WorldWideScience

Sample records for enhance district-based implementation

  1. Napa River Sediment TMDL Implementation and Habitat Enhancement Project

    Science.gov (United States)

    Information about the SFBWQP Napa River Sediment TMDL Implementation and Habitat Enhancement Project, part of an EPA competitive grant program to improve SF Bay water quality focused on restoring impaired waters and enhancing aquatic resources.

  2. Implementing Speech Community Strategy to Enhance Students’ English Speaking Ability

    OpenAIRE

    Huriyah Huriyah

    2015-01-01

    Implementing speech community strategy to enhance students English speaking ability. This classroom action research describes how the implementation of speech community strategy increases the students’ English speaking ability. The research stages consist of planning, implementing, observing, evaluating and reflecting. The study indicates that the providing of speech community can increase English speaking ability at students of SMA Sekar Kemuning Islamic Boarding School Cirebon

  3. IMPLEMENTING SPEECH COMMUNITY STRATEGY TO ENHANCE STUDENTS’ ENGLISH SPEAKING ABILITY

    Directory of Open Access Journals (Sweden)

    Huriyah Huriyah

    2015-12-01

    Full Text Available Implementing speech community strategy to enhance students English speaking ability. This classroom action research describes how the implementation of speech community strategy increases the students’ English speaking ability. The research stages consist of planning, implementing, observing, evaluating and reflecting. The study indicates that the providing of speech community can increase English speaking ability at students of SMA Sekar Kemuning Islamic Boarding School Cirebon

  4. Implementing test enhanced learning : Swedish teacher students’ perception of quizzing

    OpenAIRE

    Nyroos, Mikaela; Schéle, Ingrid; Wiklund-Hörnqvist, Carola

    2016-01-01

    Given previous findings on test enhanced learning, the present study examined the implementation of this practice in terms of quizzing, during the progress of a course. After completing the university course, 88 Swedish teacher students were asked to answer an adapted Retrieval Practice and Test Anxiety Survey. The results showed that students perceived quizzing to improve learning, and reduce test anxiety. Nonetheless, based on students’ misconceptions regarding why quizzing actually enhance...

  5. District-based malaria epidemic early warning systems in East Africa: perceptions of acceptability and usefulness among key staff at health facility, district and central levels.

    Science.gov (United States)

    Jones, Caroline; Abeku, Tarekegn A; Rapuoda, Beth; Okia, Michael; Cox, Jonathan

    2008-07-01

    Malaria epidemics represent a significant public health problem in the highlands of Africa. Many of these epidemics occur in low resource settings, where the development of an effective system for malaria surveillance has been a key challenge. Between 2001 and 2006, the Highland Malaria Project (HIMAL) established a programme to develop and test a district-based surveillance system for the early detection and control of malaria epidemics in four pilot districts in Kenya and Uganda. An innovative feature of the programme was the devolution of responsibility for the detection of epidemics from the central Ministry of Health to District Health Management Teams. The implementation of the programme offered the opportunity to test both the technical aspects of the system and to examine the practical issues relating to the operation of the programme in the context of the existing health system. To investigate the attitude of key staff towards the programme, and their perceptions of its impact on their working practices, interviews were carried out among 52 health staff at district level and in the Ministries of Health in Kenya and Uganda. The transfer of responsibility for the early detection of epidemics to the districts had resulted in perceptions of individual empowerment among district-based staff. This, together with improved support supervision, was a key factor in sustaining motivation and improved surveillance. The enhanced support supervision also produced capacity benefits that extended beyond improved malaria surveillance. However, these improvements occurred in the context of increased logistical support (the provision of transport, fuel and travel allowances) which the participants believed was essential to the functioning of an effective system. With this proviso, the district-based malaria early warning system was perceived to be manageable, effective and sustainable in the context of the current health system.

  6. Consensus on Training and Implementation of Enhanced Recovery After Surgery

    DEFF Research Database (Denmark)

    Francis, Nader K; Walker, Thomas; Carter, Fiona

    2018-01-01

    BACKGROUND: Enhanced Recovery After Surgery (ERAS) is widely accepted in current surgical practice due to its positive impact on patient outcomes. The successful implementation of ERAS is challenging and compliance with protocols varies widely. Continual staff education is essential for successfu...

  7. Implementing Test Enhanced Learning: Swedish Teacher Students' Perception of Quizzing

    Science.gov (United States)

    Nyroos, Mikaela; Schéle, Ingrid; Wiklund-Hörnqvist, Carola

    2016-01-01

    Given previous findings on test enhanced learning, the present study examined the implementation of this practice in terms of quizzing, during the progress of a course. After completing the university course, 88 Swedish teacher students were asked to answer an adapted Retrieval Practice and Test Anxiety Survey. The results showed that students…

  8. DSP Implementation of the Retinex Image Enhancement Algorithm

    Science.gov (United States)

    Hines, Glenn; Rahman, Zia-Ur; Jobson, Daniel; Woodell, Glenn

    2004-01-01

    The Retinex is a general-purpose image enhancement algorithm that is used to produce good visual representations of scenes. It performs a non-linear spatial/spectral transform that synthesizes strong local contrast enhancement and color constancy. A real-time, video frame rate implementation of the Retinex is required to meet the needs of various potential users. Retinex processing contains a relatively large number of complex computations, thus to achieve real-time performance using current technologies requires specialized hardware and software. In this paper we discuss the design and development of a digital signal processor (DSP) implementation of the Retinex. The target processor is a Texas Instruments TMS320C6711 floating point DSP. NTSC video is captured using a dedicated frame-grabber card, Retinex processed, and displayed on a standard monitor. We discuss the optimizations used to achieve real-time performance of the Retinex and also describe our future plans on using alternative architectures.

  9. DSP Implementation of the Multiscale Retinex Image Enhancement Algorithm

    Science.gov (United States)

    Hines, Glenn D.; Rahman, Zia-ur; Jobson, Daniel J.; Woodell, Glenn A.

    2004-01-01

    The Retinex is a general-purpose image enhancement algorithm that is used to produce good visual representations of scenes. It performs a non-linear spatial/ spectral transform that synthesizes strong local contrast enhancement and color constancy. A real-time, video frame rate implementation of the Retinex is required to meet the needs of various potential users. Retinex processing contains a relatively large number of complex computations, thus to achieve real-time performance using current technologies requires specialized hardware and software. In this paper we discuss the design and development of a digital signal processor (DSP) implementation of the Retinex. The target processor is a Texas Instruments TMS320C6711 floating point DSP. NTSC video is captured using a dedicated frame grabber card, Retinex processed, and displayed on a standard monitor. We discuss the optimizations used to achieve real-time performance of the Retinex and also describe our future plans on using alternative architectures.

  10. Factors influencing successful implementation of enhanced oil recovery projects

    Directory of Open Access Journals (Sweden)

    Karović-Maričić Vesna

    2014-01-01

    Full Text Available Tertiary methods in oil production process called 'Enhanced Oil recovery methods' (EOR are mostly applied in mature oil fields with declining production trend after primary and secondary recovery methods or immediately after primary production phase. These 'Enhanced Oil Recovery' methods implies injection of gases or fluids to mobilize residual oil captured in reservoir rock due to presence of strong viscous and capillary forces and high value of interfacial tension between fluid and rock. Depending on the type of injected fluid, production mechanism, as well as an approach to implementation, EOR methods are divided into thermal methods, chemical methods, miscible/immiscible gas injection methods and other methods that so far have an experimental application. The paper analyzes the key factors influencing the successful implementation of EOR projects: phases of EOR project implementation, the price of crude oil at the world market as a criterion for the beginning and the justification for EOR process application and development of new technologies for more efficient process realization.

  11. Lean process management implementation through enhanced problem solving capabilities

    Directory of Open Access Journals (Sweden)

    Perumal Puvanasvaran

    2010-12-01

    Full Text Available All Original Equipment Manufacturers (OEM organizations in Aerospace, Automotive and Electronics industries had to upgrade their functions. These organizations including suppliers and solutions providers are duty bound to improve their functions through strategic initiatives. One such initiative is Lean Process Management. Lean Process Management has proven to aid organizations in developing manufacturing and administrative management solutions and make the organization a leaner at the same time a ‘fitter’ one, achieving World Class standards in terms of production, quality, marketing, etc, etc. The issue or problem is, although a number of authors, experts, researchers have discussed the lean process management as part organization centric issues, they failed to provide an effective lean process management system. Besides the need to formulate an effective lean process as suggested by some authors, another important reason suggested is the employee’s development aspect regarding how to unlock the infinite potential of their workforce. This employee’s development is basically the problem solving capabilities of the employees while implementing the Lean through clear cutting protocols or processes of Lean Process Management. The employees need to be developed and equipped to contribute optimally to the process. Because of this scenario, the main objective of this study is to develop an employees development system which the author has acronym or trademark it as People Development System (PDS to enhance problem solving capability among its employees while implementing the lean process management there. Although, the PDS can be implemented throughout the organization, if it is implemented in a particular department in an organization, it will be feasible to study and analyze its effectiveness in-depth. So, this study documents and analyzes the implementation of Lean process in the Kitting Department of the aerospace company, ABC Company

  12. Implementation and application of a gradient enhanced crystal plasticity model

    Science.gov (United States)

    Soyarslan, C.; Perdahcıoǧlu, E. S.; Aşık, E. E.; van den Boogaard, A. H.; Bargmann, S.

    2017-10-01

    A rate-independent crystal plasticity model is implemented in which description of the hardening of the material is given as a function of the total dislocation density. The evolution of statistically stored dislocations (SSDs) is described using a saturating type evolution law. The evolution of geometrically necessary dislocations (GNDs) on the other hand is described using the gradient of the plastic strain tensor in a non-local manner. The gradient of the incremental plastic strain tensor is computed explicitly during an implicit FE simulation after each converged step. Using the plastic strain tensor stored as state variables at each integration point and an efficient numerical algorithm to find the gradients, the GND density is obtained. This results in a weak coupling of the equilibrium solution and the gradient enhancement. The algorithm is applied to an academic test problem which considers growth of a cylindrical void in a single crystal matrix.

  13. Implementation of an enhanced recovery protocol in pediatric colorectal surgery.

    Science.gov (United States)

    Short, Heather L; Heiss, Kurt F; Burch, Katelyn; Travers, Curtis; Edney, John; Venable, Claudia; Raval, Mehul V

    2017-05-12

    Enhanced recovery protocols (ERPs) have been shown to improve outcomes in adult surgical populations. Our purpose was to compare outcomes before and after implementation of an ERP in children undergoing elective colorectal surgery. A pediatric-specific colorectal ERP was developed and implemented at a single center starting in January 2015. A retrospective review was performed including 43 patients in the pre-ERP period (2012-2014) and 36 patients in the post-ERP period (2015-2016). Outcomes of interest included number of ERP interventions received, length of stay (LOS), complications, and readmissions. The median number of ERP interventions received per patient increased from 5 to 11 from 2012 to 2016. The median LOS decreased from 5days to 3days in the post-ERP period (p=0.01). We observed a simultaneous decrease in median time to regular diet, mean dose of narcotics, and mean volume of intraoperative fluids (psurgery is feasible, safe and may lead to improved outcomes. Further experience may highlight other opportunities for increased compliance and improved care. Treatment Study. Level III. Copyright © 2017 Elsevier Inc. All rights reserved.

  14. Enhanced implementation of low back pain guidelines in general practice

    DEFF Research Database (Denmark)

    Riis, Allan; Jensen, Cathrine Elgaard; Bro, Flemming

    2013-01-01

    BACKGROUND: Evidence-based clinical practice guidelines may improve treatment quality, but the uptake of guideline recommendations is often incomplete and slow. Recently new low back pain guidelines are being launched in Denmark. The guidelines are considered to reduce personal and public costs....... The aim of this study is to evaluate whether a complex, multifaceted implementation strategy of the low back pain guidelines will reduce secondary care referral and improve patient outcomes compared to the usual simple implementation strategy. METHODS/DESIGN: In a two-armed cluster randomised trial, 100...... visits, stratification tools, and quality reports on low back pain treatment. Primary outcome is referral to secondary care. Secondary outcomes are pain, physical function, health-related quality of life, patient satisfaction with care and treatment outcome, employment status, and sick leave. Primary...

  15. Leadership in Implementing Technology-Enhanced Learning in Educational Institutions

    OpenAIRE

    Wall, John

    2015-01-01

    Conventional designs of educational programs are usually based on implicit instruc‐ tional design approaches that look equally at all learners. However, research indicates that learning is a complex activity involving a number of different aspects. Using tech‐ nology to deliver and support learning adds another layer of complexity. In a rapidly changing environment a template to map the implementation of blended learning is proposed to contribute to the ongoing debate in higher...

  16. Spectrally Enhanced Lighting Program Implementation for Energy Savings: Field Evaluation

    Energy Technology Data Exchange (ETDEWEB)

    Gordon, Kelly L.; Sullivan, Gregory P.; Armstrong, Peter R.; Richman, Eric E.; Matzke, Brett D.

    2006-08-22

    This report provides results from an evaluation PNNL conducted of a spectrally enhanced lighting demonstration project. PNNL performed field measurements and occupant surveys at three office buildings in California before and after lighting retrofits were made in August and December 2005. PNNL measured the following Overhead lighting electricity demand and consumption, Light levels in the workspace, Task lighting use, and Occupant ratings of satisfaction with the lighting. Existing lighting, which varied in each building, was replaced with lamps with correlated color temperature (CCT) of 5000 Kelvin, color rendering index (CRI) of 85, of varying wattages, and lower ballast factor electronic ballasts. The demonstrations were designed to decrease lighting power loads in the three buildings by 22-50 percent, depending on the existing installed lamps and ballasts. The project designers hypothesized that this reduction in electrical loads could be achieved by the change to higher CCT lamps without decreasing occupant satisfaction with the lighting.

  17. Object relationship notation (ORN) for database applications enhancing the modeling and implementation of associations

    CERN Document Server

    Ehlmann, Bryon K

    2009-01-01

    Conceptually, a database consists of objects and relationships. Object Relationship Notation (ORN) is a simple notation that more precisely defines relationships by combining UML multiplicities with uniquely defined referential actions. ""Object Relationship Notation (ORN) for Database Applications: Enhancing the Modeling and Implementation of Associations"" shows how ORN can be used in UML class diagrams and database definition languages (DDLs) to better model and implement relationships and thus more productively develop database applications. For the database developer, it presents many exa

  18. Results of Implementing an Enhanced Recovery After Bariatric Surgery (ERABS) Protocol

    OpenAIRE

    Mannaerts, Guido; Mil, Stefanie; Stepaniak, Pieter; Dunkelgrun, Martin; de Quelerij, Marcel; Verbrugge, Serge; Zengerink, Hans; Biter, L. Ulas

    2016-01-01

    textabstractBackground: With the increasing prevalence of morbid obesity and healthcare costs in general, interest is shown in safe, efficient, and cost-effective bariatric care. This study describes an Enhanced Recovery After Bariatric Surgery (ERABS) protocol and the results of implementing such protocol on procedural times, length of stay in hospital (LOS), and the number of complications, such as readmissions and reoperations. Methods: Results of implementing an ERABS protocol were analyz...

  19. Enhanced Fidelity to a Psychosocial Treatment for Bipolar Disorder: Results from a Randomized Controlled Implementation Trial

    Science.gov (United States)

    Waxmonsky, Jeanette; Kilbourne, Amy M.; Goodrich, David E.; Nord, Kristina M.; Laird, Christina; Lai, Zongshan; Clogston, Julia; Kim, Hyungjin Myra; Miller, Christopher J.; Bauer, Mark S.

    2014-01-01

    Background We determined whether application of a novel implementation intervention (Enhanced Replicating Effective Programs-REP) versus its standard, dissemination-focused version (REP) improved fidelity to bipolar disorder treatment (Life Goals Collaborative Care- LGCC). Methods Five community practices from Michigan and Colorado were randomized to receive LGCC using Enhanced or standard REP. One provider at each practice implemented LGCC which included patient self-management support (4 group sessions focused on symptoms and behavior goals), guideline dissemination to providers, and ongoing phone care management focused on maintaining behavior goals and provider engagement. Standard REP included intervention packaging (i.e., translation of LGCC core components into user-friendly language), training, and as-needed technical assistance. Enhanced REP added customization of LGCC and ongoing, proactive technical assistance through an internal and external facilitator that focused on enhancing provider buy-in and uptake. Multiple and logistic regression analyses determined the impact on patient-level LGCC fidelity between Enhanced versus standard REP. Results Participants (N=384; mean age = 42 years, 67% women, 29% nonwhite) averaged 3.0 out of 4 LGCC group sessions and had 4.0 care management contacts. Enhanced REP implementation was associated with 2.6 (pmanagement contacts, after adjusting for patient factors. Women and those with a history of homelessness received fewer sessions. Conclusions Enhanced REP implementation was associated with improved LGCC fidelity, primarily for care management contacts. Additional customization of interventions such as LGCC may be needed to ensure adequate treatment fidelity for key vulnerable populations. PMID:24129806

  20. Enhancing Palliative Care Education in Medical School Curricula: Implementation of the Palliative Education Assessment Tool.

    Science.gov (United States)

    Wood, Emily B.; Meekin, Sharon Abele; Fins, Joseph J.; Fleischman, Alan R.

    2002-01-01

    Evaluated a project to catalyze New York State medical schools to develop and implement strategic plans for curricular change to enhance palliative care education. Found that the project's process of self-assessment and curriculum mapping with the Palliative Education Assessment Tool, along with strategic planning for change, appears to have…

  1. Promoting health-enhancing physical activity in Europe: Current state of surveillance, policy development and implementation.

    Science.gov (United States)

    Breda, João; Jakovljevic, Jelena; Rathmes, Giulia; Mendes, Romeu; Fontaine, Olivier; Hollmann, Susanne; Rütten, Alfred; Gelius, Peter; Kahlmeier, Sonja; Galea, Gauden

    2018-02-03

    This study aims to present information on the surveillance, policy developments, and implementation of physical activity policies in the 28 European Union (EU) countries. Data was collected on the implementation of the EU Recommendation on health-enhancing physical activity (HEPA) across sectors. In line with the monitoring framework proposed in the Recommendation, a questionnaire was designed to capture information on 23 physical activity indicators. Of the 27 EU countries that responded to the survey, 22 have implemented actions on more than 10 indicators, four countries have implemented more than 20 indicators, and one country has fully addressed and implemented all of the 23 indicators of the monitoring framework. The data collected under this HEPA monitoring framework provided, for the first time, an overview of the implementation of HEPA-related policies and actions at the national level throughout the EU. Areas that need more investment are the "Senior Citizens" sector followed by the "Work Environment", and the "Environment, Urban Planning, and Public Safety" sectors. This information also enabled comparison of the state of play of HEPA policy implementation between EU Member States and facilitated the exchange of good practices. Copyright © 2018. Published by Elsevier B.V.

  2. Aspects to Be Considered when Implementing Technology-Enhanced Learning Approaches: A Literature Review

    Directory of Open Access Journals (Sweden)

    Patrick Schweighofer

    2015-02-01

    Full Text Available The significance of approaches to technology-enhanced learning (TEL has increased rapidly during the last few years. Nowadays in education different approaches such as game-based learning, web-based learning, video-based online courses, and many others are used on a daily basis. However, what defines the success of technology-enhanced learning approaches and how can such approaches be developed in a structured way? Furthermore, what different aspects have to be considered while doing so? To answer these questions, 4567 publications were analyzed in this present literature review in order to recognize the different aspects of implementing technology-enhanced learning approaches. Finally, 20 categories are defined in four main areas that summarize all the aspects in the field of technology-enhanced learning. Moreover, the study also reveals research areas that are important but hardly investigated in the observed journals of this study.

  3. Outcomes for implementation science: an enhanced systematic review of instruments using evidence-based rating criteria.

    Science.gov (United States)

    Lewis, Cara C; Fischer, Sarah; Weiner, Bryan J; Stanick, Cameo; Kim, Mimi; Martinez, Ruben G

    2015-11-04

    High-quality measurement is critical to advancing knowledge in any field. New fields, such as implementation science, are often beset with measurement gaps and poor quality instruments, a weakness that can be more easily addressed in light of systematic review findings. Although several reviews of quantitative instruments used in implementation science have been published, no studies have focused on instruments that measure implementation outcomes. Proctor and colleagues established a core set of implementation outcomes including: acceptability, adoption, appropriateness, cost, feasibility, fidelity, penetration, sustainability (Adm Policy Ment Health Ment Health Serv Res 36:24-34, 2009). The Society for Implementation Research Collaboration (SIRC) Instrument Review Project employed an enhanced systematic review methodology (Implement Sci 2: 2015) to identify quantitative instruments of implementation outcomes relevant to mental or behavioral health settings. Full details of the enhanced systematic review methodology are available (Implement Sci 2: 2015). To increase the feasibility of the review, and consistent with the scope of SIRC, only instruments that were applicable to mental or behavioral health were included. The review, synthesis, and evaluation included the following: (1) a search protocol for the literature review of constructs; (2) the literature review of instruments using Web of Science and PsycINFO; and (3) data extraction and instrument quality ratings to inform knowledge synthesis. Our evidence-based assessment rating criteria quantified fundamental psychometric properties as well as a crude measure of usability. Two independent raters applied the evidence-based assessment rating criteria to each instrument to generate a quality profile. We identified 104 instruments across eight constructs, with nearly half (n = 50) assessing acceptability and 19 identified for adoption, with all other implementation outcomes revealing fewer than 10

  4. Efficient Hardware Implementation For Fingerprint Image Enhancement Using Anisotropic Gaussian Filter.

    Science.gov (United States)

    Khan, Tariq Mahmood; Bailey, Donald G; Khan, Mohammad A U; Kong, Yinan

    2017-05-01

    A real-time image filtering technique is proposed which could result in faster implementation for fingerprint image enhancement. One major hurdle associated with fingerprint filtering techniques is the expensive nature of their hardware implementations. To circumvent this, a modified anisotropic Gaussian filter is efficiently adopted in hardware by decomposing the filter into two orthogonal Gaussians and an oriented line Gaussian. An architecture is developed for dynamically controlling the orientation of the line Gaussian filter. To further improve the performance of the filter, the input image is homogenized by a local image normalization. In the proposed structure, for a middle-range reconfigurable FPGA, both parallel compute-intensive and real-time demands were achieved. We manage to efficiently speed up the image-processing time and improve the resource utilization of the FPGA. Test results show an improved speed for its hardware architecture while maintaining reasonable enhancement benchmarks.

  5. Reduced importation of tuberculosis after the implementation of an enhanced pre-immigration screening protocol.

    Science.gov (United States)

    Lowenthal, P; Westenhouse, J; Moore, M; Posey, D L; Watt, J P; Flood, J

    2011-06-01

    Importation of infectious tuberculosis (TB) threatens TB control in California and the United States. To assess the effectiveness of an enhanced pre-immigration screening and treatment protocol to prevent the importation of infectious TB. Retrospective analysis of immigrants ≥ 15 years of age with TB suspect classifications who were screened for TB in their countries of origin before (pre-intervention cohort) and after (post-intervention cohort) implementation of enhanced pre-immigration screening. Enhanced pre-immigration screening added sputum cultures to the existing screening system based on sputum smears for persons with abnormal chest radiographs. The pre- and post-intervention cohorts included respectively 2049 and 1430 immigrants. The occurrence of tuberculosis ≤ 6 months after US arrival in this population decreased following the intervention, from 4.2% (86 cases) to 1.5% (22 cases, P culture-positive for TB, compared with 5% sputum AFB smear-positive (P = 0.46) and 68% sputum culture-positive (P = 0.18) among the post-intervention cohort cases. The enhanced pre-immigration screening was associated with a decline in the proportion of immigrants with TB suspect classifications identified with TB within 6 months of arrival in the United States. Continued state and national surveillance is critical to monitor the effectiveness of the revised pre-immigration screening as it is implemented in additional countries.

  6. Biology in bloom: implementing Bloom's Taxonomy to enhance student learning in biology.

    Science.gov (United States)

    Crowe, Alison; Dirks, Clarissa; Wenderoth, Mary Pat

    2008-01-01

    We developed the Blooming Biology Tool (BBT), an assessment tool based on Bloom's Taxonomy, to assist science faculty in better aligning their assessments with their teaching activities and to help students enhance their study skills and metacognition. The work presented here shows how assessment tools, such as the BBT, can be used to guide and enhance teaching and student learning in a discipline-specific manner in postsecondary education. The BBT was first designed and extensively tested for a study in which we ranked almost 600 science questions from college life science exams and standardized tests. The BBT was then implemented in three different collegiate settings. Implementation of the BBT helped us to adjust our teaching to better enhance our students' current mastery of the material, design questions at higher cognitive skills levels, and assist students in studying for college-level exams and in writing study questions at higher levels of Bloom's Taxonomy. From this work we also created a suite of complementary tools that can assist biology faculty in creating classroom materials and exams at the appropriate level of Bloom's Taxonomy and students to successfully develop and answer questions that require higher-order cognitive skills.

  7. The Implementation of Collaborative Learning to Enhance the Students’ Critical Thinking In Writing

    Directory of Open Access Journals (Sweden)

    Hesti Rokhaniyah

    2016-06-01

    Full Text Available The present study attempts to describe whether or not and to whatextent Collaborative Learning can enhance the college students’ criticalthinking in writing, and identify the class climate when CollaborativeLearning is implemented. The data of the research were obtained usingseveral techniques including interview, observation, document, and test.The qualitative data were analyzed by using Constant Comparative Method,while the quantitative data were obtained by finding out the mean score ofthe two raters. The finding of the research showed that the implementationof Collaborative Learning enhanced: (1 students’ critical thinking including:(a providing appropiate arguments; (b expressing proper evidence tosupport their arguments;(cgive alternative point of view; (ddrawing clearconclusion. The enhancement of the students’ scores could be proved thatthe mean score of the pre-test was 50.46; the post-test 1 was 71.15; and thepost-test 2 was 81.67. Twenty six students from 35 students had fulfilledthe criteria of passing grade which was 75 in post test 2; and (2 enhancedthe class climate including: (a students’ attention to the teaching andlearning process was getting better; (b students got more alive condition;(c the students’ responsibility increased; (d the students’ self confidenceand ability to express themselves improved. Considering the inspiringresult of this research, it is recommended that English lecturers are able touse this research for: guiding the students to explore their critical thinkingthrough Collaborative Learning; and being creative to make the class climateinteresting by implementing Collaborative Learning

  8. Results of Implementing an Enhanced Recovery After Bariatric Surgery (ERABS) Protocol.

    Science.gov (United States)

    Mannaerts, Guido H H; van Mil, Stefanie R; Stepaniak, Pieter S; Dunkelgrün, Martin; de Quelerij, Marcel; Verbrugge, Serge J; Zengerink, Hans F; Biter, L Ulas

    2016-02-01

    With the increasing prevalence of morbid obesity and healthcare costs in general, interest is shown in safe, efficient, and cost-effective bariatric care. This study describes an Enhanced Recovery After Bariatric Surgery (ERABS) protocol and the results of implementing such protocol on procedural times, length of stay in hospital (LOS), and the number of complications, such as readmissions and reoperations. Results of implementing an ERABS protocol were analyzed by comparing a cohort treated according to the ERABS protocol (2012-2014) with a cohort treated before implementing ERABS (2010-2012). Differences between both cohorts were analyzed using independent t tests and chi-squared tests. A total of 1.967 patients (mean age 43.3 years, 80% female) underwent a primary bariatric procedure between 2010 and 2014, of which 1.313 procedures were performed after implementation of ERABS. A significant decrease of procedural times and a significantly decreased LOS, from 3.2 to 2.0 nights (p bariatric care. The increase in complications was possibly due to better registration of complications. The main goal of an ERABS protocol is efficient, safe, and evidence-based bariatric care, which can be achieved by standardization of the total process.

  9. 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...

  10. Implementation of cardiovascular disease prevention in primary health care: enhancing understanding using normalisation process theory.

    Science.gov (United States)

    Volker, Nerida; Williams, Lauren T; Davey, Rachel C; Cochrane, Thomas; Clancy, Tanya

    2017-02-24

    The reorientation of primary health care towards prevention is fundamental to addressing the rising burden of chronic disease. However, in Australia, cardiovascular disease prevention practice in primary health care is not generally consistent with existing guidelines. The Model for Prevention study was a whole-of-system cardiovascular disease prevention intervention, with one component being enhanced lifestyle modification support and addition of a health coaching service in the general practice setting. To determine the feasibility of translating intervention outcomes into real world practice, implementation work done by stakeholders was examined using Normalisation Process Theory as a framework. Data was collected through interviews with 40 intervention participants and included general practitioners, practice nurses, practice managers, lifestyle advisors and participants. Data analysis was informed by normalisation process theory constructs. Stakeholders were in agreement that, while prevention is a key function of general practice, it was not their usual work. There were varying levels of engagement with the intervention by practice staff due to staff interest, capacity and turnover, but most staff reconfigured their work for required activities. The Lifestyle Advisors believed staff had varied levels of interest in and understanding of, their service, but most staff felt their role was useful. Patients expanded their existing relationships with their general practice, and most achieved their lifestyle modification goals. While the study highlighted the complex nature of the change required, many of the new or enhanced processes implemented as part of the intervention could be scaled up to improve the systems approach to prevention. Overcoming the barriers to change, such as the perception of CVD prevention as a 'hard sell', is going to rely on improving the value proposition for all stakeholders. The study provided a detailed understanding of the work

  11. Implementation and Validation of Engagement Monitoring in an Engagement Enhancing Rehabilitation System.

    Science.gov (United States)

    Li, Chong; Rusak, Zoltan; Horvath, Imre; Kooijman, Adrie; Ji, Linhong

    2017-06-01

    Enhancing engagement of patients during stroke rehabilitation exercises are in the focus of current research. Various methods and computer supported tools have been developed for this purpose, which try to avoid mundane exercising that is prone to become a routine or even boring for the patients and leads to ineffective training. This paper introduces an engagement enhancing cyber-physical stroke rehabilitation system (CP-SRS) aiming at enhancing the patient's engagement during rehabilitation training exercises. This paper focuses on introducing the implementation and validation of the engagement monitoring subsystem (EMS) in the CP-SRS. The EMS is expected to evaluate the patient's actual engagement levels in motor, perceptive, cognitive and emotional aspects. Experiments in these four aspects were conducted separately, in order to characterize the range and accuracy of the engagement indicators by influencing the subjects into different engaged states. During the experiments, different setups were created to mimic the situations in which the subject was engaged or not engaged. The subjects involved in the experiments were healthy subjects. Results showed that the measurement in motor, perceptive, cognitive, and emotional aspects can represent the corresponding engagement level. More experiments will be conducted in the future to validate the efficiency of the CP-SRS in enhancing the engagement with stroke patients.

  12. Transportable enhanced simulation technologies for pre-implementation limited operations testing: neonatal intensive care unit.

    Science.gov (United States)

    Bender, Jesse; Shields, Robin; Kennally, Karen

    2011-08-01

    Transition of a Neonatal Intensive Care Unit (NICU) to a new physical plant incurs many challenges. These are amplified when the culture of care is changing from traditional cohort-based care to the single-family room model. Altered healthcare delivery systems can be tested in situ with TESTPILOT: Transportable Enhanced Simulation Technologies for Pre-Implementation Limited Operations Testing. The aims of the study included promoting translation of existing processes and identifying staff orientation material. We hypothesized that (1) numerous process gaps would be discovered and resolved, and (2) participants would feel better prepared. A functional neonatal intensive care unit was modeled before its opening. Scenarios were developed, volunteers recruited, and rooms supplied with equipment. Participants performed usual duties in two 30-minute in situ simulations followed by facilitated debriefings. As latent safety hazards were identified, they were corrected and retested in subsequent simulations. Staff was surveyed for perceived preparedness. Ninety-six multidisciplinary participants identified 164 latent safety hazards in verbal and written communication, facilities, supplies, staffing, and training, 93% of which were resolved at transition. Staff preparedness varied but showed improving communication, workflow patterns, and awareness of equipment and supply locations. The majority stated that this simulation experience changed their practice. Simulation is very effective for identifying process gaps before major institutional change. TESTPILOT generated iterative workflow enhancements and staff orientation toward improving patient care at transition and beyond. The extensive coordination required to implement such large-scale simulations is well worth the benefit for systems refinement and patient safety.

  13. On the practice of the clinical implementation of enhanced dynamic wedges.

    Science.gov (United States)

    Koken, Phil W; Heukelom, Stan; Cuijpers, Johan P

    2003-01-01

    Practical aspects of the clinical implementation of enhanced dynamic wedges (EDW) replacing manual wedges are presented and discussed extensively. A comparison between measured and calculated data is also presented. Relative dose distributions and wedge factors were calculated with a commercially available treatment planning system and measured in a water-phantom and with an ionization chamber. Wedge factor calculations and measurements were also compared with an independent method of wedge factor calculations available from the literature. Aspects of the clinical implementation, such as safety and quality assurance, were evaluated. Measurements and calculations agreed very well and were slightly better than results of previous studies. Profiles and percentage depth doses (PDDs) agreed within 1% to 1.5% and within 0.5%, respectively. Measured and calculated wedge factors ratios agreed within 0.5% to 1%. Calculated and measured EDW dose distributions showed excellent agreement, both relative and absolute. However, for safe and practical use, specific aspects need to be taken into consideration. Once the treatment planning system is commissioned properly, the clinical implementation of EDW is rather straightforward.

  14. Implementing an innovative intervention to increase research capacity for enhancing early psychosis care in Indonesia.

    Science.gov (United States)

    Renwick, L; Irmansyah; Keliat, B A; Lovell, K; Yung, A

    2017-11-01

    WHAT IS KNOWN ON THE TOPIC?: In low- and middle-income settings (LMICs) such as Indonesia, the burden from psychotic illness is significant due to large gaps in treatment provision Mental health workers and community nurses are a growing workforce requiring new evidence to support practice and enhanced roles and advanced competencies among UK mental health nurses also requires greater research capacity Research capacity building projects can strengthen research institutions, enhance trial capacity, improve quality standards and improve attitudes towards the importance of health research. WHAT THIS PAPER ADDS?: Delivering innovative, cross-cultural workshops to enhance research capacity to multidisciplinary, early career researchers in Indonesia and the UK are rated highly by attendees Supporting people in this way helps them to gain competitive grant funding to complete their own research which can improve the health of the population To our knowledge, there are no other studies reporting the attainment of grant income as a successful outcome of international research partnerships for mental health nursing so our finding is novel. WHAT ARE THE IMPLICATIONS FOR PRACTICE?: This method could be implemented to improve networking and collaboration between UK academics and early career researchers in other lower- and middle-income settings This strategy can also strengthen existing partnerships among early career researchers in the UK to meet the demands for greater research mentorship and leadership among mental health nurses and enhance nurses capabilities to contribute to evidence for practice. Aim To strengthen research capacity for nurses and early career researchers in Indonesia and the UK to develop a local evidence base in Indonesia to inform policy and improve the nation's health. These strategies can strengthen research institutions, enhance trial capacity, improve quality standards and improve attitudes towards the importance of health research. Methods Four

  15. Socio-technical analysis of Indonesian government e-procurement system implementation: barriers to enhance information transparency and accountability

    Directory of Open Access Journals (Sweden)

    Amalia Fitri

    2017-01-01

    Full Text Available E-governance has become increasingly important to deliver better public services, and increase public trust. With a specific focus on e-procurement and the issues of transparency and accountability this research investigates the role and barriers of information technology in enhancing information transparency and accountability to the public, using the actor-network theory and notion of delegation approach. This research concludes that information technology was delegated to automate the procurement process to increase transparency, accountability and prevent fraud. However, barriers of e-literacy, lack of leadership, reluctance of implementation, and lack of infrastructure created obstacles to attain the goals. This infers that social and technical aspects are interrelated and empower each other to support the technology in enhancing information transparency and accountability. Enhanced collaborative approach between the developers and users in the application development and implementation should be taken on board to enhance e-procurement system implementation quality.

  16. Real-time implementations of acoustic signal enhancement techniques for aerial based surveillance and rescue applications

    Science.gov (United States)

    Ramos, Antonio L. L.; Shao, Zhili; Holthe, Aleksander; Sandli, Mathias F.

    2017-05-01

    The introduction of the System-on-Chip (SoC) technology has brought exciting new opportunities for the development of smart low cost embedded systems spanning a wide range of applications. Currently available SoC devices are capable of performing high speed digital signal processing tasks in software while featuring relatively low development costs and reduced time-to-market. Unmanned aerial vehicles (UAV) are an application example that has shown tremendous potential in an increasing number of scenarios, ranging from leisure to surveillance as well as in search and rescue missions. Video capturing from UAV platforms is a relatively straightforward task that requires almost no preprocessing. However, that does not apply to audio signals, especially in cases where the data is to be used to support real-time decision making. In fact, the enormous amount of acoustic interference from the surroundings, including the noise from the UAVs propellers, becomes a huge problem. This paper discusses a real-time implementation of the NLMS adaptive filtering algorithm applied to enhancing acoustic signals captured from UAV platforms. The model relies on a combination of acoustic sensors and a computational inexpensive algorithm running on a digital signal processor. Given its simplicity, this solution can be incorporated into the main processing system of an UAV using the SoC technology, and run concurrently with other required tasks, such as flight control and communications. Simulations and real-time DSP-based implementations have shown significant signal enhancement results by efficiently mitigating the interference from the noise generated by the UAVs propellers as well as from other external noise sources.

  17. Implementation and evaluation of critical thinking strategies to enhance critical thinking skills in Middle Eastern nurses.

    Science.gov (United States)

    Simpson, Elaine; Courtney, Mary

    2008-12-01

    The purpose of this study was to develop, implement and evaluate critical thinking strategies to enhance critical thinking skills in Middle Eastern nurses. Critical thinking strategies such as questioning, debate, role play and small group activity were developed and used in a professional development programme, which was trialled on a sample of Middle Eastern nurses (n = 20), to promote critical thinking skills, encourage problem solving, development of clinical judgment making and care prioritization in order to improve patient care and outcomes. Classroom learning was transformed from memorization to interaction and active participation. The intervention programme was successful in developing critical thinking skills in both the nurse educators and student nurses in this programme. This programme successfully integrated critical thinking strategies into a Middle Eastern nursing curriculum. Recommendations are as follows: (1) utilize evidence-based practice and stem questions to encourage the formulation of critical thinking questions; (2) support the needs of nurse educators for them to effectively implement teaching strategies to foster critical thinking skills; and (3) adopt creative approaches to (i) transform students into interactive participants and (ii) open students' minds and stimulate higher-level thinking and problem-solving abilities.

  18. Liquid state machine with dendritically enhanced readout for low-power, neuromorphic VLSI implementations.

    Science.gov (United States)

    Roy, Subhrajit; Banerjee, Amitava; Basu, Arindam

    2014-10-01

    In this paper, we describe a new neuro-inspired, hardware-friendly readout stage for the liquid state machine (LSM), a popular model for reservoir computing. Compared to the parallel perceptron architecture trained by the p-delta algorithm, which is the state of the art in terms of performance of readout stages, our readout architecture and learning algorithm can attain better performance with significantly less synaptic resources making it attractive for VLSI implementation. Inspired by the nonlinear properties of dendrites in biological neurons, our readout stage incorporates neurons having multiple dendrites with a lumped nonlinearity (two compartment model). The number of synaptic connections on each branch is significantly lower than the total number of connections from the liquid neurons and the learning algorithm tries to find the best 'combination' of input connections on each branch to reduce the error. Hence, the learning involves network rewiring (NRW) of the readout network similar to structural plasticity observed in its biological counterparts. We show that compared to a single perceptron using analog weights, this architecture for the readout can attain, even by using the same number of binary valued synapses, up to 3.3 times less error for a two-class spike train classification problem and 2.4 times less error for an input rate approximation task. Even with 60 times larger synapses, a group of 60 parallel perceptrons cannot attain the performance of the proposed dendritically enhanced readout. An additional advantage of this method for hardware implementations is that the 'choice' of connectivity can be easily implemented exploiting address event representation (AER) protocols commonly used in current neuromorphic systems where the connection matrix is stored in memory. Also, due to the use of binary synapses, our proposed method is more robust against statistical variations.

  19. Qualitative evaluation of the implementation of the Interdisciplinary Management Tool: a reflective tool to enhance interdisciplinary teamwork using Structured, Facilitated Action Research for Implementation.

    Science.gov (United States)

    Nancarrow, Susan A; Smith, Tony; Ariss, Steven; Enderby, Pamela M

    2015-07-01

    Reflective practice is used increasingly to enhance team functioning and service effectiveness; however, there is little evidence of its use in interdisciplinary teams. This paper presents the qualitative evaluation of the Interdisciplinary Management Tool (IMT), an evidence-based change tool designed to enhance interdisciplinary teamwork through structured team reflection. The IMT incorporates three components: an evidence-based resource guide; a reflective implementation framework based on Structured, Facilitated Action Research for Implementation methodology; and formative and summative evaluation components. The IMT was implemented with intermediate care teams supported by independent facilitators in England. Each intervention lasted 6 months and was evaluated over a 12-month period. Data sources include interviews, a focus group with facilitators, questionnaires completed by team members and documentary feedback from structured team reports. Data were analysed qualitatively using the Framework approach. The IMT was implemented with 10 teams, including 253 staff from more than 10 different disciplines. Team challenges included lack of clear vision; communication issues; limited career progression opportunities; inefficient resource use; need for role clarity and service development. The IMT successfully engaged staff in the change process, and resulted in teams developing creative strategies to address the issues identified. Participants valued dedicated time to focus on the processes of team functioning; however, some were uncomfortable with a focus on teamwork at the expense of delivering direct patient care. The IMT is a relatively low-cost, structured, reflective way to enhance team function. It empowers individuals to understand and value their own, and others' roles and responsibilities within the team; identify barriers to effective teamwork, and develop and implement appropriate solutions to these. To be successful, teams need protected time to take

  20. Implementation of the Spanish National Enhanced Recovery Program (ERAS) in Bariatric Surgery: A Pilot Study.

    Science.gov (United States)

    Ruiz-Tovar, Jaime; Royo, Pablo; Muñoz, José L; Duran, Manuel; Redondo, Elisabeth; Ramirez, Jose M

    2016-12-01

    The essence of Enhanced Recovery After Surgery (ERAS) programs is the multimodal approach, and many authors have demonstrated safety and feasibility in fast track bariatric surgery. According to this concept, a multidisciplinary ERAS program for bariatric surgery has been developed by the Spanish fast track group (ERAS Spain). The aim of this study was to analyze the initial implementation of this Spanish National ERAS protocol in bariatric surgery. A multicentric prospective pilot study was performed, including 125 consecutive patients undergoing bariatric surgery at 3 Spanish hospitals between January and June 2015, after the Spanish National ERAS protocol in bariatric surgery. Compliance with the protocol, morbidity, mortality, hospital stay, and readmission were evaluated. Bariatric techniques performed included 68 Roux-en-Y gastric bypass (54.4%) and 57 laparoscopic sleeve gastrectomy (45.6%) cases. All surgeries were laparoscopically performed with conversion in only 1 case (0.8%). Median postoperative pain evaluated by visual analogic scale 24 hours after surgery was 2 (range, 0 to 5). Postoperative nausea or vomiting appeared in 7 patients (5.6%). Complications appeared in 6 patients (4.8%). The reoperation rate was 4%. The mortality rate was 0.8%. The median hospital stay was 2 days (range, 2 to 10 d) and readmission rate was 2.4%. The compliance of all the items of the protocol was achieved in 78.4% of the patients. The Spanish National ERAS protocol is a safe issue with a high implementation rate. It can be recommended to establish this protocol to other institutions.

  1. Outcomes of implementation of enhanced goal directed therapy in high-risk patients undergoing abdominal surgery

    Directory of Open Access Journals (Sweden)

    Lakshmi Kumar

    2015-01-01

    Full Text Available Background and Aims: Advanced monitoring targeting haemodynamic and oxygenation variables can improve outcomes of surgery in high-risk patients. We aimed to assess the impact of goal directed therapy (GDT targeting cardiac index (CI and oxygen extraction ratio (O 2 ER on outcomes of high-risk patients undergoing abdominal surgery. Methods: In a prospective randomised trial, forty patients (American Society of Anaesthesiologists II and III undergoing major abdominal surgeries were randomised into two groups. In-Group A mean arterial pressure ≥ 65 mmHg, central venous pressure ≥ 8-10 mmHg, urine output ≥ 0.5 mL/kg/h and central venous oxygen saturation ≥ 70% were targeted intra-operatively and 12 h postoperatively. In-Group-B (enhanced GDT, in addition to the monitoring in-Group-A, CI ≥ 2.5 L/min/m 2 and O 2 ER ≤ 27% were targeted. The end-points were lactate levels and base deficit during and after surgery. The secondary end points were length of Intensive Care Unit (ICU and hospital stay and postoperative complications. Wilcoxon Mann Whitney and Chi-square tests were used for statistical assessment. Results: Lactate levels postoperatively at 4 and 8 h were lower in-Group-B (P < 0.05. The mean base deficit at 3, 4, 5 and 6 h intra-operatively and postoperatively after 4, 8 and 12 h were lower in-Group-B (P < 0.05. There were no significant differences in ICU stay (2.10 ± 1.52 vs. 2.90 ± 2.51 days or hospital stay (10.85 + 4.39 vs. 13.35 + 6.77 days between Group A and B. Conclusions: Implementation of enhanced GDT targeting CI and OER was associated with improved tissue oxygenation.

  2. Evaluation, implementation, and enhancement of the Dispatch Stack instruction issuing mechanism

    Energy Technology Data Exchange (ETDEWEB)

    Acosta, R.D.

    1985-01-01

    Processors with multiple functional units, such as Cray-1, Cyber 205, and FPS 164, are often used in performing large scientific computations. Much effort has been put into enhancing the throughputs of such processors. One critical consideration in their design is the identification and implementation of a suitable instruction-issuing scheme. Existing approaches do not issue enough instructions per machine cycle to fully utilize the functional units and realize the high performance levels attainable with these powerful execution resources. The Dispatch Stack is an instruction issuing approach designed to overcome this limitation. It achieves this by using data dependencies to dynamically schedule execution streams, allowing (1) one or more instructions to be issued per cycle and (2) instructions to be issued non-sequentially. In this thesis, the Dispatch Stack is formally described and placed in the context of the partial ordering of serial execution streams. It is contrasted to previously employed dynamic scheduling approaches, such as Tomasulo's Reservation stations and Common Data Bus for the IBM 360/91. Its effectiveness is evaluated by comparing it to other instruction issuing mechanisms via simulation techniques.

  3. Design and Implementation of NTU Wearable Exoskeleton as an Enhancement and Assistive Device

    Directory of Open Access Journals (Sweden)

    K. H. Low

    2006-01-01

    Full Text Available This article presents a wearable lower extremity exoskeleton (LEE developed to enhance the ability of a human’s walking while carrying heavy loads. The ultimate goal of the current research work is to design and control a power assist system that integrates a human’s intellect for feedback and sensory purposes. The exoskeleton system in this work consists of an inner exoskeleton and an outer exoskeleton. The inner exoskeleton measures the movements of the wearer and provides these measurements to the outer exoskeleton, which supports the whole exoskeleton system to walk following the wearer. A special footpad, which is designed and attached to the outer exoskeleton, can measure the zero moment point (ZMP of the human as well as that of the exoskeleton in time. Using the measured human ZMP as the reference, the exoskeleton’s ZMP is controlled by trunk compensation so that the exoskeleton can walk stably. A simulation platform has first been developed to examine the gait coordination through inner and outer exoskeletons. A commercially available software, xPC Target, together with other toolboxes from MATLAB, has then been used to provide a real-time operating system for controlling the exoskeleton. Real-time locomotion control of the exoskeleton is implemented in the developed environment. Finally, some experiments on different objects showed that the stable walking can be achieved in the real environment.

  4. Need for Enhanced Environmental Representation in the Implementation of One Health.

    Science.gov (United States)

    Barrett, Meredith A; Bouley, Timothy A

    2015-06-01

    Issues of global environmental change, global health, emerging disease, and sustainability present some of the most complex challenges of the twenty-first century. Individual disciplines cannot address these issues in isolation. Proactive, innovative, and trans-disciplinary solutions are required. Recognizing the inherent connectedness of humans, animals, plants, and their shared environment, One Health encourages the collaboration of many disciplines-including human and veterinary medicine, public health, social science, public policy, environmental science, and others-to address global and local health challenges. Despite great progress in this shift toward transdisciplinarity, the environmental component of the One Health paradigm remains underrepresented in One Health discourse. Human and animal health issues are commonly discussed under the umbrella of the One Health paradigm, while upstream environmental drivers and solutions are less prominent. We assessed the current integration of environmental issues in One Health publications and leadership. There is room for enhanced integration of environmental knowledge in the implementation of One Health approaches. We discuss the potential benefits from the collaboration between One Health and ecohealth, and explore strategies for increased environmental involvement.

  5. Indoor Residual Spraying Delivery Models to Prevent Malaria: Comparison of Community- and District-Based Approaches in Ethiopia

    Science.gov (United States)

    Johns, Benjamin; Yihdego, Yemane Yeebiyo; Kolyada, Lena; Dengela, Dereje; Chibsa, Sheleme; Dissanayake, Gunawardena; George, Kristen; Taffese, Hiwot Solomon; Lucas, Bradford

    2016-01-01

    ABSTRACT Background: Indoor residual spraying (IRS) for malaria prevention has traditionally been implemented in Ethiopia by the district health office with technical and operational inputs from regional, zonal, and central health offices. The United States President's Malaria Initiative (PMI) in collaboration with the Government of Ethiopia tested the effectiveness and efficiency of integrating IRS into the government-funded community-based rural health services program. Methods: Between 2012 and 2014, PMI conducted a mixed-methods study in 11 districts of Oromia region to compare district-based IRS (DB IRS) and community-based IRS (CB IRS) models. In the DB IRS model, each district included 2 centrally located operational sites where spray teams camped during the IRS campaign and from which they traveled to the villages to conduct spraying. In the CB IRS model, spray team members were hired from the communities in which they operated, thus eliminating the need for transport and camping facilities. The study team evaluated spray coverage, the quality of spraying, compliance with environmental and safety standards, and cost and performance efficiency. Results: The average number of eligible structures found and sprayed in the CB IRS districts increased by 19.6% and 20.3%, respectively, between 2012 (before CB IRS) and 2013 (during CB IRS). Between 2013 and 2014, the numbers increased by about 14%. In contrast, in the DB IRS districts the number of eligible structures found increased by only 8.1% between 2012 and 2013 and by 0.4% between 2013 and 2014. The quality of CB IRS operations was good and comparable to that in the DB IRS model, according to wall bioassay tests. Some compliance issues in the first year of CB IRS implementation were corrected in the second year, bringing compliance up to the level of the DB IRS model. The CB IRS model had, on average, higher amortized costs per district than the DB IRS model but lower unit costs per structure sprayed and per

  6. Academic Workload: The Silent Barrier to the Implementation of Technology-Enhanced Learning Strategies in Higher Education

    Science.gov (United States)

    Gregory, Mary Sarah-Jane; Lodge, Jason Michael

    2015-01-01

    The effect of technology-enhanced learning (TEL) strategies in higher education has arguably been transformative despite the not-insignificant barriers existing in this context. Throughout the discourse very little attention has been paid to those primarily responsible for this implementation--academic teaching staff. This paper aims to highlight…

  7. Inferring a district-based hierarchical structure of social contacts from census data.

    Science.gov (United States)

    Yu, Z; Liu, J; Zhu, X

    2015-01-01

    Researchers have recently paid attention to social contact patterns among individuals due to their useful applications in such areas as epidemic evaluation and control, public health decisions, chronic disease research and social network research. Although some studies have estimated social contact patterns from social networks and surveys, few have considered how to infer the hierarchical structure of social contacts directly from census data. In this paper, we focus on inferring an individual's social contact patterns from detailed census data, and generate various types of social contact patterns such as hierarchical-district-structure-based, cross-district and age-district-based patterns. We evaluate newly generated contact patterns derived from detailed 2011 Hong Kong census data by incorporating them into a model and simulation of the 2009 Hong Kong H1N1 epidemic. We then compare the newly generated social contact patterns with the mixing patterns that are often used in the literature, and draw the following conclusions. First, the generation of social contact patterns based on a hierarchical district structure allows for simulations at different district levels. Second, the newly generated social contact patterns reflect individuals social contacts. Third, the newly generated social contact patterns improve the accuracy of the SEIR-based epidemic model.

  8. Three two-week enhancement institutes: Design and implementation of the technology and telecomputing component

    Science.gov (United States)

    Hale, L. Vincent

    1995-01-01

    The Teacher Enhancement Institute (TEI), under the direction of the Center Education Programs Officer offered three two-week workshops to 58 elementary and middle school teachers in science, math, and technology using the Problem Based Learning Model. The 1995 program was designed with input from evaluations and recommendations from previous TEI participants and faculty. The TEI focused on Aviation and Aeronautics as the unifying theme. Four specific objectives were developed. After completing the requirements for the TEI, the participants should be able to: (1) Increase their content knowledge, particularly in aeronautics, science, math, and technology; (2) Design and implement lessons that use scientific inquiry through Problem Based Learning; (3) Demonstrate knowledge of instructional technologies, their uses, and applications to curricula; and (4) Disseminate to their school communities the information acquired through the TEI. Thirty percent of the program was devoted to the effective use of computer technology. SpaceLink, the NASA telecomputing service for educators, was the primary tool used in the technology component of the institute. The training focused on the use of SpaceLink and its many educational services, and Internet tools because of its universal, nongraphical link to any computer plafform the participant may use at his or her school or home. All participants were given Educator Accounts to facilitate the use of E-mail, and access to the Internet and the World Wide Web using their SpaceLink accounts. Classroom demonstrations used videotaped guides and handouts to support concepts presented followed by intensive hands-on activities. Each participant was assigned to an individual Power Mac networked workstation and introduced to the state of the art, graphical, Word Wide Web with the Netscape browser. The methodology proved very effective in reaching the program's goals for technology integration by having the participants learn to use the computer

  9. Implementation of Fisheries Enhancement Opportunities on the Coeur d'Alene Reservation, 2002 Annual Report.

    Energy Technology Data Exchange (ETDEWEB)

    Vitale, Angelo, Lamb, Dave; Scott, Jason

    2003-12-01

    actions included: (1) Implement habitat restoration and enhancement measures in Alder, Benewah, Evans, and Lake Creeks; (2) Purchase critical watershed areas for protection of fisheries habitat; (3) Conduct an educational/outreach program for the general public within the Coeur d'Alene Reservation to facilitate a 'holistic' watershed protection process; (4) Develop an interim fishery for tribal and non-tribal members of the reservation through construction, operation and maintenance of five trout ponds; (5) Design, construct, operate and maintain a trout production facility; and (6) Implement a five-year monitoring program to evaluate the effectiveness of the hatchery and habitat improvement projects. Since that time, much of the mitigation activities occurring within the Coeur d'Alene sub-basin have had a connection to the project entitled 'Implement of Fisheries Enhancement Opportunities on the Coeur d'Alene Reservation', which is sponsored and implemented by the Coeur d'Alene Tribe Fisheries Program and is the subject of this report.

  10. 76 FR 23876 - Changes To Implement the Prioritized Examination Track (Track I) of the Enhanced Examination...

    Science.gov (United States)

    2011-04-29

    ... Commerce for Intellectual Property and Director of the United States Patent and Trademark Office. BILLING... revises the rules of practice in patent cases to implement a procedure under which applicants may request..., 2011, the Office published a final rule that revises the rules of practice in patent cases to implement...

  11. Enhancement of VCO Linearity and Phase Noise by Implementing Frequency Locked Loop

    DEFF Research Database (Denmark)

    Ayranci, E; Christensen, K; Andreani, Pietro

    2007-01-01

    This paper investigates the on-chip implementation of a frequency locked loop (FLL) over a VCO that decreases the phase noise and linearizes the transfer function. Implementation of the FLL inside a PLL is also investigated and a possible application is highlighted. Design of a special kind of low...

  12. Teacher Candidates Implementing Universal Design for Learning: Enhancing Picture Books with QR Codes

    Science.gov (United States)

    Grande, Marya; Pontrello, Camille

    2016-01-01

    The purpose of this study was to investigate if teacher candidates could gain knowledge of the principles of Universal Design for Learning by enhancing traditional picture books with Quick Response (QR) codes and to determine if the process of making these enhancements would impact teacher candidates' comfort levels with using technology on both…

  13. Design and Implementation of an Enhanced 802.11 MAC Architecture for Single-Hop Wireless Networks

    Directory of Open Access Journals (Sweden)

    Ralph Bernasconi

    2007-01-01

    Full Text Available Due to its extreme simplicity and flexibility, the IEEE 802.11 standard is the dominant technology to implement both infrastructure-based WLANs and single-hop ad hoc networks. In spite of its popularity, there is a vast literature demonstrating the shortcomings of using the 802.11 technology in such environments, such as dramatic degradation of network capacity as contention increases and vulnerability to external interferences. Therefore, the design of enhancements and optimizations for the original 802.11 MAC protocol has been a very active research area in the last years. However, all these modifications to the 802.11 MAC protocol were validated only through simulations and/or analytical investigations. In this paper, we present a very unique work as we have designed a flexible hardware/software platform, fully compatible with current implementations of the IEEE 802.11 technology, which we have used to concretely implement and test an enhanced 802.11 backoff algorithm. Our experimental results clearly show that the enhanced mechanism outperforms the standard 802.11 MAC protocol in real scenarios.

  14. Experiences gained from implementing mandatory buffer strips in Denmark: how can we enhance their ecosystem services?

    Science.gov (United States)

    Kronvang, Brian; Hoffmann, Carl Christian; Baattrup-Pedersen, Annette; Hille, Sandra; Rubæk, Gitte; Heckrath, Goswin; Gertz, Flemming; Jensen, Henning; Feuerback, Peter; Strand, John; Stutter, Marc

    2015-04-01

    The Danish Parliament adopted in June 2012 a Buffer Strip Act that required 10 m mandatory buffer strips (BSs) to be established along all watercourses and lakes with a surface area greater than 100 m2 from 1st September 2012. The main reasons for deploying BSs was to reduce nitrate-N leaching and phosphorus (P) loss via surface runoff from adjoining fields from the approximately 50,000 ha of BSs as no farming activities were allowed in the BS concerning use of fertilizer, spreading of manure, spraying with pesticides, etc. Reductions in nutrient losses to watercourses are needed for minimizing the eutrophication effects in lakes and coastal waters. Buffer strips are among the most well studied and frequently adapted mitigation measure for reducing sediment and P losses to surface waters via surface runoff. It has, however, been questioned if BSs can also reduce N losses. The international literature gives an overwhelming support to their functioning for reduction in sediment and especially particulate P losses. However, their functioning for dissolved P and nitrogen is more questionable when comparing studies from the international literature. In Denmark, many farmers were against the introduction of BSs as a general mitigation measure for several reasons. The most used argument in the public debate was that BSs in general are not very efficient for reducing N and P losses to surface waters which was originally the argument behind the BS Act from the Ministries of Environment and Food and Agriculture. A desk study had been made prior to the adaptation of the law that showed 10 m BSs to be able to reduce the N loading with 40-50 kg N ha-1 of BS and 0.04-0.4 kg P ha-1 BS. The total reduction from the BSs established in Denmark in 2012 would then amount to 2,000-2,500 tonnes N and 2-20 tonnes P. The intense public debate in Denmark made the Parliament to adopt a new BS law in June 2014 to be implemented in August 2014 that reduced the total areas with mandatory BSs

  15. Failure Mode and Effect Analysis (FMEA) may enhance implementation of clinical practice guidelines: An experience from the Middle East.

    Science.gov (United States)

    Babiker, Amir; Amer, Yasser S; Osman, Mohamed E; Al-Eyadhy, Ayman; Fatani, Solafa; Mohamed, Sarar; Alnemri, Abdulrahman; Titi, Maher A; Shaikh, Farheen; Alswat, Khalid A; Wahabi, Hayfaa A; Al-Ansary, Lubna A

    2017-12-29

    Implementation of clinical practice guidelines (CPGs) has been shown to reduce variation in practice and improve health care quality and patients' safety. There is a limited experience of CPG implementation (CPGI) in the Middle East. The CPG program in our institution was launched in 2009. The Quality Management department conducted a Failure Mode and Effect Analysis (FMEA) for further improvement of CPGI. This is a prospective study of a qualitative/quantitative design. Our FMEA included (1) process review and recording of the steps and activities of CPGI; (2) hazard analysis by recording activity-related failure modes and their effects, identification of actions required, assigned severity, occurrence, and detection scores for each failure mode and calculated the risk priority number (RPN) by using an online interactive FMEA tool; (3) planning: RPNs were prioritized, recommendations, and further planning for new interventions were identified; and (4) monitoring: after reduction or elimination of the failure mode. The calculated RPN will be compared with subsequent analysis in post-implementation phase. The data were scrutinized from a feedback of quality team members using a FMEA framework to enhance the implementation of 29 adapted CPGs. The identified potential common failure modes with the highest RPN (≥ 80) included awareness/training activities, accessibility of CPGs, fewer advocates from clinical champions, and CPGs auditing. Actions included (1) organizing regular awareness activities, (2) making CPGs printed and electronic copies accessible, (3) encouraging senior practitioners to get involved in CPGI, and (4) enhancing CPGs auditing as part of the quality sustainability plan. In our experience, FMEA could be a useful tool to enhance CPGI. It helped us to identify potential barriers and prepare relevant solutions. © 2018 John Wiley & Sons, Ltd.

  16. Four Themes to Enhanced Interprofessional Education Integration: Lessons Learned from Early Implementation and Curricular Redesign

    Directory of Open Access Journals (Sweden)

    Margaret de Voest

    2016-06-01

    Full Text Available With the release of the Accreditation Council for Pharmacy Education (ACPE Standards 2016, interprofessional education (IPE has become more formalized and needs to be embedded into the curricula of colleges and schools of pharmacy. While IPE is not new to the practice and training of pharmacists, the call for IPE has become more robust over the last several years creating challenges to widespread implementation. The purpose of this Case Study Report is to describe a twelve-year progression of IPE implementation at a college of pharmacy without an academic medical center. Focused strategies for the development, integration, and expansion of IPE are provided through the context of four themes: working through program differences; collaborators and effective collaboration; attention to implementation planning; and prebriefing and debriefing. Each theme is defined and reviewed using specific examples and lessons learned. Finally, in consideration of the ACPE Standards 2016, potential next steps are discussed.   Type: Case Study

  17. 76 FR 6369 - Changes To Implement the Prioritized Examination Track (Track I) of the Enhanced Examination...

    Science.gov (United States)

    2011-02-04

    ... implementation of the Prioritized Examination Track (Track I), providing fast examination for applicants desiring... examiners or supervisory patent examiners, specialized examiner training for fast track processing... prosecution techniques in all applications and emphasizing the importance and use of interviews over the past...

  18. Implementing "Marketing Me": A Simulation Enhanced Variant for a Student Self-Marketing Exercise

    Science.gov (United States)

    Flostrand, Andrew; Ho, Jason Y. C.; Krider, Robert E.

    2016-01-01

    The use of student self-branding exercises in introductory marketing courses for undergraduate business programs has been growing in popularity due to a number of advantages for students. This article introduces implementation of the "Marketing Me" variant developed and used since 2013 by the authors, wherein alumni are brought in to…

  19. Prioritizing the Implementation of E-Learning Tools to Enhance the Post-Secondary Learning Environment

    Science.gov (United States)

    Percival, Jennifer Catherine; Muirhead, Bill

    2009-01-01

    The implementation of both blended learning and web-based programs is becoming more prevalent within higher education in Canada. Thus, there is increasing reliance upon e-learning tools to support student learning in a variety of teaching environments. Typically, budgetary and programmatic decisions regarding the investment of e-learning resources…

  20. Enhancing Architecture-Implementation Conformance with Change Management and Support for Behavioral Mapping

    Science.gov (United States)

    Zheng, Yongjie

    2012-01-01

    Software architecture plays an increasingly important role in complex software development. Its further application, however, is challenged by the fact that software architecture, over time, is often found not conformant to its implementation. This is usually caused by frequent development changes made to both artifacts. Against this background,…

  1. Using group learning to enhance the implementation of information technology. The results of discourse analysis

    NARCIS (Netherlands)

    Bondarouk, Tatiana

    2004-01-01

    This thesis is about the influence of group interactional processes on the implementation of information technologies. The starting point of this research is the belief that it is neither the quality of the technology, nor that of the individual users, but the interactions among people in groups of

  2. Enhancing the effectiveness of alcohol warning labels with a self-affirming implementation intention.

    Science.gov (United States)

    Armitage, Christopher J; Arden, Madelynne A

    2016-10-01

    Excess alcohol consumption extorts significant social and economic costs that are increasing despite the presence of mandatory warning labels on packaged alcoholic beverages. We used a novel approach by adding a brief statement based on self-affirmation theory to alcohol warning labels. In two studies (N = 85 and N = 58), we randomized regular wine drinkers recruited from university campuses to complete a wine-pouring task with bottles that had standard labeling or bottles that added a self-affirming implementation intention to the standard labeling. Alcohol consumption, behavioral intention, and self-efficacy were measured premanipulation; message acceptance was measured postmanipulation; and alcohol consumption, behavioral intention, and self-efficacy were measured again at follow-up. In both studies, the self-affirming implementation intention significantly reduced subsequent alcohol consumption (ds = 0.70 and 0.91, respectively). However, message acceptance, behavioral intention, and self-efficacy did not significantly mediate the observed effects. Self-affirming implementation intentions augmented the effect of alcohol warning labels to reduce subsequent alcohol consumption, but-consistent with the broader self-affirmation literature-it was not clear what mediated the effects. Further research is required to examine the effects of self-affirming implementation intentions on other kinds of public health-related labeling. (PsycINFO Database Record (c) 2016 APA, all rights reserved).

  3. Universal Course Shell Template Design and Implementation to Enhance Student Outcomes in Online Coursework

    Science.gov (United States)

    Borgemenke, Arthur J.; Holt, William C.; Fish, Wade W.

    2013-01-01

    Instructors are continually looking for means to improve outcomes for students in online courses. This article examines the instructional design of courses to determine if consistent components implemented in a recently established online master's degree program can produce significant student outcomes. The authors detail the construction and…

  4. Implementation of intra-cavity beam shaping technique to enhance pump efficiency

    CSIR Research Space (South Africa)

    Litvin, IA

    2012-02-01

    Full Text Available In this work the author proposes an implementation of a new intra-cavity beam shaping technique to vary the intensity distribution of the fundamental mode in a resonator cavity while maintaining a constant intensity distribution at the output...

  5. An organizational framework and strategic implementation for system-level change to enhance research-based practice: QUERI Series.

    Science.gov (United States)

    Stetler, Cheryl B; McQueen, Lynn; Demakis, John; Mittman, Brian S

    2008-05-29

    The continuing gap between available evidence and current practice in health care reinforces the need for more effective solutions, in particular related to organizational context. Considerable advances have been made within the U.S. Veterans Health Administration (VA) in systematically implementing evidence into practice. These advances have been achieved through a system-level program focused on collaboration and partnerships among policy makers, clinicians, and researchers. The Quality Enhancement Research Initiative (QUERI) was created to generate research-driven initiatives that directly enhance health care quality within the VA and, simultaneously, contribute to the field of implementation science. This paradigm-shifting effort provided a natural laboratory for exploring organizational change processes. This article describes the underlying change framework and implementation strategy used to operationalize QUERI. QUERI used an evidence-based organizational framework focused on three contextual elements: 1) cultural norms and values, in this case related to the role of health services researchers in evidence-based quality improvement; 2) capacity, in this case among researchers and key partners to engage in implementation research; 3) and supportive infrastructures to reinforce expectations for change and to sustain new behaviors as part of the norm. As part of a QUERI Series in Implementation Science, this article describes the framework's application in an innovative integration of health services research, policy, and clinical care delivery. QUERI's experience and success provide a case study in organizational change. It demonstrates that progress requires a strategic, systems-based effort. QUERI's evidence-based initiative involved a deliberate cultural shift, requiring ongoing commitment in multiple forms and at multiple levels. VA's commitment to QUERI came in the form of visionary leadership, targeted allocation of resources, infrastructure refinements

  6. An organizational framework and strategic implementation for system-level change to enhance research-based practice: QUERI Series

    Directory of Open Access Journals (Sweden)

    Mittman Brian S

    2008-05-01

    Full Text Available Abstract Background The continuing gap between available evidence and current practice in health care reinforces the need for more effective solutions, in particular related to organizational context. Considerable advances have been made within the U.S. Veterans Health Administration (VA in systematically implementing evidence into practice. These advances have been achieved through a system-level program focused on collaboration and partnerships among policy makers, clinicians, and researchers. The Quality Enhancement Research Initiative (QUERI was created to generate research-driven initiatives that directly enhance health care quality within the VA and, simultaneously, contribute to the field of implementation science. This paradigm-shifting effort provided a natural laboratory for exploring organizational change processes. This article describes the underlying change framework and implementation strategy used to operationalize QUERI. Strategic approach to organizational change QUERI used an evidence-based organizational framework focused on three contextual elements: 1 cultural norms and values, in this case related to the role of health services researchers in evidence-based quality improvement; 2 capacity, in this case among researchers and key partners to engage in implementation research; 3 and supportive infrastructures to reinforce expectations for change and to sustain new behaviors as part of the norm. As part of a QUERI Series in Implementation Science, this article describes the framework's application in an innovative integration of health services research, policy, and clinical care delivery. Conclusion QUERI's experience and success provide a case study in organizational change. It demonstrates that progress requires a strategic, systems-based effort. QUERI's evidence-based initiative involved a deliberate cultural shift, requiring ongoing commitment in multiple forms and at multiple levels. VA's commitment to QUERI came in the

  7. A mixed methods study of foreign language teachers implementing technology-enhanced multimedia instructio

    Directory of Open Access Journals (Sweden)

    Olha Ketsman

    2014-08-01

    Full Text Available Technology-enhanced multimedia instruction offers benefits for foreign language learners. Despite having much potential, technology itself is neither effective or nor effective, but teachers play a key role in determining its effectiveness because they are in charge of making instructional decisions and choose whether and how to use technology. This article fills a gap in the literature by reporting findings of a mixed methods study of technology- enhanced multimedia instruction in middle and high school foreign language classrooms. Convergent parallel mixed methods design was applied in this study and data was collected through quantitative survey and qualitative semi-structured interviews with teachers. Results from the study indicated a significant positive correlation between variables that contribute to the use of technology-enhanced multimedia instruction in foreign language classrooms and described effective technology-enhanced multimedia practices. The findings of the study have implications for teachers, administrators and faculty of teacher preparation programs as well as state teacher education policy makers.

  8. Multi-strategic intervention to enhance implementation of healthy canteen policy: a randomised controlled trial.

    Science.gov (United States)

    Wolfenden, Luke; Nathan, Nicole; Janssen, Lisa M; Wiggers, John; Reilly, Kathryn; Delaney, Tessa; Williams, Christopher M; Bell, Colin; Wyse, Rebecca; Sutherland, Rachel; Campbell, Libby; Lecathelinais, Christophe; Oldmeadow, Chris; Freund, Megan; Yoong, Sze Lin

    2017-01-11

    Internationally, governments have implemented school-based nutrition policies to restrict the availability of unhealthy foods from sale. The aim of the trial was to assess the effectiveness of a multi-strategic intervention to increase implementation of a state-wide healthy canteen policy. The impact of the intervention on the energy, total fat, and sodium of children's canteen purchases and on schools' canteen revenue was also assessed. Australian primary schools with a canteen were randomised to receive a 12-14-month, multi-strategic intervention or to a no intervention control group. The intervention sought to increase implementation of a state-wide healthy canteen policy which required schools to remove unhealthy items (classified as 'red' or 'banned') from regular sale and encouraged schools to 'fill the menu' with healthy items (classified as 'green'). The intervention strategies included allocation of a support officer to assist with policy implementation, engagement of school principals and parent committees, consensus processes with canteen managers, training, provision of tools and resources, academic detailing, performance feedback, recognition and marketing initiatives. Data were collected at baseline (April to September, 2013) and at completion of the implementation period (November, 2014 to April, 2015). Seventy schools participated in the trial. Relative to control, at follow-up, intervention schools were significantly more likely to have menus without 'red' or 'banned' items (RR = 21.11; 95% CI 3.30 to 147.28; p ≤ 0.01) and to have at least 50% of menu items classified as 'green' (RR = 3.06; 95% CI 1.64 to 5.68; p ≤ 0.01). At follow-up, student purchases from intervention school canteens were significantly lower in total fat (difference = -1.51 g; 95% CI -2.84 to -0.18; p = 0.028) compared to controls, but not in energy (difference = -132.32 kJ; 95% CI -280.99 to 16.34; p = 0.080) or sodium (difference = -46

  9. Igniting interest in prevention: using firefighter focus groups to inform implementation and enhancement of an urban canvassing program.

    Science.gov (United States)

    Frattaroli, Shannon; McDonald, Eileen M; Tran, Nhan T; Trump, Alison R; OʼBrocki, Raymond C; Gielen, Andrea C

    2012-01-01

    Smoke alarm canvassing is recognized as an empirically based, effective intervention for increasing access to and the presence of smoke alarms in homes. We sought to inform the implementation of an intervention designed to enhance an existing fire department smoke alarm canvassing program through an empirically grounded, participatory process. We conducted a series of focus groups with fire union leaders and firefighters involved with the canvassing program in 1 US city, shared the results with the participants, and presented the resulting recommendations to fire department leadership. This research occurred in Baltimore, Maryland. Focus group participants included firefighters who participate in the Fire Department's smoke alarm canvassing program and representatives from the local firefighters' union. The focus groups sought to capture firefighters' experiences with and opinions about the canvassing program and how to improve it as well as challenges to canvassing work. We conducted 10 focus groups with 65 participants. Firefighters' perspectives on the canvassing program and their recommendations for improving it were expressed through 3 categories of themes concerning program management, canvassing challenges, and attitudes about the program and the community. We also discuss the process of presenting these findings and recommendations to the participants and the fire department leadership, and describe how implementation of some of the recommendations has progressed. Both the process and outcomes of this formative work inform how to develop and implement community-based public health interventions in real-world settings through academic-community partnerships. The findings also have implications for how canvassing programs are being implemented.

  10. Implementing Outcome Measures Within an Enhanced Palliative Care Day Care Model.

    LENUS (Irish Health Repository)

    Kilonzo, Isae

    2015-04-23

    Specialist palliative care day care (SPDC) units provide an array of services to patients and their families and can increase continuity of care between inpatient and homecare settings. A multidisciplinary teamwork approach is emphasized, and different models of day care exist. Depending on the emphasis of care, the models can be social, medical, therapeutic, or mixed. We describe our experience of introducing an enhanced therapeutic specialist day care model and using both patient- and carer-rated tools to monitor patient outcomes.

  11. Design and Implementation of NTU Wearable Exoskeleton as an Enhancement and Assistive Device

    OpenAIRE

    Low, K.H.; Liu, X.; Yu, H.

    2006-01-01

    This article presents a wearable lower extremity exoskeleton (LEE) developed to enhance the ability of a human’s walking while carrying heavy loads. The ultimate goal of the current research work is to design and control a power assist system that integrates a human’s intellect for feedback and sensory purposes. The exoskeleton system in this work consists of an inner exoskeleton and an outer exoskeleton. The inner exoskeleton measures the movements of the wearer and provides these measuremen...

  12. Implementation literacy strategies on health technology theme Learning to enhance Indonesian Junior High School Student's Physics Literacy

    Science.gov (United States)

    Feranie, Selly; Efendi, Ridwan; Karim, Saeful; Sasmita, Dedi

    2016-08-01

    The PISA results for Indonesian Students are lowest among Asian countries in the past two successive results. Therefore various Innovations in science learning process and its effectiveness enhancing student's science literacy is needed to enrich middle school science teachers. Literacy strategies have been implemented on health technologies theme learning to enhance Indonesian Junior high school Student's Physics literacy in three different health technologies e.g. Lasik surgery that associated with application of Light and Optics concepts, Ultra Sonographer (USG) associated with application of Sound wave concepts and Work out with stationary bike and walking associated with application of motion concepts. Science learning process involves at least teacher instruction, student learning and a science curriculum. We design two main part of literacy strategies in each theme based learning. First part is Integrated Reading Writing Task (IRWT) is given to the students before learning process, the second part is scientific investigation learning process design packed in Problem Based Learning. The first part is to enhance student's science knowledge and reading comprehension and the second part is to enhance student's science competencies. We design a transformation from complexity of physics language to Middle school physics language and from an expensive and complex science investigation to a local material and simply hands on activities. In this paper, we provide briefly how literacy strategies proposed by previous works is redesigned and applied in classroom science learning. Data were analysed using t- test. The increasing value of mean scores in each learning design (with a significance level of p = 0.01) shows that the implementation of this literacy strategy revealed a significant increase in students’ physics literacy achievement. Addition analysis of Avarage normalized gain show that each learning design is in medium-g courses effectiveness category

  13. Enhanced Recovery After Surgery Program Implementation in 2 Surgical Populations in an Integrated Health Care Delivery System.

    Science.gov (United States)

    Liu, Vincent X; Rosas, Efren; Hwang, Judith; Cain, Eric; Foss-Durant, Anne; Clopp, Molly; Huang, Mengfei; Lee, Derrick C; Mustille, Alex; Kipnis, Patricia; Parodi, Stephen

    2017-07-19

    Novel approaches to perioperative surgical care focus on optimizing nutrition, mobility, and pain management to minimize adverse events after surgical procedures. To evaluate the outcomes of an enhanced recovery after surgery (ERAS) program among 2 target populations: patients undergoing elective colorectal resection and patients undergoing emergency hip fracture repair. A pre-post difference-in-differences study before and after ERAS implementation in the target populations compared with contemporaneous surgical comparator groups (patients undergoing elective gastrointestinal surgery and emergency orthopedic surgery). Implementation began in February and March 2014 and concluded by the end of 2014 at 20 medical centers within the Kaiser Permanente Northern California integrated health care delivery system. A multifaceted ERAS program designed with a particular focus on perioperative pain management, mobility, nutrition, and patient engagement. The primary outcome was hospital length of stay. Secondary outcomes included hospital mortality, home discharge, 30-day readmission rates, and complication rates. The study included a total of 3768 patients undergoing elective colorectal resection (mean [SD] age, 62.7 [14.1] years; 1812 [48.1%] male) and 5002 patients undergoing emergency hip fracture repair (mean [SD] age, 79.5 [11.8] years; 1586 [31.7%] male). Comparator surgical patients included 5556 patients undergoing elective gastrointestinal surgery and 1523 patients undergoing emergency orthopedic surgery. Most process metrics had significantly greater changes in the ERAS target populations after implementation compared with comparator surgical populations, including those for ambulation, nutrition, and opioid use. Hospital length of stay and postoperative complication rates were also significantly lower among ERAS target populations after implementation. The rate ratios for postoperative complications were 0.68 (95% CI, 0.46-0.99; P = .04) for patients

  14. Enhancing Price Response Programs through Auto-DR: California's 2007 Implementation Experience

    Energy Technology Data Exchange (ETDEWEB)

    Kiliccote, Sila; Wikler, Greg; Chiu, Albert; Piette, Mary Ann; Kiliccote, Sila; Hennage, Dan; Thomas, Chuck

    2007-12-18

    This paper describes automated demand response (Auto-DR) activities, an innovative effort in California to ensure that DR programs produce effective and sustainable impacts. Through the application of automation and communication technologies coupled with well-designed incentives and DR programs such as Critical Peak Pricing (CPP) and Demand Bidding (DBP), Auto-DR is opening up the opportunity for many different types of buildings to effectively participate in DR programs. We present the results of Auto-DR implementation efforts by the three California investor-owned utilities for the Summer of 2007. The presentation emphasizes Pacific Gas and Electric Company's (PG&E) Auto-DR efforts, which represents the largest in the state. PG&E's goal was to recruit, install, test and operate 15 megawatts of Auto-DR system capability. We describe the unique delivery approaches, including optimizing the utility incentive structures designed to foster an Auto-DR service provider community. We also show how PG&E's Critical Peak Pricing (CPP) and Demand Bidding (DBP) options were called and executed under the automation platform. Finally, we show the results of the Auto-DR systems installed and operational during 2007, which surpassed PG&E's Auto-DR goals. Auto-DR is being implemented by a multi-disciplinary team including the California Investor Owned Utilities (IOUs), energy consultants, energy management control system vendors, the Lawrence Berkeley National Laboratory (LBNL), and the California Energy Commission (CEC).

  15. Structured synchronous implementation of an enhanced recovery program in elective colonic surgery in 33 hospitals in The Netherlands.

    Science.gov (United States)

    Gillissen, Freek; Hoff, Christiaan; Maessen, José M C; Winkens, Bjorn; Teeuwen, Jitske H F A; von Meyenfeldt, Maarten F; Dejong, Cornelis H C

    2013-05-01

    It has been clearly shown that after elective colorectal surgery patients benefit from multimodal perioperative care programs. The Dutch Institute for Health Care Improvement started a breakthrough project to implement a multimodal perioperative care program of enhanced recovery after surgery (ERAS). This pre/post noncontrolled study evaluated the success of large-scale implementation of the ERAS program for elective colonic surgery using the breakthrough series. A total of 33 hospitals participated in this breakthrough project during 2005-2009. Each hospital performed a retrospective chart review to gather information on traditionally treated patients (pre-ERAS group, n = 1,451). During the subsequent year patients were treated according to the ERAS program (ERAS group, n = 1 034). Outcomes were length of stay (LOS), functional recovery, adherence to the protocol, and determinants of reduced LOS. Median LOS decreased significantly from 9 to 6 days (p successfully implemented in one-third of all Dutch hospitals using the breakthrough series. Participating hospitals reduced the LOS by a median 3 days and were able to improve their standard of care in elective colonic surgery.

  16. Implementation of an Educational Cartoon ("the Patchbook") and Other Compliance-Enhancing Measures by Orthoptists in Occlusion Treatment of Amblyopia.

    Science.gov (United States)

    Tjiam, A M; Asjes-Tydeman, W L; Holtslag, G; Vukovic, E; Sinoo, M M; Loudon, S E; Passchier, J; de Koning, H J; Simonsz, H J

    2016-09-01

    This implementation study evaluated orthoptists' use of an educational cartoon ("the Patchbook") and other measures to improve compliance with occlusion therapy for amblyopia. Participating orthoptists provided standard orthoptic care for one year, adding the Patchbook in the second year. They attended courses on compliance and intercultural communication by communication skills training. Many other compliance-enhancing measures were initiated. Orthoptists' awareness, attitude, and activities regarding noncompliance were assessed through interviews, questionnaires, and observations. Their use of the Patchbook was measured. The study was performed in low socio-economic status (SES) areas and in other areas in the Netherlands. It was attempted to integrate education on compliance into basic and continuing orthoptic training. The Patchbook was used by all 9 orthoptists who participated in low-SES areas and 17 of 23 orthoptists in other areas. Courses changed awareness and attitude about compliance, but this was not sustained. Although orthoptists estimated compliance during patching at 70%, three-quarters never suspected noncompliance during a full day of observation in any of their patients. Explanations to parents who spoke Dutch poorly were short. In the second year, explanations to children were longer. Implementation of all 7 additional compliance-enhancing measures failed. Education on compliance was not integrated into orthoptists' training. Almost all orthoptists used the Patchbook and, as another study demonstrated, it proved to be very effective, especially in low-SES areas. Duration of explanation was inversely proportional to parents' fluency in Dutch. Noncompliance was rarely suspected by orthoptists. Although 7 additional compliance-enhancing measures had been conceived and planned with the best intentions, they were not realized. These required extra, unpaid time from the orthoptists, which is especially scarce in hospitals in low-SES areas where the

  17. Enhanced submerged Aspergillus ficuum phytase production by implementation of fed-batch fermentation.

    Science.gov (United States)

    Coban, Hasan B; Demirci, Ali

    2014-12-01

    Phytase is an important feed and food additive, which is both used in animal and human diets. Phytase has been used to increase the absorption of several divalent ions, amino acids, and proteins in the bodies and to decrease the excessive phosphorus release in the manure to prevent negative effects on the environment. To date, microbial phytase has been mostly produced in solid-state fermentations with insignificant production volumes. There are only a few studies in the literature that phytase productions were performed in submerged bench-top reactor scale. In our previous studies, growth parameters (temperature, pH, and aeration) and important fermentation medium ingredients (glucose, Na-phytate, and CaSO4) were optimized. This study was undertaken for further enhancement of phytase production with Aspergillus ficuum in bench-top bioreactors by conducting fed-batch fermentations. The results showed that addition of 60 g of glucose and 10 g of Na-phytate at 96 h of fermentation increased phytase activity to 3.84 and 4.82 U/ml, respectively. Therefore, the maximum phytase activity was further enhanced with addition of glucose and Na-phytate by 11 and 40 %, respectively, as compared to batch phytase fermentations. It was also reported that phytase activity increased higher in early log stage additions than late log stage additions because of higher microbial activity. In addition, the phytase activity in fed-batch fermentation did not drop significantly as compared to the batch fermentation. Overall, this study shows that fungal phytase can be successfully produced in submerged fed-batch fermentations.

  18. Withania somnifera: Advances and Implementation of Molecular and Tissue Culture Techniques to Enhance Its Application

    Directory of Open Access Journals (Sweden)

    Vibha Pandey

    2017-08-01

    Full Text Available Withania somnifera, commonly known as Ashwagandha an important medicinal plant largely used in Ayurvedic and indigenous medicine for over 3,000 years. Being a medicinal plant, dried powder, crude extract as well as purified metabolies of the plant has shown promising therapeutic properties. Withanolides are the principal metabolites, responsible for the medicinal properties of the plant. Availability and amount of particular withanolides differ with tissue type and chemotype and its importance leads to identification characterization of several genes/ enzymes related to withanolide biosynthetic pathway. The modulation in withanolides can be achieved by controlling the environmental conditions like, different tissue culture techniques, altered media compositions, use of elicitors, etc. Among all the in vitro techniques, hairy root culture proved its importance at industrial scale, which also gets benefits due to more accumulation (amount and number of withanolides in roots tissues of W. somnifera. Use of media compostion and elicitors further enhances the amount of withanolides in hairy roots. Another important modern day technique used for accumulation of desired secondary metabolites is modulating the gene expression by altering environmental conditions (use of different media composition, elicitors, etc. or through genetic enginnering. Knowing the significance of the gene and the key enzymatic step of the pathway, modulation in withanolide contents can be achieved upto required amount in therapeutic industry. To accomplish maximum productivity through genetic enginnering different means of Withania transformation methods have been developed to obtain maximum transformation efficiency. These standardized transformation procedues have been used to overexpress/silence desired gene in W. somnifera to understand the outcome and succeed with enhanced metabolic production for the ultimate benefit of human race.

  19. Withania somnifera: Advances and Implementation of Molecular and Tissue Culture Techniques to Enhance Its Application.

    Science.gov (United States)

    Pandey, Vibha; Ansari, Waquar Akhter; Misra, Pratibha; Atri, Neelam

    2017-01-01

    Withania somnifera, commonly known as Ashwagandha an important medicinal plant largely used in Ayurvedic and indigenous medicine for over 3,000 years. Being a medicinal plant, dried powder, crude extract as well as purified metabolies of the plant has shown promising therapeutic properties. Withanolides are the principal metabolites, responsible for the medicinal properties of the plant. Availability and amount of particular withanolides differ with tissue type and chemotype and its importance leads to identification characterization of several genes/ enzymes related to withanolide biosynthetic pathway. The modulation in withanolides can be achieved by controlling the environmental conditions like, different tissue culture techniques, altered media compositions, use of elicitors, etc. Among all the in vitro techniques, hairy root culture proved its importance at industrial scale, which also gets benefits due to more accumulation (amount and number) of withanolides in roots tissues of W. somnifera. Use of media compostion and elicitors further enhances the amount of withanolides in hairy roots. Another important modern day technique used for accumulation of desired secondary metabolites is modulating the gene expression by altering environmental conditions (use of different media composition, elicitors, etc.) or through genetic enginnering. Knowing the significance of the gene and the key enzymatic step of the pathway, modulation in withanolide contents can be achieved upto required amount in therapeutic industry. To accomplish maximum productivity through genetic enginnering different means of Withania transformation methods have been developed to obtain maximum transformation efficiency. These standardized transformation procedues have been used to overexpress/silence desired gene in W. somnifera to understand the outcome and succeed with enhanced metabolic production for the ultimate benefit of human race.

  20. Withania somnifera: Advances and Implementation of Molecular and Tissue Culture Techniques to Enhance Its Application

    Science.gov (United States)

    Pandey, Vibha; Ansari, Waquar Akhter; Misra, Pratibha; Atri, Neelam

    2017-01-01

    Withania somnifera, commonly known as Ashwagandha an important medicinal plant largely used in Ayurvedic and indigenous medicine for over 3,000 years. Being a medicinal plant, dried powder, crude extract as well as purified metabolies of the plant has shown promising therapeutic properties. Withanolides are the principal metabolites, responsible for the medicinal properties of the plant. Availability and amount of particular withanolides differ with tissue type and chemotype and its importance leads to identification characterization of several genes/ enzymes related to withanolide biosynthetic pathway. The modulation in withanolides can be achieved by controlling the environmental conditions like, different tissue culture techniques, altered media compositions, use of elicitors, etc. Among all the in vitro techniques, hairy root culture proved its importance at industrial scale, which also gets benefits due to more accumulation (amount and number) of withanolides in roots tissues of W. somnifera. Use of media compostion and elicitors further enhances the amount of withanolides in hairy roots. Another important modern day technique used for accumulation of desired secondary metabolites is modulating the gene expression by altering environmental conditions (use of different media composition, elicitors, etc.) or through genetic enginnering. Knowing the significance of the gene and the key enzymatic step of the pathway, modulation in withanolide contents can be achieved upto required amount in therapeutic industry. To accomplish maximum productivity through genetic enginnering different means of Withania transformation methods have been developed to obtain maximum transformation efficiency. These standardized transformation procedues have been used to overexpress/silence desired gene in W. somnifera to understand the outcome and succeed with enhanced metabolic production for the ultimate benefit of human race. PMID:28848589

  1. Development and Implementation of an Academic-Community Partnership to Enhance Care among Homeless Persons

    Directory of Open Access Journals (Sweden)

    Sharon B.S. Gatewood

    2011-01-01

    Full Text Available An academic-community partnership between a Health Care for the Homeless (HCH clinic and a school of pharmacy was created in 2005 to provide medication education and identify medication related problems. The urban community based HCH clinic in the Richmond, VA area provides primary health care to the homeless, uninsured and underinsured. The center also offers eye care, dental care, mental health and psychiatric care, substance abuse services, case management, laundry and shower facilities, and mail services at no charge to those in need. Pharmacist services are provided in the mental health and medical clinics. A satisfaction survey showed that the providers and staff (n = 13 in the clinic were very satisfied with the integration of pharmacist services. The quality and safety of medication use has improved as a result of the academic-community collaborative. Education and research initiatives have also resulted from the collaborative. This manuscript describes the implementation, outcomes and benefits of the partnership for both the HCH clinic and the school of pharmacy. Type: Clinical Experience

  2. Enhancements to the TOUGH2 Simulator as Implemented in iTOUGH2

    Energy Technology Data Exchange (ETDEWEB)

    Finsterle, Stefan [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States)

    2015-03-01

    iTOUGH2 is a program for parameter estimation, sensitivity analysis, and uncertainty propagation analysis. It is based on the TOUGH2 simulator for non-isothermal multiphase, multicomponent flow and transport in fractured and porous media [Pruess, 1987, 1991, 2005, 2011; Falta et al., 1995; Pruess et al., 1999, 2002, 2012; Doughty, 2013]. The core of iTOUGH2 contains slightly modified versions of TOUGH2 modules. Most code modifications are editorial and do not affect the simulation results. As a result, standard TOUGH2 input files can be used in iTOUGH2, and identical results are obtained if iTOUGH2 is run in forward mode. However, a number of modifications have been made as described in this report. They enhance the functionality, flexibilitu, and eas-of-use of the forward simulator. This report complements the reports iTOUGH2 User's Guide, iTOUGH2 Command Referecne, and the collection of tutorial examples in iTOUGH2 Sample Problems.

  3. A Novel Enhanced Positioning Trilateration Algorithm Implemented for Medical Implant In-Body Localization

    Directory of Open Access Journals (Sweden)

    Peter Brida

    2013-01-01

    Full Text Available Medical implants based on wireless communication will play crucial role in healthcare systems. Some applications need to know the exact position of each implant. RF positioning seems to be an effective approach for implant localization. The two most common positioning data typically used for RF positioning are received signal strength and time of flight of a radio signal between transmitter and receivers (medical implant and network of reference devices with known position. This leads to positioning methods: received signal strength (RSS and time of arrival (ToA. Both methods are based on trilateration. Used positioning data are very important, but the positioning algorithm which estimates the implant position is important as well. In this paper, the proposal of novel algorithm for trilateration is presented. The proposed algorithm improves the quality of basic trilateration algorithms with the same quality of measured positioning data. It is called Enhanced Positioning Trilateration Algorithm (EPTA. The proposed algorithm can be divided into two phases. The first phase is focused on the selection of the most suitable sensors for position estimation. The goal of the second one lies in the positioning accuracy improving by adaptive algorithm. Finally, we provide performance analysis of the proposed algorithm by computer simulations.

  4. Combining Geoelectrical Measurements and CO2 Analyses to Monitor the Enhanced Bioremediation of Hydrocarbon-Contaminated Soils: A Field Implementation

    Directory of Open Access Journals (Sweden)

    Cécile Noel

    2016-01-01

    Full Text Available Hydrocarbon-contaminated aquifers can be successfully remediated through enhanced biodegradation. However, in situ monitoring of the treatment by piezometers is expensive and invasive and might be insufficient as the information provided is restricted to vertical profiles at discrete locations. An alternative method was tested in order to improve the robustness of the monitoring. Geophysical methods, electrical resistivity (ER and induced polarization (IP, were combined with gas analyses, CO2 concentration, and its carbon isotopic ratio, to develop a less invasive methodology for monitoring enhanced biodegradation of hydrocarbons. The field implementation of this monitoring methodology, which lasted from February 2014 until June 2015, was carried out at a BTEX-polluted site under aerobic biotreatment. Geophysical monitoring shows a more conductive and chargeable area which corresponds to the contaminated zone. In this area, high CO2 emissions have been measured with an isotopic signature demonstrating that the main source of CO2 on this site is the biodegradation of hydrocarbon fuels. Besides, the evolution of geochemical and geophysical data over a year seems to show the seasonal variation of bacterial activity. Combining geophysics with gas analyses is thus promising to provide a new methodology for in situ monitoring.

  5. Implementation of Hybrid Speech Dereverberation Systems and Proposing Dual Microphone Farsi Database in Order to Evaluating Enhancement Systems

    Directory of Open Access Journals (Sweden)

    Farhad Faghani

    2013-01-01

    Full Text Available In various applications, such as speech recognition and automatic teleconferencing, the recorded speech signals may be corrupted by both noise and reverberation. Reverberation causes a noticeable change in speech intelligibility and quality. In this research, firstly reverberation is described. There are some de-reverberation enhancement algorithms that use only one microphone. They mostly use inverse filtering and spectral subtraction as their sub-systems. On the other hand, there are many multi-microphone speech enhancement systems; Delay-and-sum beam former is the most famous amongst them. Moreover, several efficient approaches have been also reported that use linear prediction (LP residual signal, inverse filtering, and phase error. Despite the improvements and benefits gained by the use of several input microphones, considering the tradeoff between these gains and the complexity and computational cost forced by the use of more microphones, many researchers have focused on dual-microphones systems. So, a review on Microphone array signal processing is explained and then an arrangement for two microphones systems is proposed. As we want to evaluate these algorithms for Farsi speech signals, the problem of speech intelligibility assessment has been explained and a Farsi word list for Diagnostic Rhyme Test (DRT is presented.The structure of presented word list is similar to that of English DRT words. In this research, after a brief study of above-mentioned methods, we propose and implement some hybrid techniques to benefit from the advantages of several methods and achieve significant improvement in output signals. It will be shown that the proposed method performs superior to the state-of-the-art dereverberation algorithms.

  6. Cultivation and Implementation of Community-Engaged Pharmacy Services in a Free Clinic to Enhance Care for the Medically Underserved

    Directory of Open Access Journals (Sweden)

    Emmeline Tran, Pharm.D. Candidate

    2013-01-01

    Full Text Available Partnerships between community free clinics and academic medical centers improve patient outcomes and enhance learning opportunities for students. A community-academic partnership between the Maliheh Free Clinic and the University of Utah College of Pharmacy was formed to fulfill a community need for pharmacy services, to promote interdisciplinary patient care, and to provide an experiential opportunity for students. The Maliheh Free Clinic based in Salt Lake City, Utah provides free primary health care to uninsured individuals who live 150% below federal poverty guidelines. Three pharmacy services were developed and implemented. These include: 1 clinic chart reviews which involve written recommendations following a comprehensive assessment of the patient’s chart examining his or her disease states and the appropriateness of his or her medications; 2 medication reconciliations and discussion of pharmacy-related recommendations with patients during Diabetes Day, an inclusive interdisciplinary patient appointment that addresses important aspects of diabetes care; and 3 an insulin dose adjustment service through a collaborative practice agreement with the clinic to monitor a patient’s blood glucose levels and adjust his or her medications accordingly on a weekly basis.

  7. Phase field modeling of brittle fracture for enhanced assumed strain shells at large deformations: formulation and finite element implementation

    Science.gov (United States)

    Reinoso, J.; Paggi, M.; Linder, C.

    2017-06-01

    Fracture of technological thin-walled components can notably limit the performance of their corresponding engineering systems. With the aim of achieving reliable fracture predictions of thin structures, this work presents a new phase field model of brittle fracture for large deformation analysis of shells relying on a mixed enhanced assumed strain (EAS) formulation. The kinematic description of the shell body is constructed according to the solid shell concept. This enables the use of fully three-dimensional constitutive models for the material. The proposed phase field formulation integrates the use of the (EAS) method to alleviate locking pathologies, especially Poisson thickness and volumetric locking. This technique is further combined with the assumed natural strain method to efficiently derive a locking-free solid shell element. On the computational side, a fully coupled monolithic framework is consistently formulated. Specific details regarding the corresponding finite element formulation and the main aspects associated with its implementation in the general purpose packages FEAP and ABAQUS are addressed. Finally, the applicability of the current strategy is demonstrated through several numerical examples involving different loading conditions, and including linear and nonlinear hyperelastic constitutive models.

  8. Third Places for Health Promotion with Older Adults: Using the Consolidated Framework for Implementation Research to Enhance Program Implementation and Evaluation.

    Science.gov (United States)

    Northridge, Mary E; Kum, Susan S; Chakraborty, Bibhas; Greenblatt, Ariel Port; Marshall, Stephen E; Wang, Hua; Kunzel, Carol; Metcalf, Sara S

    2016-10-01

    This study extends the concept of third places to include community sites where older adults gather, often for meals or companionship. The Consolidated Framework for Implementation Research guided program implementation and evaluation. Depending upon health promotion program needs, the physical infrastructure of a site is important, but a supportive director (champion) can often overcome identified deficits. Senior centers may be locally classified into four types based upon eligibility requirements of residents in affiliated housing and services offered. Participants who attend these centers differ in important ways across types by most sociodemographic as well as certain health and health care characteristics.

  9. Development of a Curriculum Management Process by Applying Lean Concept for Waste Elimination to Enhance Curriculum Implementation of Primary School Teacher

    Science.gov (United States)

    Chitrangsan, Nadrudee; Sawekngam, Wichai; Thongthew, Sumlee

    2015-01-01

    This research aims to study and develop a curriculum management process by applying Lean concept for waste elimination to enhance curriculum implementation of primary school teacher. This study was conducted with a focus on qualitative data collection by dividing into 2 phases, including (1) analyze and synthesize relevant notions, theories,…

  10. An Official American Thoracic Society/European Respiratory Society Policy Statement: Enhancing Implementation, Use, and Delivery of Pulmonary Rehabilitation.

    Science.gov (United States)

    Rochester, Carolyn L; Vogiatzis, Ioannis; Holland, Anne E; Lareau, Suzanne C; Marciniuk, Darcy D; Puhan, Milo A; Spruit, Martijn A; Masefield, Sarah; Casaburi, Richard; Clini, Enrico M; Crouch, Rebecca; Garcia-Aymerich, Judith; Garvey, Chris; Goldstein, Roger S; Hill, Kylie; Morgan, Michael; Nici, Linda; Pitta, Fabio; Ries, Andrew L; Singh, Sally J; Troosters, Thierry; Wijkstra, Peter J; Yawn, Barbara P; ZuWallack, Richard L

    2015-12-01

    Pulmonary rehabilitation (PR) has demonstrated physiological, symptom-reducing, psychosocial, and health economic benefits for patients with chronic respiratory diseases, yet it is underutilized worldwide. Insufficient funding, resources, and reimbursement; lack of healthcare professional, payer, and patient awareness and knowledge; and additional patient-related barriers all contribute to the gap between the knowledge of the science and benefits of PR and the actual delivery of PR services to suitable patients. The objectives of this document are to enhance implementation, use, and delivery of pulmonary rehabilitation to suitable individuals worldwide. Members of the American Thoracic Society (ATS) Pulmonary Rehabilitation Assembly and the European Respiratory Society (ERS) Rehabilitation and Chronic Care Group established a Task Force and writing committee to develop a policy statement on PR. The document was modified based on feedback from expert peer reviewers. After cycles of review and revisions, the statement was reviewed and formally approved by the Board of Directors of the ATS and the Science Council and Executive Committee of the ERS. This document articulates policy recommendations for advancing healthcare professional, payer, and patient awareness and knowledge of PR, increasing patient access to PR, and ensuring quality of PR programs. It also recommends areas of future research to establish evidence to support the development of an updated funding and reimbursement policy regarding PR. The ATS and ERS commit to undertake actions that will improve access to and delivery of PR services for suitable patients. They call on their members and other health professional societies, payers, patients, and patient advocacy groups to join in this commitment.

  11. Implementation of an enhanced safety-engineered sharp device oversight and bloodborne pathogen protection program at a large academic medical center.

    Science.gov (United States)

    Talbot, Thomas R; Wang, Deede; Swift, Melanie; St Jacques, Paul; Johnson, Susan; Brinsko, Vicki; Thayer, Valerie; Dail, Teresa; Feistritzer, Nancye; Polancich, Shea

    2014-11-01

    Exposure of healthcare personnel to bloodborne pathogens (BBPs) can be prevented in part by using safety-engineered sharp devices (SESDs) and other safe practices, such as double gloving. In some instances, however, safer devices and practices cannot be utilized because of procedural factors or the lack of a manufactured safety device for the specific clinical use. In these situations, a standardized system to examine requests for waiver from expected practices is necessary. Before-after program analysis. Large academic medical center. Vanderbilt University Medical Center developed a formalized system for an improved waiver process, including an online submission and tracking site, and standards surrounding implementation of core safe practices. The program's impact on sharp device injuries and utilization of double gloving and blunt sutures was examined. Following implementation of the enhanced program, there was an increase in the amount of undergloves and blunt sutures purchased for surgical procedures, suggesting larger utilization of these practices. The rate of sharp device injuries of all at-risk employees decreased from 2.32% to 2.12%, but this decline was not statistically significant (P = .14). The proportion of reported injuries that were deemed preventable significantly decreased from 72.7% (386/531) before implementation to 63.9% (334/523; P = .002) after implementation of the enhanced program. An enhanced BBP protection program was successful at providing guidance to increase safe practices and at improving the management of SESD waiver requests and was associated with a reduction in preventable sharp device injuries.

  12. Activities of the Oil Implementation Task Force, December 1990--February 1991; Contracts for field projects and supporting research on enhanced oil recovery, April--June 1990

    Energy Technology Data Exchange (ETDEWEB)

    Tiedemann, H.A. (ed.) (USDOE Bartlesville Project Office, OK (USA))

    1991-03-01

    The Oil Implementation Task Force was appointed to implement the US DOE's new oil research program directed toward increasing domestic oil production by expanded research on near- or mid-term enhanced oil recovery methods. An added priority is to preserve access to reservoirs that have the largest potential for oil recovery, but that are threatened by the large number of wells abandoned each year. This report describes the progress of research activities in the following areas: chemical flooding; gas displacement; thermal recovery; resource assessment; microbial technology; geoscience technology; and environmental technology. (CK)

  13. A stepped strategy that aims at the nationwide implementation of the Enhanced Recovery After Surgery programme in major gynaecological surgery: study protocol of a cluster randomised controlled trial.

    Science.gov (United States)

    de Groot, Jeanny Ja; Maessen, José Mc; Slangen, Brigitte Fm; Winkens, Bjorn; Dirksen, Carmen D; van der Weijden, Trudy

    2015-07-30

    Enhanced Recovery After Surgery (ERAS) programmes aim at an early recovery after surgical trauma and consequently at a reduced length of hospitalisation. This paper presents the protocol for a study that focuses on large-scale implementation of the ERAS programme in major gynaecological surgery in the Netherlands. The trial will evaluate effectiveness and costs of a stepped implementation approach that is characterised by tailoring the intensity of implementation activities to the needs of organisations and local barriers for change, in comparison with the generic breakthrough strategy that is usually applied in large-scale improvement projects in the Netherlands. All Dutch hospitals authorised to perform major abdominal surgery in gynaecological oncology patients are eligible for inclusion in this cluster randomised controlled trial. The hospitals that already fully implemented the ERAS programme in their local perioperative management or those who predominantly admit gynaecological surgery patients to an external hospital replacement care facility will be excluded. Cluster randomisation will be applied at the hospital level and will be stratified based on tertiary status. Hospitals will be randomly assigned to the stepped implementation strategy or the breakthrough strategy. The control group will receive the traditional breakthrough strategy with three educational sessions and the use of plan-do-study-act cycles for planning and executing local improvement activities. The intervention group will receive an innovative stepped strategy comprising four levels of intensity of support. Implementation starts with generic low-cost activities and may build up to the highest level of tailored and labour-intensive activities. The decision for a stepwise increase in intensive support will be based on the success of implementation so far. Both implementation strategies will be completed within 1 year and evaluated on effect, process, and cost-effectiveness. The primary

  14. Enhanced

    Directory of Open Access Journals (Sweden)

    Martin I. Bayala

    2014-06-01

    Full Text Available Land Surface Temperature (LST is a key parameter in the energy balance model. However, the spatial resolution of the retrieved LST from sensors with high temporal resolution is not accurate enough to be used in local-scale studies. To explore the LST–Normalised Difference Vegetation Index relationship potential and obtain thermal images with high spatial resolution, six enhanced image sharpening techniques were assessed: the disaggregation procedure for radiometric surface temperatures (TsHARP, the Dry Edge Quadratic Function, the Difference of Edges (Ts∗DL and three models supported by the relationship of surface temperature and water stress of vegetation (Normalised Difference Water Index, Normalised Difference Infrared Index and Soil wetness index. Energy Balance Station data and in situ measurements were used to validate the enhanced LST images over a mixed agricultural landscape in the sub-humid Pampean Region of Argentina (PRA, during 2006–2010. Landsat Thematic Mapper (TM and Moderate Resolution Imaging Spectroradiometer (EOS-MODIS thermal datasets were assessed for different spatial resolutions (e.g., 960, 720 and 240 m and the performances were compared with global and local TsHARP procedures. Results suggest that the Ts∗DL technique is the most adequate for simulating LST to high spatial resolution over the heterogeneous landscape of a sub-humid region, showing an average root mean square error of less than 1 K.

  15. Enhancing the implementation of Occupational Health and Safety interventions through a design of the socio-technical interaction

    DEFF Research Database (Denmark)

    Masi, Donato; Cagno, E.; Hasle, Peter

    2014-01-01

    A multitude of Occupational Health and Safety (OHS) interventions have proven to be effective under controlled conditions, but their implementation in practice is often difficult and interventions may therefore not work as expected, especially when referring to Small and Medium sized Enterprises...

  16. Implementation Evaluation Study: Flipped Classroom Professional Development with Faculty Members to Enhance Students' Engagement in Higher Education

    Science.gov (United States)

    Alebrahim, Fatimah Hussain

    2016-01-01

    The purpose of this qualitative study was to explore student engagement in higher education by evaluating training provided by experienced faculty members for those faculty desiring to implement a flipped classroom. A case study was utilized; data were collected in the form of online observation, in-class observation, student focus group…

  17. Enhancing the Communication Abilities of Preschoolers at Risk for Behavior Problems: Effectiveness of a Parent-Implemented Language Intervention

    Science.gov (United States)

    Brassart, Elise; Schelstraete, Marie-Anne

    2015-01-01

    Communication deficits are frequently associated with externalizing behavior problems in preschoolers but, in most cases, unsuspected in clinical practice. This exploratory study evaluated the effectiveness of a relatively brief parent-implemented language intervention on preschoolers at risk for behavior problems. Participants were randomly…

  18. Implementing the DF4 in a robust model, allowing for enhanced comparison, prioritisation and grouping of Nanomaterials

    DEFF Research Database (Denmark)

    Scott-Fordsmand, Janeck J.; Amorim, Mónica J.B.; Sørensen, Peter B.

    2018-01-01

    It is here shown how partial order can be used to provide a robust and consistent implementation of the DF4 approach which provides unbiased information enabling comparison and open up the possibility for grouping. The approach is based on few assumptions, works well with the data, can include di...

  19. Implementation of Nationwide Real-time Whole-genome Sequencing to Enhance Listeriosis Outbreak Detection and Investigation

    OpenAIRE

    Jackson, Brendan R.; Tarr, Cheryl; Strain, Errol; Jackson, Kelly A.; Conrad, Amanda; Carleton, Heather; Katz, Lee S.; Stroika, Steven; Gould, L. Hannah; Mody, Rajal K.; Silk, Benjamin J.; Beal, Jennifer; Chen, Yi; Timme, Ruth; Doyle, Matthew

    2016-01-01

    Implementation of whole-genome sequencing (WGS)–based surveillance for Listeria monocytogenes in 2013 greatly improved detection and investigation of listeriosis outbreaks in the United States. Lessons from this intervention can guide WGS-based surveillance for other foodborne pathogens.

  20. A study of the role of a technology-enhanced learning implementation group in mediating an institutional VLE minimum standards policy

    Directory of Open Access Journals (Sweden)

    Tünde Varga-Atkins

    2016-11-01

    Full Text Available Recent years have seen a focus on responding to student expectations in higher education. As a result, a number of technology-enhanced learning (TEL policies have stipulated a requirement for a minimum virtual learning environment (VLE standard to provide a consistent student experience. This paper offers insight into an under-researched area of such a VLE standard policy development using a case study of one university. With reference to the implementation staircase model, this study takes cue from the view that an institutional VLE template can affect lower levels directly, sidestepping the chain in the implementation staircase. The Group's activity whose remit is to design and develop a VLE template, therefore, becomes significant. The study, drawing on activity theory, explores the mediating role of such a Group. Factors of success and sources of tension are analysed to understand the interaction between the individuals and the collective agency of Group members. The paper identifies implications to practice for similar TEL development projects. Success factors identified demonstrated the importance of good project management principles, establishing clear rules and division of labour for TEL development groups. One key finding is that Group members are needed to draw on both different and shared mediating artefacts, supporting the conclusion that the nature of the group's composition and the situated expertise of its members are crucial for project success. The paper's theoretical contribution is an enhanced representation of a TEL policy implementation staircase.

  1. Coeur d'Alene Tribe Fisheries Program : Implementation of Fisheries Enhancement Opportunities on the Coeur d'Alene Reservation : 2006 Annual Report.

    Energy Technology Data Exchange (ETDEWEB)

    Vitale, Angelo J.; Hallock, Stephanie A.; Firehammer, Jon A.

    2008-12-12

    This annual report summarizes previously unreported data collected to fulfill the contractual obligations for BPA project No.1990-044-00, 'Coeur d'Alene Subbasin Fisheries Habitat Enhancement', during the 2006 calendar year. Even though the contract performance period for this project crosses fiscal and calendar years, the timing of data collection and analysis, as well as implementation of restoration projects, lends itself to this reporting schedule. The 2006 performance period marked the first year that BPA implemented its Process Improvement Initiative with the Pisces system serving as the vehicle for developing statements of work and tracking project performance. This document attempts to provide some consistency between the project objectives, around which past reports have been structured, and the new work element format adopted for use in Pisces. The report is formatted into three primary sections that respectively provide results and discussion of: (1) monitoring and evaluation of biological and physical habitat indicators; (2) implementation of restoration and enhancement projects; and (3) education and outreach work performed during 2006. The relevant work elements and/or milestones found in the statement of work are listed under these section headings and described in the body of the report.

  2. Enhancing mindful coordination in fragmented utility construction practices: by developing, implementing and evaluating virtual design and construction models

    OpenAIRE

    olde Scholtenhuis, Léon Luc

    2015-01-01

    Municipalities cope with a growth in number of utility network owners and subsurface network size. Simultaneously, the multiple utility owners involved in subsurface construction work need to align plans to cope with tight deadlines and imposed spatial constraints. This research hones in on this challenged practice by developing, implementing and empirically testing Virtual Design and Construction (VDC) tools for utility construction. VDC tools capture process knowledge and support coordinati...

  3. Activities of the Oil Implementation Task Force; Contracts for field projects and supporting research on enhanced oil recovery, July--September 1990

    Energy Technology Data Exchange (ETDEWEB)

    Tiedemann, H.A. (ed.) (USDOE Bartlesville Project Office, OK (USA))

    1991-05-01

    The report contains a general introduction and background to DOE's revised National Energy Strategy Advanced Oil Recovery Program and activities of the Oil Implementation Task Force; a detailed synopsis of the symposium, including technical presentations, comments and suggestions; a section of technical information on deltaic reservoirs; and appendices containing a comprehensive listing of references keyed to general deltaic and geological aspects of reservoirs and those relevant to six selected deltaic plays. Enhanced recovery processes include chemical floodings, gas displacement, thermal recovery, geoscience, and microbial recovery.

  4. Toward public health nutrition strategies in the European Union to implement food based dietary guidelines and to enhance healthier lifestyles.

    Science.gov (United States)

    Stockley, L

    2001-04-01

    This paper suggests strategies for implementing the EU food based dietary guidelines. Dietary guidelines have been developed and disseminated in many countries across the world. However, the EU guidelines are the first to include a specific section on implementation. The aims of the guidelines are twofold, 1) to provide food based dietary guidelines which can be used as a consistent communication tool and 2) as a springboard to planning, implementing, and evaluating public health nutrition strategies. The report is not intended to be prescriptive. It aims to build upon a solid evidence base to provide practical and cost effective suggestions for developing public health strategies, which member countries can use and tailor to the social, cultural and health needs of their populations. Diet and physical activity related diseases impose vast costs on the European economy. However, despite the enormous costs to healthcare systems and in terms of lost productivity, there have been a very few resources allocated in Europe to attempting to prevent these, rather than treating them. The burden of disease exists in the majority of the population, and not in high-risk groups. The optimal public health strategy is thus to focus on the population as a whole, rather than targeting those with increased risk factors or pre-existing disease. Reviews have been carried out on the health impact effectiveness of various types of intervention to promote healthy eating and physical activity in the population. These conclude that the most effective interventions a) adopt an integrated, multidisciplinary, and comprehensive approach b) involve a complementary range of actions, and c) work at an individual, community, environmental and policy level. Information provision in isolation is not effective, and may exacerbate inequalities in health. In some countries inequities in diet and physical activity are not only significant contributors to inequalities in health, but are increasing

  5. Implementation of Enhanced Attenuation at the DOE Mound Site OU-1 Landfill: Accelerating Progress and Reducing Costs

    Energy Technology Data Exchange (ETDEWEB)

    Hooten, Gwendolyn [U.S. Department of Energy, Office of Legacy Management; Cato, Rebecca [Navarro Research and Engineering; Looney, Brian [Savannah River National Laboratory, Aiken, SC

    2016-03-06

    At the US Department of Energy (DOE), Office of Legacy Management, Mound, Ohio, Site, chlorinated organic contaminants (cVOCs) originating from the former solid-waste landfill have impacted groundwater in Operable Unit 1 (OU-1). The baseline groundwater remedy was groundwater pump and treat (P&T). Since the source materials have been removed from the landfill, the Mound core team, which consists of DOE, US Environmental Protection Agency (US EPA), Ohio EPA, and other stakeholders, is assessing the feasibility of switching from the active P&T remedy to a passive attenuation-based remedy. Toward this end, an enhanced attenuation (EA) strategy based on the creation of structured geochemical zones was developed. This EA strategy addresses the residual areas of elevated cVOCs in soil and groundwater while minimizing the rebound of groundwater concentrations above regulatory targets (e.g., maximum contaminant levels [MCLs]) and avoiding plume expansion while the P&T system is turned off. The EA strategy has improved confidence and reduced risk on the OU-1 groundwater transition path to monitored natural attenuation (MNA). To better evaluate the EA strategy, DOE is conducting a field demonstration to evaluate the use of edible oils to enhance the natural attenuation processes. The field demonstration is designed to determine whether structured geochemical zones can be established that expedite the attenuation of cVOCs in the OU-1 groundwater. The EA approach at OU-1 was designed based on “structured geochemical zones” and relies on groundwater flow through a succession of anaerobic and aerobic zones. The anaerobic zones stimulate relatively rapid degradation of the original solvent source compounds (e.g., cVOCs such as tetrachloroethene [PCE] and trichloroethene [TCE]). The surrounding aerobic areas encourage relatively rapid degradation of daughter products (such as dichloroethene [DCE] and vinyl chloride [VC]) as well as enhanced cometabolism of TCE resulting from

  6. Enhancement of the performance of an anaerobic sequencing batch reactor treating low-strength wastewater through implementation of a variable stirring rate program

    Directory of Open Access Journals (Sweden)

    Rodrigues J. A. D.

    2004-01-01

    Full Text Available This work focuses on enhancement of the performance of an anaerobic sequencing batch reactor with a six-vertical-blade-disk-turbine impeller, containing granulated biomass treating low-strength synthetic wastewater, through a study of the feasibility of implementing a variable stirring rate program. The reactor was operated at 30ºC and a six-hour cycle was used to treat approximately 2.0 L of the synthetic substrate with a chemical oxygen demand (COD of nearly 500 mg/L. Two different stirring rate program were implemented: a constant rate of 50 rpm and a variable rate consisting of 75 rpm for one hour, 50 rpm for four hours and 25 rpm for 0.5 hour. The last 0.5 hour of the cycle was used for the settling step. In both cases, a very short start-up period and unfiltered and filtered substrate removal efficiencies of 81% and 88%, respectively, were attained. However, use of the variable stirring rate enhanced efficiency of the reactor dynamics without impairing biomass morphology, thus resulting in a reduction in the total cycle time and a possible decrease in energy consumption. Additionally, a simplified model of the anaerobic metabolic activity, using apparent kinetic parameters, was proposed as a consecutive first-order kinetic model with substrate and total volatile acid residual concentrations in order to analyze how the variable stirring rate affects reactor performance.

  7. Simulation of evolution implemented in the mutualistic symbioses towards enhancing their ecological efficiency, functional integrity and genotypic specificity.

    Science.gov (United States)

    Provorov, Nikolai A; Vorobyov, Nikolai I

    2010-12-01

    We created the mathematical model for the evolution of the Efficiency of Mutualistic Symbioses (EMS) which was estimated as the microsymbiont impacts on the host's reproductive potential. Using the example of rhizobia-legume interaction, the relationships were studied between EMS and Functional Integrity of Symbiosis (FIS) which is represented as a measure for concordance of changes in the partners' genotypic frequencies under the environmental fluctuations represented by the minor deviations of the systemic model parameters. The FIS indices correlate positively with EMS values suggesting an enhancement of FIS via the natural selection operating in the partners' populations in favor of high EMS. Due to this selection, nodular habitats may be closed for colonization by the non-beneficial bacterial strains and the Genotypic Specificity of Mutualism (GSM) in partners' interactions is enhanced: the selective advantage of host-specific vs non-host-specific mutualists is increasing. The novelty of our model is to suggest a selective background for macroevolutionary events reorganizing the structure and functions of symbiotic systems and to present its evolution as a result of shifting the equilibrium between different types of mutualists under the impacts of the symbiosis-stipulated modes of natural selection. Copyright © 2010 Elsevier Inc. All rights reserved.

  8. Implementation Costs of an Enhanced Recovery After Surgery Program in the United States: A Financial Model and Sensitivity Analysis Based on Experiences at a Quaternary Academic Medical Center.

    Science.gov (United States)

    Stone, Alexander B; Grant, Michael C; Pio Roda, Claro; Hobson, Deborah; Pawlik, Timothy; Wu, Christopher L; Wick, Elizabeth C

    2016-03-01

    Despite positive results from several international Enhanced Recovery After Surgery (ERAS) protocols, the United States has been slow to adopt ERAS protocols, in part due to concern regarding the expenses of such a program. We sought to evaluate the potential annual net cost savings of implementing a US-based ERAS program. Using data from existing publications and experience with an ERAS program, a model of net financial costs was developed for surgical groups of escalating numbers of annual cases. Our example scenario provided a financial analysis of the implementation of an ERAS program at a United States academic institution based on data from the ERAS Program for Colorectal Surgery at The Johns Hopkins Hospital. Based on available data from the United States, ERAS programs lead to reductions in lengths of hospital stay that range from 0.7 to 2.7 days and substantial direct cost savings. Using example data from a quaternary hospital, the considerable cost of $552,783 associated with implementation of an ERAS program was offset by even greater savings in the first year of nearly $948,500, yielding a net savings of $395,717. Sensitivity analysis across several caseload and direct cost scenarios yielded similar savings in 20 of the 27 projections. Enhanced Recovery After Surgery protocols have repeatedly led to reduction in length of hospital stay and improved surgical outcomes. A financial model, based on published data and experience, projects that investment in an ERAS program can also lead to net financial savings for US hospitals. Copyright © 2016 American College of Surgeons. Published by Elsevier Inc. All rights reserved.

  9. The implementation of e-learning tools to enhance undergraduate bioinformatics teaching and learning: a case study in the National University of Singapore.

    Science.gov (United States)

    Lim, Shen Jean; Khan, Asif Mohammad; De Silva, Mark; Lim, Kuan Siong; Hu, Yongli; Tan, Chay Hoon; Tan, Tin Wee

    2009-12-03

    The rapid advancement of computer and information technology in recent years has resulted in the rise of e-learning technologies to enhance and complement traditional classroom teaching in many fields, including bioinformatics. This paper records the experience of implementing e-learning technology to support problem-based learning (PBL) in the teaching of two undergraduate bioinformatics classes in the National University of Singapore. Survey results further established the efficiency and suitability of e-learning tools to supplement PBL in bioinformatics education. 63.16% of year three bioinformatics students showed a positive response regarding the usefulness of the Learning Activity Management System (LAMS) e-learning tool in guiding the learning and discussion process involved in PBL and in enhancing the learning experience by breaking down PBL activities into a sequential workflow. On the other hand, 89.81% of year two bioinformatics students indicated that their revision process was positively impacted with the use of LAMS for guiding the learning process, while 60.19% agreed that the breakdown of activities into a sequential step-by-step workflow by LAMS enhances the learning experience We show that e-learning tools are useful for supplementing PBL in bioinformatics education. The results suggest that it is feasible to develop and adopt e-learning tools to supplement a variety of instructional strategies in the future.

  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. Does pre-ordering tests enhance the value of the periodic examination? Study Design - Process implementation with retrospective chart review

    Directory of Open Access Journals (Sweden)

    Stroebel Robert J

    2011-09-01

    Full Text Available Abstract Background To evaluate the value of a pre-ordering process for the pro-active scheduling and completion of appropriate preventive and chronic disease monitoring tests prior to a periodic health examination (PHE. Methods A standardized template was developed and used by our nursing staff to identify and schedule appropriate tests prior to the patients PHE. Chart reviews were completed on all 602 PHE visits for a 3-month interval in a primary care setting. A patient satisfaction survey was administered to a convenience sample of the PHE patients. Results Of all the patients with tests pre-ordered, 87.8% completed the tests. All providers in the division used the process, but some evolved from one template to another over time. Most patients (61% preferred to get their tests done prior to their PHE appointment. Many of our patients had abnormal test results. With this process, patients were able to benefit from face-to-face discussion of these results directly with their provider. Conclusions A pre-order process was successfully implemented to improve the value of the PHE visit in an internal medicine primary care practice using a standardized approach that allowed for provider autonomy. The process was accepted by patients and providers and resulted in improved office efficiency through reduced message handling. Completion of routine tests before the PHE office visit can help facilitate face-to-face discussions about abnormal results and subsequent management that otherwise may only occur by telephone.

  12. Does pre-ordering tests enhance the value of the periodic examination? Study Design - Process implementation with retrospective chart review.

    Science.gov (United States)

    Hunt, Vicki L; Chaudhry, Rajeev; Stroebel, Robert J; North, Frederick

    2011-09-13

    To evaluate the value of a pre-ordering process for the pro-active scheduling and completion of appropriate preventive and chronic disease monitoring tests prior to a periodic health examination (PHE). A standardized template was developed and used by our nursing staff to identify and schedule appropriate tests prior to the patients PHE. Chart reviews were completed on all 602 PHE visits for a 3-month interval in a primary care setting. A patient satisfaction survey was administered to a convenience sample of the PHE patients. Of all the patients with tests pre-ordered, 87.8% completed the tests. All providers in the division used the process, but some evolved from one template to another over time. Most patients (61%) preferred to get their tests done prior to their PHE appointment. Many of our patients had abnormal test results. With this process, patients were able to benefit from face-to-face discussion of these results directly with their provider. A pre-order process was successfully implemented to improve the value of the PHE visit in an internal medicine primary care practice using a standardized approach that allowed for provider autonomy. The process was accepted by patients and providers and resulted in improved office efficiency through reduced message handling. Completion of routine tests before the PHE office visit can help facilitate face-to-face discussions about abnormal results and subsequent management that otherwise may only occur by telephone.

  13. Implementation of Nationwide Real-time Whole-genome Sequencing to Enhance Listeriosis Outbreak Detection and Investigation.

    Science.gov (United States)

    Jackson, Brendan R; Tarr, Cheryl; Strain, Errol; Jackson, Kelly A; Conrad, Amanda; Carleton, Heather; Katz, Lee S; Stroika, Steven; Gould, L Hannah; Mody, Rajal K; Silk, Benjamin J; Beal, Jennifer; Chen, Yi; Timme, Ruth; Doyle, Matthew; Fields, Angela; Wise, Matthew; Tillman, Glenn; Defibaugh-Chavez, Stephanie; Kucerova, Zuzana; Sabol, Ashley; Roache, Katie; Trees, Eija; Simmons, Mustafa; Wasilenko, Jamie; Kubota, Kristy; Pouseele, Hannes; Klimke, William; Besser, John; Brown, Eric; Allard, Marc; Gerner-Smidt, Peter

    2016-08-01

    Listeria monocytogenes (Lm) causes severe foodborne illness (listeriosis). Previous molecular subtyping methods, such as pulsed-field gel electrophoresis (PFGE), were critical in detecting outbreaks that led to food safety improvements and declining incidence, but PFGE provides limited genetic resolution. A multiagency collaboration began performing real-time, whole-genome sequencing (WGS) on all US Lm isolates from patients, food, and the environment in September 2013, posting sequencing data into a public repository. Compared with the year before the project began, WGS, combined with epidemiologic and product trace-back data, detected more listeriosis clusters and solved more outbreaks (2 outbreaks in pre-WGS year, 5 in WGS year 1, and 9 in year 2). Whole-genome multilocus sequence typing and single nucleotide polymorphism analyses provided equivalent phylogenetic relationships relevant to investigations; results were most useful when interpreted in context of epidemiological data. WGS has transformed listeriosis outbreak surveillance and is being implemented for other foodborne pathogens. Published by Oxford University Press for the Infectious Diseases Society of America 2016. This work is written by (a) US Government employee(s) and is in the public domain in the US.

  14. Activities of the Oil Implementation Task Force, reporting period March--August 1991; Contracts for field projects and supporting research on enhanced oil recovery, reporting period October--December 1990

    Energy Technology Data Exchange (ETDEWEB)

    1991-10-01

    Activities of DOE's Oil Implementation Task Force for the period March--August 1991 are reviewed. Contracts for fields projects and supporting research on enhanced oil recovery are discussed, with a list of related publications given. Enhanced recovery processes covered include chemical flooding, gas displacement, thermal recovery, and microbial recovery.

  15. Optimization of Surface-Enhanced Raman Spectroscopy Conditions for Implementation into a Microfluidic Device for Drug Detection.

    Science.gov (United States)

    Kline, Neal D; Tripathi, Ashish; Mirsafavi, Rustin; Pardoe, Ian; Moskovits, Martin; Meinhart, Carl; Guicheteau, Jason A; Christesen, Steven D; Fountain, Augustus W

    2016-11-01

    A microfluidic device is being developed by University of California-Santa Barbara as part of a joint effort with the United States Army to develop a portable, rapid drug detection device. Surface-enhanced Raman spectroscopy (SERS) is used to provide a sensitive, selective detection technique within the microfluidic platform employing metallic nanoparticles as the SERS medium. Using several illicit drugs as analytes, the work presented here describes the efforts of the Edgewood Chemical Biological Center to optimize the microfluidic platform by investigating the role of nanoparticle material, nanoparticle size, excitation wavelength, and capping agents on the performance, and drug concentration detection limits achievable with Ag and Au nanoparticles that will ultimately be incorporated into the final design. This study is particularly important as it lays out a systematic comparison of limits of detection and potential interferences from working with several nanoparticle capping agents-such as tannate, citrate, and borate-which does not seem to have been done previously as the majority of studies only concentrate on citrate as the capping agent. Morphine, cocaine, and methamphetamine were chosen as test analytes for this study and were observed to have limits of detection (LOD) in the range of (1.5-4.7) × 10 -8 M (4.5-13 ng/mL), with the borate capping agent having the best performance.

  16. Geomechanics of Hydraulic Stimulation in Geothermal Systems: Designing and Implementing a Successful Enhanced Geothermal System at Desert Peak, Nevada

    Science.gov (United States)

    Hickman, S. H.; Davatzes, N. C.; Zemach, E.; Chabora, E.; Lutz, S.; Rose, P.; Majer, E. L.; Robertson-Tait, A.

    2013-12-01

    Creation of an Enhanced Geothermal System (EGS) in hot but low-permeability rocks involves hydraulic stimulation of fracture permeability to develop a complex heat exchange system with low hydraulic impedance. An integrated study of stress, fractures and rock mechanical properties was conducted to develop the geomechanical framework for a multi-stage EGS stimulation in Desert Peak well 27-15, located at the low-permeability margins of an active geothermal field. The stimulation targeted silicified tuffs and metamorphosed mudstones at depths of 0.9 to 1.8 km and temperatures ~180 to 210° C. Drilling-induced tensile fractures in image logs from well 27-15 show that the least horizontal principal stress (Shmin) is consistent with normal faulting on ESE- and WNW-dipping fractures mapped at the surface and seen in the image logs. A hydraulic fracturing stress measurement indicates that the magnitude of Shmin at ~0.93 km depth is 0.61 of the calculated vertical stress. Coulomb failure calculations using these stresses together with measurements of friction and permeability on core predict that dilatant shear failure should be induced on pre-existing conjugate normal faults once pore pressures are increased ~2.5 MPa or more above ambient values, generating a zone of enhanced permeability elongated in the direction toward active geothermal wells ~0.5 km to the SSW. Hydraulic stimulation of well 27-15 began in September 2010 by injecting water into the open-hole interval between the casing shoe at 0.9 km depth and a temporary cement plug at 1.1 km. Stimulation was monitored by combined surface and down-hole seismic monitoring, inter-well tracer testing and periodic pressure-temperature-flowmeter logging. An initial stage of low-pressure (shear) stimulation was conducted for ~100 days at a series of pressure steps Shmin and injection rates up to 2800 l/min, resulting in an additional 6-fold increase in injectivity. Numerous microearthquakes induced during this high

  17. Comparison of linear and nonlinear implementation of the compartmental tissue uptake model for dynamic contrast‐enhanced MRI

    Science.gov (United States)

    Sourbron, Steven; Irving, Benjamin; Tanderup, Kari; Schnabel, Julia A.; Chappell, Michael A.

    2016-01-01

    Purpose Fitting tracer kinetic models using linear methods is much faster than using their nonlinear counterparts, although this comes often at the expense of reduced accuracy and precision. The aim of this study was to derive and compare the performance of the linear compartmental tissue uptake (CTU) model with its nonlinear version with respect to their percentage error and precision. Theory and Methods The linear and nonlinear CTU models were initially compared using simulations with varying noise and temporal sampling. Subsequently, the clinical applicability of the linear model was demonstrated on 14 patients with locally advanced cervical cancer examined with dynamic contrast‐enhanced magnetic resonance imaging. Results Simulations revealed equal percentage error and precision when noise was within clinical achievable ranges (contrast‐to‐noise ratio >10). The linear method was significantly faster than the nonlinear method, with a minimum speedup of around 230 across all tested sampling rates. Clinical analysis revealed that parameters estimated using the linear and nonlinear CTU model were highly correlated (ρ ≥ 0.95). Conclusion The linear CTU model is computationally more efficient and more stable against temporal downsampling, whereas the nonlinear method is more robust to variations in noise. The two methods may be used interchangeably within clinical achievable ranges of temporal sampling and noise. Magn Reson Med 77:2414–2423, 2017. © 2016 The Authors Magnetic Resonance in Medicine published by Wiley Periodicals, Inc. on behalf of International Society for Magnetic Resonance in Medicine. This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited. PMID:27605429

  18. Comparison of linear and nonlinear implementation of the compartmental tissue uptake model for dynamic contrast-enhanced MRI.

    Science.gov (United States)

    Kallehauge, Jesper F; Sourbron, Steven; Irving, Benjamin; Tanderup, Kari; Schnabel, Julia A; Chappell, Michael A

    2017-06-01

    Fitting tracer kinetic models using linear methods is much faster than using their nonlinear counterparts, although this comes often at the expense of reduced accuracy and precision. The aim of this study was to derive and compare the performance of the linear compartmental tissue uptake (CTU) model with its nonlinear version with respect to their percentage error and precision. The linear and nonlinear CTU models were initially compared using simulations with varying noise and temporal sampling. Subsequently, the clinical applicability of the linear model was demonstrated on 14 patients with locally advanced cervical cancer examined with dynamic contrast-enhanced magnetic resonance imaging. Simulations revealed equal percentage error and precision when noise was within clinical achievable ranges (contrast-to-noise ratio >10). The linear method was significantly faster than the nonlinear method, with a minimum speedup of around 230 across all tested sampling rates. Clinical analysis revealed that parameters estimated using the linear and nonlinear CTU model were highly correlated (ρ ≥ 0.95). The linear CTU model is computationally more efficient and more stable against temporal downsampling, whereas the nonlinear method is more robust to variations in noise. The two methods may be used interchangeably within clinical achievable ranges of temporal sampling and noise. Magn Reson Med 77:2414-2423, 2017. © 2016 The Authors Magnetic Resonance in Medicine published by Wiley Periodicals, Inc. on behalf of International Society for Magnetic Resonance in Medicine. This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited. © 2016 The Authors Magnetic Resonance in Medicine published by Wiley Periodicals, Inc. on behalf of International Society for Magnetic Resonance in Medicine.

  19. Intestinal parasite prevalence in an area of ethiopia after implementing the SAFE strategy, enhanced outreach services, and health extension program.

    Directory of Open Access Journals (Sweden)

    Jonathan D King

    during enhanced outreach services are plausible explanations for the changing patterns of intestinal parasite prevalence. The extent of intestinal protozoa infections suggests poor water quality or unsanitary water collection and storage practices and warrants targeted intervention.

  20. Implementing a social network intervention designed to enhance and diversify support for people with long-term conditions. A qualitative study.

    Science.gov (United States)

    Kennedy, Anne; Vassilev, Ivaylo; James, Elizabeth; Rogers, Anne

    2016-02-29

    For people with long-term conditions, social networks provide a potentially central means of mobilising, mediating and accessing support for health and well-being. Few interventions address the implementation of improving engagement with and through social networks. This paper describes the development and implementation of a web-based tool which comprises: network mapping, user-centred preference elicitation and need assessment and facilitated engagement with resources. The study aimed to determine whether the intervention was acceptable, implementable and acted to enhance support and to add to theory concerning social networks and engagement with resources and activities. A longitudinal design with 15 case studies used ethnographic methods comprising video, non-participant observation of intervention delivery and qualitative interviews (baseline, 6 and 12 months). Participants were people with type 2 diabetes living in a marginalised island community. Facilitators were local health trainers and care navigators. Analysis applied concepts concerning implementation of technology for self-management support to explain how new practices of work were operationalised and how the technology impacted on relationships fit with everyday life and allowed for visual feedback. Most participants reported identifying and taking up new activities as a result of using the tool. Thematic analysis suggested that workability of the tool was predicated on disruption and reconstruction of networks, challenging/supportive facilitation and change and reflection over time concerning network support. Visualisation of the network enabled people to mobilise support and engage in new activities. The tool aligned synergistically with the facilitators' role of linking people to local resources. The social network tool works through a process of initiating positive disruption of established self-management practice through mapping and reflection on personal network membership and support. This

  1. Effects of performance feedback and coaching on the problem-solving process: Improving the integrity of implementation and enhancing student outcomes

    Science.gov (United States)

    Lundahl, Allison A.

    Schools implementing Response to Intervention (RtI) procedures frequently engage in team problem-solving processes to address the needs of students who require intensive and individualized services. Because the effectiveness of the problem-solving process will impact the overall success of RtI systems, the present study was designed to learn more about how to strengthen the integrity of the problem-solving process. Research suggests that school districts must ensure high quality training and ongoing support to enhance the effectiveness, acceptability, and sustainability of the problem-solving process within an RtI model; however, there is a dearth of research examining the effectiveness of methods to provide this training and support. Consequently, this study investigated the effects of performance feedback and coaching strategies on the integrity with which teams of educators conducted the problem-solving process in schools. In addition, the relationships between problem-solving integrity, teacher acceptability, and student outcomes were examined. Results suggested that the performance feedback increased problem-solving procedural integrity across two of the three participating schools. Conclusions about the effectiveness of the (a) coaching intervention and (b) interventions implemented in the third school were inconclusive. Regression analyses indicated that the integrity with which the teams conducted the problem-solving process was a significant predictor of student outcomes. However, the relationship between problem-solving procedural integrity and teacher acceptability was not statistically significant.

  2. Enhancing the use of Asthma and COPD Assessment Tools in Balearic Primary Care (ACATIB): a region-wide cluster-controlled implementation trial

    Science.gov (United States)

    Román-Rodríguez, Miguel; Pardo, Marina Garcia; López, Lucia Gorreto; Ruiz, Ana Uréndez; van Boven, Job FM

    2016-01-01

    Asthma and chronic obstructive pulmonary disease (COPD) health status assessment tools have demonstrated their value in guiding clinical management. Their use in primary care is still suboptimal. The objective of this study was to assess the effect of an educational intervention programme on the use of the Asthma Control Test (ACT), modified Medical Research Council (mMRC) and COPD Assessment Test (CAT) among primary care settings of the Balearic Islands, Spain. In this region-wide cluster-controlled implementation study, an educational intervention on the use of respiratory health status tools was provided to primary care practices in Mallorca (intervention group). Practices in Ibiza and Menorca functioned as control practices. Written and multimedia materials were provided to all participants to educate their colleagues. Primary outcome was the difference between intervention and control practices in the percentage of practices that increased the use—and recording—of ACT, CAT and mMRC tests between the 6-month period before intervention and the 6-month period after intervention. In the intervention group, 32 out of 45 (71%) centres enhanced the total number of tests, compared with 4 out of 12 (33%) in the non-intervention group (χ2; P=0.02). Before intervention, 399 test scores were recorded in 88,194 patients (asthma: 57,339; COPD: 30,855). After intervention, 1,576 test scores were recorded in 92,714 patients (asthma: 61,841; COPD: 30,873). An educational intervention programme targeted on primary care physicians enhances the use of respiratory health status tools and promotes behavioural changes. However, the effect is very low and difficult to measure in clinical terms. PMID:26960912

  3. Enhancing the use of Asthma and COPD Assessment Tools in Balearic Primary Care (ACATIB): a region-wide cluster-controlled implementation trial.

    Science.gov (United States)

    Román-Rodríguez, Miguel; Pardo, Marina Garcia; López, Lucia Gorreto; Ruiz, Ana Uréndez; van Boven, Job F M

    2016-03-10

    Asthma and chronic obstructive pulmonary disease (COPD) health status assessment tools have demonstrated their value in guiding clinical management. Their use in primary care is still suboptimal. The objective of this study was to assess the effect of an educational intervention programme on the use of the Asthma Control Test (ACT), modified Medical Research Council (mMRC) and COPD Assessment Test (CAT) among primary care settings of the Balearic Islands, Spain. In this region-wide cluster-controlled implementation study, an educational intervention on the use of respiratory health status tools was provided to primary care practices in Mallorca (intervention group). Practices in Ibiza and Menorca functioned as control practices. Written and multimedia materials were provided to all participants to educate their colleagues. Primary outcome was the difference between intervention and control practices in the percentage of practices that increased the use-and recording-of ACT, CAT and mMRC tests between the 6-month period before intervention and the 6-month period after intervention. In the intervention group, 32 out of 45 (71%) centres enhanced the total number of tests, compared with 4 out of 12 (33%) in the non-intervention group (χ(2); P=0.02). Before intervention, 399 test scores were recorded in 88,194 patients (asthma: 57,339; COPD: 30,855). After intervention, 1,576 test scores were recorded in 92,714 patients (asthma: 61,841; COPD: 30,873). An educational intervention programme targeted on primary care physicians enhances the use of respiratory health status tools and promotes behavioural changes. However, the effect is very low and difficult to measure in clinical terms.

  4. Analysis of Implementation The Policy on Malaria Elimination in Indonesia

    Directory of Open Access Journals (Sweden)

    Betty Roosihermiatie

    2016-01-01

    Full Text Available Background: As a tropic country Indonesia still faces malaria problems. In Asean, indonesia is one of three countries with the highest malaria morbidity. In 2007, 396 (80% of 495 districts/municipalities in indonesia are malaria. In 2009 the government issued a decree of the minister of health No 293 on malaria elimination. The study aimed to analyze the implementation decree of Ministry of Health No. 293/2009 on malaria elimination. Methods: It was a descriptive study. The study was conducted in 4 provinces, and 4 districts based on malaria elimination stages as in Bali province and Karangasem district, Riau islands province and Bintan district, West Nusa Tenggara province and west Lombok district, and Maluku province and South Halmahera district. The stakeholders were Heads and malaria programmers at province/district Health Offices and the related programs. Data were collected by focus group discussion and secondary data were taken. Data were collected by focus group discussion and secondary data. Analysis for Ministry of Health decree No.293 year 2009 on 1 Comphrehend, 2 Implementation, and, 3 Comittment, 4 Innovation intervension to support malaria elimination, 5 Sustainability of activity community empowerment, 6 Proportion of budget. Results: showed there was district that had not issued local policy on malaria elimination, the implementation with comittment especially that health centers in areas under study corfi rm diagnose by laboratory examination and malaria treatment by Artemisin Combined Therapy (ACT, although there were still treatment to clinical malaria, innovation activities were of bersifat local spesifi c, and reward for Juru Malaria Desa or malaria cadre to increase malaria suspect case detection, and with district budget for malaria program ranged 0,95-5,6% of the total budget. Recomendations: It suggested to advocate all malaria endemic areas to issue local policy on malaria elimination, decide intervension of the

  5. Implementation of Fisheries Enhancement Opportunities on the Coeur d'Alene Reservation; Coeur d'Alene Tribe Fish, Water, and Wildlife Program, REVISED 2002 Annual Report.

    Energy Technology Data Exchange (ETDEWEB)

    Vitale, Angelo; Lamb, Dave; Scott, Jason

    2004-04-01

    actions included: (1) Implement habitat restoration and enhancement measures in Alder, Benewah, Evans, and Lake Creeks; (2) Purchase critical watershed areas for protection of fisheries habitat; (3) Conduct an educational/outreach program for the general public within the Coeur d'Alene Reservation to facilitate a 'holistic' watershed protection process; (4) Develop an interim fishery for tribal and non-tribal members of the reservation through construction, operation and maintenance of five trout ponds; (5) Design, construct, operate and maintain a trout production facility; and (6) Implement a five-year monitoring program to evaluate the effectiveness of the hatchery and habitat improvement projects. Since that time, much of the mitigation activities occurring within the Coeur d'Alene sub-basin have had a connection to the project entitled 'Implement of Fisheries Enhancement Opportunities on the Coeur d'Alene Reservation', which is sponsored and implemented by the Coeur d'Alene Tribe Fisheries Program and is the subject of this report.

  6. Coeur d'Alene Tribe Fisheries Program : Implementation of Fisheries Enhancement Opportunities on the Coeur d’Alene Reservation : 2007 Annual Report.

    Energy Technology Data Exchange (ETDEWEB)

    Firehammer, Jon A.; Vitale, Angelo J.; Hallock, Stephanie A. [Coeur d' Alene Tribe Department of Natural Resources Fisheries Program

    2009-09-08

    diversity, and increase the probability of persistence in the face of anthropogenic influences and prospective climate change. This included recovering the lacustrine-adfluvial life history form that was historically prevalent and had served to provide both resilience and resistance to the structure of cutthroat trout populations in the Coeur d'Alene basin. To this end, the Coeur d'Alene Tribe closed Lake Creek and Benewah Creek to fishing in 1993 to initiate recovery of westslope cutthroat trout to historical levels. However, achieving sustainable cutthroat trout populations also required addressing biotic factors and habitat features in the basin that were limiting recovery. Early in the 1990s, BPA-funded surveys and inventories identified limiting factors in Tribal watersheds that would need to be remedied to restore westslope cutthroat trout populations. The limiting factors included: low-quality, low-complexity mainstem stream habitat and riparian zones; high stream temperatures in mainstem habitats; negative interactions with nonnative brook trout in tributaries; and potential survival bottlenecks in Coeur d'Alene Lake. In 1994, the Northwest Power Planning Council adopted the recommendations set forth by the Coeur d'Alene Tribe to improve the Reservation fishery (NWPPC Program Measures 10.8B.20). These recommended actions included: (1) Implement habitat restoration and enhancement measures in Alder, Benewah, Evans, and Lake Creeks; (2) Purchase critical watershed areas for protection of fisheries habitat; (3) Conduct an educational/outreach program for the general public within the Coeur d'Alene Reservation to facilitate a 'holistic' watershed protection process; (4) Develop an interim fishery for tribal and non-tribal members of the reservation through construction, operation and maintenance of five trout ponds; (5) Design, construct, operate and maintain a trout production facility; and (6) Implement a monitoring program to

  7. Contribution Of Madrasah In Enhancing Curiculum 2013 (A Study On The Readiness Of Madrasah In Implementing Of Curiculum 2013 In Central Java

    Directory of Open Access Journals (Sweden)

    Mulyani Mudis Taruna

    2015-06-01

    Full Text Available This study aimed to describe the implementation of Curriculum 2013 in Madrasa tsanawiyah (MTs. The preparation includes readiness head MTs, the readiness of teachers, as well as enabling and inhibiting factors in the implementation of Curriculum 2013 MTs. The subjects of this study were MTs in Central Java. This study used a qualitative method with the following results; (1 generally head MTs and subject teachers at the school has been able to implement the K-13, both from the aspect of the facility and in the course of learning in the classroom. (2 supporting factor in the implementation of the curriculum in 2013 at MTs, including the existence of a workshop K-13 by the schools and by the working group of Madrasah (KKM, while inhibiting factor in the implementation of the curriculum in 2013 was the absence of mentoring supervisor madrassas and no handbook of teachers and learners, especially on the subjects of religious education.

  8. A Better Journey for Patients, a Better Deal for the NHS: The Successful Implementation of an Enhanced Recovery Program After Renal Transplant Surgery.

    Science.gov (United States)

    Halawa, Ahmed; Rowe, Stephen; Roberts, Fleur; Nathan, Chidambaram; Hassan, Ahmed; Kumar, Avneesh; Suvakov, Branislav; Edwards, Ben; Gray, Cavin

    2017-08-24

    Our aim was to apply the principles of enhanced recovery in renal transplant recipients and to assess the changes in the quality of patient care and patient satisfaction. Our study included 286 consecutive renal transplant patients. Of these, 135 patients went through the enhanced recovery program and 151 patients had traditional recovery. Patient education and discharge planning were commenced on admission. For enhanced recovery, prolonged preoperative fasting was avoided by carbohydrate loading. Goal-directed fluid management was aided by transesophageal Doppler to avoid central line insertion. Intrathecal diamorphine and ultrasonography-guided transversus abdominis plane blocks were used to achieve adequate analgesia. Patients started oral intake a few hours postoperatively. The urinary catheter was removed 2 to 4 days after transplant. The postoperative patient-controlled analgesia requirement for morphine was significantly reduced in the enhanced recovery versus traditional recovery group (median of 9.5 vs 47 mg; P hospital length of stay.

  9. A national evaluation of a dissemination and implementation initiative to enhance primary care practice capacity and improve cardiovascular disease care: the ESCALATES study protocol.

    Science.gov (United States)

    Cohen, Deborah J; Balasubramanian, Bijal A; Gordon, Leah; Marino, Miguel; Ono, Sarah; Solberg, Leif I; Crabtree, Benjamin F; Stange, Kurt C; Davis, Melinda; Miller, William L; Damschroder, Laura J; McConnell, K John; Creswell, John

    2016-06-29

    The Agency for Healthcare Research and Quality (AHRQ) launched the EvidenceNOW Initiative to rapidly disseminate and implement evidence-based cardiovascular disease (CVD) preventive care in smaller primary care practices. AHRQ funded eight grantees (seven regional Cooperatives and one independent national evaluation) to participate in EvidenceNOW. The national evaluation examines quality improvement efforts and outcomes for more than 1500 small primary care practices (restricted to those with fewer than ten physicians per clinic). Examples of external support include practice facilitation, expert consultation, performance feedback, and educational materials and activities. This paper describes the study protocol for the EvidenceNOW national evaluation, which is called Evaluating System Change to Advance Learning and Take Evidence to Scale (ESCALATES). This prospective observational study will examine the portfolio of EvidenceNOW Cooperatives using both qualitative and quantitative data. Qualitative data include: online implementation diaries, observation and interviews at Cooperatives and practices, and systematic assessment of context from the perspective of Cooperative team members. Quantitative data include: practice-level performance on clinical quality measures (aspirin prescribing, blood pressure and cholesterol control, and smoking cessation; ABCS) collected by Cooperatives from electronic health records (EHRs); practice and practice member surveys to assess practice capacity and other organizational and structural characteristics; and systematic tracking of intervention delivery. Quantitative, qualitative, and mixed methods analyses will be conducted to examine how Cooperatives organize to provide external support to practices, to compare effectiveness of the dissemination and implementation approaches they implement, and to examine how regional variations and other organization and contextual factors influence implementation and effectiveness. ESCALATES is

  10. Study protocol of an economic evaluation of an enhanced implementation strategy for the treatment of low back pain in general practice

    DEFF Research Database (Denmark)

    Jensen, Cathrine; Riis, Allan; Pedersen, Kjeld Møller

    2014-01-01

    Background: In Denmark, guidelines on low back pain management are currently being implemented; in association with this, a clinical trial is conducted. A health economic evaluation is carried out alongside the clinical trial to assess the cost-effectiveness of an extended implementation strategy...... on the design of the health economic evaluation. Methods/design: The economic evaluation is carried out alongside a cluster randomised controlled trial consisting of 60 general practices in the North Denmark Region. An expected 1,200 patients between the age of 18 and 65 years with a low back pain diagnosis...

  11. Standardized measurement of the Modified Early Warning Score results in enhanced implementation of a Rapid Response System: a quasi-experimental study

    NARCIS (Netherlands)

    Ludikhuize, Jeroen; Borgert, Marjon; Binnekade, Jan; Subbe, Christian; Dongelmans, Dave; Goossens, Astrid

    2014-01-01

    To study the effect of protocolized measurement (three times daily) of the Modified Early Warning Score (MEWS) versus measurement on indication on the degree of implementation of the Rapid Response System (RRS). A quasi-experimental study was conducted in a University Hospital in Amsterdam between

  12. Scaling the Pyramid Model across Complex Systems Providing Early Care for Preschoolers: Exploring How Models for Decision Making May Enhance Implementation Science

    Science.gov (United States)

    Johnson, LeAnne D.

    2017-01-01

    Bringing effective practices to scale across large systems requires attending to how information and belief systems come together in decisions to adopt, implement, and sustain those practices. Statewide scaling of the Pyramid Model, a framework for positive behavior intervention and support, across different types of early childhood programs…

  13. The Implementation of Collaborative Learning Model "Find Someone Who and Flashcard Game" to Enhance Social Studies Learning Motivation for the Fifth Grade Students

    Science.gov (United States)

    Nurhaniyah, Binti; Soetjipto, Budi Eko; Hanurawan, Fattah

    2015-01-01

    The aims of this classroom action research are to describe: (1) the implementation of cooperative learning model "find someone who and flashcard game" to boost students' motivation to learn social studies for the fifth grade students; (2) the response of the fifth grade students at SDN Klanderan, Kediri, East Java on the implementation…

  14. Feasibility and Impact of Implementing Motivational Enhancement Therapy--Cognitive Behavioral Therapy as a Substance Use Treatment Intervention in School-Based Settings

    Science.gov (United States)

    Belur, Vinetha; Dennis, Michael L.; Ives, Melissa L.; Vincent, Robert; Muck, Randolph

    2014-01-01

    The expansion of behavioral health services to school-based health centers under the Affordable Care Act (Public Law 111-148) presents an opportunity to improve access to substance use disorders treatment for youth and reduce their substance use, and emotional, health, and school problems. We explore the feasibility of implementing five to seven…

  15. Effectiveness of an internet-based perioperative care programme to enhance postoperative recovery in gynaecological patients: cluster controlled trial with randomised stepped-wedge implementation.

    Science.gov (United States)

    Bouwsma, Esther V A; Huirne, Judith A F; van de Ven, Peter M; Vonk Noordegraaf, Antonie; Schaafsma, Frederieke G; Schraffordt Koops, Steven E; van Kesteren, Paul J M; Brölmann, Hans A M; Anema, Johannes R

    2018-01-30

    To evaluate the implementation and effectiveness of an internet-based perioperative care programme for patients following gynaecological surgery for benign disease. Stepped-wedge cluster randomised controlled trial. Secondary care, nine hospitals in the Netherlands, 2011-2014. 433 employed women aged 18-65 years scheduled for hysterectomy and/or laparoscopic adnexal surgery. An internet-based care programme was sequentially rolled out using a multifaceted implementation strategy. Depending on the implementation phase of their hospital, patients were allocated to usual care (n=206) or the care programme (n=227). The care programme included an e-health intervention equipping patients with tailored personalised convalescence advice. The primary outcome was duration until full sustainable return to work (RTW). The degree of implementation of the care programme was evaluated at the level of the patient, healthcare provider and organisation by indicators measuring internet-based actions by patients and providers. Median time until RTW was 49 days (IQR 27-76) in the intervention group and 62 days (42-85) in the control group. A piecewise Cox model was fitted to take into account non-proportionality of hazards. In the first 85 days after surgery, patients receiving the intervention returned to work faster than patients in the control group (HR 2.66, 95% CI 1.88 to 3.77), but this effect was reversed in the small group of patients that did not reach RTW within this period (0.28, 0.17 to 0.46). Indicators showed that the implementation of the care programme was most successful at the level of the patient (82.8%) and professional (81.7%). Implementation of an internet-based care programme has a large potential to lead to accelerated recovery and improved RTW rates following different types of gynaecological surgeries. NTR2933; Results. © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2018. All rights reserved. No commercial use

  16. Development of a theory- and evidence-based intervention to enhance implementation of physical therapy guidelines for the management of low back pain

    NARCIS (Netherlands)

    Rutten, G.M.J.; Harting, J.; Bartholomew, L.K.; Braspenning, J.C.C.; Dolder, R. van; Heijmans, M.F.; Hendriks, E.J.; Kremers, S.P.; Peppen, R.P. van; Rutten, S.T.; Schlief, A.; Vries, N.K. de; Oostendorp, R.A.B.

    2014-01-01

    BACKGROUND: Systematic planning could improve the generally moderate effectiveness of interventions to enhance adherence to clinical practice guidelines. The aim of our study was to demonstrate how the process of Intervention Mapping was used to develop an intervention to address the lack of

  17. Implementation of 5E Inquiry Incorporated with Analogy Learning Approach to Enhance Conceptual Understanding of Chemical Reaction Rate for Grade 11 Students

    Science.gov (United States)

    Supasorn, Saksri; Promarak, Vinich

    2015-01-01

    The main purpose of this study was to enhance student understanding of the scientific concepts of chemical reaction rate. Forty-four grade 11 students were the target group. The treatment tools were seven learning plans of 5E inquiry incorporated with an analogy learning approach during 15 hours of class time. In each learning plan, the students…

  18. Effectiveness of a multicomponent intervention to enhance implementation of a healthy canteen policy in Australian primary schools: a randomised controlled trial.

    Science.gov (United States)

    Nathan, Nicole; Yoong, Sze Lin; Sutherland, Rachel; Reilly, Kathryn; Delaney, Tessa; Janssen, Lisa; Robertson, Katie; Reynolds, Renee; Chai, Li Kheng; Lecathelinais, Christophe; Wiggers, John; Wolfenden, Luke

    2016-10-07

    The implementation of school nutrition policies, which govern the provision of food in schools, is recommended as a public health strategy to support the development of healthy dietary behaviours in school-aged children. Despite this, research internationally and in Australia indicates that few schools implement such policies. This study aims to examine whether a theoretically designed, multi-strategy intervention was effective in increasing the implementation of a healthy canteen policy in Australian primary schools. A parallel group randomised controlled trial was conducted with all government and Catholic primary schools within one region in New South Wales, Australia who had an operational canteen that provided food to primary school aged children (5-12 years) and were not currently receiving an intervention to change their canteen practices. Schools randomised to the intervention arm received a 9-month multicomponent intervention including ongoing support, provision of resources, performance monitoring and feedback, executive support and recognition. The primary outcomes were the proportion of the schools with a canteen menu that: i) did not include 'red' or 'banned' items according to the healthy canteen policy; and ii) had more than 50 % 'green' items. The primary outcome was assessed via menu audit at baseline and follow up by dietitians blinded to group allocation. Fifty-three eligible schools were randomised to either the intervention or control group (28 intervention; 25 control). Analyses with 51 schools who returned school menus found that intervention schools were significantly more likely relative to control schools to have a menu without 'red' or 'banned' items (RR = 5.78 (1.45-23.05); p = 0.002) and have at least 50 % of menu items classified as green (RR = 2.03 (1.01-4.08); p = 0.03). This study found that a multi-component intervention was effective in improving primary schools' compliance with a healthy canteen policy. Given

  19. Credit Enhancement Overview Guide

    Energy Technology Data Exchange (ETDEWEB)

    Financing Solutions Working Group

    2014-01-01

    Provides considerations for state and local policymakers and energy efficiency program administrators designing and implementing successful credit enhancement strategies for residential and commercial buildings.

  20. Implementation of resources to support patient physical activity through diabetes centres in Nova Scotia: the effectiveness of enhanced support for exercise participation.

    Science.gov (United States)

    Fowles, Jonathon R; Shields, Chris; d'Entremont, Lisette; McQuaid, Stephanie; Barron, Brittany; Dunbar, Peggy

    2014-12-01

    The purpose of this study was to determine the effectiveness of enhancing support for physical activity counselling and exercise participation at diabetes centres in Nova Scotia on physical activity and exercise behaviours and clinical outcomes in patients with type 2 diabetes mellitus. In all, 180 patients at 8 diabetes centres participated in this observational study. A range of enhanced supports for exercise were offered at these centres. A kinesiologist was added to the diabetes care team to primarily provide extra physical activity counselling and exercise classes. Patient physical activity and exercise levels, efficacy perceptions and mean glycated hemoglobin (A1C) were evaluated at baseline and 6 months. We compared changes in these variables for patients who participated in the enhanced supports versus patients who did not. Participants who attended exercise classes (n=46), increased moderate physical activity by 27% and doubled resistance exercise participation (1.0±1.8 to 2.0±2.1 days per week) whereas those who did not attend exercise classes (n=49) reduced moderate physical activity by 26% and did not change resistance exercise participation (interactions, p=0.04 and p=0.07, respectively). Patients who received resistance band instruction (n=15) from a kinesiologist had reductions in A1C (from 7.5±1.4 to 7.1±1.2; p=0.04), whereas other subgroups did not have significant changes in A1C. Offering enhanced support for exercise at diabetes centres produced improvements in physical activity and exercise in type 2 diabetes patients. Resistance band instruction from a kinesiologist combined with participating in a walking and resistance training program improved glycemic control, which underscores the importance of including exercise professionals in diabetes management. Copyright © 2014 Canadian Diabetes Association. Published by Elsevier Inc. All rights reserved.

  1. Implementation of Gasing Learning in ARCS Learning Strategy to Enhance Students’ Motivation in 9th Grade of Indonesian Junior High-School

    Directory of Open Access Journals (Sweden)

    Pri Ariadi Cahya Dinata

    2017-10-01

    Full Text Available The lack of motivation will affect to the students’ learning outcomes. The research was conducted to enhance the students’ motivation with the Gasing learning in the ARCS learning strategy on the static and dynamic electricity. The specific objectives of this research was to describe effect of the gasing learning on the students' learning motivation. The research consisted of 3 cycles of Hopkin’s Classroom Action Research  Model. Each cycle consists of the plan, the action/the observation, and the reflective. The data of students learning motivation obtained by questionnaires and be analyzed with method of successive interval (MSI. The findings of the research are: (1 the result of questionnaire of ARCS motivation in cycle I was 3.71, cycle II was 3,80, and cycle III was 3,99. These results indicate an increase in student learning motivation; (2 The completeness of students’ learning outcomes in cycle I was 68,18%, in cycle II was 90,90%, and in cycle III was 100%. It can be concluded that the Gasing learning in ARCS strategy can enhances students’motivation on static and dinamic electricity in 9th grade of Indonesian Junior High-School. The Gasing learning can be an alternative for the teachers to enhance students’ motivation in learning physics through the provision of comic media and calculations without formulas.

  2. Pilot implementation

    DEFF Research Database (Denmark)

    Hertzum, Morten; Bansler, Jørgen P.; Havn, Erling C.

    2012-01-01

    implementation, and provide three empirical illustrations of our model. We conclude that pilot implementation has much merit as an ISD technique when system performance is contingent on context. But we also warn developers that, despite their seductive conceptual simplicity, pilot implementations can...

  3. Pilot implementation

    DEFF Research Database (Denmark)

    Hertzum, Morten; Bansler, Jørgen P.; Havn, Erling C.

    2012-01-01

    implementation and provide three empirical illustrations of our model. We conclude that pilot implementation has much merit as an ISD technique when system performance is contingent on context. But we also warn developers that, despite their seductive conceptual simplicity, pilot implementations can be difficult...

  4. ARGUMENTS SKILLS ENHANCEMENT THROUGH THE IMPLEMENTATION OF PROBLEM BASED LEARNING IN 10th GRADE STUDENTS OF MIA 1 SMA BATIK 2 SURAKARTA

    Directory of Open Access Journals (Sweden)

    A. C. Pritasari

    2015-11-01

    Full Text Available This research was aimed to improve the students’ argumentation skill in X MIA 1 SMA Batik 2 Surakarta Academic Year 2014/2015 through the implementation of problem based learning. This research is a classroom action research which consisted of three cycles. Each cycle contained planning, acting, observing and reflecting. The subjects of this research were students in X MIA 1 of SMA  Batik 2 Surakarta Academic Year 2014/2015. The data was collected using test, interview, and documentation. The data validation used triangulation technic. The data were analyzed descriptive was based on three components, they are: data reduction, data presentation and drawing the conclusion or verification. The research procedure is using spiral method. The results showed that argumentation skill of students increase from pre cycle, cycle I, cycle II, and cycle III. The average of students’ argumentation skill increase from 28,96% to 50,06%. Claim aspect increase from 61,62% to 82,49%; evidence aspect increase from 15,66% to 37,37%; and reasoning aspect increase from 9,60% to 30,30%. Based on the result of the research, the conclusion is there are improvement of argumentation skill through implementation of problem based learning in X MIA 1 SMA Batik 2 Surakarta.

  5. Professional Development: Learning from the Best. A Toolkit for Schools and Districts Based on the National Awards Program for Model Professional Development.

    Science.gov (United States)

    Hassel, Emily

    This publication provides a step-by-step guide to help schools and districts implement strong, sustainable professional development that drives achievement of student learning goals. The toolkit is based on the experiences of national professional development award winning schools and districts. The most common thread among the winners is that…

  6. Pilot Implementations

    DEFF Research Database (Denmark)

    Manikas, Maria Ie

    This PhD dissertation engages in the study of pilot (system) implementation. In the field of information systems, pilot implementations are commissioned as a way to learn from real use of a pilot system with real data, by real users during an information systems development (ISD) project and before...... objective. The prevalent understanding is that pilot implementations are an ISD technique that extends prototyping from the lab and into test during real use. Another perception is that pilot implementations are a project multiple of co-existing enactments of the pilot implementation. From this perspective...

  7. Enhancing Teacher Preparation and Improving Faculty Teaching Skills: Lessons Learned from Implementing ``Science That Matters'' a Standards Based Interdisciplinary Science Course Sequence

    Science.gov (United States)

    Potter, Robert; Meisels, Gerry

    2005-06-01

    In a highly collaborative process we developed an introductory science course sequence to improve science literacy especially among future elementary and middle school education majors. The materials and course features were designed using the results of research on teaching and learning to provide a rigorous, relevant and engaging, standard based science experience. More than ten years of combined planning, development, implementation and assessment of this college science course sequence for nonmajors/future teachers has provided significant insights and success in achieving our goal. This paper describes the history and iterative nature of our ongoing improvements, changes in faculty instructional practice, strategies used to overcome student resistance, significant student learning outcomes, support structures for faculty, and the essential and informative role of assessment in improving the outcomes. Our experience with diverse institutions, students and faculty provides the basis for the lessons we have learned and should be of help to others involved in advancing science education.

  8. Systems Sustainability: Implementation of Enhanced Maintenance Programs at the Kurchatov Institute, the All-Russian Research Institute of Experimental physics and the All-Russian Scientific Institute for Technical Physics

    Energy Technology Data Exchange (ETDEWEB)

    Coppinger, M.; Pikula, M.; Randolph, J.D.; Windham, M.

    1999-09-20

    Implementation of quality maintenance programs is essential to enhancing sustainable continuous operations of United States funded Materials Protection, Control and Accountability (MPC and A) equipment/systems upgrades at various Russian nuclear facilities. An effective maintenance program is expected to provide assurances to both parties for achieving maximum continuous systems operations with minimum down time. To be effective, the program developed must focus on minimum down time for any part of a system. Minimum down time is realized through the implementation of a quality maintenance program that includes preventative maintenance, necessary diagnostic tools, properly trained technical staff, and an in-house inventory of required spare parts for repairing the impacted component of the system. A centralized maintenance management program is logistically essential for the success of this effort because of the large volume of MPC and A equipment/systems installed at those sites. This paper will discuss current programs and conditions at the Russian Research Center-Kurchatov Institute, the All-Russian Scientific Institute for Technical Physics and the All-Russian Research Institute of Experimental Physics and will address those steps necessary to implement an upgraded program at those sites.

  9. Institutional capacity for health systems research in East and Central Africa schools of public health: enhancing capacity to design and implement teaching programs.

    Science.gov (United States)

    Nangami, Mabel N; Rugema, Lawrence; Tebeje, Bosena; Mukose, Aggrey

    2014-06-02

    The role of health systems research (HSR) in informing and guiding national programs and policies has been increasingly recognized. Yet, many universities in sub-Saharan African countries have relatively limited capacity to teach HSR. Seven schools of public health (SPHs) in East and Central Africa undertook an HSR institutional capacity assessment, which included a review of current HSR teaching programs. This study determines the extent to which SPHs are engaged in teaching HSR-relevant courses and assessing their capacities to effectively design and implement HSR curricula whose graduates are equipped to address HSR needs while helping to strengthen public health policy. This study used a cross-sectional study design employing both quantitative and qualitative approaches. An organizational profile tool was administered to senior staff across the seven SPHs to assess existing teaching programs. A self-assessment tool included nine questions relevant to teaching capacity for HSR curricula. The analysis triangulates the data, with reflections on the responses from within and across the seven SPHs. Proportions and average of values from the Likert scale are compared to determine strengths and weaknesses, while themes relevant to the objectives are identified and clustered to elicit in-depth interpretation. None of the SPHs offer an HSR-specific degree program; however, all seven offer courses in the Master of Public Health (MPH) degree that are relevant to HSR. The general MPH curricula partially embrace principles of competency-based education. Different strengths in curricula design and staff interest in HSR at each SPH were exhibited but a number of common constraints were identified, including out-of-date curricula, face-to-face delivery approaches, inadequate staff competencies, and limited access to materials. Opportunities to align health system priorities to teaching programs include existing networks. Each SPH has key strengths that can be leveraged to

  10. Structure to utilize interventionists' implementation experiences of a family-based behavioral weight management program to enhance the dissemination of the standardized intervention: The TODAY study.

    Science.gov (United States)

    Chadwick, Jennifer Q; Van Buren, Dorothy J; Morales, Elisa; Timpson, Alexandra; Abrams, Ericka L; Syme, Amy; Preske, Jeff; Mireles, Gerardo; Anderson, Barbara; Grover, Nisha; Laffel, Lori

    2017-08-01

    Background For a 2- to 6-year period, interventionists for the TODAY (Treatment Options for type 2 Diabetes in Adolescents and Youth) randomized clinical trial delivered a family-based, behavioral weight-loss program (the TODAY Lifestyle Program) to 234 youth with type 2 diabetes. Interventionists held at least a bachelor's degree in psychology, social work, education, or health-related field and had experience working with children and families, especially from diverse ethnic and socioeconomic backgrounds. This article describes the administrative and organizational structure of the lifestyle program and how the structure facilitated collaboration among study leadership and lifestyle interventionists on the tailoring of the program to best suit the needs of the trial's diverse patient population. Methods During the pilot phase and throughout the duration of the trial, the interventionists' experiences in delivering the intervention were collected in a variety of ways including membership on study committees, survey responses, session audio recordings, and feedback during in-person trainings. Results The experiences of interventionists conveyed to study leadership through these channels resulted in decisions to tailor the lifestyle intervention's delivery location and ways to supplement the standardized educational materials to better address the needs of a diverse patient population. Conclusion The methods used within the TODAY study to encourage and utilize interventionists' experiences while implementing the lifestyle program may be useful to the design of future multi-site, clinical trials seeking to tailor behavioral interventions in a standardized, and culturally and developmentally sensitive manner.

  11. Development of a Plan to Implement Enhanced Geothermal Systems (EGS) in the Animas Valley, New Mexico - Final Report - 07/26/2000 - 02/01/2001

    Energy Technology Data Exchange (ETDEWEB)

    Schochet, Daniel N.; Cunniff, Roy A.

    2001-02-01

    The concept of producing energy from hot dry rock (HDR), originally proposed in 1971 at the Los Alamos National Laboratory, contemplated the generation of electric power by injecting water into artificially created fractures in subsurface rock formations with high heat flow. Recognizing the inherent difficulties associated with HDR, the concept of Enhanced Geothermal Systems was proposed. This embraces the idea that the amount of permeability and fluid in geothermal resources varies across a spectrum, with HDR at one end, and conventional hydrothermal systems at the other. This report provides a concept for development of a ''Combined Technologies Project'' with construction and operation of a 6 MW (net) binary-cycle geothermal power plant that uses both the intermediate-depth hydrothermal system at 1,200 to 3,300 feet and a deeper EGS capable system at 3,000 to 4,000 feet. Two production/injection well pairs will be drilled, one couplet for the hydrothermal system, and one for the E GS system. High-pressure injection may be required to drive fluid through the EGS reservoir from the injection to the production well.

  12. Pre-Service Teachers Enhance Climate Literacy Through Writing Children's Books on Climate Literacy Concepts and Implementing Related Activities in the PK-12 Classroom

    Science.gov (United States)

    Walton-Jaggers, L. J.

    2014-12-01

    Grambling State University faculty participated in NICE workshops during 2011, 2012, and 2013 that were designed to help pre-service teachers increase their knowledge about global climate change through the use of NASA Earth observation sets. The faculty members were encouraged to infuse climate education projects and activities into their courses from information and resources provided during the workshops. As a result, pre-service teacher candidates in the Department of Curriculum and Instruction of the College of Education at Grambling State University have written Children's Literature that specifically focused on different climate change concepts. This project has served as the culminating Climate Change Signature Project that was designed to promote increased opportunities for PK-12 students to expand their knowledge and understanding of climate literacy concepts while enhancing Reading/Literacy skills. The pre-service teacher candidates completed several sequential steps in preparing for the culminating project. This paper will include the presentation ofseveral formal and informal assessments that were used to determine the impact of the project on the teacher candidates and their students.

  13. Welcome to Implementation Science

    Directory of Open Access Journals (Sweden)

    Mittman Brian S

    2006-02-01

    Full Text Available Abstract Implementation research is the scientific study of methods to promote the systematic uptake of research findings and other evidence-based practices into routine practice, and, hence, to improve the quality and effectiveness of health services and care. This relatively new field includes the study of influences on healthcare professional and organisational behaviour. Implementation Science will encompass all aspects of research in this field, in clinical, community and policy contexts. This online journal will provide a unique platform for this type of research and will publish a broad range of articles – study protocols, debate, theoretical and conceptual articles, rigorous evaluations of the process of change, and articles on methodology and rigorously developed tools – that will enhance the development and refinement of implementation research. No one discipline, research design, or paradigm will be favoured. Implementation Science looks forward to receiving manuscripts that facilitate the continued development of the field, and contribute to healthcare policy and practice.

  14. WE-FG-206-06: Dual-Input Tracer Kinetic Modeling and Its Analog Implementation for Dynamic Contrast-Enhanced (DCE-) MRI of Malignant Mesothelioma (MPM)

    Energy Technology Data Exchange (ETDEWEB)

    Lee, S; Rimner, A; Hayes, S; Hunt, M; Deasy, J; Zauderer, M; Rusch, V; Tyagi, N [Memorial Sloan Kettering Cancer Center, New York, NY (United States)

    2016-06-15

    Purpose: To use dual-input tracer kinetic modeling of the lung for mapping spatial heterogeneity of various kinetic parameters in malignant MPM Methods: Six MPM patients received DCE-MRI as part of their radiation therapy simulation scan. 5 patients had the epitheloid subtype of MPM, while one was biphasic. A 3D fast-field echo sequence with TR/TE/Flip angle of 3.62ms/1.69ms/15° was used for DCE-MRI acquisition. The scan was collected for 5 minutes with a temporal resolution of 5-9 seconds depending on the spatial extent of the tumor. A principal component analysis-based groupwise deformable registration was used to co-register all the DCE-MRI series for motion compensation. All the images were analyzed using five different dual-input tracer kinetic models implemented in analog continuous-time formalism: the Tofts-Kety (TK), extended TK (ETK), two compartment exchange (2CX), adiabatic approximation to the tissue homogeneity (AATH), and distributed parameter (DP) models. The following parameters were computed for each model: total blood flow (BF), pulmonary flow fraction (γ), pulmonary blood flow (BF-pa), systemic blood flow (BF-a), blood volume (BV), mean transit time (MTT), permeability-surface area product (PS), fractional interstitial volume (vi), extraction fraction (E), volume transfer constant (Ktrans) and efflux rate constant (kep). Results: Although the majority of patients had epitheloid histologies, kinetic parameter values varied across different models. One patient showed a higher total BF value in all models among the epitheloid histologies, although the γ value was varying among these different models. In one tumor with a large area of necrosis, the TK and ETK models showed higher E, Ktrans, and kep values and lower interstitial volume as compared to AATH and DP and 2CX models. Kinetic parameters such as BF-pa, BF-a, PS, Ktrans values were higher in surviving group compared to non-surviving group across most models. Conclusion: Dual-input tracer

  15. Exploring the potential implementation of a tool to enhance shared decision making (SDM) in mental health services in the United Kingdom: a qualitative exploration of the views of service users, carers and professionals.

    Science.gov (United States)

    Brooks, Helen; Harris, Kamelia; Bee, Penny; Lovell, Karina; Rogers, Anne; Drake, Richard

    2017-01-01

    As a response to evidence that mental health service users and carers expect greater involvement in decisions about antipsychotic medication choice and prescribing, shared decision-making (SDM) has increasingly come to be viewed as an essential element of person-centred care and practice. However, this aspiration has yet to be realised in practice, as service users and carers continue to feel alienated from healthcare services. Existing understanding of the factors affecting the use of tools to support SDM is limited to inter-individual influences and wider factors affecting potential implementation are underexplored. To explore the potential use of a tool designed to enhance collaborative antipsychotic prescribing from the perspectives of secondary care mental health service users, carers and professionals. We conducted a qualitative study (semi-structured interviews and focus groups) using a convenience sample of 33 participants (10 mental health service users, 10 carers and 13 professionals) involved in antipsychotic prescribing in one Trust in the North of England. Participants were asked about the potential implementation of a tool to support SDM within secondary mental health services. Framework analysis incorporating the use of constant comparative method was used to analyse the data. The study identified a divergence in the views of service users and professionals, including a previously undocumented tendency for stakeholder groups to blame each other for potential implementation failure. This dissonance was shaped by meso and macro level influences relating to paternalism, legislative frameworks, accountability and lack of resources. Participants did not identify any macro level (policy or structural) facilitators to the use of the tool highlighting the negative impact of mental health contexts. Our study indicated that inter-individual factors are likely to be most important to implementation, given their potential to transcend meso and macro level

  16. Implementing TQM.

    Science.gov (United States)

    Bull, G; Maffetone, M A; Miller, S K

    1992-01-01

    Total quality management (TQM) is an organized, systematic approach to problem solving and continuous improvement. American corporations have found that TQM is an excellent way to improve competitiveness, lower operating costs, and improve productivity. Increasing numbers of laboratories are investigating the benefits of TQM. For this month's column, we asked our respondents: What steps has your laboratory taken to implement TQM?

  17. Implementation Politics

    DEFF Research Database (Denmark)

    Hegland, Troels Jacob; Raakjær, Jesper

    2008-01-01

    level are supplemented or even replaced by national priorities. The chapter concludes that in order to capture the domestic politics associated with CFP implementation in Denmark, it is important to understand the policy process as a synergistic interaction between dominant interests, policy alliances...

  18. Prep-ME Software Implementation and Enhancement

    Science.gov (United States)

    2017-09-01

    Highway agencies across the United States are moving from empirical design procedures towards the mechanistic-empirical (ME) based pavement design. Even though the Pavement ME Design presents a new paradigm shift with several dramatic improvements, i...

  19. [Implementing evidence and implementation research: two different and prime realities].

    Science.gov (United States)

    Rumbo Prieto, José María; Martínez Ques, Ángel Alfredo; Sobrido Prieto, María; Raña Lama, Camilo Daniel; Vázquez Campo, Miriam; Braña Marcos, Beatriz

    Scientific research can contribute to more efficient health care, enhance care quality and safety of persons. In order for this to happen, the knowledge gained must be put into practice. Implementation is known as the introduction of a change or innovation to daily practice, which requires effective communication and the elimination of barriers that hinder this process. Best practice implementation experiences are being used increasingly in the field of nursing. The difficulty in identifying the factors that indicate the success or failure of implementation has led to increased studies to build a body of differentiated knowledge, recognized as implementation science or implementation research. Implementation research is the scientific study whose objective is the adoption and systematic incorporation of research findings into clinical practice to improve the quality and efficiency of health services. The purpose of implementation research is to improve the health of the population through equitable and effective implementation of rigorously evaluated scientific knowledge, which involves gathering the evidence that has a positive impact on the health of the community. In this text, we set out the characteristics of nursing implementation research, providing a synthesis of different methods, theories, key frameworks and implementation strategies, along with the terminology proposed for greater conceptual clarity. Copyright © 2016 Elsevier España, S.L.U. All rights reserved.

  20. Coeur d'Alene Tribe Fisheries Program Research, Monitoring and Evaluation Plan; Implementation of Fisheries Enhancement Opportunities on the Coeur d'Alene Reservation, 1997-2002 Technical Report.

    Energy Technology Data Exchange (ETDEWEB)

    Vitale, Angelo; Lamb, Dave; Peters, Ronald

    2002-11-01

    channel forms. In addition, ponds have been constructed to trap sediment from rill and gully erosion associated with agricultural practices, and to provide flow enhancement and ameliorate elevated stream temperatures during the summer base flow period. The implementation of restoration efforts that target the key habitats and lifestages for resident westslope cutthroat trout on the Coeur d'Alene Reservation is one means the Tribe is using to partially mitigate for lost anadromous fisheries. In this context, restoration is consistent with the definition provided by Ebersole et al. (1997), who described stream restoration as the reexpression of habitat capacity in a stream system. At the reach scale, habitat capacity is affected by biotic (e.g., riparian vegetation) and physical (e.g., flooding) processes. Superimposed on the natural biotic and physical processes are anthropogenic stressors (e.g., logging, roads and grazing) that suppress habitat capacity and can result in simplified, degraded stream reaches. The effectiveness of habitat restoration, measured as an increase in native trout abundance, is dependent on reducing limiting factors (e.g., passage barriers, high water temperatures, sediment transport from source areas) in areas that are critical for spawning and rearing lifestages. This plan outlines a monitoring strategy to help determine the effectiveness of specific restoration/enhancement treatments and to track the status of trout populations in four target watersheds.

  1. Spatial grammar implementation

    DEFF Research Database (Denmark)

    McKay, Alison; Chase, Scott Curland; Shea, Kristina

    2012-01-01

    fluid, demands conceptual design tools that support designers’ ways of thinking and working, and enhance creativity, for example, by offering design alternatives, difficult or not, possible without the use of such tools. The potential of spatial grammars as a technology to support such design tools has...... been demonstrated through experimental research prototypes since the 1970s. In this paper, we provide a review of recent spatial grammar implementations, which were presented in the Design Computing and Cognition 2010 workshop on which this paper is based, in the light of requirements for conceptual...

  2. Nurses' experiences of guideline implementation

    DEFF Research Database (Denmark)

    Alanen, Seija; Välimäki, Marita; Kaila, Minna

    2009-01-01

    to local circumstances, seems to be crucial for successful implementation. CONCLUSIONS: Clinical guidelines can be promising tools in enhancing evidence-based nursing practice, as nurses see them as practical work tools in patient care and so are willing to adopt them. However, support from management......AIMS: The aim of the study was to address the following questions: What kind of experiences do primary care nurses have of guideline implementation? What do nurses think are the most important factors affecting the adoption of guidelines? BACKGROUND: The implementation of clinical guidelines seems...... to be dependent on multiple context-specific factors. This study sets out to explore the experiences of primary care nurses concerning guideline implementation. DESIGN: Qualitative interview. METHODS: Data were generated by four focus group interviews involving nurses working in out-patient services in primary...

  3. Known TCP Implementation Problems

    Science.gov (United States)

    Paxson, Vern (Editor); Allman, Mark; Dawson, Scott; Fenner, William; Griner, Jim; Heavens, Ian; Lahey, K.; Semke, J.; Volz, B.

    1999-01-01

    This memo catalogs a number of known TCP implementation problems. The goal in doing so is to improve conditions in the existing Internet by enhancing the quality of current TCP/IP implementations. It is hoped that both performance and correctness issues can be resolved by making implementors aware of the problems and their solutions. In the long term, it is hoped that this will provide a reduction in unnecessary traffic on the network, the rate of connection failures due to protocol errors, and load on network servers due to time spent processing both unsuccessful connections and retransmitted data. This will help to ensure the stability of the global Internet. Each problem is defined as follows: Name of Problem The name associated with the problem. In this memo, the name is given as a subsection heading. Classification one or more problem categories for which the problem is classified: "congestion control", "performance", "reliability", "resource management". Description A definition of the problem, succinct but including necessary background material. Significance A brief summary of the sorts of environments for which the problem is significant.

  4. ATAMM enhancement and multiprocessor performance evaluation

    Science.gov (United States)

    Stoughton, John W.; Mielke, Roland R.; Som, Sukhamoy; Obando, Rodrigo; Malekpour, Mahyar R.; Jones, Robert L., III; Mandala, Brij Mohan V.

    1991-01-01

    ATAMM (Algorithm To Architecture Mapping Model) enhancement and multiprocessor performance evaluation is discussed. The following topics are included: the ATAMM model; ATAMM enhancement; ADM (Advanced Development Model) implementation of ATAMM; and ATAMM support tools.

  5. Music Enhances Learning.

    Science.gov (United States)

    Campabello, Nicolette; De Carlo, Mary Jane; O'Neil, Jean; Vacek, Mary Jill

    An action research project implemented musical strategies to affect and enhance student recall and memory. The target population was three suburban elementary schools near a major midwestern city: (1) a kindergarten classroom contained 32-38 students; (2) a second grade classroom contained 23 students and five Individualized Education Program…

  6. Implementation of project based learning on the Prakerin subject of vocational high school students of the building engineering to enhance employment skill readiness of graduates in the construction services field

    Science.gov (United States)

    Sugandi, Machmud

    2017-09-01

    Implementation of the Prakerin subject in the field of Building Engineering study program in vocational high school (VHS) are facing many issues associated to non-compliance unit of work in the industry and the expected competencies in learning at school. Project Based Learning (PBL) is an appropriate model learning used for Prakerin subject to increase student competence as the extension of the Prakerin implementation in the construction industry services. Assignments based on the selected project during their practical industry work were given to be completed by student. VHS students in particular field of Building Engineering study program who has been completed Prakerin subject will have a better job readiness, and therefore they will have an understanding on the knowledge, skills, and attitudes and good vision on the construction project in accordance with their experience during Prakerin work in the industry.

  7. Cognitive Processing Therapy for Spanish-speaking Latinos: A Formative Study of a Model-Driven Cultural Adaptation of the Manual to Enhance Implementation in a Usual Care Setting.

    Science.gov (United States)

    Valentine, Sarah E; Borba, Christina P C; Dixon, Louise; Vaewsorn, Adin S; Guajardo, Julia Gallegos; Resick, Patricia A; Wiltsey Stirman, Shannon; Marques, Luana

    2017-03-01

    As part of a larger implementation trial for cognitive processing therapy (CPT) for posttraumatic stress disorder (PTSD) in a community health center, we used formative evaluation to assess relations between iterative cultural adaption (for Spanish-speaking clients) and implementation outcomes (appropriateness and acceptability) for CPT. Qualitative data for the current study were gathered through multiple sources (providers: N = 6; clients: N = 22), including CPT therapy sessions, provider fieldnotes, weekly consultation team meetings, and researcher fieldnotes. Findings from conventional and directed content analysis of the data informed refinements to the CPT manual. Data-driven refinements included adaptations related to cultural context (i.e., language, regional variation in wording), urban context (e.g., crime/violence), and literacy level. Qualitative findings suggest improved appropriateness and acceptability of CPT for Spanish-speaking clients. Our study reinforces the need for dual application of cultural adaptation and implementation science to address the PTSD treatment needs of Spanish-speaking clients. © 2016 Wiley Periodicals, Inc.

  8. Digital TV image enhancement system

    Science.gov (United States)

    Biernson, G. A.

    1973-01-01

    Efficient, digital image-enhancement process has been developed for high-resolution slow-scan TV images. Scan converter is no longer subject to registration errors, which become more serious as resolution increases. To implement feedback image enhancement system, digital processing is used; otherwise there is excessive loss of image information, particularly in video delay lines.

  9. enhancedGraphics: a Cytoscape app for enhanced node graphics.

    Science.gov (United States)

    Morris, John H; Kuchinsky, Allan; Ferrin, Thomas E; Pico, Alexander R

    2014-01-01

    enhancedGraphics ( http://apps.cytoscape.org/apps/enhancedGraphics) is a Cytoscape app that implements a series of enhanced charts and graphics that may be added to Cytoscape nodes. It enables users and other app developers to create pie, line, bar, and circle plots that are driven by columns in the Cytoscape Node Table. Charts are drawn using vector graphics to allow full-resolution scaling.

  10. Towards guideline implementation for integrated local health policies : Evaluation of an experimental implementation strategy in regional health services

    NARCIS (Netherlands)

    Kuunders, T.J.M.; Cloin, J.C.M.; van Bon, M.J.H.; Paulussen, T.G.W.M.; van Oers, J.A.M.; van de Goor, L.A.M.

    2017-01-01

    To enhance implementation of a Guideline for integrated local health policy, a draft implementation strategy (DIS) was developed. It was hypothesized that the DIS would be feasible and effective to enhance the use of a Guideline for integrated local health policy. To examine its feasibility and

  11. Technology Implementation Plan

    DEFF Research Database (Denmark)

    Jensen, Karsten Ingerslev; Schultz, Jørgen Munthe

    The Technology Implementation Plan (TIP) describes the main project results and the intended future use. The TIP is confidential.......The Technology Implementation Plan (TIP) describes the main project results and the intended future use. The TIP is confidential....

  12. Implementing Student Information Systems

    Science.gov (United States)

    Sullivan, Laurie; Porter, Rebecca

    2006-01-01

    Implementing an enterprise resource planning system is a complex undertaking. Careful planning, management, communication, and staffing can make the difference between a successful and unsuccessful implementation. (Contains 3 tables.)

  13. Ecodesign Implementation and LCA

    DEFF Research Database (Denmark)

    McAloone, Tim C.; Pigosso, Daniela Cristina Antelmi

    2018-01-01

    implementation into manufacturing companies. Existing methods and tools for ecodesign implementation will be described, focusing on a multifaceted approach to environmental improvement through product development. Additionally, the use of LCA in an ecodesign implementation context will be further described...... in terms of the challenges and opportunities, together with the discussion of a selection of simplified LCA tools. Finally, a seven-step approach for ecodesign implementation which has been applied by several companies will be described....

  14. Implementation of Axiomatic Language

    OpenAIRE

    Wilson, Walter W.

    2011-01-01

    This report summarizes a PhD research effort to implement a type of logic programming language called "axiomatic language". Axiomatic language is intended as a specification language, so its implementation involves the transformation of specifications to efficient algorithms. The language is described and the implementation task is discussed.

  15. Environmental Protection Implementation Plan

    Energy Technology Data Exchange (ETDEWEB)

    Brekke, D.D.

    1994-01-01

    This Environmental Protection Implementation Plan is intended to ensure that the environmental program objectives of Department of Energy Order 5400.1 are achieved at SNL/California. The Environmental Protection Implementation Plan serves as an aid to management and staff to implement new environmental programs in a timely manner.

  16. THE IMPLEMENTATION OF CORPORATE PARTNERSHIP PROGRAM WITH SMALL AND MEDIUM ENTERPRISES TO ENHANCE A BUSINESS GROWTH: A STUDY ON THE PARTNERSHIP OF PT. CHAROEN POKPHAND INDONESIA THROUGH PT. SINAR SARANA SENTOSA WITH BROILER CHICKEN BREEDERS IN BLITAR REGENCY

    Directory of Open Access Journals (Sweden)

    Haryanto D.T.

    2017-11-01

    Full Text Available The development of business world today has undergone much progress. Various types of businesses have started to pop up. Speaking of livestock, the livestock sector is an integral part of agricultural sector development prioritized to meet the needs of food and nutrition. The development of livestock sector is part of the overall development which aims to provide food in the form of meat, milk, and eggs which have high nutritional value as well as increasing the farmer's or breeder’s income and expand the employment opportunity. The chickenbroiler is a very effective chicken to produce meat. In general, the main weaknesses in this business lie in the relatively small capital, lack of knowledge on maintaining the management capability, and relatively high price of feed. Another problem that occurs in this business is the field of marketing. One of the best ways that can be recommended in the development of broiler chicken agribusiness is the implementation of vertical coordination system with the partnership pattern. The problem discussed by the author in this study is about the partnership concept application between PT. Charoen Pokphand Indonesia through its subsidiary of PT. Sinar Sarana Sentosa and Small and Medium Enterprises (SMEs of broiler chicken breeders in improving the business growth in Blitar. This study is conditional and can be developed after the researcher conducted the research directly. This aims to analyze the problems about the application of partnerships and factors that support and inhibit the partnership, thus, it is possible that the theory of broiler chicken breeders partnership is developed. This research uses descriptive qualitative approach. In the research results, companies and breeders also need each other. It means that the company needs good breeding results. Breeders as the plasma need guidance to maximize the results. The majority of plasma breeders that participate in the partnership program with PT. Sinar

  17. Implementing a trustworthy cost-accounting model.

    Science.gov (United States)

    Spence, Jay; Seargeant, Dan

    2015-03-01

    Hospitals and health systems can develop an effective cost-accounting model and maximize the effectiveness of their cost-accounting teams by focusing on six key areas: Implementing an enhanced data model. Reconciling data efficiently. Accommodating multiple cost-modeling techniques. Improving transparency of cost allocations. Securing department manager participation. Providing essential education and training to staff members and stakeholders.

  18. Institutional aspects of NAMA development and implementation

    DEFF Research Database (Denmark)

    Hinostroza, Miriam L.; Sharma, Sudhir; Karavai, Maryna

    This publication analyses how developing countries may arrange their institutional and organizational structures or enhance the existing ones in order to deal with these new developments under the international climate change mitigation regime. Focus is on how to ensure the implementation of NAMAs...

  19. implementation of spatial domain homomorphic filtering

    African Journals Online (AJOL)

    eobe

    Keywords: Spatial domain homomorphic filtering, contrast enhancement, image processing, java programming. 1. INTRODUCTION. There is a lot of background literature on frequency- domain Homomorphic filtering [1-2]. However, such a scheme is too costly and complex to implement in digital and embedded hardware ...

  20. Coeur d'Alene Tribe Fish and Wildlife Program Habitat Protection Plan; Implementation of Fisheries Enhancement Opportunities on the Coeur d'Alene Reservation, 1997-2002 Technical Report.

    Energy Technology Data Exchange (ETDEWEB)

    Vitale, Angelo; Roberts, Frank; Peters, Ronald

    2002-06-01

    , including the Coeur d'Alene Indian Reservation (Coeur d'Alene Tribe 1998). Implicit in this statement is a commitment to provide native subsistence resources in the present and near future as well as the long-term by employing all the mitigation and conservation measures available to them. The development of this Habitat Protection Plan is intended to provide additional planning level guidance as the implementation of conservation measures moves forward. The purpose of this plan is to develop a systematic approach to habitat restoration that will ultimately lead to self-perpetuating, harvestable populations of native fish, wildlife and botanical species. Specifically, it is our intention to apply the principles and analyses presented in this plan to prioritize future restoration efforts that receive funding under the Northwest Power Planning Council's Resident Fish and Wildlife Mitigation Programs. Using an ecosystem restoration approach based on landscape ecology concepts (Primack 1993), the basic premise of the plan is to (1) protect functioning habitat conditions and (2) restore degraded habitat conditions. This plan focuses on habitat conditions at the watershed scale (macrohabitat) rather than on the needs of single species and/or species guilds. By focusing restoration efforts at a macrohabitat level, restoration efforts target all native species inhabiting that area. This approach marks a paradigm shift that emphasizes ecological based restoration rather than species-specific restoration. Traditionally, fish managers and wildlife managers have approached restoration independently, often dedicating resources to a single species by focusing on specific habitat types on a small spatial scale (microhabitat) (Robinson and Bolen 1989, Marcot et al. 2002). This management technique has done little to curb declines despite large budgets (Pianka 1994). Restoration on a landscape level has shown promising results (Holling 1992) and many riparian and wetland

  1. Implementering av kliniske retningslinjer

    OpenAIRE

    Kristensen, Atle; Wikstrøm, Dina

    2008-01-01

    ABSTRACT Background: As medical students in a psychiatric department, we experienced a lack of using medical guidelines. Our understanding is that clinical guidelines may be helpful in some clinical settings, and wanted to investigate how to implement clinical guidelines. Aims: This paper investigates the reasons as to why there is a lack of focus on medical guidelines, why it is hard to implement medical guidelines, which implementing strategies are most efficient, who should be resp...

  2. Labelling as reference Centre of GRACE (Groupe francophone de Réhabilitation Améliorée après ChirurgiE) for colorectal surgery: its impact on the implementation of enhanced recovery programme at the University Hospital of Liège.

    Science.gov (United States)

    Daenen, Coralie; Coimbra, Carla; Hans, Grégory; Joris, Jean

    2018-01-15

    Enhanced recovery programme (ERP) has been used in our hospital since 2005 for selected colorectal surgeries. Since October 2015, after labelling as GRACE reference centre, we included all patients scheduled for elective colorectal surgery in this programme. We assessed the impact of our labelling on the implementation of ERP. Results of our first 100 patients entered in the GRACE database were analyzed: length of stay, complications, readmission, adherence to the protocol. These results are compared to those of the last 100 patients undergoing colorectal surgery before our labelling. Patients' characteristics in both groups were similar. The complications rate was similar in both groups. The global length of hospital stay was 4 [5] days vs. 8.5 [8] (median [IQR]), respectively after and before labelling; p < .001. The duration of hospitalization for the different subgroups (age, surgical approach, types of surgery) were significantly shorter after our labelling (respectively: p < .001, p < .01, and p < .05). Our results demonstrate that labelling as reference centre increases the efficiency of the implementation of ERP. The fact that all subgroups of patients benefit from ERP must encourage inclusion of all patients undergoing elective colorectal surgery in ERP.

  3. Implementation between Tradition and Management: Structuration and Styles of Implementation

    NARCIS (Netherlands)

    Terpstra, Jan; Havinga, Tetty

    2001-01-01

    This article presents a diachronic perspective for implementation research. It analyzes implementation practices in relation to their changing institutional context. Therefore, a comparison is made between different styles of implementation. The relationship between implementation practices and

  4. Tip enhancement

    CERN Document Server

    Kawata, Satoshi

    2007-01-01

    This book discusses the recent advances in the area of near-field Raman scattering, mainly focusing on tip-enhanced and surface-enhanced Raman scattering. Some of the key features covered here are the optical structuring and manipulations, single molecule sensitivity, analysis of single-walled carbon nanotubes, and analytic applications in chemistry, biology and material sciences. This book also discusses the plasmonic materials for better enhancement, and optical antennas. Further, near-field microscopy based on second harmonic generation is also discussed. Chapters have been written by some of the leading scientists in this field, who present some of their recent work in this field.·Near-field Raman scattering·Tip-enhanced Raman spectroscopy·Surface-enhanced Raman spectroscopy·Nano-photonics·Nanoanalysis of Physical, chemical and biological materials beyond the diffraction limits·Single molecule detection

  5. Frameworks for Protocol Implementation

    NARCIS (Netherlands)

    de Barros Barbosa, Ciro; de barros Barbosa, C.; Ferreira Pires, Luis; Pires, L.F.; van Sinderen, Marten J.

    1998-01-01

    This paper reports on the development of a catalogue of frameworks for protocol implementation. Frameworks are software structures developed for a specific application domain, which can be re-used in the implementation of various different concrete systems in this domain. By using frameworks we aim

  6. Implementering & Performative Potentialer

    DEFF Research Database (Denmark)

    Damkjer, Annemarie

    This thesis investigates how technology is constituted as an object of implementation. Using the theoretical lens of actor-network theory the thesis investigates how the technology of performance management becomes a matter of implementation in the Danish Defence and how the technology of perform......This thesis investigates how technology is constituted as an object of implementation. Using the theoretical lens of actor-network theory the thesis investigates how the technology of performance management becomes a matter of implementation in the Danish Defence and how the technology...... of implementation through different forms of practice that perform the technology as a project. Practices that arrange ideas on performance management in stories of change. This marks the contents of the technology, forms its vocabulary and makes possible the technology’s allocation of resources and movement across...... challenge the traditional models of implementation. It is suggested, that we view implementation practices as performative in relation to the co-configuration of technology and organizational practices and that both the co-configurative perspective and the materiality of implementation practices is included...

  7. Collaborative enterprise system implementation

    NARCIS (Netherlands)

    Wognum, P.M.; Mensink, G.J.; Bühl, H.; Ma, X.; Sedmak-Wells, M.; Fan, I.S.; Sobolewski, M.; Cha, J.

    2004-01-01

    Implementation of enterprise systems in companies is a complex and dynamic process, requiring collaboration between many different roles within and across organisational borders. Current research on implementation of enterprise systems consists of the major part of large-scale studies aimed at

  8. An assessment of option B implementation for the prevention of ...

    African Journals Online (AJOL)

    An assessment of option B implementation for the prevention of mother to child transmission in Dschang, Cameroon: results from the DREAM (Drug Resource Enhancement against AIDS and Malnutrition) cohort.

  9. Implementation status and barriers of good manufacturing practice ...

    African Journals Online (AJOL)

    Removal of implementation barriers could be considered, including strengthening personnel competence, improving the quality management system and enhancing the international communication with advanced GMP regulators. Keywords: good manufacturing practice, GMP, Chinese patent medicine, traditional Chinese ...

  10. User participation in implementation

    DEFF Research Database (Denmark)

    Fleron, Benedicte; Rasmussen, Rasmus; Simonsen, Jesper

    2012-01-01

    Systems development has been claimed to benefit from user participation, yet user participation in implementation activities may be more common and is a growing focus of participatory-design work. We investigate the effect of the extensive user participation in the implementation of a clinical...... system by empirically analyzing how management, participating staff, and non-participating staff view the implementation process with respect to areas that have previously been linked to user participation such as system quality, emergent interactions, and psychological buy-in. The participating staff...... experienced more uncertainty and frustration than management and non-participating staff, especially concerning how to run an implementation process and how to understand and utilize the configuration possibilities of the system. This suggests that user participation in implementation introduces a need...

  11. Measuring persistence of implementation: QUERI Series

    Directory of Open Access Journals (Sweden)

    Asch Steven M

    2008-04-01

    Full Text Available Abstract As more quality improvement programs are implemented to achieve gains in performance, the need to evaluate their lasting effects has become increasingly evident. However, such long-term follow-up evaluations are scarce in healthcare implementation science, being largely relegated to the "need for further research" section of most project write-ups. This article explores the variety of conceptualizations of implementation sustainability, as well as behavioral and organizational factors that influence the maintenance of gains. It highlights the finer points of design considerations and draws on our own experiences with measuring sustainability, framed within the rich theoretical and empirical contributions of others. In addition, recommendations are made for designing sustainability analyses. This article is one in a Series of articles documenting implementation science frameworks and approaches developed by the U.S. Department of Veterans Affairs Quality Enhancement Research Initiative (QUERI.

  12. Enhanced nurse call systems.

    Science.gov (United States)

    2001-04-01

    This Evaluation focuses on high-end computerized nurse call systems--what we call enhanced systems. These are highly flexible systems that incorporate microprocessor and communications technologies to expand the capabilities of the nurse call function. Enhanced systems, which vary in configuration from one installation to the next, typically consist of a basic system that provides standard nurse call functionality and a combination of additional enhancements that provide the added functionality the facility desires. In this study, we examine the features that distinguish enhanced nurse call systems from nonenhanced systems, focusing on their application and benefit to healthcare facilities. We evaluated seven systems to determine how well they help (1) improve patient care, as well as increase satisfaction with the care provided, and (2) improve caregiver efficiency, as well as increase satisfaction with the work environment. We found that all systems meet these objectives, but not all systems perform equally well for all implementations. Our ratings will help facilities identify those systems that offer the most effective features for their intended use. The study also includes a Technology Management Guide to help readers (1) determine whether they'll benefit from the capabilities offered by enhanced systems and (2) target a system for purchase and equip the system for optimum performance and cost-effective operation.

  13. Towards a supply-chain Instrument to monitor an IT implementation

    NARCIS (Netherlands)

    Denolf, J.M.; Wognum, P.M.; Trienekens, J.H.; Vorst, van der J.G.A.J.; Omta, S.W.F.

    2012-01-01

    Based on improved information performance, agro-food companies and supply chains want to enhance their production processes. It creates the necessity to implement additional information technologies. The implementation of information technologies is, however, a complex task because of the

  14. Towards a Tool for Assessing Supply-Chain Information Performance During Implementation of New Information Technologies

    NARCIS (Netherlands)

    Denolf, J.M.; Wognum, P.M.; Trienekens, J.H.; Vorst, van der J.G.A.J.; Omta, S.W.F.

    2012-01-01

    Based on improved information performance, agro-food companies and supply chains want to enhance their production processes. It creates the necessity to implement additional information technologies. The implementation of information technologies is, however, a complex task because of the

  15. Southern Idaho Wildlife Mitigation Implementation 2000 Annual Report.

    Energy Technology Data Exchange (ETDEWEB)

    Bottum, Edward; Mikkelsen, Anders

    2001-03-01

    This report covers calendar year 2000 activities for the Southern Idaho Wildlife Mitigation Implementation project. This project, implemented by Idaho Department of Fish and Game and Shoshone Bannock Tribes wildlife mitigation staff, is designed to protect, enhance and maintain wildlife habitats to mitigate construction losses for Palisades, Anderson Ranch, Black Canyon and Minidoka hydroelectric projects. Additional project information is available in the quarterly reports.

  16. Implementing Dynamic Assessments in Psychotherapy.

    Science.gov (United States)

    Hopwood, Christopher J; Thomas, Katherine M; Luo, Xiaochen; Bernard, Nicola; Lin, Yanli; Levendosky, Alytia A

    2016-08-01

    In this article, we organize multimethod, multitimescale data around the interpersonal situation, a conceptual framework that can be used to integrate personality, psychopathology, and psychotherapy constructs in order to guide the assessment of clinical dynamics. We first describe the key variables of the interpersonal situation model and articulate methods for assessing those variables as they manifest (a) across different levels of personality, (b) across situations, and (c) within situations. We next use a case to demonstrate how to assess aspects of the interpersonal situation in a manner that enhances case conceptualization and facilitates the evaluation of clinical hypotheses. We also use this case to highlight challenges and decisions involved in implementing dynamic assessment in psychotherapy. We conclude by outlining areas in need of further exploration toward a more sophisticated approach to clinical practice that involves the routine assessment of dynamic processes.

  17. Implementing NLO DGLAP evolution in Parton Showers

    Energy Technology Data Exchange (ETDEWEB)

    Höche, Stefan [SLAC; Krauss, Frank [Durham U., IPPP; Prestel, Stefan [Fermilab

    2017-05-02

    We present a parton shower which implements the DGLAP evolution of parton densities and fragmentation functions at next-to-leading order precision up to effects stemming from local four-momentum conservation. The Monte-Carlo simulation is based on including next-to-leading order collinear splitting functions in an existing parton shower and combining their soft enhanced contributions with the corresponding terms at leading order. Soft double counting is avoided by matching to the soft eikonal. Example results from two independent realizations of the algorithm, implemented in the two event generation frameworks Pythia and Sherpa, illustrate the improved precision of the new formalism.

  18. Data governance implementation concept

    OpenAIRE

    Ullrichová, Jana

    2016-01-01

    This master´s thesis discusses concept of implementation for data governance. The theoretical part of this thesis is about data governance. It explains why data are important for company, describes definitoons of data governance, its history, its components, its principles and processes and fitting in company. Theoretical part is amended with examples of data governance failures and banking specifics. The main goal of this thesis is to create a concept for implementing data governance and its...

  19. Environmental protection Implementation Plan

    Energy Technology Data Exchange (ETDEWEB)

    R. C. Holland

    1999-12-01

    This ``Environmental Protection Implementation Plan'' is intended to ensure that the environmental program objectives of Department of Energy Order 5400.1 are achieved at SNL/California. This document states SNL/California's commitment to conduct its operations in an environmentally safe and responsible manner. The ``Environmental Protection Implementation Plan'' helps management and staff comply with applicable environmental responsibilities.

  20. Benchmarking Software Assurance Implementation

    Science.gov (United States)

    2011-05-18

    product The chicken#. (a.k.a. Process Focused Assessment ) – Management Systems ( ISO 9001, ISO 27001 , ISO 2000) – Capability Maturity Models (CMMI...Benchmarking Software Assurance Implementation Michele Moss SSTC Conference May 18, 2011 Report Documentation Page Form ApprovedOMB No. 0704-0188...00-00-2011 4. TITLE AND SUBTITLE Benchmarking Software Assurance Implementation 5a. CONTRACT NUMBER 5b. GRANT NUMBER 5c. PROGRAM ELEMENT NUMBER

  1. EDMS implementation challenge.

    Science.gov (United States)

    De La Torre, Marta

    2002-08-01

    The challenges faced by facilities wishing to implement an electronic medical record system are complex and overwhelming. Issues such as customer acceptance, basic computer skills, and a thorough understanding of how the new system will impact work processes must be considered and acted upon. Acceptance and active support are necessary from Senior Administration and key departments to enable this project to achieve measurable success. This article details one hospital's "journey" through design and successful implementation of an electronic medical record system.

  2. ENHANCING WRITING SKILL THROUGH WRITING PROCESS APPROACH

    OpenAIRE

    M. Zaini Miftah

    2015-01-01

    The study is aimed at developing the implementation of Writing Process Approach (WPA) to enhance the students’ skill in writing essay. The study employed Classroom Action Research. The subjects of the study were 15 university students enrolled in the writing class. The data were gained from writing task, observation and field notes. The findings show that the implementation of WPA with the proper model procedures developed can enhance the students’ skill in writing essay. Before the strategy ...

  3. Metaheuristic applications to speech enhancement

    CERN Document Server

    Kunche, Prajna

    2016-01-01

    This book serves as a basic reference for those interested in the application of metaheuristics to speech enhancement. The major goal of the book is to explain the basic concepts of optimization methods and their use in heuristic optimization in speech enhancement to scientists, practicing engineers, and academic researchers in speech processing. The authors discuss why it has been a challenging problem for researchers to develop new enhancement algorithms that aid in the quality and intelligibility of degraded speech. They present powerful optimization methods to speech enhancement that can help to solve the noise reduction problems. Readers will be able to understand the fundamentals of speech processing as well as the optimization techniques, how the speech enhancement algorithms are implemented by utilizing optimization methods, and will be given the tools to develop new algorithms. The authors also provide a comprehensive literature survey regarding the topic.

  4. Resolution Enhancement of Multilook Imagery

    Energy Technology Data Exchange (ETDEWEB)

    Galbraith, Amy E. [Univ. of Arizona, Tucson, AZ (United States)

    2004-07-01

    This dissertation studies the feasibility of enhancing the spatial resolution of multi-look remotely-sensed imagery using an iterative resolution enhancement algorithm known as Projection Onto Convex Sets (POCS). A multi-angle satellite image modeling tool is implemented, and simulated multi-look imagery is formed to test the resolution enhancement algorithm. Experiments are done to determine the optimal con guration and number of multi-angle low-resolution images needed for a quantitative improvement in the spatial resolution of the high-resolution estimate. The important topic of aliasing is examined in the context of the POCS resolution enhancement algorithm performance. In addition, the extension of the method to multispectral sensor images is discussed and an example is shown using multispectral confocal fluorescence imaging microscope data. Finally, the remote sensing issues of atmospheric path radiance and directional reflectance variations are explored to determine their effect on the resolution enhancement performance.

  5. Implementing Some Simple Strategies to Enhance Learners’ Listening Skills

    OpenAIRE

    John J. CARO

    2013-01-01

    This action research was carried out with an intermediate EFL class of 37 students (19 women and 18 men) at a prestigious public university of a major city in Ecuador. After I gave them the first quiz, I noticed that most of the class performed very poorly on the listening part. I decided to find out what the problem was and what I could do to help my students to improve their listening skills. When I asked the class why they thought they did badly on the listening they came up with different...

  6. A Trusted Path Design and Implementation for Security Enhanced Linux

    National Research Council Canada - National Science Library

    Hilchie, Allan

    2004-01-01

    ... compromised. One such mechanism is called a Trusted Path. A Trusted Path provides a protected communications channel that permits the computer to authenticate itself to the user and for the user to authenticate to the system...

  7. Prep-ME Software Implementation and Enhancement : technical summary

    Science.gov (United States)

    2017-09-01

    Pavement ME Design (previously MEPDG/DARWin-ME) is a significant advancement in pavement design, though requiring more inputs from various sources. Through efforts by the Louisiana Transportation Research Center (LTRC) and Federal Highway Administrat...

  8. Planning, design and implementation of the enhancing child ...

    African Journals Online (AJOL)

    The Global-Livestock Collaborative Research Support Program's (GL-CRSP) Child Nutrition Project, a controlled feeding trial in rural Kenya, demonstrated the importance of Animal Source Foods (ASF) for children's micronutrient status and cognitive development. These findings prompted research efforts to understand the ...

  9. Enhancing Domestic Response: The Implementation of the Homeland Response Force

    Science.gov (United States)

    2011-03-24

    doc-collections/fact-sheets/3mile- isle.html (accessed November 11, 2010) 16 ―Backgrounder on Chernobyl Nuclear Power Plant Accident ,‖ April 2009...responders. The other aspects of radiation emergencies are not necessarily terrorist related, but accident related. Nuclear accidents have occurred in...pregnant women and young children within a five mile radius of the site.15 In 1986, the former Soviet Union the Chernobyl Nuclear Power Plant had a

  10. Physical enhanced security strategy implementation in WDM PON

    Science.gov (United States)

    Bai, K. Kalyani; Ashik T., J.; Kachare, Nitin; Kumar, D. Sriram

    2017-06-01

    The enormous growth in data traffic in optical networks has raised the requirement of broadband access networks. Passive Optical Networks (PON) is capable of solving the power, bandwidth and cost problems. Time Division Multiplexed PON (TDM PON) uses a point to multipoint design which is currently being used for data transmission that initiated the requirement of maintaining customer's security in the downstream direction. These security impairments trigger the need of scrutiny for fault monitoring and eavesdropping in PONs. This paper demonstrates the Wavelength Division Multiplexed PONs (WDM-PON) using scrambling and fault monitoring to provide security which is absent in TDM passive optical networks. Results have been validated at 10 Gbps data rate using OPTISYSTEM12 simulation tool.

  11. HR practices for enhancing sustainable employability : implementation, use, and outcomes

    NARCIS (Netherlands)

    Ybema, Jan Fekke; van Vuuren, Tinka; van Dam, Karen

    2017-01-01

    With the aging of the workforce, organizations need to maintain or improve the sustainable employability of their workforce throughout their working life. This raises the question which HR practices increase workers’ sustainable employability at work. The aim of this study is to investigate the

  12. Ergonomic measures in construction work: enhancing evidence-based implementation

    NARCIS (Netherlands)

    Visser, S.

    2015-01-01

    Despite the development and availability of ergonomic measures in the construction industry, the number of construction workers reporting high physical work demands remains high. A reduction of the high physical work demands can be achieved by using ergonomic measures. However, these ergonomic

  13. Speech enhancement

    CERN Document Server

    Benesty, Jacob; Chen, Jingdong

    2006-01-01

    We live in a noisy world! In all applications (telecommunications, hands-free communications, recording, human-machine interfaces, etc.) that require at least one microphone, the signal of interest is usually contaminated by noise and reverberation. As a result, the microphone signal has to be ""cleaned"" with digital signal processing tools before it is played out, transmitted, or stored.This book is about speech enhancement. Different well-known and state-of-the-art methods for noise reduction, with one or multiple microphones, are discussed. By speech enhancement, we mean not only noise red

  14. Clinical Pharmacogenetics Implementation

    Science.gov (United States)

    WEITZEL, KRISTIN W.; ELSEY, AMANDA R.; LANGAEE, TAIMOUR Y.; BURKLEY, BENJAMIN; NESSL, DAVID R.; OBENG, ANIWAA OWUSU; STALEY, BENJAMIN J.; DONG, HUI-JIA; ALLAN, ROBERT W.; LIU, J. FELIX; COOPER-DEHOFF, RHONDA M.; ANDERSON, R. DAVID; CONLON, MICHAEL; CLARE-SALZLER, MICHAEL J.; NELSON, DAVID R.; JOHNSON, JULIE A.

    2014-01-01

    Current challenges exist to widespread clinical implementation of genomic medicine and pharmacogenetics. The University of Florida (UF) Health Personalized Medicine Program (PMP) is a pharmacist-led, multidisciplinary initiative created in 2011 within the UF Clinical Translational Science Institute. Initial efforts focused on pharmacogenetics, with long-term goals to include expansion to disease-risk prediction and disease stratification. Herein we describe the processes for development of the program, the challenges that were encountered and the clinical acceptance by clinicians of the genomic medicine implementation. The initial clinical implementation of the UF PMP began in June 2012 and targeted clopidogrel use and the CYP2C19 genotype in patients undergoing left heart catheterization and percutaneous-coronary intervention (PCI). After 1 year, 1,097 patients undergoing left heart catheterization were genotyped preemptively, and 291 of those underwent subsequent PCI. Genotype results were reported to the medical record for 100% of genotyped patients. Eighty patients who underwent PCI had an actionable genotype, with drug therapy changes implemented in 56 individuals. Average turnaround time from blood draw to genotype result entry in the medical record was 3.5 business days. Seven different third party payors, including Medicare, reimbursed for the test during the first month of billing, with an 85% reimbursement rate for outpatient claims that were submitted in the first month. These data highlight multiple levels of success in clinical implementation of genomic medicine. PMID:24616371

  15. NERSC Strategic Implementation Plan 2002-2006

    Energy Technology Data Exchange (ETDEWEB)

    Kramer, William; Bethel, Wes; Craw, James; Draney, Brent; Fortney, William; Gorda, Brend; Harris, William; Meyer, Nancy; Ng, Esmond; Verdier, Francesca; Walter, Howard; Welcome, Tammy

    2002-09-01

    This strategic proposal presents NERSC's vision for its activities and new directions over the next five years. NERSC's continuing commitment to providing high-end systems and comprehensive scientific support for its users will be enhanced, and these activities will be augmented by two new strategic thrusts: support for Scientific Challenge Teams and deployment of a Unified Science Environment. The proposal is in two volumes, the Strategic Plan and the Implementation Plan.

  16. Halal Logistics Implementation in Malaysia: A Practical View

    Science.gov (United States)

    Sham, Rohana; Zuraidah Rasi, Raja; Abdamia, Noranita; Mohamed, Suhana; Thahira Bibi, TKM

    2017-08-01

    Concept of halal is not only acceptable world wide by the Muslim society but also to the non Muslim. However, the implementing of halal logistics in daily operation experience a few difficulties especially on the implementation part. Although there are many academic research paper that highlight the issue of halal logistics and the critical success factor, until today, halal logistics in Malaysia is still experiencing a hiccup. This paper try to highlight a few simple ways of implementation of halal logistics that could enhance the total implementation concept at the very least cost to create benefit to all society. The Paper deals with a few aspect of possible implementation and practice to facilitate the halal logistics approach in daily operation. The main objective is to look at the possible method of implementation and critical success factors towards the implementation of halal logistics operation in daily goods movement in Malaysia.

  17. MONA Implementation Secrets

    DEFF Research Database (Denmark)

    Klarlund, Nils; Møller, Anders; Schwartzbach, Michael Ignatieff

    2002-01-01

    been discovered and tested over the years, including formula reductions, DAGification, guided tree automata, three-valued logic, eager minimization, BDD-based automata representations, and cache-conscious data structures. We describe these techniques and quantify their respective effects......The MONA tool provides an implementation of the decision procedures for the logics WS1S and WS2S. It has been used for numerous applications, and it is remarkably efficient in practice, even though it faces a theoretically non-elementary worst-case complexity. The implementation has matured over...

  18. MONA Implementation Secrets

    DEFF Research Database (Denmark)

    Klarlund, Nils; Møller, Anders; Schwartzbach, Michael Ignatieff

    2001-01-01

    been discovered and tested over the years, including formula reductions, DAGification, guided tree automata, three-valued logic, eager minimization, BDD-based automata representations, and cache-conscious data structures. We describe these techniques and quantify their respective effects......The Mona tool provides an implementation of the decision procedures for the logics WS1S and WS2S. It has been used for numerous applications, and it is remarkably efficient in practice, even though it faces a theoretically non-elementary worst-case complexity. The implementation has matured over...

  19. The challenge of implementation

    DEFF Research Database (Denmark)

    Andersen, Karen Heide Hauge

    2015-01-01

    of the BATCoM education at VIA University College, Denmark, the paper shows that the knowledge, use and implementation of the concepts is far from anchored in the lecturers’ daily practices. Through qualitative interviews the paper highlights different aspects considered, to determine the research question......Reaching the students in innovation and entrepreneurship courses is hard, when the courses are a requirement but not included in the main project of the curriculum. It is a major paradox for lecturers, who have never participated in and cannot see the relevance of such course, to implement...

  20. Implementing Samba 4

    CERN Document Server

    Leal, Marcelo

    2014-01-01

    This book is an implementation tutorial covering step-by-step procedures, examples, and sample code, and has a practical approach to set up a Samba 4 Server as an Active Directory Domain Controller and also set up different Samba 4 server roles.This book is ideal for system administrators who are new to the Samba 4 software, and who are looking to get a good grounding in how to use Samba 4 to implement Active Directory Services. It's assumed that you will have some experience with general system administration, Active Directory, and GNU/Linux systems. Readers are expected to have some test mac

  1. Environmental protection implementation plan

    Energy Technology Data Exchange (ETDEWEB)

    Holland, R.C.

    1998-03-01

    This Environmental Protection Implementation Plan is intended to ensure that the environmental program objectives of Department of Energy Order 5400.1 are achieved at SNL/California. This document states SNL/California`s commitment to conduct its operations in an environmentally safe and responsible manner. The Environmental Protection Implementation Plan helps management and staff comply with applicable environmental responsibilities. SNL is committed to operating in full compliance with the letter and spirit of applicable environmental laws, regulations, and standards. Furthermore, SNL/California strives to go beyond compliance with legal requirements by making every effort practical to reduce impacts to the environment to levels as low as reasonably achievable.

  2. Implementation of Emerging Technologies

    DEFF Research Database (Denmark)

    Barba, F. J.; Orlien, Vibeke; Mota, Maria J.

    2016-01-01

    Novel processing technologies have been gaining interest among food researchers due to their lower impact on nutritional and sensory properties of the products compared to the conventional thermal techniques. In this chapter some of the most well-studied (eg, high-pressure processing, pulsed...... resources. Lastly, studies with specific examples of the implementation of these novel processing technologies in food industry are described, focusing on the application of high-pressure processing and pulsed electric fields to orange juice, milk, and oysters. Higher implementation costs were observed...

  3. Barriers To Successful Implementation of STEM Education

    Directory of Open Access Journals (Sweden)

    James A. Ejiwale

    2013-05-01

    Full Text Available The implementation of STEM education in schools across the globe is to prepare the future workforce with strong scientific and mathematical backgrounds to enhance skills development across STEM disciplines. However, for STEM education to achieve its goals and objectives, addressing the barriers to STEM education should start by fixing the problems at the elementary, junior and senior high school levels; the grassroots and potential feeders to colleges and universities. Since many nations including the United States of America is in dire need of the workforce with adequate preparation in science and mathematics to help address the nation’s economy that is in shambles, the barriers to its successful implementation should be identified and addressed. In this paper, (a the definition of STEM education and (b some barriers to successful implementation of STEM education are discussed and elaborated.

  4. Implementing Specification Freedoms.

    Science.gov (United States)

    1983-04-01

    Sheila Coyazo for editing the final draft. Portions of this report appeared in a paper of the same name published in Science of Computer Programming [21...University of Edinburgh, Technical Report DAI 54, 1978. 21. Feather, M. S., and P. E. London, "Implementing specification freedoms," Science of Computer Programming 2

  5. Implementing function spreadsheets

    DEFF Research Database (Denmark)

    Sestoft, Peter

    2008-01-01

    : that of turning an expression into a named function. Hence they proposed a way to define a function in terms of a worksheet with designated input and output cells; we shall call it a function sheet. The goal of our work is to develop implementations of function sheets and study their application to realistic...

  6. Implementing Sustainable Institutional Practices

    Science.gov (United States)

    Shepard, Joseph; Johnson, Lewis

    2009-01-01

    Recent research has found that few institutions of higher education implemented the necessary strategies to make their campuses sustainable (Thompson and Green 2005). Ironically, universities are the segment of society with the most access to the intellectual capital needed to provide sound sustainable practices and measurements. Having top…

  7. Implementering af evidensbaseret praksis

    DEFF Research Database (Denmark)

    Scheel, Linda Schumann; Tewes, Marianne; Petersen, Preben Ulrich

    2015-01-01

    Projektet omhandler implementering af den kliniske retningslinje om identifikation, forebyggelse og behandling af delirium – i denne sammenhæng relateret til hjertepatienter. Projektet foregår på to hospitaler i Hjertecentret på Rigshospitalet, et intensivt afsnit og et sengeafsnit, i tæt...

  8. Distributed Energy Implementation Options

    Energy Technology Data Exchange (ETDEWEB)

    Shah, Chandralata N [National Renewable Energy Laboratory (NREL), Golden, CO (United States)

    2017-09-13

    This presentation covers the options for implementing distributed energy projects. It distinguishes between options available for distributed energy that is government owned versus privately owned, with a focus on the privately owned options including Energy Savings Performance Contract Energy Sales Agreements (ESPC ESAs). The presentation covers the new ESPC ESA Toolkit and other Federal Energy Management Program resources.

  9. Implementation of Aerobic Programs.

    Science.gov (United States)

    American Alliance for Health, Physical Education, Recreation and Dance (AAHPERD).

    This information is intended for health professionals interested in implementing aerobic exercise programs in public schools, institutions of higher learning, and business and industry workplaces. The papers are divided into three general sections. The introductory section presents a basis for adhering to a health fitness lifestyle, using…

  10. Implementation of lean leadership

    Directory of Open Access Journals (Sweden)

    Trenkner Małgorzata

    2016-12-01

    Full Text Available The Toyota case proves that lean leadership is of critical importance for the successful implementation and permanent functioning of Lean Production System. There is no ready formula for developing Toyota style lean leadership. However, one may gain inspiration from its experience.

  11. Implications for Curriculum Implementation

    African Journals Online (AJOL)

    Nekky Umera

    the limits to effective learning of biology may have been minimally set. ... was to create and maintain more effective learning environments through the ..... Teachers' attitudinal variables in the implementation of the further-mathematics curriculum as correlates of students' learning outcomes. Zimbabwe Journal of Educational ...

  12. DATA WAREHOUSES SECURITY IMPLEMENTATION

    Directory of Open Access Journals (Sweden)

    Burtescu Emil

    2009-05-01

    Full Text Available Data warehouses were initially implemented and developed by the big firms and they were used for working out the managerial problems and for making decisions. Later on, because of the economic tendencies and of the technological progress, the data warehou

  13. ENHANCING WRITING ABILITY THROUGH IDEA LISTING TECHNIQUE

    Directory of Open Access Journals (Sweden)

    M. Zaini Miftah

    2015-05-01

    Full Text Available The study is aimed at developing the Idea Listing Technique (ILT to enhance the students‟ writing ability. The Classroom Action Research was applied in this study. The subjects of the study were 31 students, the students taking the course of Writing II, of the third semester of English Department of one State Islamic College at Palangka Raya, Indonesia, in the 2012/2013 academic year. The findings show that the implementation of ILT can enhance the students‟ ability in writing expository paragraph. It is indicated by the enhancements of the percentage of the students achieving the score greater than or equal to C (60-69, and of the percentage of their involvement in the writing activities during the implementation of ILT in Cycle I and II. Thus, the enhancement of the students‟ ability in writing expository paragraph can be reached but it should follow the appropriate procedures of the implementation of ILT having been developed.

  14. Orchestrating Lean Implementation

    DEFF Research Database (Denmark)

    Riis, Jens Ove; Mikkelsen, Hans; Andersen, Jesper Rank

    2008-01-01

    The notion of Lean Manufacturing is not merely confined to a set of well defined techniques, but represents a broad approach to managing a company. Working with lean entails many aspects, such as production planning and control, production engineering, product development, supply chain......, and organizational issues. To become effective, many functional areas and departments must be involved. At the same time companies are embedded in a dynamic environment. The aim of the paper is to propose a comprehensive approach to better implementation of lean initiatives, based on two empirical studies. The paper...... will discuss how a concerted effort can be staged taking into account the interdependencies among individual improvement initiatives. The notion of orchestration will be introduced, and several means for orchestration will be presented. Critical behavioral issues for lean implementation will be discussed....

  15. "Implementation and Social Influence"

    OpenAIRE

    2008-01-01

    This paper incorporates social psychology into implementation theory. Real individuals care not only about their material benefits but also about their social influence in terms of obedience and conformity. Using a continuous time horizon, we demonstrate a method of manipulating the decision-making process, according to which, an uninformed principal utilizes her/his power of social influence to incentivize multiple informed agents to make honest announcements. Following this method, we show ...

  16. Joint Mission Command Implementation

    Science.gov (United States)

    2016-01-22

    1 AIR WAR COLLEGE AIR UNIVERSITY JOINT MISSION COMMAND IMPLEMENTATION by Michael Dane Acord, COL, US Army A Research Report Submitted to...assigned to the Air War College, Air University, Maxwell Air Force Base (AFB), AL. Following the Army Command and General Staff College and School...holds a Bachelor’s Degree in Biology and two Masters Degrees, a Masters in Management from Troy University and a Master of Military Arts and Sciences

  17. EDITORIAL: Enhancing nanolithography Enhancing nanolithography

    Science.gov (United States)

    Demming, Anna

    2012-01-01

    Lithography was invented in late 18th century Bavaria by an ambitious young playwright named Alois Senefelder. Senefelder experimented with stone, wax, water and ink in the hope of finding a way of reproducing text so that he might financially gain from a wider distribution of his already successful scripts. His discovery not only facilitated the profitability of his plays, but also provided the world with an affordable printing press that would ultimately democratize the dissemination of art, knowledge and literature. Since Senefelder, experiments in lithography have continued with a range of innovations including the use of electron beams and UV that allow increasingly higher-resolution features [1, 2]. Applications for this have now breached the limits of paper printing into the realms of semiconductor and microelectronic mechanical systems technology. In this issue, researchers demonstrate a technique for fabricating periodic features in poly(3,4-ethylene dioxythiophene)-poly(styrenesulfonate) (PEDOT-PSS) [3]. Their method combines field enhancements from silica nanospheres with laser-interference lithography to provide a means of patterning a polymer that has the potential to open the market of low-end, high-volume microelectronics. Laser-interference lithography has already been used successfully in patterning. Researchers in Korea used laser-interference lithography to generate stamps for imprinting a two-dimensional photonic crystal structure into green light emitting diodes (LEDs) [4]. The imprinted patterns comprised depressions 100 nm deep and 180 nm wide with a periodicity of 295 nm. In comparison with unpatterned LEDs, the intensity of photoluminescence was enhanced by a factor of seven in the LEDs that had the photonic crystal structures imprinted in them. The potential of exploiting field enhancements around nanostructures for new technologies has also attracted a great deal of attention. Researchers in the USA and Australia have used the field

  18. Implementing the ICPD's message.

    Science.gov (United States)

    Jain, A

    1995-01-01

    The International Conference on Population and Development held in Cairo in September 1994 recognized the need for reducing unwanted fertility and promoting smaller families within reproductive health services along with improving women's equality in education, health, and economic opportunity. The implementation of the main message would require an ideological transformation both for the population and for the development establishments. The implementation of a broadened population policy must incorporate the reduction of gender disparities as the primary goal. The problem is that the UNFPA has no influence over resources allocated to child health, female education, economic opportunities for women, or empowerment of women. Reproductive health and family planning programs should be integrated within the broader health services; however, reproductive health may not receive the desired high priority. Family planning programs are also expected to solve two problems: to improve individual well-being and to reduce overall fertility. Managers are likely to implement the reproductive health approach if it is a cost-effective way of reducing total fertility. However, no evidence exists to show that treating reproductive tract infections is a cost-effective way of reducing fertility. The primary objective of family planning programs should be empowerment of individuals to achieve their own reproductive goals in a healthful manner. Fertility reduction should be linked to fertility reduction by focusing on unwanted childbirth and to reproductive health services. The redesign of contraceptive services from a reproductive health perspective would deal with the contraindications of each method by developing standards for screening and focusing as well on the diagnosis and treatment of these conditions. The suggested role of the population sector in the tasks of development and family planning lies in promoting the main message to a wider national and international audience

  19. GOSIP implementation guidelines

    Energy Technology Data Exchange (ETDEWEB)

    Van Norman, H.J.

    1996-07-01

    GOSIP (Government Open Systems Interconnection Profile) is a subset of ISO`s OSI protocol standards relevant to US Government operations. As a Federal Information Processing Standard (FIPS), GOSIP is required by law for all Federal agencies. Mandatory standards-based communications products are required when purchasing functionality equivalent to what is specified in GOSIP. This unprecedented requirement by the Federal government has caused considerable confusion concerning practical implementation of relatively immature and untested technologies. Many organizations already have substantial investment in one or more proprietary network architectures. This paper examines issues associated with conversion to the GOSIP system.

  20. Mobile Portal Implementation Strategy

    DEFF Research Database (Denmark)

    Gao, Ping; Damsgaard, Jan

    2005-01-01

    Mobile portal plays an important role in mobile commerce market. Current literature focuses on static analysis on the value chain of mobile portals. This article provides a dynamic perspective on mobile portal strategy. Drawing upon network economics, we describe mobile portal implementation...... as a fourphase process. In different phase, a portal provider has various challenges to overcome and adopt diverse strategies, and correspondingly the regulator has different foci. The conceptual framework proposed in this article offers a basis for further analyses on the market dynamics of mobile commerce......, and can be generalized to studying other networked technologies...

  1. Photon enhanced thermionic emission

    Science.gov (United States)

    Schwede, Jared; Melosh, Nicholas; Shen, Zhixun

    2014-10-07

    Photon Enhanced Thermionic Emission (PETE) is exploited to provide improved efficiency for radiant energy conversion. A hot (greater than 200.degree. C.) semiconductor cathode is illuminated such that it emits electrons. Because the cathode is hot, significantly more electrons are emitted than would be emitted from a room temperature (or colder) cathode under the same illumination conditions. As a result of this increased electron emission, the energy conversion efficiency can be significantly increased relative to a conventional photovoltaic device. In PETE, the cathode electrons can be (and typically are) thermalized with respect to the cathode. As a result, PETE does not rely on emission of non-thermalized electrons, and is significantly easier to implement than hot-carrier emission approaches.

  2. Hardware implementation of machine vision systems: image and video processing

    Science.gov (United States)

    Botella, Guillermo; García, Carlos; Meyer-Bäse, Uwe

    2013-12-01

    This contribution focuses on different topics covered by the special issue titled `Hardware Implementation of Machine vision Systems' including FPGAs, GPUS, embedded systems, multicore implementations for image analysis such as edge detection, segmentation, pattern recognition and object recognition/interpretation, image enhancement/restoration, image/video compression, image similarity and retrieval, satellite image processing, medical image processing, motion estimation, neuromorphic and bioinspired vision systems, video processing, image formation and physics based vision, 3D processing/coding, scene understanding, and multimedia.

  3. Implementation: Measuring and Explaining the Fidelity of CSR Implementation

    Science.gov (United States)

    Kurki, Anja; Boyle, Andrea; Aladjem, Daniel K.

    2006-01-01

    Comprehensive school reform (CSR) is only as effective as its implementation. By using data collected for the National Longitudinal Evaluation of Comprehensive School Reform (NLECSR), this article explores the factors that predict CSR model implementation and the ways that CSR model implementation varies. We found little difference in the fidelity…

  4. Implementation-Oriented Secure Architectures

    National Research Council Canada - National Science Library

    Conte de Leon, Daniel; Alves-Foss, Jim; Oman, Paul W

    2006-01-01

    .... This framework is composed of an implementation-oriented formalization of a system's architecture, which we call the formal implementation model, along with a method for the construction of a system...

  5. Implementing New Ways of Working

    DEFF Research Database (Denmark)

    Granlien, Maren Sander; Hertzum, Morten

    2009-01-01

    Successful deployment of information technology (IT) involves implementation of new ways of working. Under-recognition of this organizational element of implementation entails considerable risk of not attaining the benefits that motivated deployment, yet knowledge of how to work systematically...

  6. Environmental Implementation Plan

    Energy Technology Data Exchange (ETDEWEB)

    1993-03-15

    The purpose of the Environmental Implementation Plan (EIP) is to show the current and future (five years) environmental plans from individual site organizations and divisions, as well as site environmental programs and initiatives which are designed to protect the environment and meet or exceed changing environmental/regulatory requirements. Communicating with site organizations, departments, and committees is essential in making the site`s environmental-planning process work. The EIP gives the site the what, when, how, and why for environmental requirements. Through teamwork and proactive planning, a partnership for environmental excellence is formed to achieve the site vision for SRS to become the recognized model for Environmental Excellence in the Department of Energy`s Nuclear Weapons Complex.

  7. Environmental Implementation Plan

    Energy Technology Data Exchange (ETDEWEB)

    1993-03-15

    The purpose of the Environmental Implementation Plan (EIP) is to show the current and future (five years) environmental plans from individual site organizations and divisions, as well as site environmental programs and initiatives which are designed to protect the environment and meet or exceed changing environmental/regulatory requirements. Communicating with site organizations, departments, and committees is essential in making the site's environmental-planning process work. The EIP gives the site the what, when, how, and why for environmental requirements. Through teamwork and proactive planning, a partnership for environmental excellence is formed to achieve the site vision for SRS to become the recognized model for Environmental Excellence in the Department of Energy's Nuclear Weapons Complex.

  8. Implementing Software Defined Radio

    CERN Document Server

    Grayver, Eugene

    2013-01-01

    Software Defined Radio makes wireless communications easier, more efficient, and more reliable. This book bridges the gap between academic research and practical implementation. When beginning a project, practicing engineers, technical managers, and graduate students can save countless hours by considering the concepts presented in these pages. The author covers the myriad options and trade-offs available when selecting an appropriate hardware architecture. As demonstrated here, the choice between hardware- and software-centric architecture can mean the difference between meeting an aggressive schedule and bogging down in endless design iterations. Because of the author’s experience overseeing dozens of failed and successful developments, he is able to present many real-life examples. Some of the key concepts covered are: Choosing the right architecture for the market – laboratory, military, or commercial Hardware platforms – FPGAs, GPPs, specialized and hybrid devices Standardization efforts to ens...

  9. Fama Architecture: Implementation Details

    Science.gov (United States)

    Alcolea, A.; Martinez, A.; Laguna, P.; Navarro, J.; Pollan, T.; Vicente, S. J.; Roy, A.

    1987-10-01

    The FAMA (Fine granularity Advanced Multiprocessor Architecture), currently being developed in the Department of Electrical Engineering and Computer Science of the University of Zaragoza, is an SIMD array architecture optimized for computer-vision applications. Because of its high cost-effectiveness, it is a very interesting alternative for industrial systems. Papers describing the processor element of FAMA have been submitted to several conferences; this paper focuses on the rest of components that complete the architecture: controller, I/O interface and software. The controller generates instructions at a 10MHz rate, allowing efficient access to bidimensional data structures. The I/O interface is capable of reordering information for efficient I/O operations. Development tools and modules for classical computer-vision tasks are being worked on in a first stage, the implementation of models based on existing theories on human vision will follow.

  10. Implementing AIDS Education

    Directory of Open Access Journals (Sweden)

    Grace C. Huerta

    1996-08-01

    Full Text Available The world has been challenged by the AIDS epidemic for 15 years. In 1985, the U.S. Department of Health and Human Services, Centers for Disease Control, allocated funds to all state departments of education to assist schools in the development of AIDS education policies and programs. Yet, these policies do not ensure that all students receive effective AIDS education. On September 21, 1991, the Arizona Legislature passed Senate Bill 1396, which requires public schools to annually provide AIDS education in grades K-12. The bill was rescinded in 1995. With prohibitive curriculum guidelines, limited teacher training opportunities and tremendous instructional demands, this educational policy was implemented in disparate forms. By examining the perspectives of the Arizona educators (representing three school districts, this qualitative study reveals how teachers ultimately controlled the delivery and nature of AIDS instruction based upon personal values, views of teacher roles, and their interpretation of the mandate itself.

  11. Implementing Demons and Ratchets

    Directory of Open Access Journals (Sweden)

    Peter M. Orem

    2017-01-01

    Full Text Available Experimental results show that ratchets may be implemented in semiconductor and chemical systems, bypassing the second law and opening up huge gains in energy production. This paper summarizes or describes experiments and results on systems that effect demons and ratchets operating in chemical or electrical domains. One creates temperature differences that can be harvested by a heat engine. A second produces light with only heat input. A third produces harvestable electrical potential directly. These systems share creating particles in one location, destroying them in another and moving them between locations by diffusion (Brownian motion. All absorb ambient heat as they produce other energy forms. None requires an external hot and cold side. The economic and social impacts of these conversions of ambient heat to work are, of course, well-understood and huge. The experimental results beg for serious work on the chance that they are valid.

  12. ENHANCING WRITING SKILL THROUGH WRITING PROCESS APPROACH

    Directory of Open Access Journals (Sweden)

    M. Zaini Miftah

    2015-03-01

    Full Text Available The study is aimed at developing the implementation of Writing Process Approach (WPA to enhance the students’ skill in writing essay. The study employed Classroom Action Research. The subjects of the study were 15 university students enrolled in the writing class. The data were gained from writing task, observation and field notes. The findings show that the implementation of WPA with the proper model procedures developed can enhance the students’ skill in writing essay. Before the strategy was implemented, the percentage of the students achieving the score greater than or equal to C (56-70 was 40.00% (6 students of the class. However, after the strategy was implemented in Cycle I, it enhanced enough to 60.00% (9 students of the class, but this result did not meet the criteria of success set up in the study. Next, in Cycle II it increased slightly to 86.67% (13 students of the class. Thus, the enhancement of the students’ skill in writing essay can be reached but it should follow the proper model procedures of the implementation of WPA developed. Keywords: writing process approach, writing skill, essay writing

  13. Subspace Detectors: Efficient Implementation

    Energy Technology Data Exchange (ETDEWEB)

    Harris, D B; Paik, T

    2006-07-26

    The optimum detector for a known signal in white Gaussian background noise is the matched filter, also known as a correlation detector [Van Trees, 1968]. Correlation detectors offer exquisite sensitivity (high probability of detection at a fixed false alarm rate), but require perfect knowledge of the signal. The sensitivity of correlation detectors is increased by the availability of multichannel data, something common in seismic applications due to the prevalence of three-component stations and arrays. When the signal is imperfectly known, an extension of the correlation detector, the subspace detector, may be able to capture much of the performance of a matched filter [Harris, 2006]. In order to apply a subspace detector, the signal to be detected must be known to lie in a signal subspace of dimension d {ge} 1, which is defined by a set of d linearly-independent basis waveforms. The basis is constructed to span the range of signals anticipated to be emitted by a source of interest. Correlation detectors operate by computing a running correlation coefficient between a template waveform (the signal to be detected) and the data from a window sliding continuously along a data stream. The template waveform and the continuous data stream may be multichannel, as would be true for a three-component seismic station or an array. In such cases, the appropriate correlation operation computes the individual correlations channel-for-channel and sums the result (Figure 1). Both the waveform matching that occurs when a target signal is present and the cross-channel stacking provide processing gain. For a three-component station processing gain occurs from matching the time-history of the signals and their polarization structure. The projection operation that is at the heart of the subspace detector can be expensive to compute if implemented in a straightforward manner, i.e. with direct-form convolutions. The purpose of this report is to indicate how the projection can be

  14. Factors Affecting Poor Strategy Implementation

    Directory of Open Access Journals (Sweden)

    Muh. Darmin Ahmad Pella

    2013-06-01

    Full Text Available Research on strategy implementation has been developed for three decades, yet only a few studies focus on factors affecting poor strategy implementation. This research evaluates the influence of strategy implementation problems on strategy implementation success and firm performance. This survey was conducted in 60 Indonesian companies and the data were statistically analysed using Structural Equation Modeling Partial Least Square (SEM PLS. The results show significant influence of strategy implementation problems on the degree of successful strategy implementation and perceived firm performance. The seven major obstacles that have impact on poor strategy implementation are: problems related to corporate scorecard, key performance indicators, information technology, competence, performance appraisal, strategy management office, and financial support.

  15. REACH VA: Moving from Translation to System Implementation.

    Science.gov (United States)

    Nichols, Linda O; Martindale-Adams, Jennifer; Burns, Robert; Zuber, Jeffrey; Graney, Marshall J

    2016-02-01

    Resources for Enhancing All Caregivers Health in the Department of Veterans Affairs (REACH VA) has been implemented in the VA system as a national program for caregivers. We describe the trajectory of REACH VA from national randomized clinical trial through translation to national implementation. The implementation is examined through the six stages of the Fixsen and Blasé implementation process model: exploration and adoption, program installation, initial implementation, full operation, innovation, and sustainability. Different drivers that move the implementation process forward are important at each stage, including staff selection, staff training, consultation and coaching, staff evaluation, administrative support, program evaluation/fidelity, and systems interventions. Caregivers in the REACH VA 4 session intervention currently implemented in the VA had similar outcomes to longer REACH interventions, including Resources for Enhancing Alzheimer's Caregivers Health (REACH II). Caregivers experienced significant decreases in burden, depression, anxiety, number of troubling patient behaviors reported, caregiving frustrations, stress symptoms (feeling overwhelmed, feeling like crying, being frustrated as a result of caregiving, being lonely), and general stress. Effect sizes (Cohen's d) for these significant variables were between small and medium ranging from .24 to .46. The implementation of REACH VA provides a road map for implementation of other behavioral interventions in health care delivery settings. Lessons learned include the importance of implementing a proven, needed intervention, support from both leadership and clinical staff, willingness to respond to staff and organization needs and modify the intervention while preserving its integrity, and fitting the intervention into ongoing routines and practices. Published by Oxford University Press on behalf of the Gerontological Society of America 2014.

  16. Soft Law, Solid Implementation? The Influence of Precision, Monitoring and Stakeholder Involvement on Norwegian Implementation of Arctic Council Recommendations

    Directory of Open Access Journals (Sweden)

    Ida Folkestad Soltvedt

    2017-05-01

    Full Text Available The Arctic Council has been criticized for its lack of legal status and, consequently, the supposedly low level of implementation among member states. Studying Norwegian implementation of six Arctic Council recommendations, this article challenges that view. I start by assuming that international law is not binary, that soft law is not a uniform phenomenon, and that soft law recommendations may entail certain characteristics—precision, monitoring, and stakeholder involvement—that can enhance their implementation nationally. Additionally, malignancy—an important barrier to national implementation—is taken into account. The Norwegian authorities have implemented several of the recommendations studied, and the characteristics are found to have a bearing on the outcomes. However, the absence of malignancy stands out as the most significant condition for achieving national implementation.

  17. Environmental Implementation Plan

    Energy Technology Data Exchange (ETDEWEB)

    1994-02-01

    The Environmental Implementation Plan (EIP) is a dynamic long-range environmental-protection plan for SRS. The EIP communicates the current and future (five year) environmental plans from individual organizations and divisions as well as site environmental initiatives which are designed to protect the environment and meet or exceed compliance with changing environmental/ regulatory requirements. Communication with all site organizations is essential for making the site environmental planning process work. Demonstrating environmental excellence is a high priority embodied in DOE and WSRC policy. Because of your support and participation in the three EIP initiatives; Reflections, Sectional Revision, and Integrated Planning, improvements are being made to the EIP and SRS environmental protection programs. I appreciate the ``Partnership in Environmental Excellence`` formed by the environmental coordinators and professionals who work daily toward our goal of compliance and environmental excellence. I look forward to seeing continued success and improvement in our environmental protection programs through combined efforts of all site organizations to protect our employees, the public health, and the environment. Together, we will achieve our site vision for SRS to be the recognized model for Environmental Excellence in the DOE Nuclear Weapons Complex.

  18. Implementing Target Value Design.

    Science.gov (United States)

    Alves, Thais da C L; Lichtig, Will; Rybkowski, Zofia K

    2017-04-01

    An alternative to the traditional way of designing projects is the process of target value design (TVD), which takes different departure points to start the design process. The TVD process starts with the client defining an allowable cost that needs to be met by the design and construction teams. An expected cost in the TVD process is defined through multiple interactions between multiple stakeholders who define wishes and others who define ways of achieving these wishes. Finally, a target cost is defined based on the expected profit the design and construction teams are expecting to make. TVD follows a series of continuous improvement efforts aimed at reaching the desired goals for the project and its associated target value cost. The process takes advantage of rapid cycles of suggestions, analyses, and implementation that starts with the definition of value for the client. In the traditional design process, the goal is to identify user preferences and find solutions that meet the needs of the client's expressed preferences. In the lean design process, the goal is to educate users about their values and advocate for a better facility over the long run; this way owners can help contractors and designers to identify better solutions. This article aims to inform the healthcare community about tools and techniques commonly used during the TVD process and how they can be used to educate and support project participants in developing better solutions to meet their needs now as well as in the future.

  19. 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

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

    Science.gov (United States)

    Gagliardi, Anna R; Brouwers, Melissa C; Palda, Valerie A; Lemieux-Charles, Louise; Grimshaw, Jeremy M

    2009-07-02

    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. 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. 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 outcomes reflecting the adoption of processes and

  1. 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…

  2. Implementation and Analysis of Hemodialysis in the Unit Operations Laboratory

    Science.gov (United States)

    Madihally, Sundararajan V.; Lewis, Randy S.

    2007-01-01

    To enhance bioengineering in the chemical engineering curriculum, a Unit Operations experiment simulating the hemodialysis of creatinine was implemented. The blood toxin creatinine was used for developing a more realistic dialysis experiment. A dialysis model is presented that allows students to assess the validity of model assumptions. This work…

  3. Implementation of locally adapted guidelines on type 2 diabetes

    NARCIS (Netherlands)

    van Bruggen, Rykel; Gorter, Kees J.; Stolk, Roland P.; Verhoeven, Rob P.; Rutten, Guy E. H. M.

    2008-01-01

    Objective. To assess the effects of a facilitator enhanced multifaceted intervention to implement a locally adapted guideline on the shared care for people with type 2 diabetes. Methods. During 1 year a cluster-randomized trial was performed in 30 general practices. In the intervention group, nurse

  4. Implementation Research: A Significant Step in the Right Direction ...

    African Journals Online (AJOL)

    One definition articulated implementation research as the study of what happens after adoption occurs, especially in organizational settings. During the period I was trying to define my research focus,. I found some literature on the quality enhancement research initiative (QUERI) developed by the United States Veterans.

  5. Implementing the Cairo agenda.

    Science.gov (United States)

    Johnson, B R

    1995-04-08

    If the current rate of contraceptive prevalence holds constant, the global population will double in 43 years, with almost all of the anticipated growth in developing countries. Over the past two decades, understanding has increased of the relationships among population, the environment, and sustainable economic development. This better understanding has led to a focus of attention upon human development and reproductive health, especially women's health and status. By improving people's lives through better education, health, economic opportunities, and the protection of their reproductive rights, it is assumed that people will want and have fewer children. These concepts were widely debated during the 1994 International Conference on Population and Development (ICPD) in Cairo and were eventually embraced by most of the participating delegations. Women's health advocates, physicians, social scientists, family planning managers, and health policymakers have worked hard since the ICPD to bring an high level of global attention and acceptance to the ideals articulated in the final ICPD document. Acceptance represents progress and a certain degree of global consensus on population and development issues, but difficult and costly efforts to realize the goals of the ICPD remain to be implemented. Countries should focus upon the achievable. Salient issues in developing countries will likely be the cost and sustainability of new human development/reproductive health programs, program effectiveness in reducing continued high levels of fertility, and the social and cultural appropriateness of new programs. With regard to this latter concern, most ideals of women's health, adolescent sexuality, empowerment, and rights are decidedly Western. Developing countries, however, are already dealing with a wide range of Western-oriented social, political, and economic reforms. They must now face the concept of empowering women and re-examining their approach to adolescent sexuality

  6. US initiative on joint implementation: An overview

    Energy Technology Data Exchange (ETDEWEB)

    Dixon, R.K. [Initiative on Joint Implementation, Washington, DC (United States)

    1996-12-31

    More than 150 countries are now Party to United Nations Framework Convention on Climate Change, which seeks as its ultimate objective, to stabilize atmospheric concentrations of greenhouse gases at a level that would prevent dangerous human interference with the global climate system. As a step towards that goal, all Parties are to take measures to mitigate greenhouse gas emissions and to promote cooperation in the development and diffusion of technologies and practices that control or reduce emissions and enhance sinks of greenhouse gases. In the U.S. view, efforts between countries or entities within them to reduce net greenhouse gas emissions undertaken cooperatively, termed joint implementation (JI), holds significant potential both for reducing the threat of global climate change and for promoting sustainable development. To develop and operationalize the JI concept, the U.S. launched its Initiative on Joint Implementation (IJI) in October, 1993, and designed a program to attract private sector resources and to encourage the diffusion of innovative technologies to mitigate greenhouse gas emissions. The goals of U.S. IJI complement the principles of Decision 5, First Conference of the FCCC Parties, establishing an Activities Implemented Jointly pilot phase.

  7. Implementing custom graphics in Stata

    OpenAIRE

    Sergiy Radyakin

    2009-01-01

    Stata provides a fairly extensive set of graphs. However sometimes users need to implement custom graphs, which are not yet available. In some cases it is possible to “tweak” a standard graph so that it results in the desired image; in other cases it is not possible. Stata uses complex system of objects implemented as classes and heavily relies on inheritance, polymorphism and overriding to implement its graphics. While standard class programming is well described in the Stata manuals, the pa...

  8. Conduct of operations implementation plan

    Energy Technology Data Exchange (ETDEWEB)

    Anderson, C.K.; Hall, R.L.

    1991-02-20

    This implementation plan describes the process and provides information and schedules that are necessary to implement and comply with the Department of Energy (DOE) Order 5480.19, {open_quotes}Conduct of Operations{close_quotes} (CoOp). This plan applies to all Pinellas Plant operations and personnel. Generally, this Plan discusses how DOE Order 5480.19 will be implemented at the Pinellas Plant.

  9. "Implementation and Preference for Honesty"

    OpenAIRE

    2003-01-01

    We investigate implementation of social choice functions that map states to lotteries, where agents have preferences not only for consequences but also for 'honesty'. We show that in the complete information environments with three or more agents, every social choice function is implementable in Nash equilibrium. This is in contrast with the standard implementation models where agents have preferences only for consequences and no social choice function depending on factors other than agents' ...

  10. Moral and social reasons to acknowledge the use of cognitive enhancers in competitive-selective contexts

    National Research Council Canada - National Science Library

    Garasic, Mirko D; Lavazza, Andrea

    2016-01-01

    Although some of the most radical hypothesis related to the practical implementations of human enhancement have yet to become even close to reality, the use of cognitive enhancers is a very tangible...

  11. Implementing Sustainable Supply Chain Management

    DEFF Research Database (Denmark)

    Schulze, Heike; Bals, Lydia

    2017-01-01

    these in practice is much less understood. Purchasing & Supply Management (PSM) stands out as a function with particular influence on the global supply base. Thus, there is a central connection between SSCM implementation and PSM as a function. While the organizational level has usually been in focus of research......Implementing social and environmental dimensions in global supply chains remains a major challenge in practice. While processes and actions needed to implement sustainable supply chain management (SSCM) have been subject to more research in the last years, the question who implements...

  12. User Participation in Pilot Implementation

    DEFF Research Database (Denmark)

    Torkilsheyggi, Arnvør Martinsdóttir á; Hertzum, Morten

    2014-01-01

    Pilot implementations provide users with real-work experiences of how a system will affect their daily work before the design of the system is finalized. On the basis of a pilot implementation of a system for coordinating the transport of patients by hospital porters, we investigate pilot...... implementation as a method for participatory design. We find that to foster participation and learning about user needs a pilot implementation must create a space for reflecting on use, in addition to the space for using the pilot system. The space for reflection must also exist during the activities preparing...

  13. Carbon nanostructured surfaces for enhanced heat transport

    NARCIS (Netherlands)

    Taha, T.J.

    2015-01-01

    The advancement of high performance thermal systems has stimulated interest in methods to improve heat transfer rates. Considerable efforts have been made to increase heat transfer rates by implementing passive convective heat transfer enhancement methods that require no direct consumption of

  14. Skills Enhancement Program. Kimberly Clark Corporation.

    Science.gov (United States)

    Coffey, Pat; And Others

    Literacy Foundation Memphis, Memphis City Schools Adult Education, and Kimberly Clark engaged in a cooperative venture to implement an intensive industry skills enhancement program for employees of Kimberly Clark. The effort continued to develop, refine, and expand the industry immersion model located on site, with 80 hours of instruction…

  15. Global alignment algorithms implementations | Fatumo ...

    African Journals Online (AJOL)

    In this paper, we implemented the two routes for sequence comparison, that is; the dotplot and Needleman-wunsch algorithm for global sequence alignment. Our algorithms were implemented in python programming language and were tested on Linux platform 1.60GHz, 512 MB of RAM SUSE 9.2 and 10.1 versions.

  16. Implementation Science and School Psychology

    Science.gov (United States)

    Forman, Susan G.; Shapiro, Edward S.; Codding, Robin S.; Gonzales, Jorge E.; Reddy, Linda A.; Rosenfield, Sylvia A.; Sanetti, Lisa M. H.; Stoiber, Karen C.

    2013-01-01

    The APA Division 16 Working Group on Translating Science to Practice contends that implementation science is essential to the process of translating evidence-based interventions (EBIs) into the unique context of the schools, and that increasing attention to implementation will lead to the improvement of school psychological services and school…

  17. LXG Compiler - Design and Implementation

    OpenAIRE

    Vassev, Emil

    2010-01-01

    LXG is a simple Pascal-like language. It is a functional programming language developed for studying compiler design and implementation. The language supports procedure and variable declarations, but no classes. This paper reports the design and implementation of an LXG compiler. Test results are presented as well.

  18. RTI Fidelity of Implementation Rubric

    Science.gov (United States)

    National Center on Response to Intervention, 2014

    2014-01-01

    The Response to Intervention (RTI) Fidelity Rubric is for use by individuals who are responsible for monitoring school-level fidelity of RTI implementation. The rubric is aligned with the essential components of RTI and the infrastructure that is necessary for successful implementation. It is accompanied by a worksheet with guiding questions and…

  19. COMPARATIVE ANALYSIS AND IMPLEMENTATION OF ...

    African Journals Online (AJOL)

    TransRoute: a web-based vehicle route planning application is proposed in this paper. This application leverages existing input-output (I/O) efficient implementations of shortest path algorithms (SPAs) to implement the proposed system that will fundamentally address the problems experienced in moving people, goods and ...

  20. Assessing implementation of evidence-based childhood obesity prevention strategies in schools

    Directory of Open Access Journals (Sweden)

    Christine M.W. Totura

    2015-01-01

    Conclusion: Obesity prevention strategy implementation relies on the supportiveness and structure of school climates. Barriers to prevention can impede efforts despite school commitment toward prevention, while stakeholder collaboration can enhance the likelihood that practices are in place.

  1. 76 FR 23749 - Intelligent Mail Package Barcode (IMpb) Implementation for Commercial Parcels

    Science.gov (United States)

    2011-04-28

    ... 111 Intelligent Mail Package Barcode (IMpb) Implementation for Commercial Parcels AGENCY: Postal... currently enhancing its operational capability to allow for the scanning of Intelligent Mail package barcodes (IMpb) and other extra services barcodes via automated processing equipment and Intelligent Mail...

  2. A systematic review of prerequisites for implementing assessment for learning in classroom practice

    NARCIS (Netherlands)

    Heitink, Maaike Christine; van der Kleij, Fabienne; Veldkamp, Bernard P.; Schildkamp, Kim; Kippers, Wilma Berdien

    2016-01-01

    Although many researchers acknowledge that Assessment for Learning can significantly enhance student learning, the factors facilitating or hindering its implementation in daily classroom practice are unclear. A systematic literature review was conducted to reveal prerequisites needed for Assessment

  3. Genetic enhancements and expectations.

    Science.gov (United States)

    Sorensen, K

    2009-07-01

    Some argue that genetic enhancements and environmental enhancements are not importantly different: environmental enhancements such as private schools and chess lessons are simply the old-school way to have a designer baby. I argue that there is an important distinction between the two practices--a distinction that makes state restrictions on genetic enhancements more justifiable than state restrictions on environmental enhancements. The difference is that parents have no settled expectations about genetic enhancements.

  4. Guiding healthcare technology implementation: a new integrated technology implementation model.

    Science.gov (United States)

    Schoville, Rhonda R; Titler, Marita G

    2015-03-01

    Healthcare technology is used to improve delivery of safe patient care by providing tools for early diagnosis, ongoing monitoring, and treatment of patients. This technology includes bedside physiologic monitors, pulse oximetry devices, electrocardiogram machines, bedside telemetry, infusion pumps, ventilators, and electronic health records. Healthcare costs are a challenge for society, and hospitals are pushed to lower costs by discharging patients sooner. Healthcare technology is being used to facilitate these early discharges. There is little understanding of how healthcare facilities purchase, implement, and adopt technology. There are two areas of theories and models currently used when investigating technology: technology adoption and implementation science. Technology adoption focuses mainly on how the end users adopt technology, whereas implementation science describes methods, interventions, and variables that promote the use of evidence-based practice. These two approaches are not well informed by each other. In addition, amplifying the knowledge gap is the limited conceptualization of healthcare technology implementation frameworks. To bridge this gap, an all-encompassing model is needed. To understand the key technology implementation factors utilized by leading healthcare facilities, the prevailing technology adoption and implementation science theories and models were reviewed. From this review, an integrated technology implementation model will be set forth.

  5. Ditigal-Image Enhancement

    Science.gov (United States)

    Woods, R.; Gonzalez, R.

    1984-01-01

    Programable system enhances digitally monocular and stereographic images at video rates. Provides automatic and interactive enhancement modes based on histogram modification and intensity-mapping techniques.

  6. Mobile Technologies Enhance the E-Learning Opportunity

    Science.gov (United States)

    Chuang, Keh-Wen

    2009-01-01

    The objective of this paper is to identify the mobile technologies that enhance the E-Learning opportunity, examine the educational benefits and implementation issues in mobile learning, discuss the guidelines for implementing effective mobile learning, identify the current application and operation of mobile learning, and discuss the future of…

  7. Autonomy and Enhancement.

    Science.gov (United States)

    Schaefer, G Owen; Kahane, Guy; Savulescu, Julian

    2014-01-01

    Some have objected to human enhancement on the grounds that it violates the autonomy of the enhanced. These objections, however, overlook the interesting possibility that autonomy itself could be enhanced. How, exactly, to enhance autonomy is a difficult problem due to the numerous and diverse accounts of autonomy in the literature. Existing accounts of autonomy enhancement rely on narrow and controversial conceptions of autonomy. However, we identify one feature of autonomy common to many mainstream accounts: reasoning ability. Autonomy can then be enhanced by improving people's reasoning ability, in particular through cognitive enhancement; given how valuable autonomy is usually taken to be, this gives us extra reason to pursue such cognitive enhancements. Moreover, autonomy-based objections will be especially weak against such enhancements. As we will argue, those who are worried that enhancements will inhibit people's autonomy should actually embrace those enhancements that will improve autonomy.

  8. Lessons in implementing infection prevention.

    Science.gov (United States)

    Holmes, Alison; Ahmad, Raheelah; Kiernan, Martin

    2016-03-01

    This paper has been developed from a conference presentation given by Professor Alison Holmes at the IPS Learning Labs launch event (2015). In it the implementation of research into clinical practice is discussed with reference to the upcoming Health Foundation Spotlight Report. The difficulties of engaging those in clinical practice are discussed with the importance of involvement of clinical leaders being highlighted. The importance of recognising that implementation science as a social process to bring credibility and legitimacy is also stressed. Following this, the Spotlight Report that is focused on strengthening implementation in the UK is discussed. There remains considerable scope for improvement and the impact of surveillance, targets and fatigue are considered. The tension between top-down and bottom-up approaches to implementation are discussed and a recommendation for a blended approach when implementing measures that are the components of an organisational infection prevention and control strategy is proposed. There also needs to be more scrutiny of the reasons for the failure of research implementation through an examination of the 'soft periphery' that comprises the organisational structure, systems and people that will be responsible for implementing and sustaining an intervention.

  9. Strengthening organizations to implement evidence-based clinical practices.

    Science.gov (United States)

    VanDeusen Lukas, Carol; Engle, Ryann L; Holmes, Sally K; Parker, Victoria A; Petzel, Robert A; Nealon Seibert, Marjorie; Shwartz, Michael; Sullivan, Jennifer L

    2010-01-01

    Despite recognition that implementation of evidence-based clinical practices (EBPs) usually depends on the structure and processes of the larger health care organizational context, the dynamics of implementation are not well understood. This project's aim was to deepen that understanding by implementing and evaluating an organizational model hypothesized to strengthen the ability of health care organizations to facilitate EBPs. CONCEPTUAL MODEL: The model posits that implementation of EBPs will be enhanced through the presence of three interacting components: active leadership commitment to quality, robust clinical process redesign incorporating EBPs into routine operations, and use of management structures and processes to support and align redesign. In a mixed-methods longitudinal comparative case study design, seven medical centers in one network in the Department of Veterans Affairs participated in an intervention to implement the organizational model over 3 years. The network was selected randomly from three interested in using the model. The target EBP was hand-hygiene compliance. Measures included ratings of implementation fidelity, observed hand-hygiene compliance, and factors affecting model implementation drawn from interviews. Analyses support the hypothesis that greater fidelity to the organizational model was associated with higher compliance with hand-hygiene guidelines. High-fidelity sites showed larger effect sizes for improvement in hand-hygiene compliance than lower-fidelity sites. Adherence to the organizational model was in turn affected by factors in three categories: urgency to improve, organizational environment, and improvement climate. Implementation of EBPs, particularly those that cut across multiple processes of care, is a complex process with many possibilities for failure. The results provide the basis for a refined understanding of relationships among components of the organizational model and factors in the organizational context

  10. A Fuzzy Homomorphic Algorithm for Image Enhancement | Nnolim ...

    African Journals Online (AJOL)

    The implementation and analysis of a novel Fuzzy Homomorphic image enhancement technique is presented. The technique combines the logarithmic transform with fuzzy membership functions to deliver an intuitive method of image enhancement. This algorithm reduces the computational complexity by eliminating the ...

  11. Implementation of building information modeling in Malaysian construction industry

    Science.gov (United States)

    Memon, Aftab Hameed; Rahman, Ismail Abdul; Harman, Nur Melly Edora

    2014-10-01

    This study has assessed the implementation level of Building Information Modeling (BIM) in the construction industry of Malaysia. It also investigated several computer software packages facilitating BIM and challenges affecting its implementation. Data collection for this study was carried out using questionnaire survey among the construction practitioners. 95 completed forms of questionnaire received against 150 distributed questionnaire sets from consultant, contractor and client organizations were analyzed statistically. Analysis findings indicated that the level of implementation of BIM in the construction industry of Malaysia is very low. Average index method employed to assess the effectiveness of various software packages of BIM highlighted that Bentley construction, AutoCAD and ArchiCAD are three most popular and effective software packages. Major challenges to BIM implementation are it requires enhanced collaboration, add work to a designer, interoperability and needs enhanced collaboration. For improving the level of implementing BIM in Malaysian industry, it is recommended that a flexible training program of BIM for all practitioners must be created.

  12. Quantum computing implementations with neutral particles

    DEFF Research Database (Denmark)

    Negretti, Antonio; Treutlein, Philipp; Calarco, Tommaso

    2011-01-01

    We review quantum information processing with cold neutral particles, that is, atoms or polar molecules. First, we analyze the best suited degrees of freedom of these particles for storing quantum information, and then we discuss both single- and two-qubit gate implementations. We focus our...... discussion mainly on collisional quantum gates, which are best suited for atom-chip-like devices, as well as on gate proposals conceived for optical lattices. Additionally, we analyze schemes both for cold atoms confined in optical cavities and hybrid approaches to entanglement generation, and we show how...... optimal control theory might be a powerful tool to enhance the speed up of the gate operations as well as to achieve high fidelities required for fault tolerant quantum computation....

  13. Managing Air Quality - Program Implementation

    Science.gov (United States)

    Describes elements for the set of activities to ensure that control strategies are put into effect and that air quality goals and standards are fulfilled, permitting programs, and additional resources related to implementation under the Clean Air Act.

  14. Neural Networks: Implementations and Applications

    NARCIS (Netherlands)

    Vonk, E.; Veelenturf, L.P.J.; Jain, L.C.

    1996-01-01

    Artificial neural networks, also called neural networks, have been used successfully in many fields including engineering, science and business. This paper presents the implementation of several neural network simulators and their applications in character recognition and other engineering areas

  15. Coral Reef Protection Implementation Plan

    National Research Council Canada - National Science Library

    Lobel, Lisa

    2000-01-01

    This document identify policies and actions to implement the Department of Defense's responsibilities under Executive Order 13089 on Coral Reef Protection, and are a requirement of the interim Task...

  16. IMPLEMENTATION OF MULTISIDED WAN ARCHITECTURE

    OpenAIRE

    Sushil Kumar*, Raman Bhanot, Shaina

    2016-01-01

    This paper proposes a method for implementing of Multisided WAN Architecture in which different colleges were attached with ISP and then create a VLAN for a switch and transfer VLAN to other switches.

  17. Enhancing protection for vulnerable waters

    Science.gov (United States)

    Creed, Irena F.; Lane, Charles R.; Serran, Jacqueline N.; Alexander, Laurie C.; Basu, Nandita B.; Calhoun, Aram J. K.; Christensen, Jay R.; Cohen, Matthew J.; Craft, Christopher; D'Amico, Ellen; Dekeyser, Edward; Fowler, Laurie; Golden, Heather E.; Jawitz, James W.; Kalla, Peter; Kirkman, L. Katherine; Lang, Megan; Leibowitz, Scott G.; Lewis, David B.; Marton, John; McLaughlin, Daniel L.; Raanan-Kiperwas, Hadas; Rains, Mark C.; Rains, Kai C.; Smith, Lora

    2017-11-01

    Governments worldwide do not adequately protect their limited freshwater systems and therefore place freshwater functions and attendant ecosystem services at risk. The best available scientific evidence compels enhanced protections for freshwater systems, especially for impermanent streams and wetlands outside of floodplains that are particularly vulnerable to alteration or destruction. New approaches to freshwater sustainability -- implemented through scientifically informed adaptive management -- are required to protect freshwater systems through periods of changing societal needs. One such approach introduced in the US in 2015 is the Clean Water Rule, which clarified the jurisdictional scope for federally protected waters. However, within hours of its implementation litigants convinced the US Court of Appeals for the Sixth Circuit to stay the rule, and the subsequently elected administration has now placed it under review for potential revision or rescission. Regardless of its outcome at the federal level, policy and management discussions initiated by the propagation of this rare rulemaking event have potential far-reaching implications at all levels of government across the US and worldwide. At this timely juncture, we provide a scientific rationale and three policy options for all levels of government to meaningfully enhance protection of these vulnerable waters. A fourth option, a 'do-nothing' approach, is wholly inconsistent with the well-established scientific evidence of the importance of these vulnerable waters.

  18. Research, Perspectives, and Recommendations on Implementing the Flipped Classroom.

    Science.gov (United States)

    Rotellar, Cristina; Cain, Jeff

    2016-03-25

    Flipped or inverted classrooms have become increasingly popular, and sometimes controversial, within higher education. Many educators have touted the potential benefits of this model and initial research regarding implementation has been primarily positive. The rationale behind the flipped classroom methodology is to increase student engagement with content, increase and improve faculty contact time with students, and enhance learning. This paper presents a summary of primary literature regarding flipped classrooms, discusses concerns and unanswered questions from both a student and faculty member perspective, and offers recommendations regarding implementation.

  19. Auditing Marketing Strategy Implementation Success

    OpenAIRE

    Herhausen, Dennis; Egger, Thomas; Oral, Cansu

    2014-01-01

    What makes a marketing strategy implementation successful and how can managers measure this success? To answer these questions, we developed a two-step audit approach. First, managers should measure the implementation success regarding effectiveness, efficiency, performance outcomes, and strategic embeddedness. Second, they should explore the reasons that have led to success or failure by regarding managerial, leadership, and environmental traps. Doing so will also provide corrective action p...

  20. [Realist evaluation for implementation research].

    Science.gov (United States)

    Dupin, Cécile Marie

    2017-04-01

    The realist approach to evaluation can be useful faced with the complexity of health interventions in populations. Implementation is the process by which these interventions are put into practice. Scientific realism can provide an important contribution to the development of programme theories through implementation research, and help to reveal the distal and proximal mechanisms of programmes aimed at combatting social inequalities in healthcare. Copyright © 2017 Elsevier Masson SAS. All rights reserved.

  1. Gen IV Materials Handbook Implementation Plan

    Energy Technology Data Exchange (ETDEWEB)

    Rittenhouse, P.; Ren, W.

    2005-03-29

    maintenance and enhancement. Contracting of development of the Handbook website is discussed in terms of host server options, cost, technology, developer background and cooperative nature, and company stability. One of the first and most important activities in website development will be the generation of a detailed Handbook product requirements document including case diagrams and functional requirements tables. The Implementation Plan provides a detailed overview of the organizational structure of the Handbook and details of Handbook preparation, publication, and distribution. Finally, the Implementation Plan defines Quality Assurance requirements for the Handbook.

  2. Implementing biosecurity education: approaches, resources and programmes.

    Science.gov (United States)

    Minehata, Masamichi; Sture, Judi; Shinomiya, Nariyoshi; Whitby, Simon

    2013-12-01

    This paper aims to present possible approaches, resources and programmes to introduce the topic of biosecurity to life scientists and engineers at the higher education level. Firstly, we summarise key findings from a number of international surveys on biosecurity education that have been carried out in the United States, Europe, Israel and the Asia-Pacific region. Secondly, we describe the development of our openly-accessible education resource, illustrating the scope and content of these materials. Thirdly, we report on actual cases of biosecurity education that have been implemented. These include achievements in and lessons derived from the implementation of biosecurity education at the National Defense Medical College in Japan. These experiences are followed by presentation of the expert-level "Train-the-Trainer" programmes subsequently launched by the University of Bradford in the United Kingdom. These examples will help readers to understand how educators can enhance their own understanding about biosecurity issues and how they can then disseminate their knowledge through development of their own customised, relevantly-targeted and stage-tailored education programmes within their own life science communities. By providing these examples, we argue that education for life scientists, policy-makers and other stakeholders about social responsibility on dual-use issues is easily achievable and need not be expensive, time-consuming or over-burdening. We suggest that recurring classes or courses be held at appropriate times during educational programmes to accommodate the developing expertise and advancing learning stages of students.

  3. Small Microprocessor for ASIC or FPGA Implementation

    Science.gov (United States)

    Kleyner, Igor; Katz, Richard; Blair-Smith, Hugh

    2011-01-01

    A small microprocessor, suitable for use in applications in which high reliability is required, was designed to be implemented in either an application-specific integrated circuit (ASIC) or a field-programmable gate array (FPGA). The design is based on commercial microprocessor architecture, making it possible to use available software development tools and thereby to implement the microprocessor at relatively low cost. The design features enhancements, including trapping during execution of illegal instructions. The internal structure of the design yields relatively high performance, with a significant decrease, relative to other microprocessors that perform the same functions, in the number of microcycles needed to execute macroinstructions. The problem meant to be solved in designing this microprocessor was to provide a modest level of computational capability in a general-purpose processor while adding as little as possible to the power demand, size, and weight of a system into which the microprocessor would be incorporated. As designed, this microprocessor consumes very little power and occupies only a small portion of a typical modern ASIC or FPGA. The microprocessor operates at a rate of about 4 million instructions per second with clock frequency of 20 MHz.

  4. Hospitals’ Readiness to Implement Clinical Governance

    Directory of Open Access Journals (Sweden)

    Farbod Ebadi Fardazar

    2015-02-01

    Full Text Available Background Quality of health services is one of the most important factors for delivery of these services. Regarding the importance and vital role of quality in the health sector, a concept known as “Clinical Governance” (CG has been introduced into the health area which aims to enhance quality of health services. Thus, this study aimed to assess private and public hospitals’ readiness to implement CG in Iran. Methods This descriptive and cross-sectional study was carried out in 2012. Four hundred thirty participants including doctors, nurses, diagnostic departments personnel, and support staff were chosen randomly from four hospitals (equally divided into private and public hospitals. Clinical Governance Climate Questionnaire (CGCQ was used for data collection. Finally, data were entered into the SPSS 18 and were analyzed using statistical methods. Results Among the CG dimensions, “organizational learning” and “planned and integrated quality improvement program” scored the highest and the lowest respectively for both types of hospitals. Hospitals demonstrated the worst condition with regard to the latter dimension. Furthermore, both types of hospitals had positive picture regarding “training and development opportunities”. Private hospitals scored better than public ones in all dimensions but there was only a significant difference in “proactive risk management” dimension between both types of hospitals (P< 0.05. Conclusion Hospitals’ readiness for CG implementation was “average or weak”. In order to implement CG successfully, it is essential to have a quality-centered culture, a culture specified by less paperwork, more selfsufficiency, and flexibility in hospitals’ affairs as well as centring on shared vision and goals with an emphasis on continuous improvement and innovation.

  5. Signal enhancement with variable span linear filters

    CERN Document Server

    Benesty, Jacob; Jensen, Jesper R

    2016-01-01

    This book introduces readers to the novel concept of variable span speech enhancement filters, and demonstrates how it can be used for effective noise reduction in various ways. Further, the book provides the accompanying Matlab code, allowing readers to easily implement the main ideas discussed. Variable span filters combine the ideas of optimal linear filters with those of subspace methods, as they involve the joint diagonalization of the correlation matrices of the desired signal and the noise. The book shows how some well-known filter designs, e.g. the minimum distortion, maximum signal-to-noise ratio, Wiener, and tradeoff filters (including their new generalizations) can be obtained using the variable span filter framework. It then illustrates how the variable span filters can be applied in various contexts, namely in single-channel STFT-based enhancement, in multichannel enhancement in both the time and STFT domains, and, lastly, in time-domain binaural enhancement. In these contexts, the properties of ...

  6. An innovative textbook: design and implementation.

    Science.gov (United States)

    Ortega, Rafael; Akhtar-Khavari, Vafa; Barash, Paul; Sharar, Sam; Stock, M Christine

    2017-12-01

    The 'flipped classroom' instructional strategy has gained much momentum in educational discourse, yet no single educational offering exists in postgraduate medical education (PME) to systematically replace the lecture element of didactic sessions. This article describes the design and implementation of Clinical Anesthesia Fundamentals, the first known textbook in PME addressing this gap in resources through the integration of full-length interactive multimedia-enhanced video lectures. The 'flipped classroom' instructional strategy has gained much momentum in educational discourse INNOVATION: The textbook was developed in alignment with the content outline for the specialty provided by the American Board of Anesthesiology. Its accompanying video lectures, produced at the Media Lab in the Department of Anesthesiology at Boston University Medical Center (BUMC), cover the topics in each chapter of the textbook and include review questions featuring explanatory feedback. Following a 5-month trial period at the BUMC Anesthesiology Residency Program, the complete resident class (25 of 25; 100%) participated in an anonymous, Institutional Review Board (IRB) -approved, five-point Likert-type scale survey assessing an underlying variable of preference for the use of multimedia learning tools. Survey results suggest that residents favour technology-enhanced learning environments in which textbooks are coupled with interactive multimedia, and the 'flipped classroom' approach is employed. Although the development of digital videos requires time and financial investment, the improved accessibility and uniform delivery of didactic content are two positive outcomes. This textbook provides an example for educators wishing to learn how to capitalise on advances in technology to further enhance learning and accessibility. Further studies could address the impact of this approach on the academic performance of residents. © 2016 John Wiley & Sons Ltd and The Association for the Study

  7. Implementation of integrated management system

    Energy Technology Data Exchange (ETDEWEB)

    Gaspar Junior, Joao Carlos A.; Fonseca, Victor Zidan da [Industrias Nucleares do Brasil (INB-RJ) Resende, RJ (Brazil)]. E-mail: joaojunior@inb.gov.br; victorfonseca@inb.gov.br

    2007-07-01

    In present day exist quality assurance system, environment, occupational health and safety such as ISO9001, ISO14001 and OHSAS18001 and others standards will can create. These standards can be implemented and certified they guarantee one record system, quality assurance, documents control, operational control, responsibility definition, training, preparing and serve to emergency, monitoring, internal audit, corrective action, continual improvement, prevent of pollution, write procedure, reduce costs, impact assessment, risk assessment , standard, decree, legal requirements of municipal, state, federal and local scope. These procedure and systems when isolate applied cause many management systems and bureaucracy. Integration Management System reduce to bureaucracy, excess of documents, documents storage and conflict documents and easy to others standards implementation in future. The Integrated Management System (IMS) will be implemented in 2007. INB created a management group for implementation, this group decides planing, works, policy and advertisement. Legal requirements were surveyed, internal audits, pre-audits and audits were realized. INB is partially in accordance with ISO14001, OSHAS18001 standards. But very soon, it will be totally in accordance with this norms. Many studies and works were contracted to deal with legal requirements. This work have intention of show implementation process of ISO14001, OHSAS18001 and Integrated Management System on INB. (author)

  8. The myth of genetic enhancement.

    Science.gov (United States)

    Rosoff, Philip M

    2012-06-01

    The ongoing revolution in molecular genetics has led many to speculate that one day we will be able to change the expression or phenotype of numerous complex traits to improve ourselves in many different ways. The prospect of genetic enhancements has generated heated controversy, with proponents advocating research and implementation, with caution advised for concerns about justice, and critics tending to see the prospect of genetic enhancements as an assault on human freedom and human nature. Both camps base their arguments on the unquestioned assumption that the science will realize either their dreams or nightmares. In this paper, I show that their beliefs are based upon two fundamental mistakes. First, they are based upon an unwarranted reliance in a genetic determinism that takes for granted that the traits that we might most want to enhance, like intelligence, aggression, shyness, and even athletic ability, can be causally directed by specific genes. In so doing, character descriptions are reified to be concrete and discrete entities, in this case, genes. Second, they have accepted on faith that there is, or will be, a science to translate their hopes or worries into reality when, in fact, that is unlikely to occur because of the irreducible complexity of phenotypic expression.

  9. Progress with Implementing Energy Efficiency Policies in the G8

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2009-07-01

    At the 2008 G8 Summit in Hokkaido, leaders reaffirmed the critical role improved energy efficiency can play in addressing energy security, environmental and economic objectives. They went even farther than in previous Summits and committed to maximising implementation of the 25 IEA energy efficiency recommendations prepared for the G8. The imperative to enhance energy efficiency remains a priority for all countries. To support governments with their implementation of energy efficiency, the IEA recommended the adoption of a broad range of specific energy efficiency policy measures to the G8 Summits in 2006, 2007 and 2008. The consolidated set of recommendations from these Summits covers 25 fields of action across seven priority areas: cross-sectoral activity, buildings, appliances, lighting, transport, industry and power utilities. If governments want to significantly improve energy efficiency, the IEA considers that no single policy implemented in isolation will be effective at achieving this aim. The IEA Secretariat recommends that governments implement a full set of appropriate measures. The IEA estimates that if implemented globally without delay, the proposed actions could save around 8.2 GtCO2/yr by 2030 -- equivalent to twice the EU's yearly emissions. This report evaluates the progress of the G8 countries in implementing energy efficiency policy, including the 25 G8/IEA recommendations. Information in this report is current up to 31 March 2009.

  10. Using organizational influence processes to overcome IS implementation barriers

    DEFF Research Database (Denmark)

    Ngwenyama, Ojelanki; Nielsen, Peter Axel

    2014-01-01

    A fundamental tenet of the information systems (IS) discipline holds that: (a) a lack of formal power and influence over the organization targeted for change, (b) weak support from top management, and (c) organizational memories of prior failures are barriers to implementation success. Our resear...... design and enact OIPs to effectively manage IS implementation. Further, we show how the theory of organizational influence can enhance understanding of IS implementation dynamics and advance the development of a theory of effective IS change agentry.......A fundamental tenet of the information systems (IS) discipline holds that: (a) a lack of formal power and influence over the organization targeted for change, (b) weak support from top management, and (c) organizational memories of prior failures are barriers to implementation success. Our research......, informed by organization influence, compellingly illustrates that such conditions do not necessarily doom a project to failure. In this paper, we present an analysis of how an IS implementation team designed and enacted a coordinated strategy of organizational influence to achieve implementation success...

  11. Implementing Blended Learning Technology in Higher Professional Education

    OpenAIRE

    Matukhin, Dmitry; Zhitkova, Elena

    2015-01-01

    The paper dwells on the learning outcomes of experimental implementing of blended learning technology in the English language teaching to engineering students of the Tomsk Polytechnic University. The aim of blended learning application is to enhance efficiency of the learning process by means of up-to-date highly-technological means of instruction. The author identified the level of information competency of engineering students, analyzed psychological readiness of engineering students to han...

  12. Design and Implementation of Dual Axis Solar Tracking system

    OpenAIRE

    Sirigauri N,; Raghav S,

    2015-01-01

    Solar energy is a promising technology that can have huge long term benefits. Solar cells convert the solar energy into electrical energy. Solar tracking system is the most suited technology to improve the efficiency and enhance the performance by utilizing maximum solar energy through the solar cell. In hardware development we utilize LDR’s as sensors and two servomotors to direct the position of the solar panel. The software part is implemented on a code written using an Arduino...

  13. Roadmap for Peridynamic Software Implementation

    Energy Technology Data Exchange (ETDEWEB)

    Littlewood, David John [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States)

    2015-10-01

    The application of peridynamics for engineering analysis requires an efficient and robust software implementation. Key elements include processing of the discretization, the proximity search for identification of pairwise interactions, evaluation of the con- stitutive model, application of a bond-damage law, and contact modeling. Additional requirements may arise from the choice of time integration scheme, for example esti- mation of the maximum stable time step for explicit schemes, and construction of the tangent stiffness matrix for many implicit approaches. This report summaries progress to date on the software implementation of the peridynamic theory of solid mechanics. Discussion is focused on parallel implementation of the meshfree discretization scheme of Silling and Askari [33] in three dimensions, although much of the discussion applies to computational peridynamics in general.

  14. Advanced compiler design and implementation

    CERN Document Server

    Muchnick, Steven S

    1997-01-01

    From the Foreword by Susan L. Graham: This book takes on the challenges of contemporary languages and architectures, and prepares the reader for the new compiling problems that will inevitably arise in the future. The definitive book on advanced compiler design This comprehensive, up-to-date work examines advanced issues in the design and implementation of compilers for modern processors. Written for professionals and graduate students, the book guides readers in designing and implementing efficient structures for highly optimizing compilers for real-world languages. Covering advanced issues in fundamental areas of compiler design, this book discusses a wide array of possible code optimizations, determining the relative importance of optimizations, and selecting the most effective methods of implementation. * Lays the foundation for understanding the major issues of advanced compiler design * Treats optimization in-depth * Uses four case studies of commercial compiling suites to illustrate different approache...

  15. Implementing guidelines in nursing homes

    DEFF Research Database (Denmark)

    Diehl, Heinz; Graverholt, Birgitte; Espehaug, Birgitte

    2016-01-01

    BACKGROUND: Research on guideline implementation strategies has mostly been conducted in settings which differ significantly from a nursing home setting and its transferability to the nursing home setting is therefore limited. The objective of this study was to systematically review the effects...... of interventions to improve the implementation of guidelines in nursing homes. METHODS: A systematic literature search was conducted in the Cochrane Library, CINAHL, Embase, MEDLINE, DARE, HTA, CENTRAL, SveMed + and ISI Web of Science from their inception until August 2015. Reference screening and a citation...... search were performed. Studies were eligible if they evaluated any type of guideline implementation strategy in a nursing home setting. Eligible study designs were systematic reviews, randomised controlled trials, non-randomised controlled trials, controlled before-after studies and interrupted...

  16. Harnessing Implementation Science to Increase the Impact of Health Equity Research.

    Science.gov (United States)

    Chinman, Matthew; Woodward, Eva N; Curran, Geoffrey M; Hausmann, Leslie R M

    2017-09-01

    Health disparities are differences in health or health care between groups based on social, economic, and/or environmental disadvantage. Disparity research often follows 3 steps: detecting (phase 1), understanding (phase 2), and reducing (phase 3), disparities. Although disparities have narrowed over time, many remain. We argue that implementation science could enhance disparities research by broadening the scope of phase 2 studies and offering rigorous methods to test disparity-reducing implementation strategies in phase 3 studies. We briefly review the focus of phase 2 and phase 3 disparities research. We then provide a decision tree and case examples to illustrate how implementation science frameworks and research designs could further enhance disparity research. Most health disparities research emphasizes patient and provider factors as predominant mechanisms underlying disparities. Applying implementation science frameworks like the Consolidated Framework for Implementation Research could help disparities research widen its scope in phase 2 studies and, in turn, develop broader disparities-reducing implementation strategies in phase 3 studies. Many phase 3 studies of disparity-reducing implementation strategies are similar to case studies, whose designs are not able to fully test causality. Implementation science research designs offer rigorous methods that could accelerate the pace at which equity is achieved in real-world practice. Disparities can be considered a "special case" of implementation challenges-when evidence-based clinical interventions are delivered to, and received by, vulnerable populations at lower rates. Bringing together health disparities research and implementation science could advance equity more than either could achieve on their own.

  17. Implementing NetScaler VPX

    CERN Document Server

    Sandbu, Marius

    2014-01-01

    An easy-to-follow guide with detailed step-by step-instructions on how to implement the different key components in NetScaler, with real-world examples and sample scenarios.If you are a Citrix or network administrator who needs to implement NetScaler in your virtual environment to gain an insight on its functionality, this book is ideal for you. A basic understanding of networking and familiarity with some of the different Citrix products such as XenApp or XenDesktop is a prerequisite.

  18. Microsoft Dynamics GP 2013 implementation

    CERN Document Server

    Yudin, Victoria

    2013-01-01

    A step-by-step guide for planning and carrying out your Microsoft Dynamics GP 2013 implementation. Detailed descriptions and illustrations of setup screens and practical examples and advice are included for the Dynamics GP system and core modules.If you are a new or existing Microsoft Dynamics GP consultant or an end user who wants to implement, install, and set up core modules of Dynamics GP 2013, then this book is for you. A basic understanding of business management systems and either Dynamics GP or a similar application is recommended.

  19. CONDITIONS FOR IMPLEMENTING ORGANIZATIONAL CHANGES

    Directory of Open Access Journals (Sweden)

    Renata Winkler

    2015-12-01

    Full Text Available Changes are one of the most typical phenomena experienced by contemporary organizations and are an inherent element of their functioning. The change introduction process is complex and it is often accompanied by a phenomenon of resistance to change on the part of the employees in an organization, which is considered as the main cause of failure in the change implementation process. The purpose of the article is to discuss the basic conditions for implementing changes related both to their adequate defining and overcoming resistance to change.

  20. GPU implementation of JPEG XR

    Science.gov (United States)

    Che, Ming-Chao; Liang, Jie

    2010-01-01

    JPEG XR (formerly Microsoft Windows Media Photo and HD Photo) is the latest image coding standard. By integrating various advanced technologies such as integer hierarchical lapped transform, context adaptive Huffman coding, and high dynamic range coding, it achieves competitive performance to JPEG-2000, but with lower computational complexity and memory requirement. In this paper, the GPU implementation of the JPEG XR codec using NVIDIA CUDA (Compute Unified Device Architecture) technology is investigated. Design considerations to speed up the algorithm are discussed, by taking full advantage of the properties of the CUDA framework and JPEG XR. Experimental results are presented to demonstrate the performance of the GPU implementation.

  1. Implementation of Summon at KAUST

    KAUST Repository

    Buck, Stephen

    2017-03-09

    Web discovery services has evolved tremendously from the time of its introduction to present day. Their technology has enabled library users to obtain a variety of materials in different format and type faster and farther. Coupled with a myriad of features, users are ‘pampered’ with the options to email, download citations, full text articles, book chapters on different devices such as laptops, desktops and mobile devices (among others). In this session, the speaker will highlight KAUST library’s new discovery service (KORAL powered by Summon) launched in June 2016. Topics include the implementation project, its challenges and lessons learnt and the after-implementation initiatives.

  2. Land Use Control Implementation Plan

    Science.gov (United States)

    Starr, Andrew Scott

    2015-01-01

    This Land Use Control Implementation Plan (LUCIP) has been prepared to inform current and potential future users of Building M7-505 of institutional controls that have been implemented at the site. Although there are no current unacceptable risks to human health or the environment associated with Building M7-505, institutional land use controls (LUCs) are necessary to prohibit the use of groundwater from the site. LUCs are also necessary to prevent access to soil under electrical equipment in the northwest portion of the site. Controls necessary to prevent human exposure will include periodic inspection, condition certification, and agency notification.

  3. VLSI implementations for image communications

    CERN Document Server

    Pirsch, P

    1993-01-01

    The past few years have seen a rapid growth in image processing and image communication technologies. New video services and multimedia applications are continuously being designed. Essential for all these applications are image and video compression techniques. The purpose of this book is to report on recent advances in VLSI architectures and their implementation for video signal processing applications with emphasis on video coding for bit rate reduction. Efficient VLSI implementation for video signal processing spans a broad range of disciplines involving algorithms, architectures, circuits

  4. Strategic Public Management - Selected Experiences with BSC Implementation

    Directory of Open Access Journals (Sweden)

    Milan PŮČEK

    2014-02-01

    Full Text Available Elements associated with modern approaches towards public management have been gaining ground in various forms in the Czech public administration, especially in the last decade. They reflect the priorities of the public administration reform and the enhanced opportunities for co-financing the implementation of new management tools from European funds. This article summarizes the experience of strategic management, based on the analysis of secondary sources and on the experience of one of the authors who has worked as manager in several public administration/public sector institutions. In the practical part, the article focuses on the potential and limits of implementation of the Balanced Scorecard using the practical experience together with the implementation of this instrument at the level of city and ministry.

  5. Oxygen-enhanced combustion

    CERN Document Server

    Baukal, Charles E

    2013-01-01

    Combustion technology has traditionally been dominated by air/fuel combustion. However, two developments have increased the significance of oxygen-enhanced combustion-new technologies that produce oxygen less expensively and the increased importance of environmental regulations. Advantages of oxygen-enhanced combustion include less pollutant emissions as well as increased energy efficiency and productivity. Oxygen-Enhanced Combustion, Second Edition compiles information about using oxygen to enhance industrial heating and melting processes. It integrates fundamental principles, applications, a

  6. Shared services - Implementation and continuous evolution (Article 2 of 3

    Directory of Open Access Journals (Sweden)

    T. N. Van der Linde

    2006-12-01

    Full Text Available Purpose: Now that an organisation understands the concept of shared services (Article 1, it needs to implement shared services as a business model. The purpose of this second article in the trilogy is to describe the phases during the implementation process, as well as the various models through which a shared services business unit will evolve to continuously add value to the organisation. Methodology: A comprehensive literature study was conducted in order to: - Determine the steps in implementing a shared services business model, - Determine the various models associated with a shared services business unit, - Determine how the continuous evolution of shared services results in moving from one shared services model to the next shared services model. Findings: In this article, a framework is generated to help organisations understand the various phases and steps it needs to go through to successfully implement a shared services business unit. This work has further potential: when applied correctly, organisations will provide a business environment where effectiveness and efficiency is a given. Implications: This article presents the context for organisations to implement a shared services business model and to continuously evolve from one shared services business model to the other to create value for the organisation. The findings are important for organisations that are in the process of implementing or have implemented shared services, as they can easily stagnate and fall into the trap of centralisation. Value: This article provides an understanding of what is required for the successful implementation of shared services. This value is further enhanced through continuous evolution from a basic shared services business model to the virtual shared services business model and beyond.

  7. Sustained Implementation Support Scale: Validation of a Measure of Program Characteristics and Workplace Functioning for Sustained Program Implementation.

    Science.gov (United States)

    Hodge, Lauren M; Turner, Karen M T; Sanders, Matthew R; Filus, Ania

    2017-07-01

    An evaluation measure of enablers and inhibitors to sustained evidence-based program (EBP) implementation may provide a useful tool to enhance organizations' capacity. This paper outlines preliminary validation of such a measure. An expert informant and consumer feedback approach was used to tailor constructs from two existing measures assessing key domains associated with sustained implementation. Validity and reliability were evaluated for an inventory composed of five subscales: Program benefits, Program burden, Workplace support, Workplace cohesion, and Leadership style. Exploratory and confirmatory factor analysis with a sample of 593 Triple P-Positive Parenting Program-practitioners led to a 28-item scale with good reliability and good convergent, discriminant, and predictive validity. Practitioners sustaining implementation at least 3 years post-training were more likely to have supervision/peer support, reported higher levels of program benefit, workplace support, and positive leadership style, and lower program burden compared to practitioners who were non-sustainers.

  8. Action Research and ICT Implementation

    Science.gov (United States)

    Krumsvik, Rune

    2012-01-01

    This emancipatory action research study investigates implementation of information and communication technology (ICT) in schools. The case study examined retrospectively was part of a Norwegian ICT project called PILOT, the focus of which concerns the impact on school development of a locally developed Internet subject portal and study periods.…

  9. IMPLEMENTING A RISK MANAGEMENT STANDARD

    Directory of Open Access Journals (Sweden)

    Constantin PREDA

    2013-01-01

    Full Text Available After risk management “conquered” more and more project managers’ minds and showed its benefits for business and programs, the need to have a global risk management standard has become a crucial issue in the world of risk management. But having a global risk management standard has been a big challenge, starting from the decision of developing the standard (March-June 2005, to the moment of publishing it, November 2009. So, developing the ISO 31000:2009 standard has been more or less like a bumpy ride. Apparently, the people involved in developing the global risk management standard understood from the very beginning that no challenges are too big, nor any tasks too small and that the task of having a new, comprehensive global risk management standard should be completed with excellence: defining the principles and the framework guiding the risk management process applicable for all type of organizations and for a wide range of activities. Coming up with a global standard should always be based on the real organizations’ needs and should fulfill real risk management requirements. The article is trying to present the pros and cons of risk management standard implementation, challenging the implementation process itself and the added value of implementing the standard due to the lack of implementation enablers, like risk culture, a real problem especially in an international environment.

  10. An agile implementation of SCRUM

    Science.gov (United States)

    Gannon, Michele

    Is Agile a way to cut corners? To some, the use of an Agile Software Development Methodology has a negative connotation - “ Oh, you're just not producing any documentation” . So can a team with no experience in Agile successfully implement and use SCRUM?

  11. Optoelectronic Implementation of Neural Networks

    Indian Academy of Sciences (India)

    Home; Journals; Resonance – Journal of Science Education; Volume 3; Issue 9. Optoelectronic Implementation of Neural Networks - Use of Optics in Computing. R Ramachandran. General Article Volume 3 Issue 9 September 1998 pp 45-55. Fulltext. Click here to view fulltext PDF. Permanent link:

  12. Instrumentation issues in implementation science.

    Science.gov (United States)

    Martinez, Ruben G; Lewis, Cara C; Weiner, Bryan J

    2014-09-04

    Like many new fields, implementation science has become vulnerable to instrumentation issues that potentially threaten the strength of the developing knowledge base. For instance, many implementation studies report findings based on instruments that do not have established psychometric properties. This article aims to review six pressing instrumentation issues, discuss the impact of these issues on the field, and provide practical recommendations. This debate centers on the impact of the following instrumentation issues: use of frameworks, theories, and models; role of psychometric properties; use of 'home-grown' and adapted instruments; choosing the most appropriate evaluation method and approach; practicality; and need for decision-making tools. Practical recommendations include: use of consensus definitions for key implementation constructs; reporting standards (e.g., regarding psychometrics, instrument adaptation); when to use multiple forms of observation and mixed methods; and accessing instrument repositories and decision aid tools. This debate provides an overview of six key instrumentation issues and offers several courses of action to limit the impact of these issues on the field. With careful attention to these issues, the field of implementation science can potentially move forward at the rapid pace that is respectfully demanded by community stakeholders.

  13. Implementing the Change Team Concept.

    Science.gov (United States)

    Coughlan, Robert J.; Zaltman, Gerald

    This paper focuses on variables to be considered in implementing the team approach to planned change in educational organizations. The first part deals with team considerations -- recruitment and selection, composition, training, and future roles of members in the client system. The second section presents various strategies and tactics for…

  14. Global alignment algorithms implementations | Fatumo ...

    African Journals Online (AJOL)

    It is the first and most important step of homology modeling, which is based on structural similarity. However, structural similarity of ... Our algorithms were implemented in python programming language and were tested on Linux platform 1.60GHz, 512 MB of RAM SUSE 9.2 and 10.1 versions. International Journal of Natural ...

  15. Large program implementation on minicomputers

    CERN Document Server

    Fonti, L

    1980-01-01

    A method is described to fit a very large program (usually executed on very big mainframes, like a CDC 7600 or IBM 370/168) on a 16-bit minicomputer with memory management support. The method outlined is fully general, even if references are made to a specific example: the implementation of the CERN program HYDRA on a PDP 11/70. (2 refs).

  16. Manufacturer Usage Description Specification Implementation

    OpenAIRE

    Srinivasan, Kaushik

    2017-01-01

    Manufacturer Usage Description Specification (MUDS) is aframework under RFC development that aims to automate Internet access control rules for IoT devices . These access controls prevent malicious IoT devices from attacking other devices and also protect the IoT devices from being attacked by other devices.We are implementing this framework and trying to improve its security.

  17. Design-Based Implementation Research

    Science.gov (United States)

    LeMahieu, Paul G.; Nordstrum, Lee E.; Potvin, Ashley Seidel

    2017-01-01

    Purpose: This paper is second of seven in this volume elaborating different approaches to quality improvement in education. It delineates a methodology called design-based implementation research (DBIR). The approach used in this paper is aimed at iteratively improving the quality of classroom teaching and learning practices in defined problem…

  18. Remote implementation of quantum operations

    Energy Technology Data Exchange (ETDEWEB)

    Huelga, Susana F [Quantum Physics Group, STRI, Department of Physics, Astrophysics and Mathematics, University of Hertfordshire, Hatfield, Herts AL10 9AB (United Kingdom); Plenio, Martin B [QOLS, Blackett Laboratory, Imperial College London, London SW7 2BW (United Kingdom); Xiang Guoyong [Key Laboratory of Quantum Information and Department of Physics, University of Science and Technology of China, Hefei 230026 (China); Li Jian [Key Laboratory of Quantum Information and Department of Physics, University of Science and Technology of China, Hefei 230026 (China); Guo Guangcan [Key Laboratory of Quantum Information and Department of Physics, University of Science and Technology of China, Hefei 230026 (China)

    2005-10-01

    Shared entanglement allows, under certain conditions, the remote implementation of quantum operations. We revise and extend recent theoretical results on the remote control of quantum systems as well as experimental results on the remote manipulation of photonic qubits via linear optical elements.

  19. 78 FR 24290 - Furlough Implementation

    Science.gov (United States)

    2013-04-24

    ... Federal Aviation Administration Furlough Implementation AGENCY: Federal Aviation Administration (FAA), DOT. ACTION: Notice. SUMMARY: This action gives notice to the American public and aviation industry of the FAA... safety and economic value for the American public and aviation industry. The furlough days vary, with...

  20. Implementing Competence Frameworks in Mexico

    Science.gov (United States)

    de Anda, Maria Luisa

    2011-01-01

    This article is based on the Mexican case study undertaken as part of the comparative study of the implementation and impact of National Qualifications Frameworks (NQF). Even though Mexico does not have a comprehensive NQF, the country has considerable experience in the development of labour competence technical standards; these share some aims…

  1. Implementation of Behavioral Marital Therapy.

    Science.gov (United States)

    Lester, Gregory W.; And Others

    1980-01-01

    Implementing behavioral marital therapy is discussed with emphasis on techniques of problem solving, communications training, behavioral contracting, and homework assignments. The therapist's intervention style and the aspects of treatment which aid in generalization and maintenance of therapeutic gains are also described, and a typical treatment…

  2. Implementing a new governance model.

    Science.gov (United States)

    Stanley-Clarke, Nicky; Sanders, Jackie; Munford, Robyn

    2016-05-16

    Purpose - The purpose of this paper is to discuss the lessons learnt from the process of implementing a new model of governance within Living Well, a New Zealand statutory mental health agency. Design/methodology/approach - It presents the findings from an organisational case study that involved qualitative interviews, meeting observations and document analysis. Archetype theory provided the analytical framework for the research enabling an analysis of both the formal structures and informal value systems that influenced the implementation of the governance model. Findings - The research found that the move to a new governance model did not proceed as planned. It highlighted the importance of staff commitment, the complexity of adopting a new philosophical approach and the undue influence of key personalities as key determining factors in the implementation process. The findings suggest that planners and managers within statutory mental health agencies need to consider the implications of any proposed governance change on existing roles and relationships, thinking strategically about how to secure professional commitment to change. Practical implications - There are ongoing pressures within statutory mental health agencies to improve the efficiency and effectiveness of organisational structures and systems. This paper has implications for how planners and managers think about the process of implementing new governance models within the statutory mental health environment in order to increase the likelihood of sustaining and embedding new approaches to service delivery. Originality/value - The paper presents insights into the process of implementing new governance models within a statutory mental health agency in New Zealand that has relevance for other jurisdictions.

  3. Training course on code implementation.

    Science.gov (United States)

    Allain, A; De Arango, R

    1992-01-01

    The International Baby Food Action Network (IBFAN) is a coalition of over 40 citizen groups in 70 countries. IBFAN monitors the progress worldwide of the implementation of the International Code of Marketing of Breastmilk Substitutes. The Code is intended to regulate the advertising and promotional techniques used to sell infant formula. The 1991 IBFAN report shows that 75 countries have taken some action to implement the International Code. During 1992, the IBFAN Code Documentation Center in Malaysia conducted 2 training courses to help countries draft legislation to implement and monitor compliance with the International Code. In April, government officials from 19 Asian and African countries attended the first course in Malaysia; the second course was conducted in Spanish in Guatemala and attended by officials from 15 Latin American and Caribbean countries. The resource people included representatives from NGOs in Africa, Asia, Latin America, Europe and North America with experience in Code implementation and monitoring at the national level. The main purpose of each course was to train government officials to use the International Code as a starting point for national legislation to protect breastfeeding. Participants reviewed recent information on lactation management, the advantages of breastfeeding, current trends in breastfeeding and the marketing practices of infant formula manufacturers. The participants studied the terminology contained in the International Code and terminology used by infant formula manufacturers to include breastmilk supplements such as follow-on formulas and cereal-based baby foods. Relevant World Health Assembly resolutions such as the one adopted in 1986 on the need to ban free and low-cost supplies to hospitals were examined. The legal aspects of the current Baby Friendly Hospital Initiative (BFHI) and the progress in the 12 BFHI test countries concerning the elimination of supplies were also examined. International Labor

  4. Environmental engineering education enhancement

    Science.gov (United States)

    Caporali, E.

    2012-04-01

    Since higher education plays a central role in the development of both human beings and modern societies, enhancing social, cultural and economic development, active citizenship, ethical values and expertises for a sustainable growth, environment respectful, the European Commission promotes a wide range of programmes. Among the EC programmes, the TEMPUS - Trans European Mobility Programme for University Studies, with the support of the DG EAC of the European Commission, has contributed to many aspects of general interest for higher education. Curricula harmonization, LifeLong Learning Programme development, ICT use, quality assessment, accreditation, innovation learning methods, growth of networks of institutions trusting each other, are the focused aspects. Such a solid cooperation framework is surely among the main outcomes of the TEMPUS Projects leaded by the University of Firenze UNIFI (Italy), DEREC - Development of Environment and Resources Engineering Curriculum (2005-2008), and its spin-off DEREL - Development of Environment and Resources Engineering Learning (2010-2013), and VICES - Videoconferencing Educational Services (2009-2012). DEREC and DEREL TEMPUS projects, through the co-operation of Universities in Italy, Austria, Germany, Greece, Macedonia, Albania and Serbia, are aimed at the development of first and second level curricula in "Environment and Resources Engineering" at the Ss. Cyril and Methodius University - UKIM Skopje (MK). In the DEREC Project the conditions for offering a joint degree title in the field of Environmental Engineering between UNIFI and UKIM Skopje were fulfilled and a shared educational programme leading to the mutual recognition of degree titles was defined. The DEREL project, as logical continuation of DEREC, is aimed to introduce a new, up-to-date, postgraduate second level curriculum in Environment and Resources Engineering at UKIM Skopje, University of Novi Sad (RS) and Polytechnic University of Tirana (AL). following

  5. Best practice implementation: lessons learned from 20 partnerships.

    Science.gov (United States)

    Sharek, Paul J; Mullican, Charlotte; Lavanderos, Angela; Palmer, Cynthia; Snow, Vincenza; Kmetik, Karen; Antman, Mark; Knutson, David; Dembry, Louise Marie

    2007-12-01

    Partnerships can facilitate effective implementation of best practices, but literature describing effective and ineffective strategies to address barriers to implementation in partnerships is lacking. Principal investigators (PIs) were surveyed to identify barriers to best practice implementation, rank their significance, and articulate the success and failure of solutions attempted. The top four categories of barriers to implementation were partnership challenges, practitioner/local organization variables, time frame challenges, and financial concerns. Ninety-eight effective and 38 ineffective solutions used to overcome these barriers were identified. The most common categories of successful solutions were flexibility of interventions to align with unique local characteristics, schedules, and budgets (36.7% of listed successful solutions); communication strategies that emphasize frequent bidirectional information exchange in person (26.5%); and thoughtful use of personnel emphasizing sites' senior leadership and centralized quality and analytic content expertise (16.3%). Despite substantial partnership diversity, consistent themes related to barriers to implementation and solutions to these barriers emerged. The successful and unsuccessful solutions provided should be proactively assessed to enhance the likelihood of future partnership success.

  6. Smart Image Enhancement Process

    Science.gov (United States)

    Jobson, Daniel J. (Inventor); Rahman, Zia-ur (Inventor); Woodell, Glenn A. (Inventor)

    2012-01-01

    Contrast and lightness measures are used to first classify the image as being one of non-turbid and turbid. If turbid, the original image is enhanced to generate a first enhanced image. If non-turbid, the original image is classified in terms of a merged contrast/lightness score based on the contrast and lightness measures. The non-turbid image is enhanced to generate a second enhanced image when a poor contrast/lightness score is associated therewith. When the second enhanced image has a poor contrast/lightness score associated therewith, this image is enhanced to generate a third enhanced image. A sharpness measure is computed for one image that is selected from (i) the non-turbid image, (ii) the first enhanced image, (iii) the second enhanced image when a good contrast/lightness score is associated therewith, and (iv) the third enhanced image. If the selected image is not-sharp, it is sharpened to generate a sharpened image. The final image is selected from the selected image and the sharpened image.

  7. LANL PDMLink Product Structure Implementation

    Energy Technology Data Exchange (ETDEWEB)

    Scully, Christopher J. [Los Alamos National Laboratory

    2012-08-29

    Over the past 2 and a half years LANL has done both functionality exploration as well as production implementations of PDMLink Product Structure to control the configuration of many of the LANL Design Agency Products. Based on this experience LANL has been recommending for over a year that future product structure implementation in PDMLink do not use the two digit suffix in the number field of enterprise parts (or WTParts). The suffix will be part of one of the attributes for Part Number. Per the TBP's the two digit suffix represents a change in form, fit, or function in a part or a change in the production agency or a number of other conditions. It also denotes backward compatibility with earlier suffixed parts (see TBP 402 section 3.1).

  8. Proactive DSA application and implementation

    Energy Technology Data Exchange (ETDEWEB)

    Draelos, T.; Hamilton, V.; Istrail, G.

    1998-05-03

    Data authentication as provided by digital signatures is a well known technique for verifying data sent via untrusted network links. Recent work has extended digital signatures to allow jointly generated signatures using threshold techniques. In addition, new proactive mechanisms have been developed to protect the joint private key over long periods of time and to allow each of the parties involved to verify the actions of the other parties. In this paper, the authors describe an application in which proactive digital signature techniques are a particularly valuable tool. They describe the proactive DSA protocol and discuss the underlying software tools that they found valuable in developing an implementation. Finally, the authors briefly describe the protocol and note difficulties they experienced and continue to experience in implementing this complex cryptographic protocol.

  9. Implementing Summon: an unexpected journey

    Directory of Open Access Journals (Sweden)

    Ben Elwell

    2013-07-01

    Full Text Available In the past few years, the user interface to library content has developed from the classic OPAC, through federated search, and has culminated in the selection of discovery tools currently on the market. At The University of Wolverhampton, we selected Summon as our discovery tool back in late 2010. We chose to implement Summon as our sole library catalogue interface instead of as a secondary service alongside an existing OPAC, a decision that was unique amongst Summon customers at the time. This article looks at our experiences during the first two years of using Summon, from the initial implementation, through various stages of user feedback and developments that followed. We hope that sharing these experiences may help those looking to follow a similar path.

  10. Elementary functions algorithms and implementation

    CERN Document Server

    Muller, Jean-Michel

    2016-01-01

    This textbook presents the concepts and tools necessary to understand, build, and implement algorithms for computing elementary functions (e.g., logarithms, exponentials, and the trigonometric functions). Both hardware- and software-oriented algorithms are included, along with issues related to accurate floating-point implementation. This third edition has been updated and expanded to incorporate the most recent advances in the field, new elementary function algorithms, and function software. After a preliminary chapter that briefly introduces some fundamental concepts of computer arithmetic, such as floating-point arithmetic and redundant number systems, the text is divided into three main parts. Part I considers the computation of elementary functions using algorithms based on polynomial or rational approximations and using table-based methods; the final chapter in this section deals with basic principles of multiple-precision arithmetic. Part II is devoted to a presentation of “shift-and-add” algorithm...

  11. Implementing rotavirus vaccination in Asia.

    Science.gov (United States)

    Santosham, Mathuram; Nelson, E Anthony S; Bresee, Joseph S

    2007-11-01

    At the 2006 meeting of the Asian Pacific Pediatric Association (APPA), the Asia Pacific regional rotavirus community and international experts strongly recommended that rotavirus vaccines be used in National Immunization Programmes (NIP) in countries in Asia. Two rotavirus vaccine candidates are currently licensed and have been demonstrated to be safe, well tolerated and highly efficacious. Several additional vaccines are in the late stages of development. The conference participants agreed that decisions on the introduction of rotavirus vaccines may require additional disease burden data in some countries and that economic evaluations will help policymakers reach decisions on nationwide rotavirus vaccine implementation. Other potential issues that arise with vaccine implementation, for example, the concomitant use of rotavirus vaccines with other vaccines, were also discussed. Rotavirus vaccines have the potential to substantially reduce morbidity and mortality from rotavirus disease and impact children's health in Asia.

  12. Malaysia implements the integrated approach.

    Science.gov (United States)

    1977-01-01

    Malaysia has implemented an integrated approach in providing family planning services to eligible couples. In 1964 the government of Malaysia adopted a national family planning program, and implementation began in the urban areas and extended into the rural areas. Other agencies are involved in providing family planning services and information including the Federation of Family Planning Associations, the Ministry of Health, the National Family Planning Board, and the Federal Land Development Authority. The number of women practicing contraception has increased from 20,726 in 1967 to 533,646 by 1976. and other methods, 3.9%, respectively. There has been an increase in the percentage of acceptors between ages 15-29 from 56% in 1968 to 71.3% in 1975. The 2nd Malaysian national plan will use a multidisciplinary approach to the problem.

  13. Implementation of Metal Casting Best Practices

    Energy Technology Data Exchange (ETDEWEB)

    Eppich, Robert [Eppich Technologies, Syracuse, IN (United States); Naranjo, Robert D. [BCS, Inc., Laurel, MD (United States)

    2007-01-01

    The project examined cases where metal casters had implemented ITP research results and the benefits they received due to that implementation. In cases where casters had not implemented those results, the project examined the factors responsible for that lack of implementation. The project also informed metal casters of the free tools and service offered by the ITP Technology Delivery subprogram.

  14. Preference SQL - Design, Implementation, Experiences

    OpenAIRE

    Kießling, Werner; Köstler, Gerhard

    2006-01-01

    Current search engines can hardly cope adequately with complex preferences. The biggest problem of search engines directly implemented with standard SQL is that SQL does not directly understand the notion of preferences. Preference SQL extends standard SQL by a preference model based on strict partial orders, where preference queries behave like soft selection constraints. A variety of built-in base preference types and the powerful Pareto accumulation operator to construct complex preference...

  15. Implementering af Akvaponi i Frea

    OpenAIRE

    Christian, Flensted Rasmussen; Malthe Mathias, Olsson; Heidi Charlotte, Højgaard; Mathias, Bang Katsnelson

    2015-01-01

    A continuing growth in the worlds populations, sets focus on better use of resources, among the important resources is water and nutrients like nitrogen (N) and phosphorus (P). A possible way to conserve water and exploit nutrients, which would otherwise be released into waterbodies, is to combine hydroponics and aquacultures in a production type called aquaponics. This paper examines the factors which supports an implementation of hydroponics in already existing fully recirculated aquacultur...

  16. Implementation of Project Management office

    OpenAIRE

    Malegová, Emília

    2012-01-01

    The goal of my thesis is to describe Project management office, its functions; a structure and its place in an organization as well as assumptions for its right implementation in an orgnanization. A first and a second section of the thesis introduce project management and project management office as such. Basic functions and models are described. A third section deals with each stages of implementatation of the office with a particular focus on main analysis and documents. Trends in implemen...

  17. Solar energy implementation in Nigeria

    OpenAIRE

    Museckaite, Rasa; Kevelaitis, Karolis; Obialo, Gaisva R.; Raudonis, Vytautas

    2008-01-01

    This research focuses on energy sector in Nigeria, more precisely, the electricity sector. The current situation in the Nigeria is that energy supply is not covering the energy demand. We made a research to investigate if solar energy could be a solution for the present situation in the mentioned country acting as a supportive energy supply. We analyzed both economical and environmental costs/benefits of implementation of solar energy system. We analyzed environmental aspect by comparing...

  18. Waste generator services implementation plan

    Energy Technology Data Exchange (ETDEWEB)

    Mousseau, J.; Magleby, M.; Litus, M.

    1998-04-01

    Recurring waste management noncompliance problems have spurred a fundamental site-wide process revision to characterize and disposition wastes at the Idaho National Engineering and Environmental Laboratory. The reengineered method, termed Waste Generator Services, will streamline the waste acceptance process and provide waste generators comprehensive waste management services through a single, accountable organization to manage and disposition wastes in a timely, cost-effective, and compliant manner. This report outlines the strategy for implementing Waste Generator Services across the INEEL. It documents the culmination of efforts worked by the LMITCO Environmental Management Compliance Reengineering project team since October 1997. These efforts have included defining problems associated with the INEEL waste management process; identifying commercial best management practices; completing a review of DOE Complex-wide waste management training requirements; and involving others through an Integrated Process Team approach to provide recommendations on process flow, funding/charging mechanisms, and WGS organization. The report defines the work that will be performed by Waste Generator Services, the organization and resources, the waste acceptance process flow, the funding approach, methods for measuring performance, and the implementation schedule and approach. Field deployment will occur first at the Idaho Chemical Processing Plant in June 1998. Beginning in Fiscal Year 1999, Waste Generator Services will be deployed at the other major INEEL facilities in a phased approach, with implementation completed by March 1999.

  19. Signal Enhancement with Variable Span Linear Filters

    DEFF Research Database (Denmark)

    Benesty, Jacob; Christensen, Mads Græsbøll; Jensen, Jesper Rindom

    This book introduces readers to the novel concept of variable span speech enhancement filters, and demonstrates how it can be used for effective noise reduction in various ways. Further, the book provides the accompanying Matlab code, allowing readers to easily implement the main ideas discussed....... Variable span filters combine the ideas of optimal linear filters with those of subspace methods, as they involve the joint diagonalization of the correlation matrices of the desired signal and the noise. The book shows how some well-known filter designs, e.g. the minimum distortion, maximum signal......-to-noise ratio, Wiener, and tradeoff filters (including their new generalizations) can be obtained using the variable span filter framework. It then illustrates how the variable span filters can be applied in various contexts, namely in single-channel STFT-based enhancement, in multichannel enhancement in both...

  20. Implementing Lean Six Sigma in organizations

    OpenAIRE

    Lameijer, B.A.

    2017-01-01

    This thesis focuses on operational excellence following the Lean Six Sigma (LSS) method. As the popularity of implementing LSS grows, questions about implementing LSS in organizations arise, and this is where we aim to contribute. We study key questions about implementing LSS in organizations at two levels of analysis, being (1) the LSS project level and (2) the implementation of LSS as strategic organizational change initiative. Implementing LSS at the project level We find that the effect o...

  1. Electrostriction enhancement in metamaterials

    CERN Document Server

    Smith, M J A; de Sterke, C Martijn; Wolff, C; Lapine, M; Poulton, C G

    2015-01-01

    We demonstrate a controllable enhancement in the electrostrictive properties of a medium using dilute composite artificial materials. Analytical expressions for the composite electrostriction are derived and used to show that enhancement, tunability and suppression can be achieved through a careful choice of constituent materials. Numerical examples with Ag, As$_2$S$_3$, Si and SiO$_2$ demonstrate that even in a non-resonant regime, artificial materials can bring more than a threefold enhancement in the electrostriction.

  2. Implementing a perinatal substance abuse screening tool.

    Science.gov (United States)

    Wallman, Carol M; Smith, Pat Bohling; Moore, Karen

    2011-08-01

    Newborns exposed to illicit drugs or alcohol in utero can face physical, social, and emotional obstacles. Outcomes for children with fetal alcohol syndrome disorders are well documented in the literature. Data exist on the effects of maternal illicit drug use. Identifying perinatal substance abuse can increase positive outcomes for newborns and create the opportunity for mothers to access assistance through referrals to community resources.This article provides insight on how hospitals can implement an effective screening tool through patient surveying and testing, nurse education, and collaboration with community agencies in a multidisciplinary advisory committee setting.This discussed method of universal perinatal screening results in increased positive screens and increased referrals for care and support. Emphasis is placed on universal screening and testing methods. Nurses are trained in motivational interview techniques that convey empathy, listening, and objectivity. Community agencies partner with hospital staff through onsite meetings with families that determine the best discharge plan for the newborn. The multidisciplinary advisory committee meets continually to discuss future enhancements.

  3. The institutional needs of joint implementation projects

    Energy Technology Data Exchange (ETDEWEB)

    Watt, E.; Sathaye, J. [Lawrence Berkeley Lab., CA (United States); Buen, O. de; Masera, O. [National Univ. of Mexico, Mexico City (Mexico); Gelil, I.A. [Organization of Energy Conservation and Planning, Cairo (Egypt); Ravindranath, N.H. [Indian Inst. of Science, Bangalore (India); Zhou, D.; Li, J. [Energy Research Inst., Beijing (China); Intarapravich, D. [Thailand Environmental Inst., Bangkok (Thailand)

    1995-10-21

    In this paper, the authors discuss options for developing institutions for joint implementation (JI) projects. They focus on the tasks which are unique to JI projects or require additional institutional needs--accepting the project by the host and investor countries and assessing the project`s greenhouse gas (GHG) emission reduction or sequestration--and they suggest the types of institutions that would enhance their performance. The evaluation is based on four sets of governmental and international criteria for JI projects, the experiences of ten pilot JI projects, and the perspectives of seven collaborating authors from China, Egypt, India, Mexico, and Thailand, who interviewed relevant government and non-government staff involved in JI issue assessment in their countries. After examining the roles for potential JI institutions, they present early findings arguing for a decentralized national JI structure, which includes: (1) national governmental panels providing host country acceptance of proposed JI projects; (2) project parties providing the assessment data on the GHG reduction or sequestration for the projects; (3) technical experts calculating these GHG flows; (4) certified verification teams checking the GHG calculations; and (5) members of an international JI Secretariat training and certifying the assessors, as well as resolving challenges to the verifications. 86 refs.

  4. Implementing and evaluating reflective practice group sessions.

    Science.gov (United States)

    McGrath, Deidre; Higgins, Agnes

    2006-05-01

    The rapidly changing and developing arenas of biological and medical technology, coupled with a myriad of social concerns and issues affecting individual, family and societal health, necessitates that nursing practitioners engage themselves fully with patients in the pursuit of health and healing. The above factors have not only served as catalysts in the development of educational curricula in general but also nursing curricula. Reflection in these curricula is often considered an appropriate vehicle for the analysis of nursing practice, fostering not only an understanding of nurse's work but also the development of critically thoughtful approaches essential for providing nursing care in complex environments [Duke, S., Appleton, J., 2000. The use of reflection in a palliative care programme: a qualitative study of the development of reflective skills over an academic year. J. Adv. Nurs. 32 (6), 1557-1568]. Consequently, nurse educators are being called upon to develop nurses who are reflective practitioners. The focus of this paper is on an exploration of issues that arose from the implementation of reflective sessions with a group of qualified nurses undertaking a diploma in nursing. This paper addresses the challenges experienced in the introduction of reflection as a teaching method. Recommendations for other lecturers when using this approach are also provided. It is anticipated this paper will provide practical advice and guidance for educators who wish to use reflective sessions to enhance the educational experience of their nursing students.

  5. Facilitating submetering implementation. Final report

    Energy Technology Data Exchange (ETDEWEB)

    Bowers, M.A.

    1996-05-01

    Residential submetering is the measurement and billing of electric use in individual apartments in master-metered buildings. In master-metered building situations, residents do not bear electricity costs in proportion to consumption levels. As a result, studies have confirmed that residents in master-metered buildings tend to consume more electricity than residents with individual apartment metering, and have established electrical submetering as an effective energy conservation measure. The New York State Energy Research & Development Authority (NYSERDA) has commissioned a project called Facilitating Submetering Implementation to identify and analyze barriers to the implementation of residential electrical submetering in New York and to formulate recommendations that would facilitate the removal of these barriers, streamlining the process. Experienced professionals in the technical, legal, regulatory, analytical, financial, and other aspects of submetering were retained to interview key interested parties and conduct public forums. This and other data were then analyzed to ascertain the barriers to submetering and develop recommendations designed to reduce or eliminate these barriers. The key barriers to submetering implementation were found to be the Public Service Commission (PSC) requirement for a vote of a majority of shareholders (for coops and condos) and the high initial cost that cannot easily be recouped by owners of both rental and shareholder-owned buildings. The key recommendations are to repeal the voting requirement, maintain the utility incentives, adopt a uniform dispute resolution mechanism, and increase awareness through an Ad-hoc Submetering Committee and supporting educational materials. Other funding sources not fully available can also be made available with regulatory agency support.

  6. Machine performance assessment and enhancement for a hexapod machine

    Energy Technology Data Exchange (ETDEWEB)

    Mou, J.I. [Arizona State Univ., Tempe, AZ (United States); King, C. [Sandia National Labs., Livermore, CA (United States). Integrated Manufacturing Systems Center

    1998-03-19

    The focus of this study is to develop a sensor fused process modeling and control methodology to model, assess, and then enhance the performance of a hexapod machine for precision product realization. Deterministic modeling technique was used to derive models for machine performance assessment and enhancement. Sensor fusion methodology was adopted to identify the parameters of the derived models. Empirical models and computational algorithms were also derived and implemented to model, assess, and then enhance the machine performance. The developed sensor fusion algorithms can be implemented on a PC-based open architecture controller to receive information from various sensors, assess the status of the process, determine the proper action, and deliver the command to actuators for task execution. This will enhance a hexapod machine`s capability to produce workpieces within the imposed dimensional tolerances.

  7. Renewable energy prospects for implementation

    CERN Document Server

    Jackson, Tim

    1993-01-01

    Renewable Energy: Prospects for Implementation contains papers that were originally commissioned by the journal Energy Policy for a series on renewable energy appearing between January 1991 to September 1992. In view of the fast-changing demands on conventional energy supply to meet environmental imperatives, it seemed timely to reproduce here a selection of those papers with a new introduction and a revised concluding chapter by the Editor of the series, Dr Tim Jackson, a research fellow with the Stockholm Environment Institute. The book is organized into four parts. The papers in Part I

  8. Change Implementation in Emerging Markets

    DEFF Research Database (Denmark)

    Thomsen, Jeanette; Sundgaard, Elin

    2010-01-01

      This paper seeks to identify the types of development changes taking place in Danish subsidiaries in Baltic countries in the accounting function. A longitudinal case study is used. The paper uses Laughlin's ‘colonizing‘ model of organizational change to understand the driving forces for change....... The knowledge of change in the Danish subsidiaries in an institutional context can help managers in subsidiaries to gain a better understanding of the overall situation and make more appropriate decisions in change implementation in subsidiaries in emerging markets. The environmental disturbance in the case...

  9. Physical implementation of quantum walks

    CERN Document Server

    Manouchehri, Kia

    2013-01-01

    Given the extensive application of random walks in virtually every science related discipline, we may be at the threshold of yet another problem solving paradigm with the advent of quantum walks. Over the past decade, quantum walks have been explored for their non-intuitive dynamics, which may hold the key to radically new quantum algorithms. This growing interest has been paralleled by a flurry of research into how one can implement quantum walks in laboratories. This book presents numerous proposals as well as actual experiments for such a physical realization, underpinned by a wide range of

  10. APPROACH OF IMPLEMENTATION BALANCED SCORECARD

    Directory of Open Access Journals (Sweden)

    Zdravko Krivokapić

    2007-06-01

    Full Text Available BSC is a complex system of management for measuring the efficiency of the organization from four or more perspectives, and for widening the goals of the organization out of financial examples emphasizing the causes of creating the value for long-term results. In the course of work a special care was taken to the process of implementation of BSC and a special attention was given to the process of cascade lowering of the strategic goals to the executive level in the company.

  11. Colonoscopy quality: metrics and implementation.

    Science.gov (United States)

    Calderwood, Audrey H; Jacobson, Brian C

    2013-09-01

    Colonoscopy is an excellent area for quality improvement because it is high volume, has significant associated risk and expense, and there is evidence that variability in its performance affects outcomes. The best end point for validation of quality metrics in colonoscopy is colorectal cancer incidence and mortality, but a more readily accessible metric is the adenoma detection rate. Fourteen quality metrics were proposed in 2006, and these are described in this article. Implementation of quality improvement initiatives involves rapid assessments and changes on an iterative basis, and can be done at the individual, group, or facility level. Copyright © 2013 Elsevier Inc. All rights reserved.

  12. Phenomenological implementations of TMD evolution

    Energy Technology Data Exchange (ETDEWEB)

    Boglione, Mariaelena [University of Turin, Torino, Italy; Gonzalez Hernandez, Jose Osvaldo [University of Virginia, Charlottesville, VA; Melis, Stefano [European Centre for Theoretical Studies; Prokudin, Alexey [JLAB

    2015-03-01

    Although the theoretical set-up of TMD evolution appears to be well established, its phenomenological implementations still require special attention, particularly as far as the interplay between perturbative and non-perturbative contributions is concerned. These issues have been extensively studied in Drell-Yan processes, where they seem to be reasonably under control. Instead, applying the same prescriptions and methodologies to Semi-Inclusive Deep Inelastic (SIDIS) processes is, at present, far from obvious. Some of the controversies related to the applications of TMD Evolution to SIDIS processes will be discussed with practical examples, exploring different kinematical configurations of SIDIS experiments.

  13. Bluetooth API Implementation into Android

    Directory of Open Access Journals (Sweden)

    Konev Sergey

    2017-01-01

    Full Text Available Bluetooth is a popular method of communication between devices. Many smartphones today have the capability to communicate using Bluetooth. Android developers sometimes need to use Bluetooth in their projects. Android OS provides a powerful API for Bluetooth that allows to simplify scanning the environment for devices, pairing and connecting, data transfer between devices and more. However, utilizing the Bluetooth API can be difficult for first-time users. The objective of this article is to demonstrate the key points of implementing Bluetooth API in the Android application.

  14. Implementing circularity using partial evaluation

    DEFF Research Database (Denmark)

    Lawall, Julia Laetitia

    2001-01-01

    of an imperative C-like language, by extending the language with a new construct, persistent variables. We show that an extension of partial evaluation can eliminate persistent variables, producing a staged C program. This approach has been implemented in the Tempo specializer for C programs, and has proven useful......Complex data dependencies can often be expressed concisely by defining a variable in terms of part of its own value. Such a circular reference can be naturally expressed in a lazy functional language or in an attribute grammar. In this paper, we consider circular references in the context...

  15. Image-Enhancement Program

    Science.gov (United States)

    Matthews, Christine G.; Stacy, Kathryn

    1993-01-01

    ENHANCETOOL computer program has capabilities for interactive enhancement of digital images. Includes particularly useful combination of algorithms not existing in single interactive program. Software package also provides means through which additional image-enhancement algorithms easily integrated and made available to user. Written in C Language.

  16. The Implementation of Industrial Cluster Development Program in Padurenan Village, Kudus

    Directory of Open Access Journals (Sweden)

    R. Heffi Achid Muharrom

    2014-12-01

    Full Text Available Small medium enterprise (SME has a significant contribution to the national economic growth, and the Government has been trying to enhance the competitiveness of SME by using industrial cluster approach.This research tries to discuss the implementation of embroidery and apparel industrial cluster development program in Padurenan Village, Kudus Regency, also to analyze supporting and constraining factors that influence the implementation. The descriptive research method with qualitative approach is used in this research.The result shows that many activities conducted through a synergy among stakeholders have been implemented succesfully and proven to provide a positive impact for the developmet of embroidery and apparel SME in Padurenan. Enhancing the commitment and communication among actors involved in the program are needed for further development.Keywords:  Embroidery and apparel industry, industrial cluster, policy implementation

  17. Plasmon enhanced spectroscopy.

    Science.gov (United States)

    Aroca, Ricardo F

    2013-04-21

    Surface enhanced spectroscopy encompasses a broad field of linear and nonlinear optical techniques that arose with the discovery of the surface-enhanced Raman scattering (SERS) effect. SERS enabled ultrasensitive and single molecule detection with molecular fingerprint specificity, opening the door for a large variety of chemical sensing applications. Basically, from the beginning it was realized that the necessary condition for SERS to be observed was the presence of a metallic nanostructure, and with this condition, the optical enhancement found a home in the field of plasmonics. Although plasmonic practitioners claim that SERS is "the most spectacular application of plasmonics", perhaps it is more appropriate to say that the spectacular development of plasmonics is due to SERS. Here is a brief recollection from surface enhanced spectroscopy to plasmon enhanced spectroscopy.

  18. Development, Validation, and Evaluation of Literacy 3D: A Package Supporting Tier 1 Preschool Literacy Instruction Implementation and Intervention

    Science.gov (United States)

    Greenwood, Charles R.; Abbott, Mary; Beecher, Constance; Atwater, Jane; Petersen, Sarah

    2017-01-01

    Increasingly, prekindergarten programs with literacy outcome goals are seeking to implement evidence-based practices to improve results. Such efforts require instructional intervention strategies to engage children as well as strategies to support teacher implementation. Reported is the iterative development of Literacy 3D, an enhanced support…

  19. Luminaire layout: Design and implementation

    Science.gov (United States)

    Both, A. J.

    1994-01-01

    The information contained in this report was presented during the discussion regarding guidelines for PAR uniformity in greenhouses. The data shows a lighting uniformity analysis in a research greenhouse for rose production at the Cornell University campus. The luminaire layout was designed using the computer program Lumen-Micro. After implementation of the design, accurate measurements were taken in the greenhouse and the uniformity analysis for both the design and implementation were compared. A study of several supplemental lighting installations resulted in the following recommendations: include only the actual growing area in the lighting uniformity analysis; for growing areas up to 20 square meters, take four measurements per square meter; for growing areas above 20 square meters, take one measurement per square meter; use one of the uniformity criteria and frequency graphs to compare lighting uniformity amongst designs; and design for uniformity criterion of a least 0.75 and the fraction within +/- 15% of the average PAR value should be close to one.

  20. GPFS HPSS Integration: Implementation Experience

    Energy Technology Data Exchange (ETDEWEB)

    Hazen, Damian; Hick, Jason

    2008-08-12

    In 2005 NERSC and IBM Global Services Federal began work to develop an integrated HSM solution using the GPFS file system and the HPSS hierarchical storage system. It was foreseen that this solution would play a key role in data management at NERSC, and fill a market niche for IBM. As with many large and complex software projects, there were a number of unforeseen difficulties encountered during implementation. As the effort progressed, it became apparent that DMAPI alone could not be used to tie two distributed, high performance systems together without serious impact on performance. This document discusses the evolution of the development effort, from one which attempted to synchronize the GPFS and HPSS name spaces relying solely on GPFS?s implementation of the DMAPI specification, to one with a more traditional HSM functionality that had no synchronized namespace in HPSS, and finally to an effort, still underway, which will provide traditional HSM functionality, but requires features from the GPFS Information Lifecycle Management (ILM) to fully achieve this goal in a way which is scalable and meets the needs of sites with aggressive performance requirements. The last approach makes concessions to portability by using file system features such as ILM and snapshotting in order to achieve a scalable design.

  1. Atomic memory access hardware implementations

    Science.gov (United States)

    Ahn, Jung Ho; Erez, Mattan; Dally, William J

    2015-02-17

    Atomic memory access requests are handled using a variety of systems and methods. According to one example method, a data-processing circuit having an address-request generator that issues requests to a common memory implements a method of processing the requests using a memory-access intervention circuit coupled between the generator and the common memory. The method identifies a current atomic-memory access request from a plurality of memory access requests. A data set is stored that corresponds to the current atomic-memory access request in a data storage circuit within the intervention circuit. It is determined whether the current atomic-memory access request corresponds to at least one previously-stored atomic-memory access request. In response to determining correspondence, the current request is implemented by retrieving data from the common memory. The data is modified in response to the current request and at least one other access request in the memory-access intervention circuit.

  2. Implementation of an Anesthesia Information Management System in an Ambulatory Surgery Center.

    Science.gov (United States)

    Mudumbai, Seshadri C

    2016-01-01

    Anesthesia information management systems (AIMS) are increasingly being implemented throughout the United States. However, little information exists on the implementation process for AIMS within ambulatory surgery centers (ASC). The objectives of this descriptive study are to document: 1) the phases of implementation of an AIMS at an ASC; and 2) lessons learnt from a socio-technical perspective. The ASC, within the Veterans Health Administration (VHA), has hosted an AIMS since 2008. As a quality improvement effort, we implemented a new version of the AIMS. This new version involved fundamental software changes to enhance clinical care such as real-time importing of laboratory data and total hardware exchange. The pre-implementation phase involved coordinated preparation over six months between multiple informatics teams along with local leadership. During this time, we conducted component, integration, and validation testing to ensure correct data flow from medical devices to AIMS and centralized databases. The implementation phase occurred in September 2014 over three days and was successful. Over the next several months, during post-implementation phase, we addressed residual items like latency of the application. Important lessons learnt from the implementation included the utility of partnering early with executive leadership; ensuring end user acceptance of new clinical workflow; continuous testing of data flow; use of a staged rollout; and providing additional personnel throughout implementation. Implementation of an AIMS at an ASC can utilize methods developed for large hospitals. However, issues unique to an ASC such as limited number of support personnel and distinctive workflows must be considered.

  3. Implementing the chemical weapons convention

    Energy Technology Data Exchange (ETDEWEB)

    Kellman, B.; Tanzman, E. A.

    1999-12-07

    In 1993, as the CWC ratification process was beginning, concerns arose that the complexity of integrating the CWC with national law could cause each nation to implement the Convention without regard to what other nations were doing, thereby causing inconsistencies among States as to how the CWC would be carried out. As a result, the author's colleagues and the author prepared the Manual for National Implementation of the Chemical Weapons Convention and presented it to each national delegation at the December 1993 meeting of the Preparatory Commission in The Hague. During its preparation, the Committee of CWC Legal Experts, a group of distinguished international jurists, law professors, legally-trained diplomats, government officials, and Parliamentarians from every region of the world, including Central Europe, reviewed the Manual. In February 1998, they finished the second edition of the Manual in order to update it in light of developments since the CWC entered into force on 29 April 1997. The Manual tries to increase understanding of the Convention by identifying its obligations and suggesting methods of meeting them. Education about CWC obligations and available alternatives to comply with these requirements can facilitate national response that are consistent among States Parties. Thus, the Manual offers options that can strengthen international realization of the Convention's goals if States Parties act compatibly in implementing them. Equally important, it is intended to build confidence that the legal issues raised by the Convention are finite and addressable. They are now nearing competition of an internet version of this document so that interested persons can access it electronically and can view the full text of all of the national implementing legislation it cites. The internet address, or URL, for the internet version of the Manual is http: //www.cwc.ard.gov. This paper draws from the Manual. It comparatively addresses approximately thirty

  4. Implementation of Directional Control System for Autonomous Robot Based on Voice Command Controller

    OpenAIRE

    Han Nilar Htay; Hla Myo Tun

    2014-01-01

    The main idea of this research is to process analog voice signal. The paper is implemented for controlling the robot by voice command. The implemented system involves voice recognition unit, digital data processing unit with DC switching section. The proposed system consists of a microcontroller and a voice recognition processor that can recognize a limited number of voice patterns. This is voice based guidance system, which uses the special voice recognition IC HM2007 for speech enhancement....

  5. IMPLEMENTATION OF SELF DIAGNOSTIC AND INTELLIGENT POWER MANAGEMENT PROTOCOLS ON WIRELESS GAS SENSOR NODE

    OpenAIRE

    Dipanjan Bhattacharjee,; Sushabhan Choudhury

    2011-01-01

    This paper presents implementation of self diagnostic, power management protocols and hardware design to enhance the hardware flexibility and sensing accuracy of sensor node. We have come withsolutions for various design challenges faced on gas sensor. The embedded intelligent protocols over comes the problems of heater voltage dependency on gas sensors. Here we deal with sensors which arecapable of detecting different part per million (ppm) of gases. The main aim of the work is to implement ...

  6. Implementation salvage experiences from the Melbourne diabetes prevention study

    Directory of Open Access Journals (Sweden)

    Dunbar James

    2012-09-01

    conducting randomised controlled trials and implementation research. We encourage them to describe the factors that may have inhibited or enhanced the desired outcomes so that the academic community can learn and expand the research foundation of implementation salvage.

  7. Working together – Using social media tools / enterprise tools (Sharepoint, Blogs, Wikis, Google Docs/Drive) to enhance staff collaboration – The KAUST library experience

    KAUST Repository

    Ramli, Rindra M.

    2015-06-01

    This paper describes the tools implemented by KAUST library to enhance collaboration among library staff. Highlights the features / functionalities of the implemented tools and their related success / constraints in achieving the desired targets.

  8. Overcoming resistance to implementation of integrated care pathways in orthopaedics.

    Science.gov (United States)

    Manning, Blaine T; Callahan, Charles D; Robinson, Brooke S; Adair, Daniel; Saleh, Khaled J

    2013-07-17

    The future of orthopaedic surgery will be shaped by unprecedented demographic and economic challenges, necessitating movement to so-called "second curve" innovations in the delivery of care. Implementation of integrated care pathways (ICPs) may be one solution to imminent cost and access pressures facing orthopaedic patients in this era of health-care accountability and reform. ICPs can lower costs and the duration of hospital stay while facilitating better outcomes through enhanced interspecialty communication. As with any innovation at the crossroads of paradigm change, implementation of integrated care pathways for orthopaedics may elicit surgeons' concern on a variety of grounds and on levels ranging from casual questioning to vehement opposition. No single method is always effective in promoting cooperation and adoption, so a combination of strategies offers the best chance of success. With a special focus on total joint replacement, we consider general patterns of resistance to change, styles of conflict, and specific issues that may underlie orthopaedic surgeon resistance to implementation of integrated care pathways. Methods to facilitate and sustain orthopaedic surgeon engagement in implementation of such pathways are discussed.

  9. Nursing Leader Collaboration to Drive Quality Improvement and Implementation Science.

    Science.gov (United States)

    Ryan, Rosemary W; Harris, Karen K; Mattox, Lisa; Singh, Olivine; Camp, Melanie; Shirey, Maria R

    2015-01-01

    Nursing leadership opportunities to improve quality and align resources in health care exist. An estimated 18% of United States gross domestic product is spent on health care delivery systems that produce poor outcomes. The purpose of this article was to describe how quality improvement and implementation science initiatives enhance outcomes using nursing leadership strategies that play an integral role in aligning key colleagues to drive the collaborative process. A critical appraisal of the literature was conducted, which supports the importance of evidenced-based practice improvement, collaborative change process, and professional role of nursing leadership. Limited evidence exists related to practice strategies for nursing leaders to implement sustainable change at the unit level for successful alignment of resources. Strategies based on Rogers' Diffusion of Innovation Theory are recommended to address the gap in the literature. The strategies aim to increase meaningful knowledge or the "why," create a tipping point, and implement sustainable change starting with the end in mind. Nurse leaders are a central component for driving alignment and implementing change at the unit level. Uses of the described evidenced-based strategies have implications for nursing practice, education, and scholarship.

  10. The effect of motor imagery with specific implement in expert badminton player.

    Science.gov (United States)

    Wang, Z; Wang, S; Shi, F-Y; Guan, Y; Wu, Y; Zhang, L-L; Shen, C; Zeng, Y-W; Wang, D-H; Zhang, J

    2014-09-05

    Motor skill can be improved with mental simulation. Implements are widely used in daily life and in various sports. However, it is unclear whether the utilization of implements enhances the effect of mental simulation. The present study was designed to investigate the different effects of motor imagery in athletes and novices when they handled a specific implement. We hypothesize that athletes have better motor imagery ability than novices when they hold a specific implement for the sport. This is manifested as higher motor cortical excitability in athletes than novices during motor imagery with the specific implement. Sixteen expert badminton players and 16 novices were compared when they held a specific implement such as a badminton racket and a non-specific implement such as a a plastic bar. Motor imagery ability was measured with a self-evaluation questionnaire. Transcranial magnetic stimulation was used to test the motor cortical excitability during motor imagery. Motor-evoked potentials (MEPs) in the first dorsal interosseous (FDI) and extensor carpi radialis muscles were recorded. Athletes reported better motor imagery than novices when they held a specific implement. Athletes exhibited more MEP facilitation than novices in the FDI muscle with the specific implement applied during motor imagery. The MEP facilitation is correlated with motor imagery ability in athletes. We conclude that the effects of motor imagery with a specific implement are enhanced in athletes compared to novices and the difference between two groups is caused by long-term physical training of athletes with the specific implement. Copyright © 2014 IBRO. Published by Elsevier Ltd. All rights reserved.

  11. Implementation Of Solid State Relays For Power System Protection

    Directory of Open Access Journals (Sweden)

    Nidhi Verma

    2015-06-01

    Full Text Available ABSTRACT This paper provides the implementation of solid state relays for enhancement of power system protection. Relays are an essential part of the power systems and are responsible for the control of any overload voltage or current and protection of the devices from these parameters. The main function of the relay is to constantly monitor the parameter to be controlled and if it exceeds the percentage range set by the controller then it sends a signal to the circuit breaker to break the connection and isolate the faulty part. Solid state relays are preferred over mechanical relays and in this paper relay functioning is done with the help of opto-coupler. Controlling of opto- coupler is done with the help of microcontroller. Circuit operates through Zero Voltage Switching leading to reduction in harmonics. The implementation of relay circuit offers minimal delay time which enables better time response for protection.

  12. An implementation framework for additive manufacturing in supply chains

    Directory of Open Access Journals (Sweden)

    Raed Handal

    2017-12-01

    Full Text Available Additive manufacturing has become one of the most important technologies in the manufacturing field. Full implementation of additive manufacturing will change many well-known management practices in the production sector. However, theoretical development in the field of additive manufacturing with regard to its impact on supply chain management is rare. While additive manufacturing is believed to revolutionize and enhance traditional manufacturing, there is no comprehensive toolset developed in the manufacturing field to assess the impact of additive manufacturing and determine the best production method that suits the applied supply chain strategy. A significant portion of the existing supply chain methods and frameworks were adopted in this study to examine the implementation of additive manufacturing in supply chain management. The aim of this study is to develop a framework to explain when additive manufacturing impacts supply chain management efficiently.

  13. The CSSP implementation plan for space plasma physics programs

    Science.gov (United States)

    Baker, D. N.; Williams, D. J.

    1985-12-01

    The Committee on Solar and Space Physics (CSSP) has provided NASA with guidance in the areas of solar, heliospheric, magnetospheric, and upper atmospheric research. The budgetary situation confronted by NASA has called for a prioritized plane for the implementation of solar and space plasma physics programs. CSSP has developed the following recommendations: (1) continue implementation of both the Upper Atmosphere Research Satellite and Solar Optical Telescope programs; (2) initiate the International Solar Terrestrial Physics program; (3) plan for later major free-flying missions and carry out the technology development they require; (4) launch an average of one solar and space physics Explorer per yr beginning in 1990; (5) enhance current Shuttle/Spacelab programs; (6) develop facility-class instrumentation; (7) augment the solar terrestrial theory program by FY 1990; (8) support a compute modeling program; (9) strengthen the research and analysis program; and (10) maintain a stable suborbital program for flexible science objectives in upper atmosphere and space plasma physics.

  14. CSSP implementation plan for space plasma physics programs

    Energy Technology Data Exchange (ETDEWEB)

    Baker, D.N.; Williams, D.J.

    1985-12-01

    The Committee on Solar and Space Physics (CSSP) has provided NASA with guidance in the areas of solar, heliospheric, magnetospheric, and upper atmospheric research. The budgetary sitation confronted by NASA has called for a prioritized plane for the implementation of solar and space plasma physics programs. CSSP has developed the following recommendations: (1) continue implementation of both the Upper Atmosphere Research Satellite and Solar Optical Telescope programs; (2) initiate the International Solar Terrestrial Physics program; (3) plan for later major free-flying missions and carry out the technology development they require; (4) launch an average of one solar and space physics Explorer per yr beginning in 1990; (5) enhance current Shuttle/Spacelab programs; (6) develop facility-class instrumentation; (7) augment the solar terrestrial theory program by FY 1990; (8) support a compute modeling program; (9) strengthen the research and analysis program; and (10) maintain a stable suborbital program for flexible science objectives in upper atmosphere and space plasma physics.

  15. 76 FR 52387 - Approval and Promulgation of Implementation Plans; New Mexico; Federal Implementation Plan for...

    Science.gov (United States)

    2011-08-22

    ... Implementation Plans; New Mexico; Federal Implementation Plan for Interstate Transport of Pollution Affecting... Mexico; Federal Implementation Plan for Interstate Transport of Pollution Affecting Visibility and Best... other New Mexico pollution sources are adequately controlled to eliminate interference with the clean...

  16. Asynchronous Message Service Reference Implementation

    Science.gov (United States)

    Burleigh, Scott C.

    2011-01-01

    This software provides a library of middleware functions with a simple application programming interface, enabling implementation of distributed applications in conformance with the CCSDS AMS (Consultative Committee for Space Data Systems Asynchronous Message Service) specification. The AMS service, and its protocols, implement an architectural concept under which the modules of mission systems may be designed as if they were to operate in isolation, each one producing and consuming mission information without explicit awareness of which other modules are currently operating. Communication relationships among such modules are self-configuring; this tends to minimize complexity in the development and operations of modular data systems. A system built on this model is a society of generally autonomous, inter-operating modules that may fluctuate freely over time in response to changing mission objectives, modules functional upgrades, and recovery from individual module failure. The purpose of AMS, then, is to reduce mission cost and risk by providing standard, reusable infrastructure for the exchange of information among data system modules in a manner that is simple to use, highly automated, flexible, robust, scalable, and efficient. The implementation is designed to spawn multiple threads of AMS functionality under the control of an AMS application program. These threads enable all members of an AMS-based, distributed application to discover one another in real time, subscribe to messages on specific topics, and to publish messages on specific topics. The query/reply (client/server) communication model is also supported. Message exchange is optionally subject to encryption (to support confidentiality) and authorization. Fault tolerance measures in the discovery protocol minimize the likelihood of overall application failure due to any single operational error anywhere in the system. The multi-threaded design simplifies processing while enabling application nodes to

  17. Physicians' perception of CPOE implementation.

    Science.gov (United States)

    Allenet, Benoît; Bedouch, Pierrick; Bourget, Stéphanie; Baudrant, Magalie; Foroni, Luc; Calop, Jean; Bosson, Jean-Luc

    2011-08-01

    To identify perceptions held by physicians of the benefits of computerized physician order entry (CPOE) and factors influencing its successful implementation in the context of the increased presence of a clinical pharmacist on ward. A 2000-bed University Hospital. A cross-section opinion survey was conducted of all permanent physicians of the hospital to determine their perception on the benefits, or otherwise, of CPOE. Questionnaires, built upon the analysis of 10 preliminary semi-structured interviews with physicians, were sent to physicians by electronic and paper mail. It comprised three sections with a 4 level Likert scale: general perception of CPOE benefits (items 1.1-1.8); opinion on the introduction of the CPOE system in the hospital (item 2); opinion on the presence of a pharmacist on ward (item 3). A fourth section recorded the respondent's profile. Level of agreement on the items describing the general perception of CPOE benefits; opinion on the introduction of a CPOE system in the hospital; and opinion on the pharmacist's presence on ward. A Principal Component Analysis (PCA) was conducted on sections one and two. Analysis of this PCA representation in terms of the respondents' profile was performed. One hundred and one physicians (18%) participated in the survey. Most (83%) physicians favoured the implementation of a CPOE (item 2). Among the advantages of CPOE, the greatest agreement concerned items related to safety and regulatory issues (from 80 to 76% agreement). Other items related to management issues were perceived as less tangible benefits (from 50 to 67% agreement). The increased presence of a pharmacist on the ward was supported by 94% of physicians. The PCA representation using profile items produced a 2-factor solution, accounting for 68% of the variance, with former experience of collaboration with a pharmacist (P = 0.002) and senior physician status (P = 0.013) positively influencing the perception of the CPOE. Endorsement by senior

  18. Critical Success Factors for IFRS Implementation

    DEFF Research Database (Denmark)

    Lønne, Henrik; Holm, Claus; Schøler, Finn

    n this paper we compare the implementation process to integrate IFRS in Ireland, Denmark and New Zealand and derive the critical succesfactors in capability to implement IFRS. The implementation phase is divided into three phases before, during and after the implementation process. The description...... is based of five basic elements that can be affected. For developing countries - but also more developed countries, e.g. the new countries in the EU - a description of these above mentioned elements is valuable information, if they are going to implement the IFRS standards. We find that every country has...... different challenges and problems to be aware of. Covering those characteristics is therefore a vital part of the planning process before the IFRS implementation. It is also beneficial to have companies as early adopters before the implementation. As well before as during the implementation process...

  19. North Region ROW tool implementation workshop.

    Science.gov (United States)

    2010-08-02

    Welcome to the North Region ROW Tool Workshop. This workshop is funded under an implementation project sponsored by TxDOTs Research & Technology Implementation Office (RTI). This is the second of four regional workshops being planned for this summ...

  20. Social network analysis for program implementation.

    Science.gov (United States)

    Valente, Thomas W; Palinkas, Lawrence A; Czaja, Sara; Chu, Kar-Hai; Brown, C Hendricks

    2015-01-01

    This paper introduces the use of social network analysis theory and tools for implementation research. The social network perspective is useful for understanding, monitoring, influencing, or evaluating the implementation process when programs, policies, practices, or principles are designed and scaled up or adapted to different settings. We briefly describe common barriers to implementation success and relate them to the social networks of implementation stakeholders. We introduce a few simple measures commonly used in social network analysis and discuss how these measures can be used in program implementation. Using the four stage model of program implementation (exploration, adoption, implementation, and sustainment) proposed by Aarons and colleagues [1] and our experience in developing multi-sector partnerships involving community leaders, organizations, practitioners, and researchers, we show how network measures can be used at each stage to monitor, intervene, and improve the implementation process. Examples are provided to illustrate these concepts. We conclude with expected benefits and challenges associated with this approach.

  1. 77 FR 2734 - Health Information Technology Implementation

    Science.gov (United States)

    2012-01-19

    ... HUMAN SERVICES Health Resources and Services Administration Health Information Technology Implementation...) (section 330 of the Public Health Service Act) Health Information Technology Implementation for Health... operations. In the effort to preserve the opportunity to advance information technology resources of the...

  2. 77 FR 55217 - Health Information Technology Implementation

    Science.gov (United States)

    2012-09-07

    ... HUMAN SERVICES Health Resources and Services Administration Health Information Technology Implementation... of the Public Health Service Act) Health Information Technology Implementation for Health Center... Technology (HIT). SUPPLEMENTARY INFORMATION: Former Grantee of Record: Southwest Virginia Community Health...

  3. Enhanced superconductivity of fullerenes

    Energy Technology Data Exchange (ETDEWEB)

    Washington, II, Aaron L.; Teprovich, Joseph A.; Zidan, Ragaiy

    2017-06-20

    Methods for enhancing characteristics of superconductive fullerenes and devices incorporating the fullerenes are disclosed. Enhancements can include increase in the critical transition temperature at a constant magnetic field; the existence of a superconducting hysteresis over a changing magnetic field; a decrease in the stabilizing magnetic field required for the onset of superconductivity; and/or an increase in the stability of superconductivity over a large magnetic field. The enhancements can be brought about by transmitting electromagnetic radiation to the superconductive fullerene such that the electromagnetic radiation impinges on the fullerene with an energy that is greater than the band gap of the fullerene.

  4. Medically-enhanced normality

    DEFF Research Database (Denmark)

    Møldrup, Claus; Traulsen, Janine Morgall; Almarsdóttir, Anna Birna

    2003-01-01

    Objective: To consider public perspectives on the use of medicines for non-medical purposes, a usage called medically-enhanced normality (MEN). Method: Examples from the literature were combined with empirical data derived from two Danish research projects: a Delphi internet study and a Telebus......, to optimise economic, working and family conditions. The term "doping" does not cover or explain the use of medicines as enhancement among healthy non-athletes. Conclusion: We recommend wider use of the term medically-enhanced normality as a conceptual framework for understanding and analysing perceptions...

  5. Personal Identity in Enhancement

    Directory of Open Access Journals (Sweden)

    Jana Podroužková

    2015-09-01

    Full Text Available The aim of this paper is to introduce the concept of human enhancement, its methods and its relation to personal identity. Also several approaches to personal identity will be described. Transhumanism is a special think tank supporting human enhancement through modern technologies and some of its representatives claim, that even great changes to human organisms will not affect their personal identity. I will briefly describe the most important means of human enhancment and consider the problem of personal identity for each of them separately.

  6. Resilient flood risk strategies: institutional preconditions for implementation

    Directory of Open Access Journals (Sweden)

    Berry Gersonius

    2016-12-01

    Full Text Available There is a growing recognition of resilience enhancement as an additional objective for adaptation. This will typically involve enhancing the preparedness and capacity to respond to the impacts of climate change. Within flood risk practice, resilient strategies focus on reducing impacts from flooding through better prevention and preparedness. Such strategies will not only reduce existing risk levels, but could also make the social-ecological system more robust for extreme flood events. This is because they seek to prevent those impacts on the system from which recovery is extremely difficult without outside help. Besides that, resilient strategies increase the prospect for the realization of cobenefits, particularly when measures are selected within the spatial domain. Implementing resilient strategies, however, faces many difficulties, particularly in countries like the Netherlands and Poland where prevalent governance arrangements are aimed to facilitate resistant strategies, focusing exclusively on flood protection. We analyzed these implementation difficulties for the Island of Dordrecht, which is a front-runner case of resilient flood risk governance in the Netherlands. A theoretical framework based on relevant issues regarding governance arrangements was used to reflect on the identified gaps and barriers. Although all issues played a role in the case study, there seem to be no generic institutional design parameters that have to be applied for implementing resilient strategies. Even in the current institutional regime, it is possible to find ways of implementing a resilient strategy. The more general institutional precondition has to do with the political willingness to allow for collaboration and experimentation and to enable a more flexible use of current principles and rules.

  7. IMPLEMENTATION OF ESG FOR INTERNATIONAL JOINT EDUCATION PROGRAMMES

    Directory of Open Access Journals (Sweden)

    Vera I. Zabotkina

    2016-12-01

    Full Text Available Introduction: joint international programmes stimulate staff and student mobility, provide joint studies, provide development of joint study programmes of excellence, and open up new possibilities for cooperation between countries. Promotion and development of joint international programmes depend on effective quality assurance system which is high on the universities` priority list. ESG provide solid basis for the quality assurance system development at both institutional and programme levels. The problems of ESG interpretation in compliance with national legislative systems and education traditions in the countries participating in Bologna process are paid much attention to. Our emphases are on the practical aspects of ESG (2015 version implementation. The article concentrates on one of the most acute problems facing Russian Higher Education Institutions in the field of development and promotion of joint international programs: the problem of setting up modern quality assurance systems compatible with those in European HEIs is closely correlating with the profile of the journal “Integration of Education”. The journal centers around the publications on the enhancement and dissemination of the best practices on integration of regional education in Russia and abroad. Materials and Methods: methodical and practical aspects of the implementation of the ESG provisions for international joint educational programs on the basis of the European approach to education quality are the materials of study. The descriptive method, analysis of documents about education quality, and synthesis were used as research methods. Results: the authors come up with concrete recommendations for the implementation of the ESG renewed version (2015 in Quality Assurance systems of joint international programmes. This approach enhances the practical value of ESG. Modern Quality Assurance system is one of the main prerequisites for the successful collaboration among higher

  8. Research-based implementation of peer instruction: a literature review.

    Science.gov (United States)

    Vickrey, Trisha; Rosploch, Kaitlyn; Rahmanian, Reihaneh; Pilarz, Matthew; Stains, Marilyne

    2015-03-02

    Current instructional reforms in undergraduate science, technology, engineering, and mathematics (STEM) courses have focused on enhancing adoption of evidence-based instructional practices among STEM faculty members. These practices have been empirically demonstrated to enhance student learning and attitudes. However, research indicates that instructors often adapt rather than adopt practices, unknowingly compromising their effectiveness. Thus, there is a need to raise awareness of the research-based implementation of these practices, develop fidelity of implementation protocols to understand adaptations being made, and ultimately characterize the true impact of reform efforts based on these practices. Peer instruction (PI) is an example of an evidence-based instructional practice that consists of asking students conceptual questions during class time and collecting their answers via clickers or response cards. Extensive research has been conducted by physics and biology education researchers to evaluate the effectiveness of this practice and to better understand the intricacies of its implementation. PI has also been investigated in other disciplines, such as chemistry and computer science. This article reviews and summarizes these various bodies of research and provides instructors and researchers with a research-based model for the effective implementation of PI. Limitations of current studies and recommendations for future empirical inquiries are also provided. © 2015 T. Vickrey et al. CBE—Life Sciences Education © 2015 The American Society for Cell Biology. This article is distributed by The American Society for Cell Biology under license from the author(s). It is available to the public under an Attribution–Noncommercial–Share Alike 3.0 Unported Creative Commons License (http://creativecommons.org/licenses/by-nc-sa/3.0).

  9. An Oz implementation using Truffle and Graal

    OpenAIRE

    Istasse, Maxime

    2017-01-01

    We discuss and improve Mozart-Graal, an experimental implementation of the Oz language on the Truffle language implementation framework. It allows Oz to benefit from the Graal JIT compiler and is seen as an opportunity to achieve an efficient implementation with lower maintenance requirements than Mozart 1 and Mozart 2. We propose a mapping for the key Oz concepts on Truffle. We take advantage of the static analysis to make the implementation garbage collection-friendly and to avoid extra ind...

  10. Diamond turning machine controller implementation

    Energy Technology Data Exchange (ETDEWEB)

    Garrard, K.P.; Taylor, L.W.; Knight, B.F.; Fornaro, R.J.

    1988-12-01

    The standard controller for a Pnuemo ASG 2500 Diamond Turning Machine, an Allen Bradley 8200, has been replaced with a custom high-performance design. This controller consists of four major components. Axis position feedback information is provided by a Zygo Axiom 2/20 laser interferometer with 0.1 micro-inch resolution. Hardware interface logic couples the computers digital and analog I/O channels to the diamond turning machine`s analog motor controllers, the laser interferometer, and other machine status and control information. It also provides front panel switches for operator override of the computer controller and implement the emergency stop sequence. The remaining two components, the control computer hardware and software, are discussed in detail below.

  11. Evaluating Nigeria Cashless Policy Implementation

    Directory of Open Access Journals (Sweden)

    Kket Eko Ewa

    2016-06-01

    Full Text Available The Central Bank of Nigeria introduced cashless policy initiative to accomplish two main macro-socio-economic policy objectives of increased convenience and greater financial inclusion in Nigeria. This study evaluates Nigeria cashless policy implementation using a four point Likert scale questionnaire administered to six hundred respondents. The results of the study show that the twin policy objectives investigated were partially achieved. Also the study reveals that social infrastructures in power and telecommunications need improvement and expansion and the need to create more awareness to encourage the unbanked to embrace banking culture. This study recommends vigorous investments on cyber security, strengthening of internet protocol and controls in the banks and enactment of relevant legislative laws to curb cybercrimes.

  12. Energy efficient sensor network implementations

    Energy Technology Data Exchange (ETDEWEB)

    Frigo, Janette R [Los Alamos National Laboratory; Raby, Eric Y [Los Alamos National Laboratory; Brennan, Sean M [Los Alamos National Laboratory; Kulathumani, Vinod [WEST VIRGINIA UNIV.; Rosten, Ed [CAMBRIDGE UNIV.; Wolinski, Christophe [IRISA; Wagner, Charles [IRISA; Charot, Francois [IRISA

    2009-01-01

    In this paper, we discuss a low power embedded sensor node architecture we are developing for distributed sensor network systems deployed in a natural environment. In particular, we examine the sensor node for energy efficient processing-at-the-sensor. We analyze the following modes of operation; event detection, sleep(wake-up), data acquisition, data processing modes using low power, high performance embedded technology such as specialized embedded DSP processors and a low power FPGAs at the sensing node. We use compute intensive sensor node applications: an acoustic vehicle classifier (frequency domain analysis) and a video license plate identification application (learning algorithm) as a case study. We report performance and total energy usage for our system implementations and discuss the system architecture design trade offs.

  13. Implementing an Information Security Program

    Energy Technology Data Exchange (ETDEWEB)

    Glantz, Clifford S.; Lenaeus, Joseph D.; Landine, Guy P.; O' Neil, Lori Ross; Leitch, Rosalyn; Johnson, Christopher; Lewis, John G.; Rodger, Robert M.

    2017-11-01

    The threats to information security have dramatically increased with the proliferation of information systems and the internet. Chemical, biological, radiological, nuclear, and explosives (CBRNe) facilities need to address these threats in order to protect themselves from the loss of intellectual property, theft of valuable or hazardous materials, and sabotage. Project 19 of the European Union CBRN Risk Mitigation Centres of Excellence Initiative is designed to help CBRN security managers, information technology/cybersecurity managers, and other decision-makers deal with these threats through the application of cost-effective information security programs. Project 19 has developed three guidance documents that are publically available to cover information security best practices, planning for an information security management system, and implementing security controls for information security.

  14. Kaizen planning, implementing and controlling

    CERN Document Server

    García-Alcaraz, Jorge Luis; Maldonado-Macías, Aidé Aracely

    2017-01-01

    This book reports a literature review on kaizen, its industrial applications, critical success factors, benefits gained, journals that publish about it, main authors (research groups) and universities. Kaizen is treated in this book in three stages: planning, implementation and control. The authors provide a questionnaire designed with activities in every stage, highlighting the benefits gained in each stage. The study has been applied to more than 400 managers and leaders in continuous improvement in Mexican maquiladoras. A univariate analysis is provided to the activities in every stage. Moreover, structural equation models associating those activities with the benefits gained are presented for a statistical validation. Such a relationship between activities and benefits helps managers to identify the most important factor affecting their benefits and financial income.

  15. Beta Beams Implementation at CERN

    CERN Document Server

    Hansen, Christian

    2011-01-01

    Beta Beam,the concept of generating a pure and intense (anti) neutrino beam by letting accelerated radioactive ions beta decay in a storage ring, called Decay Ring (DR), is the base of one of the proposed next generation neutrino oscillation facilities, necessary for a complete study of the neutrino oscillation parameter space. Sensitivities of the unknown neutrino oscillation parameters depend on the Decay Ring's ion intensity and of it's duty factor (the filled ratio of the ring). Therefore efficient ion production, stripping, bunching, acceleration and storing are crucial sub-projects under study and development within the Beta Beam collaboration. Specifically the feasibility of these tasks as parts of a Beta Beam implementation at CERN will be discussed in this report. The positive impact of the large {\\theta}13 indications from T2K on the Beta Beam performance will also be discussed.

  16. Implementing change in respiratory care.

    Science.gov (United States)

    Stoller, James K

    2010-06-01

    Though people are generally averse to change, change and innovation are critically important in respiratory care to maintain scientific and clinical progress. This paper reviews the issue of change in respiratory care. I summarize several available models of organizational and personal change (ie, those of Kotter and of Silversin and Kornacki, and the Intentional Change Theory of Boyatzis), review the characteristics of change-avid respiratory therapy departments, offer an example of a change effort in respiratory care (implementation of respiratory care protocols) and then analyze this change effort as it took place at one institution, the Cleveland Clinic, using these models. Finally, I present the results of an analysis of change-avid respiratory therapy departments and offer some suggestions regarding change management for the profession and for individual respiratory care clinicians. Common features of theories of organizational change include developing a sense of urgency, overcoming resistance, developing a guiding coalition, and involving key stakeholders early. With the understanding that change efforts may seem unduly "clean" and orderly in retrospect, the models help explain the sustainable success of efforts to implement the Respiratory Therapy Consult Service at the Cleveland Clinic. By implication, these models offer value in planning change efforts prospectively. Further analysis of features of change-avid respiratory therapy departments indicates 11 highly desired features, of which four that especially characterize change-avid departments include: having an up-to-date leadership team; employee involvement in change; celebrating wins; and an overall sense of progressiveness in the department. This analysis suggests that understanding and embracing change is important. To anchor change in our profession, greater attention should be given to developing a pipeline of respiratory care clinicians who, by virtue of their advanced training, have the skills

  17. Conditions and capacity for implementing Poland’s vision zero

    Directory of Open Access Journals (Sweden)

    Jamroz Kazimierz

    2017-01-01

    Full Text Available Since 1991 Poland has been systematically reducing its traffic hazard. Despite considerable progress Poland is still among the most dangerous countries in the European Union. The key types of actions that help to reduce fatalities include enhancement of pedestrian safety, reducing the number of speeding drivers and eliminating or reducing hazard on the road. The paper presents a brief diagnosis of the state of road safety in Poland and a synthetic evaluation of the implementation of further national road safety programmes. It proposes measures necessary for achieving Vision Zero until 2050 (adopted by the EU and an assessment of their effectiveness.

  18. Implementation of Inquiry Strategy on Exponent, Roots and Logarithm

    Science.gov (United States)

    Sulistyowaty, R. K.; Prafianti, R. A.

    2017-09-01

    The aim of this research is to enhancing students’ learning outcomes on exponent, roots, and logarithm through the implementation of Inquiry strategy. This research is a descriptive qualitative research with classroom action research approach which was done in three cycles. Each cycle consists of 4 steps, those are: planning, acting, observing and reflecting. This research had been conducted with 30 students (17 female and 13 male) studying in the 10th grade. Data was collected from students through documentation, observation, and test. The data was analyzed using descriptive qualitative and quantitative methods. The findings revealed that Inquiry strategy affected students’ learning outcomes on exponent, roots, and logarithm.

  19. Real-time digital signal processing fundamentals, implementations and applications

    CERN Document Server

    Kuo, Sen M; Tian, Wenshun

    2013-01-01

    Combines both the DSP principles and real-time implementations and applications, and now updated with the new eZdsp USB Stick, which is very low cost, portable and widely employed at many DSP labs. Real-Time Digital Signal Processing introduces fundamental digital signal processing (DSP) principles and will be updated to include the latest DSP applications, introduce new software development tools and adjust the software design process to reflect the latest advances in the field. In the 3rd edition of the book, the key aspect of hands-on experiments will be enhanced to make the DSP principle

  20. Local adaptive tone mapping for video enhancement

    Science.gov (United States)

    Lachine, Vladimir; Dai, Min (.

    2015-03-01

    As new technologies like High Dynamic Range cameras, AMOLED and high resolution displays emerge on consumer electronics market, it becomes very important to deliver the best picture quality for mobile devices. Tone Mapping (TM) is a popular technique to enhance visual quality. However, the traditional implementation of Tone Mapping procedure is limited by pixel's value to value mapping, and the performance is restricted in terms of local sharpness and colorfulness. To overcome the drawbacks of traditional TM, we propose a spatial-frequency based framework in this paper. In the proposed solution, intensity component of an input video/image signal is split on low pass filtered (LPF) and high pass filtered (HPF) bands. Tone Mapping (TM) function is applied to LPF band to improve the global contrast/brightness, and HPF band is added back afterwards to keep the local contrast. The HPF band may be adjusted by a coring function to avoid noise boosting and signal overshooting. Colorfulness of an original image may be preserved or enhanced by chroma components correction by means of saturation function. Localized content adaptation is further improved by dividing an image to a set of non-overlapped regions and modifying each region individually. The suggested framework allows users to implement a wide range of tone mapping applications with perceptional local sharpness and colorfulness preserved or enhanced. Corresponding hardware circuit may be integrated in camera, video or display pipeline with minimal hardware budget

  1. Perceptual Contrast Enhancement with Dynamic Range Adjustment

    Science.gov (United States)

    Zhang, Hong; Li, Yuecheng; Chen, Hao; Yuan, Ding; Sun, Mingui

    2013-01-01

    Recent years, although great efforts have been made to improve its performance, few Histogram equalization (HE) methods take human visual perception (HVP) into account explicitly. The human visual system (HVS) is more sensitive to edges than brightness. This paper proposes to take use of this nature intuitively and develops a perceptual contrast enhancement approach with dynamic range adjustment through histogram modification. The use of perceptual contrast connects the image enhancement problem with the HVS. To pre-condition the input image before the HE procedure is implemented, a perceptual contrast map (PCM) is constructed based on the modified Difference of Gaussian (DOG) algorithm. As a result, the contrast of the image is sharpened and high frequency noise is suppressed. A modified Clipped Histogram Equalization (CHE) is also developed which improves visual quality by automatically detecting the dynamic range of the image with improved perceptual contrast. Experimental results show that the new HE algorithm outperforms several state-of-the-art algorithms in improving perceptual contrast and enhancing details. In addition, the new algorithm is simple to implement, making it suitable for real-time applications. PMID:24339452

  2. Implementation of psychiatric-focused lifestyle medicine programs in Asia.

    Science.gov (United States)

    Sarris, Jerome; Nishi, Daisuke; Xiang, Yu-Tao; Su, Kuan-Pin; Bannatyne, Amy; Oliver, Georgina; Kua, Ee-Heok; Ng, Chee Hong

    2015-12-01

    Lifestyle-focused health programs are growing in interest throughout Western society, and a range of lifestyle factors are known to enhance both physical and mental health. However, it remains largely unknown as to whether this approach is salient for the Asian context. The major components of integrative lifestyle-focused health programs to enhance mental and physical health are considered to include the evidence-based adoption of physical activity and exercise, dietary modification, general psychoeducation, adequate relaxation/sleep and social interaction, use of mindfulness techniques, the reduction of substance use, attention of intersecting environmental factors, and the potential use of motivation and goal-setting techniques. This paper outlines an overview of the evidence underpinning these elements, and discusses potential barriers and challenges, and what logistical considerations may need to be addressed in the implementation of such programs within the context of Asian cultures. © 2015 Wiley Publishing Asia Pty Ltd.

  3. Implementing Lean Six Sigma in organizations

    NARCIS (Netherlands)

    Lameijer, B.A.

    2017-01-01

    This thesis focuses on operational excellence following the Lean Six Sigma (LSS) method. As the popularity of implementing LSS grows, questions about implementing LSS in organizations arise, and this is where we aim to contribute. We study key questions about implementing LSS in organizations at two

  4. Implementation of Knowledge Management in Organizations

    Science.gov (United States)

    Winkler, Katrin; Mandl, Heinz

    2007-01-01

    In the context of learning implementation of new ideas e.g. knowledge management in organizations often is neglected. Concerning knowledge management measures we demonstrate its implementation in organizations. A theoretical framework was developed showing the necessary basic conditions for implementing knowledge management. Subsequently we…

  5. Enhanced Use Leasing

    National Research Council Canada - National Science Library

    Vann-Olejasz, Sandra

    2002-01-01

    .... The term 'enhanced' was added as part of a 2001 amendment from Section 2812 of R.R. 5408, the Floyd D. Spence National Defense Authorization Act for Fiscal Year 2001 and enacted into Public Law 106-398...

  6. Long range image enhancement

    CSIR Research Space (South Africa)

    Duvenhage, B

    2015-11-01

    Full Text Available and Vision Computing, Auckland, New Zealand, 23-24 November 2015 Long Range Image Enhancement Bernardt Duvenhage Council for Scientific and Industrial Research South Africa Email: bduvenhage@csir.co.za Abstract Turbulent pockets of air...

  7. Enhanced Magnetic Model 2015

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — The Enhanced Magnetic Model (EMM) extends to degree and order 720, resolving magnetic anomalies down to 56 km wavelength. The higher resolution of the EMM results in...

  8. Enhanced Magnetic Model 2010

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — The Enhanced Magnetic Model (EMM) extends to degree and order 720, resolving magnetic anomalies down to 56 km wavelength. The higher resolution of the EMM results in...

  9. Ogallala Bedrock Data Enhancement

    Data.gov (United States)

    Kansas Data Access and Support Center — This data set provides an enhanced estimate of the bedrock elevation of the Ogallala Aquifer in Kansas based on lithologic logs from a variety of sources. The data...

  10. Enhanced metabolite generation

    Science.gov (United States)

    Chidambaram, Devicharan [Middle Island, NY

    2012-03-27

    The present invention relates to the enhanced production of metabolites by a process whereby a carbon source is oxidized with a fermentative microbe in a compartment having a portal. An electron acceptor is added to the compartment to assist the microbe in the removal of excess electrons. The electron acceptor accepts electrons from the microbe after oxidation of the carbon source. Other transfers of electrons can take place to enhance the production of the metabolite, such as acids, biofuels or brewed beverages.

  11. Fragment, tag, enrich, and send: Enhancing the social sharing of videos

    NARCIS (Netherlands)

    P.S. Cesar Garcia (Pablo Santiago); D.C.A. Bulterman (Dick); A.J. Jansen (Jack); D. Geerts (David); H. Knoche; W. Seager

    2009-01-01

    htmlabstractThe migration of media consumption to personal computers retains distributed social viewing, but only via nonsocial, strictly personal interfaces. This article presents an architecture, and implementation for media sharing that allows for enhanced social interactions among users.

  12. 75 FR 73027 - Cooperative Conservation Partnership Initiative and Wetlands Reserve Enhancement Program

    Science.gov (United States)

    2010-11-29

    ...; ] DEPARTMENT OF AGRICULTURE Commodity Credit Corporation Cooperative Conservation Partnership Initiative and Wetlands Reserve Enhancement Program AGENCY: Commodity Credit Corporation and Natural Resources... producers to voluntarily implement conservation practices that avoid, control, and trap nutrient runoff...

  13. Guideline Implementation: Patient Information Management.

    Science.gov (United States)

    Fencl, Jennifer L

    2016-12-01

    Clinical documentation captured in a patient's record provides health care personnel with information that can be used to guide patient care. Data collected in electronic health records can be accessed and aggregated across the health care delivery system to enhance the safety, quality, and efficacy of care. The updated AORN "Guideline for patient information management" provides guidance to perioperative personnel on documenting and managing patient information. This article focuses on key points of the guideline, which address data capture that supports the clinical workflow, incorporation of professional guidelines and standards as well as regulatory and mandatory reporting elements, use of standardized clinical terminologies, data aggregation for use in research and analytics, considerations for patient care orders, and safeguards for the patient's security and confidentiality. Perioperative RNs should review the complete guideline for additional information and for guidance when writing and updating policies and procedures. Copyright © 2016 AORN, Inc. Published by Elsevier Inc. All rights reserved.

  14. Improving policy implementation through collaborative policymaking

    DEFF Research Database (Denmark)

    Ansell, Christopher; Sørensen, Eva; Torfing, Jacob

    2017-01-01

    We offer a fresh perspective on implementation problems by suggesting that collaborative policy design and adaptive policy implementation will help public policy makers to improve policy execution. Classical implementation theories have focused too narrowly on administrative stumbling blocks...... collaborative policymaking and adaptive policy implementation might work in theory and practice...... and New Public Management has reinforced the split between politics and administration. Attempts to improve policy implementation must begin by looking at policy design, which can be improved through collaboration and deliberation between upstream and downstream actors. We provide a broad overview of how...

  15. Implementing Successful Geoscience Education and Outreach Efforts

    Science.gov (United States)

    Braile, L. W.

    2004-12-01

    Successful geoscience Education and Outreach (E&O) efforts associated with a research program benefit from effective planning and a commitment by scientists/researchers to become more knowledgeable about and involved in education. Several suggested strategies have evolved based on experience in Earth science E&O with K-16 educators and students during the past 10 years. E&O programs and materials should be developed at appropriate levels ("start from where they're at") and utilize information, skills and topics that are most relevant to students and teachers. Hands-on and inquiry-based activities that teach or reinforce fundamental science understanding and skills, while introducing new topics, results and discoveries, are particularly effective. It is useful to design materials that can provide for a range of time commitment, level of technical skills, and effort, so that introductory to in-depth curriculum units can be implemented. Use of the Internet and working with teachers can be effective methods for dissemination and taking advantage of a "multiplying factor". Obtaining feedback and evaluation of the programs and developed materials, and connecting the materials to national or state education standards are also highly recommended. Most importantly, scientists should become more involved in the science education community. Attending and presenting papers at appropriate science education sessions or workshops, or state or national science teacher meetings (the annual National Science Teachers Association convention is an excellent place to start) can be a significant educational experience for the scientist/researcher. Effective geoscience E&O programs have significant potential for enhancing K-16 education and scientific literacy, and can help attract students to the sciences. Perhaps surprisingly, these efforts have substantial positive impact on the scientist/researcher as well.

  16. Enhancing Higher Order Thinking Skills through Clinical Simulation

    Science.gov (United States)

    Varutharaju, Elengovan; Ratnavadivel, Nagendralingan

    2014-01-01

    Purpose: The study aimed to explore, describe and analyse the design and implementation of clinical simulation as a pedagogical tool in bridging the deficiency of higher order thinking skills among para-medical students, and to make recommendations on incorporating clinical simulation as a pedagogical tool to enhance thinking skills and align the…

  17. Enhancing Formal E-Learning with Edutainment on Social Networks

    Science.gov (United States)

    Labus, A.; Despotovic-Zrakic, M.; Radenkovic, B.; Bogdanovic, Z.; Radenkovic, M.

    2015-01-01

    This paper reports on the investigation of the possibilities of enhancing the formal e-learning process by harnessing the potential of informal game-based learning on social networks. The goal of the research is to improve the outcomes of the formal learning process through the design and implementation of an educational game on a social network…

  18. Enhancing Image Retrieval System Using Content Based Search ...

    African Journals Online (AJOL)

    The purpose of this work is to design and implement a software that enhances the retrieval of image using the image content base as the criteria. As the size of multimedia databases and other repositories continues to grow, the difficulty of finding multimedia information increases, it becomes practically impossible to depend ...

  19. Enhanced recovery after surgery (ERAS) in penetrating abdominal ...

    African Journals Online (AJOL)

    Background: Enhanced recovery after surgery (ERAS) programmes employed in elective surgery have provided strong evidence for decreased lengths of hospital stay without increase in postoperative complications. The aim of this study was to explore the role and benefits of ERAS implemented in patients undergoing ...

  20. Operational real-time GPS-enhanced earthquake early warning

    National Research Council Canada - National Science Library

    R Grapenthin; I A Johanson; R M Allen

    2014-01-01

    .... Recently, a range of high-rate GPS strategies have been demonstrated on off-line data. Here we present the first operational system for real-time GPS-enhanced earthquake early warning as implemented at the Berkeley Seismological Laboratory (BSL...

  1. Enhancing Treatment Integrity Maintenance through Fading with Indiscriminable Contingencies

    Science.gov (United States)

    Gross, Thomas J.; Duhon, Gary J.; Doerksen-Klopp, Bethany

    2014-01-01

    School psychologists are often asked to develop treatment to remediate students' academic skills or social behavior problems. When teachers implement treatment recommendations with high levels of treatment integrity, students benefit. Treatment integrity has been enhanced by use of direct training, performance feedback, and negative…

  2. An Alternative View of Quality Assurance and Enhancement

    Science.gov (United States)

    Wong, Viola Yuk-Yue

    2012-01-01

    This paper attempts to deal with the elusive nature of quality in quality management, using a case study to examine quality control measures implemented in an academic context and to show an emergent framework for quality enhancement. This paper introduces the concept of the ecology of quality assurance and examines efforts to maintain and advance…

  3. Curriculum Development for Enhancing Grade Nine Students' Systems Thinking

    Science.gov (United States)

    Hernthaisong, Preeyanan; Sitti, Somsong; Sonsupap, Kanyarat

    2015-01-01

    The objectives of this research were to study the development of a curriculum for enhancing grade 9 students' cognitive skills using a curriculum based on Systems Thinking Process. There were 3 phases: 1) studying of the problem; 2) development of tentative curriculum; and 3) implementation of the curriculum in a pilot study. The samples were 32…

  4. Harnessing Implementation Science to Increase the Impact of Health Disparity Research

    Science.gov (United States)

    Chinman, Matthew; Woodward, Eva N.; Curran, Geoffrey M.; Hausmann, Leslie R. M.

    2017-01-01

    Background Health disparities are differences in health or health care between groups based on social, economic, and/or environmental disadvantage. Disparity research often follows three steps: detecting (Phase 1), understanding (Phase 2), and reducing (Phase 3), disparities. While disparities have narrowed over time, many remain. Objectives We argue that implementation science could enhance disparities research by broadening the scope of Phase 2 studies and offering rigorous methods to test disparity-reducing implementation strategies in Phase 3 studies. Methods We briefly review the focus of Phase 2 and Phase 3 disparities research. We then provide a decision tree and case examples to illustrate how implementation science frameworks and research designs could further enhance disparity research. Results Most health disparities research emphasizes patient and provider factors as predominant mechanisms underlying disparities. Applying implementation science frameworks like the Consolidated Framework for Implementation Research could help disparities research widen its scope in Phase 2 studies and, in turn, develop broader disparities-reducing implementation strategies in Phase 3 studies. Many Phase 3 studies of disparity reducing implementation strategies are similar to case studies, whose designs are not able to fully test causality. Implementation science research designs offer rigorous methods that could accelerate the pace at which equity is achieved in real world practice. Conclusions Disparities can be considered a “special case” of implementation challenges—when evidence-based clinical interventions are delivered to, and received by, vulnerable populations at lower rates. Bringing together health disparities research and implementation science could advance equity more than either could achieve on their own. PMID:28806362

  5. Evidence utilization project: implementation of kangaroo care at neonatal ICU.

    Science.gov (United States)

    Zhang, Su He; Yip, Wai Kin; Lim, Priscilla Fong Chien; Goh, Micki Zhen Yi

    2014-06-01

    Kangaroo care is no longer performed for the initial purpose of maintaining a small baby's body temperature in the developed countries where there are now sufficient medical equipments to keep babies warm. The objectives of kangaroo care in advanced neonatal ICUs have changed to provide benefits such as bonding and attachment, physiologic stability of newborn babies, successful breastfeeding and positive effects on infant development. Kangaroo care is not new to many neonatal nurses, but not every neonatal center is routinely practicing kangaroo care in Singapore. Inadequate nurses' knowledge and lack of guidelines on kangaroo care hinder its practice. The aim of this project was to implement kangaroo care in very low birth weight babies in a systematic and structured approach. The team followed Larrabee's The Model For Evidence-Based Practice Change, used the available evidence on kangaroo care to develop guideline that was specific and suitable for the local setting. The team organized kangaroo care road shows for nurses and parents to create and enhance awareness. Evaluation of the project was done through two audits. The audit tool consisted of correct baby positioning and nursing documentation, with a sample size of 30 episodes. The ages of the babies audited were from 24 to 34 weeks of gestation with their weight ranging from 850 to 1500 g. The compliance rate for correct baby positioning during kangaroo care was 100% for both audits. The compliance rate for nursing documentation improved from 93% in the first post-implementation audit to 96.7% in the second post-implementation audit. The systematic and structured approach in kangaroo care implementation has created awareness among nurses and led to improvements in their knowledge and practices of kangaroo care. The implementation process of kangaroo care has also aided in training the ward Evidence-Based Nursing Unit team members to engage in critical thinking, which ultimately benefited the babies and

  6. Image enhancement by non-linear extrapolation in frequency space

    Science.gov (United States)

    Anderson, Charles H. (Inventor); Greenspan, Hayit K. (Inventor)

    1998-01-01

    An input image is enhanced to include spatial frequency components having frequencies higher than those in an input image. To this end, an edge map is generated from the input image using a high band pass filtering technique. An enhancing map is subsequently generated from the edge map, with the enhanced map having spatial frequencies exceeding an initial maximum spatial frequency of the input image. The enhanced map is generated by applying a non-linear operator to the edge map in a manner which preserves the phase transitions of the edges of the input image. The enhanced map is added to the input image to achieve a resulting image having spatial frequencies greater than those in the input image. Simplicity of computations and ease of implementation allow for image sharpening after enlargement and for real-time applications such as videophones, advanced definition television, zooming, and restoration of old motion pictures.

  7. Automatic segmentation of gadolinium-enhanced multiple sclerosis lesions.

    Science.gov (United States)

    Bedell, B J; Narayana, P A

    1998-06-01

    Automatic detection and quantitation of contrast-enhanced lesions on MRI is expected to be useful in characterizing the disease state in multiple sclerosis (MS). The enhancing structures such as cerebral vasculature and regions with no blood-brain barrier complicate automated analysis of lesion enhancement. A pulse sequence that incorporates both stationary and marching saturation bands and gradient dephasing is described for suppressing the enhancements within the cerebral vasculature. A postprocessing technique based on automatic image segmentation is implemented for eliminating enhancing structures such as choroid plexus. All MS lesions larger than 5 mm3 have been successfully identified. The automated analysis produced no false-positives or false-negative lesions above this volume in 13 patients with MS who were evaluated using the acquisition and evaluation techniques described.

  8. Implementation of viscoelastic Hopkinson bars

    Directory of Open Access Journals (Sweden)

    Govender R.

    2012-08-01

    Full Text Available Knowledge of the properties of soft, viscoelastic materials at high strain rates are important in furthering our understanding of their role during blast or impact events. Testing these low impedance materials using a metallic split Hopkinson pressure bar setup results in poor signal to noise ratios due to impedance mismatching. These difficulties are overcome by using polymeric Hopkinson bars. Conventional Hopkinson bar analysis cannot be used on the polymeric bars due to the viscoelastic nature of the bar material. Implementing polymeric Hopkinson bars requires characterization of the viscoelastic properties of the material used. In this paper, 30 mm diameter Polymethyl Methacrylate bars are used as Hopkinson pressure bars. This testing technique is applied to polymeric foam called Divinycell H80 and H200. Although there is a large body of of literature containing compressive data, this rarely deals with strain rates above 250s−1 which becomes increasingly important when looking at the design of composite structures where energy absorption during impact events is high on the list of priorities. Testing of polymeric foams at high strain rates allows for the development of better constitutive models.

  9. Implementation of viscoelastic Hopkinson bars

    Science.gov (United States)

    Curry, R.; Cloete, T.; Govender, R.

    2012-08-01

    Knowledge of the properties of soft, viscoelastic materials at high strain rates are important in furthering our understanding of their role during blast or impact events. Testing these low impedance materials using a metallic split Hopkinson pressure bar setup results in poor signal to noise ratios due to impedance mismatching. These difficulties are overcome by using polymeric Hopkinson bars. Conventional Hopkinson bar analysis cannot be used on the polymeric bars due to the viscoelastic nature of the bar material. Implementing polymeric Hopkinson bars requires characterization of the viscoelastic properties of the material used. In this paper, 30 mm diameter Polymethyl Methacrylate bars are used as Hopkinson pressure bars. This testing technique is applied to polymeric foam called Divinycell H80 and H200. Although there is a large body of of literature containing compressive data, this rarely deals with strain rates above 250s-1 which becomes increasingly important when looking at the design of composite structures where energy absorption during impact events is high on the list of priorities. Testing of polymeric foams at high strain rates allows for the development of better constitutive models.

  10. Schedule optimization study implementation plan

    Energy Technology Data Exchange (ETDEWEB)

    1993-11-01

    This Implementation Plan is intended to provide a basis for improvements in the conduct of the Environmental Restoration (ER) Program at Hanford. The Plan is based on the findings of the Schedule Optimization Study (SOS) team which was convened for two weeks in September 1992 at the request of the U.S. Department of Energy (DOE) Richland Operations Office (RL). The need for the study arose out of a schedule dispute regarding the submission of the 1100-EM-1 Operable Unit (OU) Remedial Investigation/Feasibility Study (RI/FS) Work Plan. The SOS team was comprised of independent professionals from other federal agencies and the private sector experienced in environmental restoration within the federal system. The objective of the team was to examine reasons for the lengthy RI/FS process and recommend ways to expedite it. The SOS team issued their Final Report in December 1992. The report found the most serious impediments to cleanup relate to a series of management and policy issues which are within the control of the three parties managing and monitoring Hanford -- the DOE, U.S. Environmental Protection Agency (EPA), and the State of Washington Department of Ecology (Ecology). The SOS Report identified the following eight cross-cutting issues as the root of major impediments to the Hanford Site cleanup. Each of these eight issues is quoted from the SOS Report followed by a brief, general description of the proposed approach being developed.

  11. Sampled-data controller implementation

    Science.gov (United States)

    Wang, Yu; Leduc, Ryan J.

    2012-09-01

    The setting of this article is the implementation of timed discrete-event systems (TDES) as sampled-data (SD) controllers. An SD controller is driven by a periodic clock and sees the system as a series of inputs and outputs. On each clock edge (tick event), it samples its inputs, changes states and updates its outputs. In this article, we establish a formal representation of an SD controller as a Moore synchronous finite state machine (FSM). We describe how to translate a TDES supervisor to an FSM, as well as necessary properties to be able to do so. We discuss how to construct a single centralised controller as well as a set of modular controllers, and show that they will produce equivalent output. We briefly discuss how the recently introduced SD controllability definition relates to our translation method. SD controllability is an extension of TDES controllability which captures several new properties that are useful in dealing with concurrency issues, as well as make it easier to translate a TDES supervisor into an SD controller. We next discuss the application of SD controllability to a small flexible manufacturing system (FMS) from the literature. The example demonstrates the successful application of the new SD properties. We describe the design of the system in detail to illustrate the new conditions and to provide designers with guidance on how to apply the properties. We also present some FSM translation issues encountered, as well as the FSM version of the system's supervisors.

  12. Never the twain shall meet?--a comparison of implementation science and policy implementation research.

    Science.gov (United States)

    Nilsen, Per; Ståhl, Christian; Roback, Kerstin; Cairney, Paul

    2013-06-10

    Many of society's health problems require research-based knowledge acted on by healthcare practitioners together with implementation of political measures from governmental agencies. However, there has been limited knowledge exchange between implementation science and policy implementation research, which has been conducted since the early 1970s. Based on a narrative review of selective literature on implementation science and policy implementation research, the aim of this paper is to describe the characteristics of policy implementation research, analyze key similarities and differences between this field and implementation science, and discuss how knowledge assembled in policy implementation research could inform implementation science. Following a brief overview of policy implementation research, several aspects of the two fields were described and compared: the purpose and origins of the research; the characteristics of the research; the development and use of theory; determinants of change (independent variables); and the impact of implementation (dependent variables). The comparative analysis showed that there are many similarities between the two fields, yet there are also profound differences. Still, important learning may be derived from several aspects of policy implementation research, including issues related to the influence of the context of implementation and the values and norms of the implementers (the healthcare practitioners) on implementation processes. Relevant research on various associated policy topics, including The Advocacy Coalition Framework, Governance Theory, and Institutional Theory, may also contribute to improved understanding of the difficulties of implementing evidence in healthcare. Implementation science is at a relatively early stage of development, and advancement of the field would benefit from accounting for knowledge beyond the parameters of the immediate implementation science literature. There are many common issues in

  13. Upscaling of enzyme enhanced CO2 capture

    DEFF Research Database (Denmark)

    Gladis, Arne Berthold

    Fossil fuels are the backbone of the energy generation in the coming decades for USA, China, India and Europe, hence high greenhouse gas emissions are expected in future. Carbon capture and storage technology (CCS) is the only technology that can mitigate greenhouse gas emissions from fossil fuel...... fired power by selectively capturing CO2 from flue gases. High capital and high operational costs of this process are the major obstacles of industrial implementation. In the field of CCS the chemical absorption process is the most mature technology. The use of kinetic rate promoters that enhance...

  14. Enhanced magnetotransport in nanopatterned manganite nanowires.

    Science.gov (United States)

    Marín, Lorena; Morellón, Luis; Algarabel, Pedro A; Rodríguez, Luis A; Magén, César; De Teresa, José M; Ibarra, Manuel R

    2014-02-12

    We have combined optical and focused ion beam lithographies to produce large aspect-ratio (length-to-width >300) single-crystal nanowires of La2/3Ca1/3MnO3 that preserve their functional properties. Remarkably, an enhanced magnetoresistance value of 34% in an applied magnetic field of 0.1 T in the narrowest 150 nm nanowire is obtained. The strain release at the edges together with a destabilization of the insulating regions is proposed to account for this behavior. This opens new strategies to implement these structures in functional spintronic devices.

  15. Enhanced Accident Tolerant LWR Fuels: Metrics Development

    Energy Technology Data Exchange (ETDEWEB)

    Shannon Bragg-Sitton; Lori Braase; Rose Montgomery; Chris Stanek; Robert Montgomery; Lance Snead; Larry Ott; Mike Billone

    2013-09-01

    The Department of Energy (DOE) Fuel Cycle Research and Development (FCRD) Advanced Fuels Campaign (AFC) is conducting research and development on enhanced Accident Tolerant Fuels (ATF) for light water reactors (LWRs). This mission emphasizes the development of novel fuel and cladding concepts to replace the current zirconium alloy-uranium dioxide (UO2) fuel system. The overall mission of the ATF research is to develop advanced fuels/cladding with improved performance, reliability and safety characteristics during normal operations and accident conditions, while minimizing waste generation. The initial effort will focus on implementation in operating reactors or reactors with design certifications. To initiate the development of quantitative metrics for ATR, a LWR Enhanced Accident Tolerant Fuels Metrics Development Workshop was held in October 2012 in Germantown, MD. This paper summarizes the outcome of that workshop and the current status of metrics development for LWR ATF.

  16. Signal Enhancement with Variable Span Linear Filters

    DEFF Research Database (Denmark)

    Benesty, Jacob; Christensen, Mads Græsbøll; Jensen, Jesper Rindom

    . Variable span filters combine the ideas of optimal linear filters with those of subspace methods, as they involve the joint diagonalization of the correlation matrices of the desired signal and the noise. The book shows how some well-known filter designs, e.g. the minimum distortion, maximum signal-to-noise...... the time and STFT domains, and, lastly, in time-domain binaural enhancement. In these contexts, the properties of these filters are analyzed in terms of their noise reduction capabilities and desired signal distortion, and the analyses are validated and further explored in simulations.......This book introduces readers to the novel concept of variable span speech enhancement filters, and demonstrates how it can be used for effective noise reduction in various ways. Further, the book provides the accompanying Matlab code, allowing readers to easily implement the main ideas discussed...

  17. Enhanced Cooperation - the New Trend of the EU Development

    Directory of Open Access Journals (Sweden)

    Lyudmila O. Babynina

    2014-01-01

    Full Text Available The article is dedicated to implementation of the enhanced cooperation in the EU. Actually two such projects are шn progress (the law applicable to divorce and legal separation and unitary patent protection and other two are under discussionffmandai transaction tax and European Public Prosecutor's Office. Active use of the enhanced cooperation recently shows that such kind of the promoting integration is more and more required in the EU. However its implementation can jeopardize the principles of the EU functioning and undermine the status of the institutions in the integration process. This mechanism can also be used in order to exclude the discordant states from integration process instead of traditional search of compromises. This argument is based on analysis of the implementation conditions of the project on the unitary patent protection. At the same time the projects of the enhanced cooperation obviously make the interaction in different spheres more efficient. In addition they can be used for testing the new types of cooperation. That's why the search for an optimal balance between promotion integration through the mechanism of enhanced cooperation and preserving the unity of the EU should be considered as main goal by participants of the integration process. Otherwise the gradual separation on the vanguard group may lead to EU division. Nevertheless taking into consideration enlargement of the EU and its diversity, the enhanced cooperation Should be used onlyas "extreme measure".

  18. Mechanisms of Memory Enhancement

    Science.gov (United States)

    Stern, Sarah A.

    2012-01-01

    The ongoing quest for memory enhancement is one that grows necessary as the global population increasingly ages. The extraordinary progress that has been made in the past few decades elucidating the underlying mechanisms of how long-term memories are formed has provided insight into how memories might also be enhanced. Capitalizing on this knowledge, it has been postulated that targeting many of the same mechanisms, including CREB activation, AMPA/NMDA receptor trafficking, neuromodulation (e.g. via dopamine, adrenaline, cortisol or acetylcholine) and metabolic processes (e.g. via glucose and insulin) may all lead to the enhancement of memory. These and other mechanisms and/or approaches have been tested via genetic or pharmacological methods in animal models, and several have been investigated in humans as well. In addition, a number of behavioral methods, including exercise and reconsolidation, may also serve to strengthen and enhance memories. By capitalizing on this knowledge and continuing to investigate these promising avenues, memory enhancement may indeed be achieved in the future. PMID:23151999

  19. Gunner Goggles: Implementing Augmented Reality into Medical Education.

    Science.gov (United States)

    Wang, Leo L; Wu, Hao-Hua; Bilici, Nadir; Tenney-Soeiro, Rebecca

    2016-01-01

    There is evidence that both smartphone and tablet integration into medical education has been lacking. At the same time, there is a niche for augmented reality (AR) to improve this process through the enhancement of textbook learning. Gunner Goggles is an attempt to enhance textbook learning in shelf exam preparatory review with augmented reality. Here we describe our initial prototype and detail the process by which augmented reality was implemented into our textbook through Layar. We describe the unique functionalities of our textbook pages upon augmented reality implementation, which includes links, videos and 3D figures, and surveyed 24 third year medical students for their impression of the technology. Upon demonstrating an initial prototype textbook chapter, 100% (24/24) of students felt that augmented reality improved the quality of our textbook chapter as a learning tool. Of these students, 92% (22/24) agreed that their shelf exam review was inadequate and 19/24 (79%) felt that a completed Gunner Goggles product would have been a viable alternative to their shelf exam review. Thus, while students report interest in the integration of AR into medical education test prep, future investigation into how the use of AR can improve performance on exams is warranted.

  20. Implementing a New Dense Symmetric Eigensolver on Multicore Systems

    KAUST Repository

    Sukkari, Dalal E.

    2013-07-01

    We present original advanced architecture implementations of the QDWHeig algo- rithm for solving dense symmetric eigenproblems. The algorithm (Y. Nakatsukasa and N. J. Higham, 2012) performs a spectral divide-and-conquer, which recursively divides the matrix into smaller submatrices by finding an invariant subspace for a subset of the spectrum. The main contribution of this thesis is to enhance the per- formance of QDWHeig algorithm by relying on a high performance kernels from PLASMA [1] and LAPACK [2]. We demonstrate the quality of the eigenpairs that are computed with the QDWHeig algorithm for many matrix types with different eigenvalue clustering. We then implement QDWHeig using kernels from LAPACK and PLASMA, and compare its performance against other divide-and-conquer sym- metric eigensolvers. The main part of QDWHeig is finding a polar decomposition. We introduce mixed precision to enhance the performance in finding the polar decom- position. Our evaluation considers speed and accuracy of the computed eigenvalues. Some applications require finding only a subspectrum of the eigenvalues; therefore we modify the algorithm to find the eigenpairs in a given interval of interest. An ex- perimental study shows significant improvement on the performance of our algorithm using mixed precision and PLASMA routines.

  1. Facebook enhances antidepressant pharmacotherapy effects.

    Science.gov (United States)

    Mota Pereira, Jorge

    2014-01-01

    Treatment-resistant major depressive disorder (TR-MDD) is a complex condition, with very low remission rates. In recent years some studies have been conducted on the implementation of cognitive behavioral therapy and psychodynamic psychotherapy interventions via the Internet to MDD patients, and results have been promising. However, there have been no studies in patients with TR-MDD nor with the use of Facebook with the psychiatrist as "friend." 60 TR-MDD patients were randomized to one of three groups: Facebook group with psychiatrist as "friend," Facebook group without psychiatrist as "friend," and control group (no Facebook use). Both Facebook groups spent at least 1 hour/day on Facebook, 7 days/week, during the 3 months. All patients maintained their usual pharmacotherapy. All participants were evaluated at baseline and at 1, 2, and 3 months for depressive symptoms using HAD17 and BDI-II. Results show that both Facebook groups had a decrease on HADM17 and BDI-II scores as well as higher remission and response rates than the control group, with better results if the psychiatrist was a "friend" on Facebook. Therefore, in TR-MDD, Facebook can be used as an effective enhancement therapy, adjuvant to pharmacological therapy with regular consultations, especially if the psychiatrist is the patient's online "friend."

  2. Enhanced Model for Fast Ignition

    Energy Technology Data Exchange (ETDEWEB)

    Mason, Rodney J. [Research Applications Corporation, Los Alamos, NM (United States)

    2010-10-12

    Laser Fusion is a prime candidate for alternate energy production, capable of serving a major portion of the nation's energy needs, once fusion fuel can be readily ignited. Fast Ignition may well speed achievement of this goal, by reducing net demands on laser pulse energy and timing precision. However, Fast Ignition has presented a major challenge to modeling. This project has enhanced the computer code ePLAS for the simulation of the many specialized phenomena, which arise with Fast Ignition. The improved code has helped researchers to understand better the consequences of laser absorption, energy transport, and laser target hydrodynamics. ePLAS uses efficient implicit methods to acquire solutions for the electromagnetic fields that govern the accelerations of electrons and ions in targets. In many cases, the code implements fluid modeling for these components. These combined features, "implicitness and fluid modeling," can greatly facilitate calculations, permitting the rapid scoping and evaluation of experiments. ePLAS can be used on PCs, Macs and Linux machines, providing researchers and students with rapid results. This project has improved the treatment of electromagnetics, hydrodynamics, and atomic physics in the code. It has simplified output graphics, and provided new input that avoids the need for source code access by users. The improved code can now aid university, business and national laboratory users in pursuit of an early path to success with Fast Ignition.

  3. Dengue virus antibodies enhance Zika virus infection.

    Science.gov (United States)

    Paul, Lauren M; Carlin, Eric R; Jenkins, Meagan M; Tan, Amanda L; Barcellona, Carolyn M; Nicholson, Cindo O; Michael, Scott F; Isern, Sharon

    2016-12-01

    For decades, human infections with Zika virus (ZIKV), a mosquito-transmitted flavivirus, were sporadic, associated with mild disease, and went underreported since symptoms were similar to other acute febrile diseases. Recent reports of severe disease associated with ZIKV have greatly heightened awareness. It is anticipated that ZIKV will continue to spread in the Americas and globally where competent Aedes mosquito vectors are found. Dengue virus (DENV), the most common mosquito-transmitted human flavivirus, is both well-established and the source of outbreaks in areas of recent ZIKV introduction. DENV and ZIKV are closely related, resulting in substantial antigenic overlap. Through antibody-dependent enhancement (ADE), anti-DENV antibodies can enhance the infectivity of DENV for certain classes of immune cells, causing increased viral production that correlates with severe disease outcomes. Similarly, ZIKV has been shown to undergo ADE in response to antibodies generated by other flaviviruses. We tested the neutralizing and enhancing potential of well-characterized broadly neutralizing human anti-DENV monoclonal antibodies (HMAbs) and human DENV immune sera against ZIKV using neutralization and ADE assays. We show that anti-DENV HMAbs, cross-react, do not neutralize, and greatly enhance ZIKV infection in vitro. DENV immune sera had varying degrees of neutralization against ZIKV and similarly enhanced ZIKV infection. Our results suggest that pre-existing DENV immunity may enhance ZIKV infection in vivo and may lead to increased disease severity. Understanding the interplay between ZIKV and DENV will be critical in informing public health responses and will be particularly valuable for ZIKV and DENV vaccine design and implementation strategies.

  4. Implementation Blueprint and Self-Assessment: Positive Behavioral Interventions and Supports

    Science.gov (United States)

    Technical Assistance Center on Positive Behavioral Interventions and Supports, 2010

    2010-01-01

    A "blueprint" is a guide designed to improve large-scale implementations of a specific systems or organizational approach, like School-Wide Positive Behavior Support (SWPBS). This blueprint is intended to make the conceptual theory, organizational models, and practices of SWPBS more accessible for those involved in enhancing how schools,…

  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. Implementing CDM projects. A guidebook to host country legal issues; CDM - Clean Development Mechanism

    Energy Technology Data Exchange (ETDEWEB)

    Curnow, P. (Baker and McKenzie, London (United Kingdom)); Hodes, G. (UNEP Risoe Centre on Energy, Climate and Sustainable Development, DTU, Roskilde (Denmark))

    2009-08-15

    The Clean Development Mechanism (CDM) continues to evolve organically, and many legal issues remain to be addressed in order to maximise its effectiveness. This Guidebook explains through case studies how domestic laws and regulatory frameworks in CDM Host Countries interact with international rules on carbon trading, and how the former can be enhanced to facilitate the implementation and financing of CDM projects. (author)

  7. Motivating Performance Learning. Implementing Competency Based Education in Community Colleges, 5.

    Science.gov (United States)

    Loomis, Katherine A.; And Others

    As part of a series on implementing competency-based education, this monograph examines methods of creating learning environments that enhance student motivation. After introductory material on the importance of motivation to student learning, the monograph discusses the value of: (1) identifying student perceptions; (2) securing and maintaining…

  8. Implementation of a Framework for Collaborative Social Networks in E-Learning

    Science.gov (United States)

    Maglajlic, Seid

    2016-01-01

    This paper describes the implementation of a framework for the construction and utilization of social networks in ELearning. These social networks aim to enhance collaboration between all E-Learning participants (i.e. both traineeto-trainee and trainee-to-tutor communication are targeted). E-Learning systems that include a so-called "social…

  9. 77 FR 45927 - Implementation of Device Registration and Listing Requirements Enacted in the Public Health...

    Science.gov (United States)

    2012-08-02

    ..., which were then forwarded by us to a data entry contractor for input into our device registration and... databases of information about devices and device establishments would enhance future uses of technology in... Administration 21 CFR Part 807 [Docket No. FDA-2009-N-0114] RIN 0910-AF88 Implementation of Device Registration...

  10. 77 FR 66422 - Approval and Promulgation of Implementation Plans; Arizona; Motor Vehicle Inspection and...

    Science.gov (United States)

    2012-11-05

    ... area under our final rule implementing the 8-hour ozone NAAQS (see 40 CFR 51.900(f) and 51.905(a)(1... area with respect to ozone, the enhanced performance standard in 40 CFR 51.351. In the following... urbanized area, based on the 1990 census. See 40 CFR 51.350. We have found in our approvals of the Arizona...

  11. Learning Intermediate Algebra with Graphing Calculator in Community College: A Study of Graphing Calculator Implementation

    Science.gov (United States)

    Reznichenko, Nataliya

    2012-01-01

    Since technology has taken its place in almost all classrooms in schools and colleges across the country, there is a need to know how technology influences the mathematics that is taught and how students learn. In this study, the graphing calculator (GC) (namely the Texas Instruments TI-83) was implemented as a tool to enhance learning of function…

  12. How to successfully implement E-learning for both students and teachers.

    NARCIS (Netherlands)

    Gotthardt, M.; Siegert, M.J.; Schlieck, A.; Schneider, S.; Kohnert, A.; Gross, M.W.; Schafer, C.; Wagner, R.; Hormann, S.; Behr, T.M.; Engenhart-Cabillic, R.; Klose, K.J.; Jungclas, H.; Glowalla, U.

    2006-01-01

    RATIONALE AND OBJECTIVES: Electronic learning (e-learning) may provide a means to enhance learning efficacy. However, introduction of e-learning often fails. We describe a strategy of how an e-learning curriculum was successfully implemented. MATERIALS AND METHODS:The curriculum was designed based

  13. Implementation Fidelity of a Voluntary Sector-Led Diabetes Education Programme

    Science.gov (United States)

    Kok, Michele S. Y.; Jones, Mat; Solomon-Moore, Emma; Smith, Jane R.

    2018-01-01

    Purpose: The quality of voluntary sector-led community health programmes is an important concern for service users, providers and commissioners. Research on the fidelity of programme implementation offers a basis for assessing and further enhancing practice. The purpose of this paper is to report on the fidelity assessment of Living Well Taking…

  14. 77 FR 6548 - Environmental Impact Statement for the Implementation of Energy, Water, and Solid Waste...

    Science.gov (United States)

    2012-02-08

    ... enhance the energy and water security of Fort Bliss, Texas, which is operationally necessary, financially... waste reduction, and energy and water conservation policies and practices; (2) the construction of a new... Department of the Army Environmental Impact Statement for the Implementation of Energy, Water, and Solid...

  15. Polling on a Budget: Implementing Telephone Surveys in Introductory and Advanced American Politics Courses

    Science.gov (United States)

    Williamson, Jonathan

    2011-01-01

    Research suggests that student learning is enhanced when students are engaged through active learning strategies. In studying public opinion and polling, challenges include the provision of meaningful active learning environments when resources are limited. In this article, I discuss the design and implementation of telephone surveys as a teaching…

  16. From Project Management Capabilities to ERP Implementation Success: The Mediating Effect of IT Executives' Capabilities

    Science.gov (United States)

    Touir, Maatallah

    2016-01-01

    Enterprise resource planning project implementation success is necessary for organizations to enhance productivity and achieve operational efficiency; however, the failure rates of ERP projects remain high, ranging between 10% and 90%, and costing organizations $500,000 to $300 million. The problem addressed in this study was the low success rate…

  17. 34 CFR 611.49 - What are a grantee's responsibilities for implementing the scholarship requirements before...

    Science.gov (United States)

    2010-07-01

    ... the scholarship requirements before awarding a scholarship? 611.49 Section 611.49 Education..., DEPARTMENT OF EDUCATION TEACHER QUALITY ENHANCEMENT GRANTS PROGRAM Scholarships § 611.49 What are a grantee's responsibilities for implementing the scholarship requirements before awarding a scholarship? Before awarding...

  18. Pressure analysis for green supply chain management implementation in Indian industries using analytic hierarchy process

    DEFF Research Database (Denmark)

    Mathiyazhagan, K.; Govindan, Kannan; Noorul Haq, A.

    2014-01-01

    Due to growing awareness about environment protection, firms are forced to implement environmental practices to enhance their green image. In recent times, academicians and practitioners have shown interest in green marketing and green supply chain management (GSCM). Fields of green branding...

  19. Using innovative strategies to enhance health promotion critical literacy.

    Science.gov (United States)

    Harvard-Hinchberger, Patricia Ann

    2006-01-01

    New and improved teaching strategies are required to engage students in meaningful coursework to enhance critical thinking, problem-solving, and decision-making. Advanced practice nurses are responsible for producing creative and realistic health promotion and disease prevention proposals, which have the potential for implementation as part of a course requirement. Unfortunately, these proposals often lack the sophistication and critical literacy necessary to effectively communicate the student's knowledge and understanding of their ideas. Infusing critical thinking and critical literacy into all curricula is one of the stated goals of the university-wide "Enhancing Critical Literacy Project." This learning-centered program serves as the platform for this article and the early adoption of selected student assessment techniques. Concepts presented as part of a critical literacy enhancement seminar provides the theoretical underpinning of this approach and is designed to encourage student innovation through creative writing. A detailed description of the various strategies and their implementation are discussed.

  20. Final Report for Enhancing the MPI Programming Model for PetaScale Systems

    Energy Technology Data Exchange (ETDEWEB)

    Gropp, William Douglas [University of Illinois at Urbana-Champaign

    2013-07-22

    This project performed research into enhancing the MPI programming model in two ways: developing improved algorithms and implementation strategies, tested and realized in the MPICH implementation, and exploring extensions to the MPI standard to better support PetaScale and ExaScale systems.

  1. Enhancement of Radiative Efficiency with Staggered InGaN Quantum Well Light Emitting Diodes

    Energy Technology Data Exchange (ETDEWEB)

    Tansu, Nelson; Dierolf, Volkmar; Huang, Gensheng; Penn, Samson; Zhao, Hongping; Liu, Guangyu; Li, Xiaohang; Poplawsky, Jonathan

    2011-07-14

    The technology on the large overlap InGaN QWs developed in this program is currently implemented in commercial technology in enhancing the internal quantum efficiency in major LED industry in US and Asia. The scientific finding from this work supported by the DOE enabled the implementation of this step-like staggered quantum well in the commercial LEDs.

  2. Wireless Sensor Networks--A Hands-On Modular Experiments Platform for Enhanced Pedagogical Learning

    Science.gov (United States)

    Taslidere, E.; Cohen, F. S.; Reisman, F. K.

    2011-01-01

    This paper presents the use of wireless sensor networks (WSNs) in educational research as a platform for enhanced pedagogical learning. The aim here with the use of a WSN platform was to go beyond the implementation stage to the real-life application stage, i.e., linking the implementation to real-life applications, where abstract theory and…

  3. Implementing an Applied Science Program

    Science.gov (United States)

    Rickman, Doug; Presson, Joan

    2007-01-01

    The work implied in the NASA Applied Science Program requires a delicate balancing act for the those doing it. At the implementation level there are multiple tensions intrinsic to the program. For example each application of an existing product to a decision support process requires deep knowledge about the data and deep knowledge about the decision making process. It is highly probable no one person has this range of knowledge. Otherwise the decision making process would already be using the data. Therefore, a team is required. But building a team usually requires time, especially across agencies. Yet the program mandates efforts of relatively short duration. Further, those who know the data are scientists, which makes them essential to the program. But scientists are evaluated on their publication record. Anything which diverts a scientist from the research for his next publication is an anathema to him and potential death to their career. Trying to get another agency to use NASA data does not strike most scientists as material inherently suitable for publication. Also, NASA wishes to rapidly implement often substantial changes to another agency's process. For many reasons, such as budget and program constraints, speed is important. But the owner of a decision making process is tightly constrained, usually by law, regulation, organization and custom. Changes when made are slow, cautious, even hesitant, and always done according a process specific to the situation. To manage this work MSFC must balance these and other tensions. Some things we have relatively little control over, such as budget. These we try to handle by structural techniques. For example by insisting all of our people work on multiple projects simultaneously we inherently have diversification of funding for all of our people. In many cases we explicitly use some elements of tension to be productive. For example the need for the scientists to constantly publish is motivation to keep tasks short and

  4. Enhancement and knowledge

    Directory of Open Access Journals (Sweden)

    Cinzia Talamo

    2012-04-01

    Full Text Available Many issues related to enhancement strategies emerge nowadays both from the scenario offered by public real estates and from the current processes of conveyance of public assets to local authorities. On one hand it is still difficult, from a strategic point of view, to approach in the medium-long term the chronic problems of the public estates due to deterioration, obsolescence and organizational inadequacy. On the other hand there is the risk that inadequate levels of knowledge lead on one side to a prevalence of the binomial enhancement-alienation and on the other side to a lack of full comprehension of the actual potentialities of the existing assets. In this direction it is possible to analyze the topic of enhancement through, among many, the key of knowledge during the lifecycle of a building.

  5. Cholesterol Domains Enhance Transfection

    Science.gov (United States)

    Betker, Jamie L.; Kullberg, Max; Gomez, Joe; Anchordoquy, Thomas J.

    2014-01-01

    The formation of cholesterol domains in lipoplexes has been associated with enhanced serum stability and transfection rates both in cell culture and in vivo. This study utilizes the ability of saturated phosphatidylcholines to promote the formation of cholesterol domains at much lower cholesterol contents than have been utilized in previous work. The results show that lipoplexes with identical cholesterol and cationic lipid contents exhibit significantly improved transfection efficiencies when a domain is present, consistent with previous work. In addition, studies assessing transfection rates in the absence of serum demonstrate that the ability of domains to enhance transfection is not dependent on interactions with serum proteins. Consistent with this hypothesis, characterization of the adsorbed proteins composing the corona of these lipoplex formulations did not reveal a correlation between transfection and the adsorption of a specific protein. Finally, we show that the interaction with serum proteins can promote domain formation in some formulations, and thereby result in enhanced transfection only after serum exposure. PMID:23557286

  6. Human freedom and enhancement.

    Science.gov (United States)

    Heilinger, Jan-Christoph; Crone, Katja

    2014-02-01

    Ideas about freedom and related concepts like autonomy and self-determination play a prominent role in the moral debate about human enhancement interventions. However, there is not a single understanding of freedom available, and arguments referring to freedom are simultaneously used to argue both for and against enhancement interventions. This gives rise to misunderstandings and polemical arguments. The paper attempts to disentangle the different distinguishable concepts, classifies them and shows how they relate to one another in order to allow for a more structured and clearer debate. It concludes in identifying the individual underpinnings and the social conditions of choice and decision-making as particularly salient dimensions of freedom in the ethical debate about human enhancement.

  7. Acoustic tomography. Laboratory technique Implementation.

    Science.gov (United States)

    Galvis, Jorge; Carvajal, Jenny

    2010-05-01

    From geomechanical tests carried out on rocks it is possible to determine its physico-mechanical properties, which relate the strain and applied stress; even so, conventional tests do not allow to identify how stress is distributed and how it has affected porous media. Today, techniques like acoustic tomography widely used in medicine, geophysics and others sciences, generates images by sections of the interior of a body. Acoustic tomography allows inferring the stress state within porous media; since wave velocities are closely related to media density, if a stress is applied to a rock, it will generate grains compaction and this will be showed by an increase of wave velocity. Implementation was conducted on rock plugs under diverse stress fields, simultaneously recording P-wave velocities (Compressional) on perpendicular planes to sample vertical axis. Transmission and reception of acoustic waves through porous media were done by piezoelectric crystals (PZT) used as sensors. A transmitting crystal excited by a voltage pulse causes a mechanical vibration, which travels across media; this is known as inverse piezoelectric effect. This vibration is recorded by a receiving crystal in which the direct piezoelectric effect appears; which dictates that if a piezoelectric is disturbed mechanically, an electrical signal between its terminals will appear. This electrical signal is used to obtain the wave velocity. Nevertheless, acoustic tomography corresponds to one of those called inverse Problems that arise when from observed data the model parameters must be obtained; in this way, tomography involves iterative reconstruction techniques (ART or SIRT) which are projections of observed data and its later inversion. Obtained results are cross-sectional images of velocity within the rock. In these images it is possible to identify where stress has a greater concentration observing the color map generated; thus, a greater velocity density area corresponding to a greater

  8. Christian self-enhancement.

    Science.gov (United States)

    Gebauer, Jochen E; Sedikides, Constantine; Schrade, Alexandra

    2017-11-01

    People overestimate themselves in domains that are central to their self-concept. Critically, the psychological status of this "self-centrality principle" remains unclear. One view regards the principle as an inextricable part of human nature and, thus, as universal and resistant to normative pressure. A contrasting view regards the principle as liable to pressure (and subsequent modification) from self-effacement norms, thus questioning its universality. Advocates of the latter view point to Christianity's robust self-effacement norms, which they consider particularly effective in curbing self-enhancement, and ascribe Christianity an ego-quieting function. Three sets of studies examined the self-centrality principle among Christians. Studies 1A and 1B (N = 2,118) operationalized self-enhancement as better-than-average perceptions on the domains of commandments of faith (self-centrality: Christians ≫ nonbelievers) and commandments of communion (self-centrality: Christians > nonbelievers). Studies 2A-2H (N = 1,779) operationalized self-enhancement as knowledge overclaiming on the domains of Christianity (self-centrality: Christians ≫ nonbelievers), communion (self-centrality: Christians > nonbelievers), and agency (self-centrality: Christians ≈ nonbelievers). Studies 3A-3J (N = 1,956) operationalized self-enhancement as grandiose narcissism on the domains of communion (self-centrality: Christians > nonbelievers) and agency (self-centrality: Christians ≈ nonbelievers). The results converged across studies, yielding consistent evidence for Christian self-enhancement. Relative to nonbelievers, Christians self-enhanced strongly in domains central to the Christian self-concept. The results also generalized across countries with differing levels of religiosity. Christianity does not quiet the ego. The self-centrality principle is resistant to normative pressure, universal, and rooted in human nature. (PsycINFO Database Record (c) 2017 APA, all rights reserved).

  9. Organizational theory for dissemination and implementation research.

    Science.gov (United States)

    Birken, Sarah A; Bunger, Alicia C; Powell, Byron J; Turner, Kea; Clary, Alecia S; Klaman, Stacey L; Yu, Yan; Whitaker, Daniel J; Self, Shannon R; Rostad, Whitney L; Chatham, Jenelle R Shanley; Kirk, M Alexis; Shea, Christopher M; Haines, Emily; Weiner, Bryan J

    2017-05-12

    Even under optimal internal organizational conditions, implementation can be undermined by changes in organizations' external environments, such as fluctuations in funding, adjustments in contracting practices, new technology, new legislation, changes in clinical practice guidelines and recommendations, or other environmental shifts. Internal organizational conditions are increasingly reflected in implementation frameworks, but nuanced explanations of how organizations' external environments influence implementation success are lacking in implementation research. Organizational theories offer implementation researchers a host of existing, highly relevant, and heretofore largely untapped explanations of the complex interaction between organizations and their environment. In this paper, we demonstrate the utility of organizational theories for implementation research. We applied four well-known organizational theories (institutional theory, transaction cost economics, contingency theories, and resource dependency theory) to published descriptions of efforts to implement SafeCare, an evidence-based practice for preventing child abuse and neglect. Transaction cost economics theory explained how frequent, uncertain processes for contracting for SafeCare may have generated inefficiencies and thus compromised implementation among private child welfare organizations. Institutional theory explained how child welfare systems may have been motivated to implement SafeCare because doing so aligned with expectations of key stakeholders within child welfare systems' professional communities. Contingency theories explained how efforts such as interagency collaborative teams promoted SafeCare implementation by facilitating adaptation to child welfare agencies' internal and external contexts. Resource dependency theory (RDT) explained how interagency relationships, supported by contracts, memoranda of understanding, and negotiations, facilitated SafeCare implementation by balancing

  10. Biomedical enhancements as justice.

    Science.gov (United States)

    Nam, Jeesoo

    2015-02-01

    Biomedical enhancements, the applications of medical technology to make better those who are neither ill nor deficient, have made great strides in the past few decades. Using Amartya Sen's capability approach as my framework, I argue in this article that far from being simply permissible, we have a prima facie moral obligation to use these new developments for the end goal of promoting social justice. In terms of both range and magnitude, the use of biomedical enhancements will mark a radical advance in how we compensate the most disadvantaged members of society. © 2013 John Wiley & Sons Ltd.

  11. Enhanced Piezoelectric Shunt Design

    Directory of Open Access Journals (Sweden)

    Chul H. Park

    2003-01-01

    Full Text Available Piezoceramic material connected to an electronic shunt branch circuit has formed a successful vibration reduction device. One drawback of the conventional electronic shunt circuit is the large inductance required when suppressing low frequency vibration modes. Also, the large internal resistance associated with this large inductance exceeds the optimal design resistance needed for low frequency vibration suppression. To solve this problem, a modified and enhanced piezoelectric shunt circuit is designed and analyzed by using mechanical-electrical analogies to present the physical interpretation. The enhanced shunt circuit developed in this paper is proved to significantly reduce the targeted vibration mode of a cantilever beam, theoretically and experimentally.

  12. Brain enhancing drugs

    OpenAIRE

    Hili, Alexander

    2016-01-01

    This is a murky area to discuss. Cognitive-Enhancing drugs are usually used to treat conditions such as sleeping disorders and ADHD. However, if taken by a person (and we do not recommend these pills) without these conditions, they can enhance the brain for a short time. But no gain comes without pain. Side effects are a problem. Take coffee, a weak stimulant that increases focus for a short period. A person slowly builds up tolerance and an addiction to the effect of caffeine. The ability to...

  13. Cavity-enhanced spectroscopies

    CERN Document Server

    van Zee, Roger

    2003-01-01

    ""Cavity-Enhanced Spectroscopy"" discusses the use of optical resonators and lasers to make sensitive spectroscopic measurements. This volume is written by the researcchers who pioneered these methods. The book reviews both the theory and practice behind these spectroscopic tools and discusses the scientific discoveries uncovered by these techniques. It begins with a chapter on the use of optical resonators for frequency stabilization of lasers, which is followed by in-depth chapters discussing cavity ring-down spectroscopy, frequency-modulated, cavity-enhanced spectroscopy, intracavity spectr

  14. Back to basics: implementing the surgical checklist.

    Science.gov (United States)

    Spruce, Lisa

    2014-11-01

    Surgery is complex and technically demanding for all team members. Surgical checklists have been implemented with different degrees of success in the perioperative setting. There is a wealth of evidence that they are effective at preventing patient safety events and helping team members master the complexities of modern health care. Implementation is key to successful use of the surgical checklist in all invasive procedural settings. Key strategies for successful checklist implementation include establishing a multidisciplinary team to implement the checklist, involving surgeon leaders, pilot testing the checklist, incorporating feedback from team members to improve the process, recognizing and addressing barriers to implementation, and offering coaching and continuous feedback to team members who use the checklist. Using these strategies will give the perioperative nurse, department leaders, and surgeons the tools to implement a successful checklist. Copyright © 2014 AORN, Inc. Published by Elsevier Inc. All rights reserved.

  15. Pilot Implementation of Health Information Systems

    DEFF Research Database (Denmark)

    Bansler, Jørgen P.; Havn, Erling C.

    2009-01-01

    Pilot implementation is a powerful and widely used approach in identifying design flaws and implementation issues before the full-scale deployment of new health information systems. However, pilot implementations often fail in the sense that they say little about the usability and usefulness...... information system. Based on the findings from this study, we identify three main challenges: (1) defining an appropriate scope for pilot implementation, (2) managing the implementation process, and (3) ensuring commitment to the pilot. Finally, recommendations for future research and implications...... of the proposed system designs. This calls for studies that seek to uncover and analyze the reasons for failure, so that guidelines for conducting such pilots can be developed. In this paper, we present a qualitative field study of an ambitious, but unsuccessful pilot implementation of a Danish healthcare...

  16. Key success factors for implementing Taiwan TrainQuali System (TTQS in Taiwanese enterprises

    Directory of Open Access Journals (Sweden)

    Tzong-Ru (Jiun-Shen Lee

    2015-01-01

    Full Text Available Facing the change of economic environment and the need of enhancing competitive advantages, small and medium-sized enterprises in Taiwan utilize ‘Taiwan TrainQuali System (TTQS’ on training talents. In order to maximize the benefits of TTQS implementation and increase the training efficiency, this paper aims to use ‘grey relational analysis (GRA’ to extract key success factors (KSFs from 46 factors, which influence the implementation of TTQS. Moreover, this study also verifies the KSFs with nine case companies which have won gold medals in TTQS evaluation and sum up 12 concrete practices as references for other enterprises in order to show how to implement the TTQS training quality system better in the future, and in turn enhance the quality and performance of human resource training.

  17. Effective Management Tools in Implementing Operational Programme Administrative Capacity Development

    Directory of Open Access Journals (Sweden)

    Carmen – Elena DOBROTĂ

    2015-12-01

    Full Text Available Public administration in Romania and the administrative capacity of the central and local government has undergone a significant progress since 2007. The development of the administrative capacity deals with a set of structural and process changes that allow governments to improve the formulation and implementation of policies in order to achieve enhanced results. Identifying, developing and using management tools for a proper implementation of an operational programme dedicated to consolidate a performing public administration it was a challenging task, taking into account the types of interventions within Operational Programme Administrative Capacity Development 2007 – 2013 and the continuous changes in the economic and social environment in Romania and Europe. The aim of this article is to provide a short description of the approach used by the Managing Authority for OPACD within the performance management of the structural funds in Romania between 2008 and 2014. The paper offers a broad image of the way in which evaluations (ad-hoc, intermediate and performance were used in different stages of OP implementation as a tool of management.

  18. Implementing Value Added Applications in Next Generation Networks

    Directory of Open Access Journals (Sweden)

    Yuan-Kuang Tu

    2010-08-01

    Full Text Available One of the major issues in the future Internet is the integration of telecom networks with the Internet. In many countries, large Internet Service Providers (ISPs are also telecom operators that have been focusing on providing Internet services through their telecom networks with telecom-grade mechanisms. In this article, we show that IP Multimedia Subsystem (IMS is a telecom-grade mechanism that addresses this important issue. In Next Generation Network (NGN, IMS supports IP-based multimedia services that can be accessed from various wireless and wired access technologies through fixed-mobile convergence. We show how to integrate Internet Protocol Television (IPTV with NGN/IMS to offer enhanced IPTV services for subscribers with set-top boxes or mobile phones. We specifically describe the implementations of three services: weather forecasts, short messages on TV screens and TV shopping/food ordering for mobile users. Although these services can be directly implemented in the Internet, our commercial operation experiences indicate that the NGN/IMS implementation has advantages in terms of telecom-grade security, Quality of Service (QoS, and flexible service creation.

  19. Implementation and Analysis of Initial Trauma Registry in Iquitos, Peru

    Directory of Open Access Journals (Sweden)

    Vincent Duron

    2016-10-01

    Full Text Available Background: In Peru, 11% of deaths are due to trauma. Iquitos is a large underserved Peruvian city isolated from central resources by its geography. Our objective was to implement a locally driven trauma registry to sustainably improve trauma healthcare in this region. Methods: All trauma patients presenting to the main regional referral hospital were included in the trauma registry. A pilot study retrospectively analyzed data from the first two months after implementation. Results: From March to April 2013, 572 trauma patients were entered into the database. Average age was 26.9 years. Ten percent of patients presented more than 24 hours after injury. Most common mechanisms of injury were falls (25.5%, motor vehicle collisions (23.3%, and blunt assault (10.5%. Interim analysis revealed that 99% of patients were entered into the database. However, documentation of vital signs was poor: 42% of patients had temperature, 26% had oxygen saturation documented. After reporting to registry staff, a significant increase in temperature (42 to 97%, P < 0.001 and oxygen saturation (26 to 92%, P < 0.001 documentation was observed. Conclusion: A trauma registry is possible to implement in a resource-poor setting. Future efforts will focus on analysis of data to enhance prevention and treatment of injuries in Iquitos.

  20. Implementation Science to Accelerate Clean Cooking for Public Health

    Science.gov (United States)

    Rosenthal, Joshua; Balakrishnan, Kalpana; Bruce, Nigel; Chambers, David; Graham, Jay; Jack, Darby; Kline, Lydia; Masera, Omar; Mehta, Sumi; Mercado, Ilse Ruiz; Neta, Gila; Pattanayak, Subhrendu; Puzzolo, Elisa; Petach, Helen; Punturieri, Antonello; Rubinstein, Adolfo; Sage, Michael; Sturke, Rachel; Shankar, Anita; Sherr, Kenny; Smith, Kirk; Yadama, Gautam

    2017-01-01

    Summary: Clean cooking has emerged as a major concern for global health and development because of the enormous burden of disease caused by traditional cookstoves and fires. The World Health Organization has developed new indoor air quality guidelines that few homes will be able to achieve without replacing traditional methods with modern clean cooking technologies, including fuels and stoves. However, decades of experience with improved stove programs indicate that the challenge of modernizing cooking in impoverished communities includes a complex, multi-sectoral set of problems that require implementation research. The National Institutes of Health, in partnership with several government agencies and the Global Alliance for Clean Cookstoves, has launched the Clean Cooking Implementation Science Network that aims to address this issue. In this article, our focus is on building a knowledge base to accelerate scale-up and sustained use of the cleanest technologies in low- and middle-income countries. Implementation science provides a variety of analytical and planning tools to enhance effectiveness of clinical and public health interventions. These tools are being integrated with a growing body of knowledge and new research projects to yield new methods, consensus tools, and an evidence base to accelerate improvements in health promised by the renewed agenda of clean cooking. PMID:28055947