Harnessing past experience and current knowledge to support implementation of future control strategies

    Directory of Open Access Journals (Sweden)

    Narayan Gyawali

    2016-01-01

    Full Text Available Dengue is the most important mosquito-borne viral infection of humans. Although outbreaks of disease which are now recognized as clinically consistent with dengue have been reported for centuries, it was not until half a century ago that laboratory identification of dengue viruses as the etiological agent of febrile illness was achieved. This debilitating and sometimes fatal disease is widely distributed in >125 countries in tropical and subtropical zones of the world. Asia, South America and the Pacific Islands are hyper-epidemic regions while currently there is less prevalence in Europe, North America and Australia. The estimated global incidence ranges between 200 and 400 million clinical cases per year. While some areas of past epidemics are now considered to be under control, recent decades have witnessed an epidemic rise in dengue worldwide. Major factors facilitating expansion include climate change and increase in urbanization and international travel. Concurrently, the non-availability of an efficacious antiviral drug or vaccine and a lack of effective vector control strategies collectively make dengue a serious public health concern. Thus, it is of paramount importance to analyze the history of the spread of infection and to gain a deeper understanding of patterns of transmission in order to anticipate epidemiological trends more accurately, thereby enabling better preparedness for future outbreaks.

  13. Current and Future Education Leaders' Perceptions of Race to the Top's Teacher Evaluation and Compensation Components, before and after Implementation

    Science.gov (United States)

    Smith, Orin; Windish, Daniel; Taylor, Rosemarye

    2016-01-01

    This longitudinal study examined the professional perceptions of educational leaders as to the fairness and impact of teacher evaluation and compensation reforms under Race to the Top. The study surveyed graduate students in education and educational leadership programs to assess changes in their perceptions from prior to RTTT implementation…

  14. Implementation Framework of Green Building for Malaysian Government Building: KKR2 Study

    Directory of Open Access Journals (Sweden)

    Sharif Shiela

    2016-01-01

    Full Text Available The purpose of this study is to develop the Implementation Framework of Green Building for Government Project. Implementation of Green Building Design is very important in Malaysia to conduct and execute green government project. The research intended to answer the questions about the factors involve in the development of the framework, what is the significant relationships exists between the factors involve in the Implementation Framework and whether there is significant relationship exists between the factors in implementation framework. A total 30 respondent selected between multilevel of project team KKR2 including engineers, assistants engineers, technical assistant, stake holders, contractors and consultants. In conclusion the study answered pertaining questions regarding the factors involve in development of Implementation Framework of Green Building through quantitative research and hypothesis testing.

  15. A Case Study on the Implementation of a Positive Youth Development Program (Project P.A.T.H.S. in Hong Kong: Learning from the Experimental Implementation Phase

    Directory of Open Access Journals (Sweden)

    Tak Yan Lee

    2008-01-01

    Full Text Available This investigation of the implementation of a positive youth development program (Project P.A.T.H.S. was part of a large study undertaken comprehensively to explore how effective the Tier 1 Program was in practice and how the results can shed light on future developments. Utilizing a case study approach, individual and focus group interviews were conducted in 2007 to examine the factors that influence the process and quality of implementation of the Tier 1 Program of the Project P.A.T.H.S. The focus of this study was on how the implementers of a school made use of the experience gained in the Experimental Implementation Phase (EIP in 2005/06 to improve the program implementation quality in the Full Implementation Phase (FIP in 2006/07. Results showed that the program implementation in the FIP was generally high and the program was well received by the implementers. Factors that facilitated the implementation of the program were identified, including the adoption of an incremental change strategy, the incorporation of the program into both formal and informal curricula, positive perceptions of the program among staff and agency social workers, sufficient school administrative support, excellent cooperation between the school and the social work agency, presence of a dedicated school contact person and instructors who engaged themselves in continuous quality improvement of the implementation, and an emphasis on application of what had been learned. Difficulties encountered by the school in the process of implementation were also observed. Based on the present findings, key process variables that facilitate or impede the implementation of positive youth development programs are discussed. Implications for future program implementation are also discussed.

  16. Studies on implementation of pellet tracking in hadron physics experiments

    Directory of Open Access Journals (Sweden)

    Pyszniak A.

    2014-01-01

    Full Text Available A system for optical tracking of frozen hydrogen microsphere targets (pellets has been designed. It is intended for the upcoming hadron physics experiment PANDA at FAIR, Darmstadt, Germany. With such a tracking system one can reconstruct the positions of the individual pellets at the time of a hadronic interaction in the offline event analysis. This gives information on the position of the primary interaction vertex with an accuracy of a few 100 µm, which is very useful e.g. for reconstruction of charged particle tracks and secondary vertices and for background suppression. A study has been done at the WASA detector setup (Forschungszentrum Jülich, Germany to check the possibility of classification of hadronic events as originating in pellets or in background. The study has been done based on the instantaneous rate a Long Range TDC which was used to determine if a pellet was present in the accelerator beam region. It was clearly shown that it is possible to distinguish the two event classes. Also, an experience was gained with operation of two synchronized systems operating in different time scales, as it will also be the case with the optical pellet tracking.

  17. Microbial Studies Supporting Implementation of In Situ Bioremediation at TAN

    Energy Technology Data Exchange (ETDEWEB)

    Barnes, Joan Marie; Matthern, Gretchen Elise; Rae, Catherine; Ely, R. L.

    2000-11-01

    The Idaho National Engineering and Environmental Laboratory is evaluating in situ bioremediation of contaminated groundwater at its Test Area North Facility. To determine feasibility, microcosm and bioreactor studies were conducted to ascertain the ability of indigenous microbes to convert trichloroethene and dichloroethene to non-hazardous byproducts under aerobic and anaerobic conditions, and to measure the kinetics of microbial reactions associated with the degradation process. Microcosms were established from core samples and groundwater obtained from within the contaminant plume. These microcosms were amended with nutrients, under aerobic and anaerobic conditions, to identify electron donors capable of stimulating the degradation process. Results of the anaerobic microcosm studies showed that lactate, acetate and propionate amendments stimulated indigenous cell growth and functioned as effective substrates for reductive degradation of chloroethenes. Bioreactors inoculated with cultures from these anaerobic microcosms were operated under a batch mode for 42 days then converted to a fed-batch mode and operated at a 53-day hydraulic residence time. It was demonstrated that indigenous microbes capable of complete anaerobic reductive dechlorination are present in the subject well. It was also demonstrated that aerobic microbes capable of oxidizing chlorinated compounds produced by anaerobic reductive dechlorination are present. Kinetic data suggest that controlling the type and concentration of electron donors can increase trichlorethene conversion rates. In the event that complete mineralization of trichlorethene does not occur following stimulation, and anaerobic/aerobic treatment scheme is feasible.

  18. Towards implementing coordinated healthy lifestyle promotion in primary care: a mixed method study

    Directory of Open Access Journals (Sweden)

    Kristin Thomas

    2015-08-01

    Full Text Available Background: Primary care is increasingly being encouraged to integrate healthy lifestyle promotion in routine care. However, implementation has been suboptimal. Coordinated care could facilitate lifestyle promotion practice but more empirical knowledge is needed about the implementation process of coordinated care initiatives. This study aimed to evaluate the implementation of a coordinated healthy lifestyle promotion initiative in a primary care setting.Methods: A mixed method, convergent, parallel design was used. Three primary care centres took part in a two-year research project. Data collection methods included individual interviews, document data and questionnaires. The General Theory of Implementation was used as a framework in the analysis to integrate the data sources.Results: Multi-disciplinary teams were implemented in the centres although the role of the teams as a resource for coordinated lifestyle promotion was not fully embedded at the centres. Embedding of the teams was challenged by differences among the staff, patients and team members on resources, commitment, social norms and roles.Conclusions: The study highlights the importance of identifying and engaging key stakeholders early in an implementation process. The findings showed how the development phase influenced the implementation and embedding processes, which add aspects to the General Theory of Implementation.

  19. Towards implementing coordinated healthy lifestyle promotion in primary care: a mixed method study

    Directory of Open Access Journals (Sweden)

    Kristin Thomas

    2015-08-01

    Full Text Available Background: Primary care is increasingly being encouraged to integrate healthy lifestyle promotion in routine care. However, implementation has been suboptimal. Coordinated care could facilitate lifestyle promotion practice but more empirical knowledge is needed about the implementation process of coordinated care initiatives. This study aimed to evaluate the implementation of a coordinated healthy lifestyle promotion initiative in a primary care setting. Methods: A mixed method, convergent, parallel design was used. Three primary care centres took part in a two-year research project. Data collection methods included individual interviews, document data and questionnaires. The General Theory of Implementation was used as a framework in the analysis to integrate the data sources. Results: Multi-disciplinary teams were implemented in the centres although the role of the teams as a resource for coordinated lifestyle promotion was not fully embedded at the centres. Embedding of the teams was challenged by differences among the staff, patients and team members on resources, commitment, social norms and roles. Conclusions: The study highlights the importance of identifying and engaging key stakeholders early in an implementation process. The findings showed how the development phase influenced the implementation and embedding processes, which add aspects to the General Theory of Implementation.

  20. SIMULATION STUDY AND IMPLEMENTATION ON ROUTING PROTOCOLS IN MANET

    Directory of Open Access Journals (Sweden)

    Anju Yadav

    2012-09-01

    Full Text Available Ad-hoc networks are characterized by a lack of infrastructure, and by a random and quickly changing network topology; thus the need for a robust dynamic routing protocol that can accommodate such an environment. Consequently, many routing algorithms have come in toexistence to satisfy the needs of communications in such networks. This article presents a simulation study and comparison the performance between two categories of routing protocols, table-driven (Proactive and on-demand (Reactive routing protocols, this two categories were illustrated by using two different examples ofrouting protocols, first example is DSDV (Destination Sequenced Distance-Vector from the Proactive family and the second example isAODV (Ad Hoc On-Demand Distance Vector and DSR (Dynamic Source Routing Protocol from the Reactive family. Both protocols weresimulated by using NS-2 (network simulator-2 package. Both routing protocols were compared in terms of average throughput (packets delivery ratio while varying data rate, TCP types ,maximumpackets in queue and number of packet drop while varying data rate by using the Trace file. For the same queue length DSDV performsbetter than AODV. AODV is preferred due to its more efficient use of bandwidth.

  1. Compact Video Microscope Imaging System Implemented in Colloid Studies

    Science.gov (United States)

    McDowell, Mark

    2002-01-01

    Long description Photographs showing fiber-optic light source, microscope and charge-coupled discharge (CCD) camera head connected to camera body, CCD camera body feeding data to image acquisition board in PC, and Cartesian robot controlled via PC board. The Compact Microscope Imaging System (CMIS) is a diagnostic tool with intelligent controls for use in space, industrial, medical, and security applications. CMIS can be used in situ with a minimum amount of user intervention. This system can scan, find areas of interest in, focus on, and acquire images automatically. Many multiple-cell experiments require microscopy for in situ observations; this is feasible only with compact microscope systems. CMIS is a miniature machine vision system that combines intelligent image processing with remote control. The software also has a user-friendly interface, which can be used independently of the hardware for further post-experiment analysis. CMIS has been successfully developed in the SML Laboratory at the NASA Glenn Research Center and adapted for use for colloid studies and is available for telescience experiments. The main innovations this year are an improved interface, optimized algorithms, and the ability to control conventional full-sized microscopes in addition to compact microscopes. The CMIS software-hardware interface is being integrated into our SML Analysis package, which will be a robust general-purpose image-processing package that can handle over 100 space and industrial applications.

  2. Development and Implementation of Health Technology Assessment: A Policy Study

    Directory of Open Access Journals (Sweden)

    P Abooee

    2013-01-01

    Full Text Available Background: To provide an overview of the development of health technology assessment (HTA in Iran since 2007, and to facilitate further development of HTA and its integration into policy making.Methods: Data of this study were collected through key documents (e.g. literature, laws, and other official documentation and analyzed by experts of opinion in form of qualitative methods.Results: Health technology assessment entered to the political agenda in Iran only in 2007 with a strong impetus of an evidence-based medicine movement with the bellow objectives: Institutionalization of evidence-based decision making in Ministry of Health, Creating an localization for structural HTA in Health system of Iran, Setting up training courses in order to educate capable manpower to full up the capacity of the universities, Establishment of a new field in HTA subject in medical universities for MSc and PhD degree, International communication about HTA through national website and possible participation in international Congress.Conclusion: HTA has been established in the healthcare system of Iran but what is needed is a clear political will to push forward the objectives of HTA in Iran. Similar to other countries, advance the regulation on the adoption of new health technologies to improve not only technical or allocate efficiency, but also health equity.

  3. Why is it difficult to implement e-health initiatives? A qualitative study

    Directory of Open Access Journals (Sweden)

    Wallace Paul

    2011-01-01

    Full Text Available Abstract Background The use of information and communication technologies in healthcare is seen as essential for high quality and cost-effective healthcare. However, implementation of e-health initiatives has often been problematic, with many failing to demonstrate predicted benefits. This study aimed to explore and understand the experiences of implementers -- the senior managers and other staff charged with implementing e-health initiatives and their assessment of factors which promote or inhibit the successful implementation, embedding, and integration of e-health initiatives. Methods We used a case study methodology, using semi-structured interviews with implementers for data collection. Case studies were selected to provide a range of healthcare contexts (primary, secondary, community care, e-health initiatives, and degrees of normalization. The initiatives studied were Picture Archiving and Communication System (PACS in secondary care, a Community Nurse Information System (CNIS in community care, and Choose and Book (C&B across the primary-secondary care interface. Implementers were selected to provide a range of seniority, including chief executive officers, middle managers, and staff with 'on the ground' experience. Interview data were analyzed using a framework derived from Normalization Process Theory (NPT. Results Twenty-three interviews were completed across the three case studies. There were wide differences in experiences of implementation and embedding across these case studies; these differences were well explained by collective action components of NPT. New technology was most likely to 'normalize' where implementers perceived that it had a positive impact on interactions between professionals and patients and between different professional groups, and fit well with the organisational goals and skill sets of existing staff. However, where implementers perceived problems in one or more of these areas, they also perceived a lower

  4. Deterministic and Stochastic Study of Wind Farm Harmonic Currents

    DEFF Research Database (Denmark)

    Sainz, Luis; Mesas, Juan Jose; Teodorescu, Remus;

    2010-01-01

    Wind farm harmonic emissions are a well-known power quality problem, but little data based on actual wind farm measurements are available in literature. In this paper, harmonic emissions of an 18 MW wind farm are investigated using extensive measurements, and the deterministic and stochastic...... characterization of wind farm harmonic currents is analyzed. Specific issues addressed in the paper include the harmonic variation with the wind farm operating point and the random characteristics of their magnitude and phase angle....

  5. Zinc electrowinning: anode conditioning and current distribution studies

    Energy Technology Data Exchange (ETDEWEB)

    Gonzalez, J.A. [Cominco Research, Cominco Ltd., Trail, British Columbia (Canada)

    2001-07-01

    In the zinc electrowinning (EW) process, Pb-Ag anodes are widely used. Prior to their use in the EW process, anodes are conditioned to form a stable oxide layer that can evolve O{sub 2} without excessive Pb contamination of the cathode and MnO{sub 2} precipitation. The most widely used conditioning techniques are: passivation in a KF-H{sub 2}SO{sub 4} electrolysis bath, chemical oxidation in a KMnO{sub 4}-H{sub 2}SO{sub 4} solution, and sandblasting. In this paper, a comparison of these treatments using flat and corrugated anodes is presented. Laboratory and industrial-scale tests carried out at Cominco's Trail and Cajamarquilla zinc plants indicated that flat anodes should be sandblasted or electrochemically passivated before their use in the Zn electrowinning process. Further, corrugated anodes should be sandblasted or chemically conditioned in a KMnO{sub 4}-H{sub 2}SO{sub 4} -electrolyte. The beneficial effects of chemical conditioning are lost if the anode is non-corrugated. Flat, chemically conditioned anodes generate up to 10 times more mud than corrugated-chemically conditioned anodes. Because anode mud growth is evenly distributed on sandblasted anodes, short-circuit frequency may decrease and anode life may increase. Sandblasting does not appear to affect anode performance. Parallel to the industrial anode conditioning tests, current distribution measurements were made. Current flow measurements were used to correct troublesome electrodes and/or bad electrical contacts. In Cajamarquilla, this technique was used in four industrial electrowinning cells and energy consumption values lower than 3000 kWh/t Zn were obtained at current efficiencies as high as 95% and at current densities up to 450 A/m{sup 2}. (author)

  6. Connecting Professional Development to Current Practices: An Examination of Implementation of Developmentally Appropriate Practices in Early Childhood Education

    Science.gov (United States)

    Sadlovsky, Kelly R.

    2013-01-01

    This study uses a basic qualitative research design to uncover and understand how early childhood teachers apply developmentally appropriate practices and what successes and barriers they encounter. The new knowledge produced might help professional development practitioners by increasing their understanding of how developmentally appropriate…

  7. Implementation of Geographic Information System (GIS) in Secondary Geography Curriculum in Hong Kong: Current Situations and Future Directions

    Science.gov (United States)

    Lam, Chi-Chung; Lai, Edith; Wong, Janice

    2009-01-01

    Using geographic information system (GIS) in teaching and learning geography is an important direction in the secondary geography curriculum in Hong Kong. In the present study, interviews were conducted individually with 28 geography teachers from different secondary schools in Hong Kong, with a view to finding their views on the inclusion of GIS…

  8. Implementation of the RAMMS DEBRIS FLOW to Italian case studies

    Science.gov (United States)

    Vennari, Carmela; Mc Ardell, Brian; Parise, Mario; Santangelo, Nicoletta; Santo, Antonio

    2016-04-01

    RAMMS (RApid Mass MovementS) Debris Flow runout model solves 2D shallow-water equation using the Voellmy friction law. The model has been developed by the Swiss Federal Institute for Forest, Snow and Landscape Research (WSL), and the Swiss Federal Institute for Snow and Avalanche Research (SLF). It requires as input the following data: topography, release area or hydrograph, and the friction parameters μ and ξ. Deposition height, velocity, pressure and momentum are the most important outcomes, also in terms of Max values. The model was applied primarily in Alpine catchments to simulate debris flow runout. Beside the Alps, alluvial events are very common even in torrential catchments of the Southern Apennines of Italy, and contribute to build alluvial fans mainly located at the foothill of carbonate and volcanic mountains. During the last decades several events occurred in these areas, often highly populated, and caused serious damage to society and to people. Several case studies have been selected from a database on alluvial events in torrential catchments of Campania region, aimed at applying the RAMMS model to back-analyze the documented events, and to simulate future similar scenarios in different triggering conditions. In order to better understand the obtained data and choose the best results, field data are mandatories. For this reason we focused our attention on torrential events for which field data concerning deposition area and deposition height were available. We simulated different scenarios, with variable peak discharge and friction parameters, reproducing also the influence of anthropogenic structures. To choose the best results, observed data and predicted data were compared in an objective way, by means of a quantitative analysis. Predicted and observed deposition areas were compared in a GIS environment, and the best test was evaluated by computing several statistics accuracy derived from the confusion matrix, including the sensitivity, that

  9. The nature of mathematical enrichment: a case study of implementation

    Directory of Open Access Journals (Sweden)

    Jennifer Susan Piggott

    2007-12-01

    Full Text Available This paper reports a framework for describing the nature of mathematics enrichment that emerged from a case study based on the work of the NRICH Project (www.nrich.maths.org team when producing “mathematics enrichment trails” (an ordered set of related mathematics problems and support materials. A range of data sources, including the trails, trail development sessions, related literature and the views of colleagues were used to inform the findings. The data were analysed using NVivo and involved the development of two complementary coding systems. One, drawn from the data itself, gave evidence of views of the content aspects of mathematical enrichment. The other, specifically designed and informed by the literature, was used to aid the analysis of the roles of teaching and learning inherent in views of enrichment described by participants. The framework describes the content of an enrichment curriculum as well as implications for teaching and learning, the experiences of learners and the features of settings where this occurs. To support this, some detail is provided on the role, nature and purpose of problem-solving and what constitutes a good problem. While emerging from a particular context, the framework highlights the need for debate concerning the audience for mathematics enrichment, particularly in questioning the commonly held belief that its value is in supporting the needs of the mathematically most able. The framework also has potential value through offering a focus for debate within the wider community concerning the nature of mathematics enrichment and as a reference point for evaluating the potential of existing or new curriculum to deliver mathematics enrichment.

  10. Factors influencing a problem-based learning implementation: A case study of IT courses

    Science.gov (United States)

    Darus, Norida Muhd; Mohd, Haslina; Baharom, Fauziah; Saip, Mohamed Ali; Puteh, Nurnasran; Marzuki @ Matt, Zaharin; Husain, Mohd Zabidin; Yasin, Azman

    2016-08-01

    IT students must be trained to work efficiently as teamwork. One of the techniques that can be used to train them is through Problem-Based Learning (PBL) approach. The PBL implementation can be influenced by various factors depending on the ultimate goal of the study. This study is focusing on the IT students' perception of the PBL implementation. The student's perception is important to ensure the successfulness of the PBL implementation. Therefore, it is important to identify the factors that might influence the implementation of PBL of IT courses. This study aims to identify some catalyst factors that may influence the PBL implementation of IT courses. The study involved three (3) main phases: identifying PBL implementation factors, constructing a PBL model, and PBL model validation using statistical analysis. Four main factors are identified: PBL Characteristics, PBL Course Assessment, PBL Practices, and PBL Perception. Based on these four factors, a PBL model is constructed. Then, based on the proposed PBL model, four hypotheses are formulated and analyzed to validate the model. All hypotheses are significantly acceptable. The result shows that the PBL Characteristics and PBL Course Assessment factors are significantly influenced the PBL Practices and indirectly influenced the Students' Perception of the PBL Implementation for IT courses. This PBL model can assist decision makers in enhancing the PBL teaching and learning strategy for IT courses. It is also can be tested to other courses in the future.

  11. Design, real-time modelling, simulation and digital implementation of phase-locked loop-based auto-synchronising current-sourced converter for an induction heating prototype

    Indian Academy of Sciences (India)

    MOLAY ROY; MAINAK SENGUPTA

    2017-06-01

    Induction heating (IH) converters operate just above resonant frequency, at near unity power factor (UPF), to supply power to the targeted work-piece. Some power electronic converter-fed IH systems use power control strategies based on dynamic tracking of the changing resonant frequency as the work-piece gets heated up (since inductance changes). Therefore, the correct in-process determination of the resonant frequency is essential. A method of dynamically detecting the resonant frequency is by calculating the phase-shift betweencurrent and voltage continuously during the process. In case of CSI- (and VSI-) fed IH, the phase-shift between voltage and current is zero at resonant frequency. Hence one way of identifying the resonant frequency is by varying the frequency until the phase-shift is zero. For controlling this phase-shift between current and voltage waveforms, most of the controllers use a phase-locked loop (PLL) IC. In this paper, a novel method for the dynamic tracking of resonant frequency is proposed and the practical implementation of the same, using a fieldprogrammable gate array (FPGA) based digital-PLL, is presented. The scheme is first simulated with generated off-line signal samples and then implemented on a real-time model of a CSI-fed IH application. Finally, thedigital-PLL logic is implemented on controller hardware and practically tested in a laboratory-made experimental set-up of 2 kW at a nominal frequency of 10 kHz. The switching frequency is auto-synchronising. This fact is practically verified both by varying (i) the geometric dimensions as also (ii) the initial temperature of the work-piece. It is practically observed in the oscillograms that the phase gets locked in few cycles (and hence ensures quick tracking of the dynamically changing resonant frequency for this set-up).

  12. ERP indices of persisting and current inhibitory control: a study of saccadic task switching.

    Science.gov (United States)

    Mueller, S C; Swainson, R; Jackson, G M

    2009-03-01

    Previous studies have found that inhibition of a biologically dominant prepotent response tendency is required during the execution of a less familiar, non-prepotent response. However, the lasting impact of this inhibition and the cognitive mechanisms to flexibly switch between prepotent and non-prepotent responses are poorly understood. We examined the neurophysiological (ERP) correlates of switching between prosaccade and antisaccade responses in 22 healthy volunteers. The behavioural data showed significant switch costs in terms of response latency for the prosaccade task only. These costs occurred exclusively in trials when preparation for the switch was limited to 300 ms, suggesting that inhibition of the prepotent prosaccade task either passively dissipated or was actively overcome during the longer 1000 ms preparation interval. In the neurophysiological data, a late frontal negativity (LFN) was visible during preparation for a switch to the prosaccade task that was absent when switching to the antisaccade task, which may reflect the overcoming of persisting inhibition. During task implementation both saccade types were associated with a late parietal positivity (LPP) for switch relative to repetition trials, possibly indicating attentional reorienting to the switched-to task, and visible only with short preparation intervals. When the prosaccade and antisaccade task were contrasted directly during task implementation, the antisaccade task exhibited increased stimulus-locked N2 and decreased P3 amplitudes indicative of active inhibition. The present findings indicate that neurophysiological markers of persisting and current inhibition can be revealed using a prosaccade/antisaccade-switching task.

  13. Study of a Particle Based Films Cure Process by High-Frequency Eddy Current Spectroscopy

    Directory of Open Access Journals (Sweden)

    Iryna Patsora

    2016-12-01

    Full Text Available Particle-based films are today an important part of various designs and they are implemented in structures as conductive parts, i.e., conductive paste printing in the manufacture of Li-ion batteries, solar cells or resistive paste printing in IC. Recently, particle based films were also implemented in the 3D printing technique, and are particularly important for use in aircraft, wind power, and the automotive industry when incorporated onto the surface of composite structures for protection against damages caused by a lightning strike. A crucial issue for the lightning protection area is to realize films with high homogeneity of electrical resistance where an in-situ noninvasive method has to be elaborated for quality monitoring to avoid undesirable financial and time costs. In this work the drying process of particle based films was investigated by high-frequency eddy current (HFEC spectroscopy in order to work out an automated in-situ quality monitoring method with a focus on the electrical resistance of the films. Different types of particle based films deposited on dielectric and carbon fiber reinforced plastic substrates were investigated in the present study and results show that the HFEC method offers a good opportunity to monitor the overall drying process of particle based films. Based on that, an algorithm was developed, allowing prediction of the final electrical resistance of the particle based films throughout the drying process, and was successfully implemented in a prototype system based on the EddyCus® HFEC device platform presented in this work. This prototype is the first solution for a portable system allowing HFEC measurement on huge and uneven surfaces.

  14. Forming and activating an internal facilitation group for successful implementation: A qualitative study.

    Science.gov (United States)

    McCullough, Megan B; Gillespie, Chris; Petrakis, Beth Ann; Jones, Ellen A; Park, Angela M; Lukas, Carol VanDeusen; Rose, Adam J

    This study focuses on an implementation facilitation strategy to improve the delivery of anticoagulation care within pharmacy-run clinics across 8 Veterans Health Administration (VA) medical centers. Other studies have explored various models of implementation facilitation, including external facilitation (EF), internal facilitation (IF), and blended facilitation (BF) combining both approaches. This study focuses on the use of an internal facilitation team of anticoagulation coordinators representing 8 VA anticoagulation clinics to enhance the implementation process. This study examines how the team became instrumental in the successful implementation of evidence-based practice change. Semi-structured interviews were conducted annually over 4 years with representatives from each site, the internal facilitators (site champions), at 8 VA hospitals (47 interviews). Additionally, five external facilitators, experts in quality improvement and anticoagulation care who guided the implementation, were interviewed. Analysis drew on a deductive approach based on the Promoting Action on Research Implementation in Health Services (PARIHS) model and emergent thematic analysis to identify factors related to effectiveness of the internal facilitation team. Key findings are that the following factors enhanced successful uptake of the anticoagulation initiative: 1) Regular participation by the site champion in the internal facilitation team; 2) Champion strongly committed to being an agent of change; and 3) Champion received greater support from their supervisors. The first and second factors are interrelated, as internal facilitators who actively and regularly participated in the internal facilitation team often became truly committed to the improvement project. Both factors relate to the third, as supervisor support not only facilitated changes in practice, but also facilitated regular team attendance and stronger participation. Our study adds to implementation science by

  15. Factors associated with sustainability of 2 quality improvement programs after achieving early implementation success. A qualitative case study.

    Science.gov (United States)

    Ament, Stephanie M C; Gillissen, Freek; Moser, Albine; Maessen, José M C; Dirksen, Carmen D; von Meyenfeldt, Maarten F; van der Weijden, Trudy

    2017-04-20

    Sustainability of innovations is a relatively new concept in health care research and has become an issue of growing interest. The current study explored factors related to the sustainability of 2 multidisciplinary hospital-based programs 3 to 6 years after achieving early implementation success. An exploratory qualitative study was conducted into 2 implementation cases, an Enhanced Recovery After Surgery program for colorectal surgery and a short-stay program for breast cancer surgery. Semistructured interviews were held with key persons involved in the care process in 14 hospitals from both cases minimally 3 years after the implementation, between March 2012 and May 2013. The Consolidated Framework for Implementation Research was used to direct the development of the interview guide, during data collection and during analysis. A directed content analysis was performed. A total of 21 interviews with 26 individuals were held, 18 regarding the Enhanced Recovery After Surgery case and 8 regarding the short-stay program case. Respondents mentioned the following factors associated with sustainability of the programs: modification and adaptability of the program, cost-effectiveness, institutionalization into existing systems, short communication lines within the multidisciplinary team, an innovative culture, benefits for patients, cosmopolitanism, the existence of external policies and incentives, trust and belief in the program, and spread of the program to other settings. Two factors are not covered by the Consolidated Framework for Implementation Research, ie, modification of the program over the years and spread of the program to other contexts. The factors associated with sustainability put forward in both cases were largely the same. Leadership and the implementation project were not mentioned as having influenced the long-term sustainability of the benefits achieved. Sustainability of the innovations is influenced by determinants stemming from all ecological

  16. Use of concept mapping to characterize relationships among implementation strategies and assess their feasibility and importance: results from the Expert Recommendations for Implementing Change (ERIC) study.

    Science.gov (United States)

    Waltz, Thomas J; Powell, Byron J; Matthieu, Monica M; Damschroder, Laura J; Chinman, Matthew J; Smith, Jeffrey L; Proctor, Enola K; Kirchner, JoAnn E

    2015-08-07

    Poor terminological consistency for core concepts in implementation science has been widely noted as an obstacle to effective meta-analyses. This inconsistency is also a barrier for those seeking guidance from the research literature when developing and planning implementation initiatives. The Expert Recommendations for Implementing Change (ERIC) study aims to address one area of terminological inconsistency: discrete implementation strategies involving one process or action used to support a practice change. The present report is on the second stage of the ERIC project that focuses on providing initial validation of the compilation of 73 implementation strategies that were identified in the first phase. Purposive sampling was used to recruit a panel of experts in implementation science and clinical practice (N = 35). These key stakeholders used concept mapping sorting and rating activities to place the 73 implementation strategies into similar groups and to rate each strategy's relative importance and feasibility. Multidimensional scaling analysis provided a quantitative representation of the relationships among the strategies, all but one of which were found to be conceptually distinct from the others. Hierarchical cluster analysis supported organizing the 73 strategies into 9 categories. The ratings data reflect those strategies identified as the most important and feasible. This study provides initial validation of the implementation strategies within the ERIC compilation as being conceptually distinct. The categorization and strategy ratings of importance and feasibility may facilitate the search for, and selection of, strategies that are best suited for implementation efforts in a particular setting.

  17. Spurious claims for health-care products: an experimental approach to evaluating current UK legislation and its implementation.

    Science.gov (United States)

    Rose, Leslie B; Posadzki, Paul; Ernst, Edzard

    2012-01-01

    The lay media, and especially the Internet, contain many misleading claims for health products which have previously been inadequately regulated by consumer law. This was an experimental interventional survey within a consumer health-care setting. Three health products were chosen on the basis of being widely available on the UK market and having no available evidence of effectiveness. Twelve volunteers submitted 39 complaints to Consumer Direct (UK portal for the regulator Trading Standards) regarding false health claims, and 36 complaints were followed up for a maximum of 4.8 months. The mean time from submission of complaints to Consumer Direct to acknowledgement by the relevant Trading Standards office was 13 days. There were no responses from Trading Standards for 22% of complaints. At the end of the study one supplier had amended their website following Trading Standards advice, but did not stop all health claims. Another stopped advertising their product on the Internet and the third continued the health claims unchanged. EU directive 2005/29/EC is largely ineffective in preventing misleading health claims for consumer products in the UK.

  18. A study on IEEE 802. 11 WLAN implementation with embedded microprocessor

    Institute of Scientific and Technical Information of China (English)

    Abdullah A Hussain; LOU Xi-zhong; ZHONG Wei; MAO Zhi-gang

    2005-01-01

    Applying IEEE 802. 11 MAC protocols in battery-powered devices make power consumption critical demand upon implementation. A statistical study on operator/bit usage, the weight of operator and operator type in the programs has been done, including converting the MAC functions from SDL to C to ASM with tow RISC targets. The study shows that implementing MAC functions should consider real-time protocol requirements by dividing MAC functions into sets. We enhance the set of time-critical functions implemented to dedicated hardware and the set of non-time-critical functions implemented to software run with embedded processor. This heterogeneous system is proposed in consideration of our study results to reduce power consumption.

  19. Implementation of asthma guidelines to West Australian community pharmacies: an exploratory, quasi-experimental study.

    Science.gov (United States)

    Watkins, Kim; Trevenen, Michelle; Murray, Kevin; Kendall, Peter A; Schneider, Carl R; Clifford, Rhonda

    2016-08-31

    Pharmacy assistants are often the first point of contact for patients presenting in community pharmacies. The current role of pharmacy assistants in the supply of asthma-reliever medications (short-acting β-agonists) was identified as a barrier to appropriate guideline-based care. The aim of this research was to devise and evaluate a team-based intervention to formalise the role of pharmacy assistants and to improve asthma guideline-based care in community pharmacy. A controlled pre-post intervention study was conducted in 336 metropolitan pharmacies located in Perth, Western Australia. Pharmacies were stratified into 2 groups (187 intervention and 149 control) based on known confounders for asthma control. The intervention was designed using a common-sense approach and resources developed included a checklist, videos and web page. Delivery was via workshops (25 pharmacies) or academic detailing (162 pharmacies). Pharmacy practice was assessed preintervention and postintervention via covert simulated patient methodology. Primary outcome measures included patient medical referral, device use demonstration and counselling, internal referral and/or direct involvement of a pharmacist in consultations. There was a significant increase in patient medical referral in intervention pharmacies from 32% to 47% (p=0.0007) from preintervention to postintervention, while control pharmacies showed a non-significant decrease from 50% to 44% (p=0.22). Device counselling was not routinely carried out at any stage or in any cohort of this research and no significant changes in internal referral were observed. Increases in medical referral indicate that asthma guideline compliance can be improved in community pharmacy if implementation employs a team-based approach and involves pharmacy assistants. However, results were variable and the intervention did not improve practice related to device counselling or internal referral/pharmacist involvement. Undertaking more workshops may have

  20. Implementing Cognitive Behavioral Therapy in the real world: A case study of two mental health centers

    Directory of Open Access Journals (Sweden)

    Burns Barbara J

    2008-02-01

    Full Text Available Abstract Background Behavioral health services for children and adolescents in the U.S. are lacking in accessibility, availability and quality. Evidence-based interventions for emotional and behavioral disorders can improve quality, yet few studies have systematically examined their implementation in routine care settings. Methods Using quantitative and qualitative data, we evaluated a multi-faceted implementation strategy to implement cognitive-behavioral therapy (CBT for depressed adolescents into two publicly-funded mental healthcare centers. Extent of implementation during the study's duration and variables influencing implementation were explored. Results Of the 35 clinicians eligible to participate, 25 (71% were randomized into intervention (n = 11 or usual care (n = 14. Nine intervention clinicians completed the CBT training. Sixteen adolescents were enrolled in CBT with six of the intervention clinicians; half of these received at least six CBT manually-based sessions. Multiple barriers to CBT adoption and sustained use were identified by clinicians in qualitative interviews. Conclusion Strategies to implement evidence-based interventions into routine clinical settings should include multi-method, pre-implementation assessments of the clinical environment and address multiple barriers to initial uptake as well as long-term sustainability.

  1. A study of the current collecting sectors of a U-25B diagonal megnetohydrodynamic generator

    Energy Technology Data Exchange (ETDEWEB)

    Kirillov, V.V.; Panovka, M.Ya.; Semenov, V.D.; Sokolov, Yu.N.

    1983-01-01

    The results are cited of an experimental study and a calculated analysis of the operation of current collecting sectors of the U-25B magnetohydrodynamic (MHD) generator. The effect was studied of the parameters of the current, the coefficient of electrical loading, the disposition of the current collecting sectors (T) relative to the diagram of the magnetic field on the distribution of current along the length of the current collecting sectors. It is established that with optimal disposition of the current collecting sectors a uniform distribution of current is achieved. A simplified calculation model of the current collecting sector is developed. It is shown that the experimental and calculated relationships match well. The effect of the ballast resisters installed in the current collecting circuits on the distribution of current is examined. Their positive role in preventing current overloads on the frames and in supporting the uniform distribution of current is noted.

  2. Designing a strategy to implement cost-effective blood transfusion management in elective hip and knee arthroplasties: A study protocol

    Directory of Open Access Journals (Sweden)

    Voorn Veronique MA

    2012-06-01

    Full Text Available Abstract Background Total hip and knee arthroplasties are two of the most commonly performed procedures in orthopedic surgery. Different blood-saving measures (BSMs are used to reduce the often-needed allogenic blood transfusions in these procedures. A recent large randomized controlled trial showed it is not cost effective to use the BSMs of erythropoietin and perioperative autologous blood salvage in elective primary hip and knee arthroplasties. Despite dissemination of these study results, medical professionals keep using these BSMs. To actually change practice, an implementation strategy is needed that is based on a good understanding of target groups and settings and the psychological constructs that predict behavior of medical professionals. However, detailed insight into these issuses is lacking. Therefore, this study aims to explore which groups of professionals should be targeted at which settings, as well as relevant barriers and facilitators that should be taken into acount in the strategy to implement evidence-based, cost-effective blood transfusion management and to de-implement BSMs. Methods The study consists of three phases. First, a questionnaire survey among all Dutch orthopedic hospital departments and independent treatment centers (n = 99 will be conducted to analyze current blood management practice. Second, semistructured interviews will be held among 10 orthopedic surgeons and 10 anesthesiologists to identify barriers and facilitators that are relevant for the uptake of cost-effective blood transfusion management. Interview questions will be based on the Theoretical Domains Interview framework. The interviews will be followed by a questionnaire survey among 800 medical professionals in orthopedics and anesthesiology (400 professionals per discipline in which the identified barriers and facilitators will be ranked by frequency and importance. Finally, an implementation strategy will be developed based on the results

  3. The Study of the Geomagnetic Variation for Sq current System

    Science.gov (United States)

    Zhao, X.; Du, A.

    2012-04-01

    The solar quiet variation (Sq) with a period of 24 hrs is a typical one of the quiet variations. Sq is generally caused by atmospheric tide-dynamo in ionosphere and it is controlled by the electric field, electric conductivity in ionosphere and neutral wind in middle-high altitude atmosphere. In our work, the geomagnetic field data observed by 90 ground-based observatories is used to analyze the local time variation of Sq. Sq is derived from five quiet-day geomagnetic data in every month by the FFT method. According to the pattern of geomagnetic X component in Sq, there is a prenoon-postnoon (before noon and after noon) asymmetry. This asymmetry is obvious in spring, summer and winter. The X component at 12:00-13:00 LT is about 5 nT larger than it at 11:00-12:00 LT. The ratio between the X component of daily variable amplitude and Y component of daily variable amplitude in middle and low (high) latitude regions in summer is greater (smaller) than that in winter. Used the sphere harmonic analysis method, the Sq equivalent current system is obtained. From the pattern of Sq current system, the prenoon-postnoon asymmetry may be caused by the electric field in the high latitude region. This electric field has two effects: the one is that the electric field from high latitude maps to the low latitude region; the other is this electric field penetrate to the middle latitude region directly. The combined action of these two effects makes the prenoon-postnoon asymmetry of Sq. The asymmetry also has an obvious seasonal effect. It may relate to the polar Sq and DP2 in the high latitude region.

  4. The current status of orbital experiments for UHECR studies

    Science.gov (United States)

    Panasyuk, M. I.; Casolino, M.; Garipov, G. K.; Ebisuzaki, T.; Gorodetzky, P.; Khrenov, B. A.; Klimov, P. A.; Morozenko, V. S.; Sakaki, N.; Saprykin, O. A.; Sharakin, S. A.; Takizawa, Y.; Tkachev, L. G.; Yashin, I. V.; Zotov, M. Yu

    2015-08-01

    Two types of orbital detectors of extreme energy cosmic rays are being developed nowadays: (i) TUS and KLYPVE with reflecting optical systems (mirrors) and (ii) JEM-EUSO with high- transmittance Fresnel lenses. They will cover much larger areas than existing ground-based arrays and almost uniformly monitor the celestial sphere. The TUS detector is the pioneering mission developed in SINP MSU in cooperation with several Russian and foreign institutions. It has relatively small field of view (±4.5°), which corresponds to a ground area of 6.4 • 103 km2. The telescope consists of a Fresnel-type mirror-concentrator (∼ 2 m2) and a photo receiver (a matrix of 16 x 16 photomultiplier tubes). It is to be deployed on the Lomonosov satellite, and is currently at the final stage of preflight tests. Recently, SINP MSU began the KLYPVE project to be installed on board of the Russian segment of the ISS. The optical system of this detector contains a larger primary mirror (10 m2), which allows decreasing the energy threshold. The total effective field of view will be at least ±14° to exceed the annual exposure of the existing ground-based experiments. Several configurations of the detector are being currently considered. Finally, JEM-EUSO is a wide field of view (±30°) detector. The optics is composed of two curved double-sided Fresnel lenses with 2.65 m external diameter, a precision diffractive middle lens and a pupil. The ultraviolet photons are focused onto the focal surface, which consists of nearly 5000 multi-anode photomultipliers. It is developed by a large international collaboration. All three orbital detectors have multi-purpose character due to continuous monitoring of various atmospheric phenomena. The present status of development of the TUS and KLYPVE missions is reported, and a brief comparison of the projects with JEM-EUSO is given.

  5. Comparative study between an alternating current (AC) and a direct current (DC) electrification of an urban railway

    OpenAIRE

    Garriga Turu, Jordi

    2015-01-01

    This study will evaluate technically, energetic and economically the traction electrification network of the line Barcelona – Vallès operated by Ferrocarrils de la Generalitat de Catalunya (FGC) in the existing voltage system (1500 Vdc) and a new electrification under alternative current (25 kVac) will be proposed to be as well studied. The results obtained will be compared in order to obtain decision factors on which system best fits.

  6. Factors related to the implementation and diffusion of new technologies: a pilot study

    Energy Technology Data Exchange (ETDEWEB)

    1979-06-01

    In order to develop an understanding of how government intervention affects the processes of implementation and diffusion of new technologies, case studies of 14 technologies were carried out: automobiles; broadcast radio; frozen foods; black and white TV; color TV; polio vaccine; supersonic transport; fluoridation of water supplies; computer-aided instruction; basic oxygen process for steel; numerical control in manufacturing; digital computers; lasers; and integrated circuit. The key factors, their motivations for implementing/adopting the technology (or not doing so), the interactions among the key factors, and how these affected implementation/adoption are examined.

  7. Implementing a Quantum Algorithm with Exchange-Coupled Quantum Dots: a Feasibility study

    CERN Document Server

    Myrgren, E S

    2003-01-01

    We present Monte Carlo wavefunction simulations for quantum computations employing an exchange-coupled array of quantum dots. Employing a combination of experimentally and theoretically available parameters, we find that gate fidelities greater than 98 % may be obtained with current experimental and technological capabilities. Application to an encoded 3 qubit (nine physical qubits) Deutsch-Josza computation indicates that the algorithmic fidelity is more a question of the total time to implement the gates than of the physical complexity of those gates.

  8. Implementing recommendations from accident investigations: a case study of inter-organisational challenges.

    Science.gov (United States)

    Cedergren, Alexander

    2013-04-01

    In many industries, a national accident investigation board conducts investigations following major accidents. For safety improvements to be achieved, however, it is essential that the recommendations presented in these investigations are followed by necessary actions. In this paper, challenges related to implementation of recommendations from accident investigations are studied. The theoretical framework providing the foundation for the study lies at the intersection between systems safety, risk governance, and implementation research. Empirical data for the case study was collected from the Swedish railway sector. The first part of the paper presents an analysis of the extent of recommendations that have not resulted in implemented actions. The second part consists of an interview study aiming at providing a deeper understanding of the difficulties related to transforming these recommendations into actual changes. Two key factors that give rise to challenges to implementation of recommendations are identified. The first factor is related to the different actors' views on their own and other stakeholders' roles in the implementation process, and can be described as a trade-off between being insider and outsider to the industry. The second factor is related to the scope of the accident investigations and their recommendations, and can be described as a trade-off between micro-level and macro-level factors. The opportunities for implementing recommendations, and achieving safety improvements at the industry level, are affected by the ways in which the different stakeholders manage these trade-offs at the local level. This study thus mainly contributes by highlighting the importance of co-ordinating the various actors involved in the implementation process, and the results show that challenges to implementation to a large extent arise in the interactions between these actors.

  9. Reporting on the Strategies Needed to Implement Proven Interventions: An Example From a "Real-World" Cross-Setting Implementation Study.

    Science.gov (United States)

    Gold, Rachel; Bunce, Arwen E; Cohen, Deborah J; Hollombe, Celine; Nelson, Christine A; Proctor, Enola K; Pope, Jill A; DeVoe, Jennifer E

    2016-08-01

    The objective of this study was to empirically demonstrate the use of a new framework for describing the strategies used to implement quality improvement interventions and provide an example that others may follow. Implementation strategies are the specific approaches, methods, structures, and resources used to introduce and encourage uptake of a given intervention's components. Such strategies have not been regularly reported in descriptions of interventions' effectiveness, or in assessments of how proven interventions are implemented in new settings. This lack of reporting may hinder efforts to successfully translate effective interventions into "real-world" practice. A recently published framework was designed to standardize reporting on implementation strategies in the implementation science literature. We applied this framework to describe the strategies used to implement a single intervention in its original commercial care setting, and when implemented in community health centers from September 2010 through May 2015. Per this framework, the target (clinic staff) and outcome (prescribing rates) remained the same across settings; the actor, action, temporality, and dose were adapted to fit local context. The framework proved helpful in articulating which of the implementation strategies were kept constant and which were tailored to fit diverse settings, and simplified our reporting of their effects. Researchers should consider consistently reporting this information, which could be crucial to the success or failure of implementing proven interventions effectively across diverse care settings. clinicaltrials.gov Identifier: NCT02299791. Copyright © 2016 The Authors. Published by Elsevier Inc. All rights reserved.

  10. Using institutional theory with sensemaking theory: a case study of information system implementation in healthcare

    DEFF Research Database (Denmark)

    Jensen, Tina Blegind; Kjærgaard, Annemette; Svejvig, Per

    2009-01-01

    Institutional theory has proven to be a central analytical perspective for investigating the role of social and historical structures of information systems (IS) implementation. However, it does not explicitly account for how organisational actors make sense of and enact technologies in their local...... context. We address this limitation by exploring the potential of using institutional theory with sensemaking theory to study IS implementation in organisations. We argue that each theoretical perspective has its own explanatory power and that a combination of the two facilitates a much richer...... interpretation of IS implementation by linking macro- and micro-levels of analysis. To illustrate this, we report from an empirical study of the implementation of an Electronic Patient Record (EPR) system in a clinical setting. Using key constructs from the two theories, our findings address the phenomenon...

  11. Using institutional theory with sensemaking theory: a case study of information system implementation in healthcare

    DEFF Research Database (Denmark)

    Jensen, Tina Blegind; Kjærgaard, Annemette; Svejvig, Per

    2009-01-01

    Institutional theory has proven to be a central analytical perspective for investigating the role of social and historical structures of information systems (IS) implementation. However, it does not explicitly account for how organisational actors make sense of and enact technologies in their local...... context. We address this limitation by exploring the potential of using institutional theory with sensemaking theory to study IS implementation in organisations. We argue that each theoretical perspective has its own explanatory power and that a combination of the two facilitates a much richer...... interpretation of IS implementation by linking macro- and micro-levels of analysis. To illustrate this, we report from an empirical study of the implementation of an Electronic Patient Record (EPR) system in a clinical setting. Using key constructs from the two theories, our findings address the phenomenon...

  12. Implementing augmentative and alternative communication in inclusive educational settings: a case study.

    Science.gov (United States)

    Stoner, Julia B; Angell, Maureen E; Bailey, Rita L

    2010-06-01

    The purpose of this study was to describe a single case of augmentative and alternative communication (AAC) implementation. Case study methodology was used to describe the perspectives of educational team members regarding AAC implementation for Joey, a high school junior with athetoid cerebral palsy. Benefits included greater intelligibility for Joey and subsequent comfort of the staff. Facilitators of Joey's AAC system use included the team's student-focused disposition and willingness to implement use of the device, Joey's increased intelligibility, peers' acceptance of the technology, and the resulting increase in Joey's socialization. Limited team cohesiveness, problem solving, and communication were the true barriers in this case. Implications of these facilitators and barriers are discussed and recommendations for school-based AAC implementation are made.

  13. A protocol for an individualised, facilitated and sustainable approach to implementing current evidence in preventing falls in residential aged care facilities

    Directory of Open Access Journals (Sweden)

    Hill Keith

    2010-02-01

    Full Text Available Abstract Background Falls are common adverse events in residential care facilities. Commonly reported figures indicate that at least 50% of residents fall in a 12 month period, and that this figure is substantially higher for residents with dementia. This paper reports the protocol of a project which aims to implement evidence based falls prevention strategies in nine residential aged care facilities (RACFs in Australia. The facilities in the study include high and low care, small and large facilities, metropolitan and regional, facilities with a specific cultural focus, and target groups recognised as being more challenging to successful implementation of falls prevention practice (e.g. residents with dementia. Methods The project will be conducted from November 2007-November 2009. The project will involve baseline scoping of existing falls rates and falls prevention activities in each facility, an action research process, interactive falls prevention training, individual falls risk assessments, provision of equipment and modifications, organisation based steering committees, and an economic evaluation. In each RACF, staff will be invited to join an action research group that will lead the process of developing and implementing interventions designed to facilitate an evidence based approach to falls management in their facility. In all RACFs a pre/post design will be adopted with a range of standardised measures utilised to determine the impact of the interventions. Discussion The care gap in residential aged care that will be addressed through this project relates to the challenges in implementing best practice falls prevention actions despite the availability of best practice guidelines. There are numerous factors that may limit the uptake of best practice falls prevention guidelines in residential aged care facilities. A multi-factorial individualised (to the specific requirements of each facility approach will be used to develop and

  14. Strengthening the implementation of Health in All Policies: a methodology for realist explanatory case studies.

    Science.gov (United States)

    Shankardass, Ketan; Renahy, Emilie; Muntaner, Carles; O'Campo, Patricia

    2015-05-01

    To address macro-social and economic determinants of health and equity, there has been growing use of intersectoral action by governments around the world. Health in All Policies (HiAP) initiatives are a special case where governments use cross-sectoral structures and relationships to systematically address health in policymaking by targeting broad health determinants rather than health services alone. Although many examples of HiAP have emerged in recent decades, the reasons for their successful implementation--and for implementation failures--have not been systematically studied. Consequently, rigorous evidence based on systematic research of the social mechanisms that have regularly enabled or hindered implementation in different jurisdictions is sparse. We describe a novel methodology for explanatory case studies that use a scientific realist perspective to study the implementation of HiAP. Our methodology begins with the formulation of a conceptual framework to describe contexts, social mechanisms and outcomes of relevance to the sustainable implementation of HiAP. We then describe the process of systematically explaining phenomena of interest using evidence from literature and key informant interviews, and looking for patterns and themes. Finally, we present a comparative example of how Health Impact Assessment tools have been utilized in Sweden and Quebec to illustrate how this methodology uses evidence to first describe successful practices for implementation of HiAP and then refine the initial framework. The methodology that we describe helps researchers to identify and triangulate rich evidence describing social mechanisms and salient contextual factors that characterize successful practices in implementing HiAP in specific jurisdictions. This methodology can be applied to study the implementation of HiAP and other forms of intersectoral action to reduce health inequities involving multiple geographic levels of government in diverse settings.

  15. The current status of orbital experiments for UHECR studies

    CERN Document Server

    Panasyuk, M I; Garipov, G K; Ebisuzaki, T; Gorodetzky, P; Khrenov, B A; Klimov, P A; Morozenko, V S; Sakaki, N; Saprykin, O A; Sharakin, S A; Takizawa, Y; Tkachev, L G; Yashin, I V; Zotov, M Yu

    2015-01-01

    Two types of orbital detectors of extreme energy cosmic rays are being developed nowadays: (i) TUS and KLYPVE with reflecting optical systems (mirrors) and (ii) JEM-EUSO with high-transmittance Fresnel lenses. They will cover much larger areas than existing ground-based arrays and almost uniformly monitor the celestial sphere. The TUS detector is the pioneering mission developed in SINP MSU in cooperation with several Russian and foreign institutions. It has relatively small field of view (+/-4.5 deg), which corresponds to a ground area of 6.4x10^3 sq.km. The telescope consists of a Fresnel-type mirror-concentrator (~2 sq.m) and a photo receiver (a matrix of 16x16 photomultiplier tubes). It is to be deployed on the Lomonosov satellite, and is currently at the final stage of preflight tests. Recently, SINP MSU began the KLYPVE project to be installed on board of the Russian segment of the ISS. The optical system of this detector contains a larger primary mirror (10 sq.m), which allows decreasing the energy thr...

  16. Current studies on human papillomavirus in Saudi Arabia.

    Science.gov (United States)

    Alhamlan, Fatimah Saeed; Al-Qahtani, Ahmed A; Al-Ahdal, Mohammed N

    2015-07-04

    Human papillomavirus (HPV) infection is a significant etiological factor and an important prognosticator in cervical cancer. Indeed, researchers worldwide have confirmed these roles for high-risk HVPs in over 70% of cervical cancer cases. According to the World Health Organization, approximately 561,200 new cancer cases (5.2% of all new cancers) are attributed to HPV infection. Over 120 types of HPV are classified further as either low-risk HPV (LR-HPV) or high-risk HPV (HR-HPV) based on their oncological potential of transforming cells. The LR-HPV types cause benign hyperproliferative lesions (i.e. genital warts) while the HR-HPV types are strongly associated with premalignant and malignant cervical lesions. Data on the prevalence of HPV, survival of infected patients, and mortality rate are scarce in Saudi Arabia. The unsubstantiated assumption of a low prevalence of HPV in Saudi Arabia has contributed to limiting HPV research in this conservative country. Therefore, the goal of this review is to shed light on the current HPV research being conducted and the prevalence of HPV in Saudi Arabia.

  17. A Management and Economic Survey in Implementation of Blown Bitumen Production Using Acidic Sludge Recycling (A Case Study

    Directory of Open Access Journals (Sweden)

    Malek Hassanpour

    2016-10-01

    Full Text Available Many units of blown bitumen and used-motor oil reprocessing industries have been currently implemented and many modern technologies and additives are being developed and requested continuously. The objective of current study was a management and economic survey in implementation of blown bitumen production using acidic sludge recycling as a new additive that encompasses financial views and other success factors so carried out using a Kanji’s Business Excellence Model, empirical equations, professional experiences and observations during establishment an industry. Using acidic sludge had promoted the product quality in parallel with the TQM parameters. Current study had shown the indices values such as value-added percent, profit, annual income, breakeven point, value-added, output value, data value, variable cost of commodity unit and production costs were found to be about 44%, $ 5308605.14, $ 5252251.65, $ 1183.67 , $ 5401935.47, $ 6748064.5, $ 12150000, $ 140.93 and $ 6897748.4 respectively. The breakeven point about 2.46%, time of return on investment about 0.07, BES about 800.2 (for KBEM and 806.77 (for EFQM was represented a systematic practice so that thrift outlays and boost the strength and weakness points to improve.

  18. Retooling the Social Studies Classroom for the Current Generation

    Science.gov (United States)

    Wilson, Elizabeth K.; Wright, Vivian H.; Inman, Christopher T.; Matherson, Lisa H.

    2011-01-01

    Digital technologies have changed the way students read and communicate. Subsequently, teachers must use technology to engage their students in learning. This article illustrates the value of using Web 2.0 tools (blogs, wikis, and digital media-sharing) in the social studies classroom. Additionally, a social studies teacher shares insights into…

  19. A Review of Current Studies on Human Capital

    Institute of Scientific and Technical Information of China (English)

    黄思雅

    2012-01-01

      This paper introduces some previous studies on human capital, mainly regarding human capital’s properties and its relationship with corporate performance and capital structure. This study shows the importance of human capital and suggests that managers should pay more attention to employees.

  20. Review of current study methods for VRU safety

    DEFF Research Database (Denmark)

    Andersen, Camilla Sloth; Kamaluddin, Noor Azreena; Várhelyi, András

    written questionnaires (either online or paper-based), interviews may be performed (either face-to-face or via telephone) and people may be asked to report their accident via an app on their mobile device. The method for gaining self-reported information thus varies greatly – and so does the information...... that people are asked to give. In most studies, only the number of accidents in which the respondent was involved is relevant for the researcher. In other studies, respondents are asked about possible accident causation factors, and some studies deal with respondents’ recall of the accident details. In other...

  1. Current approaches of genome-wide association studies

    Institute of Scientific and Technical Information of China (English)

    Jianfeng Xu

    2008-01-01

    @@ With rapid advances in high-throughput genotyping technology and the great increase in information available on SNPs throughout the genuine, genuine-wide association(GWA) studies have now become feasible.

  2. Cost-of-Illness Studies: A Review of Current Methods

    OpenAIRE

    Ebere Akobundu; Jing Ju; Lisa Blatt; C Daniel Mullins

    2006-01-01

    The number of cost-of-illness (COI) studies has expanded considerably over time. One outcome of this growth is that the reported COI estimates are inconsistent across studies, thereby raising concerns over the validity of the estimates and methods. Several factors have been identified in the literature as reasons for the observed variation in COI estimates. To date, the variation in the methods used to calculate costs has not been examined in great detail even though the variations in methods...

  3. Learning Evaluation: blending quality improvement and implementation research methods to study healthcare innovations.

    Science.gov (United States)

    Balasubramanian, Bijal A; Cohen, Deborah J; Davis, Melinda M; Gunn, Rose; Dickinson, L Miriam; Miller, William L; Crabtree, Benjamin F; Stange, Kurt C

    2015-03-10

    In healthcare change interventions, on-the-ground learning about the implementation process is often lost because of a primary focus on outcome improvements. This paper describes the Learning Evaluation, a methodological approach that blends quality improvement and implementation research methods to study healthcare innovations. Learning Evaluation is an approach to multi-organization assessment. Qualitative and quantitative data are collected to conduct real-time assessment of implementation processes while also assessing changes in context, facilitating quality improvement using run charts and audit and feedback, and generating transportable lessons. Five principles are the foundation of this approach: (1) gather data to describe changes made by healthcare organizations and how changes are implemented; (2) collect process and outcome data relevant to healthcare organizations and to the research team; (3) assess multi-level contextual factors that affect implementation, process, outcome, and transportability; (4) assist healthcare organizations in using data for continuous quality improvement; and (5) operationalize common measurement strategies to generate transportable results. Learning Evaluation principles are applied across organizations by the following: (1) establishing a detailed understanding of the baseline implementation plan; (2) identifying target populations and tracking relevant process measures; (3) collecting and analyzing real-time quantitative and qualitative data on important contextual factors; (4) synthesizing data and emerging findings and sharing with stakeholders on an ongoing basis; and (5) harmonizing and fostering learning from process and outcome data. Application to a multi-site program focused on primary care and behavioral health integration shows the feasibility and utility of Learning Evaluation for generating real-time insights into evolving implementation processes. Learning Evaluation generates systematic and rigorous cross

  4. Putting politics into perspective. A Study of the Implementation of EU public utilities directives

    Energy Technology Data Exchange (ETDEWEB)

    Berglund, S.K.

    2009-03-20

    In the area of public utilities, the member states of the European Union (EU) have agreed on ambitious policies to open up markets for competition and to regulate these markets. To have the expected effect, these policies have to be implemented effectively. In this book it is demonstrated that this is problematic; difficulties appear already in the first step of transposing the directives into national legislation. The analysis of an original quantitative data set including all public utilities directives and their transposition in five member states - the Netherlands, Germany, the United Kingdom, Spain, and Greece - shows that almost two thirds of all cases are transposed after the deadlines that are included in the directives. In order to explain problems with the implementation of EU policies, three main types of variables are used in the literature, namely political, administrative, and institutional variables. In recent literature on transposition the focus is on political explanations. However, despite a surge of attention for transposition there is no consensus regarding which type of variable is most important. In this book the focus on political variables is addressed. It is examined if such a focus is well founded, and whether and how different types of variables combine in order to produce the transposition outcome. To this end, a novel approach is taken by developing a theoretical framework that applies implementation theory to transposition. In this framework the three types of variables in the literature on transposition are combined in one coherent framework. The theoretical framework is applied mainly in a case study setting. The transposition of two packages of directives in the fields of telecommunications and energy in the Netherlands, Germany and Greece is studied in detail. The main conclusion is that political factors play an important role for the timeliness of transposition, but that a number of 'mediating' variables of

  5. The relevance of political prestudies for implementation studies of cognitive services in community pharmacies

    DEFF Research Database (Denmark)

    Kaae, Susanne; Traulsen, Janine Marie; Søndergaard, Birthe

    2009-01-01

    BACKGROUND: Studies of cognitive services implementation in the pharmacy sector traditionally focus on individual and/or organizational factors to explain why some pharmacies are successful and others are not. The social and political context of the origins of these services is rarely part...... of the analysis. Researchers and practitioners in the field of pharmacy practice research are increasingly being encouraged to take into account the specific political and societal climate which often plays a defining role in the success or failure of cognitive services implementation in community pharmacies....... OBJECTIVE: The aim of this article is to argue for the inclusion of political pre-studies as part of the study design for implementation studies on reimbursed services in community pharmacy. METHODS: A political pre-study of the Inhaler Technique Assessment Service (ITAS) introduced in Denmark in 2004...

  6. Jordanian Social Studies Teachers' Perceptions of Competency Needed for Implementing Technology in the Classroom

    Science.gov (United States)

    Al Bataineh, Mohammad; Anderson, Sharon

    2015-01-01

    This study used a cross-sectional, ten-point Likert-type scale survey design, to examine the perception of Jordanian seventh to twelfth-grade social studies teachers of the competency needed for technology implementation in their classrooms. The instrument for this study was a modified version of a survey developed by Kelly (2003) called the…

  7. Evaluating Evaluation Systems: Policy Levers and Strategies for Studying Implementation of Educator Evaluation. Policy Snapshot

    Science.gov (United States)

    Matlach, Lauren

    2015-01-01

    Evaluation studies can provide feedback on implementation, support continuous improvement, and increase understanding of evaluation systems' impact on teaching and learning. Despite the importance of educator evaluation studies, states often need support to prioritize and fund them. Successful studies require expertise, time, and a shared…

  8. COMPARATIVE STUDY OF DIFFERENT KALMAN FILTER IMPLEMENTATIONS IN POWER SYSTEM STABILITY

    Directory of Open Access Journals (Sweden)

    H. H. Goh

    2014-01-01

    Full Text Available Voltage stability and voltage collapse issues have in recent years begun to constitute an unpleasant warning to the operational security of power systems. Many techniques have been investigated in order to predict the point of voltage collapse. However, there are still several restrictions due to the insufficiency of current system state information. Accompanied by the commencement of the Phasor Measurement Units (PMUs evolving technology, it donates a solution to enhance the existing power system state estimation. In consequence, the significances to develop preferable methods that would provide a preliminary warning before the voltage collapse had grabbed the attention. This study covers the forming of real-time system monitoring methods that able to provide a timely warning in the power system. The algorithms used to estimate the points of collapse are according to the theory that voltage instability is approximately linked to the maximum load ability of a transmission network. As a result, the critical operating conditions (peak of maximum deliverable power come when the system Thevenin impedance is equal to the load impedance. This study focuses specifically on research about the motivation and the application of different Kalman filter implementations such as Discrete Kalman Filter (DKF, Extended Kalman Filter (EKF and Unscented Kalman Filter (UKF are used to track the Thevenin parameters. Therefore, the implications of this research paper are to determine the robustness and reliability of the proposed tracking methods. As compared to previous studies, the tracking process is just mainly focused on DKF method only, while the novelty throughout this study is to compare the performances and efficiencies of different Kalman filters in determining the maximum load ability on the 2 different types of test systems. Accompanying, the parameters are utilized in real-time voltage instability estimator to discover the current system’s condition

  9. Challenges for the implementation of World Health Organization guidelines for acute stress, PTSD, and bereavement: a qualitative study in Uganda.

    Science.gov (United States)

    Kane, Jeremy C; Adaku, Alex; Nakku, Juliet; Odokonyero, Raymond; Okello, James; Musisi, Seggane; Augustinavicius, Jura; Greene, M Claire; Alderman, Steve; Tol, Wietse A

    2016-03-15

    In 2013, the World Health Organization (WHO) published new guidelines for the management of conditions specifically related to stress, including symptoms of acute stress, bereavement, and post-traumatic stress disorder (PTSD). It is important to evaluate potential challenges for the implementation of these guidelines in low-resource settings, however, there is a dearth of research in this area. The current qualitative study aimed to assess perspectives on the feasibility and acceptability of the new guidelines in four clinics that provide mental health services in post-conflict northern Uganda. In-depth interviews were conducted with 19 mental health-care providers and program developers in northern Uganda to address three major research objectives: (1) describe the current standard practices and guidelines used for treating conditions related to stress in Uganda; (2) identify barriers and challenges associated with implementing the new WHO guidelines; and (3) identify and describe potential strategies for overcoming these barriers and challenges. An emergent thematic analysis was used to develop a coding scheme for the transcribed interviews. Practices for managing conditions related to stress included group psychological interventions, psychoeducation, and medication for clients with severe signs and symptoms. Several themes were identified from the interviews on barriers to guideline implementation. These included (1) a lack of trained and qualified mental health professionals to deliver WHO-recommended psychological interventions; (2) a perception that psychological interventions developed in high-income countries would not be culturally adaptable in Uganda; and (3) reluctance about blanket statements regarding medication for the management of acute stress symptoms and PTSD. Identified strategies for overcoming these barriers included (1) training and capacity building for current mental health staff; (2) a stepped care approach to mental health services; and

  10. The Course of Schizophrenia: E. Kraepelin's View and Current Studies

    Directory of Open Access Journals (Sweden)

    Norbert Müller

    2014-10-01

    Full Text Available Kraepelin's concept of dementia praecox and Bleuler's concept of the group of schizophrenias differ mainly under the aspect of course of the disorder. Follow-up studies play an important role for research regarding course, outcome and prognosis of psychiatric disorders, especially in terms of validation of psychiatric diagnosis and other psychiatric concepts, such as the concept of schizophrenic negative symptoms. Long-term studies also have their place in the description and evaluation of first treatment procedures. This paper will describe some general aspects of the long-term course and outcome of schizophrenic psychoses. The problem of relapses and relapse prevention will then be discussed. Especially data from recent studies will be considered in this overview.

  11. Marketing Mix Implementation in Small Medium Enterprises: A Study of Galeristorey Online Business

    Directory of Open Access Journals (Sweden)

    Rora Puspita Sari

    2017-03-01

    Full Text Available The purpose of this paper is to evaluate the implementation of marketing mix in online business company, whether the online business adopt solely the traditional marketing mix model or the internet factors is also included, since the business platform itself in on social media. Descriptive research and content analysis using interview and observation were used to analyse the marketing mix implementation in Galeristorey online business. Evidence suggested that Galeristorey implemented few elements of the marketing mix both the traditional marketing mix and the online marketing mix. The cause of the limited use of marketing mix elements because of the barriers faced by Galeristorey as an SME. Further researcher may widen the research sample and creates empirical study on the marketing mix implementation of online business that used social media as its main business platform.DOI: 10.15408/etk.v16i1.3950

  12. Impact on cost accuracy and profitability from implementing product configuration system – A case-study

    DEFF Research Database (Denmark)

    Myrodia, Anna; Kristjansdottir, Katrin; Hvam, Lars

    2015-01-01

    This article aims at analyzing the impacts from implementing a product configuration system (PCS) on company profitability and improved cost estimations in the sales phase. Companies that have implemented PCSs have achieved substantial benefits in terms of being more in control of their product...... assortment, making the right decisions in the sales phase and increased sales of optimal products. Those benefits should have direct impact on improved profitability in terms of increased contribution ratios and more accurate cost estimations used to determine the price in the budgetary quotations....... As the literature describes, there are various benefits from implementing a PCS, however the effects on the company’s profitability have not been discussed in details. This study analyzes the impact from implementing a PCS on the accuracy of calculations in the quotations and the impact on the relative contribution...

  13. Studying citizen-centred implementation networks in the age of governance

    DEFF Research Database (Denmark)

    Jacobi, Claus Brygger

    This paper is suggesting pathways on how to investigate and analyze the implementation of public policies at a time where the idea of governance is leaving no public policy process untouched in any advanced liberal democracy. But due to the bewildering variety of ways in which the concept......-autonomous social fields. Besides contributing with a coherent conceptual framework for studying social positions practiced by stakeholders, this approach adds to the investigation and analysis of manifestations of self-governance and co-governance in the citizen-centred implementation networks. Finally......-governance and self-governance. Applying this method, a ‘governance blend’ is identified within the implementation of Danish employment policies which is termed a ‘citizen-centred implementation network’, which is then used in the rest of paper to test the analytic powers of the emerging conceptual framework. However...

  14. How case-study research can help to explain implementation of the nurse practitioner role.

    Science.gov (United States)

    Sangster-Gormley, Esther

    2013-03-01

    To discuss how case-study research was undertaken to explain the implementation of the nurse practitioner role in a Canadian province. In Canada, the nurse practitioner role was only recently introduced and one of the last provinces to implement it was British Columbia. At this time, no studies of the role's implementation in the province had been published and, although nurses refer to case studies more frequently in their research, the literature lacks concise explanations of the methodologies involved in creating them. A case study of the implementation of the nurse practitioner role, including participant interviews and document review. The development of an explanatory, single case study with embedded units of analysis in line with Yin's (2009) approach to case-study research. This article provides an overview of case-study research methodology and examples from a case study undertaken by the author. The use of case studies provides nurse researchers with opportunities to engage with phenomena of interest in their settings and so is suited to the complex nature of nursing practice. IMPLICATIONS FOR PRACTICE OR RESEARCH: Case-study research enables researchers to study areas of interest thoroughly and in the context in which they occur.

  15. Implementing school nursing strategies to reduce LGBTQ adolescent suicide: a randomized cluster trial study protocol.

    Science.gov (United States)

    Willging, Cathleen E; Green, Amy E; Ramos, Mary M

    2016-10-22

    fidelity during the implementation of EB strategies in school settings. This study is designed to address the real-world implications of enabling the use of EB strategies by school nurses with the goal of decreasing suicide and youth risk behaviors among LGBTQ youth. Through its participatory processes to refine and sustain EB strategies in high schools, the RLAS represents a novel contribution to implementation science. ClinicalTrials.gov, NCT02875535.

  16. 普通专科医师培训基地现状分析%Current analysis of implementation for medical specialist training

    Institute of Scientific and Technical Information of China (English)

    胡刚; 王京; 顾云

    2013-01-01

    目的 通过对北京地区普通专科医师培训基地现状的调查,找出影响专科医师培训的主要因素.方法 利用个人深度访谈收集资料,采用主体框架法对访谈资料进行分析,找出北京地区专科医师培训的影响因素,并提出改善建议.结果 老师带教较差的原因主要有3条:部分带教老师本身没有经过教学培训,也无丰富的带教经验,加上准备不足,使教学质量受到影响;部分带教老师不放手;部分带教老师对送培学员缺乏认同感.住院医师待遇低及无法解决住宿导致24 h住院医师负责制无法实现和影响学员参加培训的积极性.结论 应建立培训竞争机制,改善培训机会均等性以及保证轮转计划落实到位.%Objective To analyze current status and problems of specialist training implementation in Beijing,and the main factors that could impact the specialist training implementation in Beijing.Methods Individual depth interviews method was used and the interview data were analyzed by the main body frame method for analyzing the impact factors of specialist training,and the suggestions to the implementation of specialist training in Beijing were provided.Results There were 3 reasons accounting for the phenomenon of poor training actions.①The first factor was the short of necessary knowledge,work experience,and teaching skill training; ②The second factor was giving little practice chance to the specialists ;③The third factor was treating people from other hospital with indifference.Also by inducting qualitative result,24 hours of resident responsibility system could not reach and the specialist enthusiasm was affected caused by low income and insufficient lodging.Conclusion The competition system should be created; the rigorous training facility standard shoud be secured and the training implementation should be strengthened.

  17. The relationship between baseline Organizational Readiness to Change Assessment subscale scores and implementation of hepatitis prevention services in substance use disorders treatment clinics: a case study

    Directory of Open Access Journals (Sweden)

    Hagedorn Hildi J

    2010-06-01

    Full Text Available Abstract Background The Organizational Readiness to Change Assessment (ORCA is a measure of organizational readiness for implementing practice change in healthcare settings that is organized based on the core elements and sub-elements of the Promoting Action on Research Implementation in Health Services (PARIHS framework. General support for the reliability and factor structure of the ORCA has been reported. However, no published study has examined the utility of the ORCA in a clinical setting. The purpose of the current study was to examine the relationship between baseline ORCA scores and implementation of hepatitis prevention services in substance use disorders (SUD clinics. Methods Nine clinic teams from Veterans Health Administration SUD clinics across the United States participated in a six-month training program to promote evidence-based practices for hepatitis prevention. A representative from each team completed the ORCA evidence and context subscales at baseline. Results Eight of nine clinics reported implementation of at least one new hepatitis prevention practice after completing the six-month training program. Clinic teams were categorized by level of implementation-high (n = 4 versus low (n = 5-based on how many hepatitis prevention practices were integrated into their clinics after completing the training program. High implementation teams had significantly higher scores on the patient experience and leadership culture subscales of the ORCA compared to low implementation teams. While not reaching significance in this small sample, high implementation clinics also had higher scores on the research, clinical experience, staff culture, leadership behavior, and measurement subscales as compared to low implementation clinics. Conclusions The results of this study suggest that the ORCA was able to measure differences in organizational factors at baseline between clinics that reported high and low implementation of practice

  18. Implementing a fax referral program for quitline smoking cessation services in urban health centers: a qualitative study

    Directory of Open Access Journals (Sweden)

    Cantrell Jennifer

    2009-12-01

    Full Text Available Abstract Background Fax referral services that connect smokers to state quitlines have been implemented in 49 U.S. states and territories and promoted as a simple solution to improving smoker assistance in medical practice. This study is an in-depth examination of the systems-level changes needed to implement and sustain a fax referral program in primary care. Methods The study involved implementation of a fax referral system paired with a chart stamp prompting providers to identify smoking patients, provide advice to quit and refer interested smokers to a state-based fax quitline. Three focus groups (n = 26 and eight key informant interviews were conducted with staff and physicians at two clinics after the intervention. We used the Chronic Care Model as a framework to analyze the data, examining how well the systems changes were implemented and the impact of these changes on care processes, and to develop recommendations for improvement. Results Physicians and staff described numerous benefits of the fax referral program for providers and patients but pointed out significant barriers to full implementation, including the time-consuming process of referring patients to the Quitline, substantial patient resistance, and limitations in information and care delivery systems for referring and tracking smokers. Respondents identified several strategies for improving integration, including simplification of the referral form, enhanced teamwork, formal assignment of responsibility for referrals, ongoing staff training and patient education. Improvements in Quitline feedback were needed to compensate for clinics' limited internal information systems for tracking smokers. Conclusions Establishing sustainable linkages to quitline services in clinical sites requires knowledge of existing patterns of care and tailored organizational changes to ensure new systems are prioritized, easily integrated into current office routines, formally assigned to specific

  19. Organ preconditioning: the past, current status, and related lung studies

    Institute of Scientific and Technical Information of China (English)

    LUH Shi-ping; YANG Pan-chyr

    2006-01-01

    Preconditioning (PC) has emerged as a powerful method for experimentally and clinically attenuating various types of organ injuries. In this paper related clinical and basic research issues on organ preconditioning issues were systemically reviewed.Since lung injuries, including ischemia-reperfusion and others, play important roles in many clinical results, including thromboembolism, trauma, thermal injury, hypovolemic and endotoxin shock, reimplantation response after organ transplantation, and many respiratory diseases in critical care. It is of interest to uncover methods, including the PCs, to protect the lung from the above injuries. However, related studies on pulmonary PC are relatively rare and still being developed, so we will review previous literature on experimental and clinical studies on pulmonary PC in the following paragraphs.

  20. Animal venom studies: Current benefits and future developments

    Institute of Scientific and Technical Information of China (English)

    Yuri; N; Utkin

    2015-01-01

    Poisonous organisms are represented in many taxa, including kingdom Animalia. During evolution, animals have developed special organs for production and injection of venoms. Animal venoms are complex mixtures, compositions of which depend on species producing venom. The most known and studied poisonous terrestrial animals are snakes, scorpions and spiders. Among marine animals, these are jellyfishes, anemones and cone snails. The toxic substances in the venom ofthese animals are mainly of protein and peptide origin. Recent studies have indicated that the single venom may contain up to several hundred different components producing diverse physiological effects. Bites or stings by certain poisonous species result in severe envenomations leading in some cases to death. This raises the problem of bite treatment. The most effective treatment so far is the application of antivenoms. To enhance the effectiveness of such treatments, the knowledge of venom composition is needed. On the other hand, venoms contain substances with unique biological properties, which can be used both in basic science and in clinical applications. The best example of toxin application in basic science is α-bungarotoxin the discovery of which made a big impact on the studies of nicotinic acetylcholine receptor. Today compositions of venom from many species have already been examined. Based on these data, one can conclude that venoms contain a large number of individual components belonging to a limited number of structural types. Often minor changes in the amino acid sequence give rise to new biological properties. Change in the living conditions of poisonous animals lead to alterations in the composition of venoms resulting in appearance of new toxins. At the same time introduction of new methods of proteomics and genomics lead to discoveries of new compounds, which may serve as research tools or as templates for the development of novel drugs. The application of these sensitive and

  1. Electrophysiological studies of malaria parasite-infected erythrocytes: Current status

    OpenAIRE

    Staines, Henry M.; Alkhalil, Abdulnaser; Allen, Richard J.; De Jonge, Hugo R.; Derbyshire, Elvira; Egée, Stéphane; Ginsburg, Hagai; Hill, David A.; Huber, Stephan M.; Kirk, Kiaran; Lang, Florian; Lisk, Godfrey; Oteng, Eugene; Pillai, Ajay D.; Rayavara, Kempaiah

    2007-01-01

    The altered permeability characteristics of erythrocytes infected with malaria parasites have been a source of interest for over 30 years. Recent electrophysiological studies have provided strong evidence that these changes reflect transmembrane transport through ion channels in the host erythrocyte plasma membrane. However, conflicting results and differing interpretations of the data have led to confusion in this field. In an effort to unravel these issues, the groups involved recently came...

  2. Using ERP and WfM Systems for Implementing Business Processes: An Empirical Study

    Science.gov (United States)

    Aversano, Lerina; Tortorella, Maria

    Software systems mainly considered from enterprises for dealing with a business process automation belong to the following two categories: Workflow Management Systems (WfMS) and Enterprise Resource Planning (ERP) systems. The wider diffusion of ERP systems tends to favourite this solution, but there are several limitations of most ERP systems for automating business processes. This paper reports an empirical study aiming at comparing the ability of implementing business processes of ERP systems and WfMSs. Two different case studies have been considered in the empirical study. It evaluates and analyses the correctness and completeness of the process models implemented by using ERP and WfM systems.

  3. Implementing and Sustaining Educational Change and ICT: A Case Study of a Taiwanese Primary School

    Science.gov (United States)

    Chen, Yih-Shyuan; Selwood, Ian

    This paper is a case study of a school in Taiwan. The School in this study has successfully implemented and sustained the integration of ICT across the curriculum to support teaching and learning, whilst other similar schools have failed to maintain the impetus of a national project. By using questionnaires, interviews and document analysis the leadership and management, organisational processes and decision-making, and ICT resources and technological adoption were analysed. The study highlights the importance of shared, collaborative leadership in implementing and sustaining the integrating of ICT into teaching and learning.

  4. Electrophysiological studies of malaria parasite-infected erythrocytes: Current status

    Science.gov (United States)

    Staines, Henry M.; Alkhalil, Abdulnaser; Allen, Richard J.; De Jonge, Hugo R.; Derbyshire, Elvira; Egée, Stéphane; Ginsburg, Hagai; Hill, David A.; Huber, Stephan M.; Kirk, Kiaran; Lang, Florian; Lisk, Godfrey; Oteng, Eugene; Pillai, Ajay D.; Rayavara, Kempaiah; Rouhani, Sherin; Saliba, Kevin J.; Shen, Crystal; Solomon, Tsione; Thomas, Serge L. Y.; Verloo, Patrick; Desai, Sanjay A.

    2009-01-01

    The altered permeability characteristics of erythrocytes infected with malaria parasites have been a source of interest for over 30 years. Recent electrophysiological studies have provided strong evidence that these changes reflect transmembrane transport through ion channels in the host erythrocyte plasma membrane. However, conflicting results and differing interpretations of the data have led to confusion in this field. In an effort to unravel these issues, the groups involved recently came together for a week of discussion and experimentation. In this article, the various models for altered transport are reviewed, together with the areas of consensus in the field and those that require a better understanding. PMID:17292372

  5. A study on the implementation of joint research projects in the field of nuclear technology between Korea and China

    Energy Technology Data Exchange (ETDEWEB)

    Chung, Joon Keuk; Suh, In Suk; Lee, Eui Jin; Kim, Kyoung Pyo; Lee, Jeong Kong; Lee, Byung Wook; Yang, Maeng Ho; Lee, Tae Jun; Chung, Whan Sam; Lee, Man Ki; Lee, Hyo Se; Jun, Byung Jin; Park, Byung Bae; Hong, Young Don; Lee, Chang Woo; Chung, Moon Ki; Sim, Suk Ku; Hwang, Dae Hyun; Oh, Won Zin

    1999-11-01

    In an effort to achieve the objectives, the following provisions were made. First of all, the current status of energy industry was carefully reviewed. An increase of energy consumption, both in industrial and home purposes, implored introduction of nuclear power as an alternative energy production source. Secondly, the current status of China's nuclear development programs together with future prospects was reviewed. Through this review, more effective implementation of nuclear cooperative programs could be devised. Thirdly, China's newly developed nuclear infrastructure was analyzed. The re-structuring of the CNNC was reviewed. Based on this analysis, future cooperative programs could be identified. Lastly, proper strategies for future cooperation between the two countries on a complementary basis were studied. Recommendations for better cooperation programs, particularly for the nuclear policy-making process, were presented. For fruitful cooperation, it is naturally needed match funds to support the implementation of joint projects. It is basically China's idea that Korea provides the funds and China provides manpower. China has a great potential market. The Korean Governments support for key funds for cooperative programs will thus have a sincere meaning. For fruitful cooperation, it is naturally needed match funds to support the implementation of joint projects. It is basically China's idea that Korea provides the funds and China provides manpower. China has a great potential market. The Korean Governments support for key funds for cooperative programs will thus have a sincere meaning. The findings of this study could serve as the database for future nuclear cooperation between the two countries. It is hoped that all local nuclear related organizations in Korea could use some valuable references derived from the study. Information generated from the study could also be used as a benchmark for continued cooperation with China. Various

  6. A workflow-oriented framework-driven implementation and local adaptation of clinical information systems: a case study of nursing documentation system implementation at a tertiary rehabilitation hospital.

    Science.gov (United States)

    Choi, Jeeyae; Kim, Hyeoneui

    2012-08-01

    Health information systems are often designed and developed without integrating users' specific needs and preferences. This decreases the users' productivity, satisfaction, and acceptance of the system and increases the necessity for a local adaptation process to reduce the unwanted outcomes after implementation. A workflow-oriented framework developed in a previous study indicates that users' needs and preferences could be incorporated into the system when implementation follows the steps of the framework, eventually increasing satisfaction with and usefulness of the system. The overall goal of this study was to demonstrate application of the workflow-oriented framework to the implementation of a nursing documentation system at Spaulding Rehabilitation Hospital. In this case study, we present specific steps of implementing and adapting a health information system at a local site and raise critical questions that need to be answered in each step based on the workflow-oriented framework.

  7. The end of universality: new collectivities in current literary studies

    Directory of Open Access Journals (Sweden)

    Ronald Greene

    2015-11-01

    Full Text Available The author investigates how the literary studies reacted to the conceptual crises of universalism, especially after WWII. In order to replace a concept that refers to the ability of a literary work to transcend time and space, literary studies should focus on different and specific collectivities that, situated in time and space, read and interpret literary works. The author makes use of the concept of the obverse, in which two poems, from different historical moments and intellectual traditions are compared based on a common social-historical problem they are trying to solve.    O autor investiga sobre como os estudos literários reagiram à crise do conceito de universalismo, sobretudo depois da II Guerra Mundial. Para substituir um conceito que se refere à capacidade de uma obra literária transcender tempo e espaço, os estudos literários deveriam indagar sobre as diferentes coletividades específicas, no tempo e no espaço, que leem e dão significado à obra literária. Para isso, o autor se utiliza do conceito de “obverso”, em que dois poemas, de épocas e tradições intelectuais diferentes, são comparados a partir de um problema sócio-histórico que tentam resolver.      This work is licensed under a Creative Commons Attribution 3.0 License.

  8. Human papillomavirus prevalence and type-distribution, cervical cancer screening practices and current status of vaccination implementation in Central and Eastern Europe.

    Science.gov (United States)

    Poljak, Mario; Seme, Katja; Maver, Polona J; Kocjan, Boštjan J; Cuschieri, Kate S; Rogovskaya, Svetlana I; Arbyn, Marc; Syrjänen, Stina

    2013-12-31

    We present a review of current cervical cancer screening practices, the implementation status of vaccination against human papillomaviruses (HPV) and available data concerning the burden of HPV infection and HPV type-specific distribution in 16 Central and Eastern European countries: Albania, Bosnia and Herzegovina, Bulgaria, Croatia, Czech Republic, Estonia, Hungary, Latvia, Lithuania, Montenegro, Poland, Romania, Serbia, Slovakia, Slovenia and the Former Yugoslav Republic (FYR) of Macedonia. Since published data were relatively scarce, two detailed surveys were conducted during August-October 2011 and in January 2013 to obtain relevant and updated information. The mean prevalence of HPV infection in 8610 women with normal cervical cytology from the region was 12.6%, with HPV16 being the most frequent HPV type. The overall HPV DNA prevalence in women with high-grade cervical lesions was 78.1%. HPV DNA was found in 86.6% of cervical cancers; the combined prevalence of HPV16/18 among HPV positive cases was 87.5%. The overall HPV DNA prevalence in genital warts and laryngeal papillomas was 94.8% and 95.2%, respectively, with HPV6 and HPV11 being the most frequent types. Opportunistic and organized cervical screening, mainly based on conventional cytology, is performed in nine and seven countries in the region, respectively, with the proposed age of the start of screening ranging from 20 to 30 years and the estimated coverage ranging from a few percent to over 70%. At least one of the current HPV prophylactic vaccines is registered in all Central and Eastern European countries except Montenegro. Only Bulgaria, Czech Republic, FYR Macedonia, Latvia, Romania and Slovenia have actually integrated HPV vaccination into their national immunization programme and currently provide routine vaccination free of charge to the primary target population. The key reasons for lack of implementation of HPV vaccination into the national immunization programme are high vaccine cost and

  9. Current studies on physiological functions and biological production of lactosucrose.

    Science.gov (United States)

    Mu, Wanmeng; Chen, Qiuming; Wang, Xiao; Zhang, Tao; Jiang, Bo

    2013-08-01

    Lactosucrose (O-β-D-galactopyranosyl-(1,4)-O-α-D-glucopyranosyl-(1,2)-β-D-fructofuranoside) is a trisaccharide formed from lactose and sucrose by enzymatic transglycosylation. This rare trisaccharide is a kind of indigestible carbohydrate, has good prebiotic effect, and promotes intestinal mineral absorption. It has been used as a functional ingredient in a range of food products which are approved as foods for specified health uses in Japan. Using lactose and sucrose as substrates, lactosucrose can be produced through transfructosylation by β-fructofuranosidase from Arthrobacter sp. K-1 or a range of levansucrases, or through transgalactosylation by β-galactosidase from Bacillus circulans. This article presented a review of recent studies on the physiological functions of lactosucrose and the biological production from lactose and sucrose by different enzymes.

  10. Descriptive currents in philosophy of religion for Hebrew Bible studies

    Directory of Open Access Journals (Sweden)

    Jacobus W. Gericke

    2011-03-01

    Full Text Available This article argued that the utilisation of philosophy of religion in the study of the Hebrew Bible is possible if we look beyond the stereotype of erroneously equating the auxiliary field with natural theology, apologetics or atheological criticism. Fruitful possibilities for interdisciplinary research are available in the form of descriptive varieties of philosophy of religion primarily concerned with understanding and the clarification of meaning rather than with the stereotypical tasks of propositional justification or critical evaluation. Three examples are discussed in the article: analytic traditions (Wittgensteinianism and ordinarylanguage philosophy, phenomenological perspectives involving reduction (bracketing and comparative philosophy of religion that works in tandem with the history of religion and comparative religion.

  11. Current state of epidemiological studies in Belarus about Chernobyl sufferers

    Energy Technology Data Exchange (ETDEWEB)

    Matsko, V.P. [Institute of Radiobiology, Academy Sciences of Belarus, Minsk (Belarus)

    1998-03-01

    The present paper is an analysis of the results of epidemiological studies in Belarus about the after-effects of the accident at the Chernobyl atomic power station (ChAPS), based on published data at scientific institutes, organs and institutions of Ministry of Health. In the last years the affected population showed thereby more significant - as compared with republican indices - growth of incidence in the majority of diseases (first of all: digestion, urogenital, nervous, endocrine systems, diseases of ear, throat, nose both among adults and among children). Aggravation of health state continues in the participants of liquidation of the ChAPS accident consequences and the evacuees from the alienation zone which have obtained considerable radiation load to organism (rise of incidence of diseases of endocrine, cardiovascular, nervous system etc.). Considerable growth of thyroid cancer incidence is registered in Belarus children and adolescents, especially in the Gomel and Brest regions. This is conditioned by dose commitments on thyroid gland due to iodine radionuclides in first period after the accident, incorrect iodine prophylaxy, and goitre endemic. The rise of hereditary pathology is registered too. An expressed increase of oncological diseases is observed therewith mainly in the Gomel region, especially in the districts with high level of radiocontamination and, consequently, significant radiation load. First of all, this relates to the growth of incidence of cancer of lungs, mammary gland, bladder. The analysis of epidemiological studies performed in Belarus after the ChAPS catastrophe and comparison of them with data obtained in the pre-Chernobyl period testify to the aggravation of health state of Belarus population. The specialists unambiguously recognize the direct influence of radioactive pollution in the environment on rise of thyroid pathologies, hereditary and congenial diseases, and cancers of different localizations. There is no unique opinion

  12. [Design and implementation of the ELSA-Brasil biobank: a prospective study in a Brazilian population].

    Science.gov (United States)

    Pereira, Alexandre C; Bensenor, Isabela M; Fedeli, Ligia M; Castilhos, Cristina; Vidigal, Pedro G; Maniero, Viviane; Leite, Claudia M; Pimentel, Robercia A; Duncan, Bruce B; Mill, Jose Geraldo; Lotufo, Paulo A

    2013-06-01

    The Brazilian Longitudinal Study for Adult Health (ELSA-Brasil) is a multicenter prospective cohort of civil servants designed to assess the determinants of chronic diseases, especially cardiovascular diseases and type 2 diabetes. The present article describes the main design and implementation points of the ELSA-Brasil biobank project. Economic, political, logistical and technological aspects of this study are characterized. Additionally, it discusses the final biorepository protocol and the facilities implemented to achieve this objective. The design and implementation process of the ELSA-Brasil biobank took three years to be performed. Both the central and local biobanks were built according to the best biorepository techniques, using different technological solutions for the distinct needs expected in this study.

  13. Case Studies in a Physiology Course on the Autonomic Nervous System: Design, Implementation, and Evaluation

    Science.gov (United States)

    Zimmermann, Martina

    2010-01-01

    The introduction of case studies on the autonomic nervous system in a fourth-semester physiology course unit for Pharmacy students is described in this article. This article considers how these case studies were developed and presents their content. Moreover, it reflects on their implementation and, finally, the reception of such a transformation…

  14. Implementing EFL Policy Reform in Elementary Schools in Japan: A Case Study

    Science.gov (United States)

    Machida, Tomohisa; Walsh, Daniel J.

    2015-01-01

    This case study examines the implementation of "Foreign Language Activities" (English language education), which officially began in Japanese elementary schools in 2011. Subjects in this study included 37 Japanese classroom teachers (20 males and 17 females) in four elementary schools in Tokyo. The Teacher Foreign Language Anxiety Scale…

  15. Implementation of Primary Social and Emotional Aspects of Learning Small Group Work: A Qualitative Study

    Science.gov (United States)

    Humphrey, Neil; Lendrum, Ann; Wigelsworth, Michael; Kalambouka, Afroditi

    2009-01-01

    The aim of this study was to build an implementation process model for social-emotional interventions. Case studies were conducted at five primary schools in England nominated as "lead practise" by their local authorities. Data collection comprised interviews with school staff, children and parents, observations of intervention sessions and other…

  16. Case Studies in a Physiology Course on the Autonomic Nervous System: Design, Implementation, and Evaluation

    Science.gov (United States)

    Zimmermann, Martina

    2010-01-01

    The introduction of case studies on the autonomic nervous system in a fourth-semester physiology course unit for Pharmacy students is described in this article. This article considers how these case studies were developed and presents their content. Moreover, it reflects on their implementation and, finally, the reception of such a transformation…

  17. A Blended Learning Study on Implementing Video Recorded Speaking Tasks in Task-Based Classroom Instruction

    Science.gov (United States)

    Kirkgoz, Yasemin

    2011-01-01

    This study investigates designing and implementing a speaking course in which face-to-face instruction informed by the principles of Task-Based Learning is blended with the use of technology, the video, for the first-year student teachers of English in Turkish higher education. The study consisted of three hours of task-based classroom…

  18. Students' Perspectives on E-Portfolio Development and Implementation: A Case Study in Taiwanese Higher Education

    Science.gov (United States)

    Hsieh, Pei-Hsuan; Lee, Chun-I; Chen, Wei-Fan

    2015-01-01

    This study explores students' perceptions related to the implementation of e-portfolios in the context of Taiwanese higher education. Thirty Taiwanese university students were interviewed, and data analysis includes 14 interviewees' e-portfolios and responses to 281 valid surveys from non-interviewed students. The study presents students'…

  19. MODAS. Feasibility Study for Implementation of V-TECS Occupational Data Analysis System (ODAS).

    Science.gov (United States)

    Illinois State Occupational Information Coordinating Committee, Springfield.

    This feasibility study was conducted to determine if the Michigan Occupational Data Analysis System (MODAS) can be implemented or modified in Illinois by studying the information needs of state agencies and local educational institutions. Agencies were asked how they might use the MODAS system for activities such as curriculum development and…

  20. A Case Study of College Level Second Language Teachers' Perceptions and Implementations of Communicative Language Teaching

    Science.gov (United States)

    Wong, Chiu-Yin

    2012-01-01

    Previous research studies have indicated that some educators do not advocate Communicative Language Teaching (CLT) because of their misunderstanding of the methodology. This article explores the relationship between college-level second language (L2) educators' perceptions and their implementations of CLT. The results of this study show that the…

  1. Implementing Change: An Autobiographical Case Study of Introducing a Technology Innovation within a West Midlands HEI

    Science.gov (United States)

    Sembi, Pritpal Singh

    2012-01-01

    This autobiographical case study is concerned with the personal journey of the author as he attempts to implement a technology-based innovation within the HE institution in which he teaches. This study scrutinises the author's role as "change agent" and examines his personal situational power base in the context of the institution's…

  2. MODAS. Feasibility Study for Implementation of V-TECS Occupational Data Analysis System (ODAS).

    Science.gov (United States)

    Illinois State Occupational Information Coordinating Committee, Springfield.

    This feasibility study was conducted to determine if the Michigan Occupational Data Analysis System (MODAS) can be implemented or modified in Illinois by studying the information needs of state agencies and local educational institutions. Agencies were asked how they might use the MODAS system for activities such as curriculum development and…

  3. Study of flow channel geometry using current distribution measurement in a high temperature polymer electrolyte membrane fuel cell

    Science.gov (United States)

    Lobato, Justo; Cañizares, Pablo; Rodrigo, Manuel A.; Pinar, F. Javier; Úbeda, Diego

    To improve fuel cell design and performance, research studies supported by a wide variety of physical and electrochemical methods have to be carried out. Among the different techniques, current distribution measurement owns the desired feature that can be performed during operation, revealing information about internal phenomena when the fuel cell is working. Moreover, short durability is one of the main problems that is hindering fuel cell wide implementation and it is known to be related to current density heterogeneities over the electrode surface. A good flow channel geometry design can favor a uniform current density profile, hence hypothetically extending fuel cell life. With this, it was thought that a study on the influence of flow channel geometry on the performance of a high temperature polymer electrolyte membrane (PEM) fuel cell using current distribution measurement should be a very solid work to optimize flow field design. Results demonstrate that the 4 step serpentine and pin-type geometries distribute the reactants more effectively, obtaining a relatively flat current density map at higher current densities than parallel or interdigitated ones and yielding maximum powers up to 25% higher when using oxygen as comburent. If air is the oxidant chosen, interdigitated flow channels perform almost as well as serpentine or pin-type due to that the flow conditions are very important for this geometry.

  4. A qualitative study of the cultural changes in primary care organisations needed to implement clinical governance.

    Science.gov (United States)

    Marshall, Martin; Sheaff, Rod; Rogers, Anne; Campbell, Stephen; Halliwell, Shirley; Pickard, Susan; Sibbald, Bonnie; Roland, Martin

    2002-08-01

    It is commony claimed that changing the culture of health organisations is a fundamental prerequisite for improving the National Health Service (NHS). Little is currently known about the nature or importance of culture and cultural change in primary care groups and trusts (PCG/Ts) or their constituent general practices. To investigate the importance of culture and cultural change for the implementation of clinical governance in general practice by PCG/Ts, to identify perceived desirable and undesirable cultural attributes of general practice, and to describe potential facilitators and barriers to changing culture. Qualitative: case studies using data derived from semi-structured interviews and review of documentary evidence. Fifty senior non-clinical and clinical managers from 12 purposely sampled PCGs or trusts in England. Senior primary care managers regard culture and cultural change as fundamental aspects of clinical governance. The most important desirable cultural traits were the value placed on a commitment to public accountability by the practices, their willingness to work together and learn from each other, and the ability to be self-critical and learn from mistakes. The main barriers to cultural change were the high level of autonomy of practices and the perceived pressure to deliver rapid measurable changes in general practice. The culture of general practice is perceived to be an important component of health system reform and quality improvement. This study develops our understanding of a changing organisational culture in primary care; however, further work is required to determine whether culture is a useful practical lever for initiating or managing improvement.

  5. Marketing Strategy Implementation: A Study of Small and Medium Companies in Indonesia

    Directory of Open Access Journals (Sweden)

    Asmai Ishak

    2009-08-01

    Full Text Available A good marketing strategy does not always necessarily lead to successful marketing performance in an organization. It depends on how marketing people translate the strategy into action. A well formulated, but badly implemented strategy, will be effective (do the right things, but not efficient (do things right. While correct implementation of a badly formulated strategy will be efficient, but not effective. Firms need both effectiveness and efficiency to optimize their performance. This study, based on existing literature, identified a list of activities concerning the marketing strategy implementation, and investigated their nature in the process of the strategy implementation among small and medium companies in Indonesia. A tested structured questionnaire was used as a guidance in interviewing marketing managers -the respondents of the study. A total of 76 completed questionnaires were collected. Factor analysis was used to extract, if any, key dimensions across the data. This analysis resulted into four fundamental factors underlying 16 activities in marketing strategy implementation, namely commitment, consensus, evaluation and control, autonomy, and two factors representing 8 marketing performance that are financial, and strategic performances. Subsequently simple regression was performed to examine the impact of the four factors on the marketing performance. The study findings suggest that evaluation and control has greatest impact either on financial performance or strategic performance, followed by autonomy. Even though commitment and consensus influence the marketing performance, but their influences are not statistically significant.

  6. Implementation of pressure ulcer prevention best practice recommendations in acute care: an observational study.

    Science.gov (United States)

    Barker, Anna Lucia; Kamar, Jeannette; Tyndall, Tamara Jane; White, Lyn; Hutchinson, Anastasia; Klopfer, Nicole; Weller, Carolina

    2013-06-01

    Pressure ulcers are a common but preventable problem in hospitals. Implementation of best practice guideline recommendations can prevent ulcers from occurring. This 9-year cohort study reports prevalence data from point prevalence surveys during the observation period, and three practice metrics to assess implementation of best practice guideline recommendations: (i) nurse compliance with use of a validated pressure ulcer risk assessment and intervention checklist; (ii) accuracy of risk assessment scoring in usual-care nurses and experienced injury prevention nurses; and (iii) use of pressure ulcer prevention strategies. The prevalence of hospital-acquired pressure ulcers decreased following implementation of an evidence-based prevention programme from 12·6% (2 years preprogramme implementation) to 2·6% (6 years postprogramme implementation) (P pressure ulcer prevention documentation according to best practice guidelines was high (>84%). A sample of 270 patients formed the sample for the study of risk assessment scoring accuracy and use of prevention strategies. It was found usual-care nurses under-estimated patients' risk of pressure ulcer development and under-utilised prevention strategies compared with experienced injury prevention nurses. Despite a significant reduction in prevalence of hospital-acquired pressure ulcers and high documentation compliance, use of prevention strategies could further be improved to achieve better patient outcomes. Barriers to the use of prevention strategies by nurses in the acute hospital setting require further examination. This study provides important insights into the knowledge translation of pressure ulcer prevention best practice guideline recommendations at The Northern Hospital.

  7. Implementation of a clinical decision support system using a service model: results of a feasibility study.

    Science.gov (United States)

    Borbolla, Damian; Otero, Carlos; Lobach, David F; Kawamoto, Kensaku; Gomez Saldaño, Ana M; Staccia, Gustavo; Lopez, Gastón; Figar, Silvana; Luna, Daniel; Bernaldo de Quiros, Fernan Gonzalez

    2010-01-01

    Numerous studies have shown that the quality of health care is inadequate, and healthcare organizations are increasingly turning to clinical decision support systems (CDSS) to address this problem. In implementing CDSS, a highly promising architectural approach is the use of decision support services. However, there are few reported examples of successful implementations of operational CDSS using this approach. Here, we describe how Hospital Italiano de Buenos Aires evaluated the feasibility of using the SEBASTIAN clinical decision support Web service to implement a CDSS integrated with its electronic medical record system. The feasibility study consisted of three stages: first, end-user acceptability testing of the proposed CDSS through focus groups; second, the design and implementation of the system through integration of SEBASTIAN and the authoring of new rules; and finally, validation of system performance and accuracy. Through this study, we found that it is feasible to implement CDSS using a service-based approach. The CDSS is now under evaluation in a randomized controlled trial. The processes and lessons learned from this initiative are discussed.

  8. Exploring Current Sensory Enhancement Practices Within Videofluoroscopic Swallow Study (VFSS) Clinics.

    Science.gov (United States)

    Turkington, Leisa; Nund, Rebecca L; Ward, Elizabeth C; Farrell, Anna

    2017-04-01

    Whilst some research evidence supports the potential benefits of sensory enhancement strategies (SES) in dysphagia management, there is limited understanding of how SES are used in clinical services and the influencing drivers involved in selection during instrumental assessment. SES include modification of temperature, flavour, texture, chemesthetic qualities and bolus size of food/fluid. This study aimed to explore the use of SES within Australian Videofluoroscopic Swallow Study (VFSS) clinics providing adult services, via a qualitative methodology. Maximum variation sampling was used to select a cross section of speech-language pathologists (SLPs) with a range of experience working within 16 VFSS clinics across metropolitan and regional settings to participate in semi-structured, focus group or individual teleconference interviews. Content analysis of interview transcripts was conducted, with four themes emerging as influencing drivers of SES use, including: Patient factors influence SES use; Clinician factors influence SES use; Trials of SES require planning and organisation, and; Organisational barriers impact on SES use. These four themes were all connected through a single integrative theme: Extensive variations of SES procedures exist across clinical settings. Findings indicate that achieving alignment of clinical purpose and implementation of practices amongst VFSS clinicians will be complex given current diversity in SES use. Organisational issues and clinician training need to be addressed, and more research is needed to provide a stronger evidence base to inform clinical practice in this emerging area of dysphagia management.

  9. What are the current barriers to effective cancer care coordination? A qualitative study

    Directory of Open Access Journals (Sweden)

    Solomon Michael J

    2010-05-01

    Full Text Available Abstract Background National cancer policies identify the improvement of care coordination as a priority to improve the delivery of health services for people with cancer. Identification of the current barriers to effective cancer care coordination is needed to drive service improvement. Methods A qualitative study was undertaken in which semi-structured individual interviews and focus groups were conducted with those best placed to identify issues; patients who had been treated for a range of cancers and their carers as well as health professionals involved in providing cancer care. Data collection continued until saturation of concepts was reached. A grounded theory influenced approach was used to explore the participants' experiences and views of cancer care coordination. Results Overall, 20 patients, four carers and 29 health professionals participated. Barriers to cancer care coordination related to six aspects of care namely, recognising health professional roles and responsibilities, implementing comprehensive multidisciplinary team meetings, transitioning of care: falling through the cracks, inadequate communication between specialist and primary care, inequitable access to health services and managing scarce resources. Conclusions This study has identified a number of barriers to coordination of cancer care. Development and evaluation of interventions based on these findings is now required.

  10. Organizational Change: A Case Study in Implementing a Breast Cancer Screening Clinic

    Science.gov (United States)

    1993-08-01

    ANO SUBTITLE S. FUNDING NUMBERS ORGANIZATIONAL CHANGE : A CASE STUDY IN IMPLEMENTING A BREAST CANCER SCREENING CLINIC 4. AUTHOR(S) i MAJ PATRICIA A...4psrANcsrBbed by ANS. SWOIl. UM-E S 6.~~ AUHO1S ORGANIZATIONAL CHANGE : A CASE STUDY IN IMPLEMENTING A BREAST CANCER SCREENING CLINIC A Graduate Management...Major Patricia A. Hayes, AN May 1993 Running head : ORGANIZATIONAL CHANGE 94-13 74BIH|iU •9 4 ,5 0 2 00 6 I] ACKNOWLEDGEMENTS A special thanks to COL

  11. Information Technology Assessment on Hospital Information System Implementation: Case Study A Teaching Hospital

    Directory of Open Access Journals (Sweden)

    Putu Wuri Handayani

    2013-04-01

    Full Text Available Currently, hospitals are required to improve their quality of health services to meet the higher standards. This improvement is supported by Ministry of Health which has launched electronic health (e-health program. Under this program, hospitals are required to have Hospital Information System (HIS or Enterprise Resource Planning (ERP for healthcare. However, to date only a few hospitals have implemented an integrated HIS. The purpose of this research is to asses the Information Technology (IT maturity of a teaching hospital in implementing HIS. This IT assessment observes from four layers namely business process, Information System (IS, Information Technology (IT and IS/IT management and organization. The result of this research is that teaching hospitals should prepare a plan to restructure their network with adequate infrastructure, create IT blue print and policy, IT organization restructuring, IT staff competency development and build integrated HIS.

  12. Leadership and organizational change for implementation (LOCI): a randomized mixed method pilot study of a leadership and organization development intervention for evidence-based practice implementation.

    Science.gov (United States)

    Aarons, Gregory A; Ehrhart, Mark G; Farahnak, Lauren R; Hurlburt, Michael S

    2015-01-16

    Leadership is important in the implementation of innovation in business, health, and allied health care settings. Yet there is a need for empirically validated organizational interventions for coordinated leadership and organizational development strategies to facilitate effective evidence-based practice (EBP) implementation. This paper describes the initial feasibility, acceptability, and perceived utility of the Leadership and Organizational Change for Implementation (LOCI) intervention. A transdisciplinary team of investigators and community stakeholders worked together to develop and test a leadership and organizational strategy to promote effective leadership for implementing EBPs. Participants were 12 mental health service team leaders and their staff (n = 100) from three different agencies that provide mental health services to children and families in California, USA. Supervisors were randomly assigned to the 6-month LOCI intervention or to a two-session leadership webinar control condition provided by a well-known leadership training organization. We utilized mixed methods with quantitative surveys and qualitative data collected via surveys and a focus group with LOCI trainees. Quantitative and qualitative analyses support the LOCI training and organizational strategy intervention in regard to feasibility, acceptability, and perceived utility, as well as impact on leader and supervisee-rated outcomes. The LOCI leadership and organizational change for implementation intervention is a feasible and acceptable strategy that has utility to improve staff-rated leadership for EBP implementation. Further studies are needed to conduct rigorous tests of the proximal and distal impacts of LOCI on leader behaviors, implementation leadership, organizational context, and implementation outcomes. The results of this study suggest that LOCI may be a viable strategy to support organizations in preparing for the implementation and sustainment of EBP.

  13. Implementation of Treatment Integrity Procedures An Analysis of Outcome Studies of Youth Interventions Targeting Externalizing Behavioral Problems

    NARCIS (Netherlands)

    Goense, Pauline; Boendermaker, Leonieke; van Yperen, Tom; Stams, Geert-Jan; van Laar, Jose

    2014-01-01

    This systematic review evaluates the implementation of treatment integrity procedures in outcome studies of youth interventions targeting behavioral problems. The Implementation of Treatment Integrity Procedures Scale (ITIPS), developed by Perepletchikova, Treat, and Kazdin (2007), was adapted

  14. Implementation of treatment integrity procedures: an analysis of outcome studies of youth interventions targeting externalizing behavioral problems

    NARCIS (Netherlands)

    Goense, P.; Boendermaker, L.; van Yperen, T.; Stams, G.J.; van Laar, J.

    2014-01-01

    This systematic review evaluates the implementation of treatment integrity procedures in outcome studies of youth interventions targeting behavioral problems. The Implementation of Treatment Integrity Procedures Scale (ITIPS), developed by Perepletchikova, Treat, and Kazdin (2007), was adapted

  15. Lessons learned from implementation of computerized provider order entry in 5 community hospitals: a qualitative study.

    Science.gov (United States)

    Simon, Steven R; Keohane, Carol A; Amato, Mary; Coffey, Michael; Cadet, Bismarck; Zimlichman, Eyal; Bates, David W

    2013-06-24

    Computerized Provider Order Entry (CPOE) can improve patient safety, quality and efficiency, but hospitals face a host of barriers to adopting CPOE, ranging from resistance among physicians to the cost of the systems. In response to the incentives for meaningful use of health information technology and other market forces, hospitals in the United States are increasingly moving toward the adoption of CPOE. The purpose of this study was to characterize the experiences of hospitals that have successfully implemented CPOE. We used a qualitative approach to observe clinical activities and capture the experiences of physicians, nurses, pharmacists and administrators at five community hospitals in Massachusetts (USA) that adopted CPOE in the past few years. We conducted formal, structured observations of care processes in diverse inpatient settings within each of the hospitals and completed in-depth, semi-structured interviews with clinicians and staff by telephone. After transcribing the audiorecorded interviews, we analyzed the content of the transcripts iteratively, guided by principles of the Immersion and Crystallization analytic approach. Our objective was to identify attitudes, behaviors and experiences that would constitute useful lessons for other hospitals embarking on CPOE implementation. Analysis of observations and interviews resulted in findings about the CPOE implementation process in five domains: governance, preparation, support, perceptions and consequences. Successful institutions implemented clear organizational decision-making mechanisms that involved clinicians (governance). They anticipated the need for education and training of a wide range of users (preparation). These hospitals deployed ample human resources for live, in-person training and support during implementation. Successful implementation hinged on the ability of clinical leaders to address and manage perceptions and the fear of change. Implementation proceeded smoothly when institutions

  16. The Current Status of Usability Studies of Information Technologies in China: A Systematic Study

    OpenAIRE

    Lei, Jianbo; Xu, Lufei; Meng, Qun; Zhang, Jiajie; Gong, Yang

    2014-01-01

    Objectives. To systematically review and analyze the current status and characteristics of usability studies in China in the field of information technology in general and in the field of healthcare in particular. Methods. We performed a quantitative literature analysis in three major Chinese academic databases and one English language database using Chinese search terms equivalent to the concept of usability. Results. Six hundred forty-seven publications were selected for analysis. We found ...

  17. ERP AND BI IMPLEMENTATION IN ROMANIAN ORGANIZATIONS AND THEIR INFLUENCE ON MANAGER'S DECISION: A CASE STUDY

    Directory of Open Access Journals (Sweden)

    EDUARD EDELHAUSER

    2011-01-01

    Full Text Available ERP systems are usually complex, expensive, powerful, proprietary systems which are used widely as integrated multi-module commercial packages suitable for tailoring and adding "add-ons" as and when required. A lot of research has been done over ERP and implementation of ERP. However, most of the research so far has been done over ERP in an effort to implement it successfully in an organization. In this paper I offer the results of a case study undertaken to see the effect of ERP implementation on a few variables of manager's decision. This study has found that the job tenure and job type of an employee influences the attitudes towards ERP system.

  18. Joint Implementation Analysis: A Case Study of the Japan-China Coke Dry Quenching (CDQ) Project

    Institute of Scientific and Technical Information of China (English)

    2000-01-01

    One of the key issues for "Joint Implementation" is how to define a plausible baseline, a necessary benchmark for calculating net Greenhouse Gases (GHGs) emission reductions through a comparative approach. Based on a thorough case study of the China-Japan Coke Dry Quenching (CDQ) project, the first approved pilot project in China under the "Activities Implemented Jointly" (AIJ) framework, the paper not only describes in detail the complete procedure of baseline definition of the case project, but also discusses its approach to baseline determination. Furthermore, cost-benefit analysis of GHGs mitigation is conducted according to the baseline. This empirical case study, based on real AIJ project data, will be beneficial for the development of future projects under Kyoto mechanisms such as "Clean Development Mechanism" and "Joint Implementation".

  19. Implementation of hybrid parallel kanban-CONWIP system: A case study

    Directory of Open Access Journals (Sweden)

    Joshua Prakash

    2014-12-01

    Full Text Available The most common form of production control strategy in lean management is the pull system. One emerging form of pull system uses kanban and CONWIP systems to handle products with different demand patterns. Case studies have protractedly depicted the actual implementation of pull systems; however, the use of hybrid systems is rare. This paper examines the procedures involved in implementing a hybrid system in a low variety/low volume shop floor. This paper presents discussions on shop floor constraints in the proposed system and how the simplicity of a pull system is able to reduce work-in-process inventory by 23%. Guidelines for the replication of the system for similar production environments are also provided. The case study proves that pull systems can be successfully implemented in production environments that do not conform to the typical prerequisites of the kanban system.

  20. Implementation of a Text-Based Content Intervention in Secondary Social Studies Classes.

    Science.gov (United States)

    Wanzek, Jeanne; Vaughn, Sharon

    2016-12-01

    We describe teacher fidelity (adherence to the components of the treatment as specified by the research team) based on a series of studies of a multicomponent intervention, Promoting Acceleration of Comprehension and Content Through Text (PACT), with middle and high school social studies teachers and their students. Findings reveal that even with highly specified materials and implementing practices that are aligned with effective reading comprehension and content instruction, teachers' fidelity was consistently low for some components and high for others. Teachers demonstrated consistently high implementation fidelity and quality for the instructional components of building background knowledge (comprehension canopy) and teaching key content vocabulary (essential words), whereas we recorded consistently lower fidelity and quality of implementation for the instructional components of critical reading and knowledge application.

  1. Modeling studies of the coastal/littoral current system off Southern Australia

    OpenAIRE

    Miller, Henry A.

    2006-01-01

    Both theoretical and numerical modeling studies of the current system off western and southern Australia are conducted to characterize the features of the current system, their temporal variability, and their impact on the sound speed structure. The theoretical study examines why boundary current separation occurs off Cape Leeuwin creating an area of enhanced eddy generation. It is shown that the beta effect, vortex stretching, and streamline curvature all act to decelerate the current a...

  2. Study of Security Attributes of Smart Grid Systems- Current Cyber Security Issues

    Energy Technology Data Exchange (ETDEWEB)

    Wayne F. Boyer; Scott A. McBride

    2009-04-01

    This document provides information for a report to congress on Smart Grid security as required by Section 1309 of Title XIII of the Energy Independence and Security Act of 2007. The security of any future Smart Grid is dependent on successfully addressing the cyber security issues associated with the nation’s current power grid. Smart Grid will utilize numerous legacy systems and technologies that are currently installed. Therefore, known vulnerabilities in these legacy systems must be remediated and associated risks mitigated in order to increase the security and success of the Smart Grid. The implementation of Smart Grid will include the deployment of many new technologies and multiple communication infrastructures. This report describes the main technologies that support Smart Grid and summarizes the status of implementation into the existing U.S. electrical infrastructure.

  3. The implementation and management of an integrated computer system : a case study

    OpenAIRE

    2011-01-01

    M.Comm. The limited availability of South African case studies created the opportunity to compile an authentic South African business case study to be presented in a usable manner. The goal of the case study is to explore the challenges of the implementation and management of an integrated computer system. This dissertation gives a brief review on the characteristics of a business case study and the associated benefits of the case method. It also looks at the properties needed to create a ...

  4. 电流谐波最优PWM开关角计算及数字实现%The Current Harmonic Optimal PWM (CHOPWM) Method and Its Digital Implementation

    Institute of Scientific and Technical Information of China (English)

    王从刚; 何凤有; 邓庆伟; 刘战; 曹晓冬

    2012-01-01

    介绍了三电平变频器在低开关频率运行下的电流谐波最优PWM(CHOPWM)方法,对其基本原理及开关角的求解进行了深入分析和研究.对三电平变频器输出电压、电流进行傅里叶级数分析,求出电流畸变率的表达式;令电流总畸变率作为目标函数,令电压基波幅值等于参考电压幅值作为非线性约束条件,进而利用MATLAB优化工具箱中的ga函数和fmincon函数求解出CHOPWM开关角.用MATLAB软件搭建了仿真模型,对开关频率为250Hz时的开关角求解结果进行仿真验证.对基于TMS320F2812的CHOPWM数字实现进行分析.最后,通过实验验证了开关角求解方法的有效性.%The current harmonic Optimal PWM (CHOPWM) method for three level converters operating at low switching frequency is introduced. Its basic principle and the solution of the switching angle is researched. The three -level inverter output voltage and current is analyzed using fourier series and the expression of current distortion rate is calculated. The expression of current distortion rate is regarded as a nonlinear transcendental equation and the voltage fundamental amplitude is equal to the reference voltage amplitude seen as nonlinear constraints. Then the switching angle of CHOPWM is solved by using the function of ga and fmincon function in MATLAB optimization toolbox. A simulation model was built using MATLAB software. Results of the switching angle at 250Hz switching frequency are verified. CHOPWM digital implementation is analyzed based on the TMS320F2812. The experimental results verify the availability of the scheme.

  5. Developing and implementing a service charter for an integrated regional stroke service: an exploratory case study.

    Science.gov (United States)

    Thomassen, Jean-Pierre; Ahaus, Kees; Van de Walle, Steven

    2014-03-29

    Based on practices in commercial organizations and public services, healthcare organizations are using service charters to inform patients about the quality of service they can expect and to increase patient-centeredness. In the Netherlands, an integrated regional stroke service involving five organizations has developed and implemented a single service charter. The purpose of this study is to determine the organizational enablers for the effective development and implementation of this service charter. We have conducted an exploratory qualitative study using Grounded Theory to determine the organizational enablers of charter development and implementation. Individual semi-structured interviews were held with all members of the steering committee and the taskforce responsible for the service charter. In these twelve interviews, participants were retrospectively asked for their opinions of the enablers. Interview transcripts have been analysed using Glaser's approach of substantive coding consisting of open and selective coding in order to develop a framework of these enablers. A tabula rasa approach was used without any preconceived frameworks used in the coding process. We have determined seven categories of enablers formed of a total of 27 properties. The categories address a broad spectrum of enablers dealing with the basic foundations for cooperation, the way to manage the project's organization and the way to implement the service charter. In addition to the enablers within each individual organization, enablers that reflect the whole chain seem to be important for the effective development and implementation of this service charter. Strategic alignment of goals within the chain, trust between organizations, willingness to cooperate and the extent of process integration are all important properties. This first exploratory study into the enablers of the effective development and implementation was based on a single case study in the Netherlands. This is the

  6. Implementation Work at Scale: An Examination of the Fidelity of Implementation Study of the Scale-Up Effectiveness Trial of Open Court Reading

    Science.gov (United States)

    Sullivan, Kate; Bell, Nance; Jones, Debra Hughes; Caverly, Sarah; Vaden-Kiernan, Michael

    2016-01-01

    The Fidelity of Implementation (FOI) study that is the focus of this report was conducted as a component of a scale-up effectiveness trial of the SRA/McGraw-Hill Open Court Reading program. The overall purpose of the FOI study was to support and provide context for findings from the larger experimental impact study of Open Court Reading (OCR). To…

  7. Understanding the context of balanced scorecard implementation: a hospital-based case study in pakistan

    Directory of Open Access Journals (Sweden)

    Ajmal Agha

    2011-03-01

    Full Text Available Abstract Background As a response to a changing operating environment, healthcare administrators are implementing modern management tools in their organizations. The balanced scorecard (BSC is considered a viable tool in high-income countries to improve hospital performance. The BSC has not been applied to hospital settings in low-income countries nor has the context for implementation been examined. This study explored contextual perspectives in relation to BSC implementation in a Pakistani hospital. Methods Four clinical units of this hospital were involved in the BSC implementation based on their willingness to participate. Implementation included sensitization of units towards the BSC, developing specialty specific BSCs and reporting of performance based on the BSC during administrative meetings. Pettigrew and Whipp's context (why, process (how and content (what framework of strategic change was used to guide data collection and analysis. Data collection methods included quantitative tools (a validated culture assessment questionnaire and qualitative approaches including key informant interviews and participant observation. Results Method triangulation provided common and contrasting results between the four units. A participatory culture, supportive leadership, financial and non-financial incentives, the presentation of clear direction by integrating support for the BSC in policies, resources, and routine activities emerged as desirable attributes for BSC implementation. The two units that lagged behind were more involved in direct inpatient care and carried a considerable clinical workload. Role clarification and consensus about the purpose and benefits of the BSC were noted as key strategies for overcoming implementation challenges in two clinical units that were relatively ahead in BSC implementation. It was noted that, rather than seeking to replace existing information systems, initiatives such as the BSC could be readily adopted if

  8. Employing external facilitation to implement cognitive behavioral therapy in VA clinics: a pilot study

    Directory of Open Access Journals (Sweden)

    Blevins Dean

    2010-10-01

    Full Text Available Abstract Background Although for more than a decade healthcare systems have attempted to provide evidence-based mental health treatments, the availability and use of psychotherapies remains low. A significant need exists to identify simple but effective implementation strategies to adopt complex practices within complex systems of care. Emerging evidence suggests that facilitation may be an effective integrative implementation strategy for adoption of complex practices. The current pilot examined the use of external facilitation for adoption of cognitive behavioral therapy (CBT in 20 Department of Veteran Affairs (VA clinics. Methods The 20 clinics were paired on facility characteristics, and 23 clinicians from these were trained in CBT. A clinic in each pair was randomly selected to receive external facilitation. Quantitative methods were used to examine the extent of CBT implementation in 10 clinics that received external facilitation compared with 10 clinics that did not, and to better understand the relationship between individual providers' characteristics and attitudes and their CBT use. Costs of external facilitation were assessed by tracking the time spent by the facilitator and therapists in activities related to implementing CBT. Qualitative methods were used to explore contextual and other factors thought to influence implementation. Results Examination of change scores showed that facilitated therapists averaged an increase of 19% [95% CI: (2, 36] in self-reported CBT use from baseline, while control therapists averaged a 4% [95% CI: (-14, 21] increase. Therapists in the facilitated condition who were not providing CBT at baseline showed the greatest increase (35% compared to a control therapist who was not providing CBT at baseline (10% or to therapists in either condition who were providing CBT at baseline (average 3%. Increased CBT use was unrelated to prior CBT training. Barriers to CBT implementation were therapists' lack of

  9. The Chang Management Strategies and Processes for Successful ERP Implementation-A Case Study of MADAR

    Directory of Open Access Journals (Sweden)

    Hala M Al-Shamlan

    2011-03-01

    Full Text Available Top management usually faces an unexpected attitude from potential users during implementing an enterprise resource planning (ERP system. For one reason or another, they resist the implementation process and may cause the failure of ERP system. Therefore, top management should be deal with this problem using effective change management strategies and processes. In this paper, we discuss the successful change management strategies and processes in literature. A case study of MADAR has been presented to discover the strategies and processes used for the successful enterprise system.

  10. Single Gaussian Chaotic Neuron: Numerical Study and Implementation in an Embedded System

    Directory of Open Access Journals (Sweden)

    Luis M. Torres-Treviño

    2013-01-01

    Full Text Available Artificial Gaussian neurons are very common structures of artificial neural networks like radial basis function. These artificial neurons use a Gaussian activation function that includes two parameters called the center of mass (cm and sensibility factor (λ. Changes on these parameters determine the behavior of the neuron. When the neuron has a feedback output, complex chaotic behavior is displayed. This paper presents a study and implementation of this particular neuron. Stability of fixed points, bifurcation diagrams, and Lyapunov exponents help to determine the dynamical nature of the neuron, and its implementation on embedded system illustrates preliminary results toward embedded chaos computation.

  11. Migrating to Moodle: A Case Study Regarding a Department-Wide Implementation

    DEFF Research Database (Denmark)

    Konstantinidis, Andreas; Papadopoulos, Pantelis M.; Tsiatsos, Thrasyvoulos

    2008-01-01

    systems. Our main goal was to implement a single, easy-to-operate, easy-to-maintain system, able to support students’ and instructors’ needs in all the courses. Further-more, we present data which describe the pilot study of the Moodle implementation for the first semester and make evident the success......This paper presents the rationale behind the utilization of the Moodle Learning Management System for blended learning in our Informatics Department and examines the steps followed, to replace the prior decentralized course organizational structure which consisted of a multitude of different...

  12. Design and Implementation of a Multimedia CD-ROM-Based Directed Study Preservice Teacher Education Course.

    Science.gov (United States)

    Morse, Timothy

    This paper discusses the development and implementation of a computer-based directed study preservice teacher education course. Specifically, it explains the procedures followed to create the ten multimedia CD-ROMs that comprise the course, and how preservice teachers use the CD-ROMs. Topics to be covered include (1) rationale for course creation;…

  13. Improving Treatment Plan Implementation in Schools: A Meta-Analysis of Single Subject Design Studies

    Science.gov (United States)

    Noell, George H.; Gansle, Kristin A.; Mevers, Joanna Lomas; Knox, R. Maria; Mintz, Joslyn Cynkus; Dahir, Amanda

    2014-01-01

    Twenty-nine peer-reviewed journal articles that analyzed intervention implementation in schools using single-case experimental designs were meta-analyzed. These studies reported 171 separate data paths and provided 3,991 data points. The meta-analysis was accomplished by fitting data extracted from graphs in mixed linear growth models. This…

  14. An Exploratory Case Study of PBIS Implementation Using Social Network Analysis

    Science.gov (United States)

    Whitcomb, Sara A.; Woodland, Rebecca H.; Barry, Shannon K.

    2017-01-01

    An exploratory case study is presented in which social network analysis (SNA) was used to explore how school teaming structures influence the implementation of School-Wide Positive Behavioral Interventions and Supports (PBIS). The authors theorized that PBIS leadership teams that include members with connections to all other information-sharing…

  15. Bridging the Classroom and the Real World: A Videodisc Implementation Study at Harvard Law School.

    Science.gov (United States)

    Hoelscher, Karen J.

    This study examined how first-year law students developed a civil rights case using an open-ended interactive videodisk ("Litigation Strategies"), which uses a visual and textual database to complement the traditional curriculum by simulating the experience of a junior partner in a law firm. An implementation and formative evaluation examined the…

  16. The Challenges of Implementing Distance Education in Uganda: A Case Study

    Science.gov (United States)

    Basaza, Gudula Naiga; Milman, Natalie B.; Wright, Clayton R.

    2010-01-01

    This brief case study provides a pithy introduction to Uganda and outlines key factors that affect the implementation of distance education in the nation: poor infrastructure, the high cost of an education, an outdated curriculum, inadequate expertise in distance education, and poor attitudes towards distance learning. These factors are also…

  17. Improved quality of nursing documentation: results of a nursing diagnoses, interventions, and outcomes implementation study.

    NARCIS (Netherlands)

    Müller-Staub, M.; Needham, I.; Odenbreit, M.; Lavin, M.A.; Achterberg, T. van

    2007-01-01

    PURPOSE: To evaluate the impact of the quality of nursing diagnoses, interventions, and outcomes in an acute care hospital following the implementation of an educational program. METHOD: In a pretest-posttest experimental design study, nurses from 12 wards of a Swiss hospital received an educational

  18. Implementing a Quality Management Framework in a Higher Education Organisation: A Case Study

    Science.gov (United States)

    O'Mahony, Kim; Garavan, Thomas N.

    2012-01-01

    Purpose: This paper aims to report and analyse the lessons learned from a case study on the implementation of a quality management system within an IT Division in a higher education (HE) organisation. Design/methodology/approach: The paper is based on a review of the relevant literatures and the use of primary sources such as document analysis,…

  19. STEAM Enacted: A Case Study of a Middle School Teacher Implementing STEAM Instructional Practices

    Science.gov (United States)

    Herro, Danielle; Quigley, Cassie

    2016-01-01

    This paper examines the implementation practices of a 6th grade middle school teacher enacting STEAM (science, technology, engineering, art and math) teaching in his classroom after participating in a 45-hour STEAM professional development. Case study is used to detail the process, successes, and challenges. Project-based learning, technology…

  20. Change Management Perspectives in an ERP Module Implementation: A Case Study in a Telecommunication Company

    Directory of Open Access Journals (Sweden)

    Tota Simatupang

    2016-06-01

    Full Text Available Successful Enterprise Resource Planning (ERP projects require change management to support the integration of the ERP systems into work environment because ERP imple¬men¬tations involve lots of changes on technical infrastructures, business processes, organization structure, rules and skills of people in the organization. This study was aimed to explain the challenges in implementing an ERP module in a Indonesian telecommunication company, focusing on the change management process involves in the project. A case study at a tele¬com¬munication company was used to collect empirical data and to analyses important aspects of project arrangements that will have an impact on the change management process accompanying the ERP implementation project. The following two aspects of changes were analyzed as the impact of ERP implementation: changes in individual behaviors and changes in the organisational practices. Based on the empirical study, two important aspects of change management effectiveness in the project and post-project stage were highlighted: alignment of the organization structure to support IT-business collaboration and alignment of employee orientation towards effective use of ERP systems. Besides, this study also highlighted that it is important to plan and execute change management process in the post-project stage to obtain benefits from ERP implementation.

  1. Professional Competence of Student Teachers to Implement Species Identification in Schools -- A Case Study from Germany

    Science.gov (United States)

    Lindemann-Matthies, Petra; Remmele, Martin; Yli-Panula, Eija

    2017-01-01

    This study investigates how well prepared student teachers are to implement species identification in school. Data were collected with the help of a questionnaire and a PowerPoint presentation in which local plant and animal species were presented. Participants (n = 357) correctly identified, on average, 23% of the plants and 44% of the animals.…

  2. Using Performance Analysis for Training in an Organization Implementing ISO-9000 Manufacturing Practices: A Case Study.

    Science.gov (United States)

    Kunneman, Dale E.; Sleezer, Catherine M.

    2000-01-01

    This case study examines the application of the Performance Analysis for Training (PAT) Model in an organization that was implementing ISO-9000 (International Standards Organization) processes for manufacturing practices. Discusses the interaction of organization characteristics, decision maker characteristics, and analyst characteristics to…

  3. Evaluating the Implementation of a Training Program for Improving Quality Service: An Action Research Study

    Science.gov (United States)

    Pierre, Ketly Dieudonne

    2014-01-01

    There is a need to implement a comprehensive training program to build employees' knowledge, skills, and attitudes in order to improve quality service at ABC Restaurant because of a surge in customer complaints. The purpose of this study was to develop a training program that included an employee handbook as a training tool, a handbook designed…

  4. A Feasibility Study of Implementing Professional Learning Communities in a K-8 School District

    Science.gov (United States)

    Pillari, Michele R.

    2011-01-01

    The purpose of this study was to determine the specific needs of the New Horizons School District when implementing professional learning communities. The findings were: (1) teachers do not have a clear understanding of professional learning communities, (2) administrators have a clear understanding of professional learning communities, (3)…

  5. Implementing Student Information Systems in High Schools: An Embedded Single Case Study

    Science.gov (United States)

    Rhodes-O'Neill, Tamyra LaShawn

    2014-01-01

    As new technologies are developed for teaching and learning, they hold the potential to transform education but have yet to be fully integrated into K-12 classrooms in the United States. The purpose of this study was to explore how a student information system was implemented in 2 urban public high schools and how stakeholders perceived that…

  6. The Implementation of an Intercultural Competence Syllabus to Prepare Study-Abroad Students for Global Communication

    Science.gov (United States)

    Kural, Faruk; Bayyurt, Yasemin

    2016-01-01

    This study presents the outcome of the implementation of a process-oriented model of an intercultural competence (IC) and English as a lingua franca (ELF)-awareness development syllabus to prepare government-sponsored Turkish international sojourners for global communication in English L1 countries. Based on social constructivist research…

  7. The Implementation of an Intercultural Competence Syllabus to Prepare Study-Abroad Students for Global Communication

    Science.gov (United States)

    Kural, Faruk; Bayyurt, Yasemin

    2016-01-01

    This study presents the outcome of the implementation of a process-oriented model of an intercultural competence (IC) and English as a lingua franca (ELF)-awareness development syllabus to prepare government-sponsored Turkish international sojourners for global communication in English L1 countries. Based on social constructivist research…

  8. Implementing Meta-analysis for genome-wide association studies of pork quality traits

    Science.gov (United States)

    Pork quality is a critical concern in the meat industry. Implementation of genome-wide association studies (GWA) allows identification of genomic regions that explain a substantial portion of the variation of relevant traits. It is also important to determine the consistency of results of GWA across...

  9. Implementing meta-analysis from genome-wide association studies for pork quality traits

    Science.gov (United States)

    Pork quality plays an important role in the meat processing industry, thus different methodologies have been implemented to elucidate the genetic architecture of traits affecting meat quality. One of the most common and widely used approaches is to perform genome-wide association (GWA) studies. Howe...

  10. Implementing a Quality Management Framework in a Higher Education Organisation: A Case Study

    Science.gov (United States)

    O'Mahony, Kim; Garavan, Thomas N.

    2012-01-01

    Purpose: This paper aims to report and analyse the lessons learned from a case study on the implementation of a quality management system within an IT Division in a higher education (HE) organisation. Design/methodology/approach: The paper is based on a review of the relevant literatures and the use of primary sources such as document analysis,…

  11. The Implementation of IGE In Large Urban Systems: Four Case Studies. Technical Report No. 406.

    Science.gov (United States)

    Gardner, Booker

    These four case studies document the Research and Development Center's involvement in the implementation of Individually Guided Education (IGE) in the Chicago, Los Angeles, New York, and the District of Columbia school systems. Attention is focused on the results of the Center's efforts to ascertain the strategies and conditions required for…

  12. The Implementation of Self-Assessment in Writing Class: A Case Study at STBA LIA Jakarta

    Science.gov (United States)

    Purwanti, Theresia Tuti

    2015-01-01

    Self-assessment has become a means of realizing the goals of learner-centered education. It is conducted to help students grow to be independent learners. With regard to this point, this case study is aimed at investigating the implementation of the self-assessment as a learning tool in writing class. Its purpose is to examine students' reactions…

  13. Implementation of an Evidence-Based Seizure Algorithm in Intellectual Disability Nursing: A Pilot Study

    Science.gov (United States)

    Auberry, Kathy; Cullen, Deborah

    2016-01-01

    Based on the results of the Surrogate Decision-Making Self Efficacy Scale (Lopez, 2009a), this study sought to determine whether nurses working in the field of intellectual disability (ID) experience increased confidence when they implemented the American Association of Neuroscience Nurses (AANN) Seizure Algorithm during telephone triage. The…

  14. Definitions and Uses: Case Study of Teachers Implementing Project-Based Learning

    Science.gov (United States)

    Tamim, Suha R.; Grant, Michael M.

    2013-01-01

    The purpose of this descriptive study was to explore inservice teachers' definitions of project-based learning (PjBL) and their accounts on the meaning of their PjBL implementations. A purposive sample of six teachers from grades four through twelve in public and private schools participated. Three themes evolved from inductive analysis: (1)…

  15. Strategy Implementation through Hierarchical Couplings in a Management Control Package : An Explorative Case Study

    NARCIS (Netherlands)

    van der Kolk, Berend; Schokker, Tom

    2016-01-01

    We examine how couplings of management control (MC) elements help to implement an organization’s strategy. Despite prior research stating that couplings between MC elements form fruitful soil for further research, empirical studies in this area are still scarce. We draw on coupling theory to explore

  16. Improved quality of nursing documentation: results of a nursing diagnoses, interventions, and outcomes implementation study.

    NARCIS (Netherlands)

    Müller-Staub, M.; Needham, I.; Odenbreit, M.; Lavin, M.A.; Achterberg, T. van

    2007-01-01

    PURPOSE: To evaluate the impact of the quality of nursing diagnoses, interventions, and outcomes in an acute care hospital following the implementation of an educational program. METHOD: In a pretest-posttest experimental design study, nurses from 12 wards of a Swiss hospital received an educational

  17. [Implementation of good quality and safety practices. Descriptive study in a occupational mutual health centre].

    Science.gov (United States)

    Manzanera, R; Plana, M; Moya, D; Ortner, J; Mira, J J

    2016-01-01

    To describe the level of implementation of quality and safety good practice elements in a Mutual Society health centre. A Cross-sectional study was conducted to assess the level of implementation of good practices using a questionnaire. Some quality dimensions were also assessed (scale 0 to 10) by a set of 87 quality coordinators of health centres and a random sample of 54 healthcare professionals working in small centres. Seventy quality coordinators and 27 professionals replied (response rates 80% and 50%, respectively. There were no differences in the assessment of quality attributes between both groups. They identified as areas for improvement: use of practice guidelines (7.6/10), scientific and technical skills (7.5/10), and patient satisfaction (7.7/10). Availability and accessibility to clinical reports, informed consent, availability of hydro-alcoholic solution, and to record allergies, were considered of high importance to be implemented, with training and research, improvements in equipment and technology plans, adherence to clinical practice guidelines and the preparation of risk maps, being of less importance. The good practices related to equipment and resources have a higher likelihood to be implemented, meanwhile those related to quality and safety attitudes have more barriers before being implemented. The mutual has a similar behaviour than other healthcare institutions. Copyright © 2015 SECA. Published by Elsevier Espana. All rights reserved.

  18. Senior Managers’ Viewpoints Toward Challenges of Implementing Clinical Governance: A National Study in Iran

    Directory of Open Access Journals (Sweden)

    Hamid Ravaghi

    2013-11-01

    Full Text Available BackgroundQuality improvement should be assigned as the main mission for healthcare providers. Clinical Governance (CG is used not only as a strategy focusing on responding to public and government’s intolerance of poor healthcare standards, but also it is implemented for quality improvement in a number of countries. This study aims to identify the key contributing factors in the implementation process of CG from the viewpoints of senior managers in curative deputies of Medical Universities in Iran. MethodsA quantitative method was applied via a questionnaire distributed to 43 senior managers in curative deputies of Iran Universities of Medical Sciences. Data were analyzed using SPSS. ResultsAnalysis revealed that a number of items were important in the successful implementation of CG from the senior managers’ viewpoints. These items included: knowledge and attitude toward CG, supportive culture, effective communication, teamwork, organizational commitment, and the support given by top managers. Medical staff engagement in CG implementation process, presence of an official position for CG officers, adequate resources, and legal challenges were also regarded as important factors in the implementation process. ConclusionKnowledge about CG, organizational culture, managerial support, ability to communicate goals and strategies, and the presence of effective structures to support CG, were all related to senior managers’ attitude toward CG and ultimately affected the success of quality improvement activities.

  19. Success Factors Associated with Health Information Systems Implementation: A study of an Australian Regional Hospital

    Directory of Open Access Journals (Sweden)

    Carmine Sellitto

    2014-09-01

    Full Text Available This paper identifies five factors from the literature that are important for the successful implementation of health information systems (HIS. The HIS factors identified include stakeholder engagement, the support of management and local champions, understanding HIS imposed change, user training and the impact of government incentives. The paper further explored the introduction of a commonly used HIS (Medical Director® in a regional Australian hospital and used the implementation factors as a guide for reporting stakeholder perceptions of the system. The implementation of the HIS in view of the systems users was a failure with all factors except the training issues poorly addressed. The study also reports the practicalities encountered with the system’s introduction and documents several new operational factors that were found to be associated with HIS implementation. Overall, the factors provided a sound criterion on which to judge the implementation performance (success or otherwise of the HIS. The factors identified have the potential to be used as a guide by others who are engaged with information systems in the health area.

  20. Experiences from Implementation of Lean Production: Standardization versus Self-management: A Swedish Case Study

    Directory of Open Access Journals (Sweden)

    Margareta Oudhuis

    2013-01-01

    Full Text Available In this article, we discuss important aspects of the perceived problematic relationship between self-management and standardization. The article presents data from three case studies conducted within manufacturing companies in Sweden, where the popularity of lean production has led to a renaissance for short-cycle and standardized assembly work in settings that traditionally have made use of sociotechnical production design. The data suggest that the implementation has not contributed to an increased commitment, smooth operations, and capacity for change and innovation. Despite these not so positive results, it is argued that it is possible to combine self-management principles with lean production and standardization if 1 the implementation of lean is done with a contextual sensitivity, 2 a balance is reached between the use of standards on the one hand and work enrichment on the other, and 3 a feeling of ownership as regards both implementation and production process is upheld among the product on personnel.

  1. Environmental Management Systems (EMS ISO 14001 Implementation in Construction Industry: A Malaysian Case Study

    Directory of Open Access Journals (Sweden)

    Sumiani Yusoff

    2015-03-01

    Full Text Available This study seeks to explore the crucial part in EMS implementation; i.e. environmental aspects and impacts, Good Environmental Practice to be developed in construction site, as well as the level of awareness or understanding amongst site staffs on ISO 14001 EMS implementation in their organizations. Data were collected via interviews, surveys and site visits. A number of environmental aspects and impacts, and Good Environmental Practices based on ISO 14001:2004 have been identified. The level of understanding of the site staffs on ISO 14001 EMS requirements has been found to be good except for matters concerning Schedule Waste Management. In conclusion, the successful implementation of ISO 14001 EMS mainly depends on staffs‘ understanding.

  2. A Comparative Study on Safeguards Implementation under Bilateral Nuclear Cooperation Agreements and the IAEA Comprehensive Safeguards Agreement

    Energy Technology Data Exchange (ETDEWEB)

    Jeon, Jihye; Kim, Ki-Hyun; Lee, Young Wook [Korea Institute of Nuclear Nonproliferation and Control, Daejeon (Korea, Republic of)

    2016-10-15

    A Nuclear Cooperation Agreement (NCA) requires several conditions, so-called obligations, on the items under the agreement such as: 1) peaceful use, 2) retransfer consent, 3) consent prior to reprocessing or enrichment and 4) safeguards and security. These obligations of the NCAs are imposed by the supplier country. The Comprehensive Safeguards Agreement (CSA) between the International Atomic Energy Agency (IAEA) and its member states require similar activities. However, there is a significant gap in nuclear material accountancy between safeguards implementation under the NCA and CSA. The difference of those two frameworks is compared herein, focusing on the unique features of the NCA safeguards and its implications are presented. In this study, the NCAs between the ROK and Canada, Australia and US were analyzed since each of them is one of the ROK’s major nuclear trading partners. The safeguards implementation under the NCA is usually specified in an Administrative Arrangement (AA) under the Agreement. The ROK has two AAs in force with Canada and Australia among 29 countries with NCA. Recently, the AA with Canada was revised in December 2015, with those concepts mentioned above. The AA with the US is currently under discussion. Cooperation in nuclear energy between two countries could be further enhanced through reliable implementation of the NCA undertakings. Taking into account the unique features of the NCA, we need to establish effective strategy for fulfilling the obligation under the Agreement.

  3. Equity perceptions and marital satisfaction in former and current marriage : A study among the remarried

    NARCIS (Netherlands)

    Buunk, BP; Mutsaers, W

    1999-01-01

    A study among 290 remarried individuals examined equity perceptions in the former and the current marriage. The results showed that equity in the former and the current marriage were not related to each other. In general, respondents perceived much more inequity in the former than in the current mar

  4. Implementation of information systems at pharmacies - a case study from the re-regulated pharmacy market in Sweden.

    Science.gov (United States)

    Hammar, Tora; Ohlson, Mats; Hanson, Elizabeth; Petersson, Göran

    2015-01-01

    When the Swedish pharmacy market was re-regulated in 2009, Sweden moved from one state-owned pharmacy chain to several private pharmacy companies, and four new dispensing systems emerged to replace the one system that had previously been used at all Swedish pharmacies for more than 20 years. The aim of this case study was to explore the implementation of the new information systems for dispensing at pharmacies. The vendors of the four dispensing systems in Sweden were interviewed, and a questionnaire was sent to the managers of the pharmacy companies. In addition, a questionnaire was sent to 350 pharmacists who used the systems for dispensing prescriptions. The implementation of four new dispensing systems followed a strict time frame set by political decisions, involved actors completely new to the market, lacked clear regulation and standards for functionality and quality assurance, was complex and resulted in variations in quality. More than half of the pharmacists (58%) perceived their current dispensing system as supporting safe dispensing of medications, 26% were neutral and 15% did not perceive it to support a safe dispensing. Most pharmacists (80%) had experienced problems with their dispensing system during the previous month. The pharmacists experienced problems included reliability issues, usability issues, and missing functionality. In this case study exploring the implementation of new information systems for dispensing prescriptions at pharmacies in Sweden, weaknesses related to reliability, functionality and usability were identified and could affect patient safety. The weaknesses of the systems seem to result from the limited time for the development and implementation, the lack of comprehensive and evidence-based requirements for dispensing systems, and the unclear distribution of quality assurance responsibilities among involved stakeholders. Copyright © 2015 Elsevier Inc. All rights reserved.

  5. Adopting and implementing nutrition guidelines in recreational facilities: public and private sector roles. A multiple case study.

    Science.gov (United States)

    Olstad, Dana Lee; Raine, Kim D; McCargar, Linda J

    2012-05-25

    Recreational facilities are an important community resource for health promotion because they provide access to affordable physical activities. However, despite their health mandate, many have unhealthy food environments that may paradoxically increase the risk of childhood obesity. The Alberta Nutrition Guidelines for Children and Youth (ANGCY) are government-initiated, voluntary guidelines intended to facilitate children's access to healthy food and beverage choices in schools, childcare and recreational facilities, however few recreational facilities are using them. We used mixed methods within an exploratory multiple case study to examine factors that influenced adoption and implementation of the ANGCY and the nature of the food environment within three cases: an adopter, a semi-adopter and a non-adopter of the ANGCY. Diffusion of Innovations theory provided the theoretical platform for the study. Qualitative data were generated through interviews, observations, and document reviews, and were analysed using directed content analysis. Set theoretic logic was used to identify factors that differentiated adopters from the non-adopter. Quantitative sales data were also collected, and the quality of the food environment was scored using four complementary tools. The keys to adoption and implementation of nutrition guidelines in recreational facilities related to the managers' nutrition-related knowledge, beliefs and perceptions, as these shaped his decisions and actions. The manager, however, could not accomplish adoption and implementation alone. Intersectoral linkages with schools and formal, health promoting partnerships with industry were also important for adoption and implementation to occur. The food environment in facilities that had adopted the ANGCY did not appear to be superior to the food environment in facilities that had not adopted the ANGCY. ANGCY uptake may continue to falter under the current voluntary approach, as the environmental supports for

  6. Making sense of health information technology implementation: A qualitative study protocol

    Directory of Open Access Journals (Sweden)

    McDaniel Reuben R

    2010-11-01

    Full Text Available Abstract Background Implementing new practices, such as health information technology (HIT, is often difficult due to the disruption of the highly coordinated, interdependent processes (e.g., information exchange, communication, relationships of providing care in hospitals. Thus, HIT implementation may occur slowly as staff members observe and make sense of unexpected disruptions in care. As a critical organizational function, sensemaking, defined as the social process of searching for answers and meaning which drive action, leads to unified understanding, learning, and effective problem solving -- strategies that studies have linked to successful change. Project teamwork is a change strategy increasingly used by hospitals that facilitates sensemaking by providing a formal mechanism for team members to share ideas, construct the meaning of events, and take next actions. Methods In this longitudinal case study, we aim to examine project teams' sensemaking and action as the team prepares to implement new information technology in a tiertiary care hospital. Based on management and healthcare literature on HIT implementation and project teamwork, we chose sensemaking as an alternative to traditional models for understanding organizational change and teamwork. Our methods choices are derived from this conceptual framework. Data on project team interactions will be prospectively collected through direct observation and organizational document review. Through qualitative methods, we will identify sensemaking patterns and explore variation in sensemaking across teams. Participant demographics will be used to explore variation in sensemaking patterns. Discussion Outcomes of this research will be new knowledge about sensemaking patterns of project teams, such as: the antecedents and consequences of the ongoing, evolutionary, social process of implementing HIT; the internal and external factors that influence the project team, including team composition

  7. Implementation practices in school health promotion: findings from an Austrian multiple-case study.

    Science.gov (United States)

    Adamowitsch, Michaela; Gugglberger, Lisa; Dür, Wolfgang

    2017-04-01

    Since the 1980s, schools have been recognized as an ideal setting to promote students' and teachers' health. Three decades after the development of the Health Promoting Schools (HPS) approach, however, there is still only limited knowledge about the implementation of health promotion (HP) activities in this setting. Some studies indicate that schools change original concepts significantly when adapting them to local context in the course of implementation. In this paper, we pursue the question how HP is practiced in schools that have agreed to implement HPS concepts from regional service providers (SPs), using data from a multiple-case study conducted in an Austrian province. Furthermore, we explored the HP activities chosen for implementation and the decision-making leading to their implementation. We draw on 22 interviews with members of the school community and provincial HP SPs, 9 group discussions, and 10 observations we have carried out within three schools between November 2010 and January 2012, supplemented by a variety of documents. We have identified 40 different HP activities, of which most targeted students, while mostly focusing on physical activity and/or psychosocial health. Planning, coordination and cooperation at the school level were minimal. Decisions for or against activities were seldom taken together, but taken individually due to personal knowledge, interests and experiences, perceived needs and problems, already existing activities and external influences. The findings suggest that schools rather remain with a traditional topic-based approach instead of realizing an integrated whole-school approach and indicate a need for more support especially during the early phases of implementation. © The Author 2014. Published by Oxford University Press. All rights reserved. For Permissions, please email: journals.permissions@oup.com.

  8. Factors Influencing Implementation of Nursing Process by Nurses: A Qualitative Study

    Directory of Open Access Journals (Sweden)

    Foroozan Atashzadeh Shourideh

    2011-01-01

    Full Text Available Introduction: Nursing process is a systematic and dynamic method that will help to improve the quality of patient care. Reviewing the literature indicates that implementation of nursing process not only in Iran but also in many countries has encountered many challenges. Applying nursing process requires understanding the factors affecting its implementation from the perspective of nurses and understanding the way these factors influence the nursing process. The purpose of this study was to explore the factors that may influence the implementation of nursing process by nurses in Iran. Methods: A grounded theory was used to explore the nurses’ perspectives on implementation of nursing process. 18 clinical nurses, 12 nurse educators and 6 nurse managers participated in semi-structured interviews and data were simultaneously and constantly compared. Results: Personal-managerial factor was found as a core variable in this study. It means that a set of personal and managerial factors should be provided to help nurses apply nursing process to improve quality of nursing care. This variable includes two levels of axial codes: personal level and managerial level. Three categories in personal level code (awareness, attitude and skill and five categories in managerial level code (supervision, adequate human resources, reinforcement and punishment, appropriate tools and conditions, and cooperation emerged. Conclusion: Factors which influence the implementation of nursing process by nurses are varied and complex and related to personal and managerial factors. Therefore, nurse managers and nurse educators should try to remove barriers and provide facilities to promote implementation of nursing process and increase the quality of care based on nursing process.

  9. Implementing a low-cost web-based clinical trial management system for community studies: a case study.

    Science.gov (United States)

    Geyer, John; Myers, Kathleen; Vander Stoep, Ann; McCarty, Carolyn; Palmer, Nancy; DeSalvo, Amy

    2011-10-01

    Clinical trials with multiple intervention locations and a single research coordinating center can be logistically difficult to implement. Increasingly, web-based systems are used to provide clinical trial support with many commercial, open source, and proprietary systems in use. New web-based tools are available which can be customized without programming expertise to deliver web-based clinical trial management and data collection functions. To demonstrate the feasibility of utilizing low-cost configurable applications to create a customized web-based data collection and study management system for a five intervention site randomized clinical trial establishing the efficacy of providing evidence-based treatment via teleconferencing to children with attention-deficit hyperactivity disorder. The sites are small communities that would not usually be included in traditional randomized trials. A major goal was to develop database that participants could access from computers in their home communities for direct data entry. Discussed is the selection process leading to the identification and utilization of a cost-effective and user-friendly set of tools capable of customization for data collection and study management tasks. An online assessment collection application, template-based web portal creation application, and web-accessible Access 2007 database were selected and customized to provide the following features: schedule appointments, administer and monitor online secure assessments, issue subject incentives, and securely transmit electronic documents between sites. Each tool was configured by users with limited programming expertise. As of June 2011, the system has successfully been used with 125 participants in 5 communities, who have completed 536 sets of assessment questionnaires, 8 community therapists, and 11 research staff at the research coordinating center. Total automation of processes is not possible with the current set of tools as each is loosely

  10. The Causality Study of External Environment Analysis (EEA), Internal Environment Analysis (IEA), Strategy Implementation on Study Program Performance at Vocational High School (VHS) in Nias Archipelago, Indonesia

    Science.gov (United States)

    Waruwu, Binahati; Sitompul, Harun; Manullang, Belferik

    2016-01-01

    The purposes of this study are to find out the significant effect of: (1) EEA on strategy implementation, (2) IEA on strategy implementation, (3) EEA on study program performance, (4) IEA on study program performance, and (5) strategy implementation on study program performance of Vocational High School (VHS) in Nias Archipelago. The population of…

  11. Implementation of the CALM intervention for anxiety disorders: a qualitative study

    Directory of Open Access Journals (Sweden)

    Curran Geoffrey M

    2012-03-01

    Full Text Available Abstract Background Investigators recently tested the effectiveness of a collaborative-care intervention for anxiety disorders: Coordinated Anxiety Learning and Management(CALM [] in 17 primary care clinics around the United States. Investigators also conducted a qualitative process evaluation. Key research questions were as follows: (1 What were the facilitators/barriers to implementing CALM? (2 What were the facilitators/barriers to sustaining CALM after the study was completed? Methods Key informant interviews were conducted with 47 clinic staff members (18 primary care providers, 13 nurses, 8 clinic administrators, and 8 clinic staff and 14 study-trained anxiety clinical specialists (ACSs who coordinated the collaborative care and provided cognitive behavioral therapy. The interviews were semistructured and conducted by phone. Data were content analyzed with line-by-line analyses leading to the development and refinement of themes. Results Similar themes emerged across stakeholders. Important facilitators to implementation included the perception of "low burden" to implement, provider satisfaction with the intervention, and frequent provider interaction with ACSs. Barriers to implementation included variable provider interest in mental health, high rates of part-time providers in clinics, and high social stressors of lower socioeconomic-status patients interfering with adherence. Key sustainability facilitators were if a clinic had already incorporated collaborative care for another disorder and presence of onsite mental health staff. The main barrier to sustainability was funding for the ACS. Conclusions The CALM intervention was relatively easy to incorporate during the effectiveness trial, and satisfaction was generally high. Numerous implementation and sustainability barriers could limit the reach and impact of widespread adoption. Findings should be interpreted with the knowledge that the ACSs in this study were provided and trained by

  12. How to implement process-oriented care: a case study on the implementation of process-oriented in-hospital stroke care.

    NARCIS (Netherlands)

    Vos, L.; Oostenbrugge, R.J. van; Limburg, M.; Merode, G.G. van; Groothuis, S.

    2009-01-01

    Dutch hospitals are in the midst of a transition towards process-oriented organisation to realise optimal and undisturbed care processes. Between 2004 and 2007, the University Hospital of Maastricht conducted a case study implementing process-oriented in-hospital stroke unit care. The case study

  13. Experiences from implementing value-based healthcare at a Swedish University Hospital - an longitudinal interview study.

    Science.gov (United States)

    Nilsson, Kerstin; Bååthe, Fredrik; Andersson, Annette Erichsen; Wikström, Ewa; Sandoff, Mette

    2017-02-28

    Implementing the value-based healthcare concept (VBHC) is a growing management trend in Swedish healthcare organizations. The aim of this study is to explore how representatives of four pilot project teams experienced implementing VBHC in a large Swedish University Hospital over a period of 2 years. The project teams started their work in October 2013. An explorative and qualitative design was used, with interviews as the data collection method. All the participants in the four pilot project teams were individually interviewed three times, with interviews starting in March 2014 and ending in November 2015. All the interviews were transcribed and analyzed using qualitative analysis. Value for the patients was experienced as the fundamental drive for implementing VBHC. However, multiple understandings of what value for patients' means existed in parallel. The teams received guidance from consultants during the first 3 months. There were pros and cons to the consultant's guidance. This period included intensive work identifying outcome measurements based on patients' and professionals' perspectives, with less interest devoted to measuring costs. The implementation process, which both gave and took energy, developed over time and included interventions. In due course it provided insights to the teams about the complexity of healthcare. The necessity of coordination, cooperation and working together inter-departmentally was critical. Healthcare organizations implementing VBHC will benefit from emphasizing value for patients, in line with the intrinsic drive in healthcare, as well as managing the process of implementation on the basis of understanding the complexities of healthcare. Paying attention to the patients' voice is a most important concern and is also a key towards increased engagement from physicians and care providers for improvement work.

  14. Profiling postgraduate workplace-based assessment implementation in Ireland: a retrospective cohort study

    OpenAIRE

    Barrett, Aileen; Galvin, Rose; Steinert, Yvonne; Scherpbier, Albert; O’Shaughnessy, Ann; Walsh, Gillian; Horgan, Mary

    2016-01-01

    In 2010, workplace-based assessment (WBA) was formally integrated as a method of formative trainee assessment into 29 basic and higher specialist medical training (BST/HST) programmes in six postgraduate training bodies in Ireland. The aim of this study is to explore how WBA is being implemented and to examine if WBA is being used formatively as originally intended. A retrospective cohort study was conducted and approved by the institution’s Research Ethics Committee. A profile of WBA require...

  15. Empirical Performance Metrics Study of Execution of Database Queries in Implementation of Web Services

    Directory of Open Access Journals (Sweden)

    M. A. Maluk Mohamed

    2012-01-01

    Full Text Available Problem statement: Web services are increasingly being deployed in business applications, due to its unique features such as flexibility, interoperability and other features. Most of the business applications involve extensive use of database operations for data management in back end. Further business applications demand very high level of performance from software solutions and it is a continual and never-ending process. This study focuses on measurement and analysis of performance metrics of database queries in implementation of web services. Approach: In this experimentation, web services are implemented in two popular and standard platforms and database queries are realized through all commercial and standard databases. Performance measurement is done by implementing a common sample application on each realization and using a pair of performance metrics, response time and packet count, that is, number of packets involved in communication between the layers of implementation. Results and Conclusion: This novel study summarizes the various performance aspects of databases in web services with a basic set of database queries in the back end and concludes with firm results on optimum performance offered by database in execution of database queries in realization of web services.

  16. Numerical Studies of Friction Between Metallic Surfaces and of its Dependence on Electric Currents

    Science.gov (United States)

    Meintanis, Evangelos; Marder, Michael

    2009-03-01

    We will present molecular dynamics simulations that explore the frictional mechanisms between clean metallic surfaces. We employ the HOLA molecular dynamics code to run slider-on-block experiments. Both objects are allowed to evolve freely. We recover realistic coefficients of friction and verify the importance of cold-welding and plastic deformations in dry sliding friction. We also find that plastic deformations can significantly affect both objects, despite a difference in hardness. Metallic contacts have significant technological applications in the transmission of electric currents. To explore the effects of the latter to sliding, we had to integrate an electrodynamics solver into the molecular dynamics code. The disparate time scales involved posed a challenge, but we have developed an efficient scheme for such an integration. A limited electrodynamic solver has been implemented and we are currently exploring the effects of currents in the friction and wear of metallic contacts.

  17. Micromagnetic model for studies on Magnetic Tunnel Junction switching dynamics, including local current density

    Energy Technology Data Exchange (ETDEWEB)

    Frankowski, Marek, E-mail: mfrankow@agh.edu.pl; Czapkiewicz, Maciej; Skowronski, Witold; Stobiecki, Tomasz

    2014-02-15

    We present a model introducing the Landau–Lifshitz–Gilbert equation with a Slonczewski's Spin-Transfer-Torque (STT) component in order to take into account spin polarized current influence on the magnetization dynamics, which was developed as an Object Oriented MicroMagnetic Framework extension. We implement the following computations: magnetoresistance of vertical channels is calculated from the local spin arrangement, local current density is used to calculate the in-plane and perpendicular STT components as well as the Oersted field, which is caused by the vertical current flow. The model allows for an analysis of all listed components separately, therefore, the contribution of each physical phenomenon in dynamic behavior of Magnetic Tunnel Junction (MTJ) magnetization is discussed. The simulated switching voltage is compared with the experimental data measured in MTJ nanopillars.

  18. Herd prevalence of Salmonella spp. in Danish pig herds after implementation of the Danish Salmonella Control Program with reference to a pre-implementation study

    DEFF Research Database (Denmark)

    Christensen, Jette; Baggesen, Dorte Lau; Nielsen, Bent

    2002-01-01

    The problems addressed are: (1) comparison of prevalences of Salmonella spp. in different herd types in the Danish pig population after implementation of the Danish Salmonella Control Program (DSCP), and (2) to make a reference to a study from 1993/1994 (pre-implementation) with a discussion...... of possible biases when diagnostic methods differ slightly. The objectives were to present the prevalences of Salmonella spp., Salmonella Typhimurium, and multiresistant S. Typhimurium DT104 in Danish pig herds in 1998. Further, to discuss how herd prevalences may be compared to a previous study...

  19. Three case studies of three high school teachers' definitions, beliefs, and implementation practices of inquiry-based science method including barriers to and facilitators of successful implementation

    Science.gov (United States)

    Blackburn-Morrison, Kimberly D.

    This study involved three teachers in various stages of implementation of inquiry-based science method. The cases were chosen because one participant was a novice in using inquiry-based science method, one participant was in her second year of implementation, and the third participant was experienced with inquiry-based science method. The cases were set in a rural high school in three different science classrooms. One of the classrooms was a regular biology class. One of the classrooms was an honors oceanography class and another was an advanced placement environmental science classroom. Data sources included interviews, observations, and document collection. Interviews, observations, and document collection were used to triangulate data. Each classroom was observed five times. Interviews were conducted at the beginning of the semester with each participant and at the end of the semester. Follow-up interviews were conducted after each observation. Documents were collected such as each teacher's lesson plans, student work, and assignments. Data was initially organized according to the research areas of teacher's definition, teacher's beliefs, teacher's barriers to implementation, and teacher's enablers to implementation. Then, patterns emerging from each of these cases were organized. Lastly, patterns emerging across cases were compared in a cross-case analysis. Patterns shared between cases were: Participants related inquiry-based science method with hands-on learning activities. Participants saw students as the center of the learning process. Participants had positive beliefs about constructivist learning practices that were strengthened after implementation of inquiry-based teaching. Facilitators of successful implementation of inquiry-based science method were positive student motivation, students' retention of knowledge, and a positive experience for lower level students. Barriers to successful implementation were teachers not having complete control of the

  20. Implementing maternal death surveillance and response: a review of lessons from country case studies.

    Science.gov (United States)

    Smith, Helen; Ameh, Charles; Roos, Natalie; Mathai, Matthews; Broek, Nynke van den

    2017-07-17

    Maternal Death Surveillance and Response (MDSR) implementation is monitored globally, but not much is known about what works well, where and why in scaling up. We reviewed a series of country case studies in order to determine whether and to what extent these countries have implemented the four essential components of MDSR and identify lessons for improving implementation. A secondary analysis of ten case studies from countries at different stages of MDSR implementation, using a policy analysis framework to draw out lessons learnt and opportunities for improvement. We identify the consistent drivers of success in countries with well-established systems for MDSR, and common barriers in countries were Maternal Death Review (MDR) systems have been less successful. MDR is accepted and ongoing at subnational level in many countries, but it is not adequately institutionalised and the shift from facility based MDR to continuous MDSR that informs the wider health system still needs to be made. Our secondary analysis of country experiences highlights the need for a) social and team processes at facility level, for example the existence of a 'no shame, no blame' culture, and the ability to reflect on practice and manage change as a team for recommendations to be acted upon, b) health system inputs including adequate funding and reliable health information systems to enable identification and analysis of cases c) national level coordination of dissemination, and monitoring implementation of recommendations at all levels and d) mandatory notification of maternal deaths (and enforcement of this) and a professional requirement to participate in MDRs. Case studies from countries with established MDSR systems can provide valuable guidance on ways to set up the processes and overcome some of the barriers; but the challenge, as with many health system interventions, is to find a way to provide catalytic assistance and strengthen capacity for MDSR such that this becomes embedded in

  1. Fire fighters as basic life support responders: A study of successful implementation

    Directory of Open Access Journals (Sweden)

    Christensen Erika

    2009-04-01

    Full Text Available Abstract Background First responders are recommended as a supplement to the Emergency Medical Services (EMS in order to achieve early defibrillation. Practical and organisational aspects are essential when trying to implement new parts in the "Chain of Survival"; areas to address include minimizing dispatch time, ensuring efficient and quick communication, and choosing areas with appropriate driving distances. The aim of this study was to implement a system using Basic Life Support (BLS responders equipped with an automatic external defibrillator in an area with relatively short emergency medical services' response times. Success criteria for implementation was defined as arrival of the BLS responders before the EMS, attachment (and use of the AED, and successful defibrillation. Methods This was a prospective observational study from September 1, 2005 to December 31, 2007 (28 months in the city of Aarhus, Denmark. The BLS responder system was implemented in an area up to three kilometres (driving distance from the central fire station, encompassing approximately 81,500 inhabitants. The team trained on each shift and response times were reduced by choice of area and by sending the alarm directly to the fire brigade dispatcher. Results The BLS responders had 1076 patient contacts. The median response time was 3.5 minutes (25th percentile 2.75, 75th percentile 4.25. The BLS responders arrived before EMS in 789 of the 1076 patient contacts (73%. Cardiac arrest was diagnosed in 53 cases, the AED was attached in 29 cases, and a shockable rhythm was detected in nine cases. Eight were defibrillated using an AED. Seven of the eight obtained return of spontaneous circulation (ROSC. Six of the seven obtaining ROSC survived more than 30 days. Conclusion In this study, the implementation of BLS responders may have resulted in successful resuscitations. On basis of the close corporation between all participants in the chain of survival this project

  2. A Study of Broadband Intelligent Network Implementing Video Conference and Multicast Routing Algorithm

    Institute of Scientific and Technical Information of China (English)

    2001-01-01

    The dissertation studies the architecture of broadbandintelligent network (BIN) and implementation of video conference based on ATM network and of multicast routing problem on video conference using BIN under the aid of the important task-Study of IN and B-ISDN Integration (69896244)-sponsored by National Natural Science Fund. A lot of points of view and solutions are present. The main contributions in the dissertation are as follows: (1) Design the new architecture of BIN and improve the architecture of BIN proposed by ITU-T. It is easy to set up the connections of video conference using the new architecture of BIN.(2) Present the detailed scheme that BIN controls and implements video conference without specialized resource function, study the scheme of all the media on video conference transmitted and switched under the control of BIN, and discuss how to implement point-to-multipoint communications using BIN. (3) First present the scheme of implementing multicast routing algorithms on video conference using BIN.(4) Explicitly introduce a series of concepts including neighboring node, neighboring node set, neighboring edge, then propose an Adjustable Dynamic Multicast (ADM) routing algorithm which is suitable for video conference, analyze its performances, and prove the algorithm is appropriate and feasible. (5) Develop a degree-constrained dynamic multicast (DADM) routing algorithm which can find less cost multicast routing tree. The results of simulation and experiments confirm that DADM algorithm can find the less cost multicast tree. Finally, analyze the relation between the size of degree-constrained and value of multicast tree cost. (6) Present a delay-constrained dynamic multicast routing algorithm suitable for video conference characteristic, and advise a series of schemes reducing the delay of transmitting all the media on videoconference.(7) First propose implementing the reliable multicast routing transport protocol using BIN, thereby ACK implosion

  3. Exploring Barriers to Implementation of Smoking Policies:A Qualitative Study on Health Professionals from Three County-Level Hospitals

    Institute of Scientific and Technical Information of China (English)

    JUN-FANG WANG; SHAO-JUN MA; CUI-ZHU MEI; XUE-FANG XU; CHUN-PING WANG; GONG-HUAN YANG

    2008-01-01

    Objective This study was to identify factors limiting the implementation of smoking policies in county-level hospitals. Methods We conducted qualitative interviews (17 focus groups discussions and 6 one-to-one in depth interviews)involving 103 health professionals from three target county-level hospitals. A combination of purposive and convenience sampling was used to recruit subjects and gain a broad range of perspectives on issues emerging from ongoing data-analysis until data saturation occurred. The transcripts were analyzed for themes and key points. Results The main themes that emerged suggested that both smokers and non-smokers viewed smoking very negatively. However, it was clear that, underlying this acceptance of the health risks of smoking, there was a wide range of beliefs. Most of the health professionals pointed out that, as smoking was legal, addictive, and influenced by social norms, currently it was almost unrealistic to expect all smokers to give up smoking or not to smoke in the hospitals. Furthermore, they were concerned about the potentially detrimental effects of providing counseling advice to all smokers on the interpersonal relationship among colleagues or between doctors and patients. In addition, low level of employee participation influenced the sustainable implementation of smoking policies. Conclusions Simply being aware of the health risks about smoking did not necessarily result in successful implementation of the smoking policies. Application of comprehensive intervention strategies such as implementing smoking policies in public places at the county level, creating supportive environments, promoting community participation,and conducting health education, may be more effective.

  4. Providing a Model for Successful Implementation of Customer Relationship Management (Case Study: Zahedan Industrial City

    Directory of Open Access Journals (Sweden)

    Amin-Reza Kamalian

    2013-05-01

    Full Text Available This study presents a model for Successful Implementation of Customer Relationship Management (CRM for small and medium-sized enterprises (SMEs in Zahedan industrial city. Having extensive theoretical study, the factors influencing the success of customer relationship management were identified. Using a standard questionnaire with reliability of 96.2 percent (Cronbach's alpha coefficient, existing and desired situations of these factors were compared by experts' point of view. Research population consists of industrialists and professionals in Zahedan industrial city. Because of small population size, data obtained by the entire population; i.e. 54 companies. This applied study is in descriptive-analytical type. Data analysis was performed using SPSS software. Results indicated that all factors affecting the success of implementing customer relationship management, except technology, are used in these companies.

  5. THE EFFECT OF IMPLEMENTING CORE BANKING SERVICES ON PROFITABILITY. CASE STUDY: ALL BRANCHES OF A PRIVATE BANK IN MASHHAD

    Directory of Open Access Journals (Sweden)

    Mansour Dehghan

    2015-07-01

    Full Text Available Recently, the growth of information technology and increasing competition among banks has considerably affected attracting customers. Banking industry has made great changes to transform into the core banking. The present study aims to assess the effect of the implementation of core banking services on profitability. These services, as different branches of electronic banking, are consisting of internet banking, mobile banking, telephone banking, point of sale (POS, ATM, and electronic money which are all tested in the current study. In order to test research hypotheses and the existing relationship between variables, needed data has been collected and analyzed through the application of stepwise regression model. The achieved findings indicate a significant relationship between the application of internet banking and ATM and the variable of profitability, while there is no significant relationship between the application of telephone banking, mobile banking, POS, and electronic money and profitability.

  6. THE INTERACTION DYNAMICS BETWEEN AN ERP SYSTEM AND ORGANIZATIONAL KNOWLEDGE IN THE POST - IMPLEMENTATION : AN INTERPRETATIVE CASE STUDY

    Directory of Open Access Journals (Sweden)

    James Anthony Falk

    2007-10-01

    Full Text Available Enterprise Resource Planning- ERP systems constitute a phenomenon of relevant dimension in the current business world. Due to their own construction and operation characteristics, ERPs can substantially influence relevant aspects related to organizational knowledge. The central interest of this article is to understand the interaction dynamics of these technologies with organizational knowledge in a post-implementation phase of an ERP system within a service oriented organization. For this, a case study was performed using an interpretative approach of analysis in a regional telecommunication service organization installed in Brazil. The interpretations of the results of the study indicate that the ERP system was playing a technocratic role, influencing and being influenced by dominant rationality. Substantial limitations were observed with regards to the space for learning, local innovation and concerning the contestation on the knowledge embedded in the ERP system itself.

  7. Teacher Preparedness in the Implementation of the Integrated Business Studies Curriculum in Public Secondary Schools in Kenya

    Science.gov (United States)

    Jerotich, Florah; Kurgat, Susan J.; Kimutai, Chris K.

    2017-01-01

    The main purpose of this paper was to assess teacher preparedness in the implementation of the integrated Business Studies curriculum in public secondary schools in Kenya. Specifically, the study sought to: find out the level of preservice training of the Business Studies teachers implementing the integrated Business Studies curriculum and to find…

  8. Implementation of Compulsory Study 12 Year Policy to Increase Education Quality in Kudus Regency

    Directory of Open Access Journals (Sweden)

    Asih Widi Lestari

    2015-02-01

    Full Text Available Education is an important instrument in improving the human resources quality. Kudus Regency has implemented compulsory study since 2010 through Kudus Regency Regional Regulation Number 2/ 2010 about Compulsory Study 12 (Twelve Years. While, Central Government issued compulsory study 12 year policy in June 2013 through Ministry of Education and Culture Regulation Number 80/2013 about Universal Secondary Education. Obviously, this is a bold step of Kudus Regency Government in improving the education quality at Kudus Regency. The research objectives are: to know, analyze, and describe about Implementation of compulsory study 12 years policy to increase education in Kudus Regency; and to know, analyze, and describe about supporting and inhibiting factors toward implementation of compulsory study 12 years policy to increase education quality in Kudus Regency. This research resulted that the implementation compulsory study 12 years policy in Kudus Regency has been successfully, viewed from the actor that completely carry out their duties and responsibilities; the existence of funding and programs from Kudus Regency Government and Central Government is supporting the mechanism implementation in accordance with the provisions. The compulsory study 12 years policy in Kudus Regency had positive impact in improving the education quality at Kudus Regency, it is seen from the increase of Gross Enrollment Ratio (GER for secondary education from 60% in 2008 to 80,59% in 2013. The success in improving the education quality is also seen from achievement of Kudus Regency in obtained champions in various championships. The supporting factors are The content of the Kudus Regency Regional Regulation Number 2/ 2010 about Compulsory Study 12 Years and the Minister of Education and Culture Regulation Number 80/ 2013 about Universal Secondary Education which clear and easy to understand; the willingness of Kudus Society in receiving the compulsory study 12 years policy

  9. Facial emotion recognition system for autistic children: a feasible study based on FPGA implementation.

    Science.gov (United States)

    Smitha, K G; Vinod, A P

    2015-11-01

    Children with autism spectrum disorder have difficulty in understanding the emotional and mental states from the facial expressions of the people they interact. The inability to understand other people's emotions will hinder their interpersonal communication. Though many facial emotion recognition algorithms have been proposed in the literature, they are mainly intended for processing by a personal computer, which limits their usability in on-the-move applications where portability is desired. The portability of the system will ensure ease of use and real-time emotion recognition and that will aid for immediate feedback while communicating with caretakers. Principal component analysis (PCA) has been identified as the least complex feature extraction algorithm to be implemented in hardware. In this paper, we present a detailed study of the implementation of serial and parallel implementation of PCA in order to identify the most feasible method for realization of a portable emotion detector for autistic children. The proposed emotion recognizer architectures are implemented on Virtex 7 XC7VX330T FFG1761-3 FPGA. We achieved 82.3% detection accuracy for a word length of 8 bits.

  10. Dissemination of an innovative mastery learning curriculum grounded in implementation science principles: a case study.

    Science.gov (United States)

    McGaghie, William C; Barsuk, Jeffrey H; Cohen, Elaine R; Kristopaitis, Theresa; Wayne, Diane B

    2015-11-01

    Dissemination of a medical education innovation, such as mastery learning, from a setting where it has been used successfully to a new and different medical education environment is not easy. This article describes the uneven yet successful dissemination of a simulation-based mastery learning (SBML) curriculum on central venous catheter (CVC) insertion for internal medicine and emergency medicine residents across medical education settings. The dissemination program was grounded in implementation science principles. The article begins by describing implementation science which addresses the mechanisms of medical education and health care delivery. The authors then present a mastery learning case study in two phases: (1) the development, implementation, and evaluation of the SBML CVC curriculum at a tertiary care academic medical center; and (2) the dissemination of the SBML CVC curriculum to an academic community hospital setting. Contextual information about the drivers and barriers that affected the SBML CVC curriculum dissemination is presented. This work demonstrates that dissemination of mastery learning curricula, like all other medical education innovations, will fail without active educational leadership, personal contacts, dedication, hard work, rigorous measurement, and attention to implementation science principles. The article concludes by presenting a set of lessons learned about disseminating an SBML CVC curriculum across different medical education settings.

  11. Exploring resistance to implementation of welfare technology in municipal healthcare services - a longitudinal case study.

    Science.gov (United States)

    Nilsen, Etty R; Dugstad, Janne; Eide, Hilde; Gullslett, Monika Knudsen; Eide, Tom

    2016-11-15

    Industrialized and welfare societies are faced with vast challenges in the field of healthcare in the years to come. New technological opportunities and implementation of welfare technology through co-creation are considered part of the solution to this challenge. Resistance to new technology and resistance to change is, however, assumed to rise from employees, care receivers and next of kin. The purpose of this article is to identify and describe forms of resistance that emerged in five municipalities during a technology implementation project as part of the care for older people. This is a longitudinal, single-embedded case study with elements of action research, following an implementation of welfare technology in the municipal healthcare services. Participants included staff from the municipalities, a network of technology developers and a group of researchers. Data from interviews, focus groups and participatory observation were analysed. Resistance to co-creation and implementation was found in all groups of stakeholders, mirroring the complexity of the municipal context. Four main forms of resistance were identified: 1) organizational resistance, 2) cultural resistance, 3) technological resistance and 4) ethical resistance, each including several subforms. The resistance emerges from a variety of perceived threats, partly parallel to, partly across the four main forms of resistance, such as a) threats to stability and predictability (fear of change), b) threats to role and group identity (fear of losing power or control) and c) threats to basic healthcare values (fear of losing moral or professional integrity). The study refines the categorization of resistance to the implementation of welfare technology in healthcare settings. It identifies resistance categories, how resistance changes over time and suggests that resistance may play a productive role when the implementation is organized as a co-creation process. This indicates that the importance of

  12. Implementation of renewable energy technologies - Opportunities and barriers. Egypt country study

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2001-07-01

    The project used case studies of renewable energy implementation projects to analyse the reasons for success or failure of specific projects or technologies. In particular the study aimed to identify possibilities for 'removing' the main barriers and thus 'promoting' increased implementation of (RETs), and to 'generalise' the experiences from the case studies and produce results that can be disseminated and utilized further in a planned second phase. The specific objectives for Egypt Country Study were: 1) To determine, on the basis of analysis of the past experience, the barriers against implementation of RETs in Egypt, and to identify the favourable conditions and actions required for such implementation. 2) To apply the knowledge gained and results of the analysis of past projects for a detailed analysis of barriers to a chosen set of potential RETs implementation projects with view to success. 3) To identify specific RET projects for implementation including necessary actions to overcome identified barriers. The case study revealed that; for Domestic Solar Water Heating (DSWH) the main barriers are; the economic barriers followed by the awareness / information barriers, then the Technical and Institution barriers. For the PV rural electrification, the most important barriers are; the economic and financial barriers, the awareness and information barriers then the technical barriers. For the large-scale biogas systems, the main barriers are the institution and capacity, economic, policy and awareness / information respectively. According to the project results the main actions that could be taken to overcome the barriers and make use of the available opportunities are: Economic / Financial: 1) Creation of new financial schemes for the RETs applications components and systems. 2) Reducing the taxes and duties for the components and / or materials needed for Renewable Energy (RE) systems. 3) More government-supported market incentives

  13. Understanding cancer networks better to implement them more effectively: a mixed methods multi-case study.

    Science.gov (United States)

    Tremblay, Dominique; Touati, Nassera; Roberge, Danièle; Breton, Mylaine; Roch, Geneviève; Denis, Jean-Louis; Candas, Bernard; Francoeur, Danièle

    2016-03-21

    Managed cancer networks are widely promoted in national cancer control programs as an organizational form that enables integrated care as well as enhanced patient outcomes. While national programs are set by policy-makers, the detailed implementation of networks is delegated at the service delivery and institutional levels. It is likely that the capacity to ensure more integrated cancer services requires multi-level governance processes responsive to the strengths and limitations of the contexts and capable of supporting network-based working. Based on an empirical case, this study aims to analyze the implementation of a mandated cancer network, focusing on governance and health services integration as core concepts in the study. This nested multi-case study uses mixed methods to explore the implementation of a mandated cancer network in Quebec, a province of Canada. The case is the National Cancer Network (NCN) subdivided into three micro-cases, each defined by the geographic territory of a health and social services region. For each region, two local health services centers (LHSCs) are selected based on their differences with respect to determining characteristics. Qualitative data will be collected from various sources using three strategies: review of documents, focus groups, and semi-directed interviews with stakeholders. The qualitative data will be supplemented with a survey that will measure the degree of integration as a proxy for implementation of the NCN. A score will be constructed, and then triangulated with the qualitative data, which will have been subjected to content analysis. Qualitative, quantitative, and mixed methods data will be interpreted within and across cases in order to identify governance patterns similarities and differences and degree of integration in contexts. This study is designed to inform decision-making to develop more effective network implementation strategies by thoroughly describing multi-level governance processes of a

  14. Improving the implementation of health workforce policies through governance: a review of case studies

    Directory of Open Access Journals (Sweden)

    Shaw Daniel MP

    2011-04-01

    Full Text Available Abstract Introduction Responsible governance is crucial to national development and a catalyst for achieving the Millennium Development Goals. To date, governance seems to have been a neglected issue in the field of human resources for health (HRH, which could be an important reason why HRH policy formulation and implementation is often poor. This article aims to describe how governance issues have influenced HRH policy development and to identify governance strategies that have been used, successfully or not, to improve HRH policy implementation in low- and middle-income countries (LMIC. Methods We performed a descriptive literature review of HRH case studies which describe or evaluate a governance-related intervention at country or district level in LMIC. In order to systematically address the term 'governance' a framework was developed and governance aspects were regrouped into four dimensions: 'performance', 'equity and equality', 'partnership and participation' and 'oversight'. Results and discussion In total 16 case studies were included in the review and most of the selected studies covered several governance dimensions. The dimension 'performance' covered several elements at the core of governance of HRH, decentralization being particularly prominent. Although improved equity and/or equality was, in a number of interventions, a goal, inclusiveness in policy development and fairness and transparency in policy implementation did often not seem adequate to guarantee the corresponding desirable health workforce scenario. Forms of partnership and participation described in the case studies are numerous and offer different lessons. Strikingly, in none of the articles was 'partnerships' a core focus. A common theme in the dimension of 'oversight' is local-level corruption, affecting, amongst other things, accountability and local-level trust in governance, and its cultural guises. Experiences with accountability mechanisms for HRH policy

  15. Report of the Task Group 186 on model-based dose calculation methods in brachytherapy beyond the TG-43 formalism: Current status and recommendations for clinical implementation

    Energy Technology Data Exchange (ETDEWEB)

    Beaulieu, Luc [Departement de Radio-Oncologie et Centre de Recherche en Cancerologie de l' Universite Laval, Centre hospitalier universitaire de Quebec, Quebec, Quebec G1R 2J6 (Canada) and Departement de Physique, de Genie Physique et d' Optique, Universite Laval, Quebec, Quebec G1R 2J6 (Canada); Carlsson Tedgren, Asa [Department of Medical and Health Sciences (IMH), Radiation Physics, Faculty of Health Sciences, Linkoeping University, SE-581 85 Linkoeping (Sweden) and Swedish Radiation Safety Authority, SE-171 16 Stockholm (Sweden); Carrier, Jean-Francois [Departement de radio-oncologie, CRCHUM, Centre hospitalier de l' Universite de Montreal, Montreal, Quebec H2L 4M1 (Canada) and Departement de physique, Universite de Montreal, Montreal, Quebec H3C 3J7 (Canada); and others

    2012-10-15

    the local medium be reported along with the TG-43 calculated doses. Assignments of voxel-by-voxel cross sections represent a particular challenge. Electron density information is readily extracted from CT imaging, but cannot be used to distinguish between different materials having the same density. Therefore, a recommendation is made to use a number of standardized materials to maintain uniformity across institutions. Sensitivity analysis shows that this recommendation offers increased accuracy over TG-43. MBDCA commissioning will share commonalities with current TG-43-based systems, but in addition there will be algorithm-specific tasks. Two levels of commissioning are recommended: reproducing TG-43 dose parameters and testing the advanced capabilities of MBDCAs. For validation of heterogeneity and scatter conditions, MBDCAs should mimic the 3D dose distributions from reference virtual geometries. Potential changes in BT dose prescriptions and MBDCA limitations are discussed. When data required for full MBDCA implementation are insufficient, interim recommendations are made and potential areas of research are identified. Application of TG-186 guidance should retain practice uniformity in transitioning from the TG-43 to the MBDCA approach.

  16. Case Study Approaches for Implementing the 2007 NRC Report “Toxicity Testing in the 21st Century: A Vision and A Strategy”

    Science.gov (United States)

    Andersen, Melvin E.; Clewell, Harvey J.; Carmichael, Paul L.; Boekelheide, Kim

    2013-01-01

    The 2007 report “Toxicity Testing in the 21st Century: A Vision and A Strategy” argued for a change in toxicity testing for environmental agents and discussed federal funding mechanisms that could be used to support this transformation within the USA. The new approach would test for in vitro perturbations of toxicity pathways using human cells with high throughput testing platforms. The NRC report proposed a deliberate timeline, spanning about 20 years, to implement a wholesale replacement of current in-life toxicity test approaches focused on apical responses with in vitro assays. One approach to accelerating implementation is to focus on well-studied prototype compounds with known toxicity pathway targets. Through a series of carefully executed case studies with four or five pathway prototypes, the various steps required for implementation of an in vitro toxicity pathway approach to risk assessment could be developed and refined. In this article, we discuss alternative approaches for implementation and also outline advantages of a case study approach and the manner in which the cases studies could be pursued using current methodologies. A case study approach would be complementary to recently proposed efforts to map the human toxome, while representing a significant extension toward more formal risk assessment compared to the profiling and prioritization approaches offered by programs such as the EPA’s ToxCast effort. PMID:21993955

  17. A Cascade of Champions: A Qualitative Study about the MA-CORD Media Competition Implementation.

    Science.gov (United States)

    Criss, Shaniece; Tran, Alvin; Ganter, Claudia; Aftosmes-Tobio, Alyssa; Gortmaker, Steven; Viswanath, Kasisomayajula; Kwass, Jo-Ann; Davison, Kirsten K

    2016-04-05

    A media competition was part of the Massachusetts Childhood Obesity Research Demonstration (MA-CORD) Study. Criss et al., previously outlined the development and implementation of the competition, including variation in reach and adoption of the intervention across schools and afterschool programs. In this qualitative study, we examine community, provider, and organizational factors that explain the variation of media competition reach in school and afterschool programs, and describe the awareness of the media competition across other community sectors. Durlak and DuPre's ecological framework for understanding effective implementation provided the theoretical underpinnings for this study. Fifty-four key informant interviews were conducted, transcribed, and analyzed. Organizational capacity of committed teachers/staff and adaptability of the media competition seemed to be drivers for higher reach within school and afterschool programs. Salient themes that emerged as facilitators of effective implementation were having a cascade of champions and providing opportunity to participate in the media competition outside traditional class time. Clinics and coalitions were identified as additional sectors aware of the media competition. Specifically, our findings offer a new perspective on intervention design and a recommended direction for further study.

  18. A Cascade of Champions: A Qualitative Study about the MA-CORD Media Competition Implementation

    Directory of Open Access Journals (Sweden)

    Shaniece Criss

    2016-04-01

    Full Text Available A media competition was part of the Massachusetts Childhood Obesity Research Demonstration (MA-CORD Study. Criss et al., previously outlined the development and implementation of the competition, including variation in reach and adoption of the intervention across schools and afterschool programs. In this qualitative study, we examine community, provider, and organizational factors that explain the variation of media competition reach in school and afterschool programs, and describe the awareness of the media competition across other community sectors. Durlak and DuPre’s ecological framework for understanding effective implementation provided the theoretical underpinnings for this study. Fifty-four key informant interviews were conducted, transcribed, and analyzed. Organizational capacity of committed teachers/staff and adaptability of the media competition seemed to be drivers for higher reach within school and afterschool programs. Salient themes that emerged as facilitators of effective implementation were having a cascade of champions and providing opportunity to participate in the media competition outside traditional class time. Clinics and coalitions were identified as additional sectors aware of the media competition. Specifically, our findings offer a new perspective on intervention design and a recommended direction for further study.

  19. Australian and South African perspectives on the implementation of flexible work practices (Fwp: an exploratory study

    Directory of Open Access Journals (Sweden)

    Aletta Odendaal

    2002-10-01

    Full Text Available The purpose of this study was to identify examples of good and innovative practices of Flexible Work Practices to benchmark against and then to use the information to develop strategies of implementation that will assist South African organisations to emulate their success. One hundred-and-twenty (120 individuals, representing different stakeholder groups were requested to complete a questionnaire, based on an Australian study. Comparative findings of both countries strongly confirmed variables that are positively associated with the adoption and successful implementation of Flexible Work Practices (FWP. Opsomming Die doel van hierdie studie was om voorbeelde van goeie en innoverende gebruike van Buigsame Werkspraktyke te identifiseer ten einde daarteen te kan vergelyk, en dan om hierdie inligting te gebruik ten einde implementeringstrategieë te ontwikkel wat Suid Afrikaanse maatskappye kan gebruik om sukses na te volg. Honderd en twintig (120 individue, wat verskillende belangegroepe verteenwoordig, is genader om ‘n vraelys, gebaseer op ‘n Australiese studie, te voltooi. Vergelykende bevindinge van beide lande bevestig veranderlikes wat positief geassosieer word met die aanvaarding en suksesvolle implementering van Buigsame Werkspraktyke (BWP.

  20. Barriers and enablers to the implementation of the 6-PACK falls prevention program: A pre-implementation study in hospitals participating in a cluster randomised controlled trial.

    Science.gov (United States)

    Ayton, Darshini R; Barker, Anna L; Morello, Renata T; Brand, Caroline A; Talevski, Jason; Landgren, Fiona S; Melhem, Mayer M; Bian, Evelyn; Brauer, Sandra G; Hill, Keith D; Livingston, Patricia M; Botti, Mari

    2017-01-01

    Evidence for effective falls prevention interventions in acute wards is limited. One reason for this may be suboptimal program implementation. This study aimed to identify perceived barriers and enablers of the implementation of the 6-PACK falls prevention program to inform the implementation in a randomised controlled trial. Strategies to optimise successful implementation of 6-PACK were also sought. A mixed-methods approach was applied in 24 acute wards from 6 Australian hospitals. Participants were nurses working on participating wards and senior hospital staff including Nurse Unit Managers; senior physicians; Directors of Nursing; and senior personnel involved in quality and safety or falls prevention. Information on barriers and enablers of 6-PACK implementation was obtained through surveys, focus groups and interviews. Questions reflected the COM-B framework that includes three behaviour change constructs of: capability, opportunity and motivation. Focus group and interview data were analysed thematically, and survey data descriptively. The survey response rate was 60% (420/702), and 12 focus groups (n = 96 nurses) and 24 interviews with senior staff were conducted. Capability barriers included beliefs that falls could not be prevented; and limited knowledge on falls prevention in patients with complex care needs (e.g. cognitive impairment). Capability enablers included education and training, particularly face to face case study based approaches. Lack of resources was identified as an opportunity barrier. Leadership, champions and using data to drive practice change were recognised as opportunity enablers. Motivation barriers included complacency and lack of ownership in falls prevention efforts. Motivation enablers included senior staff articulating clear goals and a commitment to falls prevention; and use of reminders, audits and feedback. The information gained from this study suggests that regular practical face-to-face education and training for nurses

  1. Barriers and enablers to the implementation of the 6-PACK falls prevention program: A pre-implementation study in hospitals participating in a cluster randomised controlled trial

    Science.gov (United States)

    Brand, Caroline A.; Landgren, Fiona S.; Melhem, Mayer M.; Bian, Evelyn; Brauer, Sandra G.; Hill, Keith D.; Livingston, Patricia M.

    2017-01-01

    Evidence for effective falls prevention interventions in acute wards is limited. One reason for this may be suboptimal program implementation. This study aimed to identify perceived barriers and enablers of the implementation of the 6-PACK falls prevention program to inform the implementation in a randomised controlled trial. Strategies to optimise successful implementation of 6-PACK were also sought. A mixed-methods approach was applied in 24 acute wards from 6 Australian hospitals. Participants were nurses working on participating wards and senior hospital staff including Nurse Unit Managers; senior physicians; Directors of Nursing; and senior personnel involved in quality and safety or falls prevention. Information on barriers and enablers of 6-PACK implementation was obtained through surveys, focus groups and interviews. Questions reflected the COM-B framework that includes three behaviour change constructs of: capability, opportunity and motivation. Focus group and interview data were analysed thematically, and survey data descriptively. The survey response rate was 60% (420/702), and 12 focus groups (n = 96 nurses) and 24 interviews with senior staff were conducted. Capability barriers included beliefs that falls could not be prevented; and limited knowledge on falls prevention in patients with complex care needs (e.g. cognitive impairment). Capability enablers included education and training, particularly face to face case study based approaches. Lack of resources was identified as an opportunity barrier. Leadership, champions and using data to drive practice change were recognised as opportunity enablers. Motivation barriers included complacency and lack of ownership in falls prevention efforts. Motivation enablers included senior staff articulating clear goals and a commitment to falls prevention; and use of reminders, audits and feedback. The information gained from this study suggests that regular practical face-to-face education and training for nurses

  2. Community Engagement Strategies for Implementation of a Policy Supporting Evidence-Based Practices: A Case Study of Washington State.

    Science.gov (United States)

    D'Angelo, Gabrielle; Pullmann, Michael D; Lyon, Aaron R

    2017-01-01

    After nearly two decades of cultivating an evidence based practice milieu in Washington State, the 2012 legislature passed House Bill 2536 (HB 2536) to promote the increased uptake and use of evidence based practices in the child welfare, juvenile justice and child behavioral health systems. The current paper examines stakeholder participation and engagement in HB 2536 during the first year of its implementation. The current paper describes the community response, influence, and engagement during the drafting of the bill language. It then describes initial policy implementation and community engagement efforts within a framework of implementation strategies (Powell et al. in Medical Care Research and Review 69:123-57, 2012). Analysis includes common concerns, statements of support, and suggestions from diverse stakeholder groups. Discussion reviews the lessons learned and future directions, including opportunities for additional collaborations with community stakeholders in the subsequent years of HB 2536 implementation.

  3. Management of barriers to lean production implementation: a study in the automotive sector

    Directory of Open Access Journals (Sweden)

    Filipe de Almeida Copetti

    2016-03-01

    Full Text Available During the process of lean production (LP implementation it is common to arise barriers depending on the context in which the application occurs. This study aims to perfect a method of management the barriers to the implementation of LP developed in a previous study. The improvements were developed by applying the method in the assembly area of bumpers in a car manufacturer. Data collection involved thirteen interviews, participant observation for six months and analysis of LP-related documents. Among the main improvements over the original version of the method, it can be highlighted the addition of thirteen barriers in the list of barriers already identified in the literature, and also the identification of contextual characteristics that can facilitate or hinder the application of the method.

  4. The Complexities of Implementing Cluster Supply Chain - Case Study of JCH

    Science.gov (United States)

    Xue, Xiao; Zhang, Jibiao; Wang, Yang

    As a new type of management pattern, "cluster supply chain" (CSC) can help SMEs to face the global challenges through all kinds of collaboration. However, a major challenge in implementing CSC is the gap between theory and practice in the field. In an effort to provide a better understanding of this emerging phenomenon, this paper presents the implementation process of CSC in the context of JingCheng Mechanical & Electrical Holding co., ltd.(JCH) as a case study. The cast study of JCH suggests that the key problems in the practice of cluster supply chain: How do small firms use cluster supply chain? Only after we clarify the problem, the actual construction and operation of cluster supply chain does show successful results as it should be.

  5. Outcomes of FLEXIBLE Assertive Community Treatment (FACT) Implementation: A Prospective Real Life Study.

    Science.gov (United States)

    Nugter, M Annet; Engelsbel, Fabiana; Bähler, Michiel; Keet, René; van Veldhuizen, Remmers

    2016-11-01

    This study aimed to investigate social and clinical outcomes and use of care during and after implementation of FLEXIBLE Assertive Community Treatment (ACT). Three teams and 372 patients were involved. Model fidelity, clinical and social assessments were performed at baseline and after 1 and 2 years. Use of care was registered continuously. Model fidelity was good at the end of the study. Data showed much variation between patients in number and duration of ACT periods. Statistically significant improvements were found in compliance, unmet needs and quality of life. Improvement of quality of life and functioning was related to duration of ACT. The percentage of remissions increased with 9 %. The number of admissions, admission days and face to face contacts differed between ACT and non-ACT patients, but generally decreased. Findings suggest that implementation of FACT results in a more flexible adaptation of care to the needs of the patients.

  6. Meta-analysis approach to study the prevalence of chronic obstructive pulmonary disease among current, former and non-smokers

    Directory of Open Access Journals (Sweden)

    Ritul Kamal

    2015-01-01

    Full Text Available Comparative risk assessment for Chronic Obstructive Pulmonary Disease (COPD among current, former and non-smokers categories remains controversial and not studied in detail. We conducted a meta-analysis to summarize all the relevant published studies on this topic and to update the association between smoking and prevalence of COPD in current, former and non-smokers. Identification, screening, eligibility and inclusion of articles for the study were conducted as per the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA guidelines. Quality assessment of included studies was undertaken using a scoring sheet. Meta-analysis after the final synthesis of the selected studies was performed using the STATA and Comprehensive Meta-Analysis (CMA software. Estimates from forty two independent studies reporting 547,391 individuals were identified. Twenty two studies were conducted in Europe, nine in America and ten in Asia and one from New Zealand. The meta-analysis showed that the prevalence of COPD was significantly higher in current smokers compared with former and non-smokers. However, owing to large heterogeneity among the estimates obtained from the studies, stratification was done with respect to continent, diagnostic criteria of COPD and study design which also showed similar results. The stratified analysis also revealed similar trend of results with prevalence of COPD being higher in current smokers as compared to former and non-smokers. The present meta-analysis highlights the positive association between smoking and COPD prevalence. There is an urgent need to implement more effective policies towards the restriction of tobacco use, to reduce the burden of COPD.

  7. Evaluating the implementation of health and safety innovations under a regulatory context: A collective case study of Ontario’s safer needle regulation

    Directory of Open Access Journals (Sweden)

    Chambers Andrea

    2013-01-01

    that arise during later stages of implementation, a phase during the implementation cycle that has been understudied. This study also provides the opportunity to examine the relevance and utility of current implementation science models in the field of occupational health where the adoption of an innovation is meant to enhance the health and safety of workers. Previous work has tended to focus almost exclusively on innovations that are designed to enhance an organization’s productivity or competitive advantage.

  8. Factors influencing the implementation of the guideline triage in emergency departments: a qualitative study.

    NARCIS (Netherlands)

    Janssen, M.A.M.; Achterberg, T. van; Adriaansen, M.J.M.; Kampshoff, C.S.; Schalk, D.M.; Mintjes-de Groot, A.J.

    2012-01-01

    AIMS AND OBJECTIVES: The objectives are: (1) to identify factors that influence the implementation of the guideline Triage in emergency departments [2004] in emergency departments in the Netherlands, and (2) to develop tailored implementation strategies for implementation of this guideline.

  9. Parallel implementation of a lattice-gauge-theory code: studying quark confinement on PC clusters

    CERN Document Server

    Cucchieri, A; Travieso, G; Taurines, A R; Cucchieri, Attilio; Mendes, Tereza; Travieso, Gonzalo; Taurines, Andre R.

    2003-01-01

    We consider the implementation of a parallel Monte Carlo code for high-performance simulations on PC clusters with MPI. We carry out tests of speedup and efficiency. The code is used for numerical simulations of pure SU(2) lattice gauge theory at very large lattice volumes, in order to study the infrared behavior of gluon and ghost propagators. This problem is directly related to the confinement of quarks and gluons in the physics of strong interactions.

  10. Implementing Knowledge Translation Strategies in Funded Research in Canada and Australia: A Case Study

    OpenAIRE

    Gabriel Moore; Therese Fitzpatrick; Ivy Lim-Carter; Abby Haynes; Anna Flego; Barbara Snelgrove

    2016-01-01

    There is an emerging literature describing the use of knowledge translation strategies to increase the relevance and usability of research, yet there are few real-world examples of how this works in practice. This case study reports on the steps taken to embed knowledge translation strategies in the Movember Foundation's Men’s Mental Health Grant Rounds in 2013–14, which were implemented in Australia and Canada, and on the support provided to the applicants in developing their knowledge trans...

  11. Production Leveling (Heijunka) Implementation in a Batch Production System: A Case Study

    OpenAIRE

    De Araujo, Luciano Fonseca; De Queiroz, Abelardo Alves

    2010-01-01

    International audience; This paper presents a case study of an implementation of a new method for Production Leveling designed for batch production. It includes prioritizing criteria of products and level production plan. Moreover, it was applied on a subsidiary of a multinational enterprise located on Brazil, which manufacturing processes comprise batch production in a make-to-stock policy. Regarding a qualitative assessment, evidences show that the company had deficient practices related to...

  12. IMPLEMENTATION OF LEAN CONSTRUCTION THEORY: BY USING 5'S METHODOLOGY AS TOOL - CASE STUDY

    OpenAIRE

    Mr. Prashant S. Kuklare*, Dr. M. N. Hedaoo

    2017-01-01

    This study presents a implementation of lean construction theory by using 5'S methodology as tool in construction management. 5’S is a systematic technique used by organizations comes from five Japanese words, Seiri (sort), Seiton (set in order), Seiso (shine), Seiketsu (standardize), and Shitsuke(sustain). This system helps to organize a workplace for efficiency and decrease wasting and optimize quality and productivity via monitoring an organized environment. It also provides useful visual ...

  13. Public Service Quality and Building Coordinated Policy: An Analytical Study of Jamkesmas And Jamkesda Implementation

    OpenAIRE

    Hevi Kurnia Hardini

    2013-01-01

    This study will examine the implementation of Jamkesmas (Jaminan Kesehatan Masyarakat-Health Insurance Scheme for People) and Jamkedsa (Jaminan Kesehatan Masyarakat Daerah-Health Insurance Scheme for Local People). Both are inno-vative policies in term of health financing, since they reflect more the spirit of insurance compared to the previous policies which were merely about financial aid. However, these policies do not reflect the ideals of policy coordination. Several theoreti...

  14. Impact of the implementation of electronic guidelines for cardiovascular prevention in primary care: study protocol

    Directory of Open Access Journals (Sweden)

    Eva Comin

    2013-03-01

    Full Text Available Background The electronic medical records software of the Catalan Institute of Health has recently incorporated an electronic version of clinical practice guidelines (e-CPGs. This study aims to assess the impact of the implementation of e-CPGs on the diagnosis, treatment, control and management of hypercholesterolaemia, diabetes mellitus type 2 and hypertension.Methods Eligible study participants are those aged 35–74 years assigned to family practitioners (FPs of the Catalan Institute of Health. Routinely collected data from electronic primary care registries covering 80% of the Catalan population will be analysed using two approaches: (1 a cross-sectional study to describe the characteristics of the sample before e-CPG implementation; (2 a controlled before-and-after study with 1-year follow-up to ascertain the effect of e-CPG implementation. Patients of FPs who regularly use the e-CPGs will constitute the intervention group; the control group will comprise patients assigned to FPs not regularly using the e-CPG. The outcomes are: (1 suspected and confirmed diagnoses, (2 control of clinical variables, (3 requests for tests and (4 proportions of patients with adequate drug prescriptions.Results This protocol should represent a reproducible process to assess the impact of the implementation of e-CPGs. We anticipate reporting results in late 2013.Conclusion This project will assess the effectiveness of e-CPGs to improve clinical decisions and healthcare procedures in the three disorders analysed. The results will shed light on the use of evidence-based medicine to improve clinical practice of FPs.

  15. IMPLEMENTATION OF HINDU RELIGION EDUCATION AT ELEMENTARY SCHOOL IN THE PERSPECTIVE OF CULTURAL STUDIES

    Directory of Open Access Journals (Sweden)

    I Ketut Tanu

    2012-11-01

    Full Text Available Religious education was firstly implemented based on the Act of Number 4 year1950, concerning education and teaching. In one of its articles, it is stated that Indonesia is areligion-based country. The govern ment has the right and is obliged to arrange religiouseducation starting from Kindergarten to University and the time allocated for this is 2 (twohours per week. However, an imbalance has occurred as far as Hindu Religion education isconcerned, that is, the students at particular educational institutions are not provided withHindu Religion education as intended by the Act.In Article 30 of the Act of Number 20 year 2003 concerning national educationsystem, on the other hand, it is stated that: any religious education can be carried out by thegovernment and or a community’s group belonging to a particular religion in accordancewith the applicable regulations. It is also stated that religious education is functioned toprepare the students to be able to comprehend and apply their religious teaching values and orto be experts in religions. In addition, it is also stated that religious education can be formallyand informally conducted in the forms of diniyah, pesantren, pesraman, phabaja, smnera,and the like.How Hindu Religion educa tion is implemented at Elementary School Number 17Dauh Puri and Dwijendra Elementary School Depasar cannot be separated from theinfrastructure, facilities, curri culum and teachers available, and the government’s policy.Therefore, this study is focused on 1 the existence of the components needed forimplementing Hindu Religion education, 2 the factors influencing the implementation ofHindu religion education, and 3 the meaningfulness and attempts done to implement HinduReligion education if related to the inventory of Balinese culture.This study is conducted to explain, describe, criticize, and analyze theimplementation of Hindu Religion education at Elementary School Number 17 Dauh Puri andDwijendra Elementary

  16. Mechanisms which help explain implementation of evidence-based practice in residential aged care facilities: a grounded theory study.

    Science.gov (United States)

    Masso, Malcolm; McCarthy, Grace; Kitson, Alison

    2014-07-01

    The context for the study was a nation-wide programme in Australia to implement evidence-based practice in residential aged care, in nine areas of practice, using a wide range of implementation strategies and involving 108 facilities. The study drew on the experiences of those involved in the programme to answer the question: what mechanisms influence the implementation of evidence-based practice in residential aged care and how do those mechanisms interact? The methodology used grounded theory from a critical realist perspective, informed by a conceptual framework that differentiates between the context, process and content of change. People were purposively sampled and invited to participate in semi-structured interviews, resulting in 44 interviews involving 51 people during 2009 and 2010. Participants had direct experience of implementation in 87 facilities, across nine areas of practice, in diverse locations. Sampling continued until data saturation was reached. The quality of the research was assessed using four criteria for judging trustworthiness: credibility, transferability, dependability and confirmability. Data analysis resulted in the identification of four mechanisms that accounted for what took place and participants' experiences. The core category that provided the greatest understanding of the data was the mechanism On Common Ground, comprising several constructs that formed a 'common ground' for change to occur. The mechanism Learning by Connecting recognised the ability to connect new knowledge with existing practice and knowledge, and make connections between actions and outcomes. Reconciling Competing Priorities was an ongoing mechanism whereby new practices had to compete with an existing set of constantly shifting priorities. Strategies for reconciling priorities ranged from structured approaches such as care planning to more informal arrangements such as conversations during daily work. The mechanism Exercising Agency bridged the gap between

  17. Rationale and Design of the Lung Cancer Screening Implementation. Evaluation of Patient-Centered Care Study.

    Science.gov (United States)

    Miranda, Leah S; Datta, Santanu; Melzer, Anne C; Wiener, Renda Soylemez; Davis, James M; Tong, Betty C; Golden, Sara E; Slatore, Christopher G

    2017-10-01

    Screening for lung cancer using low-dose computed tomography has been demonstrated to reduce lung cancer-related mortality and is being widely implemented. Further research in this area is needed to assess the impact of screening on patient-centered outcomes. Here, we describe the design and rationale for a new study entitled Lung Cancer Screening Implementation: Evaluation of Patient-Centered Care. The protocol is composed of an interconnected series of studies evaluating patients and clinicians who are engaged in lung cancer screening in real-world settings. The primary goal of this study is to evaluate communication processes that are being used in routine care and to identify best practices that can be readily scaled up for implementation in multiple settings. We hypothesize that higher overall quality of patient-clinician communication processes will be associated with lower levels of distress and decisional conflict as patients decide whether or not to participate in lung cancer screening. This work is a critical step toward identifying modifiable mechanisms that are associated with high quality of care for the millions of patients who will consider lung cancer screening. Given the enormous potential benefits and burdens of lung cancer screening on patients, clinicians, and the healthcare system, it is important to identify and then scale up quality communication practices that positively influence patient-centered care.

  18. Chronic Kidney Disease Guideline Implementation in Primary Care: A Qualitative Report from the TRANSLATE CKD Study.

    Science.gov (United States)

    Vest, Bonnie M; York, Trevor R M; Sand, Jessica; Fox, Chester H; Kahn, Linda S

    2015-01-01

    Primary care physicians (PCPs) are optimally situated to identify and manage early stage chronic kidney disease (CKD). Nonetheless, studies have documented suboptimal PCP understanding, awareness, and management of early CKD. The TRANSLATE CKD study is an ongoing national, mixed-methods, cluster randomized control trial that examines the implementation of evidence-based guidelines for CKD into primary care practice. As part of the mixed-methods process evaluation, semistructured interviews were conducted by phone with 27 providers participating in the study. Interviews were audio-taped and transcribed. Thematic content analysis was used to identify themes. Themes were categorized according to the 4 domains of Normalization Process Theory (NPT). Identified themes illuminated the complex work undertaken to manage CKD in primary care practices. Barriers to guideline implementation were identified in each of the 4 NPT domains, including (1) lack of knowledge and understanding around CKD (coherence), (2) difficulties engaging providers and patients in CKD management (cognitive participation), (3) limited time and competing demands (collective action), and (4) challenges obtaining and using data to monitor progress (reflexive monitoring). Addressing the barriers to implementation with concrete interventions at the levels at which they occur, informed by NPT, will ultimately improve the quality of CKD patient care. © Copyright 2015 by the American Board of Family Medicine.

  19. Maintaining turbidity and current flow in laboratory aquarium studies, a case study using Sabellaria spinulosa

    DEFF Research Database (Denmark)

    Davies, Andrew J.; S. Last, Kim; Attard, Karl

    2009-01-01

    Many aquatic organisms rely on the suspension of particulate matter for food or for building materials, yet these conditions are difficult to replicate in laboratory mesocosms. Consequently, husbandry and experimental conditions may often be sub-optimal. The Vortex Resuspension Tank (Vo......RT) is a simple and reliable system for the resuspension of food or sediments using an enclosed airlift. The particle rain from the lift is mixed in the tank by two water inputs that provide directional current flow across the study organism(s). The vortex mixing creates a turbulent lateral water flow that allows...... whereas under intermediate and high sediment rates there was consistent cumulative growth throughout a 15 d experiment. This highlights the importance of suspended sediment for S. spinulosa and also the suitability of the VoRT system for maintaining organisms with suspended matter requirements....

  20. A feasibility study of full-bridge type superconducting fault current controller on electric machine power stability

    Science.gov (United States)

    Jang, J. Y.; Hwang, Y. J.; Lee, J.; Ko, T. K.

    2016-02-01

    Recently, because of the advent of Smart Grid and integration of distributed generations, electrical power grids are facing uncountable challenges. Increase of fault current is one of such serious challenges and there are some fault current limiters (FCLs) that can limit the fault current. Existing grid protection FCLs, however, simply limit the fault current passively and can allow the existing protection coordination schemes to fail. This phenomenon leads to catastrophic failure in the complex system and may cause unpredictable power grid operation. Unlike a FCL, a superconducting fault current controller (SFCC) employs a full-bridge thyristor rectifier, a high temperature superconducting (HTS) DC reactor, and an embedded control unit to maintain the fault current level at a proper value by adjusting the phase angle of thyristors. This paper contains experimental and numerical analysis to design and fabricate a SFCC system for protection and stability improvement in power grids. At first, fundamental characteristics of a SFCC system were introduced. System circuit diagram and operational principles were proposed. Secondly, the developed small-scale SFCC system was introduced and verified. A 40 Vrms/30 Arms class prototype SFCC employing HTS DC reactor was fabricated and short circuit tests that simulate various fault conditions were implemented to verify the control performance of the fault current. Finally, the practical feasibility of application of the SFCC system to the power system was studied. The problems caused by three-phase faults from the power grid were surveyed and transient stability analysis of the power system was conducted by simulations. From the experimental and simulation results, we can verify the feasibility of the SFCC in power system.

  1. A study to determine influential factors on implementation of management information system

    Directory of Open Access Journals (Sweden)

    Naser Azad

    2013-08-01

    Full Text Available Management information system (MIS plays an important role on sharing necessary information within organization. In this paper, we study to find out important factors influencing the implementation of MIS in banking industry. The study designs a questionnaire in Likert scale and distributes it among 253 randomly selected people. Cronbach alpha has been calculated as 0.82, which is within an acceptable limit. The study uses factor analysis to find important factors and detects six important factors including fear of technology, organizational instability, informal groups, cultural factors, organizational development and understanding that change is always good.

  2. Implementing meta-analysis from genome-wide association studies for pork quality traits.

    Science.gov (United States)

    Bernal Rubio, Y L; Gualdrón Duarte, J L; Bates, R O; Ernst, C W; Nonneman, D; Rohrer, G A; King, D A; Shackelford, S D; Wheeler, T L; Cantet, R J C; Steibel, J P

    2015-12-01

    Pork quality plays an important role in the meat processing industry. Thus, different methodologies have been implemented to elucidate the genetic architecture of traits affecting meat quality. One of the most common and widely used approaches is to perform genome-wide association (GWA) studies. However, a limitation of many GWA in animal breeding is the limited power due to small sample sizes in animal populations. One alternative is to implement a meta-analysis of GWA (MA-GWA) combining results from independent association studies. The objective of this study was to identify significant genomic regions associated with meat quality traits by performing MA-GWA for 8 different traits in 3 independent pig populations. Results from MA-GWA were used to search for genes possibly associated with the set of evaluated traits. Data from 3 pig data sets (U.S. Meat Animal Research Center, commercial, and Michigan State University Pig Resource Population) were used. A MA was implemented by combining -scores derived for each SNP in every population and then weighting them using the inverse of estimated variance of SNP effects. A search for annotated genes retrieved genes previously reported as candidates for shear force (calpain-1 catalytic subunit [] and calpastatin []), as well as for ultimate pH, purge loss, and cook loss (protein kinase, AMP-activated, γ 3 noncatalytic subunit []). In addition, novel candidate genes were identified for intramuscular fat and cook loss (acyl-CoA synthetase family member 3 mitochondrial []) and for the objective measure of muscle redness, CIE a* (glycogen synthase 1, muscle [] and ferritin, light polypeptide []). Thus, implementation of MA-GWA allowed integration of results for economically relevant traits and identified novel genes to be tested as candidates for meat quality traits in pig populations.

  3. What are the barriers to implementation of cardiopulmonary resuscitation training in secondary schools? A qualitative study.

    Science.gov (United States)

    Zinckernagel, Line; Malta Hansen, Carolina; Rod, Morten Hulvej; Folke, Fredrik; Torp-Pedersen, Christian; Tjørnhøj-Thomsen, Tine

    2016-04-25

    Cardiopulmonary resuscitation (CPR) training in schools is recommended to increase bystander CPR and thereby survival of out-of-hospital cardiac arrest, but despite mandating legislation, low rates of implementation have been observed in several countries, including Denmark. The purpose of the study was to explore barriers to implementation of CPR training in Danish secondary schools. A qualitative study based on individual interviews and focus groups with school leadership and teachers. Thematic analysis was used to identify regular patterns of meaning both within and across the interviews. 8 secondary schools in Denmark. Schools were selected using strategic sampling to reach maximum variation, including schools with/without recent experience in CPR training of students, public/private schools and schools near to and far from hospitals. The study population comprised 25 participants, 9 school leadership members and 16 teachers. School leadership and teachers considered it important for implementation and sustainability of CPR training that teachers conduct CPR training of students. However, they preferred external instructors to train students, unless teachers acquired the CPR skills which they considered were needed. They considered CPR training to differ substantially from other teaching subjects because it is a matter of life and death, and they therefore believed extraordinary skills were required for conducting the training. This was mainly rooted in their insecurity about their own CPR skills. CPR training kits seemed to lower expectations of skill requirements to conduct CPR training, but only among those who were familiar with such kits. To facilitate implementation of CPR training in schools, it is necessary to have clear guidelines regarding the required proficiency level to train students in CPR, to provide teachers with these skills, and to underscore that extensive skills are not required to provide CPR. Further, it is important to familiarise

  4. Implementing a fax referral program for quitline smoking cessation services in urban health centers: a qualitative study

    OpenAIRE

    2009-01-01

    Abstract Background Fax referral services that connect smokers to state quitlines have been implemented in 49 U.S. states and territories and promoted as a simple solution to improving smoker assistance in medical practice. This study is an in-depth examination of the systems-level changes needed to implement and sustain a fax referral program in primary care. Methods The study involved implementation of a fax referral system paired with a chart stamp prompting providers to identify smoking p...

  5. Implementation of a teaching programme to improve doctors' awareness of DVLA guidelines: a multicentre study.

    Science.gov (United States)

    Maruthappu, Mahiben; Sykes, Mark; Green, Ben L; Watson, Robert; Gollop, Nicholas D; Shalhoub, Joseph; Ng, Ka Ying Bonnie

    2017-02-01

    Over half of the UK population holds a driver's licence. Driver and Vehicle Licensing Authority (DVLA) guidelines are available for conditions from most specialties. Despite this, no focused training occurs in the undergraduate or postgraduate setting. We evaluate the impact of a teaching programme to improve guideline awareness. A 25-point questionnaire was designed using the current DVLA guidelines. Five questions were included for the following fields: neurology, cardiology, drug and alcohol abuse, visual disorders and respiratory. This was distributed to doctors in training at five hospitals. Four weeks later, a single-session teaching programme was implemented. The questionnaire was redistributed. Preintervention and postintervention scores were compared using the Wilcoxon rank sum test. 139 preteaching and 144 post-teaching questionnaires were completed. Implementation of a single-session teaching programme significantly improved the knowledge of DVLA guidelines in all five areas explored. Median scores: neurology, preteaching 40%, post-teaching 100%, pvisual disorders, 40%, 100%, pteaching programme can significantly improve guideline knowledge and awareness, serving as a cost-effective intervention. 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/.

  6. Studies of the energy and power of current commercial prismatic and cylindrical Li-ion cells

    Science.gov (United States)

    Sit, Kevin; Li, P. K. C.; Ip, C. W.; Li, C. W.; Wan, Levin; Lam, Y. F.; Lai, P. Y.; Fan, Jiang; Magnuson, Doug

    We studied the specific energy, energy density, specific power, and power density of current commercial 18650 cylindrical and 103450 prismatic Li-ion cells. It was found that the specific energy, energy density, specific power, and power density have been increased dramatically since 1999. The highest specific energy obtained in this study is 193 Wh/kg, which is 90% more than that reported in 1999 and is only 5% lower than 200 Wh/kg, the long-term DOE goal [The International Energy Agency Implementing Agreement for Electric Vehicle Technologies and Programs, Annex V, Outlook Document, 1996-1997, p. 16.]. The cell energy density has also doubled since 1999 and is as much as about 70% more than 300 Wh/l, the long-term DOE goal. The cells studied here can deliver over 80% of their designed energy at the specific power 200 W/kg while the 18650 cell studied previously could only deliver 10% of their designed energy at the same specific power. Various kinds of the factors in the cell-specific energy and energy density were studied. It seems that the geometric difference can cause as much as a 9% difference in the specific energy and a 12% difference in the energy density between 18650 cylindrical and 103450 prismatic cells. Use of an aluminum can seems to lead to about a 16% improvement in the specific energy of 103450 cells compared with steel can. The decrease in the cell discharge voltage can cause as much as a 9% decrease in the cell energy at the 2 C rate while it has a relatively small effect on the cell energy or specific energy at the 0.2 C rate. Compared with what has been obtained at room temperature, there are 17-35% at -20 °C, 43-76% at -30 °C, and 78-100% decreases at -40 °C, respectively, in the cell discharge energy and specific energy depending on the cell manufacturer. The decrease in the cell average discharge voltage during the cycling test can contribute as much as a 6% decrease in the cell energy at the 1 C rate after 300 cycles, which is 21% of

  7. Facilitators and Barriers to Implementing Clinical Governance: A Qualitative Study among Senior Managers in Iran

    Science.gov (United States)

    RAVAGHI, Hamid; RAFIEI, Sima; HEIDARPOUR, Peigham; MOHSENI, Maryam

    2014-01-01

    Abstract Background Health care systems should assign quality improvement as their main mission. Clinical governance (CG) is a key strategy to improve quality of health care services. The Iranian Ministry of Health and Medical Education (MOHME) has promoted CG as a framework for safeguarding quality and safety in all hospitals since 2009. The purpose of this study was to explore perceived facilitators and barriers to implementing CG by deputies for curative affairs of Iranian medical universities. Methods A qualitative study was conducted using face to face interviews with a purposeful sample of 43 deputies for curative affairs of Iranian Medical Universities and documents review. Thematic analysis was used to analyze the data Results Five themes were explored including: knowledge and attitude toward CG, culture, organizational factors, managerial factors and barriers. The main perceived facilitating factors were adequate knowledge and positive attitude toward CG, supporting culture, managers’ commitment, effective communication and well designed incentives. Pe rceived barriers were the reverse of facilitators noted above in addition to insufficient resources, legal challenges, workload and parallel quality programs. Conclusions Successful implementation of CG in Iran will require identifying barriers and challenges existing in the way of CG implementation and try to mitigate them by using appropriate facilitators. PMID:26175981

  8. Facilitators of implementing occupation based practice among Iranian occupational therapists: A qualitative study

    Science.gov (United States)

    Khayatzadeh Mahani, Mohammad; Hassani Mehraban, Afsoon; Kamali, Mohammad; Parvizy, Soroor

    2015-01-01

    Background: The Occupation-Based Practice (OBP) is a central core of occupational therapy (OT).It refers to using a meaningful occupation based on the client’s interests, needs, health and participation in daily life. This study aimed to explore the facilitators of implementing OBP among Iranian occupational therapists. Methods: Fourteen occupational therapists participated in this study. Data were collected through semi-structured interviews, and the sampling method was purposeful. The interviews were continued until data saturation was reached, and data were recorded and transcribed verbatim. Data were analyzed through qualitative content analysis using constant comparative analysis. Results: Our analysis explored two themes: Factors attributed to context, and factors attributed to therapists. The first theme consisted of three subthemes: Educational programs of OT department, public information about OBP and clinical setting compatible with OBP. The second theme also contained three subthemes including: Positive attitude regarding effectiveness of OBP, emphasis on client- centered and family- centered practice and convincing the clients to utilize OBP. Conclusion: The facilitators of implementing OBP are attributed to factors internal to the therapists as well as to issues in the external environment and context. Understanding these factors will help occupational therapists, OT educational staff, administrators and rehabilitation team members to facilitate the implementation of OBP. PMID:26913270

  9. Organisational readiness and Lean Thinking implementation: findings from three emergency department case studies in New Zealand.

    Science.gov (United States)

    Rees, Gareth H

    2014-01-01

    This paper describes and contrasts the implementation of Lean Thinking – a quality methodology that emphasises waste reduction and performing at higher levels of productivity with the same or less resources – into New Zealand's healthcare system. As the field is relatively new, three literature-based exemplar cases were developed to provide an analysis framework to analyse the three New Zealand research sites, which had activities, teamwork, leadership and sustainability as its core themes. Each research site's case was developed from primary data gathered through interviews, augmented by secondary data from project reports, District Health Board websites and media stories. The results highlight the benefits of a supportive quality-focussed organisational culture, executive management involvement and cross-functional teams as enablers. Further, work intensification and workplace resistance were also evident in varying levels within the sites. The study, while reiterating the problems of introducing quality methods from other domains into healthcare, presents the New Zealand context and reinforces that organisational preparedness as a significant factor which contributes to implementation success. This study goes beyond investigations of the use of Lean tools, changing improvement metrics and descriptive statistics to identify the contexts and variables which surround quality and process improvement implementations. © The Author(s) 2014 Reprints and permissions: sagepub.co.uk/journalsPermissions.nav.

  10. Implementation methodology of practices based on scientific evidence for assistance in natural delivery: a pilot study

    Directory of Open Access Journals (Sweden)

    Clodoaldo Tentes Côrtes

    2015-10-01

    Full Text Available AbstractOBJECTIVEPresenting methodology for transferring knowledge to improve maternal outcomes in natural delivery based on scientific evidence.METHOD: An intervention study conducted in the maternity hospital of Itapecerica da Serra, SP, with 50 puerperal women and 102 medical records from July to November 2014. The PACES tool from Joanna Briggs Institute, consisting of pre-clinical audit (phase 1, implementation of best practice (phase 2 and Follow-up Clinical Audit (phase 3 was used. Data were analyzed by comparing results of phases 1 and 3 with Fisher's exact test and a significance level of 5%.RESULTSThe vertical position was adopted by the majority of puerperal women with statistical difference between phases 1 and 3. A significant increase in bathing/showering, walking and massages for pain relief was found from the medical records. No statistical difference was found in other practices and outcomes. Barriers and difficulties in the implementation of evidence-based practices have been identified. Variables were refined, techniques and data collection instruments were verified, and an intervention proposal was made.CONCLUSIONThe study found possibilities for implementing a methodology of practices based on scientific evidence for assistance in natural delivery.

  11. Implementing the Serial Number Tracking model in telecommunications: a case study of Croatia

    Directory of Open Access Journals (Sweden)

    Neven Polovina

    2012-01-01

    Full Text Available Background: The case study describes the implementation of the SNT (Serial Number Tracking model in an integrated information system, as a means of business support in a Croatian mobile telecommunications company. Objectives: The goal was to show how to make the best practice of the SNT implementation in the telecommunication industry, with referencing to problems which have arisen during the implementation. Methods/Approach: the case study approach was used based on the documentation about the SNT model and the business intelligence system in the Croatian mobile telecommunications company. Results: Economic aspects of the effectiveness of the SNT model are described and confirmed based on actual tangible and predominantly on intangible benefits. Conclusions: Advantages of the SNT model are multiple: operating costs for storage and transit of goods were reduced, accuracy of deliveries and physical inventory was improved; a new source of information for the business intelligence system was obtained; operating processes in the distribution of goods were advanced; transit insurance costs decreased and there were fewer cases of fraudulent behaviour.

  12. Facilitators and Barriers to Implementing Clinical Governance: A Qualitative Study among Senior Managers in Iran.

    Directory of Open Access Journals (Sweden)

    Hamid Ravaghi

    2014-09-01

    Full Text Available Health care systems should assign quality improvement as their main mission. Clinical governance (CG is a key strategy to improve quality of health care services. The Iranian Ministry of Health and Medical Education (MOHME has promoted CG as a framework for safeguarding quality and safety in all hospitals since 2009. The purpose of this study was to explore perceived facilitators and barriers to implementing CG by deputies for curative affairs of Iranian medical universities.A qualitative study was conducted using face to face interviews with a purposeful sample of 43 deputies for curative affairs of Iranian Medical Universities and documents review. Thematic analysis was used to analyze the data.Five themes were explored including: knowledge and attitude toward CG, culture, organizational factors, managerial factors and barriers. The main perceived facilitating factors were adequate knowledge and positive attitude toward CG, supporting culture, managers' commitment, effective communication and well designed incentives. Pe rceived barriers were the reverse of facilitators noted above in addition to insufficient resources, legal challenges, workload and parallel quality programs.Successful implementation of CG in Iran will require identifying barriers and challenges existing in the way of CG implementation and try to mitigate them by using appropriate facilitators.

  13. A preliminary study for the implementation of general accident management strategies

    Energy Technology Data Exchange (ETDEWEB)

    Yang, Soo Hyung; Kim, Soo Hyung; Jeong, Young Hoon; Chang, Soon Heung [Korea Advanced Institute of Science and Technology, Taejon (Korea, Republic of)

    1997-12-31

    To enhance the safety of nuclear power plants, implementation of accident management has been suggested as one of most important programs. Specially, accident management strategies are suggested as one of key elements considered in development of the accident management program. In this study, generally applicable accident management strategies to domestic nuclear power plants are identified through reviewing several accident management programs for the other countries and considering domestic conditions. Identified strategies are as follows; 1) Injection into the Reactor Coolant System, 2) Depressurize the Reactor Coolant System, 3) Depressurize the Steam Generator, 4) Injection into the Steam Generator, 5) Injection into the Containment, 6) Spray into the Containment, 7) Control Hydrogen in the Containment. In addition, the systems and instrumentation necessary for the implementation of each strategy are also investigated. 11 refs., 3 figs., 3 tabs. (Author)

  14. Comparative study of fusion algorithms and implementation of new efficient solution

    Science.gov (United States)

    Besrour, Amine; Snoussi, Hichem; Siala, Mohamed; Abdelkefi, Fatma

    2014-05-01

    High Dynamic Range (HDR) imaging has been the subject of significant researches over the past years, the goal of acquiring the best cinema-quality HDR images of fast-moving scenes using an efficient merging algorithm has not yet been achieved. In fact, through the years, many efficient algorithms have been implemented and developed. However, they are not yet efficient since they don't treat all the situations and they have not enough speed to ensure fast HDR image reconstitution. In this paper, we will present a full comparative analyze and study of the available fusion algorithms. Also, we will implement our personal algorithm which can be more optimized and faster than the existed ones. We will also present our investigated algorithm that has the advantage to be more optimized than the existing ones. This merging algorithm is related to our hardware solution allowing us to obtain four pictures with different exposures.

  15. Does training managers enhance the effects of implementing teamworking? A longitudinal, mixed methods field study

    DEFF Research Database (Denmark)

    Nielsen, Karina; Randall, R; Christensen, KB

    2010-01-01

    The introduction of team-working often has positive effects on team members but places significant new demands on managers. Unfortunately, little research has examined whether the impact of the intervention may be enhanced by providing managers with training during the change process. To test...... this possibility we carried out a longitudinal intervention study (with a ‘no training’ comparison group) in a part of the Danish elderly care sector that was implementing teamwork. Kirkpatrick’s (1998) training evaluation model was used to examine the effects of training team managers in issues such as teamwork......, transformational leadership and change management on the outcomes of team implementation. We used a combination of quantitative and qualitative research methods to isolate the impact of manager training on the success of the teamwork intervention. The results identified some significant, but modest, incremental...

  16. Association of School Characteristics and Implementation in the X:IT Study

    DEFF Research Database (Denmark)

    Bast, Lotus S; Due, Pernille; Ersbøll, Annette K

    2017-01-01

    :IT intervention to a medium or high degree had higher levels of administrative leadership (77.3% and 83.3% vs 42.9%), school climate/organizational health (95.5% and 91.7% vs 66.7%), mission-policy alignment (90.9% and 100.0% vs 71.4%), personnel expertise (81.8% and 75.0% vs 46.7%), school culture (77.3% and 91...... factors than the intervention itself-for example, school-level characteristics, such as principal support and organizational capacity. We examined school-level characteristics of schools in groups of high, medium, and low implementation of a smoking prevention intervention. METHODS: The X:IT study.......7% vs 53.3%), positive classroom climate (91.4% and 96.2% vs 82.9%) compared with low implementation schools. CONCLUSION: Our findings highlight the importance of considering the school context in future health prevention initiatives....

  17. A Case Study in Matching Service Descriptions to Implementations in an Existing System

    CERN Document Server

    Gupta, Hari S; Komondoor, Raghavan; Rama, Girish M

    2010-01-01

    A number of companies are trying to migrate large monolithic software systems to Service Oriented Architectures. A common approach to do this is to first identify and describe desired services (i.e., create a model), and then to locate portions of code within the existing system that implement the described services. In this paper we describe a detailed case study we undertook to match a model to an open-source business application. We describe the systematic methodology we used, the results of the exercise, as well as several observations that throw light on the nature of this problem. We also suggest and validate heuristics that are likely to be useful in partially automating the process of matching service descriptions to implementations.

  18. Barriers, facilitators and views about next steps to implementing supports for evidence-informed decision-making in health systems: a qualitative study.

    Science.gov (United States)

    Ellen, Moriah E; Léon, Grégory; Bouchard, Gisèle; Ouimet, Mathieu; Grimshaw, Jeremy M; Lavis, John N

    2014-12-05

    Mobilizing research evidence for daily decision-making is challenging for health system decision-makers. In a previous qualitative paper, we showed the current mix of supports that Canadian health-care organizations have in place and the ones that are perceived to be helpful to facilitate the use of research evidence in health system decision-making. Factors influencing the implementation of such supports remain poorly described in the literature. Identifying the barriers to and facilitators of different interventions is essential for implementation of effective, context-specific, supports for evidence-informed decision-making (EIDM) in health systems. The purpose of this study was to identify (a) barriers and facilitators to implementing supports for EIDM in Canadian health-care organizations, (b) views about emerging development of supports for EIDM, and (c) views about the priorities to bridge the gaps in the current mix of supports that these organizations have in place. This qualitative study was conducted in three types of health-care organizations (regional health authorities, hospitals, and primary care practices) in two Canadian provinces (Ontario and Quebec). Fifty-seven in-depth semi-structured telephone interviews were conducted with senior managers, library managers, and knowledge brokers from health-care organizations that have already undertaken strategic initiatives in knowledge translation. The interviews were taped, transcribed, and then analyzed thematically using NVivo 9 qualitative data analysis software. Limited resources (i.e., money or staff), time constraints, and negative attitudes (or resistance) toward change were the most frequently identified barriers to implementing supports for EIDM. Genuine interest from health system decision-makers, notably their willingness to invest money and resources and to create a knowledge translation culture over time in health-care organizations, was the most frequently identified facilitator to

  19. Implementing Knowledge Translation Strategies in Funded Research in Canada and Australia: A Case Study

    Directory of Open Access Journals (Sweden)

    Gabriel Moore

    2016-09-01

    Full Text Available There is an emerging literature describing the use of knowledge translation strategies to increase the relevance and usability of research, yet there are few real-world examples of how this works in practice. This case study reports on the steps taken to embed knowledge translation strategies in the Movember Foundation's Men’s Mental Health Grant Rounds in 2013–14, which were implemented in Australia and Canada, and on the support provided to the applicants in developing their knowledge translation plans. It identifies the challenges faced by the Men’s Mental Health Program Team and how these were resolved. The strategies explored include articulating knowledge translation requirements, ensuring a common understanding of knowledge translation, assessing knowledge translation plans, methods of engaging end users, and building capacity with applicants. An iterative approach to facilitating knowledge translation planning within project development was rolled out in Australia just prior to Canada so that lessons learned were immediately available to refine the second roll out. Implementation included the use of external knowledge translation expertise, the development of knowledge translation plans, and the need for internal infrastructure to support monitoring and reporting. Differences in the Australian and Canadian contexts may point to differential exposure to the concepts and practices of knowledge translation. This case study details an example of designing and implementing an integrated knowledge translation strategy that moves beyond traditional dissemination models. Lessons learned point to the importance of a long lead-up time, the use of knowledge translation expertise for capacity building, the need for flexible implementation, and the need for efficiencies in supporting applicants.

  20. Achieving behaviour change for detection of Lynch syndrome using the Theoretical Domains Framework Implementation (TDFI) approach: a study protocol.

    Science.gov (United States)

    Taylor, Natalie; Long, Janet C; Debono, Deborah; Williams, Rachel; Salisbury, Elizabeth; O'Neill, Sharron; Eykman, Elizabeth; Braithwaite, Jeffrey; Chin, Melvin

    2016-03-12

    Lynch syndrome is an inherited disorder associated with a range of cancers, and found in 2-5 % of colorectal cancers. Lynch syndrome is diagnosed through a combination of significant family and clinical history and pathology. The definitive diagnostic germline test requires formal patient consent after genetic counselling. If diagnosed early, carriers of Lynch syndrome can undergo increased surveillance for cancers, which in turn can prevent late stage cancers, optimise treatment and decrease mortality for themselves and their relatives. However, over the past decade, international studies have reported that only a small proportion of individuals with suspected Lynch syndrome were referred for genetic consultation and possible genetic testing. The aim of this project is to use behaviour change theory and implementation science approaches to increase the number and speed of healthcare professional referrals of colorectal cancer patients with a high-likelihood risk of Lynch syndrome to appropriate genetic counselling services. The six-step Theoretical Domains Framework Implementation (TDFI) approach will be used at two large, metropolitan hospitals treating colorectal cancer patients. Steps are: 1) form local multidisciplinary teams to map current referral processes; 2) identify target behaviours that may lead to increased referrals using discussion supported by a retrospective audit; 3) identify barriers to those behaviours using the validated Influences on Patient Safety Behaviours Questionnaire and TDFI guided focus groups; 4) co-design interventions to address barriers using focus groups; 5) co-implement interventions; and 6) evaluate intervention impact. Chi square analysis will be used to test the difference in the proportion of high-likelihood risk Lynch syndrome patients being referred for genetic testing before and after intervention implementation. A paired t-test will be used to assess the mean time from the pathology test results to referral for high